Affiliations: [a] Department of Occupational Therapy Karolinska University Hospital Solna, Sweden | [b] Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Sweden | [c] Department of Medicine, Rheumatology Unit, Karolinska University Hospital at Solna, Karolinska Institutet, Stockholm, Sweden | [d] Department of Social and Welfare Studies, Faculty of Health Sciences, Linkoping University, Norrkoping, Sweden | [e] Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital, Division of Rehabilitation Medicine, Stockholm, Sweden | [f] The Rehabilitation Medicine University Clinic, Danderyd Hospital, Stockholm, Sweden
Correspondence:
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Address for correspondence: Malin Regardt, Department of Occupational Therapy Karolinska University Hospital, Solna, S-171 76 Stockholm, Sweden. Tel.: +46 70 4095783; Fax: +46 8 517 730 80; E-mail: malin.regardt@karolinska.se.
Abstract: BACKGROUND:Polymyositis (PM) and dermatomyositis (DM) are rare, chronic inflammatory diseases leading to muscle weakness and low muscle endurance. The muscle weakness may lead to restrictions in daily activities and low health-related quality of life. OBJECTIVES:This study aimed to investigate the work situation, work ability, work-related risk factors, and influence of the physical and psycho-social work environment in patients with PM and DM. METHODS:Patients with PM/DM were assessed using the Work Ability Index (WAI), and the Work Environment Impact Scale (WEIS). RESULTS:Forty-eight patients (PM n = 25 and DM n = 23) participated (women/men: 29/19) with a mean age of 54 years (range 28–67 years, SD.10) and mean disease duration of nine years (SD.9). Forty-four percent worked full-time, 31% part-time and 25% were on full-time sick leave. More than 50% self-rated work ability as “poor” or “less good”. Physically strenuous work components were present “quite to very often” in 23–79% and more in patients on sick leave ≥2 years. For those working, the interfering factors in the work environment concerned task and time demands. Supporting factors concerned meaning of work, interactions with co-workers and others. Self-rated work ability correlated moderately–highly positive with percentage of full-time employment, work-related risk factors and opportunities and constraints in the work environment. CONCLUSIONS:Poor self-rated work ability is common in patients with PM/DM indicating a need to identify interfering risk factors and support patients to enhance work performance.
Keywords: Work Ability Index (WAI), Work Environment Impact Scale (WEIS), work-related risk factors, vocational rehabilitation, occupational therapy
