{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T03:05:26Z","timestamp":1776740726970,"version":"3.51.2"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T00:00:00Z","timestamp":1693785600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Danish Working Environment Research Fund","award":["26-2015-09"],"award-info":[{"award-number":["26-2015-09"]}]},{"DOI":"10.13039\/501100003086","name":"Basque Government","doi-asserted-by":"publisher","award":["PRE_2021_2_0056"],"award-info":[{"award-number":["PRE_2021_2_0056"]}],"id":[{"id":"10.13039\/501100003086","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003086","name":"Basque Government","doi-asserted-by":"publisher","award":["EP_2022_1_0013"],"award-info":[{"award-number":["EP_2022_1_0013"]}],"id":[{"id":"10.13039\/501100003086","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Despite extensive investigation of ergonomic risk factors for spinal pain in healthcare workers, limited knowledge of psychological risk factors exists.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>To assess the prospective association of mental health and vitality with development of spinal pain in healthcare workers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A prospective cohort study was carried out involving 1950 healthcare workers from 19 hospitals in Denmark. Assessments were done at baseline and at 1-year follow-up. Mental health and vitality were measured using the Short Form-36 Health Survey, while spinal pain intensity was measured using a 0\u201310 scale in the low-back, upper-back and neck, respectively. Cumulative logistic regressions adjusted for several confounding factors were applied, reporting risk estimates as odds ratios (ORs) and 95% confidence intervals (CIs).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Using good mental health as reference, moderate (but not poor) mental health at baseline was associated with increased pain intensity in the low-back (OR: 1.41 [95% CI: 1.21\u20131.77]), upper-back (OR: 1.63 [95% CI: 1.31\u20132.02]) and neck (OR: 1.31 [95% CI: 1.07\u20131.61]) at 1-year follow-up. Likewise, using high vitality as reference, both moderate and low vitality at baseline were associated with increased pain intensity in the low-back (OR: 1.54 [95% CI: 1.22\u20131.94] and OR: 2.34 [95% CI: 1.75\u20133.12], respectively), upper-back (OR: 1.72 [95% CI: 1.34\u20132.23] and OR: 2.46 [95% CI: 1.86\u20133.25], respectively) and neck (OR: 1.66 [95% CI: 1.34\u20132.06] and OR: 2.06 [95% CI: 1.61\u20132.63], respectively) at 1-year follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Compared to healthcare workers with good mental health and high vitality, those with moderate mental health and low\/moderate vitality, respectively, were more likely to increase spinal pain intensity at 1-year follow-up. These components should also be considered in the prevention of spinal pain in healthcare workers.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/occmed\/kqad096","type":"journal-article","created":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T19:10:37Z","timestamp":1693854637000},"page":"464-469","source":"Crossref","is-referenced-by-count":5,"title":["Mental health and vitality predict spinal pain in healthcare workers"],"prefix":"10.1093","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1969-3057","authenticated-orcid":false,"given":"A","family":"Espin","sequence":"first","affiliation":[{"name":"Department of Musculoskeletal Disorders, National Research Centre for the Working Environment , 2100 Copenhagen , Denmark"},{"name":"Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV\/EHU) , 48940 Leioa , Spain"},{"name":"Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute , 48903 Barakaldo , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4068-9338","authenticated-orcid":false,"given":"R","family":"N\u00fa\u00f1ez-Cort\u00e9s","sequence":"additional","affiliation":[{"name":"Department of Musculoskeletal Disorders, National Research Centre for the Working Environment , 2100 Copenhagen , Denmark"},{"name":"Physiotherapy in Motion Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia , 46010 Valencia , Spain"},{"name":"Department of Physical Therapy, Faculty of Medicine, University of Chile , 8380000 Santiago , Chile"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Irazusta","sequence":"additional","affiliation":[{"name":"Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV\/EHU) , 48940 Leioa , Spain"},{"name":"Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute , 48903 Barakaldo , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Rodriguez-Larrad","sequence":"additional","affiliation":[{"name":"Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV\/EHU) , 48940 Leioa , Spain"},{"name":"Clinical Nursing and Community Health Research Group, Biocruces Bizkaia Health Research Institute , 48903 Barakaldo , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Torres-Unda","sequence":"additional","affiliation":[{"name":"Ageing on Research Group, Department of Physiology, University of the Basque Country (UPV\/EHU) , 48940 Leioa , Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Vinstrup","sequence":"additional","affiliation":[{"name":"Department of Musculoskeletal Disorders, National Research Centre for the Working Environment , 2100 Copenhagen , Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M D","family":"Jakobsen","sequence":"additional","affiliation":[{"name":"Department of Musculoskeletal Disorders, National Research Centre for the Working Environment , 2100 Copenhagen , Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L L","family":"Andersen","sequence":"additional","affiliation":[{"name":"Department of Musculoskeletal Disorders, National Research Centre for the Working Environment , 2100 Copenhagen , Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,9,4]]},"reference":[{"key":"2023122919453988400_CIT0001","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1177\/0018720815581933","article-title":"Prevalence of musculoskeletal disorders for nurses in hospitals, long-term care facilities, and home health care: a comprehensive review","volume":"57","author":"Davis","year":"2015","journal-title":"Hum 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