Assessment of psychosocial risk factors for the development of non-specific chronic disabling low back pain in Japanese workers-findings from the Japan Epidemiological Research of Occupation-related Back Pain (JOB) study

Ko Matsudaira, Mika Kawaguchi, Tatsuya Isomura, Kyoko Inuzuka, Tadashi Koga, Kota Miyoshi, Hiroaki Konishi, Ko Matsudaira, Mika Kawaguchi, Tatsuya Isomura, Kyoko Inuzuka, Tadashi Koga, Kota Miyoshi, Hiroaki Konishi

Abstract

To investigate the associations between psychosocial factors and the development of chronic disabling low back pain (LBP) in Japanese workers. A 1 yr prospective cohort of the Japan Epidemiological Research of Occupation-related Back Pain (JOB) study was used. The participants were office workers, nurses, sales/marketing personnel, and manufacturing engineers. Self-administered questionnaires were distributed twice: at baseline and 1 yr after baseline. The outcome of interest was the development of chronic disabling LBP during the 1 yr follow-up period. Incidence was calculated for the participants who experienced disabling LBP during the month prior to baseline. Logistic regression was used to assess risk factors for chronic disabling LBP. Of 5,310 participants responding at baseline (response rate: 86.5%), 3,811 completed the questionnaire at follow-up. Among 171 eligible participants who experienced disabling back pain during the month prior to baseline, 29 (17.0%) developed chronic disabling LBP during the follow-up period. Multivariate logistic regression analysis implied reward to work (not feeling rewarded, OR: 3.62, 95%CI: 1.17-11.19), anxiety (anxious, OR: 2.89, 95%CI: 0.97-8.57), and daily-life satisfaction (not satisfied, ORs: 4.14, 95%CI: 1.18-14.58) were significant. Psychosocial factors are key to the development of chronic disabling LBP in Japanese workers. Psychosocial interventions may reduce the impact of LBP in the workplace.

Figures

Fig. 1.
Fig. 1.
Diagram showing pain area for low back provided in the baseline and follow-up questionnaires.
Fig. 2.
Fig. 2.
Flow chart of the sample selection for the present analysis.

References

    1. van Tulder M, Koes B, Bombardier C. (2002) Low back pain. Best Pract Res Clin Rheumatol 16, 761–75.
    1. Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, Mannion AF, Reis S, Staal JB, Ursin H, Zanoli G; COST B13 Working Group on Guidelines for Chronic Low Back Pain (2006) Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 15, Suppl 2; S192–300.
    1. Carey TS, Garrett JM, Jackman A, Hadler N. (1999) Recurrence and care seeking after acute back pain: results of a long-term follow-up study. North Carolina Back Pain Project. Med Care 37, 157–64.
    1. Pengel LH, Herbert RD, Maher CG, Refshauge KM. (2003) Acute low back pain: systematic review of its prognosis. BMJ 327, 323–7.
    1. Von Korff M. (1994) Studying the natural history of back pain. Spine 19 Suppl, 2041S–6S.
    1. Von Korff M, Deyo RA, Cherkin D, Barlow W. (1993) Back pain in primary care: outcomes at 1 year. Spine 18, 855–62.
    1. Croft PR, Macfarlane GJ, Papageorgiou AC, Thomas E, Silman AJ. (1998) Outcome of low back pain in general practice: a prospective study. BMJ 316, 1356–9.
    1. Nachemson AL, Waddell G, Norlund AI. (2000) Epidemiology of neck and low back pain. In: Neck and back pain: The scientific evidence of causes, diagnosis and treatment, Nachemson AL, Jonsson E (Eds.), 165–88, Lippincott Williams & Wilkins, Philadelphia.
    1. Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, Shibuya K, Salomon JA, Abdalla S, Aboyans V, Abraham J, Ackerman I, Aggarwal R, Ahn SY, Ali MK, Alvarado M, Anderson HR, Anderson LM, Andrews KG, Atkinson C, Baddour LM, Bahalim AN, Barker-Collo S, Barrero LH, Bartels DH, Basáñez MG, Baxter A, Bell ML, Benjamin EJ, Bennett D, Bernabé E, Bhalla K, Bhandari B, Bikbov B, Bin Abdulhak A, Birbeck G, Black JA, Blencowe H, Blore JD, Blyth F, Bolliger I, Bonaventure A, Boufous S, Bourne R, Boussinesq M, Braithwaite T, Brayne C, Bridgett L, Brooker S, Brooks P, Brugha TS, Bryan-Hancock C, Bucello C, Buchbinder R, Buckle G, Budke CM, Burch M, Burney P, Burstein R, Calabria B, Campbell B, Canter CE, Carabin H, Carapetis J, Carmona L, Cella C, Charlson F, Chen H, Cheng AT, Chou D, Chugh SS, Coffeng LE, Colan SD, Colquhoun S, Colson KE, Condon J, Connor MD, Cooper LT, Corriere M, Cortinovis M, de Vaccaro KC, Couser W, Cowie BC, Criqui MH, Cross M, Dabhadkar KC, Dahiya M, Dahodwala N, Damsere-Derry J, Danaei G, Davis A, De Leo D, Degenhardt L, Dellavalle R, Delossantos A, Denenberg J, Derrett S, Des Jarlais DC, Dharmaratne SD, Dherani M, Diaz-Torne C, Dolk H, Dorsey ER, Driscoll T, Duber H, Ebel B, Edmond K, Elbaz A, Ali SE, Erskine H, Erwin PJ, Espindola P, Ewoigbokhan SE, Farzadfar F, Feigin V, Felson DT, Ferrari A, Ferri CP, Fèvre EM, Finucane MM, Flaxman S, Flood L, Foreman K, Forouzanfar MH, Fowkes FG, Franklin R, Fransen M, Freeman MK, Gabbe BJ, Gabriel SE, Gakidou E, Ganatra HA, Garcia B, Gaspari F, Gillum RF, Gmel G, Gosselin R, Grainger R, Groeger J, Guillemin F, Gunnell D, Gupta R, Haagsma J, Hagan H, Halasa YA, Hall W, Haring D, Haro JM, Harrison JE, Havmoeller R, Hay RJ, Higashi H, Hill C, Hoen B, Hoffman H, Hotez PJ, Hoy D, Huang JJ, Ibeanusi SE, Jacobsen KH, James SL, Jarvis D, Jasrasaria R, Jayaraman S, Johns N, Jonas JB, Karthikeyan G, Kassebaum N, Kawakami N, Keren A, Khoo JP, King CH, Knowlton LM, Kobusingye O, Koranteng A, Krishnamurthi R, Lalloo R, Laslett LL, Lathlean T, Leasher JL, Lee YY, Leigh J, Lim SS, Limb E, Lin JK, Lipnick M, Lipshultz SE, Liu W, Loane M, Ohno SL, Lyons R, Ma J, Mabweijano J, MacIntyre MF, Malekzadeh R, Mallinger L, Manivannan S, Marcenes W, March L, Margolis DJ, Marks GB, Marks R, Matsumori A, Matzopoulos R, Mayosi BM, McAnulty JH, McDermott MM, McGill N, McGrath J, Medina-Mora ME, Meltzer M, Mensah GA, Merriman TR, Meyer AC, Miglioli V, Miller M, Miller TR, Mitchell PB, Mocumbi AO, Moffitt TE, Mokdad AA, Monasta L, Montico M, Moradi-Lakeh M, Moran A, Morawska L, Mori R, Murdoch ME, Mwaniki MK, Naidoo K, Nair MN, Naldi L, Narayan KM, Nelson PK, Nelson RG, Nevitt MC, Newton CR, Nolte S, Norman P, Norman R, O’Donnell M, O’Hanlon S, Olives C, Omer SB, Ortblad K, Osborne R, Ozgediz D, Page A, Pahari B, Pandian JD, Rivero AP, Patten SB, Pearce N, Padilla RP, Perez-Ruiz F, Perico N, Pesudovs K, Phillips D, Phillips MR, Pierce K, Pion S, Polanczyk GV, Polinder S, Pope CA, 3rd, Popova S, Porrini E, Pourmalek F, Prince M, Pullan RL, Ramaiah KD, Ranganathan D, Razavi H, Regan M, Rehm JT, Rein DB, Remuzzi G, Richardson K, Rivara FP, Roberts T, Robinson C, De Leòn FR, Ronfani L, Room R, Rosenfeld LC, Rushton L, Sacco RL, Saha S, Sampson U, Sanchez-Riera L, Sanman E, Schwebel DC, Scott JG, Segui-Gomez M, Shahraz S, Shepard DS, Shin H, Shivakoti R, Singh D, Singh GM, Singh JA, Singleton J, Sleet DA, Sliwa K, Smith E, Smith JL, Stapelberg NJ, Steer A, Steiner T, Stolk WA, Stovner LJ, Sudfeld C, Syed S, Tamburlini G, Tavakkoli M, Taylor HR, Taylor JA, Taylor WJ, Thomas B, Thomson WM, Thurston GD, Tleyjeh IM, Tonelli M, Towbin JA, Truelsen T, Tsilimbaris MK, Ubeda C, Undurraga EA, van der Werf MJ, van Os J, Vavilala MS, Venketasubramanian N, Wang M, Wang W, Watt K, Weatherall DJ, Weinstock MA, Weintraub R, Weisskopf MG, Weissman MM, White RA, Whiteford H, Wiersma ST, Wilkinson JD, Williams HC, Williams SR, Witt E, Wolfe F, Woolf AD, Wulf S, Yeh PH, Zaidi AK, Zheng ZJ, Zonies D, Lopez AD, Murray CJ, AlMazroa MA, Memish ZA. (2012) Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380, 2163–96 (Erratum in: 2013). Lancet 381, 628.
    1. Krismer M, van Tulder M; Low Back Pain Group of the Bone and Joint Health Strategies for Europe Project (2007) Strategies for prevention and management of musculoskeletal conditions. Low back pain (non-specific). Best Pract Res Clin Rheumatol 21, 77–91.
    1. Fujii T, Matsudaira K. (2013) Prevalence of low back pain and factors associated with chronic disabling back pain in Japan. Eur Spine J 22, 432–8.
    1. The Japan Labour Health and Welfare Organization The 2013. National Livelihood Survey (Kokumin Seikatsu Kiso Chousa) (in Japanese). The Japan Health and Welfare Organization: Tokyo, Japan. Accessed September 16, 2014.
    1. Pincus T, Burton AK, Vogel S, Field AP. (2002) A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine 27, E109–20.
    1. Thomas E, Silman AJ, Croft PR, Papageorgiou AC, Jayson MI, Macfarlane GJ. (1999) Predicting who develops chronic low back pain in primary care: a prospective study. BMJ 318, 1662–7.
    1. Turk DC, Rudy TE .(1992) Classification logic and strategies in chronic pain. In: Handbook of Pain Assessment. Turk DC, Melzack R (Eds.), 409–28, NY, Guildford.
    1. Williams RA, Pruitt SD, Doctor JN, Epping-Jordan JE, Wahlgren DR, Grant I, Patterson TL, Webster JS, Slater MA, Atkinson JH. (1998) The contribution of job satisfaction to the transition from acute to chronic low back pain. Arch Phys Med Rehabil 79, 366–74.
    1. McMahon MJ, Gatchel RJ, Polatin PB, Mayer TG. (1997) Early childhood abuse in chronic spinal disorder patients. A major barrier to treatment success. Spine 22, 2408–15.
    1. Nakamura M, Nishiwaki Y, Ushida T, Toyama Y. (2014) Prevalence and characteristics of chronic musculoskeletal pain in Japan: a second survey of people with or without chronic pain. J Orthop Sci 19, 339–50.
    1. Von Korff M, Ormel J, Keefe FJ, Dworkin SF. (1992) Grading the severity of chronic pain. Pain 50, 133–49.
    1. Muto S, Muto T, Seo A, Yoshida T, Taoda K, Watanabe M. (2006) Prevalence of and risk factors for low back pain among staffs in schools for physically and mentally handicapped children. Ind Health 44, 123–7.
    1. Kawakami N, Kobayashi Y, Takao S, Tsutsumi A. (2005) Effects of web-based supervisor training on supervisor support and psychological distress among workers: a randomized controlled trial. Prev Med 41, 471–8.
    1. Kawakami N, Kobayashi F, Araki S, Haratani T, Furui H. (1995) Assessment of job stress dimensions based on the job demands—control model of employees of telecommunication and electric power companies in Japan: reliability and validity of the Japanese version of the Job Content Questionnaire. Int J Behav Med 2, 358–75.
    1. Haratani T, Kawakami N, Araki S. (1993) Reliability and validity of the Japanese version of NIOSH Generic Job Questionnaire. Sangyo Igaku 35 suppl, S214.
    1. Yokoyama K, Araki S, Kawakami N, Tkakeshita T .(1990) Production of the Japanese edition of profile of mood states (POMS): assessment of reliability and validity. Nippon Koshu Eisei Zasshi 37, 913–8 (in Japanese).
    1. Shima S, Shikano T, Kitamura T, Asai M. (1985) New self-rating scales for depression. Clin Psychiatry 27, 717–23.
    1. Spielberger CD, Gorsuch RL, Lushene RE (1970) Manual for the State-Trait Anxiety Inventory. 23–49, Consulting Psychologists Press, Palo Alto.
    1. Isaac M, Tacchini G, Janca A .(1994) Screener for somatoform disorders (SSD). World Health Organization, Geneva.
    1. Ono Y, Yoshimura K, Yamauchi K, Momose T, Mizushima H, Asai M. (1996) Psychological well-being and ill-being: WHO Subjective Well-being Inventory (SUBI). Jpn J Stress Sci 10, 273–8.
    1. Shimomitsu T, Odagiri Y. (2004) The brief job stress questionnaire. Occup Ment Health 12, 25–36.
    1. Matsudaira K, Palmer KT, Reading I, Hirai M, Yoshimura N, Coggon D. (2011) Prevalence and correlates of regional pain and associated disability in Japanese workers. Occup Environ Med 68, 191–6.
    1. Brinkman GL, Coates EO., Jr (1963) The effect of bronchitis, smoking, and occupation on ventilation. Am Rev Respir Dis 87, 684–93.
    1. Akaha H, Matsudaira K, Takeshita K, Oka H, Hara N, Nakamura K. (2008) Modified measurement of finger-floor distance—Self assessment bending scale—. J Lumbar Spine Disord 14, 164–9.
    1. Williams RA, Pruitt SD, Doctor JN, Epping-Jordan JE, Wahlgren DR, Grant I, Patterson TL, Webster JS, Slater MA, Atkinson JH. (1998) The contribution of job satisfaction to the transition from acute to chronic low back pain. Arch Phys Med Rehabil 79, 366–74.
    1. Waddell G, Burton AK. (2001) Occupational health guidelines for the management of low back pain at work: evidence review. Occup Med (Lond) 51, 124–35.
    1. Heymans MW, Anema JR, van Buuren S, Knol DL, van Mechelen W, de Vet HC. (2009) Return to work in a cohort of low back pain patients: development and validation of a clinical prediction rule. J Occup Rehabil 19, 155–65.
    1. Wood PB. (2006) Mesolimbic dopaminergic mechanisms and pain control. Pain 120, 230–4.
    1. Leknes S, Tracey I. (2008) A common neurobiology for pain and pleasure. Nat Rev Neurosci 9, 314–20.
    1. Matsudaira K, Konishi H, Miyoshi K, Isomura T, Takeshita K, Hara N, Yamada K, Machida H. (2012) Potential risk factors for new onset of back pain disability in Japanese workers: findings from the Japan epidemiological research of occupation-related back pain study. Spine 37, 1324–33.
    1. Waddell G, Newton M, Henderson I, Somerville D, Main CJ. (1993) A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain 52, 157–68.
    1. Miller RP, Kori SH, Todd DD. (1991) The Tampa Scale: a measure of kinisophobia. Clin J Pain 7, 51–2.
    1. Kori KS, Miller RP, Todd DD. (1990) Kinesiophobia: a new view of chronic pain behavior. Pain Manag 3, 35–43.

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