Braga Ludmila Candida de, Carvalho Lidia Raquel de, Binder Maria Cecília Pereira
Universidade Estadual Paulista Júlio de Mesquita Filho, Botucatu, SP, Brazil.
Cien Saude Colet. 2010 Jun;15 Suppl 1:1585-96. doi: 10.1590/s1413-81232010000700070.
Common mental disorders (CMD) present high prevalence among general populations and workers with important individual and social consequences. This cross-sectional and descriptive study explores the relationship between psychological job demands, job control degree and job support and prevalence of CMD among primary health care workers of Botucatu - SP. The data collection was carried out using an unidentified self-administered questionnaire, with emphasis on items relating to demand-control-support situation and occurrence of CMD (Self Reporting Questionnaire, SRQ-20). The data were stored using the software Excel / Office XP 2003, and the statistical analyses were performed in SAS system. It was evidenced that 42.6% of primary health care workers presented CMD. The observed association - high prevalence of CMD with high-strain job (Karasek model) and low prevalence of CMD with low-strain job - indicates that, in the studied city, primary health care work conditions are contributive factors to workers' illness. The survey reveals the need of interventions aiming at caring the workers and also gets better work conditions and increase social support at work.
常见精神障碍（CMD）在普通人群和劳动者中普遍存在，会产生重要的个人和社会后果。这项横断面描述性研究探讨了心理工作需求、工作控制程度、工作支持与巴西圣保罗州博图卡图市基层医疗工作者中CMD患病率之间的关系。数据收集采用匿名自填式问卷，重点关注与需求-控制-支持状况及CMD发生情况相关的项目（自评问卷，SRQ-20）。数据使用Excel / Office XP 2003软件存储，并在SAS系统中进行统计分析。结果表明，42.6%的基层医疗工作者患有CMD。观察到的关联——高应变工作（Karasek模型）中CMD患病率高，低应变工作中CMD患病率低——表明，在所研究的城市中，基层医疗工作条件是导致工作者患病的因素。该调查揭示了需要采取干预措施来关爱工作者，改善工作条件并增加工作中的社会支持。
