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Article type: Research Article
Authors: Vanotti, S.a; b; c; d; * | Eizaguirre, M.B.b; c | Ciufia, N.P.b; c | Yastremiz, C.M.e | Roman, M.S.b; d | Canyazo, C. Martinezb | Alonso, R.b | Garcea, O.b | Benedict, R.H.B.e | Caceres, F.d
Affiliations: [a] Ineba – Neurosciences Institute of Buenos Aires, Buenos Aires, Argentina | [b] Multiple Sclerosis Unit, Ramos Mejía Hospital, Buenos Aires, Argentina | [c] Research Institute of Psychology, School of Psychology, Buenos Aires University, Buenos Aires, Argentina | [d] INERE – Institute of Restorative Neurosciences, Buenos Aires, Argentina | [e] Department of Neurology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo - The State University of New York, Buffalo, NY, USA
Correspondence: [*] Address for correspondence: Vanotti S. PhD, Guardia Vieja 4435 –1192, Buenos Aires, Argentina. Tel.: 0054911467700; Fax: 0054911467700; E-mail: svanotti@gmail.com.
Abstract: BACKGROUND:Multiple sclerosis (MS) is a neurological chronic disease that causes a number of physical, cognitive and emotional symptoms. The identification of these factors will allow mitigating unemployment and improve quality of life of patients. The Buffalo Vocational Monitoring Survey (BVMS) is a tool to characterize Work-Challenged patients. OBJECTIVE:To describe and analyze BVMS data in people with multiple sclerosis (PwMS) from Argentina. To study the association with physical, cognitive and psychiatric morbidity in employed patients, comparing the performance of MS Work-Challenged and MS Work-Stable patients, with and without accommodations. METHODS:119 MS patients were administered the Argentina adaptation of the BVMS, and completed measures of physical disability, fatigue, depression, cognitive processing speed, memory and verbal fluency. RESULTS:65.54% of the patients were employed and 19.32% were unemployed, the remaining having roles of housewife, students and disability retirees. Within the employed subgroup, 60.26% were working as employees and 39.74% were self-employed. Cognitive and clinical variables differentiate patients with and without negative events and accommodations (p > 0.05). CONCLUSIONS:This Spanish version BVMS is considered a new tool to monitor employment difficulties in Spanish-speaking MS patients. MS Work-Challenged had a higher depression, fatigue and worse performance in cognitive variables.
Keywords: Employment, cognitive impairment, depression, fatigue, physical disability and multiple sclerosis
DOI: 10.3233/WOR-213442
Journal: Work, vol. 68, no. 4, pp. 1121-1131, 2021
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