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Published in: Journal of Occupational Rehabilitation 4/2012

01-12-2012

Musculoskeletal Pain and Psychological Distress in Hospital Patient Care Workers

Authors: Silje Endresen Reme, Jack T. Dennerlein, Dean Hashimoto, Glorian Sorensen

Published in: Journal of Occupational Rehabilitation | Issue 4/2012

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Abstract

Purpose The aim of the study was to assess the association of psychological distress and musculoskeletal pain, how it is related to pain interference with work and multiple pain areas, and potential differences between the different pain areas in hospital patient care workers. Methods Data were collected from a cross-sectional survey of patient care workers (n = 1,572) from two large hospitals. Results Patient care workers with musculoskeletal pain reported significantly more psychological distress than those without pain. Psychological distress was significantly related to pain interference with work, even after adjusting for pain and demographics (OR = 1.05; CI = 1.01–1.09). The association was strongest for those with both upper- and lower body pain (OR = 1.12; CI = 1.06–1.18). Psychological distress was also independently associated with multiple pain areas. Conclusions Psychological distress was found to be higher in workers with musculoskeletal pain, and highest among workers with both upper and lower body pain. Distress was further significantly associated with pain interference with work as well as number of pain areas. The findings may be followed up with a longitudinal design to better determine the direction of the associations, and to investigate if psychological distress increases the risk of work disability and injuries.
Literature
3.
go back to reference Hunter J. Physical symptoms and signs and chronic pain. Clin J Pain. 2001;17(4 Suppl):26–32.CrossRef Hunter J. Physical symptoms and signs and chronic pain. Clin J Pain. 2001;17(4 Suppl):26–32.CrossRef
4.
go back to reference Daniel HC, Narewska J, Serpell M, Hoggart B, Johnson R, Rice AS. Comparison of psychological and physical function in neuropathic pain and nociceptive pain: implications for cognitive behavioral pain management programs. Eur J Pain. 2008;12(6):731–41.PubMedCrossRef Daniel HC, Narewska J, Serpell M, Hoggart B, Johnson R, Rice AS. Comparison of psychological and physical function in neuropathic pain and nociceptive pain: implications for cognitive behavioral pain management programs. Eur J Pain. 2008;12(6):731–41.PubMedCrossRef
6.
go back to reference Menzel NN. Back pain prevalence in nursing personnel: measurement issues. AAOHN J. 2004;52(2):54–65.PubMed Menzel NN. Back pain prevalence in nursing personnel: measurement issues. AAOHN J. 2004;52(2):54–65.PubMed
7.
go back to reference Fishbain DA, Cutler R, Rosomoff HL, Rosomoff RS. Chronic pain-associated depression: antecedent or consequence of chronic pain? A review. Clin J Pain. 1997;13(2):116–37.PubMedCrossRef Fishbain DA, Cutler R, Rosomoff HL, Rosomoff RS. Chronic pain-associated depression: antecedent or consequence of chronic pain? A review. Clin J Pain. 1997;13(2):116–37.PubMedCrossRef
8.
go back to reference Hurwitz EL, Morgenstern H, Yu F. Cross-sectional and longitudinal associations of low-back pain and related disability with psychological distress among patients enrolled in the UCLA low-back pain study. J Clin Epidemiol. 2003;56(5):463–71.PubMedCrossRef Hurwitz EL, Morgenstern H, Yu F. Cross-sectional and longitudinal associations of low-back pain and related disability with psychological distress among patients enrolled in the UCLA low-back pain study. J Clin Epidemiol. 2003;56(5):463–71.PubMedCrossRef
9.
go back to reference Strine TW, Hootman JM. US national prevalence and correlates of low back and neck pain among adults. Arthritis Rheum. 2007;57(4):656–65.PubMedCrossRef Strine TW, Hootman JM. US national prevalence and correlates of low back and neck pain among adults. Arthritis Rheum. 2007;57(4):656–65.PubMedCrossRef
10.
go back to reference van der Windt DA, Kuijpers T, Jellema P, van der Heijden GJ, Bouter LM. Do psychological factors predict outcome in both low-back pain and shoulder pain? Ann Rheum Dis. 2007;66(3):313–9.PubMedCrossRef van der Windt DA, Kuijpers T, Jellema P, van der Heijden GJ, Bouter LM. Do psychological factors predict outcome in both low-back pain and shoulder pain? Ann Rheum Dis. 2007;66(3):313–9.PubMedCrossRef
11.
go back to reference Dionne CE, Koepsell TD, Von Korff M, Deyo RA, Barlow WE, Checkoway H. Predicting long-term functional limitations among back pain patients in primary care settings. J Clin Epidemiol. 1997;50(1):31–43.PubMedCrossRef Dionne CE, Koepsell TD, Von Korff M, Deyo RA, Barlow WE, Checkoway H. Predicting long-term functional limitations among back pain patients in primary care settings. J Clin Epidemiol. 1997;50(1):31–43.PubMedCrossRef
12.
go back to reference Cherkin DC, Deyo RA, Street JH, Barlow W. Predicting poor outcomes for back pain seen in primary care using patients’ own criteria. Spine. 1996;21(24):2900–7.PubMedCrossRef Cherkin DC, Deyo RA, Street JH, Barlow W. Predicting poor outcomes for back pain seen in primary care using patients’ own criteria. Spine. 1996;21(24):2900–7.PubMedCrossRef
13.
go back to reference Von Korff M, Deyo RA, Cherkin D, Barlow W. Back pain in primary care. Outcomes at 1 year. Spine. 1993;18(7):855–62.CrossRef Von Korff M, Deyo RA, Cherkin D, Barlow W. Back pain in primary care. Outcomes at 1 year. Spine. 1993;18(7):855–62.CrossRef
14.
go back to reference Hasenbring M, Marienfeld G, Kuhlendahl D, Soyka D. Risk factors of chronicity in lumbar disc patients. A prospective investigation of biologic, psychologic, and social predictors of therapy outcome. Spine. 1994;19(24):2759–65.PubMedCrossRef Hasenbring M, Marienfeld G, Kuhlendahl D, Soyka D. Risk factors of chronicity in lumbar disc patients. A prospective investigation of biologic, psychologic, and social predictors of therapy outcome. Spine. 1994;19(24):2759–65.PubMedCrossRef
15.
go back to reference Linton SJ. A review of psychological risk factors in back and neck pain. Spine. 2000;25(9):1148–56.PubMedCrossRef Linton SJ. A review of psychological risk factors in back and neck pain. Spine. 2000;25(9):1148–56.PubMedCrossRef
16.
go back to reference Fronteira I, Ferrinho P. Do nurses have a different physical health profile? A systematic review of experimental and observational studies on nurses’ physical health. J Clin Nurs. 2011;20(17–18):2404–24. Fronteira I, Ferrinho P. Do nurses have a different physical health profile? A systematic review of experimental and observational studies on nurses’ physical health. J Clin Nurs. 2011;20(17–18):2404–24.
17.
go back to reference Rogers B. Health hazards in nursing and health care: an overview. Am J Infect Control. 1997;25(3):248–61.PubMedCrossRef Rogers B. Health hazards in nursing and health care: an overview. Am J Infect Control. 1997;25(3):248–61.PubMedCrossRef
18.
go back to reference Simon M, Tackenberg P, Nienhaus A, Estryn-Behar M, Conway PM, Hasselhorn HM. Back or neck-pain-related disability of nursing staff in hospitals, nursing homes and home care in seven countries—results from the European NEXT-Study. Int J Nurs Stud. 2008;45(1):24–34.PubMedCrossRef Simon M, Tackenberg P, Nienhaus A, Estryn-Behar M, Conway PM, Hasselhorn HM. Back or neck-pain-related disability of nursing staff in hospitals, nursing homes and home care in seven countries—results from the European NEXT-Study. Int J Nurs Stud. 2008;45(1):24–34.PubMedCrossRef
19.
go back to reference Eriksen W, Bruusgaard D, Knardahl S. Work factors as predictors of intense or disabling low back pain; a prospective study of nurses’ aides. Occup Environ Med. 2004;61(5):398–404.PubMedCrossRef Eriksen W, Bruusgaard D, Knardahl S. Work factors as predictors of intense or disabling low back pain; a prospective study of nurses’ aides. Occup Environ Med. 2004;61(5):398–404.PubMedCrossRef
20.
go back to reference Nilsson A, Sjoden PO, Dahl J, Denison E. Factors related to long-duration pain and sick leave among Swedish staff working in the public health service. Scand J Caring Sci. 2005;19(4):419–26.PubMedCrossRef Nilsson A, Sjoden PO, Dahl J, Denison E. Factors related to long-duration pain and sick leave among Swedish staff working in the public health service. Scand J Caring Sci. 2005;19(4):419–26.PubMedCrossRef
21.
go back to reference Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32(6):959–76.PubMedCrossRef Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32(6):959–76.PubMedCrossRef
22.
go back to reference Furukawa TA, Kessler RC, Slade T, Andrews G. The performance of the K6 and K10 screening scales for psychological distress in the Australian national survey of mental health and well-being. Psychol Med. 2003;33(2):357–62.PubMedCrossRef Furukawa TA, Kessler RC, Slade T, Andrews G. The performance of the K6 and K10 screening scales for psychological distress in the Australian national survey of mental health and well-being. Psychol Med. 2003;33(2):357–62.PubMedCrossRef
23.
go back to reference Kessler RC, Barker PR, Colpe LJ, Epstein JF, Gfroerer JC, Hiripi E, et al. Screening for serious mental illness in the general population. Arch Gen Psychiatry. 2003;60(2):184–9.PubMedCrossRef Kessler RC, Barker PR, Colpe LJ, Epstein JF, Gfroerer JC, Hiripi E, et al. Screening for serious mental illness in the general population. Arch Gen Psychiatry. 2003;60(2):184–9.PubMedCrossRef
24.
go back to reference Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, et al. Standardized Nordic questionnaires for the analysis of musculoskeletal symptoms. Applied Ergonomics. 1987;18:233–7.PubMedCrossRef Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, et al. Standardized Nordic questionnaires for the analysis of musculoskeletal symptoms. Applied Ergonomics. 1987;18:233–7.PubMedCrossRef
25.
go back to reference Herin F, Paris C, Levant A, Vignaud MC, Sobaszek A, Soulat JM. Links between nurses’ organisational work environment and upper limb musculoskeletal symptoms: independently of effort-reward imbalance! The ORSOSA study. Pain. 2011. Herin F, Paris C, Levant A, Vignaud MC, Sobaszek A, Soulat JM. Links between nurses’ organisational work environment and upper limb musculoskeletal symptoms: independently of effort-reward imbalance! The ORSOSA study. Pain. 2011.
26.
go back to reference Gillen M, Yen IH, Trupin L, Swig L, Rugulies R, Mullen K, et al. The association of socioeconomic status and psychosocial and physical workplace factors with musculoskeletal injury in hospital workers. Am J Ind Med. 2007;50(4):245–60.PubMedCrossRef Gillen M, Yen IH, Trupin L, Swig L, Rugulies R, Mullen K, et al. The association of socioeconomic status and psychosocial and physical workplace factors with musculoskeletal injury in hospital workers. Am J Ind Med. 2007;50(4):245–60.PubMedCrossRef
27.
go back to reference Lavoie-Tremblay M, Bonin JP, Lesage AD, Bonneville-Roussy A, Lavigne GL, Laroche D. Contribution of the psychosocial work environment to psychological distress among health care professionals before and during a major organizational change. Health Care Manag. 2010;29(4):293–304. Lavoie-Tremblay M, Bonin JP, Lesage AD, Bonneville-Roussy A, Lavigne GL, Laroche D. Contribution of the psychosocial work environment to psychological distress among health care professionals before and during a major organizational change. Health Care Manag. 2010;29(4):293–304.
28.
go back to reference Keefe FJ, Rumble ME, Scipio CD, Giordano LA, Perri LM. Psychological aspects of persistent pain: current state of the science. J Pain. 2004;5(4):195–211.PubMedCrossRef Keefe FJ, Rumble ME, Scipio CD, Giordano LA, Perri LM. Psychological aspects of persistent pain: current state of the science. J Pain. 2004;5(4):195–211.PubMedCrossRef
29.
go back to reference van Tulder MW, Ostelo R, Vlaeyen JW, Linton SJ, Morley SJ, Assendelft WJ. Behavioral treatment for chronic low back pain: a systematic review within the framework of the Cochrane Back Review Group. Spine. 2001;26(3):270–81.PubMedCrossRef van Tulder MW, Ostelo R, Vlaeyen JW, Linton SJ, Morley SJ, Assendelft WJ. Behavioral treatment for chronic low back pain: a systematic review within the framework of the Cochrane Back Review Group. Spine. 2001;26(3):270–81.PubMedCrossRef
31.
go back to reference Hoffman BM, Papas RK, Chatkoff DK, Kerns RD. Meta-analysis of psychological interventions for chronic low back pain. Health Psychol. 2007;26(1):1–9.PubMedCrossRef Hoffman BM, Papas RK, Chatkoff DK, Kerns RD. Meta-analysis of psychological interventions for chronic low back pain. Health Psychol. 2007;26(1):1–9.PubMedCrossRef
32.
go back to reference Keefe FJ, Smith SJ, Buffington AL, Gibson J, Studts JL, Caldwell DS. Recent advances and future directions in the biopsychosocial assessment and treatment of arthritis. J Consult Clin Psychol. 2002;70(3):640–55.PubMedCrossRef Keefe FJ, Smith SJ, Buffington AL, Gibson J, Studts JL, Caldwell DS. Recent advances and future directions in the biopsychosocial assessment and treatment of arthritis. J Consult Clin Psychol. 2002;70(3):640–55.PubMedCrossRef
33.
go back to reference Parker JC, Iverson GL, Smarr KL, Stucky-Ropp RC. Cognitive-behavioral approaches to pain management in rheumatoid arthritis. Arthritis Care Res. 1993;6(4):207–12.PubMedCrossRef Parker JC, Iverson GL, Smarr KL, Stucky-Ropp RC. Cognitive-behavioral approaches to pain management in rheumatoid arthritis. Arthritis Care Res. 1993;6(4):207–12.PubMedCrossRef
34.
go back to reference Talo S, Rytokoski U, Puukka P. Patient classification, a key to evaluate pain treatment: a psychological study in chronic low back pain patients. Spine. 1992;17(9):998–1011.PubMedCrossRef Talo S, Rytokoski U, Puukka P. Patient classification, a key to evaluate pain treatment: a psychological study in chronic low back pain patients. Spine. 1992;17(9):998–1011.PubMedCrossRef
35.
go back to reference Zaza C, Baine N. Cancer pain and psychosocial factors: a critical review of the literature. J Pain Symptom Manage. 2002;24(5):526–42.PubMedCrossRef Zaza C, Baine N. Cancer pain and psychosocial factors: a critical review of the literature. J Pain Symptom Manage. 2002;24(5):526–42.PubMedCrossRef
36.
go back to reference Holroyd KA, Penzien DB. Psychosocial interventions in the management of recurrent headache disorders. 1: Overview and effectiveness. Behav Med. 1994;20(2):53–63.PubMedCrossRef Holroyd KA, Penzien DB. Psychosocial interventions in the management of recurrent headache disorders. 1: Overview and effectiveness. Behav Med. 1994;20(2):53–63.PubMedCrossRef
37.
go back to reference Morley S, Eccleston C, Williams A. Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache. Pain. 1999;80(1–2):1–13.PubMedCrossRef Morley S, Eccleston C, Williams A. Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache. Pain. 1999;80(1–2):1–13.PubMedCrossRef
38.
go back to reference Rose G. The strategy of preventive medicine. New York: Oxford University Press; 1992. Rose G. The strategy of preventive medicine. New York: Oxford University Press; 1992.
Metadata
Title
Musculoskeletal Pain and Psychological Distress in Hospital Patient Care Workers
Authors
Silje Endresen Reme
Jack T. Dennerlein
Dean Hashimoto
Glorian Sorensen
Publication date
01-12-2012
Publisher
Springer US
Published in
Journal of Occupational Rehabilitation / Issue 4/2012
Print ISSN: 1053-0487
Electronic ISSN: 1573-3688
DOI
https://doi.org/10.1007/s10926-012-9361-5

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