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助人行业从业者的抑郁症状:患病率及与工作相关风险因素的系统综述。

Depressive symptoms in helping professions: a systematic review of prevalence rates and work-related risk factors.

机构信息

Department of Psychology, American University of Beirut, P.O. Box 11-0236, Riad El-Solh, Beirut, 1107 2020, Lebanon.

Département de Gestion des Ressources Humaines, Université du Québec à Trois-Rivières, 3351, boulevard des Forges, Trois-Rivières, QC, G8Z 4M3, Canada.

出版信息

Int Arch Occup Environ Health. 2022 Jan;95(1):67-116. doi: 10.1007/s00420-021-01783-y. Epub 2021 Oct 22.


DOI:10.1007/s00420-021-01783-y
PMID:34686912
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8535108/
Abstract

OBJECTIVE: The aim of this study is twofold. Our first aim is to provide an overview of the prevalence rate of depression in a wide array of helping professions. Our second aim is to identify work organization conditions that seem to be associated with this depression risk. METHODS: Four databases were searched (CINAHL, PsycInfo, PubMed, and Web of Science) yielding 87,626 records in total. We were interested in identifying depression prevalence rates and work-related variables that have been found to contribute to depression in helping professions. RESULTS: In total, this systematic review included 17,437 workers in more than 29 countries. Depression prevalence rate varied between 2.5% and 91.30%. The two most frequently reported professions were nurses and doctors with 73.83% and 30.84% of studies including nurses and doctors in their sample. Work factors contributing to depression included: skill utilization, decision authority, psychological demands, physical demands, number of hours worked, work schedule (irregular or regular), work schedule (daytime or night time), social support from coworkers, social support from supervisor and the family, job insecurity, recognition, job promotion, and bullying. CONCLUSION: The results of this study highlight alarmingly high rates of depression in helping professions and should serve as a reminder to pay close attention to the mental health of those workers. Investing in employees' mental health by preventing and reducing depression risk could prove to be a valuable investment from an employer's point of view, as it is likely to increase productivity and reduce absenteeism among a host of other positive outcomes.

摘要

目的:本研究旨在双重目标。我们的第一个目标是提供广泛的帮助职业中抑郁患病率的概述。我们的第二个目标是确定似乎与这种抑郁风险相关的工作组织条件。

方法:共搜索了四个数据库(CINAHL、PsycInfo、PubMed 和 Web of Science),共产生了 87626 条记录。我们感兴趣的是确定抑郁患病率以及与帮助职业中的抑郁相关的工作相关变量。

结果:本系统综述共纳入了来自 29 个以上国家的 17437 名工人。抑郁患病率在 2.5%至 91.30%之间变化。报告最多的两个职业是护士和医生,其中 73.83%和 30.84%的研究在样本中包括护士和医生。导致抑郁的工作因素包括:技能利用、决策自主权、心理需求、身体需求、工作时间、工作时间表(不规则或规则)、工作时间表(白天或夜间)、同事之间的社会支持、主管和家庭的社会支持、工作保障、认可、职务晋升和欺凌。

结论:本研究结果突出表明帮助职业中抑郁的发生率高得令人震惊,应提醒雇主密切关注这些工人的心理健康。从雇主的角度来看,通过预防和降低抑郁风险来投资员工的心理健康可能是一项有价值的投资,因为这可能会提高生产力并减少旷工等一系列积极结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3109/8535108/ab9c2be2ff0d/420_2021_1783_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3109/8535108/ab9c2be2ff0d/420_2021_1783_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3109/8535108/ab9c2be2ff0d/420_2021_1783_Fig1_HTML.jpg

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[3]
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Front Public Health. 2025-1-13

[4]
How depression impacts on road traffic accidents among older adults and elderly Indians: Evidence from large scale nationally representative survey.

J Family Med Prim Care. 2024-12

[5]
Distribution and association of road traffic accident with depression among Indian population aged 45 years and above: nested multilevel modelling analysis of nationally representative cross-sectional survey.

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[6]
Prevalence and determinants of occupational depression, anxiety, and stress among Ethiopian healthcare workers.

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[7]
Association between work-related physical activity and depressive symptoms in Korean workers: data from the Korea national health and nutrition examination survey 2014, 2016, 2018, and 2020.

BMC Public Health. 2023-9-8

[8]
Changes in anxiety and depression among public health workers during the COVID-19 pandemic response.

Int Arch Occup Environ Health. 2023-11

[9]
Comparison of depressive symptoms among healthcare workers in high-risk versus low-risk areas during the first month of the COVID-19 pandemic in China.

Front Psychiatry. 2023-6-13

[10]
Underrecognition and un-dertreatment of stress-related psychiatric disorders in physicians: Determinants, challenges, and the impact of the COVID-19 pandemic.

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