Bongers P M, de Winter C R, Kompier M A, Hildebrandt V H
TNO Institute of Preventive Health Care, Leiden, The Netherlands.
Scand J Work Environ Health. 1993 Oct;19(5):297-312. doi: 10.5271/sjweh.1470.
The objective of this review is to establish whether the epidemiologic literature presents evidence of an association between psychosocial work factors and musculoskeletal disease. In a hypothetical model it is suggested that individual characteristics and stress symptoms can modify this relationship. The reviewed studies do not present conclusive evidence due to high correlations between psychosocial factors and physical load and to difficulties in measuring dependent and independent variables. Nevertheless, it is concluded that monotonous work, high perceived work load, and time pressure are related to musculoskeletal symptoms. The data also suggest that low control on the job and lack of social support by colleagues are positively associated with musculoskeletal disease. Perceived stress may be an intermediary in this process. In addition, stress symptoms are often associated with musculoskeletal disease, and some studies indicate that stress symptoms contribute to the development of this disease.
本综述的目的是确定流行病学文献是否提供了心理社会工作因素与肌肉骨骼疾病之间存在关联的证据。在一个假设模型中，有人提出个体特征和压力症状可以改变这种关系。由于心理社会因素与身体负荷之间的高度相关性以及测量因变量和自变量的困难，所综述的研究没有提供确凿的证据。然而，得出的结论是，单调的工作、高工作负荷感和时间压力与肌肉骨骼症状有关。数据还表明，工作中缺乏控制以及同事缺乏社会支持与肌肉骨骼疾病呈正相关。感知到的压力可能是这一过程中的一个中介因素。此外，压力症状通常与肌肉骨骼疾病相关，一些研究表明压力症状会促使这种疾病的发展。
