Is there a relationship between psychological stress or anxiety and chronic nonspecific neck-arm pain in adults? A systematic review and meta-analysis

Ortego, Gorka; Villafañe, Jorge Hugo; Doménech-García, Víctor; Berjano, Pedro; Bertozzi, Lucia; Herrero, Pablo

doi:10.1016/j.jpsychores.2016.09.006

Cited by 87 publications

(67 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some of the most intense physical symptoms associated with anxiety are respiratory and stomach problems, cardiac alterations, migraine, menstrual pain, thyroid and psoriasis 32–35. Anxiety has also been linked to the presence of somatic symptoms typical of chronic fatigue syndrome, generalised chronic pain (fibromyalgia) and irritable intestine syndrome,36 as well as unspecified chronic arm and neck pain 37. These somatic symptoms are usually frequent and often require a specialist’s intervention 32.…”

Section: Introductionmentioning

confidence: 99%

Cross-sectional study of aggression against Spanish nursing personnel and effects on somatisation of physical symptoms

et al. 2020

View full text Add to dashboard Cite

IntroductionViolence against nursing personnel in their place of work is a severe problem generating important consequences for these workers. Even though there is a large body of research on the subject, the emotional impact of aggression against healthcare workers continues to be debated.ObjectivesThe objective of this quantitative, observational cross-sectional study was to analyse the effects of aggression against nursing personnel and the mediating role of anxiety in somaticising physical symptoms.MethodThe sample was made up of 1357 nursing professionals who answered questionnaires evaluating their sensitivity to anxiety and the presence of somatic symptoms.ResultsOf the professionals who indicated that they had been the victims of aggression by family members or patients in the previous year, 52.8% said it had happened to them on one occasion, 25.2% had experienced two episodes, while 6.9% and 15.1% said they had undergone three or more aggressions, respectively. Although 89.3% of the professionals affected by acts of indicated that they had not undergone physical or psychological consequences, there was a higher prevalence of somatic alteration among workers who had been victims of violence in the workplace. Furthermore, aggression at work had a direct effect on physical somatisation, which in turn acted as a mediator in the level of anxiety of nursing professionals. Thus, aggression increased the level of anxiety of nurses through the appearance of somatic symptoms.ConclusionsThe results are discussed based on some of the consequences that appeared after episodes of aggression in the healthcare sector and their relationship.

show abstract

Section: Introductionmentioning

confidence: 99%

Cross-sectional study of aggression against Spanish nursing personnel and effects on somatisation of physical symptoms

et al. 2020

View full text Add to dashboard Cite

show abstract

“…In line with this view, most studies of patients with chronic pain have reported an association between acute stressors and increased pain and physical disability (Andersson, 1999;Sturgeon, Finan, & Zautra, 2016;Van Middendorp, Lumley, Jacobs, Bijlsma, & Geenen, 2010). Also, many studies have provided evidence for a pain-augmenting association of stress and stress-vulnerability factors, such as neuroticism and a tendency to worry (Al-Allaf et al, 2002;Andersson, 1999;Davis, Luecken, & Zautra, 2005;Evers, Verhoeven, et al, 2014;Evers, Zautra, & Thieme, 2011;Geenen et al, 2006;Low & Schweinhardt, 2012;Nicol et al, 2016;Ortego et al, 2016;Raphael, Widom, & Lange, 2001;Van Middendorp & Evers, 2016). Intriguingly, a number of studies has revealed that major stressors might be associated with the development of chronic pain.…”

Section: Stress and Chronic Painmentioning

confidence: 92%

“…An impact on the progression of HIVinfection to AIDS has also been found (Schneiderman et al, 2005). In addition, stress exposure has been consistently associated with acute and chronic pain (e.g., Chapman et al, 2008;De Brouwer et al, 2010;Nicol et al, 2016;Ortego et al, 2016).…”

Section: Stress Stressors and The Stress Responsementioning

confidence: 99%

Stress and Sensitization in Chronic Pain

Veldhuijzen¹,

Middendorp²,

Evers³

et al. 2018

Oxford Scholarship Online

View full text Add to dashboard Cite

Stress and sensitization are central concepts in chronic pain. Both can be a consequence and a contributor to the pain experience. This chapter describes the psychobiology of stress and sensitization within a multilevel perspective, indicating the impact of various forms of stress and sensitization on multiple psychoneurobiological processes (i.e., autonomic, endocrine, immune, and central processes) related to chronic pain. As a result of disordered stress regulation, sensitization may occur as a mechanism that explains how acute pain problems can become chronic and how acute pain problems can extend or generalize to other body parts or modalities. The evidence for stress and sensitization as consequences of or as contributors to chronic pain is reviewed, and possible underlying mechanisms are discussed. Next, strategies to reduce stress and sensitization and foster desensitization processes are described. The chapter concludes by introducing a motivational account of chronic pain informed by the stress and sensitization literature.

show abstract

“…Among computer workers, there is a high prevalence of visual complaints related to the visual stress associated with intensive near-visual work (Ranasinghe et al 2016 ; Rosenfield 2011 ; Woods 2005 ). Pain in the neck and shoulder area is also prevalent among individuals who work with computers (Gerr et al 2002 ; Mohanty et al 2017 ; Woods 2005 ), but the mechanisms inducing neck and shoulder pain during computer work are not fully understood (Andersen et al 2011 ; Jun et al 2017 ; Ortego et al 2016 ; Wærsted et al 2010 ). Research has shown that during computer work, visual discomfort and pain in the neck and shoulder area are associated, indicating a relation between the visual and the musculoskeletal system (Fostervold et al 2006 ; Helland et al 2008 ; Richter et al 2011 ; Wiholm et al 2007 ).…”

Section: Introductionmentioning

confidence: 99%

Visual and psychological stress during computer work in healthy, young females—physiological responses

Mork

Falkenberg

Fostervold

et al. 2018

Int Arch Occup Environ Health

View full text Add to dashboard Cite

PurposeAmong computer workers, visual complaints, and neck pain are highly prevalent. This study explores how occupational simulated stressors during computer work, like glare and psychosocial stress, affect physiological responses in young females with normal vision.MethodsThe study was a within-subject laboratory experiment with a counterbalanced, repeated design. Forty-three females performed four 10-min computer-work sessions with different stress exposures: (1) minimal stress; (2) visual stress (direct glare); (3) psychological stress; and (4) combined visual and psychological stress. Muscle activity and muscle blood flow in trapezius, muscle blood flow in orbicularis oculi, heart rate, blood pressure, blink rate and postural angles were continuously recorded. Immediately after each computer-work session, fixation disparity was measured and a questionnaire regarding perceived workstation lighting and stress was completed.ResultsExposure to direct glare resulted in increased trapezius muscle blood flow, increased blink rate, and forward bending of the head. Psychological stress induced a transient increase in trapezius muscle activity and a more forward-bent posture. Bending forward towards the computer screen was correlated with higher productivity (reading speed), indicating a concentration or stress response. Forward bent posture was also associated with changes in fixation disparity. Furthermore, during computer work per se, trapezius muscle activity and blood flow, orbicularis oculi muscle blood flow, and heart rate were increased compared to rest.ConclusionsExposure to glare and psychological stress during computer work were shown to influence the trapezius muscle, posture, and blink rate in young, healthy females with normal binocular vision, but in different ways. Accordingly, both visual and psychological factors must be taken into account when optimizing computer workstations to reduce physiological responses that may cause excessive eyestrain and musculoskeletal load.

show abstract

Is there a relationship between psychological stress or anxiety and chronic nonspecific neck-arm pain in adults? A systematic review and meta-analysis

Cited by 87 publications

References 61 publications

Cross-sectional study of aggression against Spanish nursing personnel and effects on somatisation of physical symptoms

Cross-sectional study of aggression against Spanish nursing personnel and effects on somatisation of physical symptoms

Stress and Sensitization in Chronic Pain

Visual and psychological stress during computer work in healthy, young females—physiological responses

Contact Info

Product

Resources

About