Work difficulties in people with multiple sclerosis: The role of anxiety, depression and coping.

IF 2.5 Q2 CLINICAL NEUROLOGY Multiple Sclerosis Journal - Experimental, Translational and Clinical Pub Date : 2022-09-04 eCollection Date: 2022-07-01 DOI:10.1177/20552173221116282

Eea van Egmond, K van der Hiele, Dam van Gorp, P J Jongen, Jjl van der Klink, M F Reneman, Eac Beenakker, Jjj van Eijk, Stfm Frequin, K de Gans, B M van Geel, Ohh Gerlach, Gjd Hengstman, J P Mostert, Wim Verhagen, Ham Middelkoop, L H Visser

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引用次数: 2

Abstract

Background: Symptoms of anxiety and depression affect the daily life of people with multiple sclerosis (MS). This study examined work difficulties and their relationship with anxiety, depression and coping style in people with MS.

Methods: 219 employed people with MS (median age = 43 years, 79% female) completed questionnaires on anxiety, depression, coping style, demographics and work difficulties, and underwent a neurological examination. Two regression analyses were performed with work difficulties as the dependent variable and either anxiety or depression as continuous independent variables. Coping style, age, gender, educational level, MS-related disability and disease duration were added as additional predictors, as well as interaction terms between coping style and either symptoms of depression or anxiety.

Results: A significant model was found (F _(10,205) = 13.14, p < 0.001, R ² = 0.39) in which anxiety, emotion- and avoidance-oriented coping and MS-related disability were positively related to work difficulties. The analysis of depression resulted in a significant model (F _(10,205) = 14.98, p < 0.001, R ² = 0.42) in which depression, emotion- and avoidance-oriented coping and MS-related disability were positively related to work difficulties. None of the interaction effects were significant.

Conclusions: Work difficulties were positively related to anxiety, depression, emotion- and avoidance-oriented coping and MS-related disability in workers with MS.

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多发性硬化症患者的工作困难:焦虑、抑郁和应对的作用。

背景:焦虑和抑郁症状影响多发性硬化症(MS)患者的日常生活。方法:219名在职多发性硬化症患者(中位年龄43岁，女性79%)完成了焦虑、抑郁、应对方式、人口统计学和工作困难问卷调查，并进行了神经学检查。以工作困难为因变量，焦虑或抑郁为连续自变量，进行两次回归分析。应对方式、年龄、性别、教育水平、ms相关残疾和疾病持续时间被添加为额外的预测因素，以及应对方式与抑郁或焦虑症状之间的相互作用项。结果:存在显著模型(F (10,205) = 13.14, p r2 = 0.39)，焦虑、情绪和回避型应对和ms相关残疾与工作困难呈正相关。对抑郁的分析得出显著模型(F (10,205) = 14.98, p r2 = 0.42)，抑郁、情绪和回避型应对和ms相关残疾与工作困难呈正相关。交互作用均不显著。结论:工作困难与多发性硬化症患者的焦虑、抑郁、情绪和回避型应对以及多发性硬化症相关残疾呈正相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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