The relationship between job-related burnout and depressive disorders-results from the Finnish Health 2000 Study
The relationship between job-related burnout and depressive disorders-results from the Finnish Health 2000 Study
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DOI：
10.1016/j.jad.2005.06.004
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发表时间：
2005-09-01
影响因子：
6.6
通讯作者：
Lönnqvist, J
中科院分区：
文献类型：
--
作者：
Ahola, K;Honkonen, T;Lönnqvist, J
背景：抑郁和职业倦怠是当今工作人群中常见的健康问题。它们似乎是相互关联的，在许多综述中强调了对它们进行鉴别诊断的必要性。我们分析了工作倦怠和抑郁障碍的重叠性，即重度抑郁障碍、恶劣心境障碍和轻微抑郁障碍。方法：我们使用了芬兰以人群为基础的‘健康2000研究’。我们的全国代表性样本包括3,276名30-年龄段的员工。使用Maslach职业倦怠量表一般调查对职业倦怠进行评估。抑郁障碍的诊断基于综合国际诊断访谈。结果：职业倦怠与抑郁障碍有明显的相关性。当职业倦怠严重时，抑郁障碍的风险更大，特别是严重抑郁障碍(12个月患病率)。有严重职业倦怠的参与者中有一半患有某种抑郁障碍。那些目前有严重抑郁发作的人比那些之前经历过严重抑郁发作的人更容易遭受严重的职业倦怠。局限性：本研究是一项横断面研究。结论：倦怠和抑郁的概念是相辅相成的，涵盖了部分重叠现象。抑郁障碍与工作倦怠有关，特别是在病情严重的时候。目前的严重抑郁发作很可能与精疲力竭的经历有关。当遇到工作中的病人时，建议同时评估职业倦怠和抑郁障碍的发生情况。(C)2005 Elsevier B.V.保留所有权利。
Background: Depression and burnout are common health problems in working populations today. They appear to be interrelated, and the need for their differential diagnosis has been highlighted in many reviews. We analysed the overlap of job-related burnout and depressive disorders, i.e., major depressive disorder, dysthymia, and minor depressive disorder.Methods: We used the population-based `Health 2000 Study' in Finland. Our nationally representative sample comprised 3276 employees aged 30-64 years. Burnout was assessed with the Maslach Burnout Inventory General Survey. Diagnoses of depressive disorders were based on the Composite International Diagnostic Interview.Results: Burnout and depressive disorders were clearly related. The risk of depressive disorders, especially major depressive disorder (12-month prevalence), was greater when burnout was severe. Half of the participants with severe burnout had some depressive disorder. Those with a current major depressive episode suffered from serious burnout more often than those who had suffered a major depressive episode earlier. Limitations: This study was cross-sectional.Conclusions: The concepts of burnout and depression complement each other and cover partly overlapping phenomena. Depressive disorders are related to job-related burnout, particularly when it is severe. A current major depressive episode is likely to be associated with the experience of burnout. When encountering working patients, it is recommended to assess both the occurrence of burnout and of depressive disorders. (c) 2005 Elsevier B.V. All rights reserved.