Marinoni B, Minelli C M, Franzina B, Martellosio V, Scafa F, Giorgi I, Mazzacane F, Stancanelli M, Mennoia N V, Candura S M
Scuola di Specializzazione in Medicina del Lavoro, Università degli Studi di Pavia.
G Ital Med Lav Ergon. 2007 Jul-Sep;29(3 Suppl):354-6.
Mobbing represents nowadays a major challenge for Occupational Medicine. We examined, during the last seven years, 253 patients who asked medical assistance for psychopathological problems by them ascribed to mobbing in the working environment. All patients underwent occupational health visit, psychological counselling (including personality tests administration), and psychiatric evaluation. A clinical picture probably due to mobbing was diagnosed in 37 workers: 2 cases of Post-Traumatic Stress Disorder (PTSD), 33 of Adjustment Disorder (AD), and 2 of anxiety disorder. Regarding mobbing typology, we found 19 cases of vertical mobbing (by an employer/manager to employees), 14 cases of strategic mobbing, 3 cases of horizontal mobbing (among colleagues), and one non intentional mobbing. In conclusion, a pure mobbing syndrome was diagnosed in a lower proportion than that reported by other investigators. The described interdisciplinary approach appears useful for the diagnostic assessment of suspect mobbing cases, that in turn is crucial for prognosis and treatment, as well as in relation to medico-legal issues and work-related compensation claims.
如今，职场暴力已成为职业医学面临的一项重大挑战。在过去七年里，我们对253名因工作环境中遭遇职场暴力而出现心理病理问题前来寻求医疗帮助的患者进行了检查。所有患者均接受了职业健康检查、心理咨询（包括进行人格测试）以及精神科评估。37名员工被诊断出可能患有职场暴力所致的临床症状：2例创伤后应激障碍（PTSD）、33例适应障碍（AD）以及2例焦虑症。关于职场暴力的类型，我们发现有19例垂直型职场暴力（雇主/经理对员工实施）、14例策略型职场暴力、3例水平型职场暴力（同事之间）以及1例非故意职场暴力。总之，被诊断出患有单纯职场暴力综合征的比例低于其他研究者报告的比例。所描述的跨学科方法似乎有助于对可疑职场暴力案件进行诊断评估，而这对于预后和治疗，以及与医学法律问题和与工作相关的赔偿要求而言至关重要。
