The impact of social deprivation on chronic back pain outcomes.
Chronic low back pain is the commonest cause of disability for adults of working age. It is a complex problem frequently encapsulated as a bio-psychosocial issue, yet the social element has received less attention than it deserves, particularly for low-income and socially deprived patients. Rehabilitation programmes are often based on increasing function through cognitive and behavioural techniques, which, for many reasons, may be less effective for the socially disadvantaged. In this paper we discuss the potential barriers to successful rehabilitation in socially deprived groups and we look at possible factors that may need to be considered when designing interventions.
Carr
Jane L
JL
Institute of Rehabilitation, University of Hull, 215 Anlaby Road, Hull HU3 2PG, UK.
Moffett
Jennifer A Klaber
JA
D001416:Back Pain / Q000523:psychology* / Q000534:rehabilitation*; D002908:Chronic Disease; D006297:Health Services Accessibility; D006801:Humans; D012934:Social Isolation; D012959:Socioeconomic Factors; D016896:Treatment Outcome