Attributions (beliefs) and job satisfaction associated with back pain in an industrial setting.

We investigated possible differences between management and workers in attributions about the cause and prevention of industrial back pain. 145 employees from upper management, lower management, and blue-collar ranks completed several questionnaires. Age, sex, job satisfaction, and history of back pain were also examined for possible confounding effects. There were significant differences in attributions between job levels, with upper management believing more strongly in causal factors related to the individual, while blue-collar workers attributed back pain more frequently to the work environment. This difference was significant even when the effects of age, sex, job satisfaction, and pain were controlled. A history of back pain increased attributions of cause related to the work environment. Job dissatisfaction increased the risk for back pain nearly sevenfold and dissatisfied people tended to attribute the cause of their pain to the work environment. These results highlight the intricate relationship between attributions, job satisfaction, and pain. Compliance and motivation for interventions might be enhanced by taking into account differences in attributions of cause and effective prevention.