Relationship of perceived stress and employment status in individuals with multiple sclerosis

Meghan Beier, Narineh Hartoonian, Vanessa L. D'Orio, Alexandra L. Terrill, Jagriti Jackie Bhattarai, Noah D. Paisner, Kevin N. Alschuler

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Many individuals with multiple sclerosis (MS) are unemployed relatively soon after diagnosis. There is a paucity of research on the relationship between psychological distress and employment status in persons with MS. OBJECTIVE: To explore the relative distress of employed versus unemployed individuals with MS. METHODS: Secondary cross-sectional analysis of a mailed survey. Variables were categorized by demographics (age, gender, education, marital status), disease (EDSS, MS symptom duration, fatigue, MS-type), and psychosocial factors (depression, anxiety, perceived stress, self-reported general cognitive concerns, self-reported executive dysfunction). Univariate logistic regression analysis was used to identify variables significantly associated with employment status. All significant variables were then included in a multivariate model to identify the most salient correlates. RESULTS: Univariate analyses identified 10 variables that were significantly associated with employment status: age, education, EDSS, MS symptom duration, MS-type, depression symptoms, perceived stress, fatigue, and self-reported cognitive symptoms. The multivariate model yielded four demographic and disease-related variables and one emotional distress variable (older age, moderate disability [EDSS], longer symptom duration, MS-type, higher perceived stress) as significant. CONCLUSIONS: After adjusting for disease variables, demographics, and significant psychosocial factors, perceived stress remained associated with employment status, such that greater perceived stress was associated with being unemployed.

Original languageEnglish (US)
Pages (from-to)243-249
Number of pages7
JournalWork
Volume62
Issue number2
DOIs
StatePublished - Jan 1 2019

Fingerprint

Multiple Sclerosis
Demography
Psychology
Fatigue
Depression
Education
Neurobehavioral Manifestations
Marital Status
Anxiety
Cross-Sectional Studies
Logistic Models
Regression Analysis
Research

Keywords

  • emotional distress
  • MS symptoms
  • Occupational status
  • productivity

ASJC Scopus subject areas

  • Rehabilitation
  • Public Health, Environmental and Occupational Health

Cite this

Beier, M., Hartoonian, N., D'Orio, V. L., Terrill, A. L., Bhattarai, J. J., Paisner, N. D., & Alschuler, K. N. (2019). Relationship of perceived stress and employment status in individuals with multiple sclerosis. Work, 62(2), 243-249. https://doi.org/10.3233/WOR-192859

Relationship of perceived stress and employment status in individuals with multiple sclerosis. / Beier, Meghan; Hartoonian, Narineh; D'Orio, Vanessa L.; Terrill, Alexandra L.; Bhattarai, Jagriti Jackie; Paisner, Noah D.; Alschuler, Kevin N.

In: Work, Vol. 62, No. 2, 01.01.2019, p. 243-249.

Research output: Contribution to journalArticle

Beier, M, Hartoonian, N, D'Orio, VL, Terrill, AL, Bhattarai, JJ, Paisner, ND & Alschuler, KN 2019, 'Relationship of perceived stress and employment status in individuals with multiple sclerosis', Work, vol. 62, no. 2, pp. 243-249. https://doi.org/10.3233/WOR-192859
Beier M, Hartoonian N, D'Orio VL, Terrill AL, Bhattarai JJ, Paisner ND et al. Relationship of perceived stress and employment status in individuals with multiple sclerosis. Work. 2019 Jan 1;62(2):243-249. https://doi.org/10.3233/WOR-192859
Beier, Meghan ; Hartoonian, Narineh ; D'Orio, Vanessa L. ; Terrill, Alexandra L. ; Bhattarai, Jagriti Jackie ; Paisner, Noah D. ; Alschuler, Kevin N. / Relationship of perceived stress and employment status in individuals with multiple sclerosis. In: Work. 2019 ; Vol. 62, No. 2. pp. 243-249.
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