The associations between psychosocial working conditions and changes in common mental disorders: a follow-up study.

The associations between psychosocial working conditions and changes in common mental disorders: a follow-up study.
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DOI:
10.1186/1471-2458-14-588
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发表时间:
2014-06-11
期刊:
影响因子:
4.5
通讯作者:
Lahelma E
Lahelma E
中科院分区:
医学2区
文献类型:
--
作者:
Laine H;Saastamoinen P;Lahti J;Rahkonen O;Lahelma E

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常见精神障碍(CMD)在工作人群中普遍存在,对员工的福祉和工作能力产生不利影响,甚至导致提前退休。一些研究报告了心理社会工作条件和CMD之间的关联。然而,缺乏一个广泛的框架内的心理社会工作条件和改善CMD的纵向研究。本研究的目的是检查几个心理社会工作条件和恶化和改善CMD之间的关联在五到六年的随访期内的老年员工。该研究基于2001-2002年赫尔辛基健康研究基线调查和2007年在40-60岁的女性和男性员工中进行的随访(N = 4340,应答率83%)。一般健康问卷(GHQ-12)被用来衡量常见的精神疾病。社会心理工作条件的工作压力,组织正义,工作与家庭的接口,社会支持和工作场所欺凌方面进行了测量。协变量包括社会人口统计学和健康因素。在对所有协变量进行调整后,(OR 1.41,95%CI 1.04-1.91)和工作与家庭冲突(OR 1.99,95% CI 1.42-2.78)和工作场所欺凌(OR 1.40,95%CI 1.09-1.79)与恶化和家庭与工作冲突相关(OR 1.65,95% CI 1.66-2.34)和社会支持(OR 1.47,95% CI 1.07-2.00),CMD改善。不利的心理社会工作条件导致雇员心理健康状况不佳。防止职场欺凌、促进社会支持以及更好地平衡工作和家庭关系,可能有助于员工保持心理健康。
Common mental disorders (CMD) are prevalent in working populations and have adverse consequences for employee well-being and work ability, even leading to early retirement. Several studies report associations between psychosocial working conditions and CMD. However, there is a lack of longitudinal research within a broad framework of psychosocial working conditions and improvement in CMD. The aim of this study was to examine the associations between several psychosocial working conditions and deteriorating and improving CMD among ageing employees over a five-to-six-year follow-up period. The study is based on the Helsinki Health Study baseline survey in 2001–2002 and a follow-up in 2007 (N = 4340, response rate 83%) conducted among 40-60-year-old female and male employees. The General Health Questionnaire (GHQ-12) was used to measure common mental disorders. Psychosocial working conditions were measured in terms of job strain, organisational justice, work-family interface, social support and workplace bullying. The covariates included sociodemographic and health factors. Following adjustment for all the covariates, family-to-work (OR 1.41, 95% Cl 1.04-1.91) and work-to-family conflicts (OR 1.99, 95% Cl 1.42-2.78) and workplace bullying (OR 1.40, 95% Cl 1.09-1.79) were associated with deterioration, and family-to-work conflicts (OR 1.65, 95% Cl 1.66-2.34) and social support (OR 1.47, 95% Cl 1.07-2.00) with improvement in CMD. Adverse psychosocial working conditions contribute to poor mental health among employees. Preventing workplace bullying, promoting social support and achieving a better balance between work and family may help employees to maintain their mental health.
DOI: 10.1136/oem.2005.022269
发表时间: 2006-07-01
影响因子: 4.9
作者:
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