Psychological distress as a mediator of the association between disease severity and occupational functioning among employed spouses of XXXX recently diagnosed with @entity0 .

@entity1 @entity0 @entity73 @entity5
OBJECTIVE: The purpose was to evaluate whether @entity1 and spouse @entity5 mediated the association between @entity5 severity and occupational functioning among employed spouses of @entity1 diagnosed with @entity0 . We examined whether sociodemographic characteristics, lower spouse-reported marital quality, and lower spouse self-rated health were associated with poorer spouse occupational functioning. METHODS: One hundred forty-three currently employed spouses of @entity1 diagnosed with @entity0 were administered measures of socioeconomic status, occupational functioning (work absenteeism, low productivity, and poor performance), @entity5 , marital quality, and self-rated health. @entity1 completed measures of @entity5 -related @entity73 and @entity5 stage were collected from medical charts. RESULTS: In the model evaluating work absenteeism, greater @entity1 functional impairment was associated with more absenteeism, but there was no evidence of a mediating effect for either partners' @entity5 . Higher @entity5 stage and more functional impairment were associated with higher spouse @entity5 , which in turn predicted poorer work productivity. @entity1 @entity5 did not mediate the association between @entity1 functional impairment or @entity5 stage and spouse work productivity. Finally, higher @entity5 stage was associated with more spouse @entity5 , which in turn predicted poorer work performance. There were no direct or indirect effects of the @entity1 's functional impairment on spouse work performance. CONCLUSIONS: Distressed spouses are more likely to have poorer work productivity after their partners' @entity0 . These spouses may need assistance in managing their distress and the @entity1 's functional impairment to ensure that their work productivity is not adversely affected. Copyright    2015 John Wiley _ Sons, Ltd.
