Psychosocial factors at work and depression in three countries of Central and Eastern Europe
Psychosocial factors at work and depression in three countries of Central and Eastern Europe
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DOI：
10.1016/s0277-9536(03)00350-2
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发表时间：
2004-04-01
影响因子：
5.4
通讯作者：
Marmot, M
中科院分区：
文献类型：
--
作者：
Pikhart, H;Bobak, M;Marmot, M
工作中的心理社会因素被发现可以预测一系列健康结果，但它们对精神健康结果的影响还没有得到广泛的研究。本文探讨了中东欧三国工作中的心理社会因素与抑郁之间的关系。数据来自一项横断面研究，对象为45-年龄的在职男性(n=645)和女性(n=523)，他们是从新西伯利亚(俄罗斯)、克拉科夫(波兰)和卡维纳-哈维罗夫(捷克共和国)的人口登记中随机挑选出来的。问卷包括关于工作中的努力和回报、工作控制、抑郁的完整CES-D量表以及一系列其他特征的问题。用线性回归估计抑郁得分与工作特征之间的关系：努力-回报比的对数，以及连续工作控制得分。抑郁得分均值男性为10.5，女性为14.2。在控制了年龄、性别和国家后，努力回报比(经对数转换)与抑郁得分显著相关；对数转换的努力回报比每增加1个标准差，抑郁就增加2.0分(95%可信区间1.5；2.4)，进一步调整不会对效果产生实质性影响。在波兰和捷克共和国(不是在俄罗斯)，工作控制与抑郁得分呈负相关，但通过控制社会经济特征，这种联系在很大程度上被消除了。这项研究表明，工作中的努力和回报不平衡与这些中东欧人群中抑郁症的流行有关。(C)2003爱思唯尔有限公司。保留所有权利。
Psychosocial factors at work have been found to predict a range of health outcomes but their effect on mental health outcomes has not been extensively studied. This paper explores the relationship between psychosocial factors at work and depression in three countries of Central and Eastern Europe. The data come from a cross-sectional study of working men (n = 645) and women (n = 523) aged 45-64 years, randomly selected from population registers in Novosibirsk (Russia), Krakow (Poland) and Karvina-Havirov (Czech Republic). The questionnaire included questions on the effort and reward at work, job control, the full CES-D scale of depression, and a range of other characteristics. Linear regression was used to estimate the association between depression score and work characteristics: the logarithm of the effort-reward ratio, and continuous job control score. The means of the depression score were 10.5 for men and 14.2 for women. After controlling for age, sex and country, effort-reward ratio (logarithmically transformed) was strongly related to depression score; a 1 SD increase in the log transformed effort-reward ratio was associated with an increase in the depression of 2.0 points (95% CI 1.5; 2.4), and further adjustment did not materially change the effect. Job control was inversely associated with depression score in Poland and the Czech Republic (not in Russia) but the association was largely eliminated by controlling for socioeconomic characteristics. This study suggests that the effort-reward imbalance at work is related to prevalence of depression in these central and eastern European populations. (C) 2003 Elsevier Ltd. All rights reserved.