Work stress and incidence of newly diagnosed fibromyalgia prospective cohort study
Work stress and incidence of newly diagnosed fibromyalgia prospective cohort study
复制标题
DOI：
10.1016/j.jpsychores.2003.10.013
复制
发表时间：
2004-11-01
影响因子：
4.7
通讯作者：
Vahtera, J
中科院分区：
文献类型：
--
作者：
Kivimäki, M;Leino-Arjas, P;Vahtera, J
目的：我们研究了职业压力与新诊断的纤维肌痛发病率之间的前瞻性关联。方法：1998年和2000年对4791名医院职工（女性4250人，男性541人）进行问卷调查。第一项调查评估了高工作量、低决策自由度和成为职场欺凌受害者所表明的压力。事件病例（n=47）是2000年报告医生诊断为纤维肌痛的雇员，而1998年没有报告。协变量为性别、年龄、收入、肥胖和吸烟。结果：调整协变量后，诊断为纤维肌痛的事件与工作场所欺凌的比值比为4.1 （95% CI 2.0-9.6）。高工作量和低决策纬度的比值比分别为2.1（1.2-3.9）和2.1（1.1-4.0）。结论：压力似乎是纤维肌痛发展的一个促进因素，但需要进一步的研究来检验压力感知是否受到未确诊的纤维肌痛的影响。(C) 2004爱思唯尔公司版权所有。
Objectives: We examined the prospective association between occupational stress and incidence of newly diagnosed fibromyalgia. Methods: Cohort study with questionnaire surveys in 1998 and 2000 completed by 4791 hospital employees (4250 women and 541 men). Stress, as indicated by high workload, low decision latitude, and being a victim of workplace bullying, was assessed in the first survey. Incident cases (n=47) were employees reporting physician-diagnosed fibromyalgia in 2000 but not in 1998. Covariates were sex, age, income, obesity, and smoking. Results: After adjustment for covariates, the odds ratio of incident diagnosed fibromyalgia for workplace bullying was 4.1 (95% CI 2.0-9.6). The corresponding odds ratios for high workload and low decision latitude were 2.1 (1.2-3.9) and 2.1 (1.1-4.0), respectively. Conclusion: Stress seems to be a contributing factor in the development of fibromyalgia, but further research is needed to examine whether stress perceptions are affected by undiagnosed fibromyalgia. (C) 2004 Elsevier Inc. All rights reserved.