Sawada Takayuki, Matsudaira Ko, Muto Yumiko, Koga Tadashi, Takahashi Masaya
Clinical Study Support, Inc., Japan.
Ind Health. 2016 Jun 10;54(3):230-6. doi: 10.2486/indhealth.2015-0143. Epub 2016 Jan 30.
Katakori is a Japanese word, and there is no clear English translation. Katakori consists of two terms, Kata means neck and shoulder, kori means stiffness. Consequently, Katakori is defined as neck and shoulder discomfort or dull pain. Katakori is a major somatic complaint and has a large impact on workers. To examine the association between onset of severe Katakori and potential risk factors in Japanese workers, a prospective cohort study, entitled "Cultural and Psychosocial Influence on Disability (CUPID)", was conducted. Self-administered questionnaires were distributed twice: at baseline and 1 year after baseline. Logistic regression was used to explore the risk factors of onset of severe Katakori. Of those 1,398, the incidence of severe Katakori onset after 1 year was 3.0% (42 workers). Being female (adjusted odds ratio: 2.39, 95% confidence interval: 1.18-4.86), short sleep duration (adjusted odds ratio: 2.86, 95% confidence interval: 1.20-6.82) and depressed mood with some issues at work (adjusted odds ratio: 3.11, 95% confidence interval: 1.38-7.03) were significantly associated with onset of severe Katakori. Psychosocial factors as well as gender difference were associated with onset of severe Katakori. We suggest that mental health support at the workplace is important to prevent severe Katakori.
“肩颈僵硬症”是一个日语词汇，目前尚无确切的英文翻译。“肩颈僵硬症”由两个词组成，“kata”意为颈部和肩部，“kori”意为僵硬。因此，“肩颈僵硬症”被定义为颈部和肩部不适或隐痛。它是一种主要的身体不适症状，对工作者有很大影响。为了研究日本工作者中严重肩颈僵硬症的发病与潜在风险因素之间的关联，开展了一项名为“文化和社会心理因素对残疾的影响（CUPID）”的前瞻性队列研究。自行填写的问卷共发放了两次：一次在基线期，另一次在基线期后1年。采用逻辑回归分析来探究严重肩颈僵硬症发病的风险因素。在这1398人中，1年后严重肩颈僵硬症的发病率为3.0%（42名工作者）。女性（调整后的优势比：2.39，95%置信区间：1.18 - 4.86）、睡眠时间短（调整后的优势比：2.86，95%置信区间：1.20 - 6.82）以及工作中存在一些问题导致情绪低落（调整后的优势比：3.11，95%置信区间：1.38 - 7.03）与严重肩颈僵硬症的发病显著相关。社会心理因素以及性别差异都与严重肩颈僵硬症的发病有关。我们认为，工作场所的心理健康支持对于预防严重肩颈僵硬症很重要。
