职场霸凌与精神药物使用：身心健康状况的中介作用
Workplace bullying and psychotropic drug use: the mediating role of physical and mental health status.
作者信息
Niedhammer Isabelle, David Simone, Degioanni Stéphanie, Drummond Anne, Philip Pierre, Acquarone D, Aicardi F, André-Mazeaud P, Arsento M, Astier R, Baille H, Bajon-Thery F, Barre E, Basire C, Battu J L, Baudry S, Beatini C, Beaud'huin N, Becker C, Bellezza D, Beque C, Bernstein O, Beyssier C, Blanc-Cascio F, Blanchet N, Blondel C, Boisselot R, Bordes-Dupuy G, Borrelly N, Bouhnik D, Boulanger M F, Boulard J, Bourreau P, Bourret D, Boustière A M, Breton C, Bugeon G, Buono-Michel M, Canonne J F, Capella D, Cavin-Rey M, Cervoni C, Charreton D, Charrier D, Chauvin M A, Chazal B, Cougnot C, Cuvelier G, Dalivoust G, Daumas R, Debaille A, De Bretteville L, Delaforge G, Delchambre A, Domeny L, Donati Y, Ducord-Chapelet J, Duran C, Durand-Bruguerolle D, Fabre D, Faivre A, Falleri R, Ferrando G, Ferrari-Galano J, Flutet M, Fouché J P, Fournier F, Freyder E, Galy M, Garcia A, Gazazian G, Gérard C, Girard F, Giuge M, Goyer C, Gravier C, Guyomard A, Hacquin M C, Halimi E, Ibagnes T, Icart P, Jacquin M C, Jaubert B, Joret J P, Julien J P, Kacel M, Kesmedjian E, Lacroix P, Lafon-Borelli M, Lallai S, Laudicina J, Leclercq X, Ledieu S, Leroy J, Leroyer L, Loesche F, Londi D, Longueville J M, Lotte M C, Louvain S, Lozé M, Maculet-Simon M, Magallon G, Marcelot V, Mareel M C, Martin P, Masse A M, Méric M, Milliet C, Mokhtari R, Monville A M, Muller B, Obadia G, Pelser M, Peres L, Perez E, Peyron M, Peyronnin F, Postel S, Presseq P, Pyronnet E, Quinsat C, Raulot-Lapointe H, Rigaud P, Robert F, Robert O, Roger K, Roussel A, Roux J P, Rubini-Remigy D, Sabaté N, Saccomano-Pertus C, Salengro B, Salengro-Trouillez P, Samsom E, Sendra-Gille L, Seyrig C, Stoll G, Tarpinian N, Tavernier M, Tempesta S, Terracol H, Torresani F, Triglia M F, Vandomme V, Vieillard F, Vilmot K, Vital N
机构信息
INSERM, U1018, CESP Centre for research in epidemiology and population health, Epidemiology of occupational and social determinants of health team, Hôpital Paul Brousse, 94807 Villejuif, France.
出版信息
Ann Occup Hyg. 2011 Mar;55(2):152-63. doi: 10.1093/annhyg/meq086. Epub 2010 Dec 20.
OBJECTIVES
The association between workplace bullying and psychotropic drug use is not well established. This study was aimed at exploring the association between workplace bullying, and its characteristics, and psychotropic drug use and studying the mediating role of physical and mental health.
METHODS
The study population consisted of a random sample of 3132 men and 4562 women of the working population in the south-east of France. Workplace bullying, evaluated using the validated instrument elaborated by Leymann, and psychotropic drug use, as well as covariates, were measured using a self-administered questionnaire. Covariates included age, marital status, presence of children, education, occupation, working hours, night work, physico-chemical exposures at work, self-reported health, and depressive symptoms. Statistical analysis was performed using logistic regression analysis and was carried out separately for men and women.
RESULTS
Workplace bullying was strongly associated with psychotropic drug use. Past exposure to bullying increased the risk for this use. The more frequent and the longer the exposure to bullying, the stronger the association with psychotropic drug use. Observing bullying on someone else at the workplace was associated with psychotropic drug use. Adjustment for covariates did not modify the results. Additional adjustment for self-reported health and depressive symptoms reduced the magnitude of the associations, especially for men.
CONCLUSIONS
The association between bullying and psychotropic drug use was found to be significant and strong and was partially mediated by physical and mental health.
目的
工作场所霸凌与精神药物使用之间的关联尚未明确确立。本研究旨在探讨工作场所霸凌及其特征与精神药物使用之间的关联，并研究身心健康的中介作用。
方法
研究人群包括法国东南部在职人群中随机抽取的3132名男性和4562名女性。使用莱曼精心编制的经过验证的工具评估工作场所霸凌情况，使用自填问卷测量精神药物使用情况以及协变量。协变量包括年龄、婚姻状况、子女情况、教育程度、职业、工作时长、夜班情况、工作中的物理化学暴露、自我报告的健康状况以及抑郁症状。使用逻辑回归分析进行统计分析，男女分别进行。
结果
工作场所霸凌与精神药物使用密切相关。过去遭受霸凌会增加使用精神药物的风险。遭受霸凌的频率越高、时间越长，与精神药物使用的关联就越强。在工作场所目睹他人遭受霸凌与精神药物使用有关。对协变量进行调整并未改变结果。对自我报告的健康状况和抑郁症状进行额外调整后，关联程度降低，尤其是对男性而言。
结论
发现霸凌与精神药物使用之间的关联显著且密切，并且部分由身心健康介导。
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