Shinkai Takahiro
Department of Psychiatry, University of Occupational and Environmental Health.
Seishin Shinkeigaku Zasshi. 2010;112(12):1240-5.
Working in close cooperation with the clinician in charge, the human resource department, and line managers, the occupational physician plays a key role in employees' healthy adaptation to the workplace. In the workplace, it is not sufficient for an employee's depressive symptoms to disappear; it is also necessary that the employee be able to function according to job demands. It is becoming increasing difficult to distinguish between depression and related disorders that manifest depressive symptoms, such as adjustment disorder and personality issues. Using a complex case of dysthymia in the workplace, the author examines the management of such cases, as well as ways of collaborating closely with the clinician in charge.
职业医师与主管临床医生、人力资源部门以及部门经理密切合作，在员工对工作场所的健康适应方面发挥着关键作用。在工作场所，员工的抑郁症状消失并不足够；员工还必须能够根据工作要求履行职责。区分抑郁症和表现出抑郁症状的相关疾病（如适应障碍和人格问题）变得越来越困难。作者通过一个工作场所恶劣心境障碍的复杂案例，探讨了此类病例的管理以及与主管临床医生密切合作的方式。
