Job stress and depression symptoms in middle-aged workers - prospective results from the Belstress study
Job stress and depression symptoms in middle-aged workers - prospective results from the Belstress study
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DOI：
10.5271/sjweh.1140
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发表时间：
2007-08-01
影响因子：
6.3
通讯作者：
De Backer, Gguy
中科院分区：
文献类型：
--
作者：
Clays, Els;De Bacquer, Dirk;De Backer, Gguy
目的本研究的目的是通过队列研究探讨工作压力与抑郁症状之间的前瞻性关系。方法共有2821名工人参与纵向Belstress研究（比利时工作压力研究）；两次测量的平均随访时间为 6.6 年。工作压力通过工作内容问卷进行评估。抑郁症状通过流行病学研究中心的爱荷华州抑郁量表进行评估。通过逻辑回归分析，基线和反复暴露于工作压力与高水平抑郁症状的发生有关。结果在基线时没有高抑郁分数的人群中，平均随访 6.6 年后，工作压力会增加发生高水平抑郁症状的风险。研究发现，女性决策自由度低、工作压力大和孤立的压力存在独立关联，但男性则不然。调整后的男性与高工作压力之间的关联处于显着边缘。无论是男性还是女性，反复的高工作压力与患抑郁症症状的风险更高有关。结论这项研究的结果证实，工作压力是患抑郁症症状的一个危险因素。女性的关联性更强。当男性和女性反复接触高工作压力时，其影响会更大。
Objective The aim of this study was to explore the prospective relation between job stress and symptoms of depression within a cohort study.Methods Altogether 2821 workers were involved in the longitudinal Belstress study (Belgian job stress study); there were two measurements with a mean follow-up time of 6.6 years. Job stress was assessed by the Job Content Questionnaire. Depression symptoms were assessed by the Iowa form of the Center for Epidemiological Studies-Depression Scale. Baseline and repeated exposures to job stress were related to the development of high levels of depression symptoms through logistic regression analysis.Results Within a population free of high depression scores at baseline, job stress increased the risk of developing high levels of depression symptoms after a mean follow-up time of 6.6 years. Independent associations were found for low decision latitude, high job strain, and isolated strain among women, but not among men. The adjusted association with high job strain among men was borderline significant. Repeated high job strain was associated with a more elevated risk of developing high levels of depression symptoms among both the women and the men.Conclusion The results of this study confirm that job stress is a risk factor for developing symptoms of depression. Stronger associations were found for women. The impact of high job strain among both men and women was more harmful when there was repeated exposure.