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2006年至2016年精神科医生的工作-回报失衡、职业倦怠和抑郁——一项立法干预后的变化

Effort-Reward-Imbalance, Burnout, and Depression Among Psychiatrists 2006 and 2016-Changes After a Legislative Intervention.

作者信息

Beschoner Petra, von Wietersheim Jörn, Jarczok Marc N, Braun Maxi, Schönfeldt-Lecuona Carlos, Viviani Roberto, Jerg-Bretzke Lucia, Kempf Maximilian, Brück Aniela

机构信息

Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Ulm, Germany.

Clinic for Ophthalmology, Marienhospital Osnabrück, Osnabrück, Germany.

出版信息

Front Psychiatry. 2021 Apr 6;12:641912. doi: 10.3389/fpsyt.2021.641912. eCollection 2021.

DOI:10.3389/fpsyt.2021.641912
PMID:33889101
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8055815/
Abstract

Physicians, especially psychiatrists, have a high risk of job-related stress, and mental impairment. In our study we examined changes in private and occupational stress factors and mental health within a decade. The legislative reduction of physicians' working hours in Germany during this period made it possible to investigate the impact of working hours in particular. Questionnaires were administered at two psychiatrist meetings (2006 and 2016) about job and family situation, depressiveness, burnout and effort-reward imbalance. A total of = 1,797 datasets were analyzed. Working hours and free weekends were associated with mental health indices. Correlation analyses showed that a reduction in weekly working hours and working days at weekends was related to reduced scores for effort-reward-imbalance, burnout and depression. Our data show changes in workplace stress and mental health in psychiatrists in a decade in which a reduction in working hours has been required by law. These results can provide indications of effective prevention strategies in the professional context of physicians working in psychiatry.

摘要

医生,尤其是精神科医生,面临与工作相关的压力和精神损伤的高风险。在我们的研究中,我们考察了十年间个人和职业压力因素以及心理健康状况的变化。在此期间,德国立法减少了医生的工作时间,这使得我们能够特别研究工作时间的影响。在两次精神科医生会议(2006年和2016年)上发放了关于工作和家庭状况、抑郁、倦怠以及努力-回报失衡的问卷。总共分析了1797个数据集。工作时间和周末空闲时间与心理健康指标相关。相关性分析表明,每周工作时间和周末工作日的减少与努力-回报失衡、倦怠和抑郁得分的降低有关。我们的数据显示了在法律要求减少工作时间的十年里,精神科医生工作场所压力和心理健康的变化。这些结果可为精神科医生职业环境中的有效预防策略提供指示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d68/8055815/5a500f5e6efc/fpsyt-12-641912-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d68/8055815/5a500f5e6efc/fpsyt-12-641912-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d68/8055815/5a500f5e6efc/fpsyt-12-641912-g0001.jpg

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本文引用的文献

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12-month prevalence of self-reported medical diagnoses of depression in Germany.德国自我报告的抑郁症医学诊断的12个月患病率。
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