Svebak Sven, Halvari Hallgeir
Norwegian University of Science and Technology, Department of Mental Health, Trondheim, Norway.
University College Southeast Norway, School of Business and Social Sciences, Hønefoss, Norway.
Eur J Psychol. 2018 Jun 19;14(2):373-385. doi: 10.5964/ejop.v14i2.1470. eCollection 2018 Jun.
The relation between musculoskeletal pain and sickness absence was tested in an adult county population. Maximal explained variance in absence from work due to chronic musculoskeletal pain (sickness absence) was tested in a model in which subjective health was expected to mediate the associations between such pain and dysphoria, respectively, and work efficacy. In turn, work efficacy was expected to mediate the link between subjective health and sickness absence. All the residents in the County of Nord-Trøndelag, Norway, aged 20 and older, were invited to take part in a public health survey during 1995-97 (HUNT-2), and 66,140 (71.2%) participated. Prevalence of musculoskeletal pain, dysphoria, subjective health and work efficacy were assessed, as well as sickness absence last year due to musculoskeletal pain. The model test was performed by use of the LISREL procedure based upon data from 30,158 employees reporting chronic musculoskeletal pain last year. The measurement model fitted the data well: χ = 9075, df = 52, p < .0004, Critical N = 1041, RMSEA = 0.038, CFI = 0.99, SRMR = 0.020. The structural model fitted the data equally well, and the best prediction of sickness absence was obtained with lower back pain, upper and lower extremity pain, as well as dysphoria as the primary variables affecting subjective health that, in turn, was the convergent predictor of work efficacy that, finally, best explained the variance in sickness absence (56%). The data supported an indirect sequence of complaint-health-efficacy (CHE-model) as the best predictor of sickness absence due to musculoskeletal pain.
在一个成年县人口中测试了肌肉骨骼疼痛与病假之间的关系。在一个模型中测试了因慢性肌肉骨骼疼痛（病假）导致的工作缺勤的最大解释方差，在该模型中，主观健康预期分别介导这种疼痛与烦躁不安以及工作效能之间的关联。反过来，工作效能预期介导主观健康与病假之间的联系。邀请了挪威北特伦德拉格郡所有20岁及以上的居民在1995 - 1997年期间参与一项公共卫生调查（HUNT - 2），66140人（71.2%）参与了调查。评估了肌肉骨骼疼痛、烦躁不安、主观健康和工作效能的患病率，以及去年因肌肉骨骼疼痛导致的病假情况。基于去年报告有慢性肌肉骨骼疼痛的30158名员工的数据，使用LISREL程序进行了模型测试。测量模型与数据拟合良好：χ = 9075，df = 52，p <.0004，临界N = 1041，RMSEA = 0.038，CFI = 0.99，SRMR = 0.020。结构模型与数据拟合同样良好，以腰痛、上肢和下肢疼痛以及烦躁不安作为影响主观健康的主要变量，进而主观健康是工作效能的收敛预测因子，最终对病假方差的最佳解释（56%）得以实现，由此获得了对病假的最佳预测。数据支持抱怨 - 健康 - 效能的间接序列（CHE模型）作为因肌肉骨骼疼痛导致病假的最佳预测因子。
