Occupational stress and psychopathology in health professionals: An explorative study with the Multiple Indicators Multiple Causes (MIMIC) model approach
Occupational stress and psychopathology in health professionals: An explorative study with the Multiple Indicators Multiple Causes (MIMIC) model approach
复制标题
DOI：
10.3109/10253890.2012.689896
复制
发表时间：
2013-03-01
影响因子：
2.3
通讯作者：
Girardi, Paolo
中科院分区：
文献类型：
--
作者：
Iliceto, Paolo;Pompili, Maurizio;Girardi, Paolo
职业压力是一个多元过程，涉及压力来源、心理生理困扰、控制点、工作不满、抑郁、焦虑、心理健康障碍、绝望和自杀意念。众所周知，医疗保健专业人员的职业相关压力（倦怠和同情疲劳）和自杀率较高。本研究的目的是解释职业压力与卫生专业人员某些心理病理维度之间的关系。我们调查了156名护士和医生，其中62名男性和94名女性，并对他们进行了自我报告问卷，以评估职业压力[职业压力量表（OSI）]、气质（孟菲斯、比萨、巴黎和圣地亚哥自评问卷的气质评估）和绝望（贝克绝望量表）。具有五个OSI预测因子的最佳多指标多原因模型产生以下结果：chi(2) (9) 14.47 (p = 0.11)；Chi (2)/df = 1.60；比较拟合指数= 0.99；近似均方根误差= 0.05。该模型与实证数据拟合较好，表明工作不满、a型行为缺失等偶发变量，尤其是外部控制点、心理和生理困扰对潜在变量精神病理学有较强的直接影响。职业压力与气质和绝望有着复杂的关系，在医疗保健专业人员中也很常见。
Occupational stress is a multivariate process involving sources of pressure, psycho-physiological distress, locus of control, work dissatisfaction, depression, anxiety, mental health disorders, hopelessness, and suicide ideation. Healthcare professionals are known for higher rates of occupational-related distress (burnout and compassion fatigue) and higher rates of suicide. The purpose of this study was to explain the relationships between occupational stress and some psychopathological dimensions in a sample of health professionals. We investigated 156 nurses and physicians, 62 males and 94 females, who were administered self-report questionnaires to assess occupational stress [occupational stress inventory (OSI)], temperament (temperament evaluation of Memphis, Pisa, Paris, and San Diego autoquestionnaire), and hopelessness (Beck hopelessness scale). The best Multiple Indicators Multiple Causes model with five OSI predictors yielded the following results: chi(2) (9) 14.47 (p = 0.11); chi(2)/df = 1.60; comparative fit index = 0.99; root mean square error of approximation = 0.05. This model provided a good fit to the empirical data, showing a strong direct influence of casual variables such as work dissatisfaction, absence of type A behavior, and especially external locus of control, psychological and physiological distress on latent variable psychopathology. Occupational stress is in a complex relationship with temperament and hopelessness and also common among healthcare professionals.