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dc.contributor.authorCarson, Alan Jen_UK
dc.contributor.authorStone, Jon Cen_UK
dc.contributor.authorHibberd, Carinaen_UK
dc.contributor.authorMurray, Gordonen_UK
dc.contributor.authorDuncan, Roderick D Den_UK
dc.contributor.authorColeman, Richard Jen_UK
dc.contributor.authorWarlow, Charles Pen_UK
dc.contributor.authorRoberts, Richard Cen_UK
dc.contributor.authorPelosi, Anthony Jen_UK
dc.contributor.authorCavanagh, Jonathan T Oen_UK
dc.contributor.authorMatthews, Keith Ben_UK
dc.contributor.authorGoldbeck, Raineren_UK
dc.contributor.authorHansen, Christian Holmen_UK
dc.contributor.authorSharpe, Michael Cen_UK
dc.description.abstractObjectives: 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.en_UK
dc.publisherBMJ Publishing Groupen_UK
dc.relationCarson 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.
dc.rightsThe 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.en_UK
dc.titleDisability, distress and unemployment in neurology outpatients with symptoms 'unexplained by organic disease'en_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[Hibberd_2011_Disability_distress_and_unemployment.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.citation.jtitleJournal of Neurology, Neurosurgery and Psychiatryen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationUniversity of Edinburghen_UK
dc.contributor.affiliationUniversity of Edinburghen_UK
dc.contributor.affiliationUniversity of Edinburghen_UK
dc.contributor.affiliationSouthern General Hospitalen_UK
dc.contributor.affiliationAberdeen Royal Infirmaryen_UK
dc.contributor.affiliationUniversity of Edinburghen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
dc.contributor.affiliationHairmyres Hospital, East Kilbrideen_UK
dc.contributor.affiliationUniversity of Glasgowen_UK
dc.contributor.affiliationUniversity of Dundeeen_UK
dc.contributor.affiliationAberdeen Royal Infirmaryen_UK
dc.contributor.affiliationUniversity of Edinburghen_UK
dc.contributor.affiliationUniversity of Edinburghen_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorCarson, Alan J|en_UK
local.rioxx.authorStone, Jon C|en_UK
local.rioxx.authorHibberd, Carina|0000-0001-5556-4311en_UK
local.rioxx.authorMurray, Gordon|en_UK
local.rioxx.authorDuncan, Roderick D D|en_UK
local.rioxx.authorColeman, Richard J|en_UK
local.rioxx.authorWarlow, Charles P|en_UK
local.rioxx.authorRoberts, Richard C|en_UK
local.rioxx.authorPelosi, Anthony J|en_UK
local.rioxx.authorCavanagh, Jonathan T O|en_UK
local.rioxx.authorMatthews, Keith B|en_UK
local.rioxx.authorGoldbeck, Rainer|en_UK
local.rioxx.authorHansen, Christian Holm|en_UK
local.rioxx.authorSharpe, Michael C|en_UK
local.rioxx.projectInternal Project|University of Stirling|
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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