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BMC Musculoskeletal Disorders

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Open Access 01-12-2019 | Back Pain | Research article

Psychosocial areas of worklife and chronic low back pain: a systematic review and meta-analysis

Authors: Gabriele Buruck, Anne Tomaschek, Johannes Wendsche, Elke Ochsmann, Denise Dörfel

Published in: BMC Musculoskeletal Disorders | Issue 1/2019

Abstract

Background

The aim of this review was to synthesize the evidence on the potential relationship between psychosocial work factors from the Areas of Worklife (AW) model (workload, job control, social support, reward, fairness, and values) and chronic low back pain (CLBP; unspecific pain in the lumbar region lasting 3 months or longer).

Methods

We conducted a systematic literature search of studies in Medline, PsycINFO, Web of Science, and CINAHL (1987 to 2018). Three authors independently assessed eligibility and quality of studies. In this meta-analysis, we pooled studies’ effect sizes using a random-effects model approach and report sample size weighted mean Odds Ratios (ORs).

Results

Data from 18 studies (N = 19,572) was included in the analyses. We found no studies investigating associations between fairness or values and CLBP. CLBP was significantly positively related to workload (OR = 1.32) and significantly negatively related to overall job control (OR = 0.81), decision authority (OR = 0.72), and two measures of social support (ORs = 0.75 to 0.78), even in prospective studies. Skill discretion and reward did not significantly relate to CLBP. Moderation analyses revealed several variables (e.g., exposure time, mean age and sex) affecting these relationships.

Conclusions

Our results support employees’ workload, job control, and social support as predictors of CLBP. In this line, these work factors should be considered when developing programs to prevent chronic low back pain. Future studies should apply measures of CLBP that are more precise, and investigate the full areas of work life (AW) factors in combination.

Available only for authorised users

Note that we used a broad definition of the AWS (e.g., also emotional and physical demands/load for workload) during literature search as study measures sometimes mix different terms and definitions. This search approach is highly sensitive and results – as expected – in a high number of recorded studies during PRISMA-Phase 1 ‘Identification’.

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Title: Psychosocial areas of worklife and chronic low back pain: a systematic review and meta-analysis
Authors: Gabriele Buruck
Anne Tomaschek
Johannes Wendsche
Elke Ochsmann
Denise Dörfel
Publication date: 01-12-2019
Publisher: BioMed Central
Keywords: Back Pain
Back Pain
Back Pain
Published in: BMC Musculoskeletal Disorders / Issue 1/2019
Electronic ISSN: 1471-2474
DOI: https://doi.org/10.1186/s12891-019-2826-3

At a glance: The STEP trials

Springer Medicine

Psychosocial areas of worklife and chronic low back pain: a systematic review and meta-analysis

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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