Poor mental health associated with job dissatisfaction among school teachers in Japan
Poor mental health associated with job dissatisfaction among school teachers in Japan
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DOI：
10.1539/joh.49.515
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发表时间：
2007-11-01
影响因子：
3
通讯作者：
Takei, Nori
中科院分区：
文献类型：
--
作者：
Nagai, Michiko;Tsuchiya, Kenji J.;Takei, Nori
学校教师被认为是一个压力很大的职业。本研究旨在比较学校教师与公务员发生轻度精神障碍（MPD）的可能性，并探讨哪些因素与教师的MPD特别相关。我们在日本的一个中等城市对403名公立学校教师和611名公务员进行了一项基于问卷的调查。教师的答复率为59.6%，公务员的答复率为62.0%。使用28项一般健康问卷（GHQ-28）评估心理健康，根据该问卷，得分为6分或更高的人被认为患有MPD。采用Logistic回归分析确定MPD的相关因素。虽然教师中患有MPD的受试者比例大于公务员，但在调整潜在混杂因素后的多元Logistic回归分析中，这一比例的差异无统计学意义。在对教师的单独分析中，工作满意度降低和休闲时间缩短与MPD的可能性增加显著相关。在公务员群体中，工作时间较长、生活满意度下降、病假史和身体疾病与患MPD的可能性增加有关。当这项分析分别进行男性和女性教师，工作不满意度与MPD只在女教师。日本学校教师，特别是女教师的心理健康状况不佳，被发现与工作不满有关。
School teaching is regarded as a stressful occupation. The present study aimed to compare the likelihood of having minor psychiatric disorders (MPD) among school teachers with that among civil servants, and to investigate what factors were specifically associated with MPD in teachers. We conducted a questionnaire-based survey of 403 teachers employed at state schools and 611 civil servants as a comparison group in a medium-sized city in Japan. The response rate was 59.6% for teachers and 62.0% for civil servants. Mental health was assessed using the 28-item General Health Questionnaire (GHQ-28), according to which those with a score of six or higher were considered to have MPD. Logistic regression analysis was used to identify the factors associated with MPD. Although the proportion of subjects with MPD among teachers was greater than that among civil servants, the difference in the proportion was not statistically significant in the multiple logistic regression analysis adjusted for potential confounders. In a separate analysis of the teachers, reduced job satisfaction and shorter time spent of leisure were significantly associated with an increased likelihood of having MPD. In the group of civil servants, longer working hours, reduced life satisfaction, a history of sick leave, and physical illness were associated with an increased likelihood of having MPD. When this analysis was conducted separately for male and female teachers, job dissatisfaction alone was associated with MPD only in female teachers. Poor mental health of Japanese school teachers, female teachers in particular, was found to be associated with job dissatisfaction.