与工作有关的心理伤害与抑郁症状的测量
Mari Tanaka1, Yoshiyuki Hirano2,3, Rieko Takanashi4
1Department of Cognitive Behavioral Physiology, Graduate School of Medicine, Chiba University, Chiba, Japan. mari.lotus@gmail.com.
BMC psychiatry
|September 19, 2023
概括
与工作有关的压力对工人产生重大影响,导致心理伤害和抑郁. 评估压力影响和抑郁症状对于有效的工人支持至关重要.
科学领域:
- 职业健康 职业健康 职业健康
- 心理学 心理学 心理学
- 心理健康研究 心理健康研究
背景情况:
- 与工作有关的压力是导致劳动力中心理健康问题的重要因素.
- 抑郁症和适应障碍在经历职业压力因素的工人中很普遍.
- 了解工作压力,心理伤害和抑郁症之间的相互作用对于员工的福祉至关重要.
研究的目的:
- 量化经历职业压力的工人的心理伤害和抑郁症严重程度.
- 调查与工作相关的压力,保持工作和心理健康结果之间的关系.
- 确定是否需要与抑郁症状一起评估心理损伤,以准确评估工人.
主要方法:
- 进行了两项在线调查,涉及500名患有抑郁症/适应障碍的工人和767名经历工作相关压力的工人.
- 参与者根据抑郁症诊断和工作状态 (退出/停留) 被分为四组.
- 事件影响尺度修订 (IES-R) 和患者健康问卷 (PHQ) -9被用于分别测量心理损伤和抑郁症严重程度.
主要成果:
- 在被诊断患有抑郁症或适应障碍的工人中,很大一部分在诊断之前报告了与工作有关的压力.
- 患有抑郁症并辞职的工人 (A组) 和留职的工人 (B组) 的IES-R得分明显高于没有抑郁症的工人 (C和D组).
- 在所有组中,在心理损伤 (IES-R) 和抑郁症严重程度 (PHQ-9) 之间发现了强烈的正相关性.
结论:
- 与工作有关的压力是导致工人心理伤害和抑郁症的关键因素.
- 用IES-R测量心理损伤的严重程度在抑郁的工人中显著增加,无论他们是否留在工作位.
- 对患有抑郁症的工人的全面评估应包括评估压力事件造成的心理损伤,而不仅仅是抑郁症状.
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