• Gunn Hege Marchand, Bjørn Lau, Kjersti Myhre, Cecilie Røe, Erik Bautz-Holter, and Gunnar Leivseth.
• Faculty of Medicine, Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway.
• Work. 2015 Jan 1; 53 (3): 499-509.

BackgroundIt is unknown whether living with neck and back pain, disability, and mental disorders influences the perception of psychological and social factors at work among sick-listed patients.ObjectivesThe primary aim of the present study was to examine the associations between pain, disability, anxiety, depression, and perceived psychological and social factors at work among sick-listed patients with neck and back pain.MethodsWe performed a cross-sectional study of 380 sick-listed patients with neck and low-back pain who were referred to spine clinics at two Norwegian university hospitals. Ordinal regression was applied, with psychological and social factors at work as the dependent variable.ResultsPain was not associated with psychological and social factors at work. Disability was associated with a minor increase in the perception of demands among women, but not men. Women with high anxiety or depression scores experienced less control over work situations and less positive challenges at work. Men with high depression scores perceived low support.ConclusionsSick-listed patients with neck and back pain who had concurrent anxiety or depression reported increased psychological and social challenges at work. To provide suitable treatment in the clinical setting, further attention should be paid to the interaction between anxiety or depression and perceived job strain.

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