Department of Rheumatology and Immunology, Inselspital, Bern University Hospital, and University of Bern, Freiburgstrasse, 3010, Bern, Switzerland.
School of Social Work, University of Applied Sciences and Arts Northwestern Switzerland, Riggenbachstrasse 16, 4600, Olten, Switzerland.
BMC Musculoskelet Disord. 2022 Nov 5;23(1):956. doi: 10.1186/s12891-022-05896-4.
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.
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.
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.
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.
研究社会融合和参与因素以及与工作相关的社会因素与慢性疼痛患者就业人员生产力损失之间的关联，这些患者接受了跨专业疼痛康复计划的评估。我们假设，在经历慢性疼痛时，社会融合和参与因素以及与工作相关的社会因素与生产力显著相关，我们预计会产生中等效应。
使用前瞻性收集的跨专业慢性疼痛患者登记处的数据进行的横断面研究。主要终点是生产力损失，使用 iMTA 生产力成本问卷进行测量。我们纳入了 161 个人的数据。纳入标准为：年龄在 18 岁或以上，有报酬的工作，并且有慢性疼痛综合征的医学诊断，伴有实际或潜在的组织损伤。此外，参与者必须有明显的社会心理功能障碍的指标。
线性回归分析表明，高度紧张的职业环境、频繁出现家庭和工作兼容性问题以及非瑞士国籍与总生产力损失显著增加相关。在有偿工作的生产力损失方面也得到了类似的结果。然而，家庭和工作兼容性问题在有偿工作的生产力损失方面未达到显著水平。
这项研究的结果强调了社会融合和参与因素对于跨专业康复计划管理慢性疼痛的重要性，尤其是在关注生产力损失时。
