Psychosocial and demographic correlates of employment vs disability status in a national community sample of adults with chronic pain: toward a psychology of pain presenteeism.

Psychosocial and demographic correlates of employment vs disability status in a national community sample of adults with chronic pain: toward a psychology of pain presenteeism.
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在国家社区的成年人样本中,慢性疼痛的成年人样本中的就业和人口统计学相关性与残疾状况:迈向疼痛的心理学。

DOI:
10.1111/pme.12234
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发表时间:
2013-11
期刊:
Pain medicine (Malden, Mass.)
影响因子:
--
通讯作者:
Okun MA
Okun MA
中科院分区:
其他
文献类型:
--
作者:
Karoly P;Ruehlman LS;Okun MA

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虽然慢性疼痛是与工作有关的残疾的一个来源,但相对较少的研究已经解决了区分慢性疼痛的个人离开劳动力的心理因素,尽管他们的疼痛仍然留在工作岗位上。本研究探讨了一小部分的态度和应对相关因素的潜在相关性疼痛相关的残疾与持续的部分或全职就业以上的作用,众所周知的危险因素。通过随机数字拨号从美国各地抽取的慢性疼痛成年男性和女性的大样本(N= 1293)被细分为两组:工作(N = 859)和残疾(N = 434)。两组都接受了电话采访,以完成一套测量疼痛态度和应对方法的工具(称为慢性疼痛概况:扩展评估[PCP:EA]电池)。Logistic回归分析显示,正如预期的那样,继续就业状况与疼痛严重程度呈负相关,工作状况与高等教育和西班牙裔呈正相关。在控制了严重程度和人口统计学因素后,对医疗和灾难化倾向的信念是显着的反向预测因子,任务持续性是继续就业的正向预测因子。结果揭示了人口和态度的预测继续就业,并强调利用的价值,从心理学的工作参与,以更好地了解疼痛出勤的过程。旨在使疼痛的人留在积极的工作队伍中的干预措施应该建立在现有研究结果的基础上并加以扩展。
Although chronic pain is a source of work-related disability, relatively little research has addressed the psychological factors that differentiate individuals in chronic pain who leave the workforce from those who remain on the job despite their pain. The present study examined a small set of attitudinal and coping-related factors as potential correlates of pain-related disability versus continued part- or full time employment over and above the role of well-known risk factors. A large sample of adult men and women with chronic pain drawn from across the United States (N= 1293) by means of random digit dialing was subdivided into two groups: working (N = 859) and on disability (N = 434). Both groups were interviewed (by telephone) to complete a set of instruments (called the Profile of Chronic Pain: Extended Assessment [PCP: EA] Battery) measuring pain attitudes and coping methods. Logistic regression analysis revealed, as expected, that continued employment status was inversely related to pain severity and work status was positively related to higher education and being Hispanic. After controlling for severity and demographic factors, belief in a medical cure and catastrophizing tendencies were significant inverse predictors and task persistence was a positive predictor of continued employment. Results revealed both demographic and attitudinal predictors of continued employment, and highlight the value of harnessing insights from the psychology of work engagement to better understand the processes underlying pain presenteeism. Interventions designed to keep persons with pain in the active work force should build upon and extend the present findings.
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