van der Hiele K, van Gorp Dam, Benedict Rhb, Jongen P J, Arnoldus Epj, Beenakker Eac, Bos H M, van Eijk Jjj, Fermont J, Frequin Stfm, van Geel B M, Hengstman Gjd, Hoitsma E, Hupperts Rmm, Mostert J P, Pop Phm, Verhagen Wim, Zemel D, Frndak S E, Heerings Map, Middelkoop Ham, Visser L H
National Multiple Sclerosis Foundation, the Netherlands.
University of Humanistic Studies, the Netherlands.
Mult Scler J Exp Transl Clin. 2016 Nov 24;2:2055217316680638. doi: 10.1177/2055217316680638. eCollection 2016 Jan-Dec.
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.
Our goal was to examine negative work events and accommodations in relation to coping strategies in employed relapsing-remitting MS patients.
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.
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.
Emotion-oriented and task-oriented coping strategies are associated with negative work events and the use of accommodations.
失业在多发性硬化症（MS）患者中很常见，且已知会对生活质量产生负面影响。导致失业的过程通常包括负面工作事件、生产力损失以及对工作调整的需求。通过采用积极的应对策略，失业可能会被预防或推迟。
我们的目标是研究复发缓解型MS在职患者的负面工作事件和工作调整与应对策略之间的关系。
97名MS患者（77%为女性；年龄在21至59岁之间）完成了关于患者工作状况、应对策略、人口统计学、身体、心理和认知功能的问卷调查。进行向前二元逻辑回归分析，以研究应对策略和其他（疾病）特征对所报告的负面工作事件和工作调整的预测作用。
19%的在职MS患者报告了一个或多个负面工作事件，这与更多地使用以情绪为导向的应对方式和更高的缺勤率相关。73%的患者报告使用了一种或多种工作调整措施，这与更高的教育水平和更高的出勤主义相关。报告对工作场所有身体方面改变的MS患者更多地采用以情绪为导向的应对方式，而灵活的工作安排与以任务为导向的应对方式相关。
以情绪为导向和以任务为导向的应对策略与负面工作事件及工作调整措施的使用有关。
