TY  - JOUR
PY  - 2023//
TI  - Association between pain coping and symptoms of anxiety and depression, and work absenteeism in people with upper limb musculoskeletal disorders: a systematic review and meta-analysis
JO  - Archives of physical medicine and rehabilitation
A1  - Núñez-Cortés, Rodrigo
A1  - Espin, Ander
A1  - Pérez-Alenda, Sofía
A1  - López-Bueno, Rubén
A1  - Cruz-Montecinos, Carlos
A1  - Vincents-Seeberg, Karina Glies
A1  - Püschel, Thomas A.
A1  - Calatayud, Joaquin
A1  - Andersen, Lars Louis
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: To determine the prospective association of pain coping strategies and symptoms of anxiety and depression with work absenteeism in people with upper limb musculoskeletal disorders. DATA SOURCES: A systematic search of PubMed, Web of Science, Embase, Cochrane Library, and Scopus databases was conducted from inception to September 23, 2022. STUDY SELECTION: Prospective observational studies of adults with upper limb musculoskeletal disorders were included. Included studies had to provide data on the association of pain coping strategies (catastrophizing, kinesiophobia, self-efficacy or fear avoidance) or symptoms of anxiety and depression with work absenteeism. DATA EXTRACTION: Study selection, data extraction and assessment of methodological quality (Newcastle Ottawa Scale) were performed by two independent authors. Random-effects models were used for quantitative synthesis. DATA SYNTHESIS: Eighteen studies (n=12,393 participants) were included. Most studies (77.8%) reported at least one significant association between one or more exposure factors (pain coping strategies or symptoms of anxiety and depression) and work absenteeism. Meta-analyses showed a statistically significant correlation between the exposure factors of catastrophizing (r=0.28, 95% CI: 0.15 to 0.40; p<0.0001) and symptoms of anxiety and depression (r=0.23, 95% CI: 0.10 to 0.34; p=0.0003) with work absenteeism. The correlation between self-efficacy and work absenteeism was non-significant (r=0.24, 95% CI: -0.02 to 0.47; p=0.0747). <br><br>CONCLUSIONS: Rehabilitation teams should consider assessing catastrophizing and symptoms of anxiety and depression to identify patients at risk for work absenteeism. Addressing these variables may also be considered in return-to-work programs for individuals with upper limb disorders.<p />  <p>Language: en</p>
LA  - en
SN  - 0003-9993
UR  - http://dx.doi.org/10.1016/j.apmr.2023.07.003
ID  - ref1
ER  -