Tsutsumi Akizumi
Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Hygiene & Preventive Medicine, Japan.
J Epidemiol. 2005 May;15(3):65-9. doi: 10.2188/jea.15.65.
The effects of psychosocial factors on health have drawn growing attention. An important prerequisite for epidemiologic studies is that instruments to measure psychosocial factors be reliable and valid based on psychometric properties. The introduction of occupational stress models has made breakthroughs in conceptualizing real-life complex phenomena in the workplace. This article describes some trials that explore the associations between psychosocial factors and health in the community and workplace. Scales for measuring social support and psychosocial job characteristics were developed, and their validation was pursued. Findings suggest that adverse social relationships and job characteristics measured by these instruments are associated with ill health. To strengthen the validities of the measurements and to provide strong causal evidence between psychosocial factors and health, more prospective studies and interventional approaches are needed.
社会心理因素对健康的影响已引起越来越多的关注。流行病学研究的一个重要前提是,基于心理测量特性,用于测量社会心理因素的工具要可靠且有效。职业压力模型的引入在将工作场所中的现实生活复杂现象概念化方面取得了突破。本文描述了一些探索社区和工作场所中社会心理因素与健康之间关联的试验。开发了用于测量社会支持和社会心理工作特征的量表,并对其进行了验证。研究结果表明,这些工具所测量的不良社会关系和工作特征与健康状况不佳有关。为了加强测量的有效性,并提供社会心理因素与健康之间有力的因果证据,需要更多的前瞻性研究和干预方法。