Seibt Reingard, Spitzer Silvia, Druschke Diana, Scheuch Klaus, Hinz Andreas
Institute and Clinic of Occupational and Social Medicine, Technical University of Dresden, Dresden, Germany,
Int J Occup Med Environ Health. 2013 Dec;26(6):856-69. doi: 10.2478/s13382-013-0161-8. Epub 2014 Jan 25.
Teaching profession is characterised by an above-average rate of psychosomatic and mental health impairment due to work-related stress. The aim of the study was to identify predictors of mental health in female teachers.
A sample of 630 female teachers (average age 47 ± 7 years) participated in a screening diagnostic inventory. Mental health was surveyed with the General Health Questionnaire GHQ-12. The following parameters were measured: specific work conditions (teacher-specific occupational history), scales of the Effort-Reward-Imbalance (ERI) Questionnaire as well as cardiovascular risk factors, physical complaints (BFB) and personal factors such as inability to recover (FABA), sense of coherence (SOC) and health behaviour.
First, mentally fit (MH(+)) and mentally impaired teachers (MH(-)) were differentiated based on the GHQ-12 sum score (MH(+): < 5; MH(-): ≥ 5); 18% of the teachers showed evidence of mental impairment. There were no differences concerning work-related and cardiovascular risk factors as well as health behaviour between MH(+) and MH(-). Binary logistic regressions identified 4 predictors that showed a significant effect on mental health. The effort-reward-ratio proved to be the most relevant predictor, while physical complaints as well as inability to recover and sense of coherence were identified as advanced predictors (explanation of variance: 23%).
Contrary to the expectations, classic work-related factors can hardly contribute to the explanation of mental health. Additionally, cardiovascular risk factors and health behaviour have no relevant influence. However, effort-reward-ratio, physical complaints and personal factors are of considerable influence on mental health in teachers. These relevant predictors should become a part of preventive arrangements for the conservation of teachers' health in the future.
由于工作压力,教师职业的身心和心理健康受损率高于平均水平。本研究的目的是确定女教师心理健康的预测因素。
630名女教师(平均年龄47±7岁)参与了一项筛查诊断量表。使用一般健康问卷GHQ - 12对心理健康进行调查。测量了以下参数:特定工作条件(教师特定职业史)、付出 - 回报失衡(ERI)问卷量表以及心血管危险因素、身体不适(BFB)和个人因素,如无法恢复(FABA)、连贯感(SOC)和健康行为。
首先,根据GHQ - 12总分区分精神健康(MH(+))和精神受损教师(MH(-))(MH(+):<5;MH(-):≥5);18%的教师有精神受损迹象。MH(+)和MH(-)在工作相关和心血管危险因素以及健康行为方面没有差异。二元逻辑回归确定了4个对心理健康有显著影响的预测因素。事实证明,付出 - 回报比是最相关的预测因素,而身体不适以及无法恢复和连贯感被确定为进阶预测因素(方差解释率:23%)。
与预期相反,经典的工作相关因素几乎无法解释心理健康问题。此外,心血管危险因素和健康行为没有相关影响。然而,付出 - 回报比、身体不适和个人因素对教师心理健康有相当大的影响。这些相关预测因素应成为未来保护教师健康的预防措施的一部分。