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中国城市医务人员和非医务人员的心理压力、抑郁症状和自杀意念。

Psychological strains, depressive symptoms, and suicidal ideation among medical and non-medical staff in urban china.

机构信息

Shandong University School of Public Health Center for Suicide Prevention Research, Jinan, Shandong, China.

Shandong University School of Public Health Center for Suicide Prevention Research, Jinan, Shandong, China; State University of New York Buffalo State, Buffalo, New York, USA.

出版信息

J Affect Disord. 2019 Feb 15;245:22-27. doi: 10.1016/j.jad.2018.10.111. Epub 2018 Oct 17.

DOI:10.1016/j.jad.2018.10.111
PMID:30366234
Abstract

BACKGROUND

The Strain Theory of Suicide has been tested and well supported regarding rural people who show risk of suicide. Studies on the impact of psychological strains on psychopathologies and suicidality in urban environments in China have been lacking.

AIMS

This study was designed to further examine the associations between psychological strains, depressive symptoms, and suicidal ideation in two separate urban samples of adults in China.

METHODS

One sample consisted of randomly selected medical employees of a large hospital (n = 1012), and a second sample included heterogeneous office employees (n = 1052). A self-administered questionnaire was used to collect demographics, psychological strains, social support, depressive symptoms, and suicidal ideation.

RESULTS

Depressive symptoms were associated with longer work hours, less social support, value strain, aspiration strain and coping strain among medical staff, and were linked to longer work hours, less social support, aspiration strain and coping strain among non-medical staff. Suicide ideation was associated with longer work hours, coping strain, and depression among medical staff, and was linked to longer work hours, gender, religion, value strain and depression among non-medical staff.

CONCLUSIONS

Both depressive symptoms and suicidal ideation were associated with psychological strains among Chinese urban professionals. Reduction of psychological strain is necessary to help maintain proper mental health and to ensure optimal performance at work.

摘要

背景

关于有自杀风险的农村人群,已经对自杀的紧张理论进行了测试和充分支持。在中国城市环境中,关于心理紧张对精神病理学和自杀意念的影响的研究还很缺乏。

目的

本研究旨在进一步探讨心理紧张、抑郁症状与自杀意念之间的关系,在中国两个不同的城市成年人样本中进行了研究。

方法

一个样本包括随机选择的一家大医院的医务人员(n=1012),第二个样本包括不同的办公室员工(n=1052)。采用自填式问卷收集人口统计学资料、心理紧张、社会支持、抑郁症状和自杀意念。

结果

抑郁症状与医务人员的工作时间延长、社会支持减少、价值观紧张、抱负紧张和应对紧张有关,与非医务人员的工作时间延长、社会支持减少、抱负紧张和应对紧张有关。自杀意念与医务人员的工作时间延长、应对紧张和抑郁有关,与非医务人员的工作时间延长、性别、宗教、价值观紧张和抑郁有关。

结论

抑郁症状和自杀意念都与中国城市专业人员的心理紧张有关。减少心理紧张对于维护适当的心理健康和确保工作中的最佳表现是必要的。

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