{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T18:38:35Z","timestamp":1792694315671,"version":"4.5.0"},"reference-count":53,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:00:00Z","timestamp":1792368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["WORK: A Journal of Prevention, Assessment &amp; Rehabilitation"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Musculoskeletal disorders (MSDs) are highly prevalent among healthcare workers due to the physical and psychosocial demands of their job. These conditions lead to significant functional limitations and impose a substantial economic burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to investigate whether pain coping strategies moderate the relationship between work-related physical and psychosocial factors and MSDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted among 130 healthcare workers at Northwest General Hospital, Peshawar, Pakistan. Data were analyzed using SPSS version 27 and moderation analysis was performed using the PROCESS macro version 4.2 by Andrew F. Hayes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Strong positive correlations were found between pain coping strategies and neck-shoulder pain (r\u2009=\u20090.86,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and upper extremity pain (r\u2009=\u20090.65,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), while a weaker correlation was observed with low back pain (r\u2009=\u20090.34,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Work-related psychosocial and physical factors were strongly associated with neck, shoulder, and upper extremity pain, while their relationship with low back pain was moderate.\n                    <\/jats:p>\n                    <jats:p>\n                      Moderation analysis showed that pain coping strategies significantly moderated the relationship between work demands and neck-shoulder pain (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.00182). Similarly, coping strategies moderated the effect of heavy physical load on upper extremity pain (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.0195). However, no significant moderating effect was found for low back pain.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pain coping strategies significantly moderate the relationship between work-related physical and psychosocial factors and MSDs, particularly in the neck, shoulder, and upper extremities. These findings suggest that integrating coping-based interventions into occupational health programs may help mitigate the burden of MSDs among healthcare workers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10519815261497681","type":"journal-article","created":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T14:42:53Z","timestamp":1792420973000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring the moderating role of pain coping strategies on the association between work-related physical and psychosocial factors and musculoskeletal disorders in healthcare workers"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8466-6962","authenticated-orcid":false,"given":"Saman","family":"Shahid","sequence":"first","affiliation":[{"name":"Doctor of Physical Therapy, Northwest Institute of Health Sciences, Peshawar, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0447-6682","authenticated-orcid":false,"given":"Salman Wasim","family":"Khan","sequence":"additional","affiliation":[{"name":"Doctor of Physical Therapy, Northwest Institute of Health Sciences, Peshawar, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2255-9380","authenticated-orcid":false,"given":"Muhammad Saad","family":"Ali","sequence":"additional","affiliation":[{"name":"Doctor of Physical Therapy, Northwest Institute of Health Sciences, Peshawar, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9942-0292","authenticated-orcid":false,"given":"Amir","family":"Waqas","sequence":"additional","affiliation":[{"name":"Doctor of Physical Therapy, Northwest Institute of Health Sciences, Peshawar, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1106-8495","authenticated-orcid":false,"given":"Uzair","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Doctor of Physical Therapy, Northwest Institute of Health Sciences, Peshawar, Pakistan"},{"name":"S\u00e3o Paulo State University (UNESP), School of Technology and Sciences, Department of Physical Education, Presidente Prudente, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,19]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssci.2022.105868"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-36811-1_129"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18179361"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2023.07.003"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/1348-9585.12314"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-210644"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-11379-3"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-024-07216-4"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-17527-1"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20010841"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssci.2022.105804"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.56294\/ri202352"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-020-03327-w"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14204"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00393-7"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.26444\/aaem\/110958"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-199305000-00002"},{"key":"e_1_3_3_19_2","article-title":"Pain coping strategies in paediatric patients newly diagnosed with leukaemia compared with healthy peers","volume":"31","author":"Tremolada M","year":"2022","unstructured":"Tremolada M, Tasso G, Bonichini S, et al. 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