*Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, The Alfred Centre, Monash University, Melbourne, Vic., Australia †Centre for Occupational and Environmental Health, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Clin J Pain. 2013 Dec;29(12):1015-20. doi: 10.1097/AJP.0b013e31827ff0c0.
To examine the relationship between individual and work-related psychosocial factors and low back pain (LBP) and associated time off work in an occupational cohort.
A self-administered questionnaire was completed by nurses working across 3 major public hospitals. Participants provided sociodemographic data and information on the occurrence of LBP, time off work, and psychosocial factors.
One thousand one hundred eleven participants (response rate 38.6%) were included in the study. Fifty-six percent of participants reported LBP in the previous year. When individual psychosocial factors were examined in the same model, the relationship between somatization and LBP persisted (OR 1.64; 95% confidence interval [CI], 1.35, 2.01). Low job security was also significantly associated with LBP independent of the other work-related factors (OR 0.82; 95% CI, 0.69, 0.98). Of those participants with LBP, 30% reported absence from work due to LBP. When absence from work was examined, negative beliefs (OR 0.97; 95% CI, 0.94, 1.00) and pain catastrophizing (OR 1.33; 95% CI, 1.04, 1.71) were independently associated with time off work, along with low job satisfaction (OR 0.71; 95% CI, 0.51, 0.97) and high job support (OR 1.35; 95% CI, 1.04, 1.75).
Somatization and low job security were found to be independently associated with occupational LBP, whereas negative beliefs, pain catastrophizing, reduced job satisfaction, and high job support were independently related to time off work. Longitudinal studies are needed to determine whether these individual and work-related psychosocial factors predict, or alternatively, are outcomes of pain and time off work associated with LBP.
在职业队列中，研究个体和与工作相关的心理社会因素与腰痛（LBP）及其相关的旷工之间的关系。
在 3 家主要公立医院工作的护士完成了一份自我管理问卷。参与者提供了社会人口统计学数据以及 LBP 的发生、旷工和心理社会因素的信息。
本研究共纳入 1111 名参与者（应答率为 38.6%）。56%的参与者报告在过去一年中患有 LBP。当在同一模型中检查个体心理社会因素时，躯体化与 LBP 之间的关系仍然存在（OR 1.64；95%置信区间 [CI]，1.35，2.01）。低工作保障也与其他与工作相关的因素无关，与 LBP 显著相关（OR 0.82；95%CI，0.69，0.98）。在患有 LBP 的参与者中，有 30%因 LBP 缺勤。当检查缺勤情况时，消极信念（OR 0.97；95%CI，0.94，1.00）和疼痛灾难化（OR 1.33；95%CI，1.04，1.71）以及低工作满意度（OR 0.71；95%CI，0.51，0.97）和高工作支持（OR 1.35；95%CI，1.04，1.75）与缺勤时间独立相关。
躯体化和低工作保障被发现与职业性 LBP 独立相关，而消极信念、疼痛灾难化、工作满意度降低和工作支持度高与缺勤时间独立相关。需要进行纵向研究，以确定这些个体和与工作相关的心理社会因素是否预测与 LBP 相关的疼痛和缺勤，或者相反，它们是否是疼痛和缺勤的结果。
