The Potential Relationship Between a Cognitive Dissonance State and Musculoskeletal Injury: A Systematic Review.

deep acting emotional dissonance emotional labor low back pain surface acting

Journal

Human factors
ISSN: 1547-8181
Titre abrégé: Hum Factors
Pays: United States
ID NLM: 0374660

Informations de publication

Date de publication:
04 Sep 2022
Historique:
entrez: 5 9 2022
pubmed: 6 9 2022
medline: 6 9 2022
Statut: aheadofprint

Résumé

The objective of this systematic review was to investigate the potential link between cognitive dissonance or its related constructs (emotional dissonance, emotional labor) and musculoskeletal disorders. The etiology of musculoskeletal disorders is complex, as pain arises from complex interactions among physical, social, and psychological stressors. It is possible that the psychological factor of cognitive dissonance may contribute to the etiology and/or maintenance of musculoskeletal disorders. MEDLINE, APA PsycInfo, and CINAHL Plus databases were searched for studies investigating cognitive dissonance or its related constructs as exposure(s) of interest and outcomes related to physical health (including, but not limited to, musculoskeletal pain). Risk of bias was assessed using the Appraisal tool for Cross-Sectional Studies (AXIS) tool. The literature search yielded 7 studies eligible for inclusion. None of the included studies investigated cognitive dissonance directly but instead investigated dissonance-related constructs of emotional dissonance and emotional labor, in which a mismatch between required and felt emotions might elicit a psychological response consistent with the cognitive dissonance state. Moderate effect sizes between dissonance-related constructs and musculoskeletal disorders were noted (OR 1.25-2.22). There is likely a relationship between the two factors studied. However, as the included studies were cross-sectional in nature, a causal relationship between cognitive dissonance-related constructs and musculoskeletal disorders cannot be inferred. Therefore, future study proposing and validating a causal pathway between these variables is warranted. Cognitive dissonance and its related constructs may serve as risk factors for musculoskeletal disorders that have not been considered previously.

Sections du résumé

OBJECTIVE OBJECTIVE
The objective of this systematic review was to investigate the potential link between cognitive dissonance or its related constructs (emotional dissonance, emotional labor) and musculoskeletal disorders.
BACKGROUND BACKGROUND
The etiology of musculoskeletal disorders is complex, as pain arises from complex interactions among physical, social, and psychological stressors. It is possible that the psychological factor of cognitive dissonance may contribute to the etiology and/or maintenance of musculoskeletal disorders.
METHOD METHODS
MEDLINE, APA PsycInfo, and CINAHL Plus databases were searched for studies investigating cognitive dissonance or its related constructs as exposure(s) of interest and outcomes related to physical health (including, but not limited to, musculoskeletal pain). Risk of bias was assessed using the Appraisal tool for Cross-Sectional Studies (AXIS) tool.
RESULTS RESULTS
The literature search yielded 7 studies eligible for inclusion. None of the included studies investigated cognitive dissonance directly but instead investigated dissonance-related constructs of emotional dissonance and emotional labor, in which a mismatch between required and felt emotions might elicit a psychological response consistent with the cognitive dissonance state. Moderate effect sizes between dissonance-related constructs and musculoskeletal disorders were noted (OR 1.25-2.22).
CONCLUSION CONCLUSIONS
There is likely a relationship between the two factors studied. However, as the included studies were cross-sectional in nature, a causal relationship between cognitive dissonance-related constructs and musculoskeletal disorders cannot be inferred. Therefore, future study proposing and validating a causal pathway between these variables is warranted.
APPLICATION CONCLUSIONS
Cognitive dissonance and its related constructs may serve as risk factors for musculoskeletal disorders that have not been considered previously.

Identifiants

pubmed: 36059264
doi: 10.1177/00187208221120459
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

187208221120459

Auteurs

Eric B Weston (EB)

Spine Research Institute, 2647The Ohio State University, Columbus, OH, USA.
Department of Integrated Systems Engineering, 2647The Ohio State University, Columbus, OH, USA.

Afton L Hassett (AL)

Department of Anesthesiology, Chronic Pain and Fatigue Research Center, 1259The University of Michigan, Ann Arbor, MI, USA.

Safdar N Khan (SN)

Spine Research Institute, 2647The Ohio State University, Columbus, OH, USA.
Department of Orthopaedics, 2647The Ohio State University, Columbus, OH, USA.

Tristan E Weaver (TE)

Spine Research Institute, 2647The Ohio State University, Columbus, OH, USA.
Department of Anesthesiology, 2647The Ohio State University, Columbus, OH, USA.

William S Marras (WS)

Spine Research Institute, 2647The Ohio State University, Columbus, OH, USA.
Department of Integrated Systems Engineering, 2647The Ohio State University, Columbus, OH, USA.

Classifications MeSH