dos Reis Eduardo José Farias Borges, Carvalho Fernando Martins, de Araújo Tânia Maria, Porto Lauro Antônio, Silvany Neto Annibal Muniz
Departamento de Medicina Preventiva, Universidade Federal da Bahia, Salvador, Brazil.
Cad Saude Publica. 2005 Sep-Oct;21(5):1480-90. doi: 10.1590/s0102-311x2005000500021. Epub 2005 Sep 12.
A cross-sectional study with all the teachers in the municipal school system in Vitória da Conquista, Bahia State, Brazil, investigated the association between work content (psychological demand and control over work) and the occurrence of minor psychiatric disorders (MPD) among teachers. The Karasek demand-control model was used to evaluate control over work. The Self-Report Questionnaire-20 was used to evaluate minor psychiatric disorders. MPD prevalence was 55.9% among the 808 teachers studied. Crude prevalence of MPD showed a positive and significant association with psychological demand and a negative and significant association with control over work. MPD prevalence was higher in teachers with highly demanding work, characterized by heavy demand and low control (PR = 1.74; 95%CI: 1.44-2.10), and in those with active work, with heavy demand and low control (PR = 1.35; 95%CI: 1.13-1.61), as compared to teachers with low-demand work (light demand and high control), after adjusting for confounders in a multiple logistic regression model. As a conclusion, teachers' mental health is strongly associated with their work content.
一项针对巴西巴伊亚州维多利亚达孔基斯塔市公立学校系统所有教师开展的横断面研究，调查了工作内容（心理需求和工作控制权）与教师中轻度精神障碍（MPD）的发生之间的关联。采用Karasek需求-控制模型评估工作控制权。使用《自我报告问卷-20》评估轻度精神障碍。在808名参与研究的教师中，MPD患病率为55.9%。MPD的粗患病率与心理需求呈正相关且具有显著意义，与工作控制权呈负相关且具有显著意义。在多因素逻辑回归模型中对混杂因素进行校正后，与低需求工作（需求少且控制权高）的教师相比，工作要求高（以高需求和低控制权为特征）的教师以及积极工作（高需求和低控制权）的教师中MPD患病率更高（PR = 1.74；95%CI：1.44 - 2.10），以及（PR = 1.35；95%CI：1.13 - 1.61）。结论是，教师的心理健康与其工作内容密切相关。
