Frontiers in Rehabilitation Sciences (Jul 2023)

Impact of COVID-19 on employment: sociodemographic, medical, psychiatric and neuropsychological correlates

  • Madison Thompson,
  • Stephen J. Ferrando,
  • Stephen J. Ferrando,
  • Rhea Dornbush,
  • Rhea Dornbush,
  • Sean Lynch,
  • Sean Lynch,
  • Sivan Shahar,
  • Sivan Shahar,
  • Lidia Klepacz,
  • Lidia Klepacz,
  • Abbas Smiley,
  • Abbas Smiley

DOI
https://doi.org/10.3389/fresc.2023.1150734
Journal volume & issue
Vol. 4

Abstract

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IntroductionGiven the nature of the persistent physical and neuropsychiatric symptoms reported in the literature, among individuals after acute COVID illness; there is growing concern about the functional implications of the Post-Acute Sequelae of COVID-19 (PASC). We aim to evaluate associations of sociodemographic, medical, psychiatric and neuropsychological factors with employment status post COVID-19.Methods59 participants were administered a neuropsychiatric assessment and queried about employment status and occupational difficulties months after quarantine. Two levels of comparison were conducted: (1) Those who took time off work (TTO) to those with no time off (NTO); (2) Those who reported occupational performance suffered (PS) to those who did not (PDNS).ResultsTTO vs. NTO exhibited extensive differences across medical, psychiatric and neurocognitive domains. PS vs. PDNS differed on subjective measures of physical and cognitive symptoms, but not on objective testing.ConclusionIndividuals who took time off beyond COVID-19 quarantine experience persistent physical, psychiatric, subjective and objective neurocognitive burden. In contrast, occupational impairment appears to reflect subjective complaints, but not objective measures. Clinical implications are discussed.

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