Canivet Catarina, Ostergren Per-Olof, Choi Bongkyoo, Nilsson Peter, af Sillén Ulrika, Moghadassi Mahnaz, Karasek Robert, Isacsson Sven-Olof
Division of General Practice, Department of Clinical Sciences Malmo, Lund University, Malmö , Sweden.
Int J Behav Med. 2008;15(4):254-62. doi: 10.1080/10705500802365466.
The role of sleeping problems in the causal pathway between job strain and musculoskeletal pain is not clear.
To investigate the impact of sleeping problems and job strain on the one-year risk for neck, shoulder, and lumbar pain.
A prospective study, using self-administered questionnaires, of a healthy cohort of 4,140 vocationally active persons ages 45-64, residing in the city of Malmo.
At follow-up, 11.8% of the men and 14.8% of the women had developed pain. The odds ratios (OR) for pain at follow-up and sleeping problems at baseline were 1.72 (95% CI: 1.13-2.61) in men and 1.91 (1.35-2.70) in women. Regarding exposure to job strain, ORs were 1.39 (0.94-2.05) for men and 1.63 (1.18-2.23) for women. These statistically significant risks remained so when controlled for possible confounding. A modest synergistic effect was noted in women with concurrent sleeping problems and job strain, but not in men.
One in 15-20 of all new cases of chronic pain in the population could be attributed to sleeping problems. No evidence was found for a causal chain with job strain leading to musculoskeletal pain by the pathway of sleeping problems.
睡眠问题在工作压力与肌肉骨骼疼痛因果路径中的作用尚不清楚。
调查睡眠问题和工作压力对颈部、肩部和腰部疼痛一年风险的影响。
一项前瞻性研究，采用自填问卷，对居住在马尔默市的4140名年龄在45 - 64岁职业活跃的健康队列进行调查。
随访时，11.8%的男性和14.8%的女性出现了疼痛。男性随访时疼痛与基线睡眠问题的比值比（OR）为1.72（95%CI：1.13 - 2.61），女性为1.91（1.35 - 2.70）。关于工作压力暴露，男性的OR为1.39（0.94 - 2.05），女性为1.63（1.18 - 2.23）。在控制可能的混杂因素后，这些具有统计学意义的风险仍然存在。在同时存在睡眠问题和工作压力的女性中发现了适度的协同效应，但在男性中未发现。
人群中每15 - 20例慢性疼痛新病例中就有1例可归因于睡眠问题。未发现存在通过睡眠问题途径导致工作压力引发肌肉骨骼疼痛的因果链证据。
