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비특이성 목 통증 재발의 심리적 인자

Psychological Factors in Recurrent Non-specific Neck Pain

  • 구미란 (경성대학교 물리치료학과) ;
  • 전덕훈 (대구대학교 물리치료학과)
  • Mi-Ran Goo (Department of Physical Therapy, Kyungsung University) ;
  • Deok-Hoon Jun (Department of Physical Therapy, Daegu University)
  • 투고 : 2024.07.23
  • 심사 : 2024.08.12
  • 발행 : 2024.08.31

초록

Purpose: The aim of this study was to determine the influence of psychological and other risk factors on the recurrence of nonspecific neck pain. To achieve this, a nationwide cohort provided by the National Health Insurance Service in South Korea, with a three-year follow-up, was used. Methods: The study included patients who did not experience neck pain for the first year but were diagnosed with nonspecific neck pain (ICD-10 code: M54.2) in the second year. The progress of their neck pain recurrence was followed up for the next two years. Medical records, including age, gender, health insurance premium quintile, regional health vulnerability index score, initial onset duration, total hospitalization duration, and secondary diagnosis at onset, were extracted for analysis. Multivariate logistic regression analysis was performed to analyze the recurrence rate and risk factors for nonspecific neck pain recurrence. Results: Among a total of 591,215 patients, 29.2% experienced recurrence within two years. Patients with psychological disorders had a higher recurrence rate (30.6-33.8%) than those without psychological disorders (29.2%). Specifically, mood disorders (OR = 1.16) and stress-related disorders (OR = 1.06) were identified as risk factors for the recurrence of nonspecific neck pain. Older age (OR = 1.16-1.43), being female (OR = 1.17), being employed (OR = 1.23), and using medial aids (OR = 1.41) were also identified as risk factors. Conclusion: This study provides evidence for a high recurrence rate of nonspecific neck pain and highlights the need to consider psychological factors as well as personal factors in comprehensive interventions to prevent recurrent nonspecific neck pain.

키워드

과제정보

이 연구는 국민건강보험공단의 자료(REQ202301289-019)를 활용한 것으로, 연구의 결과는 국민건강보험공단과 관련이 없음을 밝힙니다.

참고문헌

  1. Bartley EJ, Fillingim RB. Sex differences in pain: a brief review of clinical and experimental findings. British Journal of Anaesthesia. 2013;111(1):52-58.
  2. Birch L, Juul-Kristensen B, Jensen C et al. Acute response to precision, time pressure and mental demand during simulated computer work. Scandinavian Journal of Work, Environment & Health. 2000;26(4):299-305.
  3. Cote P, van der Velde G, Cassidy JD et al. The burden and determinants of neck pain in workers: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Journal of Manipulative & Physiological Therapeutics. 2009;32(2 Suppl):S70-86.
  4. Devereux JJ, Vlachonikolis IG,Buckle PW. Epidemiological study to investigate potential interaction between physical and psychosocial factors at work that may increase the risk of symptoms of musculoskeletal disorder of the neck and upper limb. Occupational and Environmental Medicine. 2002;59(4):269-277.
  5. Dubois JD, Abboud J, St-Pierre C et al. Neuromuscular adaptations predict functional disability independently of clinical pain and psychological factors in patients with chronic non-specific low back pain. Journal of Electromyography and Kinesiology. 2014;24(4):550-557.
  6. Eijckelhof BH, Bruno Garza JL, Huysmans MA et al. The effect of overcommitment and reward on muscle activity, posture, and forces in the arm-wrist-hand region--a field study among computer workers. Scandinavian Journal of Work, Environment & Health. 2013;39(4):379-389.
  7. Fillingim RB, King CD, Ribeiro-Dasilva MC et al. Sex, gender, and pain: a review of recent clinical and experimental findings. The Journal of Pain. 2009;10(5):447-485.
  8. Hajihasani A, Rouhani M, Salavati M et al. The Influence of Cognitive Behavioral Therapy on Pain, Quality of Life, and Depression in Patients Receiving Physical Therapy for Chronic Low Back Pain: A Systematic Review. PM & R. 2019;11(2):167-176.
  9. Irgens P, Kongsted A, Myhrvold BL et al. Neck pain patterns and subgrouping based on weekly SMS-derived trajectories. BMC Musculoskeletal Disorders. 2020;21(1):678.
  10. Jahre H, Grotle M, Smedbraten K et al. Risk factors for non-specific neck pain in young adults. A systematic review. BMC Musculoskeletal Disorders. 2020;21(1):366.
  11. Janwantanakul P, Sitthipornvorakul E,Paksaichol A. Risk factors for the onset of nonspecific low back pain in office workers: a systematic review of prospective cohort studies. Journal of Manipulative and Physiological Therapeutics. 2012;35(7):568-577.
  12. Jun D, Johnston V, McPhail SM et al. A Longitudinal Evaluation of Risk Factors and Interactions for the Development of Nonspecific Neck Pain in Office Workers in Two Cultures. Human Factors. 2021;63(4):663-683.
  13. Jun D, O'Leary S, McPhail SM et al. Job strain and psychological distress in office workers: The role of coping. Work. (Reading, Mass.) 2019;64(1):55-65.
  14. Jun D, Zoe M, Johnston V et al. Physical risk factors for developing non-specific neck pain in office workers: a systematic review and meta-analysis. International Archives of Occupational and Environmental Health. 2017.
  15. Jun D. A Prospective Investigation into the Effects of Workplace Stress and Working Postures on Work-related Neck Pain in Office Workers. PNF & Movement. 2019;17(2):253-261.
  16. Kazeminasab S, Nejadghaderi SA, Amiri P et al. Neck pain: global epidemiology, trends and risk factors. BMC Musculoskeletal Disorders. 2022;23(1):26.
  17. Kim R, Wiest C, Clark K et al. Identifying risk factors for first-episode neck pain: A systematic review. Musculoskeletal science & practice. 2018;33:77-83.
  18. Paksaichol A, Janwantanakul P, Purepong N et al. Office workers' risk factors for the development of non-specific neck pain: a systematic review of prospective cohort studies. Occupational and Environmental Medicine. 2012;69(9): 610-618.
  19. Park KAK, S. H. Regional Health Vulnerable Areas by Province/City Report 2016. In: Institute, KHP, editor. Seoul: Korea Health Promotion Institute. 2016.
  20. Pereira M, Comans T, Sjogaard G et al. The impact of workplace ergonomics and neck-specific exercise versus ergonomics and health promotion interventions on office worker productivity: A cluster-randomized trial. Scandinavian Journal of Work, Environment & Health. 2019;45(1):42-52.
  21. Samulowitz A, Gremyr I, Eriksson E et al. "Brave Men" and "Emotional Women": A Theory-Guided Literature Review on Gender Bias in Health Care and Gendered Norms towards Patients with Chronic Pain. Pain Research & Management. 2018;2018:6358624.
  22. Shahidi B, Curran-Everett D,Maluf KS. Psychosocial, Physical, and Neurophysiological Risk Factors for Chronic Neck Pain: A Prospective Inception Cohort Study. Journal of Pain. 2015;16(12):1288-1299.
  23. Shin DW, Shin JI, Koyanagi A et al. Global, regional, and national neck pain burden in the general population, 1990-2019: An analysis of the global burden of disease study 2019. Frontiers in Neurology. 2022;13:955367.
  24. Wegener ST, Castillo RC, Haythornthwaite J et al. Psychological distress mediates the effect of pain on function. Pain. 2011;152(6):1349-1357.