Subramanian S, Nithyanandan D V
Department of Psychology, Bharathiar University, Coimbatore, Tamil Nadu, India.
Ind Psychiatry J. 2009 Jul;18(2):108-12. doi: 10.4103/0972-6748.62270.
Much of the research studies have shown that occupational stress is one of the strong determinant factors of coronary heart diseases among people in general. However, exploring the extent to which the type or nature of ailments and its subsequent risk factors have an effect on the onset of mental health will help evolve suitable preventive measures. The present study attempts to explore the status of mental health and occupational stress with respect to 2 categories of patients: Those who are suffering from cardiac problems and those suffering from noncardiac health problems.
Occupational Stress Questionnaire and Mental Health Questionnaire were administered to both cardiac and noncardiac patients. The cardiac group consisted of 40 patients who were being treated at the cardiology department of a reputed hospital, and noncardiac group (40 patients) consisted of outpatients of the same hospital being treated for noncardiac problems like knee pain, headache, etc. Responses to these self-reported questionnaires were subjected to statistical analysis to find out the difference between cardiac and noncardiac groups.
The results revealed that cardiac patients tend to have lower levels of mental health than noncardiac patients. Similarly, cardiac patients were reported to have higher levels of stress due to role ambiguity, powerlessness, intrinsic impoverishment and unprofitability.
The implications of the study were implementation of interventions to improve the internal strength of cardiac patients to overcome various aspects of occupational stress.
许多研究表明，职业压力是一般人群中冠心病的重要决定因素之一。然而，探究疾病类型或性质及其后续风险因素对心理健康发病的影响程度，将有助于制定合适的预防措施。本研究试图探讨两类患者的心理健康状况和职业压力：患有心脏问题的患者和患有非心脏健康问题的患者。
对心脏科和非心脏科患者均进行职业压力问卷和心理健康问卷调查。心脏组由40名在一家著名医院心内科接受治疗的患者组成，非心脏组（40名患者）由同一家医院因膝盖疼痛、头痛等非心脏问题接受治疗的门诊患者组成。对这些自我报告问卷的回答进行统计分析，以找出心脏组和非心脏组之间的差异。
结果显示，心脏病患者的心理健康水平往往低于非心脏病患者。同样，据报告，心脏病患者由于角色模糊、无力感、内在贫困和无利可图而承受着更高水平的压力。
该研究的意义在于实施干预措施，以提高心脏病患者的内在力量，克服职业压力的各个方面。
