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


Affiliations
1 Department of Physiotherapy, Krupanidhi College of Physiotherapy, Bangalore – 560035, Karnataka, India., India
2 Department of Physiotherapy, Krupanidhi College of Physiotherapy, Bangalore – 560035, Karnataka, India ., India
 

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.

Keywords

Alexithymia, Chronic Low Backpain, Functional Disability, Nordic Scale, Oswestry Low Back Pain Disability, Toronto Alexithymia Scale, Work-Related Musculoskeletal Problems
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  • 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
  • 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/10.1097/00007632-20000215100001 PMid:10707404
  • 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
  • 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/10.1097/00007632-19980915000019 PMid:9779536
  • 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
  • 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
  • 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
  • Taylor GJ. Recent development in alexithymia theory and research. Can J Psychiatry. 2000; 45:134-42. https://doi.org/10.1177/070674370004500203 PMid:10742872
  • Lesser IM. Current concepts in psychiatry- Alexithymia.N Engl J Med. 1985; 312:690-2. https://doi.org/10.1056/ NEJM198503143121105 PMid:3883169
  • Sifneos P. The prevalence of “alexithymia” characteristics in psychosomatic patients. Psychotherapy Psychosom.1973; 22:225-6. https://doi.org/10.1159/000286529 PMid: 4770536
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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/10.1016/00223999(94)90005-1 PMid:8126686
  • 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/10.2106/00004623197961070-00001
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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 of Sport Science. 2021; 1(1). https://doi.org/10.31586/ujss.2021.010101
  • Pecukonis EV. Physical self-efficacy and alexithymia in women with chronic intractable back pain. Pain
  • Management Nursing. 2009 Sep 1; 10(3):116-23. https:// doi.org/10.1016/j.pmn.2008.11.001 PMid:19706348
  • Baiardini I, Abbà S, Ballauri M, Vuillermoz G, Braido F. Alexithymia and chronic diseases: The state of the art. G Ital Med Lav Ergon. 2011; 33(1 Suppl A):A47-52.

Abstract Views: 182

PDF Views: 80




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

Abstract Views: 182  |  PDF Views: 80

Authors

Budamala Pavani
Department of Physiotherapy, Krupanidhi College of Physiotherapy, Bangalore – 560035, Karnataka, India., India
Milan Anand
Department of Physiotherapy, Krupanidhi College of Physiotherapy, Bangalore – 560035, Karnataka, India., India
Sudhakar Subramanian
Department of Physiotherapy, Krupanidhi College of Physiotherapy, Bangalore – 560035, Karnataka, India ., India

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.

Keywords


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

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DOI: https://doi.org/10.18311/jeoh%2F2023%2F32075