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Employment of patients with multiple sclerosis: the influence of psychosocial-structural coping and context

Authors Vijayasingham L, Mairami FF

Received 2 November 2017

Accepted for publication 10 February 2018

Published 26 March 2018 Volume 2018:8 Pages 15—24

DOI https://doi.org/10.2147/DNND.S131729

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Justinn Cochran

Peer reviewer comments 3

Editor who approved publication: Prof. Dr. Thomas Müller

Lavanya Vijayasingham,1,2 Fatima Fanna Mairami1

1Jeffrey Cheah School of Medicine, Monash University Malaysia, Bandar Sunway, Malaysia; 2Multiple Sclerosis Society of Malaysia, Petaling Jaya, Malaysia

Abstract: Patients with multiple sclerosis tend to report higher levels of work difficulties and negative outcomes, such as voluntary and involuntary work termination and reduced work participation. In this article, we discuss the complex interactions of disease, personal coping strategies, and social and structural factors that contribute to their work experiences and outcomes. An overview of the coping strategies and actions that leverage personal and context-level factors and dynamics is also provided to support the overall goal of continued work in patients with MS.

Keywords: work, psychological and psychosocial adjustment, structural coping and social determinants, vocational rehabilitation, quality of life

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