Injustice at work and incidence of psychiatric morbidity:: the Whitehall II study
Injustice at work and incidence of psychiatric morbidity:: the Whitehall II study
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DOI：
10.1136/oem.2005.022269
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发表时间：
2006-07-01
影响因子：
4.9
通讯作者：
Kivimaki, M.
中科院分区：
文献类型：
--
作者：
Ferrie, J. E.;Head, J.;Kivimaki, M.
背景资料：以往关于组织公正和心理健康的研究大多以女性为研究对象，而没有考察公正变化的影响。目的：考察管理者对待员工方式变化的影响（组织正义的关系组成部分）对未成年人精神病发病率，使用一个队列与大比例的男性。数据来自白厅II研究，一个前瞻性队列的10 308名白领英国公务员（3143名女性和6895名男性，基线年龄35 - 55岁）（第1阶段，1985 - 88）。就业等级，关系公正，工作要求，工作控制，工作中的社会支持，努力-回报不平衡，身体疾病和精神病发病率在基线测量。第二阶段（1989 - 1990）再次评估了关系正义。结果是精神病发病率的情况下，由第2和第3阶段（1991 - 93年）的参与者无病例在baseline.Results：在分析调整年龄，年级，和基线身体疾病，妇女和男子暴露于低关系正义在第1阶段的精神病发病率的风险较高的第2和第3阶段。调整其他心理社会工作的特点，特别是社会支持和努力-回报的不平衡，部分削弱了这些协会。第1阶段和第2阶段之间的正义的有利变化，减少了直接的风险（第2阶段）的精神疾病的发病率，而不利的变化增加了直接和长期的风险（第3阶段）。结论：这项研究表明，不公平的待遇，由主管增加精神健康状况不佳的风险。雇主有责任确保雇员在工作中得到公平对待，这似乎也有利于健康。
Background: Previous studies of organisational justice and mental health have mostly examined women and have not examined the effect of change in justice.Aim: To examine effects of change in the treatment of employees by supervisors ( the relational component of organisational justice) on minor psychiatric morbidity, using a cohort with a large proportion of men.Methods: Data are from the Whitehall II study, a prospective cohort of 10 308 white-collar British civil servants ( 3143 women and 6895 men, aged 35 - 55 at baseline) ( Phase 1, 1985 - 88). Employment grade, relational justice, job demands, job control, social support at work, effort - reward imbalance, physical illness, and psychiatric morbidity were measured at baseline. Relational justice was assessed again at Phase 2 ( 1989 - 90). The outcome was cases of psychiatric morbidity by Phases 2 and 3 ( 1991 - 93) among participants case-free at baseline.Results: In analyses adjusted for age, grade, and baseline physical illness, women and men exposed to low relational justice at Phase 1 were at higher risk of psychiatric morbidity by Phases 2 and 3. Adjustment for other psychosocial work characteristics, particularly social support and effort - reward imbalance, partially attenuated these associations. A favourable change in justice between Phase 1 and Phase 2 reduced the immediate risk ( Phase 2) of psychiatric morbidity, while an adverse change increased the immediate and longer term risk ( Phase 3).Conclusion: This study shows that unfair treatment by supervisors increases risk of poor mental health. It appears that the employers' duty to ensure that employees are treated fairly at work also has benefits for health.