Systematic review of psychosocial factors at work and private life as risk factors for back pain
Systematic review of psychosocial factors at work and private life as risk factors for back pain
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DOI：
10.1097/00007632-200008150-00017
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发表时间：
2000-08-15
期刊：
影响因子：
3
通讯作者：
Bouter, LM
中科院分区：
文献类型：
--
作者：
Hoogendoorn, WE;van Poppel, MNM;Bouter, LM
研究设计.观察性研究的系统综述。评估工作和私人生活中的心理社会因素是否是背痛发生的危险因素。背景资料摘要。一些关于背痛风险因素的综述关注了心理社会因素。然而，在没有发表的评论是一个严格的系统的方法来识别和总结现有的证据;方法。对几个数据库进行了计算机化文献检索，仅限于队列或病例对照设计的研究。根据研究的方法学质量和研究结果的一致性，采用评分系统评估各种因素的证据强度。本文共纳入11项队列研究和2项病例对照研究。强有力的证据表明，工作场所的社会支持和工作满意度低是背痛的危险因素。没有足够的证据表明高工作节奏、高质量要求、低工作内容、低工作控制和私人生活中的心理社会因素的影响。有证据表明，工作场所的社会支持和工作满意度低的影响。然而，工作场所的社会支持的结果是敏感的评级系统的轻微变化，低工作满意度的效果可能是由于心理社会工作的特点和工作中的身体负荷调整不足。此外，工作内容和工作控制，这两个方面的决策纬度的综合评价，导致了一个低的工作决策纬度的作用的强有力的证据。因此，根据这项审查，有证据表明与工作有关的心理社会因素的影响，但具体因素的作用的证据尚未确定。
Study Design. A systematic review of observational studies.Objectives. To assess whether psychosocial factors at work and in private life are risk factors for the occurrence of back pain.Summary of Background Data. Several reviews on risk factors for back pain have paid attention to psychosocial factors. However, in none of the published reviews was a strict systematic approach used to identify and summarize the available evidence;Methods. A computerized bibliographical search of several databases was performed, restricted to studies with a cohort or case-control design. A rating system was :used to assess the strength of the evidence for various factors, based on the methodologic quality of the studies and the consistency of the findings.Results. Eleven cohort and two case-control studies were included In this review. Strong evidence was found for low social support in the workplace and low job satisfaction as risk factors for back pain. Insufficient evidence was found for an effect of a high work pace,high qualitative demands, low job content, low job control, and psychosocial factors in private life.Conclusions. Evidence was found for an effect of low workplace social support and low job satisfaction. However, the result for workplace social support was sensitive to slight changes in the rating system, and the effect found for low job satisfaction may be a result of insufficient adjustment for psychosocial work characteristics and physical load at work. In addition, the combined evaluation of job content and job control, both aspects of decision latitude, led to strong evidence of a role for low job decision latitude. Thus, based on this review, there is evidence for an effect of work-related psychosocial factors, but the evidence for the role of specific factors has not been established yet.