Staying on the job: The relationship between work performance and cognition in individuals diagnosed with multiple sclerosis
Staying on the job: The relationship between work performance and cognition in individuals diagnosed with multiple sclerosis
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DOI：
10.1080/13803395.2015.1039963
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发表时间：
2015-07-03
影响因子：
2.2
通讯作者：
Roper, Brad L.
中科院分区：
文献类型：
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作者：
Baughman, Brandon C.;Basso, Michael R.;Roper, Brad L.
随着疾病的发展，多发性硬化症(MS)患者容易失业，大多数研究表明，这是由于行动不便。一些研究表明，认知障碍的存在也预示着就业状况。然而，还没有研究检验神经心理因素如何预测仍在就业的多发性硬化症患者的职业表现。我们评估了雇主和自我评估的工作表现、流动状况和神经心理功能，对44名确诊为多发性硬化症的人进行了抽样。结果表明，尽管流动状况基本完好，但认知障碍在这些受雇个人中很常见。此外，出现了显著的交互作用，以至于认知受损的个人的工作表现被主管打得更差。相比之下，认知受损的参与者对工作表现的自我评分高于未受损的参与者。这些新的发现表明，认知障碍可能会影响工作表现，即使是在身体残疾状况相对完整的患者中也是如此。
People with multiple sclerosis (MS) are apt to become unemployed as the disease progresses, and most research implies that this is due to diminishing mobility. Some studies have shown that presence of cognitive impairment also predicts employment status. Yet, no studies have examined how neuropsychological factors predict vocational performance among individuals with MS who remain employed. We assessed employer- and self-rated work performance, mobility status, and neuropsychological function in a sample of 44 individuals diagnosed with MS. Results suggest that cognitive impairment is common in these employed individuals, despite largely intact mobility status. Moreover, a significant interaction emerged, such that cognitively impaired individuals' work performance was rated more poorly by supervisors. In contrast, self-ratings of work performance were higher in cognitively impaired than in unimpaired participants. These novel findings suggest that cognitive impairment may influence work performance, even in patients whose physical disability status is relatively intact.