The impact of decision latitude, psychological load and social support at work on the development of neck, shoulder and low back symptoms among female human service organization workers.

Abstract The aim of the present study was to investigate longitudinal relations between decision latitude, psychological workload and social support and musculoskeletal neck, shoulder and low back symptoms. In this longitudinal two-wave cohort study a questionnaire survey was conducted among female human service organization workers (n = 1690). The analyses were based on respondents who were considered free from the respective symptoms at baseline measurements, resulting in study samples of n = 741 for neck symptoms, n = 670 for shoulder symptoms, and n = 640 for low back symptoms. In general support was found for the job demand–control–(support) model. High strain work (high psychological load coupled with low decision latitude) in combination with low social support (‘iso-strain’) was related to increased risks of developing symptoms (occurrence of new episode) in all the body regions studied (neck, shoulder and low back). Relevance to industry The results indicate that, in order to minimize the occurrence of musculoskeletal symptoms, it is important to ensure that employees have adequate levels of decision latitude, to keep the workload at optimal levels, and to provide supervisor support and structures that facilitate coworker support.

[1]  P M Bongers,et al.  Psychosocial risk factors for neck pain: a systematic review. , 2001, American journal of industrial medicine.

[2]  J. Hanse,et al.  Psychological and mechanical workload and musculoskeletal symptoms among female child-care workers , 2008 .

[3]  P. Bongers,et al.  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) , 2006, Journal of Occupational Rehabilitation.

[4]  A Ahlbom,et al.  Job decision latitude, job demands, and cardiovascular disease: a prospective study of Swedish men. , 1981, American journal of public health.

[5]  Anders Kjellberg,et al.  The role of the affective stress response as a mediator for the effect of psychosocial risk factors on musculoskeletal complaints—Part 2: Hospital workers , 2007 .

[6]  P. Warr.  A conceptual framework for the study of work and mental health , 1994 .

[7]  C. Heaney,et al.  The relationship between psychosocial work characteristics and low back pain: underlying methodological issues. , 2000, Clinical biomechanics.

[8]  Jan Å Johansson,et al.  The impact of decision latitude, psychological load and social support at work on musculoskeletal symptoms , 1995 .

[9]  Herbert Heuer,et al.  Control at work: A generalized resource factor for the prevention of musculoskeletal symptoms? , 2001 .

[10]  P. Bongers,et al.  "The very best of the millennium": longitudinal research and the demand-control-(support) model. , 2003, Journal of occupational health psychology.

[11]  Sigvard Rubenowitz,et al.  Survey and intervention of ergonomic problems at the workplace , 1997 .

[12]  Paulien M Bongers,et al.  Are psychosocial factors, risk factors for symptoms and signs of the shoulder, elbow, or hand/wrist?: A review of the epidemiological literature. , 2002, American journal of industrial medicine.

[13]  V. H. Hildebrandt,et al.  Psychosocial factors at work and musculoskeletal disease , 1993 .

[14]  Jan Johansson Hanse,et al.  Job characteristics as predictors of ill-health and sickness absenteeism in different occupational types--a multigroup structural equation modelling approach , 2002 .

[15]  B. Jonsson,et al.  Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. , 1987, Applied ergonomics.

[16]  C. Dillon,et al.  Trends in work-related musculoskeletal disorder reports by year, type, and industrial sector: a capture-recapture analysis. , 2005, American journal of industrial medicine.

[17]  Keith T Palmer,et al.  Work relatedness of chronic neck pain with physical findings--a systematic review. , 2007, Scandinavian journal of work, environment & health.

[18]  B. Koes,et al.  Work-related risk factors for the incidence and recurrence of shoulder and neck complaints among nursing-home and elderly-care workers. , 2004, Scandinavian journal of work, environment & health.

[19]  H. Christensen,et al.  Perceived work demands, felt stress, and musculoskeletal neck/shoulder symptoms among elderly female computer users. The NEW study , 2004, European Journal of Applied Physiology.

[20]  Jeffrey V. Johnson.  The impact of workplace social support, job demands and work control upon cardiovascular disease in Sweden. , 1986 .

[21]  Robert Karasek,et al.  Healthy Work : Stress, Productivity, and the Reconstruction of Working Life , 1990 .

[22]  J. Johnson,et al.  Job strain, work place social support, and cardiovascular disease: a cross-sectional study of a random sample of the Swedish working population. , 1988, American journal of public health.

[23]  S. Moon,et al.  An ecological model of musculoskeletal disorders in office work , 1996 .

[24]  Robert Karasek,et al.  Job decision latitude and mental strain: Implications for job redesign , 1979 .