Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
The Institute for Occupational Health, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Int J Environ Res Public Health. 2023 Feb 24;20(5):4065. doi: 10.3390/ijerph20054065.
The adoption rate of performance-based pay systems has increased in recent years, and the adverse effects of systems have been emphasized. However, no study has analyzed the increase in the risk of depression/anxiety symptoms caused by the pay system in Korea. This study aimed to reveal the association between performance-based pay systems and symptoms of depression/anxiety, using data from the fifth Korean Working Conditions Survey. Depressive/anxiety symptoms were assessed using "yes" or "no" questions regarding medical problems related to depression/anxiety. The performance-based pay system and job stress were estimated using self-response answers. Logistic regression analyses were conducted to determine the association between performance-based pay systems, job stress, and symptoms of depression/anxiety using data from 27,793 participants. The performance-based pay system significantly increased the risk of the symptoms. Additionally, risk increments were calculated after grouping by pay system and job stress. Workers with two risk factors had the highest risk of symptoms of depression/anxiety for both sexes (male: OR 3.05; 95% CI 1.70-5.45; female: OR 2.15; 95% CI 1.32-3.50), implying synergistic effect of performance-based pay system and job stress on depression/anxiety symptoms. Based on these findings, policies should be established for early detection and protection against the risk of depression/anxiety.
近年来，基于绩效的薪酬制度的采用率有所增加，其不利影响也受到了强调。然而，尚无研究分析韩国薪酬制度增加抑郁/焦虑症状风险的情况。本研究旨在使用第五次韩国工作条件调查的数据，揭示基于绩效的薪酬制度与抑郁/焦虑症状之间的关联。抑郁/焦虑症状通过“是”或“否”问题来评估，这些问题与抑郁/焦虑相关的医疗问题有关。基于绩效的薪酬制度和工作压力使用自我应答答案进行评估。使用来自 27793 名参与者的数据，通过逻辑回归分析来确定基于绩效的薪酬制度、工作压力与抑郁/焦虑症状之间的关联。基于绩效的薪酬制度显著增加了抑郁症状的风险。此外，还按薪酬制度和工作压力进行分组后计算了风险增量。对于男女两性而言，具有两个风险因素的工人具有最高的抑郁/焦虑症状风险（男性：OR 3.05；95%CI 1.70-5.45；女性：OR 2.15；95%CI 1.32-3.50），这表明基于绩效的薪酬制度和工作压力对抑郁/焦虑症状具有协同作用。基于这些发现，应制定政策以早期发现和保护人们免受抑郁/焦虑风险的影响。
