Soucy Isabelle, Truchon Manon, Côté Denis
School of Psychology, Laval University, Quebec City, Canada.
Work. 2006;26(3):313-26.
Low back pain is a costly and incapacitating musculoskeletal disorder. Prospective studies documenting the capacity of work-related factors to predict chronicity are few in number, the methodology used is very diversified, and the results obtained diverge. The aim of the present study is to investigate the capacity of work-related objective (non-psychosocial) and psychosocial factors to predict chronic disability related to low back pain. A longitudinal prospective study with two measurement times was carried out. The sample (N = 258) consisted of workers with subacute low back pain who were on sick leave and receiving compensation from the CSST (Quebec Workers' Compensation Board). Of all the work-related variables measured, perceived stress and fears and beliefs about work were associated with return to work status at the six-month follow-up. The results obtained show the importance of considering fears and beliefs about work when identifying people in the subacute phase of low back pain who are at risk of developing chronic disability.
腰痛是一种代价高昂且使人丧失能力的肌肉骨骼疾病。记录工作相关因素预测慢性化能力的前瞻性研究数量很少，所使用的方法非常多样，且所得结果存在分歧。本研究的目的是调查工作相关的客观（非心理社会）因素和心理社会因素预测与腰痛相关的慢性残疾的能力。开展了一项有两个测量时间点的纵向前瞻性研究。样本（N = 258）由患有亚急性腰痛且正在休病假并领取魁北克工人赔偿委员会（CSST）赔偿的工人组成。在所有测量的工作相关变量中，感知到的压力以及对工作的恐惧和信念与六个月随访时的重返工作状态相关。所得结果表明，在识别处于腰痛亚急性期且有发展为慢性残疾风险的人群时，考虑对工作的恐惧和信念非常重要。
