Work

Engaging in meaningful work (paid or unpaid) is a strong determinant of mental wellbeing, supporting purpose-driven activity, and fostering feelings of self-efficacy, self-esteem and social connection. Volunteer work may improve health, physical function, mood and mortality rates.

Some people with chronic pain experience delayed improvement in function or recovery, which may reduce their likelihood of returning to work. Modifiable risk factors that impact a person’s likelihood to return to work (eg work place support, anxiety, depression) can be assessed using the Örebro Musculoskeletal Pain Questionnaire. This tool can predict long-term disability and workers’ ability to return to work1.

Refer the patient for psychological intervention when psychological factors are significantly impacting a patients ability to return to work. Support the patient using motivational interviewing and activity scheduling and pacing to improve their self-management of workplace demands.

1 Linton SJ, Boersma K. Early identification of patients at risk of developing a persistent back problem: the predictive validity of the Örebro Musculoskeletal Pain Questionnaire. Clin J Pain. 2003 Mar-Apr;19(2):80-6. [URL]Return