Schultz I Z, Crook J, Meloche G R, Berkowitz J, Milner R, Zuberbier O A, Meloche W
Department of Educational and Counselling Psychology, and Special Education, University of British Columbia, Room 297, 2125 Main Mall, Vancouver, BC, Canada V6T 1Z4.
Pain. 2004 Jan;107(1-2):77-85. doi: 10.1016/j.pain.2003.09.019.
This paper focuses on the identification and testing of potential psychosocial factors contributing to an integrated multivariate predictive model of occupational low back disability. Psychosocial predictors originate from five traditions of psychosocial research: psychopathological, cognitive, diathesis-stress, human adaptation and organizational psychology. The psychosocial variables chosen for this study reflect a full range of research findings. They were investigated using 253 subacute and chronic pain injured workers. Three outcome measures were utilized: return-to-work status, duration of disability and disability costs. The key psychosocial predictors identified were expectations of recovery and perception of health change. Also implicated, but to a lesser degree, were occupational stability, skill discretion at work, co-worker support, and the response of the workers' compensation system and employer to the disability. All psychosocial models were better at predicting who will return than who will not return to work.
本文着重于识别和测试可能导致职业性腰背痛残疾综合多变量预测模型的心理社会因素。心理社会预测因素源自心理社会研究的五个传统领域：精神病理学、认知、素质应激、人类适应和组织心理学。本研究选取的心理社会变量反映了全面的研究结果。对253名亚急性和慢性疼痛受伤工人进行了这些变量的调查。采用了三项结果指标：重返工作岗位状态、残疾持续时间和残疾成本。确定的关键心理社会预测因素是康复期望和对健康变化的认知。职业稳定性、工作技能自主性、同事支持以及工人赔偿系统和雇主对残疾的反应也有一定关联，但程度较小。所有心理社会模型在预测谁会重返工作岗位方面比预测谁不会重返工作岗位方面表现更好。
