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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2013

Open Access 01-12-2013 | Research article

Illness perceptions in the context of differing work participation outcomes: exploring the influence of significant others in persistent back pain

Authors: Joanna Brooks, Serena McCluskey, Nigel King, Kim Burton

Published in: BMC Musculoskeletal Disorders | Issue 1/2013

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Abstract

Background

Previous research has demonstrated that the significant others of individuals with persistent back pain may have important influences on work participation outcomes. The aim of this study was to extend previous research by including individuals who have remained in work despite persistent back pain in addition to those who had become incapacitated for work, along with their significant others. The purpose of this research was to explore whether the illness beliefs of significant others differed depending on their relative’s working status, and to make some preliminary identification of how significant others may facilitate or hinder work participation for those with persistent back pain.

Methods

Interviews structured around the Illness Perception Questionnaire (chronic pain version) were conducted with back pain patients recruited from a hospital pain management clinic along with their significant others. Some patients had remained in work despite their back pain; others had ceased employment. Data were analysed using template analysis.

Results

There were clear differences between beliefs about, and reported responses to, back pain symptoms amongst the significant others of individuals who had remained in employment compared with the significant others of those who had ceased work. Three overarching themes emerged: perceived consequences of back pain, specific nature of employment and the impact of back pain on patient identity.

Conclusions

Significant others of employed individuals with back pain focused on the extent to which activity could still be undertaken despite back pain symptoms. Individuals out of work due to persistent back pain apparently self-limited their activity and were supported in their beliefs and behaviours by their significant others. To justify incapacity due to back pain, this group had seemingly become entrenched in a position whereby it was crucial that the individual with back pain was perceived as completely disabled. We suggest that significant others are clearly important, and potentially detrimental, sources of support to individuals with back pain. The inclusion of significant others in vocational rehabilitation programmes could potentially be a valuable way of mobilising readily accessible resources in a way that supports optimal functioning.
Literature
1.
van Tulder M, Becker A, Bekkering T, Breen A, Del Real MT, Hutchinson A, Koes B, Laerum E, Malmivaara A, COST B13 Working Group on Guidelines for the Management of Acute Low Back Pain in Primary Care: Chapter 3: European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J. 2006, 15 (Supplement 2): s169-s191.CrossRefPubMedPubMedCentral
2.
van Tulder M, Koes B, Bombardier C: Low back pain. Best Pract Res Clin Rheumatol. 2002, 16: 761-765. 10.1053/berh.2002.0267.CrossRefPubMed
3.
Waddell G, Burton K: Is work good for your health?. 2006, London: The Stationery Office
4.
Waddell G, Burton K, Kendall N: Vocational rehabilitation: what works, for whom, and when?. 2008, London: The Stationery Office
5.
Kendall NAS, Burton AK, Main CJ, Watson PJ: Tackling musculoskeletal problems: a guide for the clinic and workplace - identifying obstacles using the psychosocial flags framework. 2009, London: The Stationery Office
6.
Waddell G, Aylward M: Models of sickness and disability: applied to common health problems. 2010, London: The Royal Society of Medicine Press Limited
7.
Wynne-Jones G, Main C: The potential for prevention: occupation. Chronic Pain Epidemiology: from aetiology to public health. Edited by: Croft P, Blyth F, Windt D. 2010, Oxford: Oxford University Press, 313-328.CrossRef
8.
Nicholas MK: Obstacles to recovery after an episode of low back pain: the ‘usual suspects’ are not always guilty. Pain. 2010, 148: 363-364. 10.1016/j.pain.2009.12.007.CrossRefPubMed
9.
Pincus T, Burton AK, Vogel S, Field AP: A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine. 2002, 27: E109-E120. 10.1097/00007632-200203010-00017.CrossRefPubMed
10.
Ramond A, Bouton C, Richard I, Roquelaure Y, Baufreton C, Legrand E, Huez J-F: Psychosocial risk factors for chronic low back pain in primary care – a systematic review. Fam Pract. 2011, 28: 12-21. 10.1093/fampra/cmq072.CrossRefPubMed
11.
Wynn P, Money A: Qualitative research and occupational medicine. Occup Med. 2009, 59: 138-139. 10.1093/occmed/kqn147.CrossRef
12.
Foster N, Bishop A, Thomas E, Main C, Horne R, Weinman J, Hay E: Illness perceptions of low back pain patients: what are they, do they change, and are they associated with outcome?. Pain. 2008, 136: 177-187. 10.1016/j.pain.2007.12.007.CrossRefPubMed
13.
Main CJ, Foster N, Buchbinder R: How important are back pain beliefs and expectations for satisfactory recovery from back pain?. Best Pract Res Clin Rheumatol. 2010, 24: 205-217. 10.1016/j.berh.2009.12.012.CrossRefPubMed
14.
Hoving J, van der Meer M, Volkova A, Frings-Dresen M: Illness perceptions and work participation: a systematic review. Int Arch Occup Environ Health. 2010, 83: 595-605. 10.1007/s00420-010-0506-6.CrossRefPubMedPubMedCentral
15.
Giri P, Poole J, Nightingale P, Robertson A: Perceptions of illness and their impact on sickness absence. Occup Med. 2009, 59: 550-555. 10.1093/occmed/kqp123.CrossRef
16.
Coutu M-F, Legare F, Durand M-J, Corbiere M, Stacey D, Loisel P, Bainbridge L: Fostering shared decision making by occupational therapists and workers involved in accidents resulting in persistent musculoskeletal disorders: a study protocol. Implement Sci. 2011, 6: 22-10.1186/1748-5908-6-22.CrossRefPubMedPubMedCentral
17.
Leventhal H, Nerenz D, Steele D: Illness representations and coping with health threats. Handbook of Psychology and Health: Social Psychological Aspects of Health. Edited by: Baum A, Taylor S, Singer J. 1984, Hillside, NJ: Erlbaum, 219-252.
18.
Boothby JL, Thorn BE, Overduin LY, Charles Ward L: Catastrophizing and perceived partner responses to pain. Pain. 2004, 109: 500-506. 10.1016/j.pain.2004.02.030.CrossRefPubMed
19.
Leonard MT, Cano A, Johansen AB: Chronic pain in a couple’s context: a review and integration of theoretical models and empirical evidence. J Pain. 2006, 7: 377-390. 10.1016/j.jpain.2006.01.442.CrossRefPubMedPubMedCentral
20.
Stroud MW, Turner JA, Jensen MP, Cardenas DD: Partner responses to pain behaviours are associated with depression and activity interference among persons with chronic pain and spinal cord injury. J Pain. 2006, 7: 91-99. 10.1016/j.jpain.2005.08.006.CrossRefPubMed
21.
Miller J, Timson D: Exploring the experiences of partners who live with a chronic low back pain sufferer. Health Soc Care Community. 2004, 12: 34-42. 10.1111/j.1365-2524.2004.00466.x.CrossRefPubMed
22.
Haugli L, Maeland S, Magnussen LH: What facilitates return to work? Patients’ experiences 3 years after occupational rehabilitation. J Occup Rehabil. 2011, 21: 573-581. 10.1007/s10926-011-9304-6.CrossRefPubMedPubMedCentral
23.
24.
Romano JM, Jenden MP, Schmaling K, Hops H, Buchwald DS: Illness behaviors in patients with unexplained chronic fatigue are associated with significant other responses. J Behav Med. 2009, 32: 558-569. 10.1007/s10865-009-9234-3.CrossRefPubMed
25.
McCluskey S, Brooks J, King N, Burton K: The influence of ‘significant others’ on persistent back pain and work participation: a qualitative exploration of illness perceptions. BMC Musculoskelet Disord. 2011, 12: 236-10.1186/1471-2474-12-236.CrossRefPubMedPubMedCentral
26.
Moss-Morris R, Weinman J, Petrie KJ, Horne R, Buick D: The revised illness perception questionnaire (IPQ-R). Psychol Health. 2002, 17: 1-16. 10.1080/08870440290001494.CrossRef
27.
28.
King N: Doing Template Analysis. Qualitatve Organizational Research: Core Methods and Current Challenges. Edited by: Symon G, Cassell C. 2012, London: Sage, 426-450.
29.
30.
Glenton C: Chronic backpain sufferers – striving for the sick role. Soc Sci Med. 2003, 57: 2243-2252. 10.1016/S0277-9536(03)00130-8.CrossRefPubMed
31.
Bambra C: Doctors are key to welfare reform. Br Med J. 2010, 341: c6029-10.1136/bmj.c6029.CrossRef
32.
33.
Amir Z, Brocki J: In-depth review: cancer survivorship and epidemiology. Occup Med. 2009, 59: 373-377. 10.1093/occmed/kqp086.CrossRef
34.
Black C: Working for a healthier tomorrow: review of the health of Britain’s working age population. 2008, London: The Stationery Office
35.
Kendall N, Burton K, Main C, Watson P: Tackling musculoskeletal problems: a guide for clinic and workplace - identifying obstacles using the psychosocial flags framework. 2009, London: The Stationery Office
36.
Wynne-Jones G, Buck R, Porteous C, Cooper L, Button LA, Main CJ, Phillips CJ: What happens to work if you’re unwell? Beliefs and attitudes of managers and employees with musculoskeletal pain in a public sector setting. J Occup Rehabil. 2011, 21: 31-42. 10.1007/s10926-010-9251-7.CrossRefPubMed
Metadata
Title
Illness perceptions in the context of differing work participation outcomes: exploring the influence of significant others in persistent back pain
Authors
Joanna Brooks
Serena McCluskey
Nigel King
Kim Burton
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2013
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-14-48

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