Oh Hyeonchoel, Kim Kihun, Ha Taewoong, Kim Jungwon
Department of Occupational and Environmental Medicine, Kosin University Gospel Hospital, Busan, Korea.
Department of Occupational and Environmental Medicine, Kosin University College of Medicine, Busan, Korea.
Ann Occup Environ Med. 2020 Jul 13;32:e25. doi: 10.35371/aoem.2020.32.e25. eCollection 2020.
Mental illness is known to be caused by genetic, biological, and environmental risk factors. Although previous studies have established the link between mental illness and job stress, most of them are limited to major depression disorder. Therefore, this study examined the relationship between job stress and bipolar spectrum disorder (BSD).
This is a cross-sectional study based on a survey conducted in April 2017 at an electronic parts manufacturing company in Busan. In a total of 441 workers, the degree of BSD was identified using the Korean version of the Mood Disorder Questionnaire, and the degree of job stress was identified using the Korean Occupational Stress Scale Short Form. This study also identified general characteristics of workers and job-related factors. The χ test and Fisher's exact test was conducted to determine the differences among the variables, based on BSD. Multiple logistic regression analysis was conducted to determine the influence of independent variables on BSD.
Cross-analysis showed significant differences between the BSD high-risk and low-risk groups regarding age, sex, occupation, smoking, problem drinking, job stress total score, occupational climate, and major depression disorder symptom. In addition, the significant differences between the BSD high-risk and low-risk groups about job stress were observed in terms of job demand, job insecurity, and occupational climate. A multiple logistic regression analysis revealed that the high-risk group in the job stress group had a higher effect on BSD than the low-risk group (odds ratio [OR]: 2.32, 95% confidence interval [CI]: 1.10-4.88). Among the categories of job stress, high-risk groups in 3 areas-job demand (OR: 2.56, 95% CI: 1.27-5.17), job insecurity (OR: 4.42, 95% CI: 1.19-16.42), and occupational climate (OR: 2.55, 95% CI: 1.29-5.05)-were more likely to have an impact on BSD than the low-risk groups.
This study demonstrated that the high-risk groups of job stress total score, job demand, job insecurity, and occupational climate had a more significant effect on BSD than the low-risk groups. As workers with BSD may have difficulties in their work and personal lives, there is a need to manage job stress to prevention of BSD.
已知精神疾病由遗传、生物和环境风险因素引起。尽管先前的研究已确立精神疾病与工作压力之间的联系，但其中大多数仅限于重度抑郁症。因此，本研究探讨了工作压力与双相谱系障碍（BSD）之间的关系。
这是一项横断面研究，基于2017年4月在釜山一家电子零件制造公司进行的调查。在总共441名工人中，使用韩语版的心境障碍问卷确定BSD的程度，并使用韩国职业压力量表简表确定工作压力的程度。本研究还确定了工人的一般特征和与工作相关的因素。进行χ检验和Fisher精确检验以确定基于BSD的变量之间的差异。进行多元逻辑回归分析以确定自变量对BSD的影响。
交叉分析显示，BSD高风险组和低风险组在年龄、性别、职业、吸烟、问题饮酒、工作压力总分、职业氛围和重度抑郁症症状方面存在显著差异。此外，在工作需求、工作不安全感和职业氛围方面，观察到BSD高风险组和低风险组在工作压力方面存在显著差异。多元逻辑回归分析显示，工作压力组中的高风险组对BSD的影响高于低风险组（优势比[OR]：2.32，95%置信区间[CI]：1.10 - 4.88）。在工作压力类别中，工作需求（OR：2.56，95% CI：1.27 - 5.17）、工作不安全感（OR：4.42，95% CI：1.19 - 16.42）和职业氛围（OR：2.55，95% CI：1.29 - 5.05）这三个领域的高风险组比低风险组更有可能对BSD产生影响。
本研究表明，工作压力总分、工作需求、工作不安全感和职业氛围的高风险组对BSD的影响比低风险组更显著。由于患有BSD的工人在工作和个人生活中可能会遇到困难，因此有必要管理工作压力以预防BSD。
