管理者对员工披露精神或躯体疾病诊断的反应。
Managers' reactions towards employees' disclosure of psychiatric or somatic diagnoses.
作者信息
Mendel R, Kissling W, Reichhart T, Bühner M, Hamann J
机构信息
Klinik und Poliklinik für Psychiatrie und Psychotherapie, TU München,München,Germany.
Department Psychologie,LMU München,München,Germany.
出版信息
Epidemiol Psychiatr Sci. 2015 Apr;24(2):146-9. doi: 10.1017/S2045796013000711. Epub 2013 Dec 5.
AIMS
To study whether employees who disclose a psychiatric diagnosis, such as depression risk stigmatisation and discrimination at the workplace.
METHODS
Randomised experimental study with 748 managers from German companies incorporating four case vignettes displaying an employee with different 'diagnoses' (depression, burnout, private crisis and thyroid dysfunction), but identical unspecific complaints. Main outcome measures were the managers' attitudes and their impact on stigmatisation with respect to job performance.
RESULTS
In nearly all aspects of job performance, the diagnosis depression (psychiatric disorder) was seen as more critical than the diagnosis of a thyroid dysfunction (somatic disease). The diagnosis 'burnout' did not prove to be less stigmatising than 'depression'. Likewise 'private crisis' was rated less favourably than thyroid dysfunction.
CONCLUSIONS
Therefore, employees have to evaluate if they disclose their psychiatric disorder or if they conceal it as a somatic illness.
目的
研究披露精神疾病诊断（如抑郁症）的员工在工作场所是否会面临污名化和歧视。
方法
对来自德国公司的748名经理进行随机实验研究，采用四个案例 vignettes，展示一名有不同“诊断”（抑郁症、职业倦怠、私人危机和甲状腺功能障碍）但相同非特异性投诉的员工。主要结局指标是经理们的态度及其对工作表现污名化的影响。
结果
在工作表现的几乎所有方面，抑郁症诊断（精神疾病）被视为比甲状腺功能障碍诊断（躯体疾病）更严重。“职业倦怠”诊断的污名化程度并不比“抑郁症”轻。同样，“私人危机”的评价也不如甲状腺功能障碍。
结论
因此，员工必须评估是披露自己的精神疾病还是将其隐瞒为躯体疾病。
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