A cohort study of the relationship between perceived job stress and mental health

为了确定是否知觉工作压力影响心理健康的职业设置，进行了为期2年的队列研究。在462名最初一般健康问卷（GHQ）评分为7分或更低的工人中，有310名成功随访了2年。研究人员评估了两年内发生精神疾病（GHQ评分为8分或以上）的风险与工作压力的关系。两年内患精神疾病的风险高达57.7%。报告工作压力方面的工人比没有压力的工人表现出更大的2年风险。多因素Logistic回归分析显示，工作压力感知的某些成分与2年风险较高相关，其中“不允许犯错”的调整优势比（95%可信区间）最大，为2.37（1.32-4.29）。“与上级关系差”仅对女性的心理健康有显著影响。某些项目的感知工作压力与精神病healths.To澄清的程度，从精神病状态的职业环境中的恢复和性质的感知工作压力与恢复，进行了为期1年的队列研究，在287 763名工人谁表现出GHQ评分为8或以上。在前6个月和1年后，分别有48.7%和68.0%的患者从精神疾病状态中恢复。在前6个月期间，没有发现与恢复相关的工作压力项目。在第二个6个月期间，恢复和感知的工作压力之间的比值比（95%CI）为4.16（1.32-13.1）的“太多的责任”，即使在控制潜在的混杂因素。为了促进精神病患者在工作场所的康复，减轻他们的责任可能是有效的。

To determine whether perceived job stress affects mental health in occupational setting, a 2-year cohort study was conducted. Of 462 workers who initially sowed a General Health Questionnaire (GHQ) score of 7 or less, 310 were successfully followed for 2 years. The two-year risks of developing mental ill health (a GHQ score of 8 or more) were assessed in relation to perceived job stress. The overall two-year risk for developing mental ill health was very high at 57.7%. Workers who reported aspects of perceived job stress showed a greater 2-year risk than those without stress. Multiple logistic regression analyzes showed that some components of perceived job stress were associated with a higher 2-year risk, among which "not allow to make mistakes" showed the largest adjusted odds ratio (95% confidence interval) of 2.37 (1.32-4.29). "Poor relationship with superior" had a significant effect on mental health only in females. Certain items of perceived job stress to be associated with mental ill health in workers.To clarify the degree of recovery from mentally ill states in occupational settings and the nature of perceived job stress associated with recovery, a 1-year cohort study was carried out in 287 of 763 workers who showed a GHQ score of 8 or more. Recovery from mentally ill states was observed in 48.7% after the first 6 months and in 68.0% after 1 year. During the first 6-month period, no job stress item associated with recovery was identified. During the second 6-month period, the odds ratio (95% CI) between recovery and perceived job stress was 4.16 (1.32-13.1) for "Too much responsibility" even after control of potential confounders. To promote recovery inmentally ill workers in the workplace, reduction in their responsibility may be effective.