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Using a psychosocial subgroup assignment to predict sickness absence in a working population with neck and back pain

BACKGROUND: The overall objective was to evaluate the predictive validity of a subgroup classification based on the Swedish version of the MPI, the MPI-S, among gainfully employed workers with neck pain (NP) and/or low back pain (LBP) during a follow-up period of 18 and 36 months. METHODS: This is a...

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Autores principales: Bergström, Cecilia, Hagberg, Jan, Bodin, Lennart, Jensen, Irene, Bergström, Gunnar
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3097013/
https://www.ncbi.nlm.nih.gov/pubmed/21521502
http://dx.doi.org/10.1186/1471-2474-12-81
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author Bergström, Cecilia
Hagberg, Jan
Bodin, Lennart
Jensen, Irene
Bergström, Gunnar
author_facet Bergström, Cecilia
Hagberg, Jan
Bodin, Lennart
Jensen, Irene
Bergström, Gunnar
author_sort Bergström, Cecilia
collection PubMed
description BACKGROUND: The overall objective was to evaluate the predictive validity of a subgroup classification based on the Swedish version of the MPI, the MPI-S, among gainfully employed workers with neck pain (NP) and/or low back pain (LBP) during a follow-up period of 18 and 36 months. METHODS: This is a prospective cohort study that is part of a larger longitudinal multi-centre study entitled Work and Health in the Process and Engineering Industries (AHA). The attempt was to classify individuals at risk for developing chronic disabling NP and LBP. This is the first study using the MPI-questionnaire in a working population with NP and LBP. RESULTS: Dysfunctional individuals (DYS) demonstrated more statistically significant sickness absence compared to adaptive copers (AC) after 36 months. DYS also had a threefold increase in the risk ratio of long-term sickness absence at 18 months. Interpersonally distressed (ID) subgroup showed overall more sickness absence compared to the AC subgroup at the 36-month follow-up and had a twofold increase in the risk ratio of long-term sickness absence at 18 months. There was a significant difference in bodily pain, mental and physical health for ID and DYS subgroups compared to the AC group at both follow-ups. CONCLUSIONS: The present study shows that this multidimensional approach to the classification of individuals based on psychological and psychosocial characteristics can distinguish different groups in gainfully employed working population with NP/LBP. The results in this study confirm the predictive validity of the MPI-S subgroup classification system.
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spelling pubmed-30970132011-05-19 Using a psychosocial subgroup assignment to predict sickness absence in a working population with neck and back pain Bergström, Cecilia Hagberg, Jan Bodin, Lennart Jensen, Irene Bergström, Gunnar BMC Musculoskelet Disord Research Article BACKGROUND: The overall objective was to evaluate the predictive validity of a subgroup classification based on the Swedish version of the MPI, the MPI-S, among gainfully employed workers with neck pain (NP) and/or low back pain (LBP) during a follow-up period of 18 and 36 months. METHODS: This is a prospective cohort study that is part of a larger longitudinal multi-centre study entitled Work and Health in the Process and Engineering Industries (AHA). The attempt was to classify individuals at risk for developing chronic disabling NP and LBP. This is the first study using the MPI-questionnaire in a working population with NP and LBP. RESULTS: Dysfunctional individuals (DYS) demonstrated more statistically significant sickness absence compared to adaptive copers (AC) after 36 months. DYS also had a threefold increase in the risk ratio of long-term sickness absence at 18 months. Interpersonally distressed (ID) subgroup showed overall more sickness absence compared to the AC subgroup at the 36-month follow-up and had a twofold increase in the risk ratio of long-term sickness absence at 18 months. There was a significant difference in bodily pain, mental and physical health for ID and DYS subgroups compared to the AC group at both follow-ups. CONCLUSIONS: The present study shows that this multidimensional approach to the classification of individuals based on psychological and psychosocial characteristics can distinguish different groups in gainfully employed working population with NP/LBP. The results in this study confirm the predictive validity of the MPI-S subgroup classification system. BioMed Central 2011-04-26 /pmc/articles/PMC3097013/ /pubmed/21521502 http://dx.doi.org/10.1186/1471-2474-12-81 Text en Copyright ©2011 Bergström et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Bergström, Cecilia
Hagberg, Jan
Bodin, Lennart
Jensen, Irene
Bergström, Gunnar
Using a psychosocial subgroup assignment to predict sickness absence in a working population with neck and back pain
title Using a psychosocial subgroup assignment to predict sickness absence in a working population with neck and back pain
title_full Using a psychosocial subgroup assignment to predict sickness absence in a working population with neck and back pain
title_fullStr Using a psychosocial subgroup assignment to predict sickness absence in a working population with neck and back pain
title_full_unstemmed Using a psychosocial subgroup assignment to predict sickness absence in a working population with neck and back pain
title_short Using a psychosocial subgroup assignment to predict sickness absence in a working population with neck and back pain
title_sort using a psychosocial subgroup assignment to predict sickness absence in a working population with neck and back pain
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3097013/
https://www.ncbi.nlm.nih.gov/pubmed/21521502
http://dx.doi.org/10.1186/1471-2474-12-81
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