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Longitudinal relations between psychosocial work environment, stress and the development of musculoskeletal pain

Artikel i vetenskaplig tidskrift
Författare Pernilla Larsman
Agneta Lindegård Andersson
Gunnar Ahlborg
Publicerad i Stress and Health
Volym 27
Nummer/häfte 3
Sidor e228-e237
ISSN 1532-3005
Publiceringsår 2011
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Psykologiska institutionen
Sidor e228-e237
Språk en
Länkar dx.doi.org/10.1002/smi.1372
Ämnesord work demands/control, work-related stress, musculoskeletal pain, longitudinal mediation
Ämneskategorier Yrkesmedicin, Tillämpad psykologi

Sammanfattning

Exposure to psychosocial stressors at work is hypothesized to be related to the development of musculoskeletal pain through the mechanism of work-related stress. This hypothesis has received support in cross-sectional studies. Few longitudinal studies that specifi cally address this hypothesized mediating mechanism are however reported in the literature. The aim of the present study was to test this hypothesis in a longitudinal process model. A 3-wave mixed occupations cohort-study was performed with a baseline questionnaire survey in 2004; and with 2-year follow-ups in 2006 and 2008. A latent variable process model was tested using structural equation modeling. Since focus of the study was on the process of pain development, only those participants considered pain free at baseline were included (n = 1 133). The results indicate that exposure to high work demands may cause long-term work-related stress. The hypotheses that work demands and control influence the development of pain, and that this relation is mediated by work-related stress were not supported. No indications of reversed causality were found. In order to further elucidate the hypothesized stress mechanism, future research needs to focus on the development of site-specific musculoskeletal pain in longitudinal studies including repeated measures with shorter lags between measurement waves.

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