Wang JianLi, Adair Carol E, Patten Scott B
Department of Psychiatry, Faculty of Medicine, University of Calgary, Calgary, Alberta, Canada.
Am J Ind Med. 2006 Jul;49(7):514-22. doi: 10.1002/ajim.20319.
In past decades, the nature of work has undergone significant changes including increased psychological demands and job instability. A stressful psychosocial work environment has been shown to have adverse effects on workers' mental and physical health. This goal of this study is to estimate the prevalence of psychiatric syndromes and related disability in a population-based sample of employed adults and investigate associations between psychiatric syndromes and related disability.
A random-digit dial provincial wide mental health survey was conducted in Alberta, Canada (n = 5,383). The telephone interview included the Mini International Neuropsychiatric Interview (MINI) and the World Health Organization's Disability Assessment Schedule (WHO-DAS-II). In this analysis, participants who were currently employed were included (n = 4,149).
In this population, 6.2% had had at least one MINI-defined psychiatric diagnosis with clinically significant interference. Without consideration of the clinical interference criterion, the prevalence of psychiatric syndromes was higher (33.5%). Psychiatric syndromes were strongly associated with disability. A dose-response relationship between the number of diagnoses and disability was found.
Interventional strategies in the workplace should focus on mental disorders at both the clinical and sub-clinical levels.
在过去几十年中，工作性质发生了重大变化，包括心理需求增加和工作不稳定。有证据表明，压力大的社会心理工作环境会对工人的身心健康产生不利影响。本研究的目的是估计成年在职人群中精神综合征及相关残疾的患病率，并调查精神综合征与相关残疾之间的关联。
在加拿大艾伯塔省进行了一项全省范围内的随机数字拨号心理健康调查（n = 5383）。电话访谈包括迷你国际神经精神病学访谈（MINI）和世界卫生组织残疾评估量表（WHO-DAS-II）。在本次分析中，纳入了目前在职的参与者（n = 4149）。
在该人群中，6.2%的人至少有一项经MINI定义的、伴有临床显著干扰的精神疾病诊断。不考虑临床干扰标准时，精神综合征的患病率更高（33.5%）。精神综合征与残疾密切相关。发现诊断数量与残疾之间存在剂量反应关系。
工作场所的干预策略应关注临床和亚临床水平的精神障碍。
