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工作场所欺凌状况的变化是否与唾液皮质醇的变化有关?丹麦员工的纵向研究。

Are changes in workplace bullying status related to changes in salivary cortisol? A longitudinal study among Danish employees.

机构信息

Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Bispebjerg Bakke 23, Gate 33, 2400 Copenhagen NV, Denmark.

Department of Public Health, Copenhagen University, Øster Farimagsgade 5, Postboks 2099, 1014 Copenhagen K, Denmark.

出版信息

J Psychosom Res. 2015 Nov;79(5):435-42. doi: 10.1016/j.jpsychores.2015.10.001. Epub 2015 Oct 8.

Abstract

OBJECTIVES

This study aims to investigate whether incident workplace bullying and its dicontinuance is related to subsequent change in morning and evening saliva cortisol concentrations.

METHODS

Participants came from two Danish cohort studies, the PRISME cohort (n=4489) and the Workplace Bullying and Harassment Cohort (n=3707). At baseline and follow-up exposure to bullying was measured by a single question on bullying (preceded by a definition). Two saliva samples to measure cortisol were collected during a work-day (30 min after awakening and at 8 p.m.). All participants responding to the item on workplace bullying, giving saliva samples and participated at both baseline and follow-up were included. The reference group consisted of non-bullied respondents at both baseline and follow-up. Multilevel mixed-effects linear regressions were used to test for changes in salivary cortisol after newly onset of and discontinuance of workplace bullying. All analyses were adjusted for the potentially confounding effect of differences from baseline to follow-up in education, smoking, alcohol consumption, body mass index, cohort, sampling waves, time of awakening, and time of sampling.

RESULTS

We found no indication of statistically significant difference in saliva cortisol, neither when participants changed their self-labelling from not bullied at baseline to being bullied at follow-up, nor when they at follow-up two years later reported discontinuance of bullying.

CONCLUSION

This longitudinal study on the impact of changes in bullying status on change in cortisol levels showed consistent lack of associations with onset and discontinuance of workplace bullying.

摘要

目的

本研究旨在探讨职场欺凌的发生及其停止是否与随后晨晚间唾液皮质醇浓度的变化有关。

方法

参与者来自两项丹麦队列研究,PRISME 队列(n=4489)和职场欺凌和骚扰队列(n=3707)。在基线和随访时,通过一个关于欺凌的单一问题来测量暴露情况(该问题之前有一个定义)。在工作日收集两次唾液样本以测量皮质醇,分别在(醒来后 30 分钟)和晚上 8 点。所有对职场欺凌问题做出回应、提供唾液样本并在基线和随访时都参加的参与者均被纳入。参照组由基线和随访时均未遭受欺凌的非应答者组成。采用多水平混合效应线性回归检验新发生和停止职场欺凌后唾液皮质醇的变化。所有分析均调整了基线到随访期间教育、吸烟、饮酒、体重指数、队列、采样波、觉醒时间和采样时间差异的潜在混杂效应。

结果

我们发现,当参与者从基线时未被欺凌变为随访时被欺凌,或当他们在两年后的随访中报告停止欺凌时,唾液皮质醇水平没有统计学意义上的显著差异。

结论

本纵向研究关于欺凌状况变化对皮质醇水平变化的影响,显示出与职场欺凌的发生和停止均无关联。

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