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Perceived work stress, overcommitment, and self-reported musculoskeletal pain: Across-sectional investigation

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Abstract

The objectiveofthis study was to analyze associations of three indicators of perceived work stress (physical job demand, low control at work, andan imbalance between effort and reward), and of overcommitment, a personal pattern of coping with work demands, with musculoskeletal pain. A standardized questionnaire measuring these conditions in addition to self-reported musculoskeletal pain at different locations was administered to a group of 316 male and female employees of a public transport enterprise. After we adjusted for confounding effects of age, sex, socioeconomic status, shift work, and negative affectivity, we observed elevated prevalence odds ratios in employees who scored high on overcommitment, who were exposed to physical job demand, and, to a lesser extent, who reported psychosocial work stress. Results have implications for a more comprehensive approach to primary and secondary prevention of musculoskeletal pain.

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References

  • Abraham, R. (1999). Negative affectivity: Moderator or confound inemotional dissonance-outcome relationship? Journal of Psychology, 133, 61–72.

    PubMed  Google Scholar 

  • Ariëns, G. M., van Mechelen, W., Bongers, P. M., Bouter, L. M., & van der Wal, G. (2000). Physical risk factors for neck pain. Scandinavian Journal of Work, Environment and Health, 26, 7–19.

    PubMed  Google Scholar 

  • Berger-Schmitt, R., Kohlmann, T., & Raspe, H. (1996). Rückenschmerzen in Ost- und Westdeutschland [Neck pain in East and West Germany]. Gesundheitswesen, 58, 519–524.

    PubMed  Google Scholar 

  • Bernard, B. P. (1997). Musculoskeletal disorders and work place factors (DHHS [NIOSH] Publication No. 97-141). Cincinnati, OH: U.S. Department of Health and Human Services.

    Google Scholar 

  • Bongers, P. M., de Winter, C. R., Kompier, M. A., & Hildebrandt, V. H. (1993). Psychosocial factors at work and musculoskeletal disease. Scandinavian Journal of Work, Environment and Health, 19, 297–312.

    PubMed  Google Scholar 

  • Bovim, G., Schrader, H., & Sand, T. (1994). Neck paininthe general population.Spine, 19, 1307–1309.

    Article  PubMed  Google Scholar 

  • Brogmus, G. E., Sorock, G. S., & Webster, B. S. (1996). Recent trends in work-related cumulative trauma disorders of the upper extremities in the United States: An evaluation of possible reasons. Journal of Occupational and Environmental Medicine, 38, 401–411.

    Article  PubMed  Google Scholar 

  • Burke, M. J., Brief, A. P., & George, J. M. (1993). The role of negative affectivity in understanding the relations between self-reports of stressors and strains: A comment on the applied psychology literature. Journal of Applied Psychology, 78, 402–412.

    Article  PubMed  Google Scholar 

  • Cole, D. C., & Hudak, P. L. (1996). Prognosis of nonspecific work-related musculoskeletal disorders of the neck and upper extremity. American Journal of Industrial Medicine, 29, 657–668.

    Article  PubMed  Google Scholar 

  • Eriksen, W., Natvig, B., Knardahl, S., & Bruusgaard, D. (1999). Job characteristics as predictors of neck pain: A 4-year prospective study. Journal of Occupational and Environmental Medicine, 41, 893–902.

    Article  PubMed  Google Scholar 

  • Eriksen, H., & Ursin, H. (1999). Subjective health complaints: Is coping more important than control? Work & Stress, 13, 238–252.

    Article  Google Scholar 

  • Foppa, I., & Noack, R. H. (1996). The relation of self reported back pain to psychosocial, behavioral, and health-related factors in a working population in Switzerland. Social Science and Medicine, 43, 1119–1126.

    Article  PubMed  Google Scholar 

  • Hagberg, M., Silverstein, B., Wells, R., Smith, M. J., Hendrick, H. W., Carajon, P., et al. (1995). Work-related musculoskeletal disorders (WMSDs): A reference book for prevention. London: Tayler & Francis.

    Google Scholar 

  • Hollmann, S., Heuer, H., & Schmidt, K-H. (2001). Control at work:A generalized resource factor for the prevention of musculoskeletal symptoms? Work & Stress, 15, 29–39.

    Article  Google Scholar 

  • Houtman, I. L. D., Bongers, P. M., Smulders, P. G. W., & Kompier, M. A. J. (1994). Psychosocial stressors at work and musculoskeletal problems. Scandinavian Journal of Work, Environment and Health, 20, 139–145.

    PubMed  Google Scholar 

  • Karasek, R., Brisson, C., Kawakami, N., Houtman, I., Bongers, P., & Amick, B. (1998). The Job Content Questionnaire: An instrument for internationally comparative assessments of psychosocial job characteristics. Journal of Occupational Health Psychology, 3, 322–355.

    Article  PubMed  Google Scholar 

  • Karasek, R., & Theorell, T. (1990). Healthy work. New York: Basic Books.

    Google Scholar 

  • Kleiven, M., Boggild, H., & Jeppesen, H. J. (1998). Shift work and sick leave. Scandinavian Journal of Work, Environment and Health, 24 (Suppl. 3), 128–133.

    PubMed  Google Scholar 

  • Koda, S., Hisashige, A., Ogawa, T., Kurumatani, N., Dejima, M., Miyakita, T., et al. (1991). An epidemiological study on low back pain and occupational risk factors among clinical nurses. Sangyo Igaku, 33, 410–422.

    PubMed  Google Scholar 

  • Lundberg, U. (1999). Stress responses in low-status jobs and their relationship to health risks: Musculoskeletal disorders. In N. E. Adler, M. Marmot, B. S. McEwen, & J. Stewart (Eds.), Socioeconomic status and health in industrial nations: Social, psychological, and biological pathways (pp. 162–172). New York: New York Academy of Sciences.

    Google Scholar 

  • Magnavita, N., Bevilacqua, L., Mirk, P., Fileni, A., & Castelino, N. (1999). Work-related musculoskeletal complaints in sonologist. Journal of Occupational and Environmental Medicine, 41, 981–988.

    Article  PubMed  Google Scholar 

  • Magnusson, M. L., Pope, M. H, Wilder, D. G., & Areskoug B. (1996). Are occupational drivers at an increased risk for developing musculoskeletal disorders? Spine, 21, 710–717.

    Article  PubMed  Google Scholar 

  • Morano, J. (1993). The relationshipof workplace social support to perceived work-related stress among staff nurses. Journal of Post Anesthesia Nursing, 8, 395–402.

    PubMed  Google Scholar 

  • Niedhammer, I., Siegrist, J., Landre, M. F., Goldberg M., & Leclerc A. (2000). Étudea des qualités psychométriques de la version francaise du modéle du Déséquilibre Efforts/Récompenses [Psychometric properties of the French version of the effort-reward questionnaire]. Révue ďÉpidémiologie et de Santé Publique, 48, 419–437.

    Google Scholar 

  • Peter, R., Alfredsson, L., Hammar, N., Siegrist, J., Theorell, T., & Westerholm, P. (1998). High effort, low reward and cardiovascular risk factors in employed Swedish men and women-Baseline results from the WOLF-study. Journal of Epidemiology and Community Health, 52, 540–547.

    Article  PubMed  Google Scholar 

  • Riihimäki, H. (1999). Musculoskeletal diseases—A continuing challenge for epidemiologic research. Scandinavian Journal of Work, Environment and Health, 25(Suppl. 4), 31–35.

    PubMed  Google Scholar 

  • Schnall, P., Belkic K., Landsbergis P., & Baker D. (2000). The workplace and cardiovascular disease. Philadelphia: Hanley & Belfus.

    Google Scholar 

  • Siegrist, J. (1996). Adverse health effectsofhigh effort/low reward conditions. Journal of Occupational Health Psychology, 1, 27–41.

    Article  PubMed  Google Scholar 

  • Siegrist, J., Starke, D., Laubach, W., & Brähler, E. (2000). Soziale Lage und gesundheitsbezogene Lebensqualität: Befragungsergebnisse einer repräsentativen Stichprobe der deutschen Bev ”lkerung [Social status and health related quality of life: Results of a survey in a representative German sample]. In M. Bullinger, J. Siegrist, and U. Ravens-Sieberer (Eds.), Lebensqualitätsforschung aus medizinpsychologischer und soziologischer Perspektive [Research of quality of life from a medical psychological and medical sociological view] (pp. 307–319). Göttingen: Hogrefe.

    Google Scholar 

  • Siegrist, J. (2001). A theory of occupational stress. In J. Dunham (Ed.), Stress in the workplace: Past, present and future (52–66). London: Whurr.

    Google Scholar 

  • Starke, D., Joksimovic, L., Knesebeck, v.d. O., Peter, R., Niedhammer, E., Siegrist, J. (2002). Die Entwicklung einer Kurzversion der intrinsischen Modellkomponente Overcommitment. [Development of short version of the intrinsic component overcommitment]. Manuscript submitted for publication.

  • Theorell, T., Harms-Ringdahl, K., Ahlberg-Hulten, G., & Westin, B. (1991). Psychosocial job factors and symptoms from the locomotor system—A multicausal analysis. Scandinavian Journal of Rehabilitation Medicine, 23, 165–173.

    PubMed  Google Scholar 

  • Toomingas, A., Theorell, T., Michélsen, H., & Nordemar, R. (1997). Stockholm MUSICI Study Group. Associations between self-rated psychosocial work conditions and musculoskeletal symptoms and signs. Scandinavian Journal of Work, Environment and Health, 23, 130–139.

    PubMed  Google Scholar 

  • Ueda, T., Hashimoto, M., Yasui, I., Sunaga, M., Higashida, T., & Hara, I. (1989). A questionnaire study on healthoftaxi drivers—Relationstowork conditions and daily life. Sungyo-Igaku, 31, 162–175.

    Google Scholar 

  • Ursin, H., & Eriksen, H. (2001). The cognitive activation theory of stress. Manuscript submitted for publication.

  • Walsh, K., Varnes, N., Osmond, C., Styles, R., & Coggon, D. (1989). Occupational causes of low-back pain. Scandinavian Journal of Work, Environment and Health, 15, 54–59.

    PubMed  Google Scholar 

  • Westgaard, R. H., Holte K. A., & Vasseljen O. (2000). Shoulder pain and work/leisure time exposures of female workers in the service industry [Abstract]. International Journal of Behavioral Medicine, 7 (Suppl. 1), 169–170.

    Google Scholar 

  • Westgaard, R. H., Jensen, C., & Hansen, K. (1993). Individual and work-related risk factors associated with symptoms of musculoskeletal complaints. International Archives of Occupational and Environmental Health, 64, 405–413.

    Article  PubMed  Google Scholar 

  • Wolfe, F. (1999). Determinants of Womac function, pain and stiffness scores: Evidence for the role of low back pain, symptom counts, fatigue and depression in osteoarthritis, rheumatoid arthritis and fibromyalgia. Rheumatology (Oxford), 38, 355–361.

    Article  Google Scholar 

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Correspondence to Ljiljana Joksimovic.

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Joksimovic, L., Starke, D., v.d. Knesebeck, O. et al. Perceived work stress, overcommitment, and self-reported musculoskeletal pain: Across-sectional investigation. Int. J. Behav. Med. 9, 122–138 (2002). https://doi.org/10.1207/S15327558IJBM0902_04

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