Evaluation of the Validity of Job Exposure Matrix for Psychosocial Factors at Work

Solovieva, Svetlana; Pensola, Tiina; Kausto, Johanna; Shiri, Rahman; Heliövaara, Markku; Burdorf, Alex; Husgafvel‐Pursiainen, Kirsti; Viikari‐Juntura, Eira

doi:10.1371/journal.pone.0108987

Cited by 48 publications

(57 citation statements)

References 36 publications

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“…This is a common source bias in cross-sectional studies with self-reported health outcomes, introducing risk of differential misclassification, and in this case an over estimation of the true modifying effect of social support. This is particularly an issue when measuring exposures and outcomes simultaneously (59). However, our data did not show any association between levels of social support and reporting of LBPi.…”

Section: Strengths and Limitationscontrasting

confidence: 80%

Social support modifies association between forward bending of the trunk and low-back pain: Cross-sectional field study of blue-collar workers

Villumsen¹,

Holtermann²,

Samani³

et al. 2016

Scand J Work Environ Health

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Section: Strengths and Limitationscontrasting

confidence: 80%

Social support modifies association between forward bending of the trunk and low-back pain: Cross-sectional field study of blue-collar workers

Villumsen¹,

Holtermann²,

Samani³

et al. 2016

Scand J Work Environ Health

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“…below the median). It has been used successfully to predict risk of cardiovascular disease and of major mental disorders [87]. Low social support may further increase the risk associated with job strain [85,88].…”

Section: Methods Of Assessment and Classificationmentioning

confidence: 99%

“…Through application of such a matrix to data from Finnish National Health and Work Surveys, it was possible, for example, to demonstrate significant associations of low back pain with monotonous work, although odds ratios were only about 1.2 [87].…”

Section: Vargas-prada and Coggon Pagementioning

confidence: 99%

Psychological and psychosocial determinants of musculoskeletal pain and associated disability

Vargas-Prada

Coggon

2015

Best Practice & Research Clinical Rheumatology

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Although much attention has been given to the physical determinants of common musculoskeletal complaints such as back and arm pain, research points to a stronger influence of psychological factors. Multiple studies have implicated poor mental health and somatisation (a tendency to worry about common somatic symptoms) in the incidence and chronicity of musculoskeletal pain and associated disability. Also important are adverse beliefs about the prognosis of such disorders, and about the role of physical activity in their development and persistence. Differences in societal beliefs may have contributed to major variation in the prevalence of disabling musculoskeletal pain that has been observed between countries and in the same countries over time. Psychosocial aspects of work have also been linked with musculoskeletal pain, although relative risks have generally been smaller. There is a need to take account of psychological factors in the clinical management of patients with back, neck and arm pain. KeywordsMusculoskeletal pain; mental health; somatisation; health beliefs; psychosocial factors Historically, attempts to prevent incapacity for work from musculoskeletal disorders have focused mainly on the physical demands of employment. It has been assumed that symptoms and disability arise from injury to tissues, and can be prevented by better ergonomic design of occupational tasks to reduce mechanical loading. This biophysical paradigm may be appropriate for some types of musculoskeletal disease -for example, osteoarthritis of the hip caused by heavy lifting (see Chapter X) and degenerative meniscal Europe PMC Funders Group Europe PMC Funders Author ManuscriptsEurope PMC Funders Author Manuscripts tears in the knee caused by prolonged kneeling and squatting Chapter X). However, it has become increasingly apparent that the model has only limited applicability to common painful disorders of the back, neck and upper limb, which are the main musculoskeletal causes of disability for work.Most disabling pain of the back and upper limb is non-specific in nature with no clear evidence of underlying injury to tissues, and even where pathology can be demonstrated (e.g. herniation of an intervertebral disc in people with back pain), it appears often not to be the explanation for the symptom [1]. Furthermore, there have been major temporal changes in the prevalence of musculoskeletal illness and disability that cannot be explained by altered physical exposures. For example, social security statistics indicate that in Britain, long-term incapacity for work because of back pain increased more than eightfold between 1950 and the early 1990s [2], at a time when the physical demands of work were declining because of greater mechanisation and a shift in employment from manufacturing to service industries. And in Australia, there was a major epidemic of arm pain during the 1980s among office workers, which was not paralleled in other countries that were using similar technology [3].These observations indicate that factors ...

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“…We would argue that the most important work environment assessment is provided by the subject, even though we cannot exclude the fact that high levels of pain and disability influence the perception of work demand, which subsequently is misclassified [34,37]. In that case, we would expect the pain and disability change scores to be associated with changes in the work factors.…”

Section: Determinants For Individual-level Changes In the Demand Conmentioning

confidence: 97%

“…Consequently, we did not expect the average score of the decision or learning demands to change in a patient population with different occupations. In previous studies, subjective job control has been found to be highly correlated with objective job control data (based upon expert ratings or average group assessments) among workers [33,34]. As such, there is less reason to believe that job control will change significantly in the course of 1 year, even in a patient population.…”

Section: Changes In Demand Control and Support At The 1-year Follow-upmentioning

confidence: 97%

Demand, Control and Support at Work Among Sick-Listed Patients with Neck or Back Pain: A Prospective Study

et al. 2015

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Purpose The main aim of this study was to assess changes in perceived demand, control and support at work of neck and back pain patients over 1 year. We also hypothesised that perceived changes in demand, control and support at work were associated with clinical improvement, reduced fear-avoidance beliefs and successful return to work. Methods Four hundred and five sick-listed patients referred to secondary care with neck or back pain were originally included in an interventional study. Of these, two hundred and twenty-six patients reported perceived psychosocial work factors at both baseline and 1-year follow-up, and they were later included in this prospective study. Changes in demand, control and support dimensions were measured by a total of nine variables. Results At the group level, no significant differences were found among the measured subscales. At the individual level, the regression analyses showed that decreases in fear-avoidance beliefs about work were consistently related to decreases in demand and increases in control, whereas decreases in disability, anxiety and depression were related to increases in support subscales. Conclusions The perception of demand, control and support appear to be stable over 1 year in patients with neck and back pain, despite marked improvement in pain and disability. Disability, anxiety, depression and fear-avoidance beliefs about work were significantly associated with the perception of the work environment, whereas neck and back pain were not.

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Evaluation of the Validity of Job Exposure Matrix for Psychosocial Factors at Work

Cited by 48 publications

References 36 publications

Social support modifies association between forward bending of the trunk and low-back pain: Cross-sectional field study of blue-collar workers

Social support modifies association between forward bending of the trunk and low-back pain: Cross-sectional field study of blue-collar workers

Psychological and psychosocial determinants of musculoskeletal pain and associated disability

Demand, Control and Support at Work Among Sick-Listed Patients with Neck or Back Pain: A Prospective Study

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