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自主神经系统活动与工作场所应激源——系统综述。

Autonomic nervous system activity and workplace stressors--a systematic review.

机构信息

Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, Ludolf-Krehl-Str. 7-11, 68167 Mannheim, Germany.

出版信息

Neurosci Biobehav Rev. 2013 Sep;37(8):1810-23. doi: 10.1016/j.neubiorev.2013.07.004. Epub 2013 Jul 24.

Abstract

AIM

This systematic review evaluates and summarizes the evidence of the association between psychosocial work environment as indicated by several work-stress models such as Job-Demand-Control (JDC), Effort-Reward-Imbalance (ERI), or Organizational Justice (OJ) and autonomic nervous system (ANS) function as indexed by heart rate variability (HRV).

METHOD

We conducted a systematic literature search following the PRISMA-Statement in eleven databases including Medline, Web of Science and PsycINFO to address medical as well as psychological aspects of the relation between psychosocial work-stress models and HRV.

RESULTS

We identified 19 publications with a total of 8382 employees from ten countries reporting data from the years 1976-2008. Overall, nine of all studies report a negative and significant association between vagally-mediated HRV and measures of stress at work, while eight of all studies report a negative and significant association to mixed sympathetic and parasympathetic measures of HRV.

CONCLUSIONS

This systematic review provides evidence that adverse psychosocial work conditions are negatively associated with ANS function as indexed by HRV.

摘要

目的

本系统评价评估并总结了多种工作应激模型(如工作需求-控制(JDC)、努力-回报失衡(ERI)或组织公平(OJ))所指示的心理社会工作环境与自主神经系统(ANS)功能(如心率变异性[HRV])之间关联的证据。

方法

我们按照 PRISMA 声明在 11 个数据库中进行了系统文献检索,包括 Medline、Web of Science 和 PsycINFO,以解决心理社会工作应激模型与 HRV 之间关系的医学和心理学方面的问题。

结果

我们确定了 19 项出版物,这些出版物共有来自 10 个国家的 8382 名员工,报告的数据来自 1976 年至 2008 年。总体而言,所有研究中有 9 项报告了迷走神经介导的 HRV 与工作压力测量值之间存在负相关和显著关联,而所有研究中有 8 项报告了混合交感神经和副交感神经的 HRV 测量值之间存在负相关和显著关联。

结论

本系统评价提供了证据表明,不良的心理社会工作条件与 HRV 指标的 ANS 功能呈负相关。

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