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[职场暴力及其对健康的影响。米兰“路易吉·德沃托职业健康诊所”的经验]

[Mobbing and its effects on health. the experience of the "Clinica del Lavoro Luigi Devoto" in Milan].

作者信息

Punzi Silvia, Cassitto Maria Grazia, Castellini Giovanna, Costa G, Gilioli R

机构信息

Dipartimento di Medicina del Lavoro, Università degli Studi di Milano.

出版信息

Med Lav. 2007 Jul-Aug;98(4):267-83.

PMID:17679339
Abstract

BACKGROUND

There is increasing interest in research, prevention and management of mobbing in the field of occupational psychosocial risks.

OBJECTIVES

To describe mobbing and its health effects by analysis of the cases examined from 1997 to 2003 at the Department of Occupational Health "Clinica del Lavoro Luigi Devoto" in Milan.

METHODS

A total of 226 clinical records of patients who reported a mobbing situation when undergoing medical examination were selected out of 2455 patients examined for stress-related disorders.

RESULTS

The percentage of women was higher (53.1%) than in men (46.9%) with a prevalent age range of 35-54 years. There was a great variety of jobs, especially white-collars and workers in large service companies. In one third of the cases, mobbing occurred within 4 years from beginning of employment and mostly after company reorganization and management changes. The most frequent negative acts included social isolation and demotion. The most frequent symptoms were exhaustion, sleep, mood and sexual disorders. The number of symptoms was not related to the duration of mobbing but to the number and frequency of negative actions. 61.1% of the subjects took psychotropic drugs. Occupational health physicians play an essential role in primary prevention (information on occupational risks) and in early diagnosis and rehabilitation and could act as mediators between workers and enterprises.

摘要

背景

在职业心理社会风险领域,对职场暴力的研究、预防和管理的关注度日益增加。

目的

通过分析1997年至2003年在米兰“路易吉·德沃托职业健康诊所”检查的病例,描述职场暴力及其对健康的影响。

方法

从2455名因与压力相关疾病接受检查的患者中,选取了226份报告遭受职场暴力情况的患者临床记录。

结果

女性比例(53.1%)高于男性(46.9%),主要年龄范围在35至54岁。工作种类繁多,尤其是白领和大型服务公司的员工。三分之一的案例中,职场暴力发生在入职后4年内,且大多发生在公司重组和管理变更之后。最常见的负面行为包括社会孤立和降职。最常见的症状是疲惫、睡眠、情绪和性功能障碍。症状数量与职场暴力持续时间无关,而是与负面行为的数量和频率有关。61.1%的受试者服用了精神药物。职业健康医生在一级预防(职业风险信息)以及早期诊断和康复中发挥着重要作用,并且可以充当工人和企业之间的调解人。

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