Ertel Karen A, Koenen Karestan C, Berkman Lisa F
Department of Society, Human Development, and Health, Harvard School of Public Health, Boston MA 02115, USA.
J Occup Environ Med. 2008 Nov;50(11):1244-52. doi: 10.1097/JOM.0b013e31818c308d.
The purpose of this article was to integrate home demands with the demand-control-support model to test if home demands interact with job strain to increase depressive symptoms.
Data were from 431 employees in four extended care facilities. Presence of a child younger than 18 years in the household signified home demands. The outcome was depressive symptoms based on a shortened version of the Center for Epidemiologic Studies Depression Scale.
The association between job strain and depressive symptoms was moderated by social support (SS) and presence of a child in the household (child). There was no association among participants with high SS and no child, but a positive one among participants with low SS and a child.
Job strain may be a particularly important determinant of depressive symptoms among employees with family demands. Models of job strain should expand to incorporate family demands.
本文旨在将家庭需求与需求-控制-支持模型相结合，以检验家庭需求是否与工作压力相互作用，从而增加抑郁症状。
数据来自四个长期护理机构的431名员工。家中有18岁以下的孩子表明存在家庭需求。结果变量是基于流行病学研究中心抑郁量表的简化版得出的抑郁症状。
社会支持（SS）和家中有孩子（孩子）对工作压力与抑郁症状之间的关联起到了调节作用。在社会支持高且没有孩子的参与者中没有关联，但在社会支持低且有孩子的参与者中有正向关联。
工作压力可能是有家庭需求的员工抑郁症状的一个特别重要的决定因素。工作压力模型应扩展以纳入家庭需求。
