Department of Psychiatry, Faculty of Medicine, University of Calgary, Calgary, Alberta, Canada.
J Occup Environ Med. 2010 Aug;52(8):836-42. doi: 10.1097/JOM.0b013e3181ed3d80.
To investigate the relationships between workplace psychosocial factors, work/family conflicts, depression, and health-related presenteeism in a sample of employees who were randomly selected from the communities.
A cross-sectional study of 4032 employees representative of the working population aged 25 to 64 years in Alberta, Canada. Data about workplace characteristics, depression, and health-related presenteeism were collected through telephone.
In the participants, 47.3% and 42.9% reported some degree of impaired job performance in completing work and avoiding distraction, respectively. Major depression is the strongest factor associated with avoiding distraction. Job strain and effort-reward imbalance seemed to affect job performance through severity of depression but not major depression.
Negative work environment may directly and indirectly affect job performance. Workplace health promotion activities should target organizational factors such as job strain and effort-reward imbalance and work/family conflicts so as to reduce the risk of depression and the direct and indirect effects of these risk factors and depression on productivity.
在从社区中随机抽取的员工样本中，研究工作场所心理社会因素、工作/家庭冲突、抑郁与健康相关出勤之间的关系。
对加拿大阿尔伯塔省 4032 名年龄在 25 至 64 岁之间的在职人群进行的横断面研究。通过电话收集有关工作场所特征、抑郁和与健康相关出勤的信息。
在参与者中，分别有 47.3%和 42.9%报告在完成工作和避免分心方面存在一定程度的工作表现受损。重度抑郁症是与避免分心最相关的因素。工作压力和付出-回报失衡似乎通过抑郁的严重程度影响工作表现，但不是重度抑郁症。
负面的工作环境可能直接和间接影响工作表现。工作场所健康促进活动应针对组织因素，如工作压力和付出-回报失衡以及工作/家庭冲突，以降低抑郁风险以及这些风险因素和抑郁对生产力的直接和间接影响。
