Effects of workplace, family and cultural influences on low back pain: What opportunities exist to address social factors in general consultations?

Shaw, William S.Liberty Mutual Research Institute for Safety, Hopkinton MA, USA; School of Medicine, University of Massachusetts, Worcester MA, USA (author)

Effects of workplace, family and cultural influences on low back pain : What opportunities exist to address social factors in general consultations?

Funding Agency:Scan/Design Foundation
Social factors are widely acknowledged in behavioural models of pain and pain management, but incorporating these factors into general medical consultations for low back pain (LBP) can be challenging. While there is no compelling evidence that social factors contribute to LBP onset, these factors have been shown to influence functional limitation and disability, especially the effects of organisational support in the workplace, spousal support, family conflict and social disadvantage. A number of barriers exist to address such social factors in routine medical encounters for LBP, but there is emerging evidence that improving social and organisational support may be an effective strategy to reduce the negative lifestyle consequences of LBP. For clinicians to address these factors in LBP treatment requires a clearer psychosocial framework in assessment and screening, more individualised problem-solving efforts, more patient-centred interventions involving family, peers and workplace supports and a less biomechanical and diagnostic approach. (C) 2013 Elsevier Ltd. All rights reserved.

Campbell, PaulArthritis Research UK Primary Care Centre, Primary Care Sciences, Keele University, Stoke-on-Trent, United Kingdom (author)
Nelson, Candace C.Liberty Mutual Research Institute for Safety, Hopkinton MA, USA; School of Medicine, University of Massachusetts, Worcester MA, USA; School Public Health, Harvard Univ, Boston MA, USA (author)
Main, Chris J.Arthritis Research UK Primary Care Centre, Primary Care Sciences, Keele University, Stoke-on-Trent, United Kingdom (author)
Linton, Steven J.,1952-Örebro universitet,Institutionen för juridik, psykologi och socialt arbete(Swepub:oru)svln (author)
Liberty Mutual Research Institute for Safety, Hopkinton MA, USA; School of Medicine, University of Massachusetts, Worcester MA, USAArthritis Research UK Primary Care Centre, Primary Care Sciences, Keele University, Stoke-on-Trent, United Kingdom (creator_code:org_t)

In:Baillière's Best Practice & Research: Elsevier BV27:5, s. 637-6481521-69421532-1770

By the author/editor: Shaw, William S.; Campbell, Paul; Nelson, Candace ...; Main, Chris J.; Linton, Steven J ...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Rheumatology and ...

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