工作场所因素对长期病假的影响:一项回顾性观察性研究,比较精神和身体疾病
Shinichi Iwasaki1, Yasuhiko Deguchi1, Shohei Okura1
1Department of Neuropsychiatry, Graduate School of Medicine Osaka Metropolitan University Osaka City Japan.
概括
工作场所的因素对精神疾病和身体疾病的长期病假 (LTSA) 有不同的影响. 职业压力对LTSA的心理健康没有影响,但监督员的支持影响了LTSA的身体状况.
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.
- 公共卫生 公共卫生
背景情况:
- 长期病假 (LTSA) 带来了重大的社会经济挑战.
- 了解工作场所对精神和身体状况的LTSA持续时间的影响对于有针对性的干预至关重要.
研究的目的:
- 调查工作场所因素,特别是职业压力和监督支持如何影响精神障碍 (LTSA-MD) 和身体疾病 (LTSA-PD) 的LTSA持续时间.
- 测试LTSA-MD比LTSA-PD更强烈地与职业压力相关的假设.
主要方法:
- 对1175名日本公务员 (2011-2022) 的回顾性观察研究.
- 使用简要的工作压力问卷 (BJSQ) 和国际疾病分类第十版代码.
- 采用多重线性回归分析来评估BJSQ分数和LTSA持续时间之间的关联,控制共变量.
主要成果:
- 平均LTSA-MD持续时间明显长于LTSA-PD.
- 更高的监管支持与较长的LTSA-PD相关,但职业压力没有显著影响LTSA-MD.
- 女员工和文职人员经历了较长的LTSA-MD持续时间.
结论:
- 影响LTSA持续时间的工作场所因素在精神和身体疾病之间有很大差异.
- 职业压力不是LTSA-MD持续时间的重要预测因素.
- 针对个体,工作场所和疾病特定因素的定制干预措施是有效的LTSA管理所必需的.
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