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Psychosocial Factors Related to Lateral and Medial Epicondylitis: Results From Pooled Study Analyses.

Thiese, Matthew S. PhD, MSPH; Hegmann, Kurt T. MD, MPH; Kapellusch, Jay PhD; Merryweather, Andrew PhD; Bao, Stephen PhD; Silverstein, Barbara PhD; Tang, Ruoliang PhD; Garg, Arun PhD
Journal of Occupational & Environmental Medicine: Post Author Corrections: May 18, 2016
doi: 10.1097/JOM.0000000000000701
Original Article: PDF Only

Objective: The goal is to assess the relationships between psychosocial factors and both medial and lateral epicondylitis after adjustment for personal and job physical exposures.

Methods: One thousand eight hundred twenty-four participants were included in pooled analyses. Ten psychosocial factors were assessed.

Results: One hundred twenty-one (6.6%) and 34 (1.9%) participants have lateral and medial epicondylitis, respectively. Nine psychosocial factors assessed had significant trends or associations with lateral epicondylitis, the largest of which was between physical exhaustion after work and lateral epicondylitis with and odds ratio of 7.04 (95% confidence interval = 2.02 to 24.51). Eight psychosocial factors had significant trends or relationships with medial epicondylitis, with the largest being between mental exhaustion after work with an odds ratio of 6.51 (95% confidence interval = 1.57 to 27.04).

Conclusions: The breadth and strength of these associations after adjustment for confounding factors demonstrate meaningful relationships that need to be further investigated in prospective analyses.

Copyright (C) 2016 by the American College of Occupational and Environmental Medicine