Working restrictions and disability benefits eligibility in patients with functional (psychogenic) seizures: An international survey of physicians' opinions.

Autor: Asadi-Pooya AA; Epilepsy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Jefferson Comprehensive Epilepsy Center, Thomas Jefferson University, Philadelphia, PA, USA. Electronic address: aliasadipooya@yahoo.com., Brigo F; Department of Neurology, Hospital of Merano (SABES-ASDAA), Merano-Meran, Italy., Lattanzi S; Neurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy., D'Alessio L; Buenos Aires University, IBCN-CONICET and Epilepsy Center, Ramos Mejía and El Cruce Hospitals, ENyS-CONICET, Buenos Aires, Argentina., Daza-Restrepo A; Epilepsy Unit, La Trinidad Medical Center, Caracas, Venezuela., Calle-Lopez Y; Neurology Section, Fundación Clínica del Norte- Neuroclínica - University of Antioquia, Medellín, Colombia., Hingray C; Pole universitaire du grand Nancy, Centre Psychothérapeutique de Nancy, Service de Neurologie, CHRU Nancy, Nancy, France. Electronic address: c.hingray@chru-nancy.fr., Alsaadi T; Department of Neurology-American Center for Psychiatry and Neurology, United Arab Emirates., Mesraoua B; Hamad Medical Corporation and Weill Cornell Medical College, Doha, Qatar. Electronic address: boulenouar.mesraoua@wanadoo.fr., Gigineishvili D; Javakhishvili Tbilisi State University, Department of Neurology & Neurosurgery, Tbilisi, Georgia. Electronic address: david.gigineishvili@tsu.ge., Kutlubaev MA; Department of Neurology, Bashkir State Medical University, Ufa, Russia., Yaghmoor BE; Division of Neurology, Department of Internal Medicine, King Abdulaziz University Hospital, Jeddah, Saudi Arabia., Aljandeel GB; Iraqi Council for Medical Specializations, Faculty of Epileptology, Medical City, Baghdad, Iraq., Sarudiasnky M; CAEA, CONICET, University of Buenos Aires, School of Psychology, Buenos Aires, Argentina., Scévola L; Buenos Aires University, IBCN-CONICET and Epilepsy Center, Ramos Mejía and El Cruce Hospitals, ENyS-CONICET, Buenos Aires, Argentina., Contreras G; Epilepsy Unit, La Trinidad Medical Center, Caracas, Venezuela., Lozada ME; Epilepsy Unit, La Trinidad Medical Center, Caracas, Venezuela.
Jazyk: angličtina
Zdroj: Epilepsy & behavior : E&B [Epilepsy Behav] 2021 Feb; Vol. 115, pp. 107678. Date of Electronic Publication: 2020 Dec 18.
DOI: 10.1016/j.yebeh.2020.107678
Abstrakt: Objectives: In this international study, we aimed to investigate the opinions of physicians dealing with patients with functional seizures (FS) worldwide on working restrictions and disability benefits eligibility.
Methods: International online survey of neurologists/mental health professionals from Argentina, Venezuela, Colombia, Italy, France, Iran, Iraq, United Arab Emirates (UAE), Qatar, Saudi Arabia, Georgia, and Russia.
Results: Six hundred and twenty-seven physicians from 12 countries participated in the study. Working as a neurologist was a predictor to think that patients with FS should not be counseled to avoid performing all jobs or professions as long as they have active disease (OR: 0.46; 95% CI: 0.30 to 0.68; p < 0.001). Having managed more than 200 patients was associated with the opinion that patients should not be counseled to avoid performing any type of work (OR: 2.17; 95% CI: 1.02 to 4.59; p = 0.043). Working as a psychiatrist/psychologist was associated with the idea that patients with FS should be qualified for disability benefits (OR: 1.97; 95% CI: 1.21-3.21; p = 0.006), and receive these benefits lifelong (OR: 0.43; 95% CI: 0.22-0.84; p = 0.014).
Conclusion: Neurologists and mental health professionals have different attitudes and opinions toward working restrictions and disability benefits for patients with FS. Further studies should investigate the reasons for these differences, and propose solutions to avoid discrimination and unequal access to employment and disability benefits.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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