ORIGINAL PAPER
Associations between generalised anxiety disorder and work-related
musculoskeletal problems among medical professionals
1
Combined Military Hospital Medical College and Institute of Dentistry, Lahore, Pakistan
These authors had equal contribution to this work
Submission date: 2024-04-24
Acceptance date: 2024-08-30
Online publication date: 2025-08-14
Corresponding author
Physiother Quart. 2025;33(3):77-80
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Generalised Anxiety Disorder (GAD) and prolonged working hours have negative impacts on the human musculoskeletal system. The study investigated the association between GAD and work-related musculoskeletal disorders (WMSDs) among medical professionals.
Methods:
This analytical cross-sectional study used a non-probability convenient sampling technique to collect data from medical professionals at the Combined Military Hospital (CMH) and CMH Medical College and Institute of Dentistry, Lahore, using GAD-7 and the Nordic Musculoskeletal Questionnaire. Inclusion criteria were medical professionals of both genders aged 20–40 years with a history of musculoskeletal disorders (MSDs), anxiety symptoms for more than two weeks, and a willingness to participate. Exclusion criteria were traumatic events, a psychological disease diagnosis other than GAD, pregnancy (2nd and 3rd trimester), and professionals with less than one year of experience. Statistical analysis employed SPSS version 22, with chi-squared (χ2) and Cramer’s rule applied to show the significant associations between GAD and WMSDs in medical professionals (p > 0.01).
Results:
The association between WMSDs and GAD was statistically significant (p = 0.01), and a weak positive association was found (Cramer’s V = 0.22). The relationship was statistically significant among 174 female participants (p = 0.043, χ2 = 8.166), with 148 (61.40 %) participants with 1–2 years of experience most affected by MSDs and 66 (55.50%) falling into the minimal anxiety category.
Conclusions:
Medical professionals had WMSDs, and female medical professionals had a strong association with GAD and WMSDs. Young professionals had more musculoskeletal and anxiety issues.
Generalised Anxiety Disorder (GAD) and prolonged working hours have negative impacts on the human musculoskeletal system. The study investigated the association between GAD and work-related musculoskeletal disorders (WMSDs) among medical professionals.
Methods:
This analytical cross-sectional study used a non-probability convenient sampling technique to collect data from medical professionals at the Combined Military Hospital (CMH) and CMH Medical College and Institute of Dentistry, Lahore, using GAD-7 and the Nordic Musculoskeletal Questionnaire. Inclusion criteria were medical professionals of both genders aged 20–40 years with a history of musculoskeletal disorders (MSDs), anxiety symptoms for more than two weeks, and a willingness to participate. Exclusion criteria were traumatic events, a psychological disease diagnosis other than GAD, pregnancy (2nd and 3rd trimester), and professionals with less than one year of experience. Statistical analysis employed SPSS version 22, with chi-squared (χ2) and Cramer’s rule applied to show the significant associations between GAD and WMSDs in medical professionals (p > 0.01).
Results:
The association between WMSDs and GAD was statistically significant (p = 0.01), and a weak positive association was found (Cramer’s V = 0.22). The relationship was statistically significant among 174 female participants (p = 0.043, χ2 = 8.166), with 148 (61.40 %) participants with 1–2 years of experience most affected by MSDs and 66 (55.50%) falling into the minimal anxiety category.
Conclusions:
Medical professionals had WMSDs, and female medical professionals had a strong association with GAD and WMSDs. Young professionals had more musculoskeletal and anxiety issues.
REFERENCES (20)
1.
Torpy JM, Burke AE, Golub RM. Generalized anxiety disorder. JAMA. 2011;305(5):522; doi: 10.1001/jama.305.5.522.
3.
Ng YM, Voo P, Maakip I. Psychosocial factors, depression, and musculoskeletal disorders among teachers. BMC Public Health. 2019;19:234; doi: 10.1186/s12889-019-6553-3.
4.
Nakamura K, Takachi R, Kitamura K, Saito T, Kobayashi R, Oshiki R, Watanabe Y, Kabasawa K, Takahashi A, Tsugane S, Iki M, Sasaki A, Yamazaki O. The Murakami Cohort Study of vitamin D for the prevention of musculoskeletal and other age-related diseases: a study protocol. Environ Health Prev Med. 2018;23:28; doi: 10.1186/s12199-018-0715-2.
5.
Benard PB (ed.). Musculoskeletal disorders and workplace factors. A critical review of epidemiologic evidence for work-related musculoskeletal disorders of the neck, upper extremity, and low back. National Institute for Occupational Safety and Health, U.S. Department of Health and Human Services; 1997.
6.
Khudhir KM, Saleh KK, Qadir MS, Mahmood KA, Ariffin AA. Association between work-relate musculoskeletal disorder and ergonomic risk factors among nursing professionals in ranya and qaladiza districts. Kurdistan J Appl Res. 2017;2(2):65–70; doi: 10.24017/science.2017.2.25.
7.
Das SK, Mukhopadhyay S. Effect of altered body composition on musculoskeletal disorders in medical practitioners. Int J Res Eng Tech. 2016;5(16).
8.
Stolt M, Suhonen R, Virolainen P, Leino-Kilpi H. Lower extremity musculoskeletal disorders in nurses: a narrative literature review. Scand J Public Health. 2016;44(1):106–15; doi: 10.1177/1403494815602989.
9.
Vieira ER, Schneider P, Guidera C, Gadotti IC, Brunt D. Work-related musculoskeletal disorders among physical therapists: a systematic review. J Back Musculoskelet Rehabil. 2016;29(3):417–28; doi: 10.3233/BMR-150649.
10.
Quek TT-C, Tam WW-S, X. Tran BX, Zhang M, Zhang Z, CS-H Ho, Chun-Man Ho RC-M. The global prevalence of anxiety among medical students: a meta-analysis. Int J Environ Res Public Health. 2019;16(15):2735; doi: 10.3390/ijerph16152735.
11.
Alharthy N, Alrajeh OA, Almutairi M, Alhajri A. Assessment of anxiety level of emergency healthcare workers by generalized anxiety disorder-7 tool. Int J Appl Basic Med Res. 2017;7(3):150; doi: 10.4103/2229-516X.212963.
12.
Al Atassi H, Shapiro MC, Rao SR, Dean J, Salama A. Oral and maxillofacial surgery resident perception of personal achievement and anxiety: a cross-sectional analysis. J Oral Maxillofac Surg. 2018;76(12):2532–9; doi: 10.1016/j.joms.2018.06.018 .
13.
Blyth FM, Briggs AM, Schneider CH, Hoy DG, March LM. The global burden of musculoskeletal pain – where to from here?. Am J Public Health. 2019;109(1):35–40; doi: 10.2105/AJPH.2018.304747.
14.
Arca M, Dönmezdil S, Durmaz ED. The effect of the COVID-19 Pandemic on anxiety, depression, and musculoskeletal system complaints in healthcare workers. Work. 2021;69(1):47–54; doi: 10.3233/WOR-205014.
15.
Williams N. The GAD-7 questionnaire. Occup Med. 2014;64(3):224; doi.org/10.1093/occmed/kqt161.
16.
Crawford JO. The Nordic musculoskeletal questionnaire. Occup Med . 2007;57(4):300–1; org/10.1093/occmed/kqm036.
17.
Macaluso F, Macaluso M, Daraiseh NM. The psychosocial work environment, musculoskeletal disorders and their functional consequences among pediatric healthcare providers. Ann Epidemiol. 2021;58:76–82; doi: 10.1016/j.annepidem.2021.02.015.
18.
Elbinoune I, Amine B, Shyen S, Gueddari S, Abouqal R, Hajjaj-Hassouni N. Chronic neck pain and anxiety-depression: prevalence and associated risk factors. Pan Afr Med J. 2016;24(1); doi: 10.11604/pamj.2016.24.89.8831.
19.
Al-Ghamdi S, Shubair MM, Angawi K, Al-Zahrani J, Khormi AAM, Alshammari RF, Alshammari NS, Aldahash R, Otayf BY, Al-Zahrani HS, Aleshaiwi MS, Aldossari KK. Combined’neck/back pain and psychological distress/morbidity among the saudi population: a cross-sectional study. Front Psychol. 2022;13:870600; doi: 10.3389/fpsyg.2022.870600.
20.
Albert KM, Newhouse PA. Estrogen, stress, and depression: cognitive and biological interactions. Annu Rev Clin Psychol. 2019;15:399–423; doi: 10.1146/annurev-clinpsy-050718-095557.
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