Person-environment contextual factors as mediators for the relationship between symptom cluster and employment outcome in multiple sclerosis

Kanako Iwanaga, Jia Rung Wu, Xiangli Chen, Beatrice Lee, Antonio Reyes, Brian N. Phillips, Joseph Pfaller, Fong Chan

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Multiple sclerosis (MS) symptoms often make it difficult for individuals with MS to stay at work or return to work. It is important to understand the relationship between symptom clusters and employment. Person-environment (P-E) contextual factors such as core self-evaluations (CSE) and social support have been found to be effective mediators for the relationship between disability and participation in rehabilitation research and may be able to reduce the adverse impact of MS symptom cluster on employment outcome of people with MS. OBJECTIVE: To evaluate the mediation effect of CSE and social support on the relationship between symptom cluster and employment in MS. METHOD: Quantitative descriptive research design using two simple mediation analyses. 154 persons with multiple sclerosis participated in this study. RESULTS: Results show that symptom cluster, CSE, and social support were significantly related to employment. Both CSE and social support were significant mediators of the relationship between symptom cluster and employment, with CSE a stronger mediator than social support. CONCLUSIONS: Managing MS symptoms and increasing CSE and social support will reduce the adverse impact of MS symptom cluster on employment outcome. Therefore, CSE and social support can be viewed as protective factors for maintaining employment in MS. These results provide support for the use of positive psychology interventions by vocational rehabilitation counselors working with individuals with multiple sclerosis.

Original languageEnglish
Pages (from-to)197-206
Number of pages10
JournalJournal of Vocational Rehabilitation
Volume48
Issue number2
DOIs
Publication statusPublished - 2018 Jan 1

Fingerprint

Multiple Sclerosis
Diagnostic Self Evaluation
Social Support
Vocational Rehabilitation
Return to Work
Research Design
Psychology

All Science Journal Classification (ASJC) codes

  • Rehabilitation
  • Occupational Therapy

Cite this

Iwanaga, Kanako ; Wu, Jia Rung ; Chen, Xiangli ; Lee, Beatrice ; Reyes, Antonio ; Phillips, Brian N. ; Pfaller, Joseph ; Chan, Fong. / Person-environment contextual factors as mediators for the relationship between symptom cluster and employment outcome in multiple sclerosis. In: Journal of Vocational Rehabilitation. 2018 ; Vol. 48, No. 2. pp. 197-206.
@article{ca30f6dc453247b98ccb255cb919d9c2,
title = "Person-environment contextual factors as mediators for the relationship between symptom cluster and employment outcome in multiple sclerosis",
abstract = "BACKGROUND: Multiple sclerosis (MS) symptoms often make it difficult for individuals with MS to stay at work or return to work. It is important to understand the relationship between symptom clusters and employment. Person-environment (P-E) contextual factors such as core self-evaluations (CSE) and social support have been found to be effective mediators for the relationship between disability and participation in rehabilitation research and may be able to reduce the adverse impact of MS symptom cluster on employment outcome of people with MS. OBJECTIVE: To evaluate the mediation effect of CSE and social support on the relationship between symptom cluster and employment in MS. METHOD: Quantitative descriptive research design using two simple mediation analyses. 154 persons with multiple sclerosis participated in this study. RESULTS: Results show that symptom cluster, CSE, and social support were significantly related to employment. Both CSE and social support were significant mediators of the relationship between symptom cluster and employment, with CSE a stronger mediator than social support. CONCLUSIONS: Managing MS symptoms and increasing CSE and social support will reduce the adverse impact of MS symptom cluster on employment outcome. Therefore, CSE and social support can be viewed as protective factors for maintaining employment in MS. These results provide support for the use of positive psychology interventions by vocational rehabilitation counselors working with individuals with multiple sclerosis.",
author = "Kanako Iwanaga and Wu, {Jia Rung} and Xiangli Chen and Beatrice Lee and Antonio Reyes and Phillips, {Brian N.} and Joseph Pfaller and Fong Chan",
year = "2018",
month = "1",
day = "1",
doi = "10.3233/JVR-180930",
language = "English",
volume = "48",
pages = "197--206",
journal = "Journal of Vocational Rehabilitation",
issn = "1052-2263",
publisher = "IOS Press",
number = "2",

}

Person-environment contextual factors as mediators for the relationship between symptom cluster and employment outcome in multiple sclerosis. / Iwanaga, Kanako; Wu, Jia Rung; Chen, Xiangli; Lee, Beatrice; Reyes, Antonio; Phillips, Brian N.; Pfaller, Joseph; Chan, Fong.

In: Journal of Vocational Rehabilitation, Vol. 48, No. 2, 01.01.2018, p. 197-206.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Person-environment contextual factors as mediators for the relationship between symptom cluster and employment outcome in multiple sclerosis

AU - Iwanaga, Kanako

AU - Wu, Jia Rung

AU - Chen, Xiangli

AU - Lee, Beatrice

AU - Reyes, Antonio

AU - Phillips, Brian N.

AU - Pfaller, Joseph

AU - Chan, Fong

PY - 2018/1/1

Y1 - 2018/1/1

N2 - BACKGROUND: Multiple sclerosis (MS) symptoms often make it difficult for individuals with MS to stay at work or return to work. It is important to understand the relationship between symptom clusters and employment. Person-environment (P-E) contextual factors such as core self-evaluations (CSE) and social support have been found to be effective mediators for the relationship between disability and participation in rehabilitation research and may be able to reduce the adverse impact of MS symptom cluster on employment outcome of people with MS. OBJECTIVE: To evaluate the mediation effect of CSE and social support on the relationship between symptom cluster and employment in MS. METHOD: Quantitative descriptive research design using two simple mediation analyses. 154 persons with multiple sclerosis participated in this study. RESULTS: Results show that symptom cluster, CSE, and social support were significantly related to employment. Both CSE and social support were significant mediators of the relationship between symptom cluster and employment, with CSE a stronger mediator than social support. CONCLUSIONS: Managing MS symptoms and increasing CSE and social support will reduce the adverse impact of MS symptom cluster on employment outcome. Therefore, CSE and social support can be viewed as protective factors for maintaining employment in MS. These results provide support for the use of positive psychology interventions by vocational rehabilitation counselors working with individuals with multiple sclerosis.

AB - BACKGROUND: Multiple sclerosis (MS) symptoms often make it difficult for individuals with MS to stay at work or return to work. It is important to understand the relationship between symptom clusters and employment. Person-environment (P-E) contextual factors such as core self-evaluations (CSE) and social support have been found to be effective mediators for the relationship between disability and participation in rehabilitation research and may be able to reduce the adverse impact of MS symptom cluster on employment outcome of people with MS. OBJECTIVE: To evaluate the mediation effect of CSE and social support on the relationship between symptom cluster and employment in MS. METHOD: Quantitative descriptive research design using two simple mediation analyses. 154 persons with multiple sclerosis participated in this study. RESULTS: Results show that symptom cluster, CSE, and social support were significantly related to employment. Both CSE and social support were significant mediators of the relationship between symptom cluster and employment, with CSE a stronger mediator than social support. CONCLUSIONS: Managing MS symptoms and increasing CSE and social support will reduce the adverse impact of MS symptom cluster on employment outcome. Therefore, CSE and social support can be viewed as protective factors for maintaining employment in MS. These results provide support for the use of positive psychology interventions by vocational rehabilitation counselors working with individuals with multiple sclerosis.

UR - http://www.scopus.com/inward/record.url?scp=85044366298&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85044366298&partnerID=8YFLogxK

U2 - 10.3233/JVR-180930

DO - 10.3233/JVR-180930

M3 - Article

AN - SCOPUS:85044366298

VL - 48

SP - 197

EP - 206

JO - Journal of Vocational Rehabilitation

JF - Journal of Vocational Rehabilitation

SN - 1052-2263

IS - 2

ER -