Sources of injustice among individuals with persistent pain following musculoskeletal injury
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Evidence supports the negative impact of perceived injustice on recovery following injury. However, little is known about sources that contribute to injustice perceptions in this context. Therefore, this study systematically investigated sources of injustice following painful musculoskeletal injury. Following completion of the Injustice Experiences Questionnaire (IEQ) and measures of pain, depression, and disability, participants completed a semi-structured interview to discuss reasons underlying their IEQ responses. On average, the sample was experiencing moderate levels of pain, depression, and disability, and clinically meaningful levels of perceived injustice. Participants frequently identified employers/colleagues, other drivers, insurers, healthcare providers, family, significant others, friends, and society as sources of injustice. Common reasons for identifying these sources included their contribution to the injury, inadequate assessment or treatment of pain, and punitive responses toward participants’ pain expression. Sex- and injury-related differences emerged in the identification of injustice sources. Potential strategies for preventing perceived injustice following painful injury are discussed.
KeywordsChronic pain Perceived injustice Rehabilitation
This research was supported by funds from the Canadian Institutes for Health Research, le Fonds de la Recherche en Santé du Québec, and l’Institut de Recherche Robert-Sauvé en Santé et en Sécurité du Travail. The authors thank Véronique Boulais and Valérie Mallet for their assistance in data collection.
Conflict of interest
Whitney Scott, Amanda McEvoy, Rosalind Garland, Elena Bernier, Maria Milioto, Zina Trost, and Michael JL Sullivan declare that they have no conflict of interest.
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional). Informed consent was obtained from all individual subjects participating in the study.
No animal studies were carried out by the authors for this article.
- Cano, A., & Williams, A. C. d. C. (2010). Social interaction in pain: Reinforcing pain behaviors or building intimacy? Pain, 149(1), 9–11.Google Scholar
- Gauthier, N., Thibault, P., Adams, H., & Sullivan, M. J. L. (2008). Validation of a french-canadian version of the pain disability index. Pain Research & Management, 13(4), 327.Google Scholar
- Ghavidel-Parsa, B., Maafi, A. A., Aarabi, Y., Haghdoost, A., Khojamli, M., Montazeri, A., Sanaei, O., & Bidari, A. (2015). Correlation of invalidation with symptom severity and health status in fibromyalgia. Rheumatology, 54(3), 482–486.Google Scholar
- Linehan, M. (1997). Validation and psychotherapy. In A. G. L. Bohart (Ed.), Empathy reconsidered: New directions in psychotherapy. Washington: American Psychological Association.Google Scholar
- Linton, S. J., Boersma, K., Traczyk, M., Shaw, W., & Nicholas, M. (2015). Early workplace communication and problem solving to prevent back disability: Results of a randomized controlled trial among high-risk workers and their supervisors. Journal of Occupational Rehabilitation. doi: 10.1007/s10926-015-9596-z Google Scholar
- Lyons, R., & Sullivan, M. (1998). Curbing loss in illness and disability. In J. Harvey (Ed.), Perspectives on personal and interpersonal loss (pp. 579–605). New York: Taylor & Francis.Google Scholar
- Malleson, A. (2002). Whiplash and other useful illnesses. Montreal: McGill-Queen’s University Press.Google Scholar
- Rodero, B., Luciano, J. V., Montero-Marín, J., Casanueva, B., Palacin, J. C., Gili, M., López del Hoyo, Y., Serrano-Blanco, A., & Garcia-Campayo, J. (2012). Perceived injustice in fibromyalgia: Psychometric characteristics of the injustice experience questionnaire and relationship with pain catastrophising and pain acceptance. Journal of Psychosomatic Research, 73(2), 86–91.Google Scholar
- Scott, W., & Sullivan, M. (2012). Perceived injustice moderates the relationship between pain and depressive symptoms among individuals with persistent musculoskeletal pain. Pain Research & Management, 17(5), 335–340.Google Scholar
- Scott, W., Trost, Z., Milioto, M., & Sullivan, M. (2013b). Further validation of a measure of injury-related injustice perceptions to identify risk for occupational disability: a prospective study of individuals with whiplash injury. Journal of Occupational Rehabilitation, 23(4), 557–565.CrossRefPubMedGoogle Scholar
- Wade, N. G., Worthington, E. L., Jr., & Meyer, J. E. (2005). But do they work? A meta analysis of group interventions to promote forgiveness. In E. L. Worthington Jr. (Ed.), Handbook of forgiveness (pp. 423–440). New York: Routledge.Google Scholar
- Wickizer, T. M., Franklin, G., Fulton‐Kehoe, D., Turner, J. A., Mootz, R., & Smith Weller, T. (2004). Patient satisfaction, treatment experience, and disability outcomes in a population-based cohort of injured workers in Washington State: implications for quality improvement. Health Services Research, 39(4p1), 727–748.CrossRefPubMedPubMedCentralGoogle Scholar