完美主义和应对策略作为非特异性工作相关上肢疾病（WRULD）发生的风险因素。

Perfectionism and coping strategies as risk factors for the development of non-specific work-related upper limb disorders (WRULD).

作者信息

van Eijsden-Besseling M D F, Peeters F P M L, Reijnen J A W, de Bie R A

机构信息

Department of Physical Medicine and Rehabilitation, University Hospital Maastricht, Maastricht, The Netherlands.

出版信息

Occup Med (Lond). 2004 Mar;54(2):122-7. doi: 10.1093/occmed/kqh003.

DOI:10.1093/occmed/kqh003

PMID:15020731

Abstract

BACKGROUND

The incidence of non-specific work-related upper limb disorders (WRULD) is rising throughout western society. Literature and our own WRULD file (>1200 patients) revealed that both physical and psychosocial work-related factors are major causes of non-specific WRULD. It also appeared that non-specific WRULD was more likely to develop in patients with neurotic-perfectionist personalities.

AIM

To see if, alongside physical and psychosocial work-related factors, personality factors play an important role in developing non-specific WRULD.

METHOD

This was a case-control study with two control groups, comparing 45 computer workers with non-specific WRULD with 45 computer workers free from upper limb disorder (first control group) and 42 chronic pain patients (second control group). Main questionnaires administered were: the Utrecht Coping List (UCL), measuring coping-styles; the Multidimensional Perfectionism Scale (MPS), measuring neurotic perfectionism; and the Symptom Check List (SCL-90), measuring general psychological complaints (psychoneuroticism). The SCL-90 was added because of its known high correlation with neurotic perfectionism.

RESULTS

Logistic regression analysis revealed significant differences in SCL-90 scores (chi(2) = 17.2, P < 0.0001), thereby potentially negating the significance of the higher neurotic perfectionism in the non-specific WRULD group. A second control group of chronic pain patients, with prospective high score on the SCL-90, was added. Logistic regression showed that, after controlling for psychoneuroticism, non-specific WRULD patients had more neurotic perfectionist traits (chi(2) = 22.83, P < 0.0001). There were no significant differences in mean UCL scores (P > 0.05).

CONCLUSION

Alongside physical and psychosocial work-related factors, psychoneuroticism and neurotic perfectionism appear to be important risk factors for developing non-specific WRULD.

摘要

背景

在整个西方社会，非特异性工作相关上肢疾病（WRULD）的发病率正在上升。文献以及我们自己的WRULD病例档案（超过1200名患者）显示，与工作相关的身体和心理社会因素都是非特异性WRULD的主要原因。此外还发现，非特异性WRULD在具有神经质-完美主义人格的患者中更易发生。

目的

探讨除了与工作相关的身体和心理社会因素外，人格因素在非特异性WRULD的发生中是否起重要作用。

方法

这是一项病例对照研究，设有两个对照组，将45名患有非特异性WRULD的电脑工作者与45名无上肢疾病的电脑工作者（第一对照组）以及42名慢性疼痛患者（第二对照组）进行比较。所使用的主要问卷包括：用于测量应对方式的乌得勒支应对清单（UCL）；用于测量神经质完美主义的多维完美主义量表（MPS）；以及用于测量一般心理问题（精神神经症）的症状自评量表（SCL-90）。加入SCL-90是因为其与神经质完美主义具有已知的高度相关性。

结果

逻辑回归分析显示SCL-90评分存在显著差异（χ² = 17.2, P < 0.0001），从而可能否定了非特异性WRULD组中较高神经质完美主义的显著性。于是加入了第二对照组慢性疼痛患者，其SCL-90预期得分较高。逻辑回归显示，在控制精神神经症因素后，非特异性WRULD患者具有更多的神经质完美主义特质（χ² = 22.83, P < 0.0001）。UCL平均得分无显著差异（P > 0.05）。