Department of Psychiatry in Medicine, Mackay Memorial Hospital, Hsinchu, Taiwan.
Int Arch Occup Environ Health. 2011 Jan;84(1):91-103. doi: 10.1007/s00420-010-0538-y. Epub 2010 Apr 30.
Microelectronic engineers are considered valuable human capital contributing significantly toward economic development, but they may encounter stressful work conditions in the context of a globalized industry. The study aims at identifying risk factors of depressive disorders primarily based on job stress models, the Demand-Control-Support and Effort-Reward Imbalance models, and at evaluating whether depressive disorders impair work performance in microelectronics engineers in Taiwan.
The case-control study was conducted among 678 microelectronics engineers, 452 controls and 226 cases with depressive disorders which were defined by a score 17 or more on the Beck Depression Inventory and a psychiatrist's diagnosis. The self-administered questionnaires included the Job Content Questionnaire, Effort-Reward Imbalance Questionnaire, demography, psychosocial factors, health behaviors and work performance. Hierarchical logistic regression was applied to identify risk factors of depressive disorders. Multivariate linear regressions were used to determine factors affecting work performance.
By hierarchical logistic regression, risk factors of depressive disorders are high demands, low work social support, high effort/reward ratio and low frequency of physical exercise. Combining the two job stress models may have better predictive power for depressive disorders than adopting either model alone. Three multivariate linear regressions provide similar results indicating that depressive disorders are associated with impaired work performance in terms of absence, role limitation and social functioning limitation.
The results may provide insight into the applicability of job stress models in a globalized high-tech industry considerably focused in non-Western countries, and the design of workplace preventive strategies for depressive disorders in Asian electronics engineering population.
微电子工程师被认为是具有高价值的人力资本,对经济发展有重大贡献,但他们在全球化的行业环境中可能会面临压力较大的工作条件。本研究旨在根据工作压力模型(包括“需求-控制-支持”模型和“努力-回报失衡”模型),确定微电子工程师抑郁障碍的风险因素,并评估抑郁障碍是否会对台湾微电子工程师的工作表现产生影响。
采用病例对照研究,在 678 名微电子工程师中进行,其中 452 名为对照组,226 名为抑郁障碍病例组(根据贝克抑郁自评量表评分≥17 分和精神科医生诊断确定)。自填式问卷包括工作内容问卷、努力-回报失衡问卷、人口统计学资料、心理社会因素、健康行为和工作表现。采用分层逻辑回归分析识别抑郁障碍的风险因素。采用多元线性回归分析确定影响工作表现的因素。
通过分层逻辑回归分析,抑郁障碍的风险因素包括高需求、低工作社会支持、高努力/回报比和低锻炼频率。结合两种工作压力模型可能比单独采用任何一种模型对抑郁障碍有更好的预测能力。三个多元线性回归提供了类似的结果,表明抑郁障碍与缺勤、角色限制和社会功能受限方面的工作表现受损有关。
研究结果可能为在全球化的高科技行业(尤其是在非西方国家)中应用工作压力模型提供新的见解,并为亚洲电子工程人群设计针对抑郁障碍的工作场所预防策略提供参考。