Job strain, burnout, and depressive symptoms: A prospective study among dentists
Job strain, burnout, and depressive symptoms: A prospective study among dentists
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DOI：
10.1016/j.jad.2007.03.004
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发表时间：
2007-12-01
影响因子：
6.6
通讯作者：
Hakanen, Jari
中科院分区：
文献类型：
--
作者：
Ahola, Kirsi;Hakanen, Jari
背景：倦怠被认为是抑郁的前因，但缺乏纵向数据。本研究旨在探讨工作倦怠是否在工作紧张与抑郁症状之间起中介作用。在2003年，71%的芬兰牙医达到，3年随访的响应率为84%（n=2555）。倦怠与Maslach倦怠量表和抑郁症状与贝克抑郁量表。结果：在基线时无抑郁症状的职业倦怠患者中，23%的患者在随访时有抑郁症状。倦怠与抑郁症状的调整后优势比为2.6（95%CI 2.0-3.5）。工作紧张对抑郁症状的影响的OR为3.4（95%CI 2.0-5.7），但当调整倦怠时，它消失了。在基线时有抑郁症状而没有倦怠的人中，63%在随访时有倦怠。抑郁症状与倦怠的校正比值比为2.2（95%CI 1.4-3.4）。工作紧张对职业倦怠的影响，男性的OR为27.9（95%CI 6.5-120.2），女性为4.9（95%CI 2.5-9.6）。这些影响仍然显着调整后的抑郁症状。局限性：这项研究是在一个职业group.Conclusions：有倦怠和抑郁症状之间的相互关系。工作压力会通过倦怠而导致抑郁。相比之下，工作压力直接或通过抑郁倾向于倦怠。(c)2007 Elsevier B. V.保留所有权利。
Background: Burnout has been presented as an antecedent of depression, but longitudinal data are lacking. We investigated whether burnout mediates the association between job strain and depressive symptoms.Methods: Two surveys were conducted. In 2003, 71% of Finnish dentists were reached, and the response rate of the 3-year follow-up was 84% (n=2555). Burnout was measured with the Maslach Burnout Inventory and depressive symptoms with the Beck Depression Inventory. The sequences 'job strain-burnout-depressive symptoms' and 'job strain-depressive symptoms-burnout' were investigated with logistic regression analyses.Results: Of the burnout sufferers without depressive symptoms at baseline, 23% reported depressive symptoms at follow-up. The adjusted odds ratio of burnout for depressive symptoms was 2.6 (95% CI 2.0-3.5). The effect of job strain on depressive symptoms had an OR of 3.4 (95% CI 2.0-5.7), but it disappeared when adjusted for burnout. Of those who had depressive symptoms without burnout at baseline, 63% had burnout at follow-up. The adjusted odds ratio of depressive symptoms for burnout was 2.2 (95% CI 1.4-3.4). The effect of job strain on burnout had an OR of 27.9 (95% CI 6.5-120.2) for the men and 4.9 (95% CI 2.5-9.6) for the women. These effects remained significant after adjustment for depressive symptoms.Limitations: The study was conducted among one occupational group.Conclusions: There is a reciprocal relationship between burnout and depressive symptoms. Job strain predisposes to depression through burnout. In comparison, job strain predisposes to burnout directly and via depression. (c) 2007 Elsevier B.V. All rights reserved.