Job Stress and Mental Health of Permanent and Fixed-term Workers Measured by Effort-reward Imbalance Model, Depressive Complaints, and Clinic Utilization
Job Stress and Mental Health of Permanent and Fixed-term Workers Measured by Effort-reward Imbalance Model, Depressive Complaints, and Clinic Utilization
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DOI：
10.1539/joh.l10098
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发表时间：
2011-03-01
影响因子：
3
通讯作者：
Yano, Eiji
中科院分区：
文献类型：
--
作者：
Inoue, Mariko;Tsurugano, Shinobu;Yano, Eiji
通过努力-回报不平衡模型、抑郁症和诊所利用率测量的长期和定期工作者的工作压力和心理健康：井上麻里子等。帝京大学医学部卫生学公共卫生学-目的：全球范围内不稳定就业的人数增加;然而，很少有研究使用有效的措施来调查工作状态与压力和心理健康的关系。因此，我们进行了一项研究，比较长期和定期工作者所经历的不同的工作压力，使用的努力回报不平衡（ERI）模型问卷，并通过评估抑郁症的投诉和诊所利用。方法：受试者是日本研究机构的长期或定期男性工人（n=756）。2007年收集了工作压力和抑郁投诉的基线数据。我们对同一人群进行了为期一年的随访，以评估他们对公司诊所心理健康问题的利用情况。结果：长期工的ERI比率高于定期工。更多的长期工人提出了两个以上的抑郁症的投诉，这是用于诊断抑郁症的标准。ERI分数表明，长期工作的努力组成部分与痛苦，而痛苦的定期工作与工作晋升和工作不安全。此外，在为期一年的随访期间，固定期限的工人访问现场诊所的精神问题比永久性工人的4.04倍，即使在调整年龄，生活方式，ERI和抑郁症的投诉。结论：这些对比研究结果反映了不同的工作量和工作条件所遇到的长期和定期工人。就业状况混杂的职业环境可能导致不同就业状况的工人经历大量与心理健康相关的问题。（J Occup Health 2011; 53：93-101）
Job Stress and Mental Health of Permanent and Fixed-term Workers Measured by Effort-reward Imbalance Model, Depressive Complaints, and Clinic Utilization: Mariko INOUE, et al. Department of Hygiene and Public Health, School of Medicine, Teikyo University-Objectives: The number of workers with precarious employment has increased globally; however, few studies have used validated measures to investigate the relationship of job status to stress and mental health. Thus, we conducted a study to compare differential job stress experienced by permanent and fixed-term workers using an effort reward imbalance (ERI) model questionnaire, and by evaluating depressive complaints and clinic utilization. Methods: Subjects were permanent or fixed-term male workers at a Japanese research institute (n=756). Baseline data on job stress and depressive complaints were collected in 2007. We followed up with the same population over a 1-year period to assess their utilization of the company clinic for mental health concerns. Results: The ERI ratio was higher among permanent workers than among fixed-term workers. More permanent workers presented with more than two depressive complaints, which is the standard used for the diagnosis of depression. ERI scores indicated that the effort component of permanent work was associated with distress, whereas distress in fixed-term work was related to job promotion and job insecurity. Moreover, over the one-year follow-up period, fixed-term workers visited the on-site clinic for mental concerns 4.04 times more often than permanent workers even after adjusting for age, lifestyle, ERI, and depressive complaints. Conclusions: These contrasting findings reflect the differential workloads and working conditions encountered by permanent and fixed-term workers. The occupational setting where employment status was intermingled, may have contributed to the high numbers of mental health-related issues experienced by workers with different employment status. (J Occup Health 2011; 53: 93-101)