Unemployment and work disability in individuals with chronic fatigue syndrome/myalgic encephalomyelitis : A community-based cross-sectional study from Spain
Castro-Marrero, Jesús (Hospital Universitari Vall d'Hebron)
Faro, Mónica (Institut Català de la Salut. Centre d'Atenció Primària Terrassa Nord)
Zaragoza, Maria Cleofé (Laboratorios Viñas (Barcelona))
Aliste, Luisa (Vall d'Hebron Institut de Recerca (VHIR))
Fernández de Sevilla, Tomás (Vall d'Hebron Institut de Recerca (VHIR))
Alegre Martín, José (Vall d'Hebron Institut de Recerca (VHIR))
Universitat Autònoma de Barcelona

Fecha:	2019
Resumen:	Background: Few reports have examined the association between unemployment and work disability in Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME). This study explored the key determinants of work disability in a CFS/ME cohort. Methods: A community-based prospective study included 1086 CFS/ME patients aged 18-65 years. Demographic and clinical characteristics and outcome measures were recorded. Multiple linear regression analysis was performed to identify key risk indicators of work disability. Results: Four hundred and fifty patients with CFS/ME were employed (41. 4%) and 636 were unemployed (58. 6%). Older age at pain onset (OR: 1. 44; 95% CI: 1. 12-1. 84, autonomic dysfunction (OR: 2. 21; 95% CI: 1. 71-2. 87), neurological symptom (OR: 1. 66; 95% CI: 1. 30-2. 13) and higher scores for fatigue (OR: 2. 61; 95% CI: 2. 01-3. 39), pain (OR: 2. 09; 95% CI: 1. 47-2. 97), depression (OR: 1. 98; 95% CI: 1. 20-3. 26), psychopathology (OR: 1. 98; 95% CI: 1. 51-2. 61) and sleep dysfunction (OR: 1. 47; 95% CI: 1. 14-1. 90) were all associated with a higher risk of work disability due to illness. Conclusions: Using an explanatory approach, our findings suggest that unemployment is consistently associated with an increased risk of work disability due to CFS/ME, although further more rigorous research is now needed to help in targeting interventions at the workplace.
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Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Chronic fatigue syndrome ; Myalgic encephalomyelitis ; Work disability ; Unemployment ; Quality of life ; Comorbidity
Publicado en:	BMC public health, Vol. 19 Núm. 1 (28 2019) , p. 840, ISSN 1471-2458

DOI: 10.1186/s12889-019-7225-z
PMID: 31253111

13 p, 644.7 KB

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