Article

PURPOSE: To identify determinants for staying at work (SAW) in workers with
chronic musculoskeletal pain (CMP). METHOD: A systematic review of factors that
promote SAW in workers with CMP. We searched the databases of PubMed, EMBASE,
PsycInfo, CINAHL and the Cochrane Library. We included studies reporting on
working subjects without present CMP-related sick leave. A quality assessment of
GRADE criteria and evidence synthesis was performed. RESULTS: We identified five
cross-sectional studies and two qualitative studies reporting on factors
associated with SAW in workers with CMP. Consistent association with SAW was
found for low perceived physical disability and low emotional distress (low-level
evidence). Duration of pain, catastrophizing, self-esteem and marital status were
not associated with SAW
(low-level evidence). Qualitative studies indicated that
personal adjustments and workplace interventions are important determinants for
SAW (evidence not graded). CONCLUSIONS: No high-level evidence for SAW
determinants for workers with CMP was identified. Future interventions aimed at
promoting SAW could consider reducing perceived physical disability and emotional
distress, and promoting adjustment latitude at work, support from supervisors,
and the workers' motivation and self-management skills.
Further research is
required because knowledge of SAW in workers with CMP is scarce, and the
relevance of the subject is high.

Langue : ANGLAIS