Is musculoskeletal pain a consequence or a cause of occupational stress? A longitudinal study.
Is musculoskeletal pain a consequence or a cause of occupational stress? A longitudinal study.
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DOI：
10.1007/s00420-014-0982-1
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发表时间：
2015-07
影响因子：
3
通讯作者：
Ferrario MM
中科院分区：
文献类型：
--
作者：
Bonzini M;Bertu' L;Veronesi G;Conti M;Coggon D;Ferrario MM
纵向研究表明，工作压力与肌肉骨骼疼痛的发生率较高有关。我们的目的是探讨肌肉骨骼疼痛的程度是一个原因，而不是感知的职业压力的后果。作为国际CUPID研究的一部分，我们收集了305名意大利护士的信息，在基线时和12个月后，关于过去一个月的下背部和颈部/肩部疼痛，以及努力-回报不平衡（ERI）（通过Siegrist的ERI问卷进行评估）。Poisson回归用于评估根据疼痛报告随访时ERI >1和基线时ERI > 1的RR。在基线时ERI ≤ 1的护士中，随访时ERI >1与基线报告的腰痛（RR=2.7，95%CI 1.4 -5.0）和颈/肩疼痛（RR=2.6，95%CI 1.3-5.1）相关。然而，在基线时ERI >1的护士中，ERI的持续性没有相应的相关性。基线ERI与随访时疼痛的相关性较弱。我们的研究结果表明，工作压力和肌肉骨骼疼痛之间有据可查的关联并不能完全由压力对疼痛报告的影响来解释。报告肌肉骨骼疼痛的工人似乎更有可能发展出随后的压力感知。这可能是因为疼痛使人们对工作的心理需求的容忍度降低。另一种可能性是，疼痛和压力的报告都是意识到和抱怨症状和困难的一般倾向的表现。
Longitudinal studies have linked stress at work with a higher incidence of musculoskeletal pain. We aimed to explore the extent to which musculoskeletal pain is a cause as opposed to a consequence of perceived occupational stress. As part of the international CUPID study, we collected information from 305 Italian nurses, at baseline and again after 12 months, about pain during the past month in the low back and neck/shoulder, and about effort-reward imbalance (ERI) (assessed by Siegrist’s ERI questionnaire). Poisson regression was used to assess the RR of ERI >1 at follow-up according to report of pain and of ERI >1 at baseline. Among nurses with ERI ≤1at baseline, ERI >1 at follow-up was associated with baseline report of pain in the low back (RR=2.7, 95%CI1.4-5.0) and neck/shoulder (RR=2.6, 95%CI 1.3-5.1). However, there was no corresponding association with persistence of ERI in nurses who were already had ERI >1 at baseline. Associations of ERI at baseline with pain at follow-up were weak. Our results suggest that the well documented association between job stress and musculoskeletal pain is not explained entirely by an effect of stress on reporting of pain. It appears also that workers who report musculoskeletal pain are more likely to develop subsequent perceptions of stress. This may be because pain renders people less tolerant of the psychological demands of work. Another possibility is that reports of pain and stress are both manifestations of a general tendency to be aware of and complain about symptoms and difficulties.
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影响因子：
3.7
作者：
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通讯作者：
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DOI：
10.1016/j.berh.2006.08.004
发表时间：
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影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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