The Relationship between Alexithymia and Functional Disability Among IT Professionals with Chronic Low Back Pain

Jump To References Section

Authors

  • Department of Physiotherapy, Krupanidhi College of Physiotherapy, Bangalore – 560035, Karnataka ,IN
  • Department of Physiotherapy, Krupanidhi College of Physiotherapy, Bangalore – 560035, Karnataka ,IN
  • Department of Physiotherapy, Krupanidhi College of Physiotherapy, Bangalore – 560035, Karnataka ,IN

DOI:

https://doi.org/10.18311/jeoh/2023/32075

Keywords:

Alexithymia, Chronic Low Backpain, Functional Disability, Nordic Scale, Oswestry Low Back Pain Disability, Toronto Alexithymia Scale, Work-Related Musculoskeletal Problems

Abstract

Background: Chronic low back pain is an exceptionally predominant and exorbitant musculoskeletal pain syndrome. Low Back Pain is the primary cause of movement restriction and records for 33% of all worker’s compensation claims. Utilizing the customary characterization framework, Low back pain is additionally arranged by its duration of onset like acute (<6 weeks), sub-acute (6 weeks-12 weeks), and chronic (>12 weeks). Usually, people who have back pain experience acute occurrence of pain, which heals on their own in roughly 3 months. Individuals with alexithymia will in general show lower empathy with others’ beliefs, feelings, and desires maybe in light of their absence of information on their own enthusiastic experience. This absence of sympathy may likewise add to the higher rates of relational issues reported by people with alexithymia. Oswestry Low Back Pain Disability questionnaire is an important tool to evaluate functional disability. Therefore, in this study, the association between alexithymia and functional disability in chronic low back pain was discussed. Aim: The study aims to evaluate the correlation between alexithymia and functional disability among IT professionals with chronic low back pain. Materials and Methods: This study involves 246 IT professionals between ages 25-50 years of male and female genders in Bangalore were taken based on inclusion and exclusion criteria. The online survey was performed by using google forms. Outcome Measures: Nordic Musculoskeletal Questionnaire (NMQ), Toronto Alexithymia Scale (TAS-20), and Oswestry Low Back Pain Disability Questionnaire (ODI) were used. Result: A POSITIVE correlation is observed in both cases where the relationship is very weak. T-test for dependent means between those with CLBP and without CLBP the result implies that there is a significant difference between the individuals with CLBP and without CLBP in both the tests. The t-value of alexithymia shows 15.6960 and Oswestry shows -4.7784. the p-value for alexithymia is 0.001 which is significant and the p-value for Oswestry is <0.00001 which is significant. Conclusion: There is a significant difference between alexithymia and functional disability among individuals with CLBP and without CLBP. There is a positive correlation seen in CLBP and without low back pain.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Downloads

Published

2023-04-18

How to Cite

Pavani, B., Anand, M., & Subramanian, S. (2023). The Relationship between Alexithymia and Functional Disability Among IT Professionals with Chronic Low Back Pain. Journal of Ecophysiology and Occupational Health, 23(1), 29–37. https://doi.org/10.18311/jeoh/2023/32075

Issue

Section

Articles

 

References

Koes B, et al. Diagnosis and treatment of low back pain. BMJ Br Med J. 2006; 232:1430. https://doi.org/10.1136/ bmj.332.7555.1430 PMid:16777886 PMCid:PMC1479671 DOI: https://doi.org/10.1136/bmj.332.7555.1430

Abenhaim L, Rossignol M, Valat JP, et al. The role of activity in the therapeutic management of back pain: Report of the international Paris task force on back pain. Spine. 2000; 25:1S-33S. https://doi.org/10.1097/00007632-200002151- 00001 PMid:10707404 DOI: https://doi.org/10.1097/00007632-200002151-00001

Andersson G. Epidemiological features of chronic low-back pain. Lancet. 1999; 354:581-5. https://doi.org/10.1016/ S0140-6736(99)01312-4 PMid:10470716 DOI: https://doi.org/10.1016/S0140-6736(99)01312-4

Boutler LM, van Thulder MW, Boes BW. Methodological issues in low back pain in primary health care. Spine. 1998; 23:2014-20. https://doi.org/10.1097/00007632-199809150- 00019 PMid:9779536 DOI: https://doi.org/10.1097/00007632-199809150-00019

Katz JN. Lumbar disc disorders and low back pain: Socioeconomic factors and consequences. The Journal of Bone and Joint Surgery. 2006; 88(2):21-4. https://doi. org/10.2106/JBJS.E.01273 PMid:16595438 DOI: https://doi.org/10.2106/JBJS.E.01273

Merskey H, editor. Classification of chronic pain: Descriptions of chronic pain syndromes and definitions of pain terms. Amsterdam: Elsevier Science Publishers; 1986.

Shariat A. Musculoskeletal disorders and their relationship with physical activities among office workers: a review. Malaysian J Public Health Med. 2016; 16:62-74.

Yue P, Liu F, Li L. Neck/shoulder pain and low back pain among school teachers in China, prevalence and risk factors. BMC Public Health. 2012; 12:789. https://doi. org/10.1186/1471-2458-12-789 PMid:22978655 PMCid: PMC3524038 DOI: https://doi.org/10.1186/1471-2458-12-789

Covington E. Chronic pain management in spine disorders. Neurologic Clinics. 2007; 25(2):539-66. https://doi. org/10.1016/j.ncl.2007.01.009 PMid:17445743 DOI: https://doi.org/10.1016/j.ncl.2007.01.009

Taylor GJ. Recent development in alexithymia theory and research. Can J Psychiatry. 2000; 45:134-42. https://doi. org/10.1177/070674370004500203 PMid:10742872 DOI: https://doi.org/10.1177/070674370004500203

Lesser IM. Current concepts in psychiatry- Alexithymia. N Engl J Med. 1985; 312:690-2. https://doi.org/10.1056/ NEJM198503143121105 PMid:3883169 DOI: https://doi.org/10.1056/NEJM198503143121105

Sifneos P. The prevalence of “alexithymia” characteristics in psychosomatic patients. Psychotherapy Psychosom. 1973; 22:225-6. https://doi.org/10.1159/000286529 PMid: 4770536 DOI: https://doi.org/10.1159/000286529

Todarello O, Taylor G, Parker J, Fanelli M. Alexithymia in essential hypertensive and psychiatric outpatients: A comparative study. Journal of Psychosomatic Research. 1995; 39(8):987-94. https://doi.org/10.1016/0022-3999(95) 00506-4 PMid:8926608 DOI: https://doi.org/10.1016/0022-3999(95)00506-4

Moriguchi Y, Decety J, Ohnishi T, et al. Empathy and judging other’s pain: an FMRI study of alexithymia. Cereb Cortex. 2007; 17:2223-34. https://doi.org/10.1093/cercor/ bhl130 PMid:17150987

Weisberg JN, Boatwright BA. Mood, anxiety and personality traits and states in chronic pain. Pain. 2007; 133:1-2. https://doi.org/10.1016/j.pain.2007.10.005 PMid:17967507 DOI: https://doi.org/10.1016/j.pain.2007.10.005

Moriguchi Y, Decety J, Ohnishi T, et al. Empathy and judging other’s pain: an fMRI study of alexithymia. Cereb Cortex. 2007; 17:2223-34. https://doi.org/10.1093/cercor/ bhl130 PMid:17150987 DOI: https://doi.org/10.1093/cercor/bhl130

Moriguchi Y, Ohnishi T, Lane RD, et al. Impaired self-awareness and theory of mind: An fMRI study of mentalizing in alexithymia. Neuroimage. 2006; 32:1472-82. https://doi. org/10.1016/j.neuroimage.2006.04.186 PMid:16798016 DOI: https://doi.org/10.1016/j.neuroimage.2006.04.186

Spitzer C, Siebel-Jurges U, Barnow S, et al. Alexithymia and interpersonal problems. Psychotherapy Psychosom. 2005; 74:240-246. https://doi.org/10.1159/000085148 PMid: 15947514 DOI: https://doi.org/10.1159/000085148

Bagby RM, Parker JDA, Taylor GJ. The twenty-item Toronto alexithymia scale-I. Item selection and cross-validation of the factor structure. Journal of Psychosomatic Research. 1994; 38:23-32. https://doi.org/10.1016/0022- 3999(94)90005-1 PMid:8126686 DOI: https://doi.org/10.1016/0022-3999(94)90005-1

Kelsey JL, White AA 3rd, Pastides H, Bisbee GE Jr. The impact of musculoskeletal disorders on the population of the United States. The Journal of Bone and Joint surgery. 1979 Oct; 61(7):959-64. https://doi.org/10.2106/00004623- 197961070-00001 DOI: https://doi.org/10.2106/00004623-197961070-00001

Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine. 2000 Nov 15; 25(22):2940-52. https://doi. org/10.1097/00007632-200011150-00017 PMid:11074683 DOI: https://doi.org/10.1097/00007632-200011150-00017

Calik BB, Yagci N, Oztop M, Caglar D. Effects of risk factors related to computer use on musculoskeletal pain in office workers, International Journal of Occupational Safety and Ergonomics. 2020.

Majumdar P, Biswas A, Sahu S. COVID-19 pandemic and lockdown: cause of sleep disruption, depression, somatic pain, and increased screen exposure of office workers and students of India, Chronobiology International. 2020; 37(8):1191-200. https://doi.org/10.1080/07420528.2020.17 86107 PMid:32660352 DOI: https://doi.org/10.1080/07420528.2020.1786107

Suresh G. Workspace and postural challenges in Work from Home (WFH) Scenario. International Journal of Grid and Distributed Computing. 2020; 13(2):12-20

Hanna F, et al. The relationship between sedentary behavior, back pain, and psychosocial correlates among university employees. Frontiers in Public Health; 2019 Apr 9. https://doi.org/10.3389/fpubh.2019.00080 PMid:31024881 PMCid:PMC6465323 DOI: https://doi.org/10.3389/fpubh.2019.00080

Hwang U-J, et al. Predictors of pain intensity and oswestry disability index in prolonged standing service workers with nonspecific chronic low back pain subclassified as active extension pattern. Musculoskeletal Science and Practice. 2019 Apr; 40:58-64. https://doi.org/10.1016/j. msksp.2019.01.014 PMid:30710825 DOI: https://doi.org/10.1016/j.msksp.2019.01.014

Kuorinka I, Jonsson B, Kilbom A, et al. Standardized Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987; 18:233-7. https://doi. org/10.1016/0003-6870(87)90010-X PMid:15676628 28. Kreitler S, Niv D. Pain and alexithymia: The nature of a relation. The Pain Clinic. 2001; 13(1):13-38. https://doi. org/10.1163/15685690152385745 DOI: https://doi.org/10.1016/0003-6870(87)90010-X

Bayar K, Bayar B, Yakut E, Yakut Y. Reliability and construct validity of the Oswestry Low Back Pain Disability Questionnaire in the elderly with low back pain. The Pain Clinic. 2003; 15(1):55-9. https://doi. org/10.1163/156856903321196500 DOI: https://doi.org/10.1163/156856903321196500

Available from: https://docs.google.com/forms/d/e/ 1FAIpQLSci9FJNJNjAeSSVvoc3Yv8IAAqmHnG4qB6_ v3B98n8fVGE8pw/viewform?usp=sf_link

Kapadi R, Elander J, Bateman AH. A systematic review of evidence about the role of alexithymia in chronic back pain. Health Psychology Update. 2021; 30(1):3-13. https://doi. org/10.53841/bpshpu.2021.30.1.3 DOI: https://doi.org/10.53841/bpshpu.2021.30.1.3

Aaron, Rachel V, et al. Alexithymia in individuals with chronic pain and its relation to pain intensity, physical interference, depression, and anxiety: a systematic review and meta-analysis. Pain. 2019; 160(5):994-1006. https:// doi.org/10.1097/j.pain.0000000000001487 PMid:31009416 PMCid:PMC6688175 DOI: https://doi.org/10.1097/j.pain.0000000000001487

Saiklang P, Puntumetakul R, Selfe J, Yeowell G. An evaluation of an innovative exercise to relieve chronic low back pain in sedentary workers. Human Factors. 2020 Oct. https://doi. org/10.1177/0018720820966082 PMid:33111563 DOI: https://doi.org/10.1177/0018720820966082

Pillai D, Haral P. Prevalence of low back pain in sitting vs standing postures in working professionals in the age group of 30-60. Int J Health Sci Res. 2018; 8(10):131-7.

Dossou G, Mansourou LM, Lafiou Y, Nawal TT, Gratien HV, Olabiss LMN. prolonged sitting posture: massage and physical exercise program as effective therapy in 45 sedentary officers using their vehicles full time. Universal Journal