Working with low back pain: problem-solving orientation and function

A number of ergonomic, workplace and individual psychosocial factors and health behaviors have been associated with the onset, exacerbation and/or maintenance of low back pain (LBP). The functional impact of these factors may be influenced by how a worker approaches problems in general. The present study was conducted to determine whether problem-solving orientation was associated with physical and mental health outcomes in fully employed workers (soldiers) reporting a history of LBP in the Fast year. The sample: consisted of 475 soldiers (446 male, 29 female; mean age 24.5 years) who worked in jobs identified as high risk for LBP-related disability and reported LBP symptoms in the past 12 months. The: Social Problem-Solving Inventory and the Standard Form-12 (SF-I) were completed by all subjects. Hierarchical multiple regression analyses were used to predict the SF-12 physical health summary scale from interactions: of. LBP symptoms with each of live problem-solving subscales. Leu; scores on positive problem-solving orientation (F(1.457)= 4.49), and high scores on impulsivity/carelessness (F(1,457) = 9.11) were associated with a steeper gradient in functional lass related to LBP. Among those with a longer history of low-grade LBP, an avoidant approach to problem-solving was also associated with a steeper. gradient of Functional loss (three-way interaction; F(1,458) = 4.58). These results suggest that the prolonged impact of LBP on daily function may be reduced by assisting affected workers to conceptualize LBP as a problem that can be overcome and using strategies that promote taking an active role in reducing risks for LBP. Secondary prevention efforts may be improved by addressing these factors. (C) 2001 International Association for the Study of Pain. Published by Elsevier Science B.V. All rights reserved.