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Personality Traits and Sick Leave in Workers Diagnosed with Nonorganic Neck Pain

Published online by Cambridge University Press:  10 January 2013

Bartolomé Llor Esteban ,
Mª Montserrat Sánchez Ortuño ,
Mariano García Izquierdo ,
José Antonio Ruiz Hernández  and
Aurelio Luna Maldonado
Bartolomé Llor Esteban*
Affiliation:
Universidad de Murcia (Spain)
Mª Montserrat Sánchez Ortuño
Affiliation:
Universidad de Murcia (Spain)
Mariano García Izquierdo
Affiliation:
Universidad de Murcia (Spain)
José Antonio Ruiz Hernández
Affiliation:
Universidad de Murcia (Spain)
Aurelio Luna Maldonado
Affiliation:
Universidad de Murcia (Spain)
*
Correspondence concerning this article should be addressed to Bartolomé Llor Esteban. Departamento de Enfermería, Universidad de Murcia, Campus de Espinardo, 30100 Murcia (Spain). Phone: +34-868887279. E-mail: bllor@um.es
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Abstract

Previous research has suggested that personality can influence the perception and reporting of physical symptoms, such as pain. To assess the relationship between the course of nonorganic neck pain and the individual's personality, we studied the association between two indicators of neck pain prognosis, such as the duration of sick leave associated with neck pain and sick leave recurrence, and 15 personality traits in a sample of 64 workers suffering from disabling neck pain without any signs of physical abnormalities in the neck area. The TEA Personality Test (TPT), a self-report instrument designed to evaluate personality traits related to organizational behaviors, was used. Compared to the normative data, the study sample obtained high scores in the Depression, Anxiety and Emotional Instability scales, thus suggesting a personality profile primarily characterized by high neuroticism-related scores. Controlling for age, gender, and any rehabilitation undergone, we found a positive relationship between Depression and the duration of sick leave (in weeks). Moreover, lower scores on the TPT personality trait Dynamism and activeness were associated with higher likelihood of sick leave recurrence. These findings highlight the need for further research into the role played by personality at the onset and in the maintenance of nonorganic neck pain. Furthermore, they suggest that a complementary psychological approach may be useful to nonorganic neck pain management.

Diversos estudios de investigación sugieren que la personalidad se relaciona con la percepción y quejas de síntomas físicos, tales como el dolor. Con el objetivo de explorar la relación entre la evolución del dolor cervical sin alteración orgánica y la personalidad del individuo, analizamos la asociación entre dos indicadores del pronóstico de dolor cervical, tales como la duración y la recurrencia de la baja laboral, y 15 rasgos de personalidad en una muestra de 64 trabajadores en situación de baja laboral con diagnóstico de dolor cervical sin alteración orgánica. Para la evaluación de los rasgos de personalidad utilizamos el cuestionario de personalidad de TEA, TPT. Este instrumento evalúa específicamente rasgos de personalidad que son relevantes en el contexto laboral. En comparación con los datos normativos referentes a población española proporcionados en el manual del cuestionario, nuestra muestra de estudio obtuvo puntuaciones significativamente más elevadas en Depresión, Ansiedad y Labilidad emocional. Estos datos sugieren un perfil de personalidad en estos trabajadores con tendencia al neuroticismo. Controlando el efecto de la edad, el género y el hecho de haber realizado rehabilitación para el problema de dolor, encontramos una relación positiva entre las puntuaciones en la escala Depresión y la duración de la baja. De otro lado, puntuaciones más bajas en la escala Dinamismo y actividad se relacionó con una mayor probabilidad de recurrencia de la baja laboral. Estos resultados preliminares enfatizan la necesidad de explorar de manera más detallada el rol que juega la personalidad del individuo en la aparición y el mantenimiento del dolor cervical sin alteración orgánica. Así mismo, nuestros datos sugieren que un abordaje psicosocial, complementario al tratamiento médico que reciben estos pacientes, podría resultar útil para el manejo del dolor cervical.

Keywords

neck painpersonalitysick leaveoccupational medicinedolor cervicalbaja laboralpersonalidadmedicina laboral
Type
Research Article
Information
The Spanish Journal of Psychology , Volume 15 , Issue 3 , November 2012 , pp. 1272 - 1282
Copyright
Copyright © Cambridge University Press 2012

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References

Ariëns, G. A. M., van Mechelen, W., Bongers, P. M., Bouter, L. M., & van der Wal, G. (2001). Psychosocial risk factors for neck pain: A systematic review. American Journal of Industrial Medicine, 39, 180–193. http://dx.doi.org/10.1002%2F1097-0274%28200102%2939%3A2%3C180%3A%3AAIDAJIM1005%3E3.0.CO%3B2-%233.0.CO;2-#>CrossRefGoogle ScholarPubMed
Barsky, A. J., & Klerman, G. L. (1983). Overview: Hypochondriasis, bodily complaints and somatic styles. American Journal of Psychiatry, 140, 273–283.Google ScholarPubMed
Barsky, A. J., Goodson, J. D., Lane, R. S., & Cleary, P. D. (1988). The amplification of somatic symptoms. Psychosomatic Medicine, 50, 510–519.CrossRefGoogle ScholarPubMed
Binder, A. (2003). Neck pain. Clinical Evidence, 9, 1277–1291.Google Scholar
Bovim, G., Schrader, H., & Sand, T. (1994). Neck pain in the general population. Spine, 19, 1307–1309. http://dx.doi.org/10.1097%2F00007632-199406000-00001CrossRefGoogle ScholarPubMed
Carroll, L. J., Cassidy, D., & Côtè, P. (2004). Depression as a risk factor for onset of an episode of troublesome neck and low back pain. Pain, 107, 134–139. http://dx.doi.org/10.1016/j.pain.2003.10.009CrossRefGoogle ScholarPubMed
Clemmey, P. A., & Nicassio, P. M. (1997). Illness self-schemas in depressed and nondepressed rheumatoid arthritis patients. Journal of Behavioral Medicine, 20, 273–290. http://dx.doi.org/10.1023/A:1025556811858CrossRefGoogle ScholarPubMed
Corral, S., Pamos, A., Pereña, J., & Seisdedos, N. (2004). TPT: Test de Personalidad. (2nd Ed.) Madrid, Spain: TEA Ediciones.Google Scholar
Costa, P. T., & McCrae, R. R. (1985). Hypocondriasis, neuroticism and aging: When are somatic complaints unfounded? The American Psychologist, 40, 19–28. http://dx.doi.org/10.1037//0003-066X.40.1.19Google Scholar
Côté, P., Cassidy, D., Carroll, L., & Kristman, V. (2004). The annual incidence and course of neck pain in the general population: A population-based cohort study. Pain, 112, 267–273. http://dx.doi.org/10.1016/j.pain.2004.09.004CrossRefGoogle ScholarPubMed
Côté, P., Cassidy, J. D., & Carroll, L. (1998). The Saskatchewan health and back pain survey. Spine, 23, 1689–1698. http://dx.doi.org/10.1097/00007632-199808010-00015CrossRefGoogle ScholarPubMed
Côté, P., Hogg-Johnson, S., Cassidy, J. D., Carroll, L., & Frank, J. W. (2001). The association between neck pain intensity, physical functioning, depressive symptomatology and time-to-claim-closure after whiplash. Journal of Clinical Epidemiology, 54, 275–286. http://dx.doi.org/10.1016/S0895-4356(00)00319-XCrossRefGoogle ScholarPubMed
Croft, P. R., Lewis, M., Papageorgiou, A. C., Thomas, E., Jayson, M. I. V., Macfarlane, G. J., & Silman, A. J. (2001). Risk factors for neck pain: A longitudinal study in the general population. Pain, 93, 317–325. http://dx.doi.org/10.1016/S0304-3959(01)00334-7CrossRefGoogle ScholarPubMed
Crown, S. (1978). Psychological aspects of low back pain. Rheumatology and Rehabilitation, 17, 114–124. http://dx.doi.org/10.1093/rheumatology/17.2.114CrossRefGoogle ScholarPubMed
Deary, I. J., Clyde, Z., & Frier, B. M. (1997). Constructs and models in health psychology: The case of personality and illness reporting in diabetes mellitus. British Journal of Health Psychology, 2, 35–54. http://dx.doi.org/10.1111/j.2044-8287.1997.tb00522.xCrossRefGoogle Scholar
Feldman, P. J., Doyle, W. J., Skoner, D. P., & Gwaltney, J. M. (1999). The impact of personality on the reporting of unfounded symptoms and illness. Journal of Personality and Social Psychology, 77, 370–378. http://dx.doi.org/10.1037//0022-3514.77.2.370CrossRefGoogle ScholarPubMed
Fishbain, D. A., Cole, B., Cutler, R. B., Lewis, J., Rosomoff, H. L., & Rosomoff, R. S. (2006). Chronic pain and the measurement of personality: Do states influence traits? Pain Medicine, 7, 509–529. http://dx.doi.org/10.1111/j.1526-4637.2006.00239.xGoogle Scholar
Garaigordobil, M. (2006). Psychopathological symptoms, social skills, and personality traits: A study with adolescents. The Spanish Journal of Psychology, 9, 182–192.Google Scholar
Garaigordobil, M., & Durá, A. (2005). Neosexismo en adolescentes de 14 a 17 años: Relaciones con autoconcepto, autoestima, personalidad, psicopatología, problemas de conducta y habilidades sociales [Neosexism in adolescents from 14 to 17 years of age: Relations with self-concept, self-esteem, personality, psycho-pathology, behavior problems, and social skills]. Clínica y Salud, 17, 127–149.Google Scholar
Glenton, C. (2003). Chronic back pain sufferers. Striving for the sick role. Social Science and Medicine, 57, 2243–2252. http://dx.doi.org/10.1016/S0277-9536(03)00130-8Google Scholar
Grossi, G., Soares, J. J., Angesleva, J., & Perski, A. (1999). Psychosocial correlates of long-term sick-leave among patients with musculoskeletal pain. Pain, 80, 607–619. http://dx.doi.org/10.1016/S0304-3959(98)00253-XCrossRefGoogle ScholarPubMed
Hansson, M., Böstrom, C., & Harms-Ringdahl, K. (2006). Sickness absence and sickness attendance – What people with neck or back pain think. Social Science and Medicine, 62, 2183–2195. http://dx.doi.org/10.1016/j.socscimed.2005.10.002CrossRefGoogle ScholarPubMed
Harkins, S. W., Price, D. D., & Braith, J. (1989). Effects of extra-version and neuroticism on experimental pain, clinical pain and illness behavior. Pain, 36, 209–218. http://dx.doi.org/10.1016/0304-3959(89)90025-0Google Scholar
Haug, T. T., Sveback, S., Hausken, T., Wilhelmsen, I., Berstad, A., & Ursin, H. (1994). Low vagal activity as mediating mechanism for the relationship between personality factors and gastric symptoms in functional dyspepsia. Psychosomatic Medicine, 56, 181–186.CrossRefGoogle ScholarPubMed
Hee, H. T., Whitecloud, T. S. 3rd, Myers, L., Roesch, W., & Ricciardi, J. E. (2002). Do worker's compensation patients with neck pain have lower SF-36 scores? European Spine Journal, 11, 375–381. http://dx.doi.org/10.1007/s00586-002-0431-9CrossRefGoogle ScholarPubMed
Hestbaek, L., Leboeuf-Yde, C., & Manniche, C. (2003). Low back pain: What is the long-term course? A review of studies of general patient populations. European Spine Journal, 12, 149–165. http://dx.doi.org/10.1007/s00586-002-0508-5Google Scholar
Hosmer, D. W., & Lemeshow, S. (1989). Applied logistic regression. New York, NY: WileyGoogle Scholar
Kristensen, A. S., Mortensen, E. L., & Mors, O. (2009). The association between bodily anxiety symptom dimensions and the scales of the revised NEO personality inventory and the Temperament and Character Inventory. Comprehensive Psychiatry, 50, 38–47. http://dx.doi.org/10.1016/j.comppsych.2008.06.005CrossRefGoogle ScholarPubMed
Leiknes, K. A., Finset, A., Moum, T., & Sandanger, I. (2007). Course and predictors of medically unexplained pain symptoms in the general population. Journal of Psychosomatic Research, 62, 119–128. http://dx.doi.org/10.1016/j.jpsychores.2006.08.009Google Scholar
Lepine, J. P., & Briley, M. (2004). The epidemiology of pain in depression. Human Psychopharmacology, 19, S3–S7. http://dx.doi.org/10.1002/hup.618Google Scholar
Lee, J. E., Watson, D., & Frey Law, L. A. (2010). Lower-order pain-related constructs are more predictive of cold pressor pain ratings than higher-order personality traits. The Journal of Pain, 11, 681–691. http://dx.doi.org/10.1016/j.jpain.2009.10.013CrossRefGoogle ScholarPubMed
Linton, S. J., & Ryberg, M. (2000). Do epidemiological results replicate? The prevalence and health-economic consequences of neck and back pain in the general population. European Journal of Pain, 4, 347–354. http://dx.doi.org/10.1053/eujp.2000.0190Google Scholar
Linton, S. J. (2000). A review of psychological risk factors in back and neck pain. Spine, 25, 1148–1156. http://dx.doi.org/10.1097/00007632-200005010-00017CrossRefGoogle ScholarPubMed
Lobo, A., Pérez-Echeverría, M. J., & Artal, J. (1986). Validity of the scaled version of the General Health Questionnaire (G.H.Q.-28) in Spanish population. Psychological Medicine, 16, 135–140. http://dx.doi.org/10.1017/S0033291700002579Google Scholar
McWilliams, L. A., Cox, B. J., & Enns, M. B. (2003). Mood and anxiety disorders associated with chronic pain: An examination in a nationally representative sample. Pain, 106, 127–133. http://dx.doi.org/10.1016/S0304-3959(03)00301-4CrossRefGoogle Scholar
Mechanic, D. (1980). The experience and reporting of common physical complaints. Journal of Health and Social Behavior, 21, 146–155. http://dx.doi.org/10.2307/2136734Google Scholar
Miller, L. C., Murphy, R., & Buss, A. H. (1981). Consciousness of body: Private and public. Journal of Personality and Social Psychology, 41, 397–406. http://dx.doi.org/10.1037//0022-3514.41.2.397CrossRefGoogle Scholar
Picavet, H., & Shouten, J. (2003). Musculoskeletal pain in The Netherlands: Prevalences, consequences and risk groups; the DCM3 study. Pain, 102, 167–178. http://dx.doi.org/10.1016/s0304-3959(02)00372-xGoogle Scholar
Raselli, C., & Broderick, J. E. (2007). The association of depression and neuroticism with pain reports: A comparison of momentary and recalled pain assessment. Journal of Psychosomatic Research, 62, 313–320. http://dx.doi.org/10.1016/j.jpsychores.2006.10.001CrossRefGoogle ScholarPubMed
Skov, T., Borg, V., & Orhede, E. (1996). Psychosocial and physical risk factors for musculoskeletal disorders of the neck, shoulders and lower back in salespeople. Occupational and Environmental Medicine, 53, 351–356. http://dx.doi.org/10.1136/oem.53.5.351CrossRefGoogle Scholar
Spitzer, W. O., Skovron, M. L., Salmi, L. R., Cassidy, J. D., Duranceau, J., Suissa, S., & Zeiss, E. (1995). Scientific monograph of the Quebec Task Force on Whiplash-Associated Disorders: Redefining whiplash and its management. Spine, 20, 2S–73S.Google Scholar
Staal, J. B., Hlobil, H., van Tulder, M. W., Waddell, G., Burton, A. K., Koes, B. W., & van Mechelen, W. (2003). Occupational health guidelines for the management of low back pain: An international comparison. Occupational Environmental Medicine, 60, 618–626. http://dx.doi.org/10.1136/oem.60.9.618CrossRefGoogle ScholarPubMed
Trull, T. J., Solhan, M. B., Tragesser, S. L., Jahng, S., Wood, P. K., Piasecki, T. M., & Watson, D. (2008). Affective instability: Measuring a core feature of borderline personality disorder with ecological momentary assessment. Journal of Abnormal Psychology, 117, 647–661. http://dx.doi.org/10.1037/a0012532CrossRefGoogle ScholarPubMed
Vendrig, A. A. (2000). The Minnesota Multiphasic Personality Inventory and chronic pain: A conceptual analysis of a longstanding but complicated relationship. Clinical Psychology Review, 20, 533–559. http://dx.doi.org/10.1016/S0272-7358(00)00053-2Google Scholar
Verbeek, J. H. (2001). Vocational rehabilitation of workers with back pain. Scandinavian Journal of Work, Environment and Health, 27, 346–352. http://dx.doi.org/10.5271/sjweh.624CrossRefGoogle ScholarPubMed
Watson, D., & Pennebaker, J. W. (1989). Health complaints, stress and distress: Exploring the central role of negative affectivity. Psychological Review, 961, 234–254. http://dx.doi.org/10.1037//0033-295X.96.2.234CrossRefGoogle Scholar
Zhang, L. (2006). Thinking styles and the Big Five personality traits revisited. Personality and Individual Differences, 40, 1177–1187. http://dx.doi.org/10.1016/j.paid.2005.10.011Google Scholar