Joksimovic Ljiljana, Starke Dagmar, v d Knesebeck Olaf, Siegrist Johannes
Department of Medical Sociology, Heinrich-Heine-University, Universitätsstrabe 1, P.O. Box 101007, D-40001 Duesseldorf, Germany.
Int J Behav Med. 2002;9(2):122-38. doi: 10.1207/s15327558ijbm0902_04.
The objective of this study was to analyze associations of three indicators of perceived work stress (physical job demand, low control at work, and an imbalance between effort and reward), and of overcommitment, a personal pattern of coping with work demands, with musculoskeletal pain. A standardized questionnaire measuring these conditions in addition to self-reported musculoskeletal pain at different locations was administered to a group of 316 male and female employees of a public transport enterprise. After we adjusted for confounding effects of age, sex, socioeconomic status, shift work, and negative affectivity, we observed elevated prevalence odds ratios in employees who scored high on overcommitment, who were exposed to physical job demand, and, to a lesser extent, who reported psychosocial work stress. Results have implications for a more comprehensive approach to primary and secondary prevention of musculoskeletal pain.
本研究的目的是分析三种感知到的工作压力指标(体力工作需求、工作中缺乏控制以及努力与回报失衡)以及过度投入(一种应对工作需求的个人模式)与肌肉骨骼疼痛之间的关联。除了在不同部位自我报告的肌肉骨骼疼痛外,还使用一份标准化问卷对一家公共交通企业的316名男女员工进行了这些情况的测量。在我们对年龄、性别、社会经济地位、轮班工作和消极情感的混杂效应进行调整后,我们观察到过度投入得分高、面临体力工作需求以及在较小程度上报告心理社会工作压力的员工中,患病率比值升高。研究结果对肌肉骨骼疼痛的一级和二级预防采用更全面的方法具有启示意义。