{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T12:46:07Z","timestamp":1777121167206,"version":"3.51.4"},"reference-count":40,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100007137","name":"Helse Nord RHF","doi-asserted-by":"publisher","award":["174837"],"award-info":[{"award-number":["174837"]}],"id":[{"id":"10.13039\/501100007137","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Multiple Sclerosis Journal \u2013 Experimental, Translational and Clinical"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>People with multiple sclerosis (pwMS) often face complex challenges leading to work-related barriers, reduced employment and impaired health-related quality of life (HRQOL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Explore status for and associations between disability, employment, work barriers and HRQOL in pwMS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cross-sectional survey, 252 pwMS (49.2% of the 512 invited) aged \u226518 in Nordland County, Norway.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Demographics, Expanded Disability Status Scale (EDSS), employment status, MS Work Difficulties Questionnaire-23(MSWDQ-23), and MS Quality of Life-54(MSQOL-54).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Analysis<\/jats:title>\n                    <jats:p>Descriptive statistics, ANOVA and Pearson's correlation in IBM SPSS-27\/28.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants had mean EDSS 2.8 [SD2.2], age 52.3 years [SD12.9], 43.7% were currently working, 22.6% held full positions. The mean preferred work percentage in a tailored job was 81.9% [SD24.9] (employed) and 32.3% (non-employed). Disability benefits started early, mean 43.85 years [SD10.65]. Associations were weak between EDSS and work-percentage (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u2009\u22120.286), work-related barriers (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.34) and MSQOL-54 Mental Health Composite Score (HCS) (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u2009\u22120.27), while moderate for Physical HCS (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.53) and between Physical HCS and work percentage (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      \u2009=\u20090.45).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Unemployment occurred at all disability levels. While physical problems increased over time, mental factors impacted employment at any disability level. However, both employed and unemployed want to work more, indicating possibilities for sustained employment if the job is individually adjusted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552173261439532","type":"journal-article","created":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T13:34:07Z","timestamp":1776951247000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Status for and associations between disability, employment, barriers for work and health-related quality of life in individuals with multiple sclerosis: A cross-sectional study"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5396-4071","authenticated-orcid":false,"given":"EC","family":"Arntzen","sequence":"first","affiliation":[{"name":"Faculty of Nursing and Health Sciences, Nord University, Bod\u00f8, Norway\rDepartment of Physiotherapy, Nordland Hospital Trust, Bod\u00f8, Norway"},{"name":"Department of Physiotherapy, Nordland Hospital Trust, Bod\u00f8, Norway"},{"name":"Department of Physiotherapy, Nordland Hospital Trust, Bod\u00f8, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HK","family":"Fikke","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Nordland Hospital Trust, Bod\u00f8, Norway"},{"name":"Department of Physiotherapy, Nordland Hospital Trust, Bod\u00f8, Norway"},{"name":"Department of Physiotherapy, Nordland Hospital Trust, Bod\u00f8, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Sivertsen","sequence":"additional","affiliation":[{"name":"Faculty of Nursing and Health Science, Nord University, Bod\u00f8, Norway Nordland Hospital trust Department of Physiotherapy Bod\u00f8, Norway"},{"name":"Department of Physiotherapy, Nordland Hospital Trust, Bod\u00f8, Norway"},{"name":"Department of Physiotherapy, Nordland Hospital Trust, Bod\u00f8, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Normann","sequence":"additional","affiliation":[{"name":"Faculty of Nursing and Health Science, Nord University, Bod\u00f8, Norway Nordland Hospital trust Department of Physiotherapy Bod\u00f8, Norway"},{"name":"Department of Physiotherapy, Nordland Hospital Trust, Bod\u00f8, Norway"},{"name":"Department of Physiotherapy, Nordland Hospital Trust, Bod\u00f8, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,23]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.msard.2020.102046"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10198-018-0971-5"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1352458517703804"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/1352458517694432"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/MRR.0b013e32835c79ea"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19159452"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2015.1070295"},{"key":"e_1_3_3_9_2","unstructured":"Aarseth JH Smedal T Sk\u00e5r AB et al. 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