title: Anxiety and depression predict musculoskeletal disorders in health care workers.
abstract: Incidence of musculoskeletal disorders (MSDs) is high among health care workers (HCWs). To determine whether MSDs are associated with preexisting anxiety and/or depression, a case-control study was carried out in female HCWs (56 cases/55 controls). Cases were HCWs with a first-time clinical diagnosis of MSD within the previous 2 years. Occupation, workplace, work shift, direct patient assistance, and anxiety/depression scores (Goldberg scale) were assessed. Increased risk of incident MSDs (multivariate logistic regression) was found in workers with preexisting anxiety/depression compared to those without (OR 5.01; 95% CI 2.20-12.05; p < .01). Other significant risk factors were direct patient assistance (OR 2.59; 95% CI 1.03-6.92; p = .04) and morning work shift (OR 2.47; 95% CI 0.99-6.48; p = .05). Preexisting anxiety/depression was associated with incident MSDs in HCWs, adjusting for occupational exposure risk factors.
authors.affiliation: a Department of Occupational Health and Prevention , Fundación Jiménez Díaz Hospital, Universidad Autónoma de Madrid , Madrid , Spain.
authors.forename: M T
authors.initials: MT
authors.lastname: Del Campo
authors.affiliation: a Department of Occupational Health and Prevention , Fundación Jiménez Díaz Hospital, Universidad Autónoma de Madrid , Madrid , Spain.
authors.forename: Pablo E
authors.initials: PE
authors.lastname: Romo
authors.affiliation: b Icahn School of Medicine at Mount Sinai , New York , NY , USA.
authors.forename: Rafael E
authors.initials: RE
authors.lastname: de la Hoz
authors.affiliation: a Department of Occupational Health and Prevention , Fundación Jiménez Díaz Hospital, Universidad Autónoma de Madrid , Madrid , Spain.
authors.forename: José Miguel
authors.initials: JM
authors.lastname: Villamor
authors.affiliation: c Epidemiology Section of the Research Unit, Fundación Jiménez Díaz Hospital, Universidad Autónoma de Madrid , Madrid , Spain.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Mahíllo-Fernández
mesh_terms: D000328:Adult; D001007:Anxiety / Q000453:epidemiology* / Q000523:psychology; D016022:Case-Control Studies; D003863:Depression / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006282:Health Personnel / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000453:epidemiology* / Q000209:etiology; D009784:Occupational Diseases / Q000453:epidemiology* / Q000209:etiology; D012307:Risk Factors; D013030:Spain / Q000453:epidemiology; D055815:Young Adult
keywords: Health care workers; low back pain; mental health; musculoskeletal disorder; neck disorder; occupational health