Skip to main content
Top
Published in: BMC Musculoskeletal Disorders 1/2022

Open Access 01-12-2022 | Research

Associations between social integration, participation and productivity loss among persons with chronic pain: a registry based cross sectional study

Authors: Thomas Friedli, Jeannette Brodbeck, Brigitte E. Gantschnig

Published in: BMC Musculoskeletal Disorders | Issue 1/2022

Login to get access

Abstract

Purpose

To examine associations between factors of social inclusion and participation and productivity loss in employed persons with chronic pain, assessed for an interprofessional pain rehabilitation programme. We hypothesized that factors of social inclusion and participation and work related social factors are significantly associated with productivity when experiencing chronic pain and we expected a moderate effect.

Methods

Cross-sectional study using data collected prospectively in an interprofessional patient registry for chronic pain. The primary end point was productivity loss, measured with the iMTA Productivity Costs Questionnaire. We included data from 161 individuals. To be included, persons had to be 18 years old or older, in paid work, and had to have a medical diagnosis of chronic pain syndrome with actual or potential tissue damage. In addition, participants had to have indicators of significant impairments in psychosocial functions.

Results

Linear regression analysis showed that a highly stressful professional situation, frequent problems regarding the compatibility of the family and job and not being Swiss were associated with a significantly higher total productivity loss. Similar results were found for productivity loss in paid work. However, problems concerning the compatibility of the family and job did not reach the significance level for productivity loss in paid work.

Conclusion

The results of this study underscore the importance of factors of social inclusion and participation for interprofessional rehabilitation programmes to manage chronic pain especially when focussing on productivity loss.
Literature
1.
go back to reference Dueñas M, Ojeda B, Salazar A, Mico JA, Failde I. A review of chronic pain impact on patients, their social environment and the health care system. J Pain Res. 2016;9:457–67.PubMedPubMedCentralCrossRef Dueñas M, Ojeda B, Salazar A, Mico JA, Failde I. A review of chronic pain impact on patients, their social environment and the health care system. J Pain Res. 2016;9:457–67.PubMedPubMedCentralCrossRef
2.
go back to reference Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10(4):287–333.PubMedCrossRef Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10(4):287–333.PubMedCrossRef
3.
go back to reference Leadley RM, Armstrong N, Lee YC, Allen A, Kleijnen J. Chronic diseases in the European Union: the prevalence and health cost implications of chronic pain. J Pain Palliat Care Pharmacother. 2012;26(4):310–25.PubMedCrossRef Leadley RM, Armstrong N, Lee YC, Allen A, Kleijnen J. Chronic diseases in the European Union: the prevalence and health cost implications of chronic pain. J Pain Palliat Care Pharmacother. 2012;26(4):310–25.PubMedCrossRef
4.
go back to reference Simon LS. Relieving pain in America: a blueprint for transforming prevention, care, education, and research. J Pain Palliat Care Pharmacother. 2012;26(2):197–8.CrossRef Simon LS. Relieving pain in America: a blueprint for transforming prevention, care, education, and research. J Pain Palliat Care Pharmacother. 2012;26(2):197–8.CrossRef
5.
go back to reference Wieser S, Riguzzi M, Pletscher M, Huber CA, Telser H, Schwenkglenks M. How much does the treatment of each major disease cost? A decomposition of Swiss National Health Accounts. Eur J Health Econ. 2018;19(8):1149–61.PubMedCrossRef Wieser S, Riguzzi M, Pletscher M, Huber CA, Telser H, Schwenkglenks M. How much does the treatment of each major disease cost? A decomposition of Swiss National Health Accounts. Eur J Health Econ. 2018;19(8):1149–61.PubMedCrossRef
6.
go back to reference Björnsdóttir SV, Jónsson SH, Valdimarsdóttir UA. Functional limitations and physical symptoms of individuals with chronic pain. Scand J Rheumatol. 2013;42(1):59–70.PubMedCrossRef Björnsdóttir SV, Jónsson SH, Valdimarsdóttir UA. Functional limitations and physical symptoms of individuals with chronic pain. Scand J Rheumatol. 2013;42(1):59–70.PubMedCrossRef
8.
go back to reference Gómez Penedo JM, Rubel JA, Blättler L, Schmidt SJ, Stewart J, Egloff N, et al. The complex interplay of pain, depression, and anxiety symptoms in patients with chronic pain: a network approach. Clin J Pain. 2020;36(4):249–59.PubMedCrossRef Gómez Penedo JM, Rubel JA, Blättler L, Schmidt SJ, Stewart J, Egloff N, et al. The complex interplay of pain, depression, and anxiety symptoms in patients with chronic pain: a network approach. Clin J Pain. 2020;36(4):249–59.PubMedCrossRef
9.
go back to reference de Vries HJ, Reneman MF, Groothoff JW, Geertzen JHB, Brouwer S. Self-reported work ability and work performance in workers with chronic nonspecific musculoskeletal pain. J Occup Rehabil. 2013;23(1):1–10.PubMedCrossRef de Vries HJ, Reneman MF, Groothoff JW, Geertzen JHB, Brouwer S. Self-reported work ability and work performance in workers with chronic nonspecific musculoskeletal pain. J Occup Rehabil. 2013;23(1):1–10.PubMedCrossRef
10.
go back to reference Blyth FM, March LM, Nicholas MK, Cousins MJ. Chronic pain, work performance and litigation. Pain. 2003;103(1):41–7.PubMedCrossRef Blyth FM, March LM, Nicholas MK, Cousins MJ. Chronic pain, work performance and litigation. Pain. 2003;103(1):41–7.PubMedCrossRef
12.
go back to reference Dahlhamer J, Lucas J, Zelaya C, Nahin R, Mackey S, DeBar L, et al. Prevalence of chronic pain and high-impact chronic pain among adults — United States, 2016. MMWR Morb Mortal Wkly Rep. 2018;67(36):1001–6.PubMedPubMedCentralCrossRef Dahlhamer J, Lucas J, Zelaya C, Nahin R, Mackey S, DeBar L, et al. Prevalence of chronic pain and high-impact chronic pain among adults — United States, 2016. MMWR Morb Mortal Wkly Rep. 2018;67(36):1001–6.PubMedPubMedCentralCrossRef
14.
go back to reference Becker N, Hojsted J, Sjogren P, Eriksen J. Sociodemographic predictors of therapeutic results in patients with chronic, non-malignant pain. Ugeskr Laeger. 2001;163(22):3073–7.PubMed Becker N, Hojsted J, Sjogren P, Eriksen J. Sociodemographic predictors of therapeutic results in patients with chronic, non-malignant pain. Ugeskr Laeger. 2001;163(22):3073–7.PubMed
15.
go back to reference Köke AJA, Smeets RJEM, Schreurs KM, van Baalen B, de Haan P, Remerie SC, et al. Dutch dataset pain rehabilitation in daily practice: content, patient characteristics and reference data. Eur J Pain. 2017;21(3):434–44.PubMedCrossRef Köke AJA, Smeets RJEM, Schreurs KM, van Baalen B, de Haan P, Remerie SC, et al. Dutch dataset pain rehabilitation in daily practice: content, patient characteristics and reference data. Eur J Pain. 2017;21(3):434–44.PubMedCrossRef
16.
go back to reference Hengstebeck E, Roskos S, Breejen K, Arnetz B, Arnetz J. Chronic pain disrupts ability to work by interfering with social function: a cross-sectional study. Scand J Pain. 2017;17:397–402.PubMed Hengstebeck E, Roskos S, Breejen K, Arnetz B, Arnetz J. Chronic pain disrupts ability to work by interfering with social function: a cross-sectional study. Scand J Pain. 2017;17:397–402.PubMed
17.
go back to reference Gatchel RJ, Polatin PB, Mayer TG. The dominant role of psychosocial risk factors in the development of chronic low back pain disability. Spine. 1995;20(24):2702–9.PubMedCrossRef Gatchel RJ, Polatin PB, Mayer TG. The dominant role of psychosocial risk factors in the development of chronic low back pain disability. Spine. 1995;20(24):2702–9.PubMedCrossRef
18.
go back to reference Sturgeon JA, Zautra AJ. Social pain and physical pain: shared paths to resilience. Pain Manag. 2016;6(1):63–74.PubMedCrossRef Sturgeon JA, Zautra AJ. Social pain and physical pain: shared paths to resilience. Pain Manag. 2016;6(1):63–74.PubMedCrossRef
20.
go back to reference Straaton KV, Maisiak R, Wrigley JM, White MB, Johnson P, Fine PR. Barriers to return to work among persons unemployed due to arthritis and musculoskeletal disorders. Arthritis Rheum. 1996;39(1):101–9.PubMedCrossRef Straaton KV, Maisiak R, Wrigley JM, White MB, Johnson P, Fine PR. Barriers to return to work among persons unemployed due to arthritis and musculoskeletal disorders. Arthritis Rheum. 1996;39(1):101–9.PubMedCrossRef
21.
go back to reference de Sola H, Salazar A, Dueñas M, Ojeda B, Failde I. Nationwide cross-sectional study of the impact of chronic pain on an individual’s employment: relationship with the family and the social support. BMJ Open. 2016;6:e012246.PubMedPubMedCentralCrossRef de Sola H, Salazar A, Dueñas M, Ojeda B, Failde I. Nationwide cross-sectional study of the impact of chronic pain on an individual’s employment: relationship with the family and the social support. BMJ Open. 2016;6:e012246.PubMedPubMedCentralCrossRef
22.
go back to reference Snippen NC, de Vries HJ, van der Burg-Vermeulen SJ, Hagedoorn M, Brouwer S. Influence of significant others on work participation of individuals with chronic diseases: a systematic review. BMJ Open. 2019;9(1):e021742.PubMedPubMedCentralCrossRef Snippen NC, de Vries HJ, van der Burg-Vermeulen SJ, Hagedoorn M, Brouwer S. Influence of significant others on work participation of individuals with chronic diseases: a systematic review. BMJ Open. 2019;9(1):e021742.PubMedPubMedCentralCrossRef
24.
go back to reference Hara KW, Bjørngaard JH, Jacobsen HB, Borchgrevink PC, Johnsen R, Stiles TC, et al. Biopsychosocial predictors and trajectories of work participation after transdiagnostic occupational rehabilitation of participants with mental and somatic disorders: a cohort study. BMC Public Health. 2018;18(1):1014.PubMedPubMedCentralCrossRef Hara KW, Bjørngaard JH, Jacobsen HB, Borchgrevink PC, Johnsen R, Stiles TC, et al. Biopsychosocial predictors and trajectories of work participation after transdiagnostic occupational rehabilitation of participants with mental and somatic disorders: a cohort study. BMC Public Health. 2018;18(1):1014.PubMedPubMedCentralCrossRef
25.
go back to reference Fishbain DA, Cutler RB, Rosomoff HL, Khalil T, Steele-Rosomoff R. Impact of chronic pain patients’ job perception variables on actual return to work. Clin J Pain. 1997;13(3):197–206.PubMedCrossRef Fishbain DA, Cutler RB, Rosomoff HL, Khalil T, Steele-Rosomoff R. Impact of chronic pain patients’ job perception variables on actual return to work. Clin J Pain. 1997;13(3):197–206.PubMedCrossRef
26.
go back to reference Hamer H, Gandhi R, Wong S, Mahomed NN. Predicting return to work following treatment of chronic pain disorder. Occup Med (Lond). 2013;63(4):253–9.CrossRef Hamer H, Gandhi R, Wong S, Mahomed NN. Predicting return to work following treatment of chronic pain disorder. Occup Med (Lond). 2013;63(4):253–9.CrossRef
29.
go back to reference Gantschnig BE, Friedli T. Gesundheitsbezogene Register: Perspektive für Praxis und Forschung der Ergotherapie? Ergotherapie. 2020;02:14–6. Gantschnig BE, Friedli T. Gesundheitsbezogene Register: Perspektive für Praxis und Forschung der Ergotherapie? Ergotherapie. 2020;02:14–6.
30.
go back to reference Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap) – a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377–81.PubMedCrossRef Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap) – a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377–81.PubMedCrossRef
31.
go back to reference Bouwmans C, Hakkaart-van Roijen L, Koopmanschap M, Krol M, Severens H, Brouwer W. Productivity costs questionnaire manual. Rotterdam: Institute for Medical Technology Assessment, Erasmus Universiteit Rotterdam; 2013. Bouwmans C, Hakkaart-van Roijen L, Koopmanschap M, Krol M, Severens H, Brouwer W. Productivity costs questionnaire manual. Rotterdam: Institute for Medical Technology Assessment, Erasmus Universiteit Rotterdam; 2013.
32.
go back to reference Bouwmans C, Krol M, Severens H, Koopmanschap M, Brouwer W, Hakkaart-van RL. The iMTA productivity cost questionnaire: a standardized instrument for measuring and valuing health-related productivity losses. Value Health. 2015;18(6):753–8.PubMedCrossRef Bouwmans C, Krol M, Severens H, Koopmanschap M, Brouwer W, Hakkaart-van RL. The iMTA productivity cost questionnaire: a standardized instrument for measuring and valuing health-related productivity losses. Value Health. 2015;18(6):753–8.PubMedCrossRef
33.
go back to reference Munk R, Storheim K, Småstuen MC, Grotle M. Measuring productivity costs in patients with musculoskeletal disorders: measurement properties of the Institute for Medical Technology Assessment Productivity Cost Questionnaire. Value Health. 2019;22(12):1410–6.PubMedCrossRef Munk R, Storheim K, Småstuen MC, Grotle M. Measuring productivity costs in patients with musculoskeletal disorders: measurement properties of the Institute for Medical Technology Assessment Productivity Cost Questionnaire. Value Health. 2019;22(12):1410–6.PubMedCrossRef
35.
go back to reference Voorpostel M, Tillmann R, Lebert F, Kuhn U, Lipps O, Ryser V-A, et al. Swiss Household Panel Userguide (1999–2018), Wave 20, February2020. Lausanne: FORS; 2020. Voorpostel M, Tillmann R, Lebert F, Kuhn U, Lipps O, Ryser V-A, et al. Swiss Household Panel Userguide (1999–2018), Wave 20, February2020. Lausanne: FORS; 2020.
36.
go back to reference Bundesamt für Statistik BFS. Die Schweizerische Gesundheitsbefragung 2017 in Kürze. 2018. Bundesamt für Statistik BFS. Die Schweizerische Gesundheitsbefragung 2017 in Kürze. 2018.
37.
go back to reference Börsch-Supan A, Brandt M, Hunkler C, Kneip T, Korbmacher J, Malter F, et al. The survey of health, ageing and retirement in Europe (SHARE). Int J Epidemiol. 2013;42(4):992–1001.PubMedPubMedCentralCrossRef Börsch-Supan A, Brandt M, Hunkler C, Kneip T, Korbmacher J, Malter F, et al. The survey of health, ageing and retirement in Europe (SHARE). Int J Epidemiol. 2013;42(4):992–1001.PubMedPubMedCentralCrossRef
39.
go back to reference Beauchamp TL, Childress JF. Principles of biomedical ethics. 6th ed. Oxford: Oxford University Press; 2009. Beauchamp TL, Childress JF. Principles of biomedical ethics. 6th ed. Oxford: Oxford University Press; 2009.
43.
go back to reference Aittomäki A, Lahelma E, Roos E. Work conditions and socioeconomic inequalities in work ability. Scand J Work Environ Health. 2003;29(2):159–65.PubMedCrossRef Aittomäki A, Lahelma E, Roos E. Work conditions and socioeconomic inequalities in work ability. Scand J Work Environ Health. 2003;29(2):159–65.PubMedCrossRef
46.
go back to reference Miranda H, Kaila-Kangas L, Heliövaara M, Leino-Arjas P, Haukka E, Liira J, et al. Musculoskeletal pain at multiple sites and its effects on work ability in a general working population. Occup Environ Med. 2010;67(7):449–55.PubMedCrossRef Miranda H, Kaila-Kangas L, Heliövaara M, Leino-Arjas P, Haukka E, Liira J, et al. Musculoskeletal pain at multiple sites and its effects on work ability in a general working population. Occup Environ Med. 2010;67(7):449–55.PubMedCrossRef
47.
go back to reference Truchon M. Determinants of chronic disability related to low back pain: towards an integrative biopsychosocial model. Disabil Rehabil. 2001;23(17):758–67.PubMedCrossRef Truchon M. Determinants of chronic disability related to low back pain: towards an integrative biopsychosocial model. Disabil Rehabil. 2001;23(17):758–67.PubMedCrossRef
48.
go back to reference de Vries HJ, Reneman MF, Groothoff JW, Geertzen JHB, Brouwer S. Workers who stay at work despite chronic nonspecific musculoskeletal pain: do they differ from workers with sick leave? J Occup Rehabil. 2012;22(4):489–502.PubMedPubMedCentralCrossRef de Vries HJ, Reneman MF, Groothoff JW, Geertzen JHB, Brouwer S. Workers who stay at work despite chronic nonspecific musculoskeletal pain: do they differ from workers with sick leave? J Occup Rehabil. 2012;22(4):489–502.PubMedPubMedCentralCrossRef
49.
go back to reference Lillefjell M, Krokstad S, Espnes GA. Factors predicting work ability FollowingMultidisciplinary rehabilitation for ChronicMusculoskeletal pain. J Occup Rehabil. 2006;14(4):543–55.CrossRef Lillefjell M, Krokstad S, Espnes GA. Factors predicting work ability FollowingMultidisciplinary rehabilitation for ChronicMusculoskeletal pain. J Occup Rehabil. 2006;14(4):543–55.CrossRef
50.
go back to reference Sullivan MJL, Feuerstein M, Gatchel R, Linton SJ, Pransky G. Integrating psychosocial and behavioral interventions to achieve optimal rehabilitation outcomes. J Occup Rehabil. 2005;15(4):475–89.PubMedCrossRef Sullivan MJL, Feuerstein M, Gatchel R, Linton SJ, Pransky G. Integrating psychosocial and behavioral interventions to achieve optimal rehabilitation outcomes. J Occup Rehabil. 2005;15(4):475–89.PubMedCrossRef
51.
go back to reference Soklaridis S, Ammendolia C, Cassidy D. Looking upstream to understand low back pain and return to work: psychosocial factors as the product of system issues. Soc Sci Med. 2010;71(9):1557–66.PubMedCrossRef Soklaridis S, Ammendolia C, Cassidy D. Looking upstream to understand low back pain and return to work: psychosocial factors as the product of system issues. Soc Sci Med. 2010;71(9):1557–66.PubMedCrossRef
52.
go back to reference Sullivan MJL, Adams H, Horan S, Maher D, Boland D, Gross R. The role of perceived injustice in the experience of chronic pain and disability: scale development and validation. J Occup Rehabil. 2008;18(3):249–61.PubMedCrossRef Sullivan MJL, Adams H, Horan S, Maher D, Boland D, Gross R. The role of perceived injustice in the experience of chronic pain and disability: scale development and validation. J Occup Rehabil. 2008;18(3):249–61.PubMedCrossRef
Metadata
Title
Associations between social integration, participation and productivity loss among persons with chronic pain: a registry based cross sectional study
Authors
Thomas Friedli
Jeannette Brodbeck
Brigitte E. Gantschnig
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2022
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-022-05896-4

Other articles of this Issue 1/2022

BMC Musculoskeletal Disorders 1/2022 Go to the issue