Fishbain D A, Rosomoff H L, Cutler R B, Steele-Rosomoff R
Department of Neurological Surgery and Psychiatry, University of Miami School of Medicine, Miami Beach, Florida 33139, USA.
Clin J Pain. 1995 Dec;11(4):267-78. doi: 10.1097/00002508-199512000-00004.
To demonstrate that chronic pain patients' (CPPs') perceptions about their preinjury jobs determine their intent to return to the same type of job post pain facility treatment.
A total of 225 CPPs completed a series of rating scales and yes/no questions relating to their preinjury job perceptions and a question relating to intent to return to the same type of preinjury job post-pain facility treatment. The CPPs were broken down into subgroups (males, females, college males, noncollege males, college females, noncollege females), and within each subgroup those not intending to return to the same type of pre-injury job were compared to those intending to return on the preinjury job perception questions. In addition for the whole group, stepwise discriminant analysis was used to predict who planned to return to the preinjury job utilizing the job perceptions questions.
Multidisciplinary Pain Center.
Consecutive chronic pain patients.
For the whole group, CPPs not intending to return were more likely to complain of job excessive physical demands, job satisfaction, and job dislike. Job perception complaints that were significantly different between the intending and not intending to return groups differed between the subgroups. For example, noncollege males not intending to return were more likely to complain of excessive physical demands only versus satisfaction and liking as significant items for college males who did not intend to return. Within the discriminant analysis, the combination of job satisfaction, excessive physical demands, employee conflicts, job liking, job dangerousness, supervisory conflicts, job stress, and age classified 73.46% of the CPPs correctly as to intent to return to the same type of preinjury job.
There appears to be a relationship between preinjury job perceptions and intent to return to the same type of job post pain treatment. However, subgroups of CPPs will differ by which job perceptions are important towards making that decision.
证明慢性疼痛患者（CPPs）对其受伤前工作的看法决定了他们在疼痛治疗机构治疗后重返同一类工作的意愿。
共有225名CPPs完成了一系列与他们受伤前工作看法相关的评分量表和是非题，以及一个与在疼痛治疗机构治疗后重返同一类受伤前工作的意愿相关的问题。CPPs被分为多个亚组（男性、女性、大学男性、非大学男性、大学女性、非大学女性），在每个亚组中，将那些不打算重返同一类受伤前工作的人与那些打算重返受伤前工作的人在受伤前工作看法问题上进行比较。此外，对于整个群体，使用逐步判别分析，利用工作看法问题预测哪些人计划重返受伤前的工作。
多学科疼痛中心。
连续的慢性疼痛患者。
对于整个群体，不打算重返工作的CPPs更有可能抱怨工作体力要求过高、工作满意度和对工作的厌恶。打算重返和不打算重返的群体之间存在显著差异的工作看法抱怨在亚组之间也有所不同。例如，不打算重返工作的非大学男性更有可能仅抱怨体力要求过高，而对于不打算重返工作的大学男性来说，满意度和喜欢程度是重要因素。在判别分析中，工作满意度、体力要求过高、员工冲突、工作喜欢程度、工作危险性、监督冲突、工作压力和年龄的组合将73.46%的CPPs正确分类为是否打算重返同一类受伤前工作。
受伤前的工作看法与疼痛治疗后重返同一类工作的意愿之间似乎存在关联。然而，不同亚组的CPPs在做出该决定时，哪些工作看法重要会有所不同。
