Alavi Seyedeh Shohreh, Makarem Jalil, Abbasi Mahya, Rahimi Azin, Mehrdad Ramin
Center for Research on Occupational Diseases, Tehran University of Medical Sciences, Tehran, Iran.
Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Work. 2016 Sep 27;55(1):3-11. doi: 10.3233/WOR-162382.
Musculoskeletal Disorders (MSDs) can lead to potential adverse consequences for individuals and their organizations, and in various research, its relationship to physical and mental health of workforce has been studied.
The purpose of this study was to determine the prevalence of MSDs of upper extremities among office workers and its association with mental health status.
In this cross sectional study, 1488 out of 1630 office workers completed the Standardized Nordic Musculoskeletal Disorders Ques-tionnaire and General Health Questionnaire (GHQ-28) (response rate = 91.3%).
Upper extremity MSDs were reported in 410 (27.5%) office workers, including 269 (18.1%) shoulder, 79 (5.3%) elbow and 207 (13.9%) hand/wrist symptoms. Based on GHQ-28, 254 (17.1%) participants were found to be at risk of developing a psychiatric disorder that were observed in 26.7% of workers with MSDs symptoms. Shoulder (p < 0.001), elbow (p < 0.001) and hand/wrist (p < 0.001) MSDs were associated with poor mental health. Among the four GHQ-28 subscales (somatic symptoms, anxiety/insomnia, social dysfunction, and depression), anxiety/insomnia was strongly correlated with shoulders (P < 0.001), elbows (P = 0.002), and hands/wrists (P < 0.001) symptoms.
Office workers with upper extremity MSDs were more likely to be experiencing mental distress. This indicates a need for greater emphasis on preventive programs at workplace to support their psychological well-being.
肌肉骨骼疾病（MSDs）会给个人及其所在组织带来潜在的不良后果，并且在各类研究中，已经对其与劳动力身心健康的关系进行了探讨。
本研究旨在确定办公室职员上肢肌肉骨骼疾病的患病率及其与心理健康状况的关联。
在这项横断面研究中，1630名办公室职员中的1488人完成了标准化北欧肌肉骨骼疾病问卷和一般健康问卷（GHQ-28）（应答率=91.3%）。
410名（27.5%）办公室职员报告有上肢肌肉骨骼疾病，其中包括269人（18.1%）肩部、79人（5.3%）肘部以及207人（13.9%）手部/腕部出现症状。基于GHQ-28，发现254名（17.1%）参与者有患精神疾病的风险，在有肌肉骨骼疾病症状的职员中这一比例为26.7%。肩部（p<0.001）、肘部（p<0.001）和手部/腕部（p<0.001）肌肉骨骼疾病与心理健康不佳有关。在GHQ-28的四个分量表（躯体症状、焦虑/失眠、社会功能障碍和抑郁）中，焦虑/失眠与肩部（P<0.001）、肘部（P=0.002）和手部/腕部（P<0.001）症状密切相关。
患有上肢肌肉骨骼疾病的办公室职员更有可能存在精神困扰。这表明需要在工作场所更加强调预防计划，以支持他们的心理健康。
