TY - JOUR
T1 - Work stress and incidence of newly diagnosed fibromyalgia
T2 - Prospective cohort study
AU - Kivimäki, Mika
AU - Leino-Arjas, Päivi
AU - Virtanen, Marianna
AU - Elovainio, Marko
AU - Keltikangas-Jarvinen, Liisa
AU - Puttonen, Sampsa
AU - Vartia, Maarit
AU - Brunner, Eric
AU - Vahtera, Jussi
N1 - Funding Information:
This study was supported, in part, by the Academy of Finland (projects #105195 and #77560) and the Finnish Work Environment Fund. We thank Dr Tony Cleare for his comments on an earlier version of the paper.
PY - 2004/11
Y1 - 2004/11
N2 - Objectives We examined the prospective association between occupational stress and incidence of newly diagnosed fibromyalgia. Methods Cohort study with questionnaire surveys in 1998 and 2000 completed by 4791 hospital employees (4250 women and 541 men). Stress, as indicated by high workload, low decision latitude, and being a victim of workplace bullying, was assessed in the first survey. Incident cases (n=47) were employees reporting physician-diagnosed fibromyalgia in 2000 but not in 1998. Covariates were sex, age, income, obesity, and smoking. Results After adjustment for covariates, the odds ratio of incident diagnosed fibromyalgia for workplace bullying was 4.1 (95% CI 2.0-9.6). The corresponding odds ratios for high workload and low decision latitude were 2.1 (1.2-3.9) and 2.1 (1.1-4.0), respectively. Conclusion Stress seems to be a contributing factor in the development of fibromyalgia, but further research is needed to examine whether stress perceptions are affected by undiagnosed fibromyalgia.
AB - Objectives We examined the prospective association between occupational stress and incidence of newly diagnosed fibromyalgia. Methods Cohort study with questionnaire surveys in 1998 and 2000 completed by 4791 hospital employees (4250 women and 541 men). Stress, as indicated by high workload, low decision latitude, and being a victim of workplace bullying, was assessed in the first survey. Incident cases (n=47) were employees reporting physician-diagnosed fibromyalgia in 2000 but not in 1998. Covariates were sex, age, income, obesity, and smoking. Results After adjustment for covariates, the odds ratio of incident diagnosed fibromyalgia for workplace bullying was 4.1 (95% CI 2.0-9.6). The corresponding odds ratios for high workload and low decision latitude were 2.1 (1.2-3.9) and 2.1 (1.1-4.0), respectively. Conclusion Stress seems to be a contributing factor in the development of fibromyalgia, but further research is needed to examine whether stress perceptions are affected by undiagnosed fibromyalgia.
KW - Fibromyalgia
KW - Functional symptoms
KW - Health care personnel
KW - Incidence
KW - Musculoskeletal disorders
KW - Stress
U2 - 10.1016/j.jpsychores.2003.10.013
DO - 10.1016/j.jpsychores.2003.10.013
M3 - Article
C2 - 15581643
AN - SCOPUS:9644279638
SN - 0022-3999
VL - 57
SP - 417
EP - 422
JO - JOURNAL OF PSYCHOSOMATIC RESEARCH
JF - JOURNAL OF PSYCHOSOMATIC RESEARCH
IS - 5
ER -
