Disabling chronic low back pain as an iatrogenic disorder: A qualitative study in Aboriginal Australians
MetadataShow full item record
Objectives: To determine the low back pain beliefs of Aboriginal Australians; a population previously identified as protected against the disabling effects of low back pain due to cultural beliefs. Design: Qualitative study employing culturally appropriate methods within a clinical ethnographic framework. Setting: One rural and two remote towns in Western Australia. Participants: Thirty-two Aboriginal people with chronic low-back pain (CLBP; 21 men, 11 women). Participants included those who were highly, moderately and mildly disabled.Results: Most participants held biomedical beliefs about the cause of CLBP, attributing pain to structural/ anatomical vulnerability of their spine. This belief was attributed to the advice from healthcare practitioners and the results of spinal radiological imaging. Negative causal beliefs and a pessimistic future outlook were more common among those who were more disabled. Conversely, those who were less disabled held more positive beliefs that did not originate from interactions with healthcare practitioners. Conclusions: Findings are consistent with research in other populations and support that disabling CLBP may be at least partly iatrogenic. This raises concerns for all populations exposed to Western biomedical approaches to examination and management of low back pain. The challenge for healthcare practitioners dealing with people with low back pain from any culture is to communicate in a way that builds positive beliefs about low back pain and its future consequences, enhancing resilience to disability.
This article is published under the Open Access publishing model and distributed under the terms of the Creative Commons Attribution Non-Commercial License http://creativecommons.org/licenses/by-nc/2.0/au/. Please refer to the licence to obtain terms for any further reuse or distribution of this work.
Showing items related by title, author, creator and subject.
Chen, G.; Tan, Boon; Jia, H.; O'Sullivan, Peter; Burnett, A. (2011)Study Design. Observational cross-sectional study. Objective. To perform a psychometric evaluation of Simplified Chinese versions of back pain beliefs questionnaires for use in health care professionals living in mainland ...
The utility of the STarT back screening tool in a population with chronic low back pain: A prospective studyKendell, Michelle (2016)Study design: Cross sectional (Study 1) and prospective (Study 2). Background: Chronic low back pain (LBP) is problematic with significant personal, social, and economic impact. The need to screen for indicators of poor ...
Disrupted Self-Perception in People With Chronic Low Back Pain. Further Evaluation of the Fremantle Back Awareness QuestionnaireWand, B.; Catley, M.; Rabey, M.; O'Sullivan, Peter; O'Connell, N.; Smith, A. (2016)Several lines of evidence suggest that body perception is altered in people with chronic back pain. Maladaptive perceptual awareness of the back might contribute to the pain experience as well as serve as a target for ...