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揭示工作需求-控制-支持模式和工作压力源作为预测因素:意大利医院工作人员的横断面潜在剖面和网络分析。

Unraveling job demand-control-support patterns and job stressors as predictors: Cross-sectional latent profile and network analysis among Italian hospital workers.

作者信息

Portoghese Igor, Galletta Maura, Bauer Georg F, Finco Gabriele, d'Aloja Ernesto, Campagna Marcello

机构信息

Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.

Division of Public and Organizational Health/Center of Salutogenesis; Department Public and Global Health at the Institute of Epidemiology, Biostatistics and Prevention, University of Zurich, Zurich, Switzerland.

出版信息

PLoS One. 2025 Jun 9;20(6):e0325528. doi: 10.1371/journal.pone.0325528. eCollection 2025.

Abstract

The Job Demand-Control-Support (JDCS) model postulates that patterns of job demand, job control, and social support lead to eight job types that are associated with well-being and health. This study employed latent profile analysis (LPA) to identify JDCS profiles among Italian hospital workers (n = 1464) and examined the predictive roles of role clarity and negative relationships at work on profile membership. Furthermore, adopting a network perspective, this study explored the interrelationships among JDCS factors within each identified profile. The LPA results revealed four profiles: isolated prisoner, moderate strain, low strain, and participatory leader. In addition, role clarity increased the likelihood of being included in the low-strain, moderate-strain, and participatory leader profiles. In contrast, negative relationships at work increased the risk of being included in the isolated prisoner profile. Finally, the results of network analysis revealed that networks differed across profiles in terms of density (interconnections between nodes) and edge strength (magnitude of relationships between nodes). Our study extends previous JDCS research by highlighting that researchers should consider empirically identified profiles rather than theoretically defined subgroups. The implications for stress theory, future research, and practice are also discussed.

摘要

工作需求-控制-支持(JDCS)模型假定,工作需求、工作控制和社会支持模式会导致八种与幸福和健康相关的工作类型。本研究采用潜在剖面分析(LPA)来识别意大利医院工作人员(n = 1464)中的JDCS剖面,并检验角色清晰度和工作中的负面关系对剖面成员资格的预测作用。此外,本研究从网络视角出发,探讨了每个已识别剖面内JDCS因素之间的相互关系。LPA结果揭示了四种剖面:孤立囚犯型、中度压力型、低压力型和参与型领导型。此外,角色清晰度增加了被纳入低压力型、中度压力型和参与型领导型剖面的可能性。相反,工作中的负面关系增加了被纳入孤立囚犯型剖面的风险。最后,网络分析结果表明,不同剖面的网络在密度(节点之间的互连)和边强度(节点之间关系的强度)方面存在差异。我们的研究通过强调研究人员应考虑实证识别的剖面而非理论定义的亚组,扩展了先前的JDCS研究。还讨论了对压力理论、未来研究和实践的启示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ae6/12148104/87a602b417a3/pone.0325528.g001.jpg

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