CHRONIC STRESS AND CHRONIC DISEASE IN LIFE AND WORK - CONCEPTUAL AND METHODOLOGICAL ISSUES
CHRONIC STRESS AND CHRONIC DISEASE IN LIFE AND WORK - CONCEPTUAL AND METHODOLOGICAL ISSUES
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DOI：
10.1080/02678378708258494
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发表时间：
1987-04-01
期刊：
影响因子：
6.1
通讯作者：
HOUSE, JS
中科院分区：
文献类型：
--
作者：
HOUSE, JS
本文认为，缺乏强有力的前瞻性证据，将职业和社会压力与慢性病联系起来，这是因为研究设计未能充分考虑此类疾病的病因慢性化。对生活或工作中所谓的急性压力（生活事件）和慢性压力的研究，必须越来越多地设计成区分两种压力，一种是持续或慢性的压力，持续一年甚至几十年，因此能够引起严重的慢性疾病，另一种是短暂或短暂的压力，可能产生短暂或短暂的心理或生理障碍，但不会产生严重的慢性疾病。需要进行前瞻性研究，在较长的一段时间内收集多个点的压力和健康或疾病的测量结果。压力的测量应该更多地关注影响（例如，压力和紧张的感觉），而不是认知（例如满意度）。有限的现有证据与这些理想是一致的。
This paper argues that the lack of strong prospective evidence linking occupational and social stress to chronic disease stems from the failure of research designs to attend sufficiently to the aetiological chronicity of such diseases. Studies of both supposedly acute stress (life events) and chronic stress in life or work must increasingly be designed to distinguish between stress which is sustained or chronic over a period of yean or even decades, and hence capable of causing a serious chronic disease, and brief or transient stress, which may produce transient or brief psychological or physiological disturbances but cannot generate major chronic disease. Prospective studies are needed which collect measures of both stress and health or disease at multiple points over an extended period of time. Measures of stress should focus more on affect (for example, feelings of pressure and tension) than on cognition (for example feelings of satisfaction). Limited existing evidence is consistent with these ideals.