Schramm E, Berger M
Abteilung für Psychiatrie und Psychotherapie, Sektion Psychotherapieforschung in der Psychiatrie, Universitätsklinikum Freiburg, Hauptstr. 5, 79104 Freiburg, Deutschland.
Nervenarzt. 2013 Jul;84(7):813-22. doi: 10.1007/s00115-013-3744-5.
In general work involves health promoting functions but can also have hazardous impacts on well-being. Due to a massive change in working conditions it has become increasingly more recognized that depressive disorders are highly prevalent at the workplace and that work stress belongs to the most common triggers of depressive disorders, particularly in men. It is relevant to differentiate between subjectively experienced burnout and clinical depression. The best investigated psychosocial work stressors include increased job demands in connection with low control possibilities and lack of gratification, interpersonal conflicts, role stress and social isolation. For the treatment of work-related clinical depression, an additional focus of interpersonal psychotherapy (IPT) of depression, namely "work-related stress and burnout experience" was conceptualized based on a vulnerability-stress model and the fact that work usually takes place in an interpersonal context. This new problem area focuses on role stress and conflicts at work and the reduction of stressful working conditions. Interpersonal psychotherapy has so far been useful for the treatment of depression due to problems at work; however, further studies are needed to evaluate the efficacy of this newly designed problem area.
一般来说,工作具有促进健康的功能,但也可能对幸福产生有害影响。由于工作条件发生了巨大变化,人们越来越认识到抑郁症在工作场所非常普遍,而且工作压力是抑郁症最常见的诱因之一,尤其是在男性中。区分主观体验到的职业倦怠和临床抑郁症是很有必要的。研究得最充分的心理社会工作压力源包括与低控制可能性和缺乏满足感相关的工作需求增加、人际冲突、角色压力和社会孤立。对于与工作相关的临床抑郁症的治疗,基于脆弱性-压力模型以及工作通常发生在人际环境中的事实,抑郁症人际心理治疗(IPT)的一个额外重点,即“与工作相关的压力和职业倦怠体验”被概念化。这个新的问题领域关注工作中的角色压力和冲突以及减少压力工作条件。到目前为止,人际心理治疗对因工作问题导致的抑郁症治疗是有用的;然而,需要进一步研究来评估这个新设计的问题领域的疗效。