The Role of Perceived Stress and Life Stressors in the Development of Chronic Musculoskeletal Pain Disorders: A Systematic Review

The Journal of Pain : Official Journal of the American Pain Society
Valentina BuscemiSiobhan Schabrun

Abstract

The etiologic role of work-related psychological stress in the development of musculoskeletal pain disorders (MDs) has been systematically investigated. Less clear, however, is the role of perceived stress and life stressors. This review aimed to assess the evidence for an etiologic role of perceived stress and life stressors in the development of chronic MDs. Database searches were conducted to identify prospective longitudinal studies that assessed perceived stress and life stressors in individuals without, or in the first 6 weeks of, musculoskeletal pain. The primary outcome was the development of a chronic MD. Methodologic quality was investigated using an adapted version of the Quality Assessment Tool for Observational Cohort studies and Cross-Sectional studies, and the strength of evidence using the Grading of Recommendations Assessment, Development and Evaluation approach. Seven studies were included representing data from 6 independent cohorts. There was some evidence to support the etiologic role of perceived stress and life stressors in the development of arthritis (low quality) and chronic spinal pain (low quality). The limited number of studies, the poor quality of the evidence, and the heterogeneity of stress measu...Continue Reading

Citations

Jun 6, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Jonathan BerlowitzEric J Roseen
Sep 22, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Penny L Brennan
Mar 23, 2021·Applied Nursing Research : ANR·Katherine M Bernier CarneyAngela R Starkweather

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