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Social Influences on Peer Judgments about Chronic Pain and Disability

机译:对慢性疼痛和残疾同龄判断的社会影响

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摘要

Chronic pain is a leading cause of work absenteeism and disability compensation. Previous work demonstrates that patients with chronic illness often seek advice, such as whether or not to pursue disability benefits, from peers with similar health conditions. The current study examined the extent that social factors influence patients with chronic pain ("peers") when making disability judgments and recommendations for other patients with chronic pain. Participants (N = 71) made pain related and disability ratings for fictional vignette patients that varied in weight (normal vs obese), fault of accident, and physical work demands. Results of repeated measures analyses of variance indicated that participants rated patients with obesity, who were not at fault, and who held a physically demanding job as experiencing more severe pain symptoms and disability and were more likely to recommend they seek disability benefits. Participants who had applied for disability benefits themselves rated patients as more disabled than participants who had not applied for disability. These data suggest that patients with chronic pain are influenced by patient and contextual factors when making pain-related and disability judgments for peers. These judgments may impact patient decision making via peer support programs and online forums.
机译:慢性痛是工作旷工和残疾补偿的主要原因。以前的工作表明,患有慢性疾病的患者通常寻求建议,例如是否要追求残疾福利,来自具有类似健康状况的同行。目前的研究检测了社会因素影响慢性疼痛患者(“同行”)患者在使残疾判断和其他慢性疼痛患者的建议中影响患者。参与者(n = 71)对重量(正常与肥胖),事故过错和物理工作需求而变化的虚构小插图患者的疼痛相关和残疾患者。反复措施的结果分析方差分析表明,参与者评估了肥胖的患者,患有肥胖的患者,他不在缺失,以及持续物质要求的工作,经历更严重的疼痛症状和残疾,并且更有可能建议他们寻求残疾福利。申请残疾的参与者将自己归因于患者比没有申请残疾的参与者更常用。这些数据表明,慢性疼痛的患者受到患者和背景因素的影响与同龄人进行痛苦相关和残疾判断。这些判断可能会通过同行支持计划和在线论坛影响患者决策。

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