School of Public Health, The Key Laboratory of Environmental Factors and Chronic Disease Control of Ningxia, Ningxia Medical University, Yinchuan, Ningxia, 750004, China.
Department of Preventive Medicine, School of Public Health, Fujian Medical University, Fuzhou, Fujian, 350122, China.
BMC Public Health. 2024 May 29;24(1):1432. doi: 10.1186/s12889-024-18902-2.
To explore the relationship between occupational stress, burnout and depressive symptoms among railroad workers in Fuzhou, and to analyze the interaction of burnout and occupational stress on depressive symptoms.
In this study, 861 railway employees of Fuzhou railway bureau were randomly selected from January to April, 2022. Occupational stress inventory revised edition (OSI-R), China job burnout inventory (CMBI) and Symptom Checklist-90 (SCL-90) were used to investigate the occupational stress, job burnout and depressive symptoms of railway workers. Interactions associated with depressive symptoms were assessed by linear hierarchical regression analysis and SPSS macros (PROCESS).
Occupational stress, job burnout and depressive symptoms accounted for 50.58%, 93.47%, and 11.19% of the study population, respectively. There were intergroup differences between age, marriage status, and length of service (P < 0.05). Occupational stress and job burnout are the main risk factors for depressive symptoms (OR: 2.01, 95% CI: 1.17-3.45; 1.94, 1.69-2.23, respectively). More importantly, further analysis of the interaction between occupational stress and job burnout showed that those with high levels of job burnout had a high-risk effect on depressive symptoms at high levels of occupational stress.
Occupational stress and job burnout are risk factors for depressive symptoms among railroad workers in Fuzhou City. The interaction of job burnout and occupational stress increases the risk of depressive symptoms.
探讨福州市铁路职工职业压力、倦怠与抑郁症状之间的关系，并分析倦怠与职业压力对抑郁症状的交互作用。
本研究于 2022 年 1 月至 4 月采用整群随机抽样的方法抽取福州铁路局 861 名铁路职工，使用职业紧张量表修订本（OSI-R）、中国职业倦怠量表（CMBI）和症状自评量表（SCL-90）调查铁路职工的职业压力、职业倦怠和抑郁症状。采用线性分层回归分析和 SPSS 宏（PROCESS）评估与抑郁症状相关的交互作用。
职业压力、职业倦怠和抑郁症状分别占研究人群的 50.58%、93.47%和 11.19%。年龄、婚姻状况和工龄存在组间差异（P<0.05）。职业压力和职业倦怠是抑郁症状的主要危险因素（OR：2.01，95%CI：1.17-3.45；1.94，1.69-2.23）。更重要的是，职业压力和职业倦怠相互作用的进一步分析表明，在职业压力较高的情况下，职业倦怠程度较高的个体对抑郁症状有较高的风险效应。
职业压力和职业倦怠是福州市铁路职工抑郁症状的危险因素。职业倦怠与职业压力的相互作用增加了抑郁症状的风险。
