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Work ability in patients with polymyositis and dermatomyositis: An explorative and descriptive study
Karolinska University Hospital, Sweden; Karolinska Institute, Sweden.
Karolinska Institute, Sweden; Karolinska University Hospital, Sweden; Karolinska Institute, Sweden.
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
Karolinska University Hospital, Sweden; Karolinska Institute, Sweden.
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2016 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 53, no 2, 265-277 p.Article in journal (Refereed) PublishedText
Abstract [en]

BACKGROUND: Polymyositis (PM) and dermatomyositis (DM) are rare, chronic inflammatory diseases leading to muscle weakness and low muscle endurance. The muscle weakness may lead to restrictions in daily activities and low health-related quality of life. OBJECTIVES: This study aimed to investigate the work situation, work ability, work-related risk factors, and influence of the physical and psycho-social work environment in patients with PM and DM. METHODS: Patients with PM/DM were assessed using the Work Ability Index (WAI), and the Work Environment Impact Scale (WEIS). RESULTS: Forty-eight patients (PM n = 25 and DM n = 23) participated (women/men: 29/19) with a mean age of 54 years (range 28-67 years, SD. 10) and mean disease duration of nine years (SD. 9). Forty-four percent worked full-time, 31% part-time and 25% were on full-time sick leave. More than 50% self-rated work ability as "poor" or "lessgood". Physically strenuous work components were present "quite to very often" in 23-79% and more in patients on sick leave = 2 years. For those working, the interfering factors in the work environment concerned task and time demands. Supporting factors concerned meaning of work, interactions with co-workers and others. Self-rated work ability correlated moderately-highly positive with percentage of full-time employment, work-related risk factors and opportunities and constraints in the work environment. CONCLUSIONS: Poor self-rated work ability is common in patients with PM/DM indicating a need to identify interfering risk factors and support patients to enhance work performance.

Place, publisher, year, edition, pages
IOS PRESS , 2016. Vol. 53, no 2, 265-277 p.
Keyword [en]
Work Ability Index (WAI); Work Environment Impact Scale (WEIS); work-related risk factors; vocational rehabilitation; occupational therapy
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URN: urn:nbn:se:liu:diva-126863DOI: 10.3233/WOR-152127ISI: 000371064200005PubMedID: 26409371OAI: diva2:917116

Funding Agencies|Karolinska University Hospital; Karolinska Institutet (National Health Care Sciences Postgraduate School); Swedish Research Council; Swedish Rheumatism Association; King Gustaf V 80-Year Foundation; Karolinska Institutet; Stockholm County Council

Available from: 2016-04-05 Created: 2016-04-05 Last updated: 2016-04-05

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Sandqvist, Jan
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Division of Health, Activity and CareFaculty of Medicine and Health Sciences
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