title: A qualitative study of workers with chronic pain in Brazil and its social consequences.
abstract: Chronic pain contributes towards less diversified participation centred on household activities, fewer social relationships and smaller number of recreational activities. The aim of the study was to further investigate the effects of chronic pain on participation, focusing on how workers deal with the experienced restrictions. Ten workers with chronic pain participated in the survey, which was conducted with qualitative interviews. Analyses of thematic units revealed that chronic pain has consequences for participation, leading to work restrictions and loss of social roles. Social relationships tend to be limited to family, and workers become isolated from other social groups. The rebuilding of participants' lives was a counterpoint to the identified social rupture. The narratives revealed strategies for dealing with pain, attempts at reorganizing their daily activities and formulating new plans. Understanding what resources individuals use to cope with their difficulties allow occupational therapists to plan client-centred treatment goals. A limitation of the study was to involve employees of very similar socio-economic classes. Studies directed to understanding the relationship between social support and the reconstruction of participation must be conducted to further advance knowledge on possible mechanisms underlying social participation among workers with chronic pain.
authors.affiliation: Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil. facaetano@ufmg.br
authors.forename: Fabiana Caetano Martins
authors.initials: FC
authors.lastname: Silva
authors.forename: Rosana Ferreira
authors.initials: RF
authors.lastname: Sampaio
authors.forename: Marisa Cotta
authors.initials: MC
authors.lastname: Mancini
authors.forename: Madel Terezinha
authors.initials: MT
authors.lastname: Luz
authors.forename: Marcus Alessandro
authors.initials: MA
authors.lastname: Alcântara
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D001938:Brazil; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D009140:Musculoskeletal Diseases / Q000150:complications / Q000523:psychology*; D010146:Pain / Q000150:complications / Q000523:psychology*; D036301:Qualitative Research; D058992:Social Participation; D011795:Surveys and Questionnaires