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Low heart rate variability is associated with extended pain-related sick-leave among employed care seekers

Jesper, Kristiansen ; John, Ektor-Andersen ; Elisabeth, Bondesson LU orcid ; Palle, Ørbæk ; Persson, Roger LU orcid ; Anne Helene, Garde and Åse Marie, Hansen (2011) In Journal of Rehabilitation Medicine 43(11). p.976-982
Abstract
To examine the association between autonomic regulation and length of pain-related sick leave in subjects receiving a cognitive behavioural therapy-based return to work intervention. METHODS: Sixty-five persons (29 men, 36 women) on pain-related sick leave participated in the study. Electrocardiograms were recorded in the clinic during supine rest, passive head-up tilt, standing, and seated rest, and in the home during seated rest and sleep. Spectral components of heart rate variability were derived from short-term (5 min) segments of electrocardiogram recordings. The number of days on sick leave was obtained from register data for 3 months before to 6 months after seeking care at the primary healthcare clinic. RESULTS: Extended sick leave... (More)
To examine the association between autonomic regulation and length of pain-related sick leave in subjects receiving a cognitive behavioural therapy-based return to work intervention. METHODS: Sixty-five persons (29 men, 36 women) on pain-related sick leave participated in the study. Electrocardiograms were recorded in the clinic during supine rest, passive head-up tilt, standing, and seated rest, and in the home during seated rest and sleep. Spectral components of heart rate variability were derived from short-term (5 min) segments of electrocardiogram recordings. The number of days on sick leave was obtained from register data for 3 months before to 6 months after seeking care at the primary healthcare clinic. RESULTS: Extended sick leave (> 121 days) compared with short sick leave (< 29 days) was associated with higher heart rate, and lower heart rate variability in supine rest and the seated position. The associations in supine rest were marginally weakened by adjusting for offensive behaviours at work. (for example, exposure to bullying, sexual harassment, unpleasant teasing, etc.) CONCLUSION: Higher heart rate and lower heart rate variability measured in the awake resting condition predicts extended sick leave in care-seeking individuals. Further research is needed to clarify the underlying nature and causal role of altered autonomic regulation with regard to extended pain-related sick leave. (Less)
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author
; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adult, Autonomic Nervous System, Chronic Pain, Cognitive Therapy, Electrocardiography, Female, Heart Rate, Humans, Male, Middle Aged, Musculoskeletal Pain, Patient Acceptance of Health Care, Prognosis, Questionnaires, Rehabilitation, Vocational, Sick Leave, Socioeconomic Factors, Time Factors
in
Journal of Rehabilitation Medicine
volume
43
issue
11
pages
976 - 982
publisher
Taylor & Francis
external identifiers
  • scopus:84855876992
ISSN
1651-2081
DOI
10.2340/16501977-0882
language
English
LU publication?
no
id
1371a5cb-cd13-4e9f-a006-7d06b1f049bb (old id 3993618)
date added to LUP
2016-04-01 11:15:48
date last changed
2023-10-04 13:35:30
@article{1371a5cb-cd13-4e9f-a006-7d06b1f049bb,
  abstract     = {{To examine the association between autonomic regulation and length of pain-related sick leave in subjects receiving a cognitive behavioural therapy-based return to work intervention. METHODS: Sixty-five persons (29 men, 36 women) on pain-related sick leave participated in the study. Electrocardiograms were recorded in the clinic during supine rest, passive head-up tilt, standing, and seated rest, and in the home during seated rest and sleep. Spectral components of heart rate variability were derived from short-term (5 min) segments of electrocardiogram recordings. The number of days on sick leave was obtained from register data for 3 months before to 6 months after seeking care at the primary healthcare clinic. RESULTS: Extended sick leave (&gt; 121 days) compared with short sick leave (&lt; 29 days) was associated with higher heart rate, and lower heart rate variability in supine rest and the seated position. The associations in supine rest were marginally weakened by adjusting for offensive behaviours at work. (for example, exposure to bullying, sexual harassment, unpleasant teasing, etc.) CONCLUSION: Higher heart rate and lower heart rate variability measured in the awake resting condition predicts extended sick leave in care-seeking individuals. Further research is needed to clarify the underlying nature and causal role of altered autonomic regulation with regard to extended pain-related sick leave.}},
  author       = {{Jesper, Kristiansen and John, Ektor-Andersen and Elisabeth, Bondesson and Palle, Ørbæk and Persson, Roger and Anne Helene, Garde and Åse Marie, Hansen}},
  issn         = {{1651-2081}},
  keywords     = {{Adult; Autonomic Nervous System; Chronic Pain; Cognitive Therapy; Electrocardiography; Female; Heart Rate; Humans; Male; Middle Aged; Musculoskeletal Pain; Patient Acceptance of Health Care; Prognosis; Questionnaires; Rehabilitation; Vocational; Sick Leave; Socioeconomic Factors; Time Factors}},
  language     = {{eng}},
  number       = {{11}},
  pages        = {{976--982}},
  publisher    = {{Taylor & Francis}},
  series       = {{Journal of Rehabilitation Medicine}},
  title        = {{Low heart rate variability is associated with extended pain-related sick-leave among employed care seekers}},
  url          = {{http://dx.doi.org/10.2340/16501977-0882}},
  doi          = {{10.2340/16501977-0882}},
  volume       = {{43}},
  year         = {{2011}},
}