Using a psychosocial subgroup assignment to predict sickness absence in a working population with neck and back pain
2011

Predicting Sickness Absence in Workers with Neck and Back Pain

Sample size: 126 publication 10 minutes Evidence: moderate

Author Information

Author(s): Cecilia Bergström, Jan Hagberg, Lennart Bodin, Irene Jensen, Gunnar Bergström

Primary Institution: Karolinska Institutet

Hypothesis

Dysfunctional and interpersonally distressed subgroups will have more sickness absence than adaptive copers.

Conclusion

The study confirms that a multidimensional classification based on psychological characteristics can effectively distinguish between different groups of workers with neck and back pain.

Supporting Evidence

  • DYS individuals had a threefold increase in the risk ratio of long-term sickness absence at 18 months.
  • ID subgroup showed more sickness absence compared to AC at the 36-month follow-up.
  • Significant differences in mental and physical health were found between ID, DYS, and AC groups.

Takeaway

This study shows that people with more psychological issues related to pain are likely to take more sick days from work.

Methodology

This was a prospective cohort study involving a survey and follow-ups at 18 and 36 months.

Potential Biases

Non-responsiveness in follow-ups may introduce bias.

Limitations

The sample was male-dominated and primarily from blue-collar jobs, which may limit generalizability.

Participant Demographics

The mean age was 41.5 years, predominantly male, with over 90% married or cohabiting.

Statistical Information

P-Value

0.04

Confidence Interval

1.065 to 4.085 for ID, 1.715 to 6.266 for DYS

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2474-12-81

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