Asai Yumi, Imamura Kotaro, Kawakami Norito
Department of Mental Health (Ms Asai, Dr Imamura, Dr Kawakami), Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
J Occup Environ Med. 2017 Jun;59(6):516-521. doi: 10.1097/JOM.0000000000001021.
This study aimed to investigate associations of job stressors with panic attack (PA) and panic disorder (PD) among Japanese workers.
A cross-sectional online questionnaire survey was conducted of 2060 workers. Job strain, effort/reward imbalance, and workplace social support were measured by the job content questionnaire and effort/reward imbalance questionnaire. These variables were classified into tertiles. PA/PD were measured by self-report based on the mini international neuropsychiatric interview (MINI). Multiple logistic regression was conducted, adjusting for demographic, lifestyle, and health-related covariates.
Data from 1965 participants were analyzed. Adjusted odds ratio (OR) of PA/PD was significantly greater for the group with high effort/reward imbalance compared with the group with low effort/reward imbalance (ORs, 2.64 and 2.94, respectively, both P < 0.05).
This study found effort/reward imbalance was associated with having PA/PD among Japanese workers.
本研究旨在调查日本工人工作压力源与惊恐发作（PA）和惊恐障碍（PD）之间的关联。
对2060名工人进行了横断面在线问卷调查。通过工作内容问卷和努力/回报失衡问卷测量工作压力、努力/回报失衡和工作场所社会支持。这些变量被分为三分位数。PA/PD通过基于迷你国际神经精神访谈（MINI）的自我报告进行测量。进行了多因素逻辑回归分析，并对人口统计学、生活方式和健康相关协变量进行了调整。
分析了1965名参与者的数据。与低努力/回报失衡组相比，高努力/回报失衡组的PA/PD调整后优势比（OR）显著更高（OR分别为2.64和2.94，均P<0.05）。
本研究发现，努力/回报失衡与日本工人患PA/PD有关。
