Pietri-Taleb Françoise, Riihimäki Hilkka, Viikari-Juntura Eira, Lindström Kari
Institute of Occupational Health, 00250 HelsinkiFinland INSERM U.88, 75013 ParisFrance.
Pain. 1994 Aug;58(2):261-267. doi: 10.1016/0304-3959(94)90207-0.
The role of personality characteristics and psychological distress in the occurrence of severe neck trouble was investigated in a 3-year follow-up study conducted from 1984 to 1987 among 1015 men (age: 25-49 years old) employed as machine operators, carpenters and office workers. The subjects had reported in a questionnaire in 1984 that they had experienced no more than 7 days with neck trouble during the past 12 months. Based on a similar questionnaire in 1987, severe neck trouble was defined as trouble having lasted more than 30 days. Psychological distress and personality characteristics were assessed in 1984 by the Middlesex Hospital Questionnaire (MHQ) and the Maudsley Personality Inventory (MPI) respectively. Severe neck trouble occurred in 11% of the subjects, who were considered as cases; those with 0-7 days with neck trouble were considered as controls. When individual and occupational factors were adjusted for no powerful predictors were found. However, after performing a backward stepping analysis, somatic symptoms and hysteria were significantly associated with severe neck trouble. In occupation-specific analyses, somatic symptoms and neuroticism were significantly associated with the occurrence of severe neck trouble among the machine operators, as were somatic symptoms, depression and hysteria among the office workers. Neither the personality characteristics nor psychological distress predicted the occurrence of severe neck trouble among the carpenters. We conclude that the associations between psychological factors and neck trouble are complex and may depend on the psychosocial environment.
1984年至1987年，对1015名男性（年龄在25至49岁之间，职业为机器操作员、木匠和办公室职员）进行了一项为期3年的随访研究，以调查人格特征和心理困扰在严重颈部问题发生中的作用。这些受试者在1984年的一份问卷中报告称，在过去12个月里，他们经历颈部问题的天数不超过7天。根据1987年一份类似的问卷，严重颈部问题被定义为持续超过30天的问题。1984年分别通过米德尔塞克斯医院问卷（MHQ）和莫兹利人格量表（MPI）对心理困扰和人格特征进行了评估。11%的受试者出现了严重颈部问题，这些人被视为病例；颈部问题持续0至7天的人被视为对照组。在对个体和职业因素进行调整后，未发现有力的预测因素。然而，在进行向后逐步分析后，躯体症状和癔症与严重颈部问题显著相关。在特定职业分析中，躯体症状和神经质与机器操作员中严重颈部问题的发生显著相关，办公室职员中的躯体症状、抑郁和癔症也如此。人格特征和心理困扰均未预测木匠中严重颈部问题的发生。我们得出结论，心理因素与颈部问题之间存在复杂的关联，可能取决于社会心理环境。
