Abstract
Background: The role of sleeping problems in the causal pathway between job strain and musculoskeletal pain is not clear.Purpose: To investigate the impact of sleeping problems and job strain on the one-year risk for neck, shoulder, and lumbar pain.Method: A prospective study, using self-administered questionnaires, of a healthy cohort of 4,140 vocationally active persons ages 45–64, residing in the city of Malmö.Results: At follow-up, 11.8% of the men and 14.8% of the women had developed pain. The odds ratios (OR) for pain at follow-up and sleeping problems at baseline were 1.72 (95% CI: 1.13–2.61) in men and 1.91 (1.35–2.70) in women. Regarding exposure to job strain, ORs were 1.39 (0.94–2.05) for men and 1.63 (1.18–2.23) for women. These statistically significant risks remained so when controlled for possible confounding. A modest synergistic effect was noted in women with concurrent sleeping problems and job strain, but not in men.Conclusion: One in 15–20 of all new cases of chronic pain in the population could be attributed to sleeping problems. No evidence was found for a causal chain with job strain leading to musculoskeletal pain by the pathway of sleeping problems.
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Affleck, G., Urrows, S., Tennen, H., Higgins, P., & Abeles, M. (1996). Sequential daily relations of sleep, pain intensity, and attention to pain among women with fibromyalgia.Pain, 68(2-3), 363–368.
Akerstedt, T., & Nilsson, P. M. (2003). Sleep as restitution: An introduction.Journal of Internal Medicine, 254(1), 6–12.
al-Jarallah, K. F., Shehab, D. K., & Buchanan, W. W. (1992). Rheumatic complications of alcohol abuse.Seminars in Arthritis and Rheumatism, 22(3), 162–171.
Ancoli-Israel, S. (2006). The impact and prevalence of chronic insomnia and other sleep disturbances associated with chronic illness.American Journal of Managed Care, 12(8 Suppl), S 221–229.
Armor, D., & Polich, J. (1982). Measurement of alcohol consumption. InEncyclopedic Handbook of Alcoholism (pp. 72–80). New York: Gardner Press.
Bjork, J., Ardo, J., Stroh, E., Lovkvist, H., Ostergren, P. O., & Albin, M. (2006). Road traffic noise in southern Sweden and its relation to annoyance, disturbance of daily activities and health.Scandinavian Journal of Work, Environment and Health, 32(5), 392–401.
Bongers, P. M., de Winter, C. R., Kompier, M. A., & Hildebrandt, V. H. (1993). Psychosocial factors at work and musculoskeletal disease.Scandinavian Journal of Work, Environment, and Health, 19(5), 297–312.
Carrington, M., Walsh, M., Stambas, T., Kleiman, J., & Trinder, J. (2003). The influence of sleep onset on the diurnal variation in cardiac activity and cardiac control.Journal of Sleep Research, 12(3), 213–221.
Elwood, M. (1998).Critical appraisal of epidemiological studies and clinical trials. New York: Oxford University Press.
Eriksen, W., Natvig, B., & Bruusgaard, D. (2001). Sleep problems: a predictor of long-term work disability? A four-year prospective study.Scandinavian Journal of Public Health, 29(1), 23–31.
Gummesson, C., Isacsson, S. O., Isacsson, A. H., Andersson, H. I., Ektor-Andersen, J., Ostergren, P. O., et al. (2006). The transition of reported pain in different body regions—A one-year follow- up study.BMC Musculoskeletal Disorders, 7, 17.
Hoogendoorn, W E., Bongers, P. M., de Vet, H. C., Houtman, I. L., Ariens, G. A., van Mechelen, W., et al. (2001). Psychosocial work characteristics and psychological strain in relation to low back pain.Scandinavian Journal of Work, Environment, and Health, 27(4), 258–267.
Isacsson, S. O., Hanson, B. S., Janzon, L., Lindell, S. E., & Steen, B. (1987). Methods to assess alcohol consumption in 68-year-old men: Results from the population study “Men born in 1914” Malmo, Sweden.British Journal of Addiction, 82(11), 1235–1244.
Kaila-Kangas, L., Kivimaki, M., Harma, M., Riihimaki, H., Luukkonen, R., Kirjonen, J., et al. (2006). Sleep disturbances as predictors of hospitalization for back disorders—A 28-year follow-up of industrial employees.Spine, 31(1), 51–56.
Kaplan, G. A., & Camacho, T. (1983). Perceived health and mortality: A nine-year follow-up of the human population laboratory cohort.American Journal of Epidemiology, 117(3), 292–304.
Karasek, R. (1979). Job demands, job decision latitude, and mental strain: Implications for job redesign.Administrative Science Quarterly, 24, 285–307.
Karasek, R., Choi, B., Ostergren, P. O., Ferrario, M., & De Smet, P. (2007). Testing two methods to create comparable scale scores between the Job Content Questionnaire (JCQ) and JCQ-like questionnaires in the European JACE Study.International Journal of Behavioral Medidine, 14(4), 189–201.
Kuorinka, I., Jonsson, B., Kilbom, A., Vinterberg, H., Biering-Sorensen, F., Andersson, G., et al. (1987). Standardized Nordic questionnaires for the analysis of musculoskeletal symptoms.Applied Ergonomics, 18(3), 233–237.
Lindstrom, M., Sundquist, J., & Ostergren, P. O. (2001). Ethnic differences in self-reported health in Malmo in southern Sweden.Journal of Epidemiology and Community Health, 55(2), 97–103.
Lindstrom, M., Bexell, A., Hanson, B., & Isacsson S. O. (1995).The Health Situation in Malmö: Report from a Mailed Questionnaire Survey, Spring 1994. Malmö, Sweden: Department of Community Medicine, Malmö University Hospital.
Manjer, J., Carlsson, S., Elmstahl, S., Gullberg, B., Janzon, L., Lindstrom, M., et al. (2001). The Malmo Diet and Cancer Study: Representativity, cancer incidence, and mortality in participants and non-participants.European Journal of Cancer Prevention, 10(6), 489–499.
McBeth, J., Silman, A. J., Gupta, A., Chiu, Y. H., Ray, D., Morriss, R., et al. (2007). Moderation of psychosocial risk factors through dysfunction of the hypothalamic-pituitary-adrenal stress axis in the onset of chronic widespread musculoskeletal pain: Findings of a population-based prospective cohort study.Arthritis and Rheumatism, 56(1), 360–371.
Menefee, L. A., Cohen, M. J., Anderson, W R., Doghramji, K., Frank, E. D., & Lee, H. (2000). Sleep disturbance and nonma- lignant chronic pain: A comprehensive review of the literature.Pain Medicine, 1(2), 156–172.
Moffitt, P. F., Kalucy, E. C., Kalucy, R. S., Baum, F. E., & Cooke, R. D. (1991). Sleep difficulties, pain, and other correlates.Journal of Internal Medicine, 230(3), 245–249.
Ohayon, M. M. (1997). Prevalence of DSM-IV diagnostic criteria of insomnia: Distinguishing insomnia related to mental disorders from sleep disorders.Journal of Psychiatric Research, 31(3), 333–346.
Ohayon, M. M. (2002). Epidemiology of insomnia: What we know and what we still need to learn.Sleep Medicine Reviews, 6(2), 97–111.
Ohayon, M. M. (2005). Relationship between chronic painful physical condition and insomnia.Journal of Psychiatric Research, 39(2), 151–159.
Ostergren, P. O., Hanson, B. S., Balogh, I., Ektor-Andersen, J., Isacsson, A., Orbaek, P., et al. (2005). Incidence of shoulder and neck pain in a working population: Effect modification be- tween mechanical and psychosocial exposures at work? Results from a one-year follow-up of the Malmo Shoulder and Neck Study cohort.Journal of Epidemiology and Community Health, 59(9), 721–728.
Ota, A., Masue, T., Yasuda, N., Tsutsumi, A., Mino, Y., & Ohara, H. (2005). Association between psychosocial job characteristics and insomnia: an investigation using two relevant job stress models—The demand-control-support (DCS) model and the effort-reward imbalance (ERI) model.Sleep Medicine, 6(4), 353–358.
Palmer, K. T., Syddall, H., Cooper, C., & Coggon, D. (2003). Smoking and musculoskeletal disorders: Findings from a British national survey.Annals of the Rheumatic Diseases, 62(1), 33–36.
Palsson, B., Horstmann, V., Attewell, R. G., Ohlsson, K., & Skerfving, S. (1997). Sick leave and disability pensions among female assembly workers.European Journal of Public Health, 7(2), 162–168.
Rothman, K. (1986).Modern epidemiology. Boston: Little, Blown.
Smith, M. T., & Haythornthwaite, J. A. (2004). How do sleep disturbance and chronic pain inter-relate? Insights from the longitudinal and cognitive-behavioral clinical trials literature.Sleep Medicine Reviews, 8(2), 119–132.
Statistics Sweden. (1982). Swedish socioeconomic classification. Stockholm: Statistics Sweden.
Utsugi, M., Saijo, Y., Yoshioka, E., Horikawa, N., Sato, T., Gong, Y., et al. (2005). Relationships of occupational stress to insomnia and short sleep in Japanese workers.Sleep, 28(6), 728–735.
Verhaak, P. F., Kerssens, J. J., Dekker, J., Sorbi, M. J., & Bensing, J. M. (1998). Prevalence of chronic benign pain disorder among adults: A review of the literature.Pain, 77(3), 231–239.
Vgontzas, A. N., Mastorakos, G., Bixler, E. O., Kales, A., Gold, P. W., & Chrousos, G. P. (1999). Sleep deprivation effects on the activity of the hypothalamic-pituitary-adrenal and growth axes: Potential clinical implications.Clinical Endocrinology (Oxf), 51(2), 205–215.
Wiktorin, C., Hjelm, E. W., Winkel, J., & Koster, M. (1996). Reproducibility of a questionnaire for assessment of physical load during work and leisure time. Stockholm MUSIC I Study Group. MUSculoskeletal Intervention Center.Journal of Occupational and Environmental Medicine, 38(2), 190–201.
Zee, P. C., & Turek, F. W. (2006). Sleep and health: Everywhere and in both directions.Archives of Internal Medicine, 166(16), 1686–1688.
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This study was supported by grants from the Swedish Medical Research Council, the Swedish Council for Social Research, the Medical Faculty at Lund University, the National Institute of Public Health, and the Swedish Work Environment Fund.
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Canivet, C., Östergren, PO., Choi, B. et al. Sleeping problems as a risk factor for subsequent musculoskeletal pain and the role of job strain: Results from a one-year follow-up of the Malmö shoulder neck study cohort. Int. J. Behav. Med. 15, 254–262 (2008). https://doi.org/10.1080/10705500802365466
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DOI: https://doi.org/10.1080/10705500802365466