Literature DB >> 24594538

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

Elizabeth E Marfeo1, Sue Eisen2, Pengsheng Ni1, Elizabeth K Rasch3, E Sally Rogers4, Alan Jette1.   

Abstract

BACKGROND: Questions exist related to the best way to use medical evidence relative to self-report as part of the SSA disability determination process.
OBJECTIVE: To 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.
METHODS: Using 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.
RESULTS: A 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.
CONCLUSIONS: Results 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.

Entities:  

Keywords:  Work disability; behavioral health; disability evaluation

Mesh:

Year:  2015        PMID: 24594538      PMCID: PMC4155030          DOI: 10.3233/WOR-141847

Source DB:  PubMed          Journal:  Work        ISSN: 1051-9815


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