“…Spousal and parental relationships were highly stressed by back pain, with reports of diminished trust and mutual understanding (Ashby et al, 2010;Campbell & Guy, 2007;De Souza & Frank, 2011;Holloway, Sofaer-Bennett, & Walker, 2007;Strunin & Boden, 2004;Tavafian, Gregory, & Montazeri, 2008;Young et al, 2011). Depictions of spousal relationships emphasised hardship, dependence on help from the partner, negative 70 P. MacNeela et al…”