Impact of Workplace Exposure and Stress on Neck Pain and Disabilities in Women—A Longitudinal Follow-up After a Rehabilitation Intervention

Svedmark, Åsa; Björklund, Martin; Häger, Charlotte; Sommar, Johan Nilsson; Wahlström, Jens

doi:10.1093/annweh/wxy018

Cited by 14 publications

(12 citation statements)

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“…Psychosocial work environment factors such as job strain, control, demands, and perceived stress were also reported to be associated with decreased productivity and work ability (Martimo et al 2009). Furthermore, a recent study by Svedmark et al (2018) showed associations between stress and decreased productivity. People with reduced working capacity more often report high work-related stress.…”

Section: Discussionmentioning

confidence: 98%

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Work ability and productivity among dentists: associations with musculoskeletal pain, stress, and sleep

Marklund

Mienna

Wahlström

et al. 2019

Int Arch Occup Environ Health

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Purpose Work ability can be measured by the work ability index (WAI), and work-related questions measuring productivity loss in terms of quality and quantity of work. Dentists have high occupational risk of musculoskeletal pain and the exposure of ergonomic strain is already high during dental education. The aim was to evaluate work ability and productivity among dentists, and to identify gender differences and associations with sleep, stress, and reported frequent pain. Methods The study population comprised 187 dentists (123 women and 64 men) who had been working as dentists between 5 and 12 years. Participants completed a questionnaire regarding sleep, stress, presence of pain at different sites, work ability assessed by WAI, and productivity in terms of quality and quantity of work. Results Poor sleep quality and high level of stress were reported by 31% and 48.1% of participants, respectively, with no gender differences and no association with age. The prevalence of frequent pain ranged 6.4-46.5% with shoulders being the most prevalent site. Thirty-three percent reported reduced work ability. Poor sleep, high amount of stress, and multi-site pain were associated with decreased work ability. Conclusions A high prevalence of pain was shown among dentists. Decreased work ability in terms of productivity loss was associated with poor sleep quality, high amount of stress, and multi-site pain. Preventive actions at the workplace should promote good musculoskeletal health, and measures taken, both individual and organizational, to minimize the risk of high, persistent stress and work-related pain.

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Section: Discussionmentioning

confidence: 98%

“…It has also been presented through two work-related questions that measure productivity loss due to pain or discomfort in terms of quality and quantity of work. These questions were presented in 2009 by Martimo et al (2009), and were recently applied to study associations between neck pain and productivity (Svedmark et al 2018).…”

Section: Introductionmentioning

confidence: 99%

Work ability and productivity among dentists: associations with musculoskeletal pain, stress, and sleep

Marklund

Mienna

Wahlström

et al. 2019

Int Arch Occup Environ Health

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“…It is established that neck pain is associated with psychological distress, including stress, depression and anxiety (Blozik et al., 2009; Elklit & Jones, 2006; Sterling et al., 2005; Svedmark et al., 2018; Wenzel, Haug, Mykletun, & Dahl, 2002). In the general population, these factors have been shown to be associated with raised inflammatory markers (Hansel et al., 2010; Naude, Roest, Stein, de Jonge, & Doornbos, 2018; Tayefi et al., 2017).…”

Section: Discussionmentioning

confidence: 99%

“…stress, depression, smoking, low physical activity, obesity and poor diet; Galland, 2010; Hansel, Hong, Camara, & von Kanel, 2010; McFarlin et al., 2006; Sproston & Ashworth, 2018; Tayefi et al., 2017). These factors are commonly present in people with musculoskeletal pain (Blozik et al., 2009; Nilsen, Holtermann, & Mork, 2011; Sterling, Jull, Vicenzino, Kenardy, & Darnell, 2005; Svedmark, Bjorklund, Hager, Sommar, & Wahlstrom, 2018; Vandenkerkhof, Macdonald, Jones, Power, & Macfarlane, 2011; Zvolensky, McMillan, Gonzalez, & Asmundson, 2010), with some potentially having a causal effect (Mauck et al., 2019).…”

Section: Introductionmentioning

confidence: 99%

Systemic inflammatory markers in neck pain: A systematic review with meta‐analysis

Farrell

Zoete

Cabot

et al. 2020

European Journal of Pain

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Background and Objective Mechanisms underpinning symptoms in non‐traumatic neck pain (NTNP) and whiplash‐associated disorder (WAD) are not comprehensively understood. There is emerging evidence of systemic inflammation in musculoskeletal pain conditions, including neck and back pain. The aim of this systematic review was to determine if raised blood inflammatory markers are associated with neck pain. Databases and Data Treatment MEDLINE, EMBASE, Cochrane Library, CINAHL and Web of Science databases were searched. Two independent reviewers identified studies for inclusion and extracted data. Meta‐analysis was performed by random effects model to calculate standard mean differences (SMDs). Risk of bias of individual studies was assessed using the Newcastle–Ottawa Scale. Overall quality of evidence from meta‐analysis was assessed by Grades of Recommendation, Assessment, Development and Evaluation approach. Results In total, 10 studies were included comprising 706 participants. Three studies provided data for acute WAD, two for chronic WAD, four for chronic NTNP and one for chronic mixed WAD and NTNP. Meta‐analysis indicated increased interleukin 1β (SMD: 0.84 [95% CI 0.24, 1.44], p = .01, I2 = 59%) and tumour necrosis factor α (SMD: 0.59 [0.09, 1.09], p = .02, I2 = 45%) in chronic neck pain compared to controls, but no increase in monocyte chemoattractant protein‐1. Some inflammatory markers were associated with clinical variables (including pain intensity and disability). Quality of evidence was mostly low due to small samples and high heterogeneity. Conclusions Findings imply that raised blood inflammatory markers are present in chronic neck pain, which may represent an ongoing inflammatory process in this population. Significance This systematic review advances our understanding of neck pain pathophysiology by demonstrating the presence of systemic inflammation in chronic neck pain, in the form of raised IL‐1β and TNFα. Further, numerous inflammatory markers were associated with clinical variables, including pain intensity, disability and hyperalgesia. These findings imply that systemic inflammation may contribute to mechanisms underlying neck pain.

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“…While the correlation between depression, perceived injustice, and opioid use in chronic pain is well established, there is little knowledge about the possibly contributing socioeconomic factors. High perceived stress, e.g., due to high job demands and low control of decisions at work, was associated with more neck pain and decreased work productivity [16][17][18][19]. Occupational factors can also have a significant influence on the development of low back pain disorders [20].…”

Section: Introductionmentioning

confidence: 99%

Opioid Consumption in Chronic Pain Patients: Role of Perceived Injustice and Other Psychological and Socioeconomic Factors

Kleinmann

Wolter

2022

JCM

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Background: Chronic pain is a complex biopsychosocial phenomenon. Lifestyle, behavioral, socioeconomic, and psychosocial factors such as depression and perceived injustice are often associated with the development of chronic pain and vice versa. We sought to examine the interaction of these factors with opioid intake. Methods: At our institution, 164 patients with chronic pain undergoing an interdisciplinary assessment within a three-month period participated in the study and completed the Injustice Experience Questionnaire (IEQ). Data regarding opioid intake, pain levels, pain diagnosis, depression, anxiety, stress, quality of life, pain-related disability, habitual well-being, occupational status, and ongoing workers compensation litigation were extracted from the patients’ charts. Results: Approximately one-fourth of the patients used opioids. The IEQ total was significantly higher in patients using Schedule III opioids. Depression, but not the anxiety and stress scores, were significantly higher in patients using opioids. There were no significant differences regarding pain-related disability, habitual well-being, and the coded psychosocial diagnoses. In the patient group without opioids, the percentage of employed persons was significantly higher but there were no significant differences regarding work leave, pension application, or professional education. Conclusions: Opioid use appears to be more closely related to psychological factors and single social determinants of pain than to somatic factors.

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Impact of Workplace Exposure and Stress on Neck Pain and Disabilities in Women—A Longitudinal Follow-up After a Rehabilitation Intervention

Cited by 14 publications

References 40 publications

Work ability and productivity among dentists: associations with musculoskeletal pain, stress, and sleep

Work ability and productivity among dentists: associations with musculoskeletal pain, stress, and sleep

Systemic inflammatory markers in neck pain: A systematic review with meta‐analysis

Opioid Consumption in Chronic Pain Patients: Role of Perceived Injustice and Other Psychological and Socioeconomic Factors

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