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

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

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Introduction: Given 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. Methods: 59 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). Results: TTO 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. Conclusion: Individuals 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.

Original languageEnglish
Article number1150734
JournalFrontiers in Rehabilitation Sciences
StatePublished - 2023


  • employment
  • employment impact
  • long covid
  • neuropsychiatric outcomes
  • post-acute sequelae of COVID-19 (PASC)


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