Role of psychosocial risk factors in work-related low-back pain.

Feyer, Anne-Marie; Williamson, Ann; Mandryk, John; Silva, I de; Healy, Susan

doi:10.5271/sjweh.1560

Cited by 38 publications

(11 citation statements)

References 20 publications

(14 reference statements)

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“…All baseline data were collected during this 2 week period with a self reported questionnaire and four physical measures (height, weight, back flexibility, and lifting strength). The questionnaire obtained information about history of LBP from a questionnaire validated in a cross sectional study reported elsewhere,21 and information about various potential risk factors for LBP, including smoking, work history in the past 5 years, recent history of fitness and exercise, current psychological state and recent life events. Cases of LBP at baseline were defined as those subjects who reported having LBP at the time of collection of the questionnaire or in the past 12 months.…”

Section: Methodsmentioning

confidence: 99%

The role of physical and psychological factors in occupational low back pain: a prospective cohort study

Feyer

Herbison²,

Williamson³

et al. 2000

Occup Environ Med

151

120

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Objective-To examine risk factors for onset of low back pain (LBP) in healthcare workers. Methods-Nursing students, during their 3 year training period, and 1 year after training were studied in a prospective cohort study, with repeated self reported measurements of determinants of LBP at 6 monthly intervals for 3 years during training, and after a 12 month interval there was an additional final follow up. Results-During training, increased risk of new episodes of LBP was associated with having had LBP at baseline, with part time work, and with a high score on the general health questionnaire (GHQ). A high GHQ score preceded the onset of LBP, in such a way that a high score at the immediately previous follow up increased risk of LBP at the next follow up. 12 Months after training, a history of recurring LBP during training increased the risk of a new episode as did having obtained work as a nurse. A high GHQ score at this follow up was also associated with a concurrently increased risk. Preexisting GHQ score, either at the end of training or at baseline, had no eVect on risk of LBP 12 months after training. Conclusions-Other than a history of LBP, pre-existing psychological distress was the only factor found to have a pre-existing influence on new episodes of LBP. Increased levels of psychological distress (as measured by the GHQ) preceded the occurrence of new episodes of pain by only short intervening periods, implying a role for acute distress in the onset of the disorder. This finding suggests that management of the onset of occupational LBP may be improved by management of psychological distress. (Occup Environ Med 2000;57:116-120) Keywords: low back pain; nurses; psychological factors At some time in their lives, most people will experience low back pain (LBP).1 2 It is the most common and the most expensive source of compensated work related injury in modern industrialised countries.3 4 Moreover, both the rate and the degree of disability accruing from LBP are increasing worldwide. Physical load on the back has commonly been implicated as a risk factor for LBP, and in particular, for work related LBP. Certain occupations and certain work tasks seem to have a higher risk of LBP.7-10 However, the evidence for the relation between physical load and musculoskeletal disease has often been weak or contradictory, and it is generally agreed that work related physical load can only partially explain the high prevalence of the problem. 11By contrast, association of non-physical factors with LBP has been one of the more robust findings in the scientific literature. Psychological factors have been consistently found to be associated with LBP, with disability arising from LBP, and with treatment outcome. 12-16Poor psychosocial work environment and work dissatisfaction have also been found to be associated with LBP and the development of chronicity 12 17 18 although contradictory findings have been reported. 19 20 Despite the many publications examining LBP, several key issues concerning occurrence and pr...

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Section: Methodsmentioning

confidence: 99%

The role of physical and psychological factors in occupational low back pain: a prospective cohort study

Feyer

Herbison²,

Williamson³

et al. 2000

Occup Environ Med

151

120

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“…Putz-Anderson (1988) identified three types of upper-extremity WRMDs: tendon disorders (e.g., tendinitis), nerve disorders (e.g., carpal tunnel syndrome), and neurovascular disorders (e.g., thoracic outlet syndrome). The psychosocial and stress considerations in lower back pain have been examined by Feyer, Williamson, Mandiyk, DeSilva, and Healy (1992) and Bigos et al (1991).…”

Section: Introductionmentioning

confidence: 99%

Work Organization, Job Stress, and Work-Related Musculoskeletal Disorders

1999

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Recent studies indicate potential links among work organization, job stress, and work-related musculoskeletal disorders (WRMDs). In this paper we propose several pathways for a theoretical relationship between job stress and WRMDs. These pathways highlight the physiological, psychological, and behavioral reactions to stress that can affect WRMDs directly and indirectly. One model stipulates that psychosocial work factors (e.g., work pressure, lack of control), which can cause stress, might also influence or be related to ergonomic factors such as force, repetition, and posture that have been identified as risk factors for WRMDs. In order to fully understand the etiology of WRMDs, it is important to examine both physical ergonomic and psychosocial work factors simultaneously. Smith and Carayon-Sainfort (1989) have proposed a model of the work system for stress management that provides a useful framework for conceptualizing the work-related factors that contribute to WRMDs. Practical applications of this research include practitioners taking into account psychosocial work factors and job stress in their efforts to reduce and control WRMDs.

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“…This is an unexpected ®nding, since such a relationship has been established in other studies among nurses (Skovron et al 1987;De Vries-Griever and De Vries 1993;Ahlberg-Hulten et al 1995) and the general population (Bigos et al 1991;Bongers et al 1993). However, Feyer et al (1992) did not ®nd any relationship between psychosocial risk factors and work-related low back pain in a population of nurses. These conicting ®ndings might be (partly) the result of dierent ways of de®ning and measuring the psychosocial factors and musculoskeletal complaints under study.…”

Section: Resultsmentioning

confidence: 71%

A LISREL analysis of work-related risk factors and health complaints in the nursing profession

Engels

Beek

Gulden

1998

International Archives of Occupational and Environmental Health

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Although a model that simultaneously describes more dependent variables appears to provide a better approximation of the complexity of the actual relationship between work-related factors and health effects, the models in which only one health outcome is studied seem to give a proper description of the data at hand. This is an important finding because these single health outcome models resemble the usual analysis strategy by means of standard regression analysis. The adapted version of the full model suggests that musculoskeletal complaints of nurses can partly be understood as non-specific health complaints.

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Role of psychosocial risk factors in work-related low-back pain.

Cited by 38 publications

References 20 publications

The role of physical and psychological factors in occupational low back pain: a prospective cohort study

The role of physical and psychological factors in occupational low back pain: a prospective cohort study

Work Organization, Job Stress, and Work-Related Musculoskeletal Disorders

A LISREL analysis of work-related risk factors and health complaints in the nursing profession

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