scholarly journals Coping strategies in relation to negative work events and accommodations in employed multiple sclerosis patients

2016 ◽  
Vol 2 ◽  
pp. 205521731668063 ◽  
Author(s):  
K van der Hiele ◽  
DAM van Gorp ◽  
RHB Benedict ◽  
PJ Jongen ◽  
EPJ Arnoldus ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Coping Strategies ◽  
Job Loss ◽  
Binary Logistic Regression ◽  
Negative Work ◽  
Productivity Losses ◽  
Negative Effect ◽  
Multiple Sclerosis Patients ◽  
Task Oriented ◽  
Work Events

Background Job loss is common in multiple sclerosis (MS) and is known to exert a negative effect on quality of life. The process leading up to job loss typically includes negative work events, productivity losses and a need for accommodations. By using active coping strategies job loss may be prevented or delayed. Objective Our goal was to examine negative work events and accommodations in relation to coping strategies in employed relapsing–remitting MS patients. Methods Ninety-seven MS patients (77% females; 21–59 years old) completed questionnaires concerning the patient’s work situation, coping strategies, demographics, physical, psychological and cognitive functioning. Forward binary logistic regression analyses were conducted to examine coping strategies and other (disease) characteristics predictive of reported negative work events and accommodations. Results Nineteen per cent of the employed MS patients reported one or more negative work events, associated with a higher use of emotion-oriented coping and more absenteeism. Seventy-three per cent reported using one or more work accommodations, associated with a higher educational level and more presenteeism. MS patients reporting physical changes to the workplace employed more emotion-oriented coping, while flexible scheduling was associated with task-oriented coping. Conclusion Emotion-oriented and task-oriented coping strategies are associated with negative work events and the use of accommodations.

Identifying employed multiple sclerosis patients at-risk for job loss: When do negative work events pose a threat?

2015 ◽  
Vol 4 (5) ◽  
pp. 409-413 ◽  
Author(s):  
Victoria M. Kordovski ◽  
Seth E. Frndak ◽  
Carrie S. Fisher ◽  
Jonathan Rodgers ◽  
Bianca Weinstock-Guttman ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
At Risk ◽  
Job Loss ◽  
Negative Work ◽  
Patients At Risk ◽  
Multiple Sclerosis Patients ◽  
Work Events

Negative work events reported online precede job loss in multiple sclerosis

2015 ◽  
Vol 357 (1-2) ◽  
pp. 209-214 ◽  
Author(s):  
Seth E. Frndak ◽  
Lauren N. Irwin ◽  
Victoria M. Kordovski ◽  
Kristen Milleville ◽  
Carrie Fisher ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Job Loss ◽  
Negative Work ◽  
Work Events

Negative work events and accommodations in employed multiple sclerosis patients

2013 ◽  
Vol 20 (1) ◽  
pp. 116-119 ◽  
Author(s):  
Ralph HB Benedict ◽  
Jonathan D Rodgers ◽  
Natalie Emmert ◽  
Rachel Kininger ◽  
Bianca Weinstock-Guttman
Keyword(s):  
Multiple Sclerosis ◽  
Cognitive Abilities ◽  
Online Survey ◽  
Cognitive Disorder ◽  
Monitoring Tool ◽  
Status Monitoring ◽  
Negative Work ◽  
Wide Range ◽  
Multiple Sclerosis Patients ◽  
Work Events

Work disability is common in multiple sclerosis (MS) and cognitive disorder discriminates disabled from employed patients. Our goal was to develop and validate an online vocational status monitoring tool measuring negative work events and use of accommodations. We enrolled 52 employed patients completing an online survey and a clinical examination including tests of motor function, cognitive abilities, and depression. The survey recorded a wide range of reported work problems. Regression models predicting negative work events, and use of accommodations, retained measures of ambulation, cognition, and depression. These data provide preliminary support for the validity of online vocational monitoring in MS.

scholarly journals Significant Life Events and Career Sustainability: A Three-Wave Study

2021 ◽  
Vol 13 (23) ◽  
pp. 13129
Author(s):  
Shagini Udayar ◽  
Leandro Ivan Canzio ◽  
Ieva Urbanaviciute ◽  
Jonas Masdonati ◽  
Jérôme Rossier
Keyword(s):  
Life Events ◽  
Repeated Measures ◽  
Longitudinal Design ◽  
Spillover Effects ◽  
Negative Work ◽  
Negative Effect ◽  
Significant Life ◽  
Stress At Work ◽  
Work Events ◽  
Positive Work

Over the last three decades, the professional landscape has changed, and career paths have become more plural, complex, and flexible, as well as less predictable. Consequently, career sustainability has become a major concern. Since the framework of sustainable careers captures the complexities of modern careers, we used it in the present study to understand how various types of significant life events (i.e., negative work events, negative nonwork events, positive work events, and positive nonwork events) hinder or foster career sustainability among 870 professionally active adults in Switzerland using a longitudinal design. We used repeated measures analysis of variance to study changes in health (i.e., self-rated health and stress at work), happiness (i.e., life satisfaction, quality of life, and job satisfaction), and productivity (i.e., employability and career prospects) by the type of significant life events over time, from 1 year before the event (T0) to 1 year after the event (T2). Results indicated that work events are important to consider when studying career sustainability as there is evidence for spillover effects from work to life. Specifically, experiencing positive work events seems to foster career sustainability, and these effects seem to be stronger than the negative effect of negative work or nonwork life events on health, happiness, and productivity.

Coping strategies and adjustment to multiple sclerosis among recently diagnosed patients: the mediating role of sense of coherence

2017 ◽  
Vol 31 (10) ◽  
pp. 1386-1395 ◽  
Author(s):  
Emanuela Calandri ◽  
Federica Graziano ◽  
Martina Borghi ◽  
Silvia Bonino
Keyword(s):  
Mental Health ◽  
Multiple Sclerosis ◽  
Problem Solving ◽  
Coping Strategies ◽  
Sense Of Coherence ◽  
Well Being ◽  
Mediating Role ◽  
Z Value ◽  
Multiple Sclerosis Patients ◽  
The Relationship

Objective: To examine the relationship between coping strategies (problem solving, emotional release, and avoidance) and adjustment (health-related quality of life, depression, and affective well-being) in a group of recently diagnosed multiple sclerosis patients (up to three years since diagnosis), and to explore the mediating role of sense of coherence between coping strategies and adjustment. Design: Cross-sectional. Setting: Multiple Sclerosis Clinic Centre. Subjects: A total of 102 patients (61.8% women; age (years): M = 35.8, SD = 11.9; 95% with a relapsing–remitting form of multiple sclerosis; Expanded Disability Status Scale score, between 1 and 4). Interventions: Not applicable. Main measures: Coping with multiple sclerosis (problem solving, emotional release, and avoidance), sense of coherence, health-related quality of life (SF-12), depression (CES-D), and affective well-being (PANAS). Results: Problem solving was linked to higher mental health ( β = 0.28) and higher affective well-being ( β = 0.36), emotional release was related to lower depression ( β = −0.22); avoidance was associated to higher mental health ( β = 0.25), higher affective well-being ( β = 0.24), and lower depression ( β = −0.29 ) (all betas were significant at p < 0.05). Sense of coherence mediated the relationship between emotional release and depression (Sobel z-value = −2.00; p < 0.05) and the relationship between avoidance and all the indicators of adjustment (mental health: Sobel z-value = 1.97; depression: Sobel z-value = −2.02; affective well-being: Sobel z-value= 2.05; p < 0.05). Conclusions: Emotional and avoidant coping strategies seem to be adaptive among recently diagnosed multiple sclerosis patients. A mediating role between coping strategies and adjustment is played by sense of coherence.

scholarly journals Interplaying Factors That Effect Multiple Sclerosis Causation and Sustenance

2012 ◽  
Vol 2012 ◽  
pp. 1-27 ◽  
Author(s):  
Emanuel Calenoff
Keyword(s):  
Multiple Sclerosis ◽  
Mast Cell ◽  
Autoimmune Disease ◽  
Immunosuppressive Agents ◽  
Mast Cell Degranulation ◽  
Ige Antibodies ◽  
Negative Effect ◽  
Ige Mediated ◽  
And Gender ◽  
Multiple Sclerosis Patients

The author hypothesized that multiple sclerosis (MS) is a humoral autoimmune disease, caused by faulty interplay between myelin-specific, dimeric IgE, specifically competing non-IgE antibodies and IgE-triggered degranulating mast cells. The principal fault was believed to be insufficient quantity of protective, specific non-IgE antibodies. Also conjectured was the possibility of an unexpected and adverse immune suppression caused by none-MS pharmaceuticals being consumed by patients for their MS or for other conditions. To test both hypotheses, a mimotopic, peptide antigen-based, serum immunoassay was developed to measure dimer-bound IgE excess among MS patients, wherein the IgE specifically complexes with two or more myelin surface epitopes at an interval of 40–100 Angstroms, a separation critical for mast cell degranulation and cell damaging effect. MS test sensitivity and specificity, when analyzing five previously untreated patients for dimeric IgE presence, was 100%. In direct comparison, twenty age- and gender-matched female and male control subjects were test negative. Analysis of 35 multiple sclerosis patients, who were concomitantly being treated with potentially immunosuppressive pharmaceuticals, appeared to show the substances’ negative effect upon MS causation, progression, or specific immunoassay performance. Therefore, MS is likely an autoimmune disease caused by IgE-mediated mast cell degranulation possibly in conjunction with immunosuppressive agents.

Effect of Task Oriented Approach on Balance in Ataxic Multiple Sclerosis Patients

2019 ◽  
Vol 87 (12) ◽  
pp. 4789-4794
Author(s):  
MOSHERA H. DARWISH, Ph.D.; NEVIN M. SHALABY, Ph.D. ◽  
AHMED S. ALI, Ph.D.; HABIBA Z. SOUBHY, M.Sc.
Keyword(s):  
Multiple Sclerosis ◽  
Multiple Sclerosis Patients ◽  
Task Oriented ◽  
Oriented Approach
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