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工作中的心理关怀氛围、心理健康、幸福感及与工作相关的结果:来自一项纵向研究和健康保险数据的证据

Psychological caring climate at work, mental health, well-being, and work-related outcomes: Evidence from a longitudinal study and health insurance data.

作者信息

Weziak-Bialowolska Dorota, Lee Matthew T, Cowden Richard G, Bialowolski Piotr, Chen Ying, VanderWeele Tyler J, McNeely Eileen

机构信息

Sustainability and Health Initiative (SHINE), Department of Environmental Health, Harvard T. H. Chan School of Public Health, 665 Huntington Avenue, Boston, MA, 02115, USA; Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, 12 Arrow St, Cambridge, 02138, MA, USA; Centre for Evaluation and Analysis of Public Policies, Faculty of Philosophy, Jagiellonian University, Ul. Ingardena 3, 30-060, Cracow, Poland.

Human Flourishing Program, Institute for Quantitative Social Science, Harvard University, 12 Arrow St, Cambridge, 02138, MA, USA; Institute for Studies of Religion, Baylor University, One Bear Place #97236, Waco, 76798, TX, USA.

出版信息

Soc Sci Med. 2023 Apr;323:115841. doi: 10.1016/j.socscimed.2023.115841. Epub 2023 Mar 20.

Abstract

Psychological climate for caring (PCC) is a psychosocial factor associated with individual work outcomes and employee well-being. Evidence on the impacts of various psychological climates at work is based mostly on self-reported health measures and cross-sectional data. We provide longitudinal evidence on the associations of PCC with subsequent diagnosed depression and anxiety, subjective well-being, and self-reported work outcomes. Employees of a US organization with a worker well-being program provided data for the analysis. Longitudinal survey data merged with data from personnel files and health insurance claims records comprising medical information on diagnosis of depression and anxiety were used to regress each outcome on PCC at baseline, adjusting for prior values of all outcomes and other covariates. PCC was found to be associated with lower odds of subsequent diagnosed depression, an increase in overall well-being, mental health, physical health, social connectedness, and financial security, as well as a decrease in distraction at work, an increase in productivity/engagement and possibly in job satisfaction. There was little evidence of associations between PCC and subsequent diagnosed anxiety, character strengths, and work-family conflict. Work policies focused on improving PCC may create a promising pathway to promoting employee health and well-being as well as improving work-related outcomes.

摘要

关怀心理氛围(PCC)是一种与个人工作成果和员工福祉相关的社会心理因素。关于工作中各种心理氛围影响的证据大多基于自我报告的健康指标和横断面数据。我们提供了关于PCC与后续诊断出的抑郁和焦虑、主观幸福感以及自我报告的工作成果之间关联的纵向证据。一家拥有员工福祉计划的美国组织的员工提供了分析数据。纵向调查数据与来自人事档案和健康保险理赔记录的数据合并,这些记录包含有关抑郁和焦虑诊断的医疗信息,用于在基线时将每个结果对PCC进行回归分析,并对所有结果的先前值和其他协变量进行调整。研究发现,PCC与后续诊断出抑郁的较低几率、整体幸福感、心理健康、身体健康、社会联系和财务安全的增加相关,同时与工作分心的减少、生产力/参与度的提高以及可能的工作满意度的提高相关。几乎没有证据表明PCC与后续诊断出的焦虑、性格优势和工作-家庭冲突之间存在关联。专注于改善PCC的工作政策可能为促进员工健康和福祉以及改善与工作相关的成果创造一条充满希望的途径。

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