Purpose To assess self-reported work impacts and associations between psychosocial risk factors and work impairment amongst workers seeking care for musculoskeletal pain while continuing to work. Methods Patients were recruited from Musculoskeletal Assessment Clinics at 5 hospitals across Ireland. Participants completed questionnaires including assessments of work impairment (Work Productivity and Activity Impairment Questionnaire), work ability (single item from the Work Ability Index) and work performance (Work Role Functioning Questionnaire; WRFQ). Logistic and hierarchical regressions were conducted to analyse the relation between psychosocial variables and work outcomes. Results 155 participants (53.5% female; mean age = 46.50 years) who were working at the time of assessment completed the questionnaires. Absenteeism was low, yet 62.6% were classified as functioning poorly according to the WRFQ; 52.3% reported having poor work ability. Logistic regression analyses indicated that higher work role functioning was associated with higher pain self-efficacy (OR 1.51); better work ability was associated with older age (OR 1.063) and lower functional restriction (OR 0.93); greater absenteeism was associated with lower pain self-efficacy (OR 0.65) and poorer work expectancy (OR 1.18). Multiple regression analysis indicated that greater presenteeism was associated with higher pain intensity (β = 0.259) and lower pain self-efficacy (β = - 0.385). Conclusions While individuals continue to work with musculoskeletal pain, their work performance can be adversely affected. Interventions that target mutable factors, such as pain self-efficacy, may help reduce the likelihood of work impairment.

Exposure to cultural bodily ideals featuring thinness and muscularity can have deleterious effects on body satisfaction. The current study explores the effect of exposure to such imagery on body dissatisfaction and the influence of internalisation of cultural and athletic ideals. 188 (97 male) adults (18-25yrs; M = 20.97) were grouped according to a 2 × 2 × 2 mixed between-within subjects design (male/female; high/low physical activity; intervention/control). Participants were exposed to images of idealised physiques or neutral images. Internalisation-general, sex, physical activity levels, and Body Mass Index were associated with baseline levels of body dissatisfaction. Internalisation of cultural ideals appears to be an important factor for the prediction of body dissatisfaction. Exposure to idealised images resulted in increases in body dissatisfaction across all groups compared to controls. Neither sex nor physical activity levels buffer young adults from the negative effects of viewing images featuring idealised bodies.