Persson Viktor, Eib Constanze, Bernhard-Oettel Claudia, Leineweber Constanze
Stress Research Institute, Stockholm University, Stockholm, Sweden.
Department of Psychology, Uppsala University, Uppsala, Sweden.
BMC Public Health. 2020 Apr 15;20(1):488. doi: 10.1186/s12889-020-08560-5.
Procedural justice has been linked to several mental health problems, but most studies have used self-reported data. There exist a need to assess the link between procedural justice and health using outcomes that are not only self-reported. The aim of the current study was to examine whether perceived procedural justice at work is prospectively associated with antidepressant medication prescription.
Data from 4374 participants from the Swedish Longitudinal Survey of Health (SLOSH) were linked to the Swedish National Prescribed Drug register. Based on their perceived procedural justice at two times (2010 and 2012), participants were divided into four groups: stable low, increasing, decreasing and stable high justice perceptions. Using Cox regression, we studied how the course of stability and change in perceived procedural justice affected the rate of prescription of antidepressant medication over the next 2 years. Participants with missing data and those who had been prescribed antidepressant medication in the period leading up to 2012 were excluded in the main analyses to determine incident morbidity.
The results showed that after adjustment for sex, age, education, socioeconomic position, marital status, and insecure employment a decrease in perceived procedural justice over time was associated with greater receipt of antidepressants compared to people with stable high perceptions of procedural justice (HR 1.76, 95% CI: 1.16 to 2.68). Being female and having insecure employment were also associated with higher hazards of antidepressant prescription.
These findings strengthen the notion that procedural justice at work influences psychological well-being, as well as provide new insights into how procedural justice perceptions may affect mental health.
程序公正与多种心理健康问题相关，但大多数研究使用的是自我报告数据。不仅需要使用自我报告的结果，还需要通过其他结果来评估程序公正与健康之间的联系。本研究的目的是检验工作中感知到的程序公正是否与抗抑郁药物处方存在前瞻性关联。
来自瑞典健康纵向调查（SLOSH）的4374名参与者的数据与瑞典国家处方药登记册相关联。根据参与者在两个时间点（2010年和2012年）对程序公正的感知，将他们分为四组：稳定低公正感组、上升组、下降组和稳定高公正感组。我们使用Cox回归研究了程序公正感知的稳定性和变化过程如何影响未来两年抗抑郁药物的处方率。在主要分析中排除了有缺失数据的参与者以及在2012年之前的时间段内已被开具抗抑郁药物处方的参与者，以确定新发疾病情况。
结果显示，在对性别、年龄、教育程度、社会经济地位、婚姻状况和不稳定就业进行调整后，与程序公正感知稳定较高的人相比，随着时间推移程序公正感知下降的人服用抗抑郁药物的比例更高（风险比1.76，95%置信区间：1.16至2.68）。女性和就业不稳定也与抗抑郁药物处方的较高风险相关。
这些发现强化了工作中的程序公正会影响心理健康的观念，同时也为程序公正感知如何影响心理健康提供了新的见解。
