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治疗内容对患有情绪或焦虑障碍的工人心理弹性变化的影响:一项为期3个月的纵向研究。

Effects of treatment contents on changes in resilience among workers with mood or anxiety disorders: A 3-month longitudinal study.

作者信息

Sato Kei, Gotoh Leo, Matsushita Michihiko, Tokunaga Yuichiro, Ishitake Tatsuya

机构信息

Department of Environmental Medicine Kurume University School of Medicine Kurume Japan.

出版信息

PCN Rep. 2023 Jan 19;2(1):e69. doi: 10.1002/pcn5.69. eCollection 2023 Mar.

Abstract

AIM

The aim of this study was to identify factors that influence changes in resilience among workers with mental health disorders, leading to effective treatment and support.

METHODS

Among the new patients at an institution, 81 who were working and had the ICD-10 diagnoses F3 and F4 were included. Resilience was measured at the initial visit and 3 months later using the S-H resilience test. Univariate and multiple regression analyses were conducted using the change in resilience between the two measurements as the objective variable, and treatment and attendance at work as explanatory variables.

RESULTS

There were no significant differences in resilience abilities between pre- and postmeasurement for the subjects as a whole. However, tests for the subgroups of diagnostic category, attendance at work, and treatment showed that resilience improved significantly in the mood disorder group, the leaving employment group, and the group receiving additional treatment. The results of the multiple regression analysis showed that treatment type (with or without additional treatment) had an effect on the degree of change in resilience, and among these "inpatient treatment" and "re-work program" were suggested to have an effect.

CONCLUSION

The resilience of workers with mental health disorders was found to improve even after only 3 months of treatment, depending on the content of the treatment. We believe the significance of this study is the quantitative indication of the transition of resilience, which has not been made concrete until now.

摘要

目的

本研究旨在确定影响患有精神疾病的劳动者心理复原力变化的因素,以实现有效的治疗和支持。

方法

在某机构的新患者中,纳入了81名在职且患有国际疾病分类第十版(ICD - 10)诊断为F3和F4的患者。在初次就诊时和3个月后使用S - H心理复原力测试来测量心理复原力。以两次测量之间心理复原力的变化作为目标变量,以治疗和工作出勤情况作为解释变量进行单因素和多因素回归分析。

结果

总体而言,受试者测量前后的心理复原力能力没有显著差异。然而,对诊断类别、工作出勤情况和治疗的亚组测试表明,情绪障碍组、离职组和接受额外治疗的组中心理复原力有显著改善。多因素回归分析结果表明,治疗类型(有无额外治疗)对心理复原力变化程度有影响,其中“住院治疗”和“重返工作计划”被认为有影响。

结论

发现患有精神疾病的劳动者即使仅经过3个月的治疗,其心理复原力也会根据治疗内容而有所改善。我们认为本研究的意义在于对心理复原力转变进行了量化指示,而这在以前尚未具体明确。

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