Long-Term Adjustment to Work-Related Low Back Pain: Associations with Socio-demographics, Claim Processes, and Post-Settlement Adjustment

Chibnall, John T.; Tait, Raymond C.

doi:10.1111/j.1526-4637.2009.00738.x

Cited by 38 publications

(23 citation statements)

References 73 publications

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“…Similarly, African American race emerged as a unique risk factor for higher long-term levels of catastrophizing. While these results are noteworthy and consistent with existing literature (e.g., Atlas et al 2006;Chibnall and Tait 2009), they are perhaps less surprising than those related to legal representation motivated by dissatisfaction.…”

Section: Discussionsupporting

confidence: 82%

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Legal Representation and Dissatisfaction with Workers’ Compensation: Implications for Claimant Adjustment

Chibnall

Tait

2010

Psychol. Inj. and Law

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This study examined relationships between attorney retention and adjustment outcomes for Workers' Compensation low back claimants at post-settlement (N= 1,464; 21 months post-claim settlement) and long-term follow-up (N =371; 72 months post-claim settlement). Claimants were classified into three groups: those who had not retained an attorney (no attorney group, 15%); those who had retained an attorney, but for reasons other than dissatisfaction with Workers' Compensation medical treatment (attorney group, 31%); and those who had retained an attorney specifically because of dissatisfaction with Workers' Compensation medical treatment (dissatisfied/attorney group, 54%). Groups were compared on demographic characteristics, Workers' Compensation variables, and adjustment indicators of pain intensity, painrelated disability, general physical and mental health status, and pain catastrophizing. Relative to the no attorney and attorney groups, claimants in the dissatisfied/attorney group were younger, had longer time to settlement, and reported greater post-settlement socioeconomic stress and catastrophizing. At long-term follow-up, the dissatisfied/attorney group reported higher levels of disability and catastrophizing, as well as lower levels of mental health status, relative to the other groups. The results suggest that attorney retention that is motivated by dissatisfaction with Workers' Compensation medical care is a significant risk factor for poor adjustment, not only in the intermediate time frame following claim settlement, but also over the long term. Findings are discussed in the context of "perceived injustice" in the Workers' Compensation system and the mechanisms by which dissatisfaction and attorney retention may impact adjustment.

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Section: Discussionsupporting

confidence: 82%

“…Subsequent research has shown that the latter group did not differ substantially from either the 288 long-term study non-participants or the original study population (Chibnall and Tait 2009). At the time of participation in the long-term study, claimants were, on average, 72.3 months (SD=4.9) post-claim settlement.…”

Section: Participantsmentioning

confidence: 95%

Legal Representation and Dissatisfaction with Workers’ Compensation: Implications for Claimant Adjustment

Chibnall

Tait

2010

Psychol. Inj. and Law

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“…Education was a prognostic factor, which means that the patients with education at the university level had a higher rate of recovery, than the patients with lower education. Lower education is often associated to low-decision authority and heavy physical work, which are well-known prognostic factors for poor recovery [18]. The prevalence of MT1 changes in our study was 14%, which is comparable to some studies [19], while in other studies the prevalence varied from 43 to 59% [4]; however, these studies included patients who had undergone discography, which is known to accelerate Modic changes [11].…”

Section: Discussionsupporting

confidence: 79%

Are Modic changes prognostic for recovery in a cohort of patients with non-specific low back pain?

et al. 2011

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Background There is evidence for an association between Modic type 1 and pain in patients with low back pain (LBP), but little knowledge about its effect on clinical outcomes. Purpose (1) To assess the prevalence of Modic changes, (2) to determine if Modic changes influence the clinical course of LBP, and (3) to identify prognostic factors for recovery. Study design/setting Prospective clinical cohort study, with a 1-year follow-up. The treatment consisted of brief intervention and instruction in stretching. Patient's sample Two hundred and sixty-nine patients with chronic low back pain. Outcome measures Socio-demographic variables, education, profession, self-reported measures, degenerative changes on MRI. Methods Linear growth model and Cox regression analysis.Results Five percent had a normal MRI, 14 and 50% had Modic 1 and Modic 2 changes. Modic changes were not significant covariates for the clinical course of pain, function or fear avoidance beliefs. Education was a strong prognostic factor for recovery. Conclusions Modic changes did not influence the clinical course of back pain and were not prognostic factors for recovery. Education was strongly associated with recovery.

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“…Studies of socioeconomic status and LBP (including income, education and occupation) have also had mixed results. There are frequent reports that lower income, less education and employment in manual occupations is associated with increased pain and disability [60,61,[66][67][68][69], but other studies report no associations [64,65,68,70]. There is very little research examining the association between race/ethnicity and LBP.…”

Section: Social Disadvantagementioning

confidence: 91%

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

Shaw

Campbell

Nelson

et al. 2013

Best Practice & Research Clinical Rheumatology

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Long-Term Adjustment to Work-Related Low Back Pain: Associations with Socio-demographics, Claim Processes, and Post-Settlement Adjustment

Cited by 38 publications

References 73 publications

Legal Representation and Dissatisfaction with Workers’ Compensation: Implications for Claimant Adjustment

Legal Representation and Dissatisfaction with Workers’ Compensation: Implications for Claimant Adjustment

Are Modic changes prognostic for recovery in a cohort of patients with non-specific low back pain?

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

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