Abstract

BackgroundEating disorders (ED) can reduce quality of life by limiting participation and performance in social and occupational roles, including paid or unpaid work. The association between ED pathologies and work participation and performance must be well understood to strengthen vocational rehabilitation programmes and prevent occupational disruptions in the ED population. The aims of this study are: (1) to examine the degree of association between ED pathologies and work participation and performance in 15-year-olds and older; (2) to highlight the specific ED symptoms that are most correlated with changes in work performance and participation; (3) to compile the most common metrics and assessments used to measure work participation and performance with ED.MethodsMedline, Embase, CINAHL, Web of Science, PsycINFO, and Cochrane Library will be searched for observational and experimental studies that meet the following criteria: (1) a clinical sample of typical or atypical ED; (2) paid or unpaid employment or training; (3) an association between ED pathologies and work participation or performance. Unpublished data will also be examined. Title and abstract, and full-text screening will be conducted in duplicate. Risk of bias and quality of evidence assessments will be completed. A random-effect meta-analysis will be performed.DiscussionThis synthesis can clarify knowledge and gaps around the impact of ED on work functioning, thereby allowing better evaluation, improvements and development of current workplace assessments, interventions, and policies.Trial registrationThe registration number for this systematic review on PROSPERO is CRD42021255055.

Highlights

  • Eating disorders (ED) can reduce quality of life by limiting participation and performance in social and occupational roles, including paid or unpaid work

  • Clarifications will be provided on what aspects of the disorder correlate with dysfunctions in the workplace and how researchers assess the extent of work participation and performance within the ED population

  • This knowledge synthesis will aim to present the conclusions through descriptive and statistical means to better summarize the impact of ED on work participation and performance

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Summary

Introduction

Eating disorders (ED) can reduce quality of life by limiting participation and performance in social and occupational roles, including paid or unpaid work. Loss of productivity was defined in those studies as reduced task completion, attendance, and fulfillment of job demands by individuals in their workplace [4, 16]. Safi et al Journal of Eating Disorders (2022) 10:7 the United States, the total tangible economic cost of ED was around 64.7 billion USD, with 48.6 billion USD due to loss of individual productivity and the remaining 6.7 billion USD attributed to loss of caregiver productivity. A similar study in South Korea by Lee et al [4] found that in a period of six years, the total economic cost of ED was around 5.5 billion USD. Loss of productivity due to work absence comprised part of that value

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