与工作相关的上肢疾病的生物行为机制：研究与实践的新议程。

Biobehavioral mechanisms of work-related upper extremity disorders: a new agenda for research and practice.

作者信息

Feuerstein Michael

机构信息

Department of Medical and Clinical Psychology, Uniformed Services University of Health Services, Bethesda, Maryland 20814-4799, USA.

出版信息

Am J Ind Med. 2002 May;41(5):293-7. doi: 10.1002/ajim.10060.

DOI:10.1002/ajim.10060

PMID:12071485

Abstract

BACKGROUND

Epidemiological studies provide support for the role of organizational and individual psychosocial stressors in work-related upper extremity disorders (WRUEDs). Despite this evidence, the biological plausibility of a relationship between exposure to various psychosocial and work organizational stressors and WRUEDs remains unclear

METHODS

The Georgetown Symposium on Biobehavioral Mechanisms of Work-Related Upper Extremity Disorders was held in Washington D.C. on November 6-7, 2000 to improve the understanding of potential biobehavioral mechanisms, identify future areas for research and discuss the implications of this body of knowledge for intervention. This meeting involved presentations and discussions by researchers and clinicians from a number of disciplines (epidemiology, occupational medicine, rheumatology, orthopedics, surgery, internal medicine, psychoneuroimmunology, occupational health psychology, behavioral medicine, psychophysiology and experimental and organizational psychology).

RESULTS

The symposium generated several papers addressing the following topics: definitions and job stress models; epidemiological foundations; musculoskeletal and biomechanical models; central nervous system models of recurrent and persistent clinical pain; psychophysiology of work; and implications for intervention. These papers comprise this special issue.

DISCUSSION

The present paper summarizes the various contributions to this special issue and provides direction for future research on potential biobehavioral pathways.

摘要

背景

流行病学研究为组织和个体心理社会应激源在与工作相关的上肢疾病（WRUEDs）中的作用提供了支持。尽管有这些证据，但接触各种心理社会和工作组织应激源与WRUEDs之间关系的生物学合理性仍不清楚。

方法

2000年11月6日至7日在华盛顿特区举行了关于与工作相关的上肢疾病生物行为机制的乔治敦研讨会，以增进对潜在生物行为机制的理解，确定未来的研究领域，并讨论这一知识体系对干预的影响。这次会议有来自多个学科（流行病学、职业医学、风湿病学、骨科、外科、内科、心理神经免疫学、职业健康心理学、行为医学、心理生理学以及实验和组织心理学）的研究人员和临床医生进行了报告和讨论。