Sinokki M, Hinkka K, Ahola K, Koskinen S, Klaukka T, Kivimäki M, Puukka P, Lönnqvist J, Virtanen M
Finnish Institute of Occupational Health, Lemminkäisenkatu 14-18 B, FI-20520 Turku, Finland.
Occup Environ Med. 2009 Aug;66(8):523-8. doi: 10.1136/oem.2008.043299. Epub 2009 Apr 9.
Depression, anxiety and alcohol use disorders are common mental health problems in the working population. However, the team climate at work related to these disorders has not been studied using standardised interview methods and it is not known whether poor team climate predicts antidepressant use. This study investigated whether team climate at work was associated with DSM-IV depressive, anxiety and alcohol use disorders and subsequent antidepressant medication in a random sample of Finnish employees.
The nationally representative sample comprised 3347 employees aged 30-64 years. Team climate was measured with a self-assessment scale. Diagnoses of depressive, anxiety and alcohol use disorders were based on the Composite International Diagnostic Interview. Data on the purchase of antidepressant medication in a 3-year follow-up period were collected from a nationwide pharmaceutical register of the Social Insurance Institution.
In the risk factor adjusted models, poor team climate at work was significantly associated with depressive disorders (OR 1.61, 95% CI 1.10 to 2.36) but not with alcohol use disorders. The significance of the association between team climate and anxiety disorders disappeared when the model was adjusted for job control and job demands. Poor team climate also predicted antidepressant medication (OR 1.53, 95% CI 1.02 to 2.30).
A poor team climate at work is associated with depressive disorders and subsequent antidepressant use.
抑郁、焦虑和酒精使用障碍是工作人群中常见的心理健康问题。然而，尚未使用标准化访谈方法研究与这些障碍相关的工作团队氛围，并且不清楚不良的团队氛围是否能预测抗抑郁药物的使用情况。本研究调查了芬兰员工随机样本中工作团队氛围是否与《精神疾病诊断与统计手册》第四版（DSM-IV）中的抑郁、焦虑和酒精使用障碍以及后续的抗抑郁药物治疗有关。
具有全国代表性的样本包括3347名年龄在30 - 64岁之间的员工。团队氛围通过自我评估量表进行测量。抑郁、焦虑和酒精使用障碍的诊断基于综合国际诊断访谈。在为期3年的随访期内，抗抑郁药物购买数据从社会保险机构的全国药品登记册中收集。
在风险因素调整模型中，工作中不良的团队氛围与抑郁症显著相关（比值比[OR]为1.61，95%置信区间[CI]为1.10至2.36），但与酒精使用障碍无关。当模型针对工作控制和工作需求进行调整时，团队氛围与焦虑症之间关联的显著性消失。不良的团队氛围也能预测抗抑郁药物的使用（OR为1.53，95% CI为1.02至2.30）。
工作中不良的团队氛围与抑郁症及后续的抗抑郁药物使用有关。
