Disability and disability benefit seeking in chronic low back pain

For the Residency Research Network of Texas Investigators

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Numerous studies suggest psychosocial factors contribute to functional disability in patients with chronic low back pain (CLBP). However, less is known about the association of psychosocial factors, such as depression, with seeking medical disability benefits and their prevalence in benefit seekers compared with patients already receiving such payments. Aims: To determine if characteristics of disability benefit seekers differ from patients receiving disability benefits and if both differ from patients not dependent on such payments. Methods: Questionnaire data on pain, health-related quality of life, depression, social support, substance abuse, adverse childhood experiences and disability seeking were obtained from CLBP respondents recruited at 10 primary care clinics throughout Texas. A multinomial logistic regression model was computed using variables significantly associated with disability status and pain severity in univariate models. Results: There were 213 participants. In full models, compared with those not on disability benefits, only depression symptoms were significantly associated with seeking disability benefits (odds ratio [OR] = 1.13; 95% confidence interval [CI] 1.01-1.26) and only duration of pain was significantly associated with being on such benefits (OR = 1.05; 95% CI 1.01-1.09). Conclusions: Patient characteristics differ between disability benefit seekers and those established on disability benefit payments. Depression may be a modifiable correlate of disability benefit seeking that if treated may reduce the number of patients who eventually come to depend on disability benefits. Additional data collection involving other pain syndromes is warranted to determine if these results are unique to CLBP or apply to other painful conditions.

Original languageEnglish (US)
Pages (from-to)309-316
Number of pages8
JournalOccupational Medicine
Volume65
Issue number4
DOIs
StatePublished - Jan 1 2015

Fingerprint

Low Back Pain
Depression
Pain
Logistic Models
Odds Ratio
Confidence Intervals
Psychology
Social Support
Substance-Related Disorders
Primary Health Care
Quality of Life

Keywords

  • Depression
  • Disability
  • Disability benefits
  • Insurance
  • Low back pain
  • Mental ill-health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

For the Residency Research Network of Texas Investigators (2015). Disability and disability benefit seeking in chronic low back pain. Occupational Medicine, 65(4), 309-316. https://doi.org/10.1093/occmed/kqv012

Disability and disability benefit seeking in chronic low back pain. / For the Residency Research Network of Texas Investigators.

In: Occupational Medicine, Vol. 65, No. 4, 01.01.2015, p. 309-316.

Research output: Contribution to journalArticle

For the Residency Research Network of Texas Investigators 2015, 'Disability and disability benefit seeking in chronic low back pain', Occupational Medicine, vol. 65, no. 4, pp. 309-316. https://doi.org/10.1093/occmed/kqv012
For the Residency Research Network of Texas Investigators. Disability and disability benefit seeking in chronic low back pain. Occupational Medicine. 2015 Jan 1;65(4):309-316. https://doi.org/10.1093/occmed/kqv012
For the Residency Research Network of Texas Investigators. / Disability and disability benefit seeking in chronic low back pain. In: Occupational Medicine. 2015 ; Vol. 65, No. 4. pp. 309-316.
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abstract = "Background: Numerous studies suggest psychosocial factors contribute to functional disability in patients with chronic low back pain (CLBP). However, less is known about the association of psychosocial factors, such as depression, with seeking medical disability benefits and their prevalence in benefit seekers compared with patients already receiving such payments. Aims: To determine if characteristics of disability benefit seekers differ from patients receiving disability benefits and if both differ from patients not dependent on such payments. Methods: Questionnaire data on pain, health-related quality of life, depression, social support, substance abuse, adverse childhood experiences and disability seeking were obtained from CLBP respondents recruited at 10 primary care clinics throughout Texas. A multinomial logistic regression model was computed using variables significantly associated with disability status and pain severity in univariate models. Results: There were 213 participants. In full models, compared with those not on disability benefits, only depression symptoms were significantly associated with seeking disability benefits (odds ratio [OR] = 1.13; 95{\%} confidence interval [CI] 1.01-1.26) and only duration of pain was significantly associated with being on such benefits (OR = 1.05; 95{\%} CI 1.01-1.09). Conclusions: Patient characteristics differ between disability benefit seekers and those established on disability benefit payments. Depression may be a modifiable correlate of disability benefit seeking that if treated may reduce the number of patients who eventually come to depend on disability benefits. Additional data collection involving other pain syndromes is warranted to determine if these results are unique to CLBP or apply to other painful conditions.",
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