[Relationship between depressive symptoms and occupational stress in locomotive drivers]

Objective: To explore relationship between depressive symptoms and occupational stress in locomotive drivers. Methods: By using cluster sampling method, a cross-sectional study was conducted in 1413 train drivers (including passenger train drivers301, freight train drivers 683, passenger shunting train drivers350, and high speed train drivers79) from a railway bureau. The individual factors, depression, occupational stress, strains, personalities, coping strategy and social support were measured using occupational stress instruments, job content questionnaire and effort-reward imbalance questionnaire. Results: CThe differences of depression scores between take exercise and don't exercise groups were statistical significance (P<0.01) . The differences of depression scores among different age, length of service, job category, educational status,marital status, smoking and drinking groups were`t statistical significance (P>0.05) .Correlation analysis revealed that depression score was related negatively to reward, job satisfaction, self-esteem, promotion opportunities, working stability and positively emotions score (P<0.01) , related positively to sleep disorders, effort, physiological needs, psychological need, daily stress, negative emotions, social support, esponsibility for person, responsibility for thing, conflict in the group, role conflict, role ambiguity score (P<0.01) . Nonparametric test analysis found that train drivers with high depression score reported higher psychological need, effort, promotion opportunities, role ambiguity, role conflict, conflict between groups, responsibility for person, responsibility for thing, physiological needs, daily stress, negative emotions, social support and copping strategies than those with moderate and lower depression score (P<0.01) , but the scores of job satisfaction, reword, self-esteem, working stability, positive emotions were lower than other groups those with moderate and lower depression score (P<0.01) . Multivariate logistic regression analysis revealed the risk of depression for drivers with more sleep disorder, low social support more than three times as high as that for drivers with few sleep disorder, hing social support (OR=3.615,3.266) .High negative emotions, more psychological need, high daily stress were more than twice times as high as that for drivers with low negative emotions, few psychological need, low daily stress (OR:2.444、2.489、2.065) . Conclusion: sleep disorder, low social support and job stress had larger effect on depression. To improve sleep, social support, self-esteem and decrease job stress and negative emotions are main measures of decrease depression for train drivers.