+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Perceptions of disability and occupational stress as discriminators of work disability in patients with chronic pain



Perceptions of disability and occupational stress as discriminators of work disability in patients with chronic pain



Journal of Occupational Rehabilitation 1(3): 185-195



Pain-related work disability can be influenced by a number of medical, physical, and psychosocial factors. The present study investigated the role of perceived disability, occupational stress, pain, and distress in patients with chronic pain disorders who work despite pain and patients who are work disabled. A total of 165 patients referred to a multidisciplinary pain treatment center for chronic pain (> 6 months) were studied. The two groups were compared on age, gender, education, marital status, duration of pain problem, pain severity, psychological distress, perceived disability, and perception of the work environment. A discriminant function analysis was computed entering pain severity, distress, perceived disability (physical and psychosocial) and work environment variables. The two groups were equivalent on age, gender, education, marital status, and duration of pain problem. The groups differed on diagnosis and insurance coverage with the work-disabled group diagnosed with low back pain and receiving Workers Compensation coverage more frequently than working controls. Univariate analyses indicated that the work-disabled group reported higher pain severity, perceived physical and psychosocial disability, and job stress than their working cohorts. The discriminant function analysis indicated that the perception of physical disability, supervisor support, distress, and work pressure were capable of correctly classifying patients with chronic pain who continued to work from those who were work disabled. These findings indicate the importance of evaluating perceived disability and job stress, and if present, directing intervention effort at these factors in order to facilitate work re-entry.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 054918463

Download citation: RISBibTeXText

PMID: 24242740

DOI: 10.1007/bf01073455


Related references

Assessment of pain and disability in patients with chronic low back pain: Reliability and construct validity of the Turkish version of the Quebec Back Pain Disability Scale and Pain Disability Index. Journal of Back and Musculoskeletal Rehabilitation 18(1-2): 37-44, 2005

Occupational disability related to back pain: Application of a theoretical model of work disability using prospective cohorts of manual workers. American Journal of Industrial Medicine 37(4): 410-422, 2000

Work and environment. Work disability, OD (Occupational Disability), ED (Earning Disability) and other concepts. Zeitschrift für Allgemeinmedizin 51(2): 49-50, 1975

Negative affect, pain and disability in patients with musculoskeletal temporary work disability. 2006

Relationship of the Pain Disability Index (PDI) and the Oswestry Disability Questionnaire (ODQ) with three dynamic physical tests in a group of patients with chronic low-back and leg pain. Clinical Journal of Pain 10(3): 197-203, 1994

Relationship of subjective disability with pain intensity, pain duration, pain location, and work-related factors in nonoperated patients with chronic low back pain. Clinical Journal of Pain 12(3): 194-200, 1996

Assessment of Pain-related Disability in Pediatric Chronic Pain: A Comparison of the Functional Disability Inventory and the Pediatric Pain Disability Index. Clinical Journal of Pain 34(12): 1173-1179, 2018

Work disability negotiations: supervisors' view of work disability and collaboration with occupational health services. Disability and Rehabilitation 41(17): 2015-2025, 2019

Assessment of pain and disability in patients with chronic neck pain: reliability and construct validity of the Turkish version of the neck pain and disability scale. Disability and Rehabilitation 26(16): 959-962, 2004

Do illness perceptions predict pain-related disability and mood in chronic orofacial pain patients? A 6-month follow-up study. European Journal of Pain 14(5): 550-558, 2010

Exploration of the relationship between disability perception, preference for death over disability, and suicidality in patients with acute and chronic pain. Pain Medicine 13(4): 552-561, 2012

Effect of vertical oscillatory pressure on disability of patients with chronic mechanical low back pain using Roland Morris Disability questionnaire. Tanzania Journal of Health Research 15(1): 58-63, 2013

Pain expectancy and work disability in patients with acute and chronic pain: a test of the fear avoidance hypothesis. Journal of Pain 2(3): 181-194, 2001

THU0356Presenteeism, Work Disability in the Patients with Chronic Neck Pain. Annals of the Rheumatic Diseases 73(Suppl 2): 305.3-306, 2014

Incapacity to work, occupational disability and disability--legal basis, definitions and comments. Therapeutische Umschau. Revue Therapeutique 64(8): 403-408, 2007