Specialized Researcher, Finnish Institute of Occupational Health, 00032 Työterveyslaitos, Box 18, Helsinki, Finland.
Department of Public Health, University of Helsinki, Helsinki, Finland.
BMC Public Health. 2023 Jun 13;23(1):1137. doi: 10.1186/s12889-023-16075-y.
. Decreased work ability due to mental disorders is a growing concern in Europe. We studied the role of work-family conflicts in association with long-term sickness absence due to mental disorders (LTSA-MD).
. Baseline data were extracted from the Helsinki Health Study for women aged 40 to 55 in full-time work in 2001 - 2002 (N = 2386). Questionnaire responses were linked with register data from the Social Insurance Institution of Finland on SA spells due to mental disorders during 2004-2010. We studied an overall question on satisfaction with combining work and family (WFS) and composite scores of work-to-family conflicts (WTFC) and family-to-work-conflicts (FTWC), and their components in association with the first certified SA spell (≥ 12 calendar days) due to a mental disorder during the follow-up. We performed Cox regression analyses with hazard ratios (HR) and their 95% confidence intervals (CI) adjusted for sociodemographic factors, work schedule, perceived mental and physical strenuousness at work, and self-rated health. First, we examined all participants, and second, only those who reported no prior mental disorder.
. Poor work-family satisfaction (WFS) was associated with subsequent LTSA-MD, adjusting for all covariates (HR 1.60; 95% CI 1.10-2.16). Both high WTFC (1.64; 1.15-2.23), and high FTWC (1.43; 1.02-2.00) increased the probability of LTSA-MD in the full model. When participants with prior mental disorder were excluded, the association between poor WFS and WTFC with LTSA-MD retained while that between FTWC and LTSA-MD attenuated; however, two items of the FTWC were still associated with LTSA-MD: 'Family worries and problems distract you from your work' and 'Family matters prevent you from sleeping enough to do your job well'. Of the WTFC items, the following remained associated with LTSA-MD: 'Problems at work make you irritable at home' and 'Your job takes so much energy you do not feel up to doing things that need attention at home'. The experience of decreased time for work or family did not associate with LTSA-MD.
. Among female municipal employees, dissatisfaction with combining work and family and both work-to-family and family-to-work conflicts were associated with subsequent long-term sickness absence due to mental disorders.
由于精神障碍导致工作能力下降是欧洲日益关注的问题。我们研究了工作-家庭冲突与精神障碍长期病假（LTSA-MD）之间的关系。
从 2001-2002 年全职工作的年龄在 40-55 岁的赫尔辛基健康研究中提取基线数据（N=2386）。通过芬兰社会保险机构的登记数据，将问卷调查的回答与 2004-2010 年期间因精神障碍导致的 SA 病假相关联。我们研究了一项关于工作与家庭结合满意度（WFS）的总体问题，以及工作对家庭冲突（WTFC）和家庭对工作冲突（FTWC）的综合评分及其组成部分与随访期间因精神障碍首次确诊的第一个 12 天以上（≥12 个日历天）的认证 SA 病假之间的关系。我们使用 Cox 回归分析，调整了社会人口因素、工作安排、工作时感知的心理和身体紧张程度以及自我评估健康状况，得出危害比（HR）及其 95%置信区间（CI）。首先，我们检查了所有参与者，其次，只检查了那些没有先前精神障碍报告的参与者。
在调整所有协变量后，较差的工作-家庭满意度（WFS）与随后的 LTSA-MD 相关（HR 1.60；95%CI 1.10-2.16）。在全模型中，高 WTFC（1.64；1.15-2.23）和高 FTWC（1.43；1.02-2.00）都增加了 LTSA-MD 的概率。当排除有先前精神障碍的参与者时，较差的 WFS 与 WTFC 与 LTSA-MD 之间的关联仍然存在，而 FTWC 与 LTSA-MD 之间的关联减弱；然而，FTWC 的两个项目仍然与 LTSA-MD 相关：“家庭忧虑和问题分散了你的工作注意力”和“家庭事务使你无法充足睡眠而无法做好工作”。在 WTFC 项目中，以下项目仍与 LTSA-MD 相关：“工作中的问题使你在家里易怒”和“你的工作需要太多精力，以至于你没有精力去做需要关注的家庭事务”。工作或家庭时间减少的经历与 LTSA-MD 无关。
在女性市政雇员工人中，对工作和家庭的结合不满意以及工作-家庭冲突和家庭-工作冲突都与随后的精神障碍长期病假有关。
