Department of Occupational, Metabolic and Internal Diseases, Institute of Maritime and Tropical Medicine in Gdynia, Medical University of Gdansk, Poland.
Int Marit Health. 2023;74(2):122-128. doi: 10.5603/IMH.2023.0018.
The seafarers' professional group is one of the most numerous in the world. According to the statistics of the European Maritime Safety Agency (2020), there are approximately 280,000 people employed at sea in the European Union. The specific work environment on the ship (climatic, physical, chemical, psychological factors, etc.) is related to experiencing long-term stress. The World Health Organization considers work-related stressors to be very important determinants of health and disease. One of the basic psychological resources related to adaptation to demanding working conditions are strategies for coping with stress. The aim of the study is to assess the occurrence of harmful psychosocial factors in the work of seafarers and the stress coping strategies and their relationship with somatic diseases.
One hundred and fifteen seafarers who received a maritime health certificate participated in the study at the Occupational Medicine Clinic. The study was part of a larger project looking at the prevalence of cardiovascular risk factors among seafarers. The study used the Coping Questionnaire in Stressful Situations (CISS) (Endler and Parker) and a general questionnaire created for the purposes of the study.
Thirty six per cent respondents were exposed to traumatic event and to having nightmares, 13% had been discriminated at least once in the workplace. A positive correlation was found between discrimination and depression, nightmares and trauma. In addition, people who admitted having experienced trauma slept shorter (also while at home) and experienced nightmares more often. The most common style of coping was task oriented (29; 28.5%), and avoidance oriented (15%). The study also found a positive correlation between depression and the style of emotion-oriented coping and avoidance-oriented coping.
The specific working conditions and exposure to traumatic events have a negative impact on the health of seafarers by increasing the risk of depression and cardiovascular diseases. The coping styles with stress depend on the position in the ship hierarchy.
海员是世界上人数最多的职业群体之一。根据欧洲海上安全局(2020 年)的统计,欧盟约有 28 万人在海上工作。船上的特殊工作环境(气候、物理、化学、心理因素等)与长期压力有关。世界卫生组织认为与工作相关的压力源是健康和疾病的重要决定因素。与适应高要求工作条件相关的基本心理资源之一是应对压力的策略。本研究旨在评估海员工作中有害的心理社会因素的发生情况以及应对压力的策略及其与躯体疾病的关系。
115 名在职业医学诊所获得航海健康证书的海员参加了这项研究。该研究是一项更大规模的研究的一部分,该研究旨在调查海员心血管危险因素的流行情况。该研究使用了应激情境应对问卷(CISS)(Endler 和 Parker)和为研究目的而创建的一般问卷。
36%的受访者曾经历创伤性事件和做噩梦,13%的人至少在工作场所受到过歧视。歧视与抑郁、噩梦和创伤之间存在正相关。此外,承认经历过创伤的人睡眠时间更短(在家中也是如此),且做噩梦的频率更高。最常见的应对方式是任务导向型(29;28.5%)和回避型(15%)。研究还发现,抑郁与情绪导向型应对和回避型应对方式呈正相关。
特定的工作条件和创伤暴露对海员的健康产生负面影响,增加了抑郁和心血管疾病的风险。应对压力的方式取决于船舶等级制度中的职位。