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Influences of Chronic Pain on Proximal Job Retention Outcomes: A Systematic Literature Review

  • Hanna Issa (a1), Elias Mpofu (a1), Kaye Brock (a1), Ralph R. Crystal (a2) and Ruth T. Lynch (a3)...


Objective. The study examined the evidence for the influence of chronic pain on proximal work participation behaviours important for job retention such as presenteeism, absenteeism and job satisfaction.

Method. A comprehensive literature search was undertaken using various databases including PsycINFO, Medline, Scopus and other sources which resulted in the identification of 353 articles of which 15 articles were chosen for analysis and inclusion. Eligibility was based on a mixed methodological framework using the Consolidated Standards of Reporting Trials (CONSORT) checklist.

Results. There is evidence to suggest that chronic pain influences work participation qualities including absenteeism, presenteeism and job satisfaction. Personality and work content factors mediate the relationship between chronic pain and the proximal work participation variables.

Conclusion. Interventions targeting proximal work context behaviours appear to hold promise for long-term work participation by people with chronic pain. Rehabilitation interventions for job retention with chronic pain will likely be successful with attention to ongoing, changeable work participation behaviours that predict job retention.



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Blyth, F.M., March, L.M., Nicholas, M.K., & Cousins, M.J. (2003). Chronic pain, work performance, and litigation. Pain, 103 (1–2), 4147.
Buchanan, S., Vossenas, P., Krause, N., Moriarty, J., Frumin, E., Shimek, J.A.M., & Punnett, L. (2010). Occupational injury disparities in the US hotel industry. American Journal of Industrial Medicine, 53 (2), 116125.
Crook, J., Milner, R., Schultz, I.Z., & Stringer, B. (2002). Determinants of occupational disability following a low back injury: A critical review of the literature. Journal of Occupational Rehabilitation, 12, 277295.
Crystal, R.M., & Erickson, A. (2010). Forensic vocational assessment: implications for practice, In Oakland, T. & Mpofu, E. (Eds.), Assessment in Rehabilitation and Health (pp. 172191). Upper Saddle River, NJ: Pearson Prentice Hall.
De Buck, P.D.M., De Bock, G.H., Van Den Hout, W.B., Vandenbroucke, J.P., Vlieland, M.V. (2006). Sick leave as a predictor of job loss in patients with chronic arthritis. International Archives of Occupational and Environmental Health, 80 (2), 160170.
Gustavsson, A., Bjorkman, J., Ljungcranyz, C., Rhodin, A., Rivano-Fischer, M., & Mannheimer, C. (2011, August). Socio-economic burden of patients with a diagnosis related to chronic pain - Register data of 840,000 Swedish patients. European Journal of Pain, PMID:21855377.
Hagberg, M., Tornqvist, E.W., & Toomingas, A. (2002). Self-reported reduced productivity due to musculoskeletal symptoms: Associations with workplace and individual factors among white-collar computer users. Journal of Occupational Rehabilitation, 12 (3), 151162.
Heymans, M.W., Anema, J.R., Buuren, S.V., Knol, D.L., Mechelen, W.V., de Vet, H.C.W. (2009). Return to work in a cohort of low back pain patients: Development and validation of a clinical prediction rule. Journal of Occupational Rehabilitation, 19, 155165, doi: 10.1007/s10926-009-9166-3
Hochwarter, W.A., & Byrne, Z.S. (2010). The interactive effects of chronic pain, guilt, and perfectionism on work outcomes. Journal of Applied Social Psychology, 40 (1), 76100.
Hoogendoorn, W.E., Bongers, P.M., de Vet, H.C.W., Ariëns, G.A.M., van Mechelen, W., & Bouter, L.M. (2002). High physical work load and low job satisfaction increase the risk of sickness absence due to low back pain: Results of a prospective cohort study. Occupational and Environmental Medicine, 59 (5), 323328.
Howden, S., Jones, D., Martin, D., & Nicol, M. (2003). Employment and chronic non-cancer pain: Insights into work retention and loss, Work, 20 (3), 199204.
Iles, R.A., Davidson, M., & Taylor, F.T. (2009). Psychosocial predictors of failure to return to work in non-chronic non-specific low back pain: A systematic review. Occupational Environmental Medicine, 65, 507517.
Institute of Medicine: IOM (2011, July). Relieving Pain in America: A Blueprint Transforming prevention, care, education, and research. Retrieved on November 29, 2011 from
Jones, C. (2011). Attendance dynamics at work: The antecedents and correlates of presenteeism, absenteeism, and productivity loss. Journal of Occupational Health Psychology, 16 (4), 483500.
Kendall, N.A.S., Linton, S.J., & Main, C.J. (1997). Guide to Assessing Psychosocial Yellow Flags in Acute Low Back Pain: Risk factors for long-term disability and work loss. Wellington, New Zealand.
Kopec, J.A., & Esdaile, J.M. (1998). Occupational role performance in persons with back pain. Disability and Rehabilitation, 20 (10), 373379.
Krause, N., Dasinger, L.K., Deegan, L.J., Rudolph, L., & Brand, R.J. (2001). Psychosocial job factors and return-to-work after compensated low back injury: A disability phase specific analysis. American Journal of Industrial Medicine, 40 (4), 374392.
Leeuwen, M.T., Blyth, F.M., March, L.M., Nicholas, M.K., & Cousins, M.J. (2006). Chronic pain and reduced work effectiveness: The hidden cost to Australian employers. European Journal of Pain, 10, 161166.
Li, X., Gignac, M., & Anis, A. (2006). The indirect costs of arthritis resulting from unemployment, reduced performance, and occupational changes while at work. Medical Care, 44 (4), 304310.
Linton, S.J. (2001). Occupational psychological factors increase the risk for back pain: A systematic review. Journal of Occupational Rehabilitation, 11, 5366.
MacKenzie, J., Morris, J.A. Jr, Jurkovich, G.J., Yasui, Y., Cushing, B.M., Burgess, A.R., Swiontkowski, M.F. (1998). Return to work following injury: the role of economic, social, and job-related factors. American Journal of Public Health, 88 (11), 16301637.
MacLellan, K. (2006). Management of Pain: Expanding nursing and health care practice. United Kingdom, Nelson Thomas.
Mannion, A.F., Horisberger, B., Eisenring, C., Tamcan, O., Elfering, A., & Müller, U. (2009). The association between beliefs about low back pain and work presenteeism. Journal of Occupational and Environmental Medicine, 51 (11), 12561266.
Medical Benefits Fund of Australia: MBF (2009). Chronic pain factsheet. Retrieved from
Pompeii, L.A., Lipscomb, H.J., Schoenfisch, A.L., & Dement, J.M. (2009). Musculoskeletal injuries resulting from patient handling tasks among hospital workers. American Journal of Industrial Medicine, 52 (7), 571578.
Saastamoinen, P., Laaksonen, M., Lahelma, E., & Leino-Arjas, P. (2009). The effect of pain on sickness absence among middle-aged municipal employees. Occupational and Environmental Medicine, 66 (2), 131136.
Stewart, W.F., Wood, G.C., Manack, A., Varon, S.F., Buse, D.C., & Lipton, R.B. (2010). Employment and work impact of chronic migraine and episodic migraine. Journal of Environmental Medicine, 52 (1), 814.
Targett, P.S., Wehman, P.H., McKinley, M.O., & Young, C.L. (2004). Successful work supports for persons with SCI: Focus on job retention. Journal of Vocational Rehabilitation, 21, 119.
Truchon, M., & Fillion, L. (2000). Biopsychosocial determinants of chronic disability and low-back pain: A review. Journal of Occupational Rehabilitation, 10, 117142.
Van den Heuvel, S.G., Ijmker, S., Blatter, B.M., & de Korte, E.M. (2007). Loss of productivity due to neck/shoulder symptoms and hand/arm symptoms: Results from the PROMO-Study. Journal of Occupational Rehabilitation, 17 (3), 370382.
Von Korff, M., Stewart, W., Simon, S., & Lipton, R. (1998). Migraine and reduced work performance: A population-based diary study. Neurology, 50 (6), 17411745.
Young, A., Dixey, J., Kulinskaya, E., Cox, N., Davies, P., Devlin, J., Winfield, J. (2002). Which patients stop working because of rheumatoid arthritis? Results of five years’ follow up in 732 patients from the Early RA Study (ERAS), Annals of the Rheumatic Diseases, 61, 335340.


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Influences of Chronic Pain on Proximal Job Retention Outcomes: A Systematic Literature Review

  • Hanna Issa (a1), Elias Mpofu (a1), Kaye Brock (a1), Ralph R. Crystal (a2) and Ruth T. Lynch (a3)...


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