Depressive Symptoms Are Associated With Decreased Quality of Life and Work Ability in Currently Working Health Care Workers With Recurrent Low Back Pain

Tarja, Virkkunen; Husu, Pauliina; Tokola, Kari; Parkkari, Jari; Kankaanpää, Markku

doi:10.1097/jom.0000000000002586

Cited by 4 publications

(7 citation statements)

References 44 publications

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“…We used a short work ability index (sWAI) as the main indicator of WA [ 20 ]. The index includes four questions from the original seven-item Work Ability Index (WAI) [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…In addition to the summary of the sWAI, we also used a single-item question of current WA (work ability score (WAS), range of 1–10) as an indicator of present WA. Previously, the same version of the sWAI has been used among health care workers with recurrent low back pain [ 20 ].…”

Section: Methodsmentioning

confidence: 99%

“…Both the whole seven-item WAI and its individual items predict work disability, retirement, and mortality [24]. The reliability of WAI has been shown to be acceptable [25] Four items included in the sWAI were the following: Previously, the same version of the sWAI has been used among health care workers with recurrent low back pain [20].…”

Section: Work Abilitymentioning

confidence: 99%

“…Previous studies using accelerometer measurements to assess the association between 24/7 physical behavior and WA are scarce [ 10 , 11 ], and even fewer studies have also employed a walking-based test to assess CRF and its associations with WA. Thus, the present study aimed at investigating how a short work ability index (sWAI) [ 20 ] and a single-item work ability score (WAS) describing the current WA in relation to the lifetime best are associated with 24/7 physical behavior and measured CRF among a population-based sample of working adults. The hypothesis was that less PA, regardless of intensity, more SB, and poorer CRF would be associated with poorer WA.…”

Section: Introductionmentioning

confidence: 99%

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Accelerometer-Measured Physical Behavior and Cardiorespiratory Fitness as Indicators of Work Ability

Husu

Tokola

Vähä‐Ypyä

et al. 2023

IJERPH

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Work ability (WA) reflects an individual’s resources, work demands, and related environment. Self-reports have shown that higher physical activity (PA) is associated with better WA. This study investigated associations of accelerometer-measured (24/7) physical behavior and cardiorespiratory fitness (CRF) with WA. In the FinFit2017-population-based study, the physical behavior of 20–69-year-old working Finns was measured in terms of PA, standing, and sedentariness using validated MAD-APE algorithms based on raw triaxial accelerometer data. During waking hours, the accelerometer was hip-worn, while during the time in bed (TIB), it was worn on the non-dominant wrist. CRF was measured with a 6 min walk test. WA was assessed by four questions excerpted from the Work Ability Index (WAI), called the short WAI (sWAI). Participants (n = 1668, mean age 46.6, SD = 10.9, 57% women) scored on average 23.3 on the sWAI (range 6–27), with a higher value indicating a better WA. More minutes in standing (p = 0.001) and in moderate (p = 0.004) and vigorous PA (p < 0.001) as well as a higher step number (p < 0.001) and better CRF (p < 0.001) were associated with a higher sWAI value. More time spent lying down (p < 0.001) and in high-movement (p < 0.001) and total TIB (p = 0.001) was associated with a lower sWAI. Detailed analysis of 24/7 physical behavior can be utilized in identifying individual-related indicators of WA.

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“…We used a short work ability index (sWAI) as the main indicator of WA [ 20 ]. The index includes four questions from the original seven-item Work Ability Index (WAI) [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Work Abilitymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Accelerometer-Measured Physical Behavior and Cardiorespiratory Fitness as Indicators of Work Ability

Husu

Tokola

Vähä‐Ypyä

et al. 2023

IJERPH

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“…In addition, multisite pain is associated with a greater negative impact on the physical functioning and disability of patients and increases the risk for poor perceived future work ability and lower quality of life [5,[15][16]. In a recent study, recurrent LBP combined with multisite pain or depressive symptoms was reported to have a negative association with quality of life among health care workers [20].…”

Section: Discussionmentioning

confidence: 99%

Neuromuscular exercise reduces severe multisite pain among health care workers with recurrent low back pain

Virkkunen,

Husu,

Tokola

et al. 2023

Preprint

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Background Low back pain (LBP) is a common disorder among nurses, and multisite pain, which can lead to work disability, is a common problem among those nurses with LBP. The aim of this study was, therefore, to investigate the effects of neuromuscular exercise (NME) on severe multisite musculoskeletal pain in health care workers with recurrent LBP. Methods A total of 219 female health care workers aged 30 to 55 years who were suffering from recurrent LBP were allocated to two groups: an exercise group (n=110) and a control group, which consisted of non-exercising participants (n=109). Exercise intervention comprised NME sessions performed twice a week (60 minutes per session). Severe multisite pain was defined as a sum pain intensity score of 4 or above (Numeric rating scale NRS 0-10) at each pain site, frequency of pain daily or nearly daily, and at least 3 pain sites. Severe multisite pain was assessed by questionnaire at 4 time points (at baseline and after 6, 12, and 24 months of neuromuscular exercise intervention). Results At baseline, 23% of the participants reported severe multisite pain. After 6 months of NME intervention, the prevalence of severe multisite pain decreased from 27% to 9% in the exercise groupbut increased from 19% to 24% in the control group (OR 0.20, 95% [CI 0.07, 0.54] as adjusted for several confounding factors). However, after the 24-month follow-up, the occurrence of severe multisite pain in the exercise group returned close to the baseline level and that of the control group increased over the baseline level. Conclusion The results of this study indicate that severe multisite musculoskeletal pain is a common health problem among health care workers with recurrent LBP. The 6-month NME intervention was effective in reducing severe multisite pain, but the effects were diluted once the intervention ended. Trial registration: NURSE RCT, clinical trial registration NCT01465698

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Prevalence and correlates of depression among students in a senior high school in Ghana: A school-based cross-sectional study

Obeng-Okon,

Opoku,

Ayisi-Boateng

et al. 2024

SAGE Open Medicine

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Objectives: Depression is one of the most widely reported mental health issues that affect adolescents globally. However, there is a dearth of data on its prevalence and associated factors among senior high school students in Ghana, since previous studies have focused more on adult populations. This can hinder policies needed to champion mental health and mental health care in senior high schools. Hence, this study sought to assess the prevalence of depression and associated factors among senior high school students in Ghana. Methods: An analytical cross-sectional study involving 289 students at the Manya Krobo Senior High School was conducted from December 2022 to February 2023. The students were selected using a two-stage random sampling method. A questionnaire was used to collect data on sociodemographics and individual characteristics. The primary outcome was depression, and this was assessed using the Patient Health Questionnaire-9. Summary statistics were presented as means, frequencies, and percentages. Multivariate logistic regression was used to identify factors associated with depression and odds ratios presented with 95% confidence intervals. Statistical significance was considered at p-value < 0.05. Results: The mean age of the students was 16.6 (±1.2) with a range of 14–20 years. Over a quarter (26.3%) of the students reported financial difficulties. The prevalence of depression among the students was 68.9%. The factors associated with depression in this study were female sex (adjusted odds ratio: 1.74, 95% confidence interval: 1.01–2.97), age (adjusted odds ratio: 1.41, 95% confidence interval: 1.10–1.81), history of chronic health condition (adjusted odds ratio: 3.74, 95% confidence interval: 1.36–10.25), and financial difficulties (adjusted odds ratio: 2.31, 95% confidence interval: 1.15–4.63). Conclusion: This study shows that depression is rife among students at the Manya Krobo Senior High School, Manya Krobo District, Ghana. These findings call for pragmatic interventions such as strengthening counseling units and professional mental health services to ameliorate the impact of depression on the lives of students.

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Depressive Symptoms Are Associated With Decreased Quality of Life and Work Ability in Currently Working Health Care Workers With Recurrent Low Back Pain

Cited by 4 publications

References 44 publications

Accelerometer-Measured Physical Behavior and Cardiorespiratory Fitness as Indicators of Work Ability

Accelerometer-Measured Physical Behavior and Cardiorespiratory Fitness as Indicators of Work Ability

Neuromuscular exercise reduces severe multisite pain among health care workers with recurrent low back pain

Prevalence and correlates of depression among students in a senior high school in Ghana: A school-based cross-sectional study

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