Clinical Epidemiology Laboratory, Evandro Chagas Clinical Research Institute, Oswaldo Cruz Foundation, Av. Brasil, 4365, Manguinhos, Rio de Janeiro, RJ, 21040-900, Brazil.
Int Arch Occup Environ Health. 2010 Apr;83(4):407-16. doi: 10.1007/s00420-009-0488-4. Epub 2009 Nov 26.
According to Karasek, job strain results from an interaction between high demands and low decision latitude.
To reassess the dimensional structure and evaluate the internal consistency of demand control support questionnaire (DCSQ), a shortened version of job content questionnaire that was not sufficiently evaluated in validation studies.
The study investigated 825 workers who completed the DCSQ in Rio de Janeiro, Brazil; to 399 workers, the questionnaire was self-administered at a hospital (2004-2005), and 426 workers were interviewed at nine restaurants (2006-2007). Confirmatory factor analysis using structural equation models was used to test theoretical structure of dimensionality. Internal consistency was evaluated by composite reliability and convergent validity by average variance extracted.
Confirmatory factor analysis supported the instrument in three dimensions: demands, skill discretion and decision authority. The best fit model was achieved by removing social support at work and the item repetitive work (skill discretion). A cross-loading from learning new things on demands and an error measurement correlation between work fast and work intense were confirmed. Composite reliability was acceptable for all dimensions, except for demands (0.58), which also showed inadequate average variance extracted (0.32). This final model was confirmed in separate analyses according to work setting, but the loadings of demands were lower for restaurant workers.
Our results indicated that skill discretion and decision authority formed two distinct dimensions. Additionally, the item repetitive work should be removed, as well as one of the items work fast or work intense (demands). Future research is still required to confirm these findings.
根据 Karasek 的观点,工作压力是高要求和低决策自主权相互作用的结果。
重新评估需求控制支持问卷(DCSQ)的维度结构,并评估其内部一致性,该问卷是工作内容问卷的缩写版本,在验证研究中评估不充分。
本研究调查了巴西里约热内卢的 825 名工人,他们完成了 DCSQ;其中 399 名工人在一家医院(2004-2005 年)进行了自我管理,426 名工人在 9 家餐馆(2006-2007 年)进行了访谈。使用结构方程模型的验证性因子分析来测试维度的理论结构。内部一致性通过综合可靠性进行评估,收敛有效性通过平均方差提取进行评估。
验证性因子分析支持该工具的三个维度:需求、技能裁量权和决策自主权。通过删除工作中的社会支持和重复性工作(技能裁量权),最佳拟合模型得以实现。从需求中学习新事物和工作快速与工作紧张之间的错误测量相关性的交叉加载得到确认。除了需求(0.58),所有维度的综合可靠性都可以接受,而需求的平均方差提取也不足(0.32)。根据工作环境,对最终模型进行了单独分析,但餐厅工人的需求负荷较低。
我们的结果表明,技能裁量权和决策自主权形成了两个不同的维度。此外,应该删除重复性工作项目,以及工作快速或工作紧张的项目之一(需求)。未来的研究仍需要确认这些发现。