Lindert, Lara ORCID: 0000-0002-9332-7824, Schlomann, Lara, Pfaff, Holger ORCID: 0000-0001-9154-6575 and Choi, Kyung-Eun (Anna) ORCID: 0000-0001-5533-7450 (2022). The Role of Psychological Wellbeing in a Cross-Provider Worksite Healthcare Management Program for Employees with Musculoskeletal Disorders. Int. J. Environ. Res. Public Health, 19 (9). BASEL: MDPI. ISSN 1660-4601

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Background: Musculoskeletal and mental disorders are often comorbid, with complex correlations of pain, impairment due to pain, disability, and psychological wellbeing. This study investigates the role of psychological wellbeing in a worksite healthcare program for employees within a German randomized controlled trial. Methods: For our analyses we used data of the module for minor musculoskeletal complaints (N = 180). The intervention included a workplace-related training and case manager support. Results: Changes over time were significant in the disability score (t(179) = 9.04, p < 0.001), pain intensity (t(179) = 9.92, p < 0.001), and psychological wellbeing (t(179) = -4.65, p < 0.001). Individuals with low vs. high psychological wellbeing showed significant differences in their disability score(t0,t1) (t(t0)(178) = -4.230, p(t0) < 0.001, t(t1)(178) = -2.733, p(t1) < 0.001), pain intensity(t0,t1) (t(t0)(178) = -3.127, p(t0) < 0.01, t(t1)(178) = -3.345, p(t1) < 0.01, and motivation(t0) (t(t0)(178) = 4.223, p(t0) < 0.001). The disability score( increment ) mediates the impact of pain intensity( increment ) on psychological wellbeing(t1) (beta = 0.155, p < 0.05). Psychological wellbeing( increment ) had an impact on the disability score(t1) (beta = -0.161, p < 0.01). Conclusions: The lower the psychological wellbeing is at an intervention's beginning, the higher the potential is for its improvement, which might affect individuals' experienced impairment due to pain. In order to achieve the best outcomes, interventions should include both pain-related and psychological aspects. Future research needs to explore the causality of the found interrelationships further.

Item Type: Journal Article
CreatorsEmailORCIDORCID Put Code
Choi, Kyung-Eun (Anna)
URN: urn:nbn:de:hbz:38-663794
DOI: 10.3390/ijerph19095452
Journal or Publication Title: Int. J. Environ. Res. Public Health
Volume: 19
Number: 9
Date: 2022
Publisher: MDPI
Place of Publication: BASEL
ISSN: 1660-4601
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
Environmental Sciences; Public, Environmental & Occupational HealthMultiple languages


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