Effects of work-related stress reduction on depressive symptoms among Japanese blue-collar workers.

Effects of work-related stress reduction on depressive symptoms among Japanese blue-collar workers.
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减少工作相关压力对日本蓝领工人抑郁症状的影响。

DOI:
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发表时间:
1997
期刊:
Scandinavian Journal of Work, Environment and Health
影响因子:
--
通讯作者:
T. Hayashi
T. Hayashi
中科院分区:
--
文献类型:
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作者:
N. Kawakami;S. Araki;M. Kawashima;T. Masumoto;T. Hayashi

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目标 采用对照试验设计,研究了减压计划对日本蓝领工人的影响。 方法 在1985年对一家大型电力公司进行调查后,两个显示出较高抑郁评分(Zung抑郁自评评分)的蓝领工作场所被选为干预组。三个蓝领工作场所被选为参考组,其工人与干预工作场所的工人的平均年龄,工作场所的大小和平均抑郁评分相匹配。干预组于1986 ~ 1987年进行为期一年的压力缓解计划,由现场监督员进行。通过比较初始抑郁评分、病假时间、收缩压和舒张压与随访后的结果来评估减压计划的效果。 结果 随访期间干预组抑郁评分下降,而对照组抑郁评分基本不变。重复测量的协方差分析表明,在性别和年龄控制后,干预(组x时间相互作用)效应具有统计学意义(P = 0.035)。在过去一年中,病假减少,仅在1988年的干预组,广义logit分析与重复测量表明一个统计学显着的干预效果后,控制性别和年龄(P = 0.034)。在收缩压和舒张压或选定的工作压力源上没有观察到统计学显著的干预效果。 结论 一个针对工地主管的减压计划可以用来减少日本蓝领工人的抑郁症状和病假。
OBJECTIVES The effects of a stress reduction program on Japanese blue-collar workers were investigated using a controlled trial design. METHODS Two blue-collar worksites that showed higher depression scores (Zung self-rating depression score) were selected for the intervention group, after a survey of a large electric company in 1985. Three blue-collar worksites were selected as a reference group whose workers were matched with the workers of the interventive worksites by mean age, worksite size and mean depression scores. A 1-year stress reduction program was conducted in the intervention group from 1986 to 1987 by worksite supervisors. Effects of the stress reduction program were assessed by comparing the initial depression scores, length of sick leave, and systolic and diastolic blood pressures with those after the follow-up. RESULTS The depression scores decreased during the follow-up in the intervention group, while the scores were almost the same in the reference group. An analysis of covariance with repeated measurements indicated a statistically significant intervention (group x time interaction) effect after control for gender and age (P = 0.035). Sick leave in the past year decreased in 1988 only in the intervention group; generalized logit analysis with repeated measurements indicated a statistically significant intervention effect after control for gender and age (P = 0.034). No statistically significant intervention effects were observed on systolic and diastolic blood pressures or selected work stressors. CONCLUSIONS A stress reduction program directed towards worksite supervisors can be used to reduce depressive symptoms and sick leave among Japanese blue-collar workers.
DOI: 10.1146/annurev.pu.15.050194.002121
发表时间: 1994-01-01
影响因子: 20.8
作者:
SCHNALL, PL;LANDSBERGIS, PA;BAKER, D
通讯作者: BAKER, D