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工作需求组合与临床兽医实践中抑郁症风险增加相关:一项横断面研究。

Combinations of job demands are associated with increased risk of depression in clinical veterinary practice: a cross-sectional study.

作者信息

Christiansen Simone Vestergaard, Clausen Thomas

机构信息

National Research Centre for the Working Environment, Lersoe Parkalle 105, Copenhagen, DK-2100, Denmark.

出版信息

Ir Vet J. 2024 Dec 27;77(1):23. doi: 10.1186/s13620-024-00284-x.

Abstract

BACKGROUND

Veterinarians have a high prevalence of mental health disorders, such as depression. Previous research suggests that veterinarians are highly exposed to emotional demands at work and that these emotional demands are associated with adverse mental health outcomes. However, little is known about the consequences of the simultaneous exposure to emotional demands and other types of job demands in clinical veterinary practice. In this cross-sectional study, we investigate the combined effect of simultaneous exposure to emotional demands and other types of job demands on the risk of depression. We invited 1,757 employees in clinical veterinary practice in Denmark to participate in an online survey in the spring of 2022.

RESULTS

We obtained response from 885 employees (50.4%). Mean age was 38.2 years and 90.2% of the sample identified as women. The majority of the respondents worked in small animal practice (80.6%). We assessed psychosocial job demands (emotional demands, quantitative demands, role conflicts, work pace, and threats) and depressive symptoms in the study questionnaire, and defined depression as a score of ≥ 21 on the Major Depression Inventory. Data were analyzed using logistic regression analysis. 15.1% of the participants had an indication of depression. Results showed an increased risk of depression for participants reporting high emotional demands in combination with high quantitative demands (OR:8.37; 95%CI:4.31-16.24), high role conflicts (OR:8.95; 95%CI:4.71-16.99), threats at work (OR:7.06; 95%CI:4.06-12.28) and high work pace (OR:14.24; 95%CI:6.51-31.15). The combined effects indicated additive but not synergistic interaction.

CONCLUSIONS

Combinations of emotional demands and other types of job demands are associated with an increased risk of depression among employees in clinical veterinary practice in Denmark. The results have implications for preventing negative health-related consequences of adverse psychosocial working conditions among employees in clinical veterinary practice. Preventive strategies and initiatives to promote a healthy psychosocial work environment and well-being among veterinary employees are discussed, and we further encourage employers and relevant authorities in veterinary practice to prioritize efforts to enhance the psychosocial work environment and employee well-being in clinical veterinary practice.

摘要

背景

兽医中精神健康障碍(如抑郁症)的患病率很高。先前的研究表明,兽医在工作中高度暴露于情感需求之下,且这些情感需求与不良的心理健康结果相关。然而,对于临床兽医实践中同时暴露于情感需求和其他类型工作需求的后果,我们知之甚少。在这项横断面研究中,我们调查了同时暴露于情感需求和其他类型工作需求对抑郁症风险的综合影响。2022年春季,我们邀请了丹麦临床兽医实践领域的1757名员工参与一项在线调查。

结果

我们收到了885名员工(50.4%)的回复。平均年龄为38.2岁,样本中90.2%的人认定为女性。大多数受访者从事小动物诊疗工作(80.6%)。我们在研究问卷中评估了心理社会工作需求(情感需求、定量需求、角色冲突、工作节奏和威胁)以及抑郁症状,并将抑郁症定义为在《重度抑郁量表》上得分≥21分。数据采用逻辑回归分析进行分析。15.1%的参与者有抑郁症迹象。结果显示,报告有高情感需求且伴有高定量需求(比值比:8.37;95%置信区间:4.31 - 16.24)、高角色冲突(比值比:8.95;95%置信区间:4.71 - 16.99)、工作威胁(比值比:7.06;95%置信区间:4.06 - 12.28)和高工作节奏(比值比:14.24;95%置信区间:6.51 - 31.15)的参与者患抑郁症的风险增加。综合影响表明存在相加而非协同的相互作用。

结论

情感需求与其他类型工作需求的组合与丹麦临床兽医实践中员工患抑郁症的风险增加相关。这些结果对于预防临床兽医实践中员工因不良心理社会工作条件而产生的负面健康后果具有启示意义。文中讨论了促进健康心理社会工作环境以及兽医员工福祉的预防策略和举措,我们进一步鼓励兽医实践中的雇主和相关当局优先努力改善临床兽医实践中的心理社会工作环境和员工福祉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d16d/11673828/622677834e78/13620_2024_284_Fig1_HTML.jpg

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