Work characteristics, musculoskeletal disorders, and the mediating role of psychological strain: a study of call center employees.

The demands of the modern office are thought to contribute to the development of musculoskeletal disorders. For upper body and lower back disorders, these effects are hypothesized to be mediated by psychological strain. A study of 936 employees from 22 call centers supports this hypothesis. Using logistic regression and structural equation modeling, the authors found that the relationship of workload to upper body and lower back musculoskeletal disorders was largely accounted for by job-related strain. This mediating effect was less evident for arm disorders. Contrary to expectation, job autonomy had neither a direct nor a moderating effect on any musculoskeletal disorder.