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This chapter evaluates the role of pain as a factor leading to work disability in the Netherlands, the United Kingdom, and the United States. It shows that pain is by far the most important factor leading to reports of work disability in all three countries, in which data on pain and its relationship to work disability are not abundant. Pain varies in its severity, duration, and location, all of which may have different implications for the tolerance and perception of pain and for work disability. In all three countries, prevalence rates are considerably lower with the recurrent pain than in the recent pain formulation. The effect of pain on reported work disability is much larger in the Netherlands than in the United States. Dutch respondents have a lower response threshold in claiming disability than American respondents.

Work Disability is a Pain in the *****, Especially in England, The Netherlands, and the United States