Evidence map›Paper›PMID 24594538›Full record

ArticleWork (Reading, Mass.)2015

Do claimants over-report behavioral health dysfunction when filing for work disability benefits?

Elizabeth E Marfeo, Sue Eisen, Pengsheng Ni, Elizabeth K Rasch, E Sally Rogers, Alan Jette

Abstract read
In one paragraph

Article in Work (Reading, Mass.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Elizabeth E MarfeoHealth and Disability Research Institute, Boston University School of Public Health, Boston, MA, USA.
Sue EisenCenter for Health Quality, Outcomes and Economic Research, Edith Nourse Rogers Memorial Veterans Hospital, Bedford, MA, USA.
Pengsheng NiHealth and Disability Research Institute, Boston University School of Public Health, Boston, MA, USA.
Elizabeth K RaschRehabilitation Medicine Department, Mark O. Hatfield Clinical Research Center, National Institutes of Health, Bethesda, MD, USA.
E Sally RogersCenter for Psychiatric Rehabilitation, Boston University, Boston, MA, USA.
Alan JetteHealth and Disability Research Institute, Boston University School of Public Health, Boston, MA, USA.

Funding

Analyzing the SSA Disability Evaluation ProcessZIACL060065 · CLC · CLINICAL CENTER · PI CHAN, LEIGHTON · 2009 to 2025
$0k
CLC NIH HHS HHSN269200900004CCLC NIH HHS HHSN269200900004ICLC NIH HHS HHSN269201000011CCLC NIH HHS HHSN269201100009IIntramural NIH HHS ZIA CL060065
6 · The paper itself

Abstract

backgrondQuestions exist related to the best way to use medical evidence relative to self-report as part of the SSA disability determination process.

objectiveTo examine concordance between provider and claimant responses along the four dimensions of work related behavioral health functioning: Social Interactions, Mood and Emotions, Behavioral Control, and Self-Efficacy.

methodsUsing secondary data from a larger study, which collected data on individuals reporting difficulties with work (claimants) due to mental conditions, 39 items were completed by claimants and their healthcare provider. Inter-rater agreement was assessed using three techniques: Cohen's kappa, percent absolute agreement, and folded mountain plots.

resultsA sample of 65 dyads was obtained. Inter-rater agreement was low for most items (k=0.0-0.20) with a minority of items having fair agreement (k=0.21-0.40) Percent agreement was fair: Mood and Emotions (46%), Self-Efficacy (44%), Behavioral Control (39%) and Social Interactions (38%). Overall, providers reported lower functioning compared to claimants for the Behavioral Control and Self-Efficacy scales; the reverse trend held for the Mood and Emotions scale.

conclusionsResults indicate discordance between provider and claimant report of behavioral health functioning. Understanding reasons for and approaches to reconciling the inconsistencies between claimant and provider perspectives is a complex task. These findings have implications for how best to assess mental and behavioral-health related work disability in the absence of an established gold standard measure.

Indexed as

Insurance BenefitsInsurance, DisabilityPersons with DisabilitiesSelf ReportSocial SecurityAffectBehaviorDisability EvaluationFemaleHealth PersonnelHumansInsurance Claim ReportingInterpersonal RelationsMaleMental DisordersObserver Variationbehavioral healthdisability evaluationWork disability

Identifiers

PMID24594538
PMCPMC4155030

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.