Academic Journal
Toward the Search for Clinical and Cognitive Variables that Affect Employment in LATAM: a Multicenter Study.
| Τίτλος: | Toward the Search for Clinical and Cognitive Variables that Affect Employment in LATAM: a Multicenter Study. |
|---|---|
| Συγγραφείς: | Vanotti S; INERE - Institute of Restorative Neurosciences, Buenos Aires, Argentina. svanotti@inere.com.ar.; Universidad de Buenos Aires, Facultad de Psicología, Instituto de Investigaciones en Psicología, Buenos Aires, Argentina. svanotti@inere.com.ar., Jaworski M 3rd; Department of Neurology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo - The State University of New York, Buffalo, NY, USA., Ayala OD; Marly Clinic, Bogotá, Colombia.; Neurodegeneration and Neuroinflammation Research Group, Girona Biomedical Research Institute (IDIBGI), Salt, Spain., Román MS; INERE - Institute of Restorative Neurosciences, Buenos Aires, Argentina.; Universidad de Buenos Aires, Facultad de Psicología, Instituto de Investigaciones en Psicología, Buenos Aires, Argentina., González FM; Universidad de Buenos Aires, Facultad de Psicología, Instituto de Investigaciones en Psicología, Buenos Aires, Argentina., Abulafia C; Universidad de Buenos Aires, Facultad de Psicología, Instituto de Investigaciones en Psicología, Buenos Aires, Argentina.; Laboratorio de Cronofisiología, Instituto de Investigaciones Biomédicas (BIOMED), Pontificia Universidad Católica Argentina (UCA) y CONICET, Buenos Aires, Argentina., Iglesias Passada J; INERE - Institute of Restorative Neurosciences, Buenos Aires, Argentina.; Universidad de Buenos Aires, Facultad de Psicología, Instituto de Investigaciones en Psicología, Buenos Aires, Argentina., Bardoneschi L; INERE - Institute of Restorative Neurosciences, Buenos Aires, Argentina.; Universidad de Buenos Aires, Facultad de Psicología, Instituto de Investigaciones en Psicología, Buenos Aires, Argentina., Saladino ML; INERE - Institute of Restorative Neurosciences, Buenos Aires, Argentina., Cáceres F; INERE - Institute of Restorative Neurosciences, Buenos Aires, Argentina., Macías Islas MÁ; Department of Neurosciences CUCS, University of Guadalajara, Guadalajara, México., Benedict RHB; Department of Neurology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo - The State University of New York, Buffalo, NY, USA. |
| Συλλογικό Έργο: | Qol-LATAM Group |
| Πηγή: | Journal of occupational rehabilitation [J Occup Rehabil] 2026 Sep; Vol. 36 (3), pp. 838-851. Date of Electronic Publication: 2025 Aug 18. |
| Τύπος έκδοσης: | Journal Article; Multicenter Study |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Springer Country of Publication: Netherlands NLM ID: 9202814 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3688 (Electronic) Linking ISSN: 10530487 NLM ISO Abbreviation: J Occup Rehabil Subsets: MEDLINE |
| Imprint Name(s): | Publication: Dordrecht, the Netherlands : Springer Original Publication: New York : Plenum Press, c1991- |
| Ιατρικοί όροι (MeSH): | Employment*/statistics & numerical data , Employment*/psychology , Multiple Sclerosis, Relapsing-Remitting*/psychology, Adult ; Female ; Humans ; Male ; Middle Aged ; Disability Evaluation ; Neuropsychological Tests ; Quality of Life ; Working Conditions ; Latin America ; South American People ; North American People |
| Περίληψη: | Background: In response to rising unemployment rates among people with multiple sclerosis (PwMS) and poor working conditions in Latin America (LATAM), MS experts established the Quality-of-Life working group. This study aims to: (i) describe occupational outcomes and employment status among PwMS in LATAM; (ii) investigate the relationship between different levels of disability and ES; and (iii) Quantify accommodation use and explore potential clinical, cognitive, and sociodemographic predictors of job accommodations in LATAM. Methods: A total of 86 PwMS were recruited from Argentina, Chile, Colombia, Mexico, and Paraguay, of whom 79 (91%) had a relapsing-remitting phenotype and 61 (70.9%) were women. The assessment protocol included the Brief Visual Memory Scale (BVMS), the Brief International Cognitive Assessment for MS (BICAMS), the MS Neuropsychology Screening Questionnaire, the Beck Depression Inventory II (BDI-II), the Fatigue Severity Scale (FSS), and a socioeconomic status (SES) survey. Results: (i) Based on employment status characteristics, 47 PwMS (54.6%) were classified into the work-stable group, 18 PwMS (20.9%) into the work-challenged group, and 21 PwMS (24.4%) into the work-loss group, additionally clinical and sociodemographic characteristics are described. (ii) Hierarchical cluster analysis ranked PwMS into three groups based on cognitive and physical disability levels, showing that a lower level of disability was linked to a higher likelihood of maintaining stable employment. (iii) Job accommodations were predicted by greater self-awareness of cognitive impairment, higher socioeconomic status, higher education, and higher physical disability, all contributing to increased use of workplace accommodations. Conclusion: Physical and neuropsychological disability increase the likelihood of being classified in the work-loss group, while factors such as self-awareness of cognitive impairment, socioeconomic status, level of disability, and education are associated with greater utilization of job accommodations. The work-loss rate among PwMS in LATAM was nearly three times higher than the general unemployment rate, underscoring the significant impact of MS on employment. (© 2025. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.) |
| Competing Interests: | Declarations. Competing Interests: The authors declare no competing interests. |
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| Grant Information: | 19 Executive Committee of LACTRIMS - Latin American Committee for Treatment and Research in Multiple Sclerosis |
| Contributed Indexing: | Investigator: F Cáceres; O Garcea; ML Saladino; CA Cárcamo Rodríguez; E Ciampi; L Arroyo-Riascos; J García Bonitto; LA Granados Patino; C Guerra Posada; M Macías Islas; F de Hamuy Díaz Bedoya; V Rivera; N Ciufia; MS Román; M Vásquez-Torres; OD Ayala; L Duarte Pedroza; A Aguayo-Arelis; BV Rabago-Barajas; MC Doldán Peluffo Keywords: Buffalo Vocational Monitoring Survey; Cognition; Depression; Employment; Latin America; Multiple sclerosis |
| Entry Date(s): | Date Created: 20250819 Date Completed: 20260713 Latest Revision: 20261010 |
| Update Code: | 20261010 |
| DOI: | 10.1007/s10926-025-10318-y |
| PMID: | 40826316 |
| Βάση Δεδομένων: | MEDLINE |
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