Work Disability and Prevention in SLE: A Focus on Assessment and Function

Systemic lupus erythematosus (SLE) is a chronic relapsing-remitting autoimmune disease that attacks different organ systems and results in substantial disability and mortality. For SLE patients, work disability is related to personal challenges, including limitations in functioning, decreased income, activity participation restrictions, and diminished health-related quality of life. In order to address these challenges, work disability in patients with SLE should be evaluated through a biopsychosocial framework that is patient-centric and grounded in disability management. Work disability resides at the confluence of the physical, psychosocial, and cultural factors embedded in the International Classification of Functioning and the Work Disability Prevention Framework. This chapter highlights the importance of measuring and assessing work disability through biopsychosocial lens through patient-reported outcomes of work disability and functioning and clinician-administered evaluations. Emphasis is placed on using a holistic and preventative approach in supporting SLE patients in their participation and engagement in work.