The Impact and Burden of Chronic Pain in the Workplace: A Qualitative Systematic Review

Patel, Amrutlal K.; Farquharson, Rachel; Carroll, Dawn; Moore, Andrew; Phillips, Ceri; Taylor, Rod S; Barden, Jodie

doi:10.1111/j.1533-2500.2012.00547.x

Cited by 133 publications

(107 citation statements)

References 54 publications

(181 reference statements)

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“…The result was quite the opposite in earlier studies carried out in other European countries only on people in employment, in which pain made them unable to work [22]. Therefore the results can be interpreted in the specific context of the labour market in Poland, and the fact that the study was carried out on two sample groups.…”

Section: Discussioncontrasting

confidence: 37%

Optimism, pain coping strategies and pain intensity among women with rheumatoid arthritis

Kwissa-Gajewska¹,

Olesińska²,

Tomkiewicz³

2014

Reumatologia

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Cel pracy: Według biopsychospołecznego modelu ból jest zjawiskiem wielowymiarowym, składającym się z czynników: fizjologicznych (odczucie bólu), psychologicznych (poznawczych, emocjonalnych) i społecznych (status socjoekonomiczny, wsparcie społeczne). W dotychczasowych badaniach skupiano się głównie na właściwościach wzmacniających nieprzyjemne doznanie, niewiele prac dotyczyło czynników obniżających jego nasilenie. Celem badania było sprawdzenie różnic w zakresie odczuwania bólu przewlekłego uwarunkowanych poziomem optymizmu i strategii radzenia sobie z bólem u kobiet z reumatoidalnym zapaleniem stawów (RZS). Materiał i metody: Badaniami kwestionariuszowymi objęto 54 kobiety w wieku 24–65 lat podczas 7-dniowej hospitalizacji. Zastosowano jednorazowo kwestionariusze LOT-R (optymizm; Scheier, Carver i Bridges), Kwestionariusz strategii radzenia sobie z bólem (CSQ; Rosenstiel i Keefe) oraz 10-stopniową wizualno-analogową skalę bólu (VAS), uzupełnianą przez pacjentki w czasie kolejnych 7 dni hospitalizacji. Wyniki: Wykazano istotne znaczenie optymizmu dla odczuwanego bólu przewlekłego oraz stosowanych strategii radzenia sobie z nim. Osoby oczekujące pozytywnych wyników swoich działań (wysoki optymizm) doświadczały słabszego bólu niż pesymiści, stosując zwiększoną aktywność behawioralną, nadmiernie nie koncentrując się i nie przeceniając doznań bólowych (katastrofizowania). Niezależnie od uwarunkowań osobowościowych aktywne radzenie sobie poprzez ignorowanie doświadczeń zmysłowych oraz traktowanie bólu jako wyzwania i przekonanie, że można sobie z nim poradzić (deklarowanie radzenia sobie), pozytywnie wpływało na obniżenie bólu, a katastrofizacja – na jego nasilenie. Najczęściej stosowaną strategią radzenia sobie było modlenie się lub pokładanie nadziei. Istotną zmienną demograficzną, wpływającą na poziom nieprzyjemnego odczucia, było zatrudnienie – osoby bezrobotne odczuwały słabszy ból niż pracujące. Wnioski: Wyniki badania wskazują, że w praktyce klinicznej należałoby uwzględnić optymizm i podejmowane strategie radzenia sobie z bólem. Szczególną uwagę trzeba zwracać na osoby chore na RZS, które wykazują negatywne oczekiwania determinujące u nich silny przewlekły ból bez względu na podejmowaną aktywność zaradczą. Skuteczną strategią może być wzmacnianie pozytywnych oczekiwań względem leczenia oraz poszukiwanie korzyści w aktualnej sytuacji zdrowotnej.

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Section: Discussioncontrasting

confidence: 37%

Optimism, pain coping strategies and pain intensity among women with rheumatoid arthritis

Kwissa-Gajewska¹,

Olesińska²,

Tomkiewicz³

2014

Reumatologia

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“…In addition, another variable reporting "at least one type of chronic pain" was also tested. To explore whether the number of days absent from work varied according to the presence of each chronic pain 5] or at least 1 chronic pain, multinomial logistic regression models were performed. With this in mind, the dependent variable "number of days absent from work" was divided into 4 categories: none (reference category), 1 to 7, 8 to 30, and more than 30 days absent from work.…”

Section: Discussionmentioning

confidence: 99%

“…5 In Spain, Langley et al 6 found that subjects with chronic pain were absent from work 40% more frequently and were 30% more likely to report a lack of productivity than those without this symptom. However, that study was based on an Internet sample and, therefore, the conclusions may not be applicable to all work categories of the general population of Spain.…”

mentioning

confidence: 99%

The Association of Chronic Neck Pain, Low Back Pain, and Migraine With Absenteeism Due to Health Problems in Spanish Workers

Mesas

González²,

Mesas³

et al. 2014

Spine

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Study Design. Cross-sectional. Objective. To examine whether 3 types of chronic pain are associated with absenteeism and with the number of days absent from work in the general population of Spain. Summary of Background Data. Chronic pain has been associated with absenteeism, but most of the evidence is based on unadjusted analyses and on specifi c professional categories. Methods. A cross-sectional analysis was performed on the basis of data of 8283 Spanish workers. Chronic pain was ascertained from self-reported information on frequent symptoms of pain in the low back and neck and/or migraine in the last 12 months. Absenteeism was defi ned as missing at least 1 day from work because of health problems. Multivariate regression models were adjusted for the main confounders.Results. Health-related absenteeism was reported by 27.8% of subjects. The prevalence of chronic pain was reported 12.3% in the neck, 14.1% in the low back, and 10.3% migraine. In adjusted analyses, absenteeism was associated with chronic neck pain (odds ratio: 1.20; 95% confi dence interval [CI], 1.02-1.40), low back pain (odds ratio: 1.22; 95% CI, 1.06-1.42), and migraine (odds ratio: 1.22; 95% CI, 1.04-1.44). These associations were strongest in younger (18-34 yr) rather than in older workers. Furthermore, those who reported frequent pain in the neck and low back were 44% more likely to be

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“…Furthermore, good resources on the impact of pain on work 7 , costs 8 , and the patient experience 9 are already available in the literature. Nonetheless, it is important to continue to have up-to-date and precise estimates of these effects from multiple sources as a means of further understanding the complex nature of the relationship between pain severity and health outcomes.…”

Section: Introductionmentioning

confidence: 99%

Examining the association between pain severity and quality-of-life, work-productivity loss, and healthcare resource use among European adults diagnosed with pain

Witt

Kenworthy

Isherwood

et al. 2016

Journal of Medical Economics

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Objective: The goal of this research was to quantify the association between pain severity and several health outcomes in a large sample of patients diagnosed with some form of pain. Methods: Responses from patients who had been diagnosed with some form of pain (n ¼ 14,459) were drawn from the 2013 EU National Health and Wellness Survey (NHWS; n ¼ 62,000). Respondents reported their subjective pain severity in the past week on a numerical rating scale (0-10) as well as the Medical Outcomes Study Short Form (SF-36), Work Productivity and Activity Impairment Questionnaire (WPAI), and healthcare resource utilization in the past 6 months (healthcare professional (HCP) visits, emergency room (ER) visits, and hospitalizations). Associations between pain severity and health outcomes were examined via a series of regression models controlling for a set of demographic and health-related covariates. Results: After controlling for demographics and comorbidities, pain severity in the past week was shown to be significantly negatively associated with Health Utilities (b ¼ À0.022, p < 0.001) and positively associated with overall WPAI scores (b ¼ 0.18, p < 0.001) and healthcare resource use (Hospitalizations: b ¼ 0.13, p < 0.001; ER Visits: b ¼ 0.14, p < 0.001; HCP Visits: b ¼ 0.08, p < 0.001). The nature of these relationships (linear, curvilinear, etc.) is also explored. Limitations: This study was a self-report cross-sectional study which may have biased the results and does not allow for causal inferences to be made. Finally, the regression models run were limited to available covariates and, hence, some potentially important covariates may not have been included in these models. Conclusions: The findings suggest that reducing pain severity could result in an increase in patients' quality-of-life and work productivity, and a decrease in healthcare resource use. The equations, linking pain and outcomes, were presented in an accessible format so they could be readily applied in healthcare decision-making. ARTICLE HISTORY

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The Impact and Burden of Chronic Pain in the Workplace: A Qualitative Systematic Review

Cited by 133 publications

References 54 publications

Optimism, pain coping strategies and pain intensity among women with rheumatoid arthritis

Optimism, pain coping strategies and pain intensity among women with rheumatoid arthritis

The Association of Chronic Neck Pain, Low Back Pain, and Migraine With Absenteeism Due to Health Problems in Spanish Workers

Examining the association between pain severity and quality-of-life, work-productivity loss, and healthcare resource use among European adults diagnosed with pain

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