{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T19:49:10Z","timestamp":1790797750179,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T00:00:00Z","timestamp":1698192000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>No study has investigated the impact of dual\u2010tasking difficulties as a risk factor for unemployment in people with multiple sclerosis (pwMS). The aim was to examine the influence of dual\u2010task performance on employment status and work difficulties and to identify the predictors of employment status in pwMS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eighty\u2010four pwMS, including 42 employed and 42 unemployed, participated in the study. Dual\u2010task difficulties were assessed using the Dual\u2010task Impact on Daily\u2010living Activities\u2010Questionnaire (DIDA\u2010Q), while dual\u2010task performance was evaluated through the 30\u2010second Walk Test and Nine\u2010Hole Peg Test, incorporating a cognitive task. Walking and cognitive function were also measured.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Employed pwMS had better scores in walking, cognitive function, single and dual\u2010task performance than unemployed pwMS (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.05). Lower scores in walking (odds ratio [OR]\u00a0=\u00a01.81, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001) and upper extremity\u2010related (OR\u00a0=\u00a01.44, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.019) dual\u2010task performance and higher scores in the cognitive subscale of the DIDA\u2010Q questionnaire (OR\u00a0=\u00a01.20, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.037) were significantly associated with higher odds of being unemployed. Among employed pwMS, DIDA\u2010Q subscales showed moderate\u2010to\u2010strong correlations with MSWSDQ\u201023 scores. The other variables showed weak\u2010to\u2010moderate correlations with subscale and total scores of MSWSDQ\u201023.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Cognitive function, as opposed to motor function, has been found to be a significant predictor of unemployment in pwMS.<\/jats:p><\/jats:sec>","DOI":"10.1002\/brb3.3299","type":"journal-article","created":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T06:49:57Z","timestamp":1698302997000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Dual\u2010task difficulties as a risk factor for unemployment in people with multiple sclerosis"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8776-0664","authenticated-orcid":false,"given":"Turhan","family":"Kahraman","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences Izmir Katip 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