Employment Outcomes of Persons With a Mental Disorder and Comorbid Chronic Pain

Abstract

Objective-We sought to examine the independent and interactive effects of common mental health disorders and chronic pain conditions on employment and work outcomes among individuals younger than 65 years of age.

A theoretically guided approach to identifying predictors of treatment outcome in Contextual Cognitive Behavioural Therapy for chronic pain

“…Unemployment was identified as a predictor of worse outcome across all outcome domains. Research suggests that unemployment is associated with greater emotional distress (Brown et al., ; Daly & Delaney, ; Paul & Moser, ) and higher disability in the general population (Moffett, Underwood, & Gardiner, ) and with depression in those with chronic pain (Braden, Zhang, Zimmerman, & Sullivan, ; Valkanoff, Kline‐Simon, Sterling, Campbell, & Von Korff, ). Further, employment supports behavioural engagement, provides a sense of achievement, is linked to better economic status and is a marker of positive behavioural capacities and skills (McKee‐Ryan, Song, Wanberg, & Kinicki, ; Tiggemann & Winefield, ; Waddell & Burton, ).…”

Heterogeneity of Treatment Effects in a Randomized Trial of Literacy-Adapted Group Cognitive-Behavioral Therapy, Pain Psychoeducation, and Usual Medical Care for Multiply Disadvantaged Patients With Chronic Pain

“…27,28 Although recent advances have increased our understanding of treatment efficacy for chronic pain, about 40% of individuals report inadequate pain relief. 7 Many individuals suffer from the negative effects of chronic pain, such as frequent absence from work and unemployment, 6,19 limitations in physical activities, 54 disability, 47 decreased social interactions and/or perceived support, 9,12 depression, 35 and anxiety. 39 Research has consistently found a higher risk of the adverse effects of chronic pain in vulnerable populations, including racial/ethnic minorities 5,20 and individuals with low socioeconomic status.…”

Survivors of war in northern Kosovo (III): The role of anger and hatred in pain and PTSD and their interactive effects on career outcome, quality of sleep and suicide ideation

“…Patients with comorbidity of mental disorders and painful physical symptoms show more emotional distress, poorer physical functioning and lower rates of help seeking [ 7 ]. They also have worse prospects in the labor market and more financial problems and disability [ 43 ]. Overall pain scores were higher in those who had changed jobs or stopped doing jobs or going to school due to depression or injury.…”