To systematically analyse evidence on the incremental effect of work-related psychosocial risk factors on the development of neck and shoulder disorders, as reported in longitudinal studies.
A systematic literature search was conducted in three data bases (MEDLINE, EMBASE, and PsychINFO) until May 2009. The quality assessment leading to a methodological quality score of the included studies was conducted by two independent reviewers using a standardised checklist. Criteria for the evaluation of evidence were established. Heterogeneity analyses were conducted.
Altogether 18 prospective longitudinal studies were included in the analysis. Potential psychosocial risk factors were mainly based on the job demand control (support) model by Karasek (1998). Study results were too heterogeneous to deduce pooled risk estimates. But the weight of evidence was strong for an incremental effect of job demands, job control, social support, and job strain, on the development of neck and/or shoulder disorders.
While we found evidence for an incremental effect of different psychosocial work factors (in addition to the effect of physical job factors), these results have to be interpreted carefully in order to support the notion that psychological factors can have an independent causal influence on the development of musculoskeletal disorders. Nevertheless, our findings are important for the development of preventive strategies, as they stress the need for preventive approaches that tackle both physical and psychosocial factors. Future research is warranted to consolidate and strengthen the results of this review.
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Andersen JH, Kaergaard A, Mikkelsen S, Jensen U, Frost P, Bonde J, Fallentin N, Thomsen J (2003) Risk factors in the onset of neck/shoulder pain in a prospective study of workers in industrial and service companies. Occup Environ Med 60:649–654
Andersen JH, Haahr JP, Frost P (2007) Risk factors for more severe regional musculoskeletal symptoms: a two year prospective study of a general working population. Arthritis Rheuma 56:1355–1364
Ariëns G, van Mechelen W, Bongers PM, Bouter LM, van der Wal G (2000) Physical risk factors for neck pain. Scand J Work Environ Health 26:7–19
Ariëns G, Bongers PM, Hoogendoorn WE, Houtman IL, van der Wal G, van Mechelen W (2001) High quantitative job demands and low coworker support as risk factors for neck pain: results of a prospective cohort study. Spine 26:1896–1901
Bernard BP (ed) (1997) Musculoskeletal disorders and workplace factors a critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back. NIOSH Publication Number 97–141. U.S. Department of Health and Human Services, Cincinnati, OH
Bongers PM, Kremer AM, ter Laak J (2002) Are psychosocial factors, risk factors for symptoms and signs of the shoulder, elbow, or hand/wrist? A review of the epidemiological literature. Am J Ind Med 41:315–342
Bongers PM, Ijmker S, van den Heuvel S, Blatter BM (2006) Epidemiology of work related neck and upper limb problems: psychosocial and personal risk factors (part I) and effective interventions from a bio behavioural perspective (part II). J Occup Rehabil 16:279–302
Brandt LP, Andersen JH, Lassen CF, Kryger A, Overgaard E, Vilstrup I, Mikkelsen S (2004) Neck and shoulder symptoms and disorders among Danish computer workers. Scand J Work Environ Health 30:399–409
Bundesanstalt für Arbeitsschutz und Arbeitsmedizin (BAuA) (2009) Sicherheit und Gesundheit bei der Arbeit. Bundesministerium für Arbeit und Soziales (BMAS) (ISBN 978-3-88261-129-8) 204 (table TF04)
Cassou B, Derriennic F, Monfort C, Norton J, Touranchet A (2002) Chronic neck and shoulder pain, age, and working conditions: longitudinal results from a large random sample in France. Occup Environ Med 59:537–544
Demerouti E, Bakker AB (2011) The job demands-resources model: challenges for future research. SA J Ind Psychol/SA Tydskrif vir Bedryfsielkunde 37(2):974–983. doi:10.4102/sajip.v37i2.974
Eltayeb S, Bart Staal JB, Hassan A, de Bie RA (2009) Work related risk factors for neck, shoulder and arms complaints: a cohort study among Dutch computer office workers. J Occup Rehabil 19:315–322
Feveile H, Jensen C, Burr H (2002) Risk factors for neck-shoulder and wrist-hand symptoms in a 5-year follow up study of 3,990 employees in Denmark. Int Arch Occup Environ Health 75:243–251
Gelman A, Stern H (2006) The difference between “significant” and “not significant” is not itself statistically significant. Am Stat 60:328–331
Grimes DA, Schultz KF (2008) Making sense of odds and odds ratios. Obstet Gynecol 111(2 Pt 1):423–426
Grooten WJ, Wiktorin C, Norrman L, Josephson M, Tornqvist EW, Alfredsson L, MUSIC-Norrtälje Study Group (2004) Seeking care for neck/shoulder pain: a prospective study of work-related risk factors in a healthy population. Occup Environ Med 46:138–146
Hamberg-van Reenen HH, Ariëns GA, Blatter BM, van Mechelen W, Bongers PM (2007) A systematic review of the relation between physical capacity and future low back and neck/shoulder pain. Pain 130:93–107
Harcombe H, McBride D, Derrett S, Gray A (2010) Physical and psychosocial risk factors for musculoskeletal disorders in New Zealand nurses, postal workers and office workers. Inj Prev 16:96–100
Harkness EF, Macfarlane GJ, Nahit ES, Silman AJ, McBeth J (2003) Mechanical and psychosocial factors predict new onset shoulder pain: a prospective cohort study of newly employed workers. Occup Environ Med 60:850–857
Harrington JM, Carter JT, Birrell L, Gompertz D (1998) Surveillance case definitions for work related upper limb pain syndromes. Occup Environ Med 55:264–271
Hill A (1965) Environment and disease: association or causation? Proc Royal Soc Med 58:295–300
Hoogendoorn WE, van Poppel MN, Bongers PM, Koes BW, Bouter LM (2000) Systematic review of psychosocial factors at work and private life as risk factors for back pain. Spine 25:2114–2125
Johnston V, Jimmieson NL, Jull G, Souvlis T (2009) Contribution of individual, workplace, psychosocial and physiological factors to neck pain in female office workers. Eur J Pain 13:985–991
Juul-Kristensen B, Jensen C (2005) Self-reported workplace related ergonomic conditions as prognostic factors for musculoskeletal symptoms: the “BIT” follow up study on office workers. Occup Environ Med 62:188–194
Karasek RA (1979) Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Q 24:285–308
Karasek RA (1998) Demand/control model: a social, emotional, and physiological approach to stress risk and active behavior development. In: Stellman JM (ed) ILO encyclopedia of occupational health and safety. ILO, Geneva
Karasek RA, Theorell T (1990) Healthy work: stress, productivity and the reconstruction of working life. Basic Books, New York
Karasek R, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B (1998) The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol 3:322–355
Korhonen T, Ketola R, Toivonen R, Luukkonen R, Häkkänen M, Viikari-Juntura E (2003) Work related and individual predictors for incident neck pain among office employees working with video display units. Occup Environ Med 60:475–482
Kuijpers T, van der Windt DA, van der Heijden GJ, Bouter LM (2004) Systematic review of prognostic cohort studies on shoulder disorders. Pain 109(3):420–431
Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sørensen F, Andersson G, Jørgensen K (1987) Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon 18:233–237
Leclerc A, Chastang JF, Niedhammer I, Landre MF, Roquelaure Y, Study Group on Repetitive Work (2004) Incidence of shoulder pain in repetitive work. Occup Environ Med 61:39–44
Leroux I, Brisson C, Montreuil S (2006) Job strain and neck-shoulder symptoms: a prevalence study of women and men white-collar workers. Occup Med 56(2):102–109
Lindeberg SI, Rosvall M, Choi B, Canivet C, Isacsson SO, Karasek R, Ostergren PO (2011) Psychosocial working conditions and exhaustion in a working population sample of Swedish middle-aged men and women. Eur J Public Health 21:190–196
Linton SJ (1995) An overview of psychosocial and behavioral factors in neck-and-shoulder pain. Scand J Rehabil Med (Suppl) 32:67–77
Linton SJ (2000) A review of psychological risk factors in back and neck pain. Spine 25(9):1148–1156
Macfarlane GJ, Pallewatte N, Paudyal P, Blyth FM, Coggon D, Crombez G, Linton S, Leino-Arjas P, Silman AJ, Smeets RJ, van der Windt D (2009) EULAR evaluation of work-related psychosocial factors and regional musculoskeletal pain. Ann Rheum Dis 68:885–891
Mayer J, Kraus T, Ochsmann E (2012) Longitudinal evidence for the association between work-related physical exposures and neck and/or shoulder complaints: a systematic review. Int Arch Occup Environ Health 85(6):587–603
Miranda H, Viikari-Juntura E, Martikainen R, Takala EP, Riihimäki H (2001) A prospective study of work related factors and physical exercise as predictors of shoulder pain. Occup Environ Med 58:528–534
Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 6(6):e1000097
Östergren PO, Hanson BS, Balogh I, Ektor-Andersen J, Isacsson A, Orbaek P, Winkel J, Isacsson SO, Malmö Shoulder Neck Study Group (2005) Incidence of shoulder and neck pain in a working population: effect modification between mechanical and psychosocial exposures at work? Results from a one year follow up of the Malmö shoulder and neck study cohort. J Epidemiol Community Health 59:721–728
Palmer KT, Smedley J (2007) Work relatedness of chronic neck pain with physical findings—a systematic review. Scand J Work Environ Health 33:165–191
Pettiti D (1999) Meta-analysis, decision analysis, and cost-effectiveness analysis: methods for quantitative synthesis in medicine, 2nd edn (Monographs in Epidemiology and Biostatistics). Oxford University Press, Oxford. ISBN-10: 0195133641
Rothman K (1986) Modern epidemiology. Little, Brown and Company, Boston, pp 7–21
Salerno DF, Copley-Merriman C, Taylor TN, Shinogle J, Schulz RM (2002) A review of functional status measures for workers with upper extremity disorders. Occup Environ Med 59:664–670
Sluiter JK, Rest KM, Frings-Dresen MH (2001) Criteria document for evaluating the work-relatedness of upper extremity musculoskeletal disorders. Scand J Work Environ Health (Suppl) 1:1–102
Smith CK, Silverstein BA, Fan ZJ, Bao S, Johnson PW (2009) Psychosocial factors and shoulder symptom development among workers. Am J Ind Med 52:57–68
Trinkoff AM, Le R, Geiger-Brown J, Lipscomb J, Lang G (2006) Longitudinal relationship of work hours, mandatory overtime, and on-call to musculoskeletal problems in nurses. Am J Ind Med 49:964–971
van den Heuvel SG, van der Beek AJ, Blatter BM, Hoogendoorn WE, Bongers PM (2005) Psychosocial work characteristics in relation to neck and upper limb symptoms. Pain 114:47–53
van der Windt DA, Thomas E, Pope DP, de Winter AF, Macfarlane GJ, Bouter LM, Silman AJ (2000) Occupational risk factors for shoulder pain: a systematic review. Occup Environ Med 57:433–442
van Rijn RM, Huisstede BM, Koes BW, Burdorf A (2010) Associations between work-related factors and specific disorders of the shoulder—a systematic review of the literature. Scand J Work Environ Health 36:189–201
Vašková R (2007) Teamwork and high performance work organisation. Eur foundation for the improvement of living and working conditions. ID: TN0507TR01
Wahlström J, Burström L, Hagberg M, Lundström R, Nilsson T (2008) Musculoskeletal symptoms among young male workers and associations with exposure to hand-arm vibration and ergonomic stressors. Int Arch Occup Environ Health 81:595–602
Walker-Bone K, Cooper C (2005) Hard work never hurt anyone: or did it? A review of occupational associations with soft-tissue musculoskeletal disorders of the neck and upper limb. Ann Rheum Diss 64:1391–1396
Walker-Bone KE, Palmer KT, Reading I, Cooper C (2003) Soft-tissue rheumatic disorders of the neck and upper limb: prevalence and risk factors. Semin Arthritis Rheum 33:185–203
This review was conducted as a by-product of another study, sponsored by the German Accident Insurance (Deutsche Gesetzliche Unfallversicherung, DGUV). The authors would like to thank Dr. Rolf Ellegast for his support during this study.
Conflict of interest
The authors declare that they have no competing interest.
Explanation of the methodological criteria from Table 1
|A||Positive if at least two demographic factors out of age, gender, profession are clearly defined|
|B||Positive if either inclusion or exclusion criteria for the baseline population are presented|
|C||Positive if the total number of participants was ≥60% on the last point of follow-up compared to the number of participants at baseline|
|D||Positive if demographic/clinical information (patient/disease characteristics such as age, sex and other potential prognostic predictors) was presented for those lost to follow-up/drop-outs|
|E||Positive if the follow-up period was at least 3 months|
|F||Positive if clinical diagnosis was assessed|
|G||Positive if standardised questionnaires at baseline and at follow-up were applied for outcome measurement|
|H||Positive if objective outcome measurements are applied (clinical examination, clinical tests, X-ray)|
|I||Positive if standardised questionnaires at baseline and at follow-up were applied for psychosocial risk factors|
|J||Positive if standardised questionnaires at baseline and follow-up were applied for physical risk factors|
|K||Positive if objective assessment of physical exposure is conducted (video analysis, weight definition)|
|L||Positive if the data presentation fits to the stated method|
|M||Positive if univariate/multivariate models are presented by means of relative risks, rate ratios, odds ratios or hazard ratios|
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Kraatz, S., Lang, J., Kraus, T. et al. The incremental effect of psychosocial workplace factors on the development of neck and shoulder disorders: a systematic review of longitudinal studies. Int Arch Occup Environ Health 86, 375–395 (2013). https://doi.org/10.1007/s00420-013-0848-y
- Neck and shoulder pain
- Psychosocial work factors
- Longitudinal studies