Ekpenyong Christopher E, Daniel Nyebuk E, Aribo Ekpe O
Department of Physiology, College of Health Science, University of Uyo, Akwa Ibom State, Nigeria.
Ethiop J Health Sci. 2013 Jul;23(2):98-112.
The adverse health effects of stress are enormous, and vary among people, probably because of differences in how stress is appraised and the strategies individuals use to cope with it. This study assessed the association between academic stress and musculoskeletal disorders (MSDs) among 1365 undergraduates.
This was a cross-sectional study conducted in a Nigerian university at the beginning of the 2010/2011 academic session with the same group of participants. The Life Stress Assessment Inventory, Coping Strategies Questionnaire, and Short Musculoskeletal Function Assessment were administered as tools of data gathering.
Students' stress level and associated MSDs were higher during the examination period than the pre-examination periods. Stressors were significantly associated with increased risk of MSDs in both sexes were those related to changes (odds ratio (OR) = 1.7, p = 0.002) and pressures (OR = 2.09, p = 0.001). Emotional and physiological reactions to stress were significantly associated with MSDs in both sexes, with higher odds for MSDs in females, whereas cognitive and behavioral reactions showed higher odds (though non-significant) in males. The risk of MSDs was higher in respondents who adopted avoidance and religious coping strategies compared with those who adopted active practical and distracting coping strategies.
Stress among students could be significantly associated with MSDs depending on individuals' demographics, stressors, reactions to stress, and coping methods. Interventions to reduce stress-induced MSDs among students should consider these factors among others.
压力对健康的不良影响巨大，且因人而异，这可能是由于人们对压力的评估方式以及应对压力所采用的策略存在差异。本研究评估了1365名本科生的学业压力与肌肉骨骼疾病（MSDs）之间的关联。
这是一项在尼日利亚一所大学于2010/2011学年开始时对同一组参与者进行的横断面研究。使用生活压力评估量表、应对策略问卷和简短肌肉骨骼功能评估作为数据收集工具。
考试期间学生的压力水平及相关的肌肉骨骼疾病比考试前更高。压力源与男女肌肉骨骼疾病风险增加显著相关，与变化相关的压力源（优势比（OR）=1.7，p = 0.002）和压力相关的压力源（OR = 2.09，p = 0.001）。男女对压力的情绪和生理反应均与肌肉骨骼疾病显著相关，女性患肌肉骨骼疾病的几率更高，而认知和行为反应在男性中显示出更高的几率（尽管不显著）。与采用积极实践和分散注意力应对策略的受访者相比，采用回避和宗教应对策略的受访者患肌肉骨骼疾病的风险更高。
学生的压力可能与肌肉骨骼疾病显著相关，这取决于个体的人口统计学特征、压力源、对压力的反应和应对方法。减少学生因压力导致的肌肉骨骼疾病的干预措施应考虑这些因素以及其他因素。
