Compare Angelo, Marchettini Paolo, Zarbo Cristina
Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy; Human Factors and Technologies in Healthcare Research Centre, University of Bergamo, Bergamo, Italy.
Pain Medicine Centre, Centro Diagnostico Italiano, Milan, Italy; Pain Medicine Centre, Ospedale San Raffaele, Milan, Italy; University of Applied Science of Southern Switzerland, Pain Pathophysiology and Therapy Programme, Manno, Switzerland.
Pain Res Treat. 2016;2016:3797493. doi: 10.1155/2016/3797493. Epub 2016 Aug 18.
Background. Low back pain (LBP) is one of the most common health problems worldwide. Purpose. To investigate the link between baseline demographic and occupational, medical, and lifestyle data with following psychological and occupational outcomes in a large sample of employees with LBP over a 3-year period. Study Design. Three-year prospective cohort study. Methods. Italian-speaking employees (N = 4492) with a diagnosis of LBP were included. Screening at Time 1 was done in order to collect information about severity and classification of LBP, demographic, lifestyle, and occupational status data. Psychological distress (PGWBI) and occupational burden were assessed after 3 years. Results. After 3 years, employees with LBP not due to organic causes had an increased risk of psychological distress. Gender appears to be an important variable for following occupational burden. Indeed, being a white-collar man with a LBP without organic causes seems to be a protective factor for following work outcomes, while being a white-collar woman with a LBP not due to organic causes appears to be a risk factor for subsequent sick leave. Moreover, LBP severity affects psychological and occupational outcomes. Conclusion. Our findings have several implications that could be considered in preventive and supportive programs for LBP employees.
背景。腰痛（LBP）是全球最常见的健康问题之一。目的。在一大群患有腰痛的员工中，研究3年期间基线人口统计学、职业、医学和生活方式数据与后续心理和职业结局之间的联系。研究设计。三年前瞻性队列研究。方法。纳入了被诊断为腰痛的讲意大利语的员工（N = 4492）。在第1阶段进行筛查，以收集有关腰痛的严重程度和分类、人口统计学、生活方式和职业状况数据的信息。3年后评估心理困扰（PGWBI）和职业负担。结果。3年后，非器质性原因导致腰痛的员工出现心理困扰的风险增加。性别似乎是影响后续职业负担的一个重要变量。确实，对于后续工作结局而言，非器质性原因导致腰痛的白领男性似乎是一个保护因素，而对于后续病假而言，非器质性原因导致腰痛的白领女性似乎是一个风险因素。此外，腰痛严重程度会影响心理和职业结局。结论。我们的研究结果有几个方面的意义，可在针对腰痛员工的预防和支持项目中加以考虑。
