长班和短休息时间在轮班工人抑郁症上的协同作用:来自韩国的横截面研究
Sungjin Park1, Jongin Lee2, June-Hee Lee3
1Department of Occupational and Environmental Medicine, Gangnam Giein Hospital, Seoul, Republic of Korea.
American journal of industrial medicine
|August 19, 2023
概括
轮班工作涉及长班和短休息时间 (SRP) 显著增加了抑郁风险. 避免同时暴露对于工人的福祉至关重要,特别是在医疗保健和服务行业.
科学领域:
- 职业健康 职业健康 职业健康
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 轮班工作与健康问题有关,但它对抑郁症等心理影响仍有争议.
- 长班和短休息时间 (SRP) 是主要的职业压力因素.
- 不一致的发现需要进一步调查组合轮班工作暴露.
研究的目的:
- 检查长班和SRP对轮班工人抑郁症的协同效应.
- 量化这两个轮班工作因素的综合风险.
主要方法:
- 采用3295名轮班工人的数据进行的横截面研究 (韩国工作条件调查).
- 计算因相互作用而导致的相对过度风险 (RERI),以评估组合效应.
- 根据职业分层进行了敏感性分析.
主要成果:
- 无论是长班还是单独的SRP都没有与抑郁症有显著的关联.
- 同时接触长班和SRP显示,抑郁风险显著增加 (OR1.36).
- 在办公室和服务人员中观察到显著的相互作用.
结论:
- 短暂的休息时间和长时间的班次的联合暴露,构成抑郁症的协同作用风险.
- 轮班安排和健康政策的目标应该是防止同时暴露.
- 医疗保健和服务工作者需要针对性干预,因为他们的脆弱性增加.
相关概念视频
Insufficient Sleep and Sleep Deprivation
171
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
171
Long-term Depression
31.0K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
31.0K
Depressive Disorders: Etiology
139
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
139
Antidepressant Drugs: MAOIs and Other Agents
272
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
272
Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response
88
Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
88
Management of Insomnia
281
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
281


