Rose D M, Seidler A, Nübling M, Latza U, Brähler E, Klein E M, Wiltink J, Michal M, Nickels S, Wild P S, König J, Claus M, Letzel S, Beutel M E
Institute of Teachers' Health, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany.
Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine, TU Dresden, Dresden, Germany.
BMC Psychiatry. 2017 May 5;17(1):167. doi: 10.1186/s12888-017-1237-y.
While work-related fatigue has become an issue of concern among European employees, the relationship between fatigue, depression and work-related stressors is far from clear. The purposes of this study were (1) to determine the associations of fatigue with work-related stressors, severe medical disease, health behavior and depression in the working population and (2) to determine the unique impact of work-related stressors on fatigue.
We used cross-sectional data of N = 7,930 working participants enrolled in the Gutenberg Health Study (GHS) from 2007 to 2012 filled out the Personal Burnout Scale (PBS) of the Copenhagen Psychosocial Questionnaire (COPSOQ), the PHQ-9, and a list of work-related stressors.
A total of 27.5% reported increased fatigue, esp. women, younger persons with a lower social status and income, smokers, severely medically ill, previously and currently depressed participants. Fatigue was consistently associated with severe medical disease, health behavior and depression, which need to be taken into account as potential confounders when analyzing its relationship to work-related strains. Depression was consistently associated with work-related stressors. However, after statistically partialling out depression, fatigue was still significantly associated with work-related stress.
Fatigue as an indicator of allostatic load is consistently associated with work-related stressors such as work overload after controlling for depression. The brief Personal Burn-out Scale is suitable for assessing work-related fatigue in the general population.
虽然与工作相关的疲劳已成为欧洲员工关注的问题，但疲劳、抑郁与工作相关压力源之间的关系尚不清楚。本研究的目的是：（1）确定工作人群中疲劳与工作相关压力源、严重疾病、健康行为和抑郁之间的关联；（2）确定工作相关压力源对疲劳的独特影响。
我们使用了参加2007年至2012年古登堡健康研究（GHS）的N = 7930名在职参与者的横断面数据，他们填写了哥本哈根心理社会问卷（COPSOQ）的个人倦怠量表（PBS）、PHQ - 9以及一份工作相关压力源清单。
共有27.5%的人报告疲劳增加，尤其是女性、社会地位和收入较低的年轻人、吸烟者、患有严重疾病的人、既往和当前抑郁的参与者。疲劳一直与严重疾病、健康行为和抑郁相关，在分析其与工作相关压力的关系时，这些因素需要作为潜在的混杂因素加以考虑。抑郁一直与工作相关压力源相关。然而，在统计学上排除抑郁因素后，疲劳仍与工作相关压力显著相关。
作为应激负荷指标的疲劳在控制抑郁后一直与工作相关压力源如工作过载相关。简短的个人倦怠量表适用于评估一般人群中与工作相关的疲劳。
