• Anne F Mannion, Bruno Horisberger, Claudia Eisenring, Oezguer Tamcan, Achim Elfering, and Urs Müller.
• Spine Center Division, Department of Research and Development, Schulthess Klinik, Zürich, Switzerland. anne.mannion@kws.ch
• J. Occup. Environ. Med. 2009 Nov 1;51(11):1256-66.

ObjectiveTo examine the influence of beliefs about low back pain (LBP) on reduced productivity at work ("presenteeism") caused by LBP.MethodsTwo thousand five hundred seven individuals completed the Back Beliefs Questionnaire, the Fear Avoidance Beliefs questionnaire (FABQ), and questions about LBP-related work-absence, reduced work-productivity, pain, comorbidity, and demographics.ResultsSix hundred seventy (25%) individuals were of working age, employed and reported current LBP. Univariate models showed beliefs were more "negative" in individuals with work-absence and reduced productivity (P = 0.0001). In multivariable analysis, controlling for confounders, "FABQwork" was a unique predictor of both absenteeism and presenteeism (each, P = 0.0001), though with small effect sizes.ConclusionsNegative beliefs about LBP are associated with both work absence and reduced work-productivity. Further investigations should examine their potential as a target for educational interventions when considering initiatives to reduce the socioeconomic costs of LBP.

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