Stigma Experienced by People with Nonspecific Chronic Low Back Pain: A Qualitative Study

Slade, Susan C; Molloy, Elizabeth; Keating, Jennifer Lyn

doi:10.1111/j.1526-4637.2008.00540.x

Cited by 153 publications

(153 citation statements)

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“…A conceptual analysis of these 77 papers is reported in full elsewhere [18]. Of these 77 papers, 19 (reporting 15 qualitative studies) included concepts related to experience at work [14, 15,[27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43].…”

Section: Resultsmentioning

confidence: 99%

A synthesis of qualitative research exploring the barriers to staying in work with chronic musculoskeletal pain

Toyé

Seers

Allcock

et al. 2015

Disability and Rehabilitation

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(2015) A synthesis of qualitative research exploring the barriers to staying in work with chronic musculoskeletal pain. Disability and Rehabilitation . pp. 1-7. Permanent WRAP URL:http://wrap.warwick.ac.uk/69952 Copyright and reuse:The Warwick Research Archive Portal (WRAP) makes this work by researchers of the University of Warwick available open access under the following conditions. Copyright © and all moral rights to the version of the paper presented here belong to the individual author(s) and/or other copyright owners. To the extent reasonable and practicable the material made available in WRAP has been checked for eligibility before being made available.Copies of full items can be used for personal research or study, educational, or not-for profit purposes without prior permission or charge. Provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way. The version presented here may differ from the published version or, version of record, if you wish to cite this item you are advised to consult the publisher's version. Please see the 'permanent WRAP URL' above for details on accessing the published version and note that access may require a subscription.For more information, please contact the WRAP Team at: wrap@warwick.ac.uk 1 A synthesis of qualitative research exploring the barriers to staying in work with chronic musculoskeletal pain Abstract Purpose -Qualitative research can help to advance our understanding, management, and prevention of work disability. Our aim was to integrate qualitative research findings in order to increase our understanding of barriers to staying in work with chronic pain.Methods -We searched five electronic bibliographic databases until September 2012, supplemented by citation tracking and hand-searching. We used meta-ethnography to synthesis our findings. Central to metaethnography is identifying 'concepts' and developing a conceptual model. Concepts were compared and organised into categories.Results -The following categories can have an impact on the decision to remain in work: struggling to affirm myself as a good worker; balancing life and work in the face of unpredictable symptoms; my work colleagues don't believe me; the system does not facilitate return to work; the battle for legitimacy.Conclusions -Our innovation is to present an internationally relevant model based on a conceptual synthesis. This model highlights the adversarial work experience of people with chronic. The papers span fifteen years of qualitative research. A significant finding is that these themes continue to pervade the current work environment for those in pain, and this has clear implications for education, social care and policy. 2 IntroductionAround 25% of adults suffer with moderate or severe pain [1][2][3][4][5], and for 6-14 % of these the pain is severe and disabling [6, 7]. People in chronic pain are seven times more likely to give up their jobs, are more likely to r...

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Section: Resultsmentioning

confidence: 99%

A synthesis of qualitative research exploring the barriers to staying in work with chronic musculoskeletal pain

Toyé

Seers

Allcock

et al. 2015

Disability and Rehabilitation

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“…Limitations of the present study included a sampling bias, as only students who attended lectures and social functions were recruited [44]. However, this approach yielded a very high response rate (96%) and reduces responder bias.…”

Section: Discussionmentioning

confidence: 99%

Neck Pain and Low Back Pain in Medical Students: A Cross-Sectional Study

Y¹,

Aichmair²,

E³

et al. 2017

Int Arch Public Health Community Med

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“…Abundant evidence highlights the ubiquity of stigma in the lives of individuals with chronic pain [1,21,25,26,32,34,52,54,55,62,73,74,76] …”

Section: Stigma Perceived By the Patientmentioning

confidence: 99%

Understanding stigma and chronic pain: a-state-of-the-art review

Ruddere

Craig

2016

Pain

238

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Chronic nonmalignant pain makes individuals prone to stigmatizing reactions of others.Stigmatizing responses are devaluing and discrediting responses of observers toward individuals who possess a particular characteristic that deviates from societal norms [16]. In the context of chronic nonmalignant pain, an absence of clear tissue damage deviates from the widely held biomedical model, which presumes that clear physiological pathology underlies the pain experience [22]. As well, most people understand pain through acute pain experience, which resolves relatively rapidly over time, leading to uncertainty about pain that does not diminish [48,63]. These and other processes must be understood to explain the substantial evidence that individuals with chronic pain commonly suffer from stigmatization by others [32].The stigma associated with chronic pain are not well understood, with research lacking accounts of determinants, including underlying mechanisms in stigmatizing persons and details concerning vulnerabilities and the impact on stigmatized persons. Furthermore, prevention strategies for teaching how to deal with others' stigmatizing reactions and programs aimed at minimizing stigmatizing behaviors of observers are scarce. This topical review briefly describes the current understanding of stigma attached to chronic pain and has the intent to provide some thought provoking ideas and highlight future directions that will inspire both researchers and clinicians. 2.Stigma and chronic pain Stigma perceived by the patientAbundant evidence highlights the ubiquity of stigma in the lives of individuals with chronic pain [1,21,25,26,32,34,52,54,55,62,73,74,76] Impact of stigma on the wellbeing of pain patientsAlthough thorough research into the consequences of both perceived stigma and public stigma on the wellbeing of pain patients is lacking, preliminary evidence shows that the discounting A C C E P T E D A C C E P T E Dexploited by others [35]. In particular, the absence of a clear medical explanation for the pain might function as a threat for the observer regarding availability of reciprocity (i.e., the social exchange) to be expected from individuals in pain [35].There is a substantial literature demonstrating that individuals stigmatize individuals from the "out group" [58]. "In group" people include those similar to the observer, e.g., kin, friends, age peers, whereas "out group" people likely include those with different skin colors, ideological persuasions, etc. In the context of pain, observers feel less empathy and less altruistic motivation towards members of social out-groups than members of in-groups [29,47] and the pain complaints of "out group" members tend to be discounted [65]. This is consistent with findings that observers attribute lower pain to patients who are considered responsible for their pain condition [17,68].A final useful explanatory approach arises from the considerable research which indicates that healthcare practitioners often feel uncertain or unprepared to manage patients with c...

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Stigma Experienced by People with Nonspecific Chronic Low Back Pain: A Qualitative Study

Cited by 153 publications

References 50 publications

A synthesis of qualitative research exploring the barriers to staying in work with chronic musculoskeletal pain

A synthesis of qualitative research exploring the barriers to staying in work with chronic musculoskeletal pain

Neck Pain and Low Back Pain in Medical Students: A Cross-Sectional Study

Understanding stigma and chronic pain: a-state-of-the-art review

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