Suppr超能文献

工作压力与抑郁风险:报告是否存在偏差?

Job strain and the risk of depression: is reporting biased?

机构信息

Danish Ramazzini Centre, Department of Occupational Medicine, Aarhus University Hospital, Arhus, Denmark.

出版信息

Am J Epidemiol. 2011 Jan 1;173(1):94-102. doi: 10.1093/aje/kwq318. Epub 2010 Nov 11.

Abstract

It is unknown whether the relation between job strain and depression reflects causal characteristics of the working environment or reporting bias. The authors investigated reporting bias by analyzing individual versus work-unit measures of job strain and the risk of depressive symptoms (n = 287) and a diagnosis of depression (n = 97) among 4,291 employees within 378 work units in Aarhus, Denmark, 2007. All participants reported psychological demands and decision latitude, and the authors estimated mean values for each work unit. The odds ratios predicting depressive symptoms or a diagnosis of depression for the highest versus the lowest levels of individual, self-reported high psychological demands and low decision latitude were significantly increased above 2.5. When participants were classified by the work-unit mean levels, these associations were substantially smaller. For depressive symptoms, the odds ratios were 1.49 (95% confidence interval (CI): 0.88, 2.53) and 1.08 (95% CI: 0.84, 1.39), respectively, for psychological demands and decision latitude. For a diagnosis of depression, the odds ratios were 1.33 (95% CI: 0.57, 3.09) and 1.02 (95% CI: 0.68, 1.56), respectively, for psychological demands and decision latitude. These findings indicate that reporting bias inflates associations between job strain and the occurrence of depression, if studies rely on individual self-reports.

摘要

工作压力与抑郁之间的关系反映了工作环境的因果特征还是报告偏差,目前尚不清楚。作者通过分析个体与工作单位的工作压力指标以及在丹麦奥胡斯的 378 个工作单位中的 4291 名员工(2007 年)的抑郁症状风险(n=287)和抑郁症诊断(n=97),调查了报告偏差。所有参与者报告了心理需求和决策自由度,作者估算了每个工作单位的平均值。对于最高与最低个体、自我报告的高心理需求和低决策自由度水平的抑郁症状或抑郁症诊断的预测比值比,显著高于 2.5。当参与者按照工作单位的平均水平分类时,这些关联明显较小。对于抑郁症状,心理需求和决策自由度的比值比分别为 1.49(95%置信区间(CI):0.88,2.53)和 1.08(95% CI:0.84,1.39)。对于抑郁症诊断,心理需求和决策自由度的比值比分别为 1.33(95% CI:0.57,3.09)和 1.02(95% CI:0.68,1.56)。这些发现表明,如果研究依赖于个体自我报告,那么报告偏差会夸大工作压力与抑郁发生之间的关联。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验