Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/12869
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Disability, distress and unemployment in neurology outpatients with symptoms 'unexplained by organic disease'
Authors: Carson, Alan J
Stone, Jon C
Hibberd, Carina
Murray, Gordon
Duncan, Roderick D D
Coleman, Richard J
Warlow, Charles P
Roberts, Richard C
Pelosi, Anthony J
Cavanagh, Jonathan T O
Matthews, Keith B
Goldbeck, Rainer
Hansen, Christian Holm
Sharpe, Michael C
Contact Email: carina.hibberd@stir.ac.uk
Issue Date: Jul-2011
Publisher: BMJ Publishing Group
Citation: Carson AJ, Stone JC, Hibberd C, Murray G, Duncan RDD, Coleman RJ, Warlow CP, Roberts RC, Pelosi AJ, Cavanagh JTO, Matthews KB, Goldbeck R, Hansen CH & Sharpe MC (2011) Disability, distress and unemployment in neurology outpatients with symptoms 'unexplained by organic disease', Journal of Neurology, Neurosurgery, and Psychiatry, 82 (7), pp. 810-813.
Abstract: Objectives: To determine the disability, distress and employment status of new neurology outpatients with physical symptoms unexplained by organic disease and to compare them with patients with symptoms explained by organic disease. Methods: As part of a cohort study (the Scottish Neurological Symptoms Study) neurologists rated the extent to which each new patient's symptoms were explained by organic disease. Patients whose symptoms were rated as 'not at all' or only 'somewhat' explained by disease were considered cases, and those whose symptoms were 'largely' or 'completely' explained by disease were considered controls. All patients completed self-ratings of disability, health status (Medical Outcomes Study Short Form 12-Item Scale (SF-12)) and emotional distress (Hospital Anxiety and Depression Scale) and also reported their employment and state financial benefit status. Results: 3781 patients were recruited: 1144 (30%) cases and 2637 (70%) controls. Cases had worse physical health status (SF-12 score 42 vs 44; difference in means 1.7 (95% CI e2.5 to 0.9)) and worse mental health status (SF-12 score 43 vs 47; difference in means e3.5 (95% CI e4.3 to to 2.7)). Unemployment was similar in cases and controls (50% vs 50%) but cases were more likely not to be working for health reasons (54% vs 37% of the 50% not working; OR 2.0 (95% CI 1.6 to 2.4)) and also more likely to be receiving disability-related state financial benefits (27% vs 22%; (OR 1.3, 95% CI 1.1 to 1.6)). Conclusions: New neurology patients with symptoms unexplained by organic disease have more disability-, distress- and disability-related state financial benefits than patients with symptoms explained by disease.
Type: Journal Article
URI: http://hdl.handle.net/1893/12869
DOI Link: http://dx.doi.org/10.1136/jnnp.2010.220640
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: University of Edinburgh
University of Edinburgh
NMAHP Research
University of Edinburgh
Southern General Hospital
Aberdeen Royal Infirmary
University of Edinburgh
University of Dundee
Hairmyres Hospital, East Kilbride
University of Glasgow
University of Dundee
Aberdeen Royal Infirmary
University of Edinburgh
University of Edinburgh

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