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Prognostic psychosocial factors for disabling low back pain in Japanese hospital workers

Author

Listed:
  • Takahiko Yoshimoto
  • Hiroyuki Oka
  • Junji Katsuhira
  • Tomoko Fujii
  • Katsuhiko Masuda
  • Sakae Tanaka
  • Ko Matsudaira

Abstract

Background: Although the occupational health field has identified psychosocial factors as risk factors for low back pain that causes disability, the association between disabling low back pain and psychosocial factors has not been examined adequately in Japanese hospital workers. Therefore, this study examined the association between low back pain, which interfered with work, and psychosocial factors in Japanese hospital workers. Method: This cross-sectional study was conducted at a hospital in Japan. In total, 280 hospital workers were recruited from various occupational settings. Of these, 203 completed a self-administered questionnaire that included items concerning individual characteristics, severity of low back pain, fear-avoidance beliefs (Fear-Avoidance Beliefs Questionnaire), somatic symptoms (Somatic Symptom Scale-8), psychological distress (K6), workaholism, and work-related psychosocial factors (response rate: 72.5%). Logistic regression was used to explore risk factors associated with disabling low back pain. Results: Of the 203 participants who completed questionnaires, 36 (17.7%) reported low back pain that interfered with their work. Multivariate analyses with individual factors and occupations adjusted for showed statistically significant associations between disabling low back pain and fear-avoidance beliefs (adjusted odds ratio [OR]: 2.619, 95% confidence interval [CI]: 1.003–6.538], somatic symptoms (OR: 4.034, 95% CI: 1.819–9.337), and interpersonal stress at work (OR: 2.619, 95% CI: 1.067–6.224). Conclusions: Psychosocial factors, such as fear-avoidance beliefs, somatic symptoms, and interpersonal relationships at work, were important risk factors in low back pain that interfered with work in Japanese hospital workers. With respect to occupational health, consideration of psychosocial factors is required to reduce disability related to low back pain.

Suggested Citation

  • Takahiko Yoshimoto & Hiroyuki Oka & Junji Katsuhira & Tomoko Fujii & Katsuhiko Masuda & Sakae Tanaka & Ko Matsudaira, 2017. "Prognostic psychosocial factors for disabling low back pain in Japanese hospital workers," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-12, May.
    • Handle: RePEc:plo:pone00:0177908
    DOI: 10.1371/journal.pone.0177908
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    References listed on IDEAS

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    1. Ko Matsudaira & Akihito Shimazu & Tomoko Fujii & Kazumi Kubota & Takayuki Sawada & Norimasa Kikuchi & Masaya Takahashi, 2013. "Workaholism as a Risk Factor for Depressive Mood, Disabling Back Pain, and Sickness Absence," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-8, September.
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    Cited by:

    1. Matilde Leonor Alba-Jurado & María José Aguado-Benedí & Noelia Moreno-Morales & Maria Teresa Labajos-Manzanares & Rocío Martín-Valero, 2021. "Occupation and Sickness Absence in the Different Autonomous Communities of Spain," IJERPH, MDPI, vol. 18(21), pages 1-12, October.
    2. Kazuhiro Watanabe & Kotaro Imamura & Hisashi Eguchi & Yui Hidaka & Yu Komase & Asuka Sakuraya & Akiomi Inoue & Yuka Kobayashi & Natsu Sasaki & Kanami Tsuno & Emiko Ando & Hideaki Arima & Hiroki Asaoka, 2023. "Usage of the Brief Job Stress Questionnaire: A Systematic Review of a Comprehensive Job Stress Questionnaire in Japan from 2003 to 2021," IJERPH, MDPI, vol. 20(3), pages 1-53, January.
    3. Monica Unsgaard-Tøndel & Anne Lovise Nordstoga, 2022. "Are Work Demand, Support and Control Associated with Work Ability and Disability during Back Pain Treatment? A Prospective Explorative Study," IJERPH, MDPI, vol. 19(6), pages 1-9, March.

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