Factors associated with generalized anxiety in workers undergoing work rehabilitation for persistent musculoskeletal pain.
Identifieur interne : 001463 ( Main/Corpus ); précédent : 001462; suivant : 001464Factors associated with generalized anxiety in workers undergoing work rehabilitation for persistent musculoskeletal pain.
Auteurs : Marie-France Coutu ; Marie-José Durand ; André Marchand ; Marie-Elise Labrecque ; Djamal Berbiche ; Geneviève CadieuxSource :
- Disability and rehabilitation [ 1464-5165 ] ; 2013.
English descriptors
- KwdEn :
- Adult (MeSH), Anxiety (diagnosis), Anxiety (psychology), Anxiety Disorders (diagnosis), Anxiety Disorders (psychology), Attitude (MeSH), Cognition (MeSH), Diagnostic and Statistical Manual of Mental Disorders (MeSH), Fear (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Models, Psychological (MeSH), Musculoskeletal Pain (psychology), Musculoskeletal Pain (rehabilitation), Orientation (MeSH), Patient Acceptance of Health Care (MeSH), Problem Solving (MeSH), Prospective Studies (MeSH), Quebec (MeSH), Surveys and Questionnaires (MeSH), Time Factors (MeSH), Uncertainty (MeSH).
- MESH :
- geographic : Quebec.
- diagnosis : Anxiety, Anxiety Disorders.
- psychology : Anxiety, Anxiety Disorders, Musculoskeletal Pain.
- rehabilitation : Musculoskeletal Pain.
- Adult, Attitude, Cognition, Diagnostic and Statistical Manual of Mental Disorders, Fear, Female, Humans, Male, Middle Aged, Models, Psychological, Orientation, Patient Acceptance of Health Care, Problem Solving, Prospective Studies, Surveys and Questionnaires, Time Factors, Uncertainty.
Abstract
PURPOSE
To document in workers having a work disability due to a musculoskeletal disorder (MSD), the presence and variation over time of their intolerance of uncertainty and its maintenance factors as defined in Dugas et al.'s generalized anxiety disorder (GAD) model, i.e. worries, negative problem orientation, beliefs about the usefulness of worrying, cognitive avoidance and their consequences on depressive symptoms.
METHODS
An observational, prospective repeated-measures design was retained. Thirty-nine workers with an MSD having caused a work absence of over three months and who were beginning a work rehabilitation program were recruited and evaluated at four moments (beginning of rehabilitation program, first hours of work exposure, 50% of regular working hours and end of rehabilitation program). Validated self-report questionnaires measuring intolerance of uncertainty and its maintenance factors were administered. Finally, the Worry and Anxiety Questionnaire measured the presence and intensity of GAD symptoms as defined in the DSM-IV-TR.
RESULTS
Fifty percent of the workers initially exhibited GAD symptoms. Concerning the variation over time, improvements were noted in all GAD-related factors during the program, particularly with the first hours of work exposure. At the end of rehabilitation, only 21% of the participants still met GAD diagnostic criteria.
CONCLUSION
Workers with an MSD causing a work disability averaging one year in length and enrolled in a work rehabilitation program exhibited a high level of anxiety at the beginning of the work rehabilitation program. Workers perceived a usefulness in worrying and presented some intolerance of uncertainty and some cognitive avoidance strategies. According to Dugas et al.'s GAD model, the intensity of the symptoms associated with GAD development and maintenance factors was, however, not typical of a GAD. IMPLICATION FOR REHABILITATION: A reconceptualization of the problem in terms of reducing the work disability rather than reducing pain may constitute a promising avenue to reduce anxiety symptoms. Future studies should look at the specific impact of work exposure, not only on pain symptoms but also on worries. The high level of anxiety and the reported worries by workers stresses the importance of studying the hypothesis of a workplace phobia in order to improve clinical practice guidelines.
DOI: 10.3109/09638288.2012.748833
PubMed: 23294407
Links to Exploration step
pubmed:23294407Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Factors associated with generalized anxiety in workers undergoing work rehabilitation for persistent musculoskeletal pain.</title>
<author><name sortKey="Coutu, Marie France" sort="Coutu, Marie France" uniqKey="Coutu M" first="Marie-France" last="Coutu">Marie-France Coutu</name>
<affiliation><nlm:affiliation>CAPRIT and School of Rehabilitation, Université de Sherbrooke, Longueuil QC, Canada. Marie-France.Coutu@USherbrooke.ca</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Durand, Marie Jose" sort="Durand, Marie Jose" uniqKey="Durand M" first="Marie-José" last="Durand">Marie-José Durand</name>
</author>
<author><name sortKey="Marchand, Andre" sort="Marchand, Andre" uniqKey="Marchand A" first="André" last="Marchand">André Marchand</name>
</author>
<author><name sortKey="Labrecque, Marie Elise" sort="Labrecque, Marie Elise" uniqKey="Labrecque M" first="Marie-Elise" last="Labrecque">Marie-Elise Labrecque</name>
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<author><name sortKey="Berbiche, Djamal" sort="Berbiche, Djamal" uniqKey="Berbiche D" first="Djamal" last="Berbiche">Djamal Berbiche</name>
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<author><name sortKey="Cadieux, Genevieve" sort="Cadieux, Genevieve" uniqKey="Cadieux G" first="Geneviève" last="Cadieux">Geneviève Cadieux</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Factors associated with generalized anxiety in workers undergoing work rehabilitation for persistent musculoskeletal pain.</title>
<author><name sortKey="Coutu, Marie France" sort="Coutu, Marie France" uniqKey="Coutu M" first="Marie-France" last="Coutu">Marie-France Coutu</name>
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<author><name sortKey="Durand, Marie Jose" sort="Durand, Marie Jose" uniqKey="Durand M" first="Marie-José" last="Durand">Marie-José Durand</name>
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<author><name sortKey="Marchand, Andre" sort="Marchand, Andre" uniqKey="Marchand A" first="André" last="Marchand">André Marchand</name>
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<author><name sortKey="Labrecque, Marie Elise" sort="Labrecque, Marie Elise" uniqKey="Labrecque M" first="Marie-Elise" last="Labrecque">Marie-Elise Labrecque</name>
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<author><name sortKey="Berbiche, Djamal" sort="Berbiche, Djamal" uniqKey="Berbiche D" first="Djamal" last="Berbiche">Djamal Berbiche</name>
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<author><name sortKey="Cadieux, Genevieve" sort="Cadieux, Genevieve" uniqKey="Cadieux G" first="Geneviève" last="Cadieux">Geneviève Cadieux</name>
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<series><title level="j">Disability and rehabilitation</title>
<idno type="eISSN">1464-5165</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Anxiety (diagnosis)</term>
<term>Anxiety (psychology)</term>
<term>Anxiety Disorders (diagnosis)</term>
<term>Anxiety Disorders (psychology)</term>
<term>Attitude (MeSH)</term>
<term>Cognition (MeSH)</term>
<term>Diagnostic and Statistical Manual of Mental Disorders (MeSH)</term>
<term>Fear (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Models, Psychological (MeSH)</term>
<term>Musculoskeletal Pain (psychology)</term>
<term>Musculoskeletal Pain (rehabilitation)</term>
<term>Orientation (MeSH)</term>
<term>Patient Acceptance of Health Care (MeSH)</term>
<term>Problem Solving (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Quebec (MeSH)</term>
<term>Surveys and Questionnaires (MeSH)</term>
<term>Time Factors (MeSH)</term>
<term>Uncertainty (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Quebec</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Anxiety</term>
<term>Anxiety Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Anxiety</term>
<term>Anxiety Disorders</term>
<term>Musculoskeletal Pain</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Musculoskeletal Pain</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Attitude</term>
<term>Cognition</term>
<term>Diagnostic and Statistical Manual of Mental Disorders</term>
<term>Fear</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Models, Psychological</term>
<term>Orientation</term>
<term>Patient Acceptance of Health Care</term>
<term>Problem Solving</term>
<term>Prospective Studies</term>
<term>Surveys and Questionnaires</term>
<term>Time Factors</term>
<term>Uncertainty</term>
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<front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b>
</p>
<p>To document in workers having a work disability due to a musculoskeletal disorder (MSD), the presence and variation over time of their intolerance of uncertainty and its maintenance factors as defined in Dugas et al.'s generalized anxiety disorder (GAD) model, i.e. worries, negative problem orientation, beliefs about the usefulness of worrying, cognitive avoidance and their consequences on depressive symptoms.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>An observational, prospective repeated-measures design was retained. Thirty-nine workers with an MSD having caused a work absence of over three months and who were beginning a work rehabilitation program were recruited and evaluated at four moments (beginning of rehabilitation program, first hours of work exposure, 50% of regular working hours and end of rehabilitation program). Validated self-report questionnaires measuring intolerance of uncertainty and its maintenance factors were administered. Finally, the Worry and Anxiety Questionnaire measured the presence and intensity of GAD symptoms as defined in the DSM-IV-TR.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Fifty percent of the workers initially exhibited GAD symptoms. Concerning the variation over time, improvements were noted in all GAD-related factors during the program, particularly with the first hours of work exposure. At the end of rehabilitation, only 21% of the participants still met GAD diagnostic criteria.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Workers with an MSD causing a work disability averaging one year in length and enrolled in a work rehabilitation program exhibited a high level of anxiety at the beginning of the work rehabilitation program. Workers perceived a usefulness in worrying and presented some intolerance of uncertainty and some cognitive avoidance strategies. According to Dugas et al.'s GAD model, the intensity of the symptoms associated with GAD development and maintenance factors was, however, not typical of a GAD. IMPLICATION FOR REHABILITATION: A reconceptualization of the problem in terms of reducing the work disability rather than reducing pain may constitute a promising avenue to reduce anxiety symptoms. Future studies should look at the specific impact of work exposure, not only on pain symptoms but also on worries. The high level of anxiety and the reported worries by workers stresses the importance of studying the hypothesis of a workplace phobia in order to improve clinical practice guidelines.</p>
</div>
</front>
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<ArticleTitle>Factors associated with generalized anxiety in workers undergoing work rehabilitation for persistent musculoskeletal pain.</ArticleTitle>
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<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To document in workers having a work disability due to a musculoskeletal disorder (MSD), the presence and variation over time of their intolerance of uncertainty and its maintenance factors as defined in Dugas et al.'s generalized anxiety disorder (GAD) model, i.e. worries, negative problem orientation, beliefs about the usefulness of worrying, cognitive avoidance and their consequences on depressive symptoms.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">An observational, prospective repeated-measures design was retained. Thirty-nine workers with an MSD having caused a work absence of over three months and who were beginning a work rehabilitation program were recruited and evaluated at four moments (beginning of rehabilitation program, first hours of work exposure, 50% of regular working hours and end of rehabilitation program). Validated self-report questionnaires measuring intolerance of uncertainty and its maintenance factors were administered. Finally, the Worry and Anxiety Questionnaire measured the presence and intensity of GAD symptoms as defined in the DSM-IV-TR.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Fifty percent of the workers initially exhibited GAD symptoms. Concerning the variation over time, improvements were noted in all GAD-related factors during the program, particularly with the first hours of work exposure. At the end of rehabilitation, only 21% of the participants still met GAD diagnostic criteria.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Workers with an MSD causing a work disability averaging one year in length and enrolled in a work rehabilitation program exhibited a high level of anxiety at the beginning of the work rehabilitation program. Workers perceived a usefulness in worrying and presented some intolerance of uncertainty and some cognitive avoidance strategies. According to Dugas et al.'s GAD model, the intensity of the symptoms associated with GAD development and maintenance factors was, however, not typical of a GAD. IMPLICATION FOR REHABILITATION: A reconceptualization of the problem in terms of reducing the work disability rather than reducing pain may constitute a promising avenue to reduce anxiety symptoms. Future studies should look at the specific impact of work exposure, not only on pain symptoms but also on worries. The high level of anxiety and the reported worries by workers stresses the importance of studying the hypothesis of a workplace phobia in order to improve clinical practice guidelines.</AbstractText>
</Abstract>
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