Swiss Paraplegic Research, Nottwil, Switzerland.
Senior Professorship 'Work Stress Research', Faculty of Medicine, University of Duesseldorf, Duesseldorf, Germany.
Spinal Cord. 2018 Jan;56(1):63-70. doi: 10.1038/sc.2017.100. Epub 2017 Aug 29.
Cross-sectional, observational.
To investigate the association of conflicts between work and family life with indicators of health and to examine the antecedents of those conflicts in employees with spinal cord injury (SCI) and their caregiving partners.
Community, Switzerland.
Data from employed persons with SCI (n=79) and caregiving partners (n=93) who participated in the pro-WELL study were used. Logistic and tobit regressions were performed to assess the association of work-family and family-work conflicts with health indicators, namely mental health (36-item Short Form Health Survey (SF-36)), vitality (SF-36), well-being (WHOQoL BREF) and positive and negative affect (Positive and Negative Affect Scale short form (PANAS-S)). Own and partners' engagement in productive activities and socioeconomic circumstances were evaluated as potential antecedents of work-family and family-work conflicts using logistic regression.
Work-family conflicts were related to reduced mental health (caregiving partners only), vitality and well-being. Family-work conflicts were linked to reduced mental health, vitality, well-being and positive affect in SCI and to reduced vitality in caregiving partners. Persons with lower income (SCI only) and lower subjective social position reported more conflicts than persons with higher income and higher subjective position. Higher workload increased work-family conflicts in caregiving partners and decreased family-work conflicts in SCI. Education, amount of caregiving, care-receiving and partners' employment status were not associated with the occurrence of conflicts.
The optimal balance between work and family life is important to promote mental health, vitality and well-being in employees with SCI and their caregiving partners. This is especially true in employees perceiving their social position as low and in caregivers with a high workload.
横断面观察性研究。
探讨工作与家庭生活冲突与健康指标之间的关系，并研究脊髓损伤（SCI）患者及其照顾者中这些冲突的前因。
瑞士社区。
使用参与 pro-WELL 研究的在职 SCI 患者（n=79）和照顾者（n=93）的数据。采用逻辑回归和截尾回归评估工作家庭和家庭工作冲突与健康指标（36 项简明健康调查问卷（SF-36）的心理健康、活力、幸福感和正性负性情感（短式 PANAS 量表）之间的关系。利用逻辑回归评估自身和伴侣的生产性活动参与情况和社会经济状况，作为工作家庭和家庭工作冲突的潜在前因。
工作家庭冲突与心理健康（仅照顾者）、活力和幸福感下降有关。家庭工作冲突与 SCI 患者的心理健康、活力、幸福感和正性情感下降以及照顾者的活力下降有关。收入较低（仅 SCI）和主观社会地位较低的患者报告的冲突比收入较高和主观社会地位较高的患者更多。高工作量增加了照顾者的工作家庭冲突，减少了 SCI 患者的家庭工作冲突。教育程度、护理量、护理接受情况和伴侣的就业状况与冲突的发生无关。
在促进 SCI 患者及其照顾者的心理健康、活力和幸福感方面，工作与家庭生活的最佳平衡非常重要。对于那些认为自己社会地位较低和照顾者工作量较大的患者来说，这一点尤为重要。
