Depressive and distress symptoms as predictors of low back pain, neck-shoulder pain, and other musculoskeletal morbidity: A 10-year follow-up of metal industry employees

ArticleinPain 53(1):89-94 · May 1993with44 Reads
DOI: 10.1016/0304-3959(93)90060-3
Six-hundred-seven employees in 3 metal industry plants were studied for depressive and distress symptoms, musculoskeletal symptoms, and findings in the musculo-skeletal system made by a physiotherapist. Measurements were made 3 times at 5-year intervals. The mean distress and depressive symptom scores of the first 2 examinations predicted the change in several musculo-skeletal symptom measures during the second 5-year period, when the effects of age and occupational class were accounted for in multiple regression analysis. They also predicted the development in clinical musculoskeletal findings in men. The proportions of variance explained by the depressive and distress symptoms were modest in magnitude. Analogous analyses were made with reference to the reverse temporal sequence: musculoskeletal disorders were considered as predating the development in depressive and distress symptoms. The musculoskeletal symptom scores were associated with the change in the stress symptoms in men, as did the clinical findings in the neck-shoulder and low back regions. None of the musculoskeletal morbidity scores predicted the change in the depressive symptoms in either sex. We conclude that depressive symptoms predict future musculoskeletal disorders, but not vice versa, whereas the association of stress symptoms and musculoskeletal disorders is reciprocal.
    • "Although neck pain is predominantly considered and treated in clinical practice as a neuromusculoskeletal problem, the close anatomical connection of the cervical region with the thoracic spine in parallel with their musculoskeletal and neural connection have led some researchers to believe that neck pain may lead to associated changes in thoracic spine and rib cage and consequential changes in pulmonary function (Kapreli et al., 2008). Cervical spine studies have shown that muscle strength and endurance (Chiu and Lo, 2002; Harris et al., 2005), cervical mobility (Rix and Bagust, 2001), head posture (Lau et al., 2009) and cervical proprioception (Cheng et al., 2010) are all affected in patients with chronic neck pain, whereas abnormal psychological states namely anxiety, depression, kinesiophobia and catastrophizing may also be present (Leino and Magni, 1993; Hill et al., 2007; Mantyselka et al., 2010). It has been recently theorized that all of these parameters can have their own unique contribution for the development of respiratory dysfunction or abnormalities in patients with chronic neck pain (Kapreli et al., 2008) and preliminarily supported by a previous pilot study (Kapreli et al., 2009). "
    [Show abstract] [Hide abstract] ABSTRACT: Respiratory function of patients with neck pain has not been given much consideration in usual clinical practice. The problem has however been highlighted occasionally by renown clinical scientists and recently there is a growing interest in the investigation of respiratory function in this clinical population. The aim of this review is to critically present the emerging evidence and discuss the similarities and differences observed. Although the evidence for some respiratory parameters is conflicting, it seems to be generally agreed that others such as maximal voluntary ventilation, strength of respiratory muscles, chest mechanics and partial pressure of arterial carbon dioxide are affected in patients with chronic neck pain. The effect size of the respiratory dysfunction regarding these respiratory parameters can be approximately described as moderate. These findings not only suggest a more thoughtful drug prescription, but they may lead to consideration of incorporation of respiratory assessment and treatment into routine physiotherapy practice. Indeed preliminary studies exploring the incorporation of respiratory treatment into usual practice have provided very promising results not only in relation to respiratory function, but also for other parameters of clinical interest. There remains however imminent need for randomized controlled trials to confirm the evidence base for such an approach.
    Article · Feb 2016
    • "Yazıcı ve arka- daşlarının [19] yaptığı bir çalışmada ise kronik bel, boyun ve diz ağrısı olan hastalarda anksiyete ve depresyon düzeyinin yüksek olduğu ve yaşam kalitesini olumsuz etkilediği bulunmuştur. Yine literatürde boyun veya bel ağrısı ile depresyon arasındaki ilişkiyi gösteren birçok çalışma vardır2021 . Bizim çalışmamızda da sağlıklı bireylerle karşılaştırıldığında, kronik servikal MAS tanılı hastalarda depresyon görülme oranının daha fazla olduğu , tespit edildi. "
    [Show abstract] [Hide abstract] ABSTRACT: Aim: The aim of this study was to investigate the levels of depression, pain and disability in patients with chronic cervical miyofascial pain syndrome (MPS) and to determine their association with quality of life. Material and Method: Forty patients with Cervical MPS and 40 age and sex-matched healthy controls enrolled in this study. The social and demographic characteristics of the patients and controls were examined. All patients and controls were evaluated with respect to pain (at night, rest and movement) and assessed by visual analog scale (VAS). Neck disability index (NDI) was used to calculate functional disability. Quality of life was evaluated with the the Short Form 36 Health Survey (SF-36). Also all of the patients and controls underwent Beck depression inventory (BDI). Results: There was no statistical difference between the patients and control cases according to demographical data. The SF-36 scores of the study patients were lower than controls. NDI, BDI and VAS scores were higher in the patients with chronic cervical MPS compared to controls. BDI scores of the patients with chronic cervical MPS were negatively and closely associated with subparameters of the SF-36 (physical function (r:-0,599, p<0.001), role limitations due to physical functioning (r:-0,558, p<0.001), bodily pain (r:-0.540, p<0.001), general health (r:- 0,708 p<0.001), vitality (r:-0,692, p<0.001), social functioning (r:-0,559, p<0.001), role limitations due to emotional problems (r:-0,537, p<0.001) and mental health (r: -0,787, p<0.001). Discussion: BDI scores are higher in patients with chronic cervical MPS than healthy controls and negatively affect their quality of life. Psychiatric evaluation of the patients with chronic cervical MPS may improve their quality of life and treatments outcome.
    Full-text · Article · Nov 2015
    • " prolonged standing, bent and twisted postures adopted repetitive work and precision work while performing surgeries. Other contributing causes for both neck & back painmay are unorganised work set-up, inadequate breaks & inadequate assistance. Leino P, Magni G. have shown a clear link between psychological variables with neck pain & low back pain. [22] However the contributory role of aging and psychological and emotional stress could not be established in this study. Shoulder pain is more likely if the arms are held in elevated or abducted for a prolonged duration the result of which is increased demand on the shoulder stabilisers and supraspinatus or bicipital tendinitis. Performing"
    [Show abstract] [Hide abstract] ABSTRACT: Work-related musculoskeletal disorders (WRMSDs) are a group of disorders that are caused by occupational risk factors. The physical and cognitive requirements during surgery pose substantial ergonomic stress. The aim of this study was to find out the prevalence of WRMSD " s in surgeons performing minimally invasive procedures in Mumbai & Navi Mumbai. Seventy five surgeons responded to the questionnaire. According to the results, 86% of the participating surgeons reported that they suffered from musculoskeletal problems which they attributed to the ergonomic issues encountered during surgery of which65 % surgeons experienced more than one site pain. The prevalence of pain was highest in low back (49.3%) followed by the other regions like neck, knee, shoulder, elbow, wrist and hand. The most commonly reported factors to which they attributed the pain and discomfort during surgery were awkward & sustained postures, prolonged standing & work place ergonomics. 45% surgeons informed that they were aware of ergonomic recommendations. Surgeons were of the opinion that adopting good postures, better surgical equipment, rest, stretching and ergonomic workstations can reduce their symptoms.
    Full-text · Article · Sep 2015 · Journal of Bodywork and Movement Therapies
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