Psychosocial work stressors as antecedents of musculoskeletal problems: A systematic review and meta-analysis of stability-adjusted longitudinal studies

被引:226
作者
Lang, Jessica [1 ]
Ochsmann, Elke [1 ]
Kraus, Thomas [1 ]
Lang, Jonas W. B. [2 ]
机构
[1] Rhein Westfal TH Aachen, Inst Occupat Med, D-52074 Aachen, Germany
[2] Maastricht Univ, Dept Work & Social Psychol, NL-6200 MD Maastricht, Netherlands
关键词
Psychosocial work stressors; Musculoskeletal symptoms; Musculoskeletal disorders (MSD); Occupational health psychology; Meta-analysis; Review; LOW-BACK-PAIN; RISK-FACTORS; PROSPECTIVE COHORT; SHOULDER PAIN; FOLLOW-UP; SICK LEAVE; NECK PAIN; PSYCHOLOGICAL-FACTORS; CLERICAL WORKERS; JOB INSECURITY;
D O I
10.1016/j.socscimed.2012.04.015
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Although the relationship between psychosocial workplace conditions and musculoskeletal problems has been extensively studied, the causal impact of psychosocial workplace factors in the development of musculoskeletal problems remains unclear. The purpose of the present study was to conduct a systematic review of baseline-adjusted prospective longitudinal studies estimating the lagged effect of psychosocial risk factors on musculoskeletal problems in industrialized work settings. A literature review was conducted by searching the MEDLINE, EMBASE, and PsychINFO databases dated until August 2009. The authors classified studies into categories of psychological work stressors and musculoskeletal problems. Available effect sizes were converted to odds ratios (OR). ORs were then pooled for each stressor-problem relationship using a random-effects model. Additionally, the possibility of publication bias was assessed with the Duval and Tweedie nonparametric "trim and fill" procedure. In total, 50 primary studies fulfilled inclusion criteria. Within these studies at least five effect sizes were available for 23 of the 45 possible psychosocial work stress-musculoskeletal problems relationships, leaving 9 psychosocial variables and four musculoskeletal problem areas for analyses. Of these 23 relationships, pooled OR estimates were positive and significant ranging from 1.15 to 1.66 with the largest pooled OR estimating the relationship between highly monotonous work and lower back pain. The lagged effect of low social support on lower limb problems was the only effect size for which the statistical test for bias was significant. Most psychosocial stressors had small but significant lagged effects on the development of musculoskeletal problems. Thus, organizational interventions to minimize these stressors may be promising in reducing one risk factor for the development of employee musculoskeletal problems. (C) 2012 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1163 / 1174
页数:12
相关论文
共 85 条
[1]   Risk factors for more severe regional musculoskeletal symptoms - A two-year prospective study of a general working population [J].
Andersen, Johan H. ;
Haahr, Jens P. ;
Frost, Poul .
ARTHRITIS AND RHEUMATISM, 2007, 56 (04) :1355-1364
[2]   Epidemiological features of chronic low-back pain [J].
Andersson, GBJ .
LANCET, 1999, 354 (9178) :581-585
[3]  
[Anonymous], 2009, HDB RES SYNTHESIS ME
[4]   High quantitative job demands and low coworker support as risk factors for neck pain -: Results of a prospective cohort study [J].
Ariëns, GAM ;
Bongers, PM ;
Hoogendoorn, WE ;
Houtman, ILD ;
van der Wal, G ;
van Mechelen, W .
SPINE, 2001, 26 (17) :1896-1901
[5]   A CONCEPTUAL-MODEL FOR WORK-RELATED NECK AND UPPER-LIMB MUSCULOSKELETAL DISORDERS [J].
ARMSTRONG, TJ ;
BUCKLE, P ;
FINE, LJ ;
HAGBERG, M ;
JONSSON, B ;
KILBOM, A ;
KUORINKA, IAA ;
SILVERSTEIN, BA ;
SJOGAARD, G ;
VIIKARIJUNTURA, ERA .
SCANDINAVIAN JOURNAL OF WORK ENVIRONMENT & HEALTH, 1993, 19 (02) :73-84
[6]   Effectiveness of training in organizations: A meta-analysis of design and evaluation features [J].
Arthur, W ;
Bennett, W ;
Edens, PS ;
Bell, ST .
JOURNAL OF APPLIED PSYCHOLOGY, 2003, 88 (02) :234-245
[7]  
BDP, 2008, PSYCH GES ARB DTSCH
[8]   Risk factors for new episodes of sick leave due to neck or back pain in a working population.: A prospective study with an 18-month and a three-year follow-up [J].
Bergstrom, Gunnar ;
Bodin, Lennart ;
Bertilsson, Helena ;
Jensen, Irene B. .
OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2007, 64 (04) :279-287
[9]   Occupational and nonoccupational risk indicators for incident and chronic low back pain in a sample of the Swedish general population during a 4-year period:: An influence of depression? [J].
Bildt, C ;
Alfredsson, L ;
Michélsen, H ;
Punnett, L ;
Vingård, E ;
Torgén, M ;
Öhman, A ;
Kilbom, Å .
INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE, 2000, 7 (04) :372-392
[10]   Emotional distress as a predictor for low back disability -: A prospective 12-year population-based study [J].
Brage, Soren ;
Sandanger, Inger ;
Nygard, Jan Franz .
SPINE, 2007, 32 (02) :269-274