Wall T D, Bolden R I, Borrill C S, Carter A J, Golya D A, Hardy G E, Haynes C E, Rick J E, Shapiro D A, West M A
Institute of Work Psychology, University of Sheffield.
Br J Psychiatry. 1997 Dec;171:519-23. doi: 10.1192/bjp.171.6.519.
It is widely suggested that many National Health Service (NHS) workers experience high levels of minor psychiatric disorder. However, inadequacies of sampling and measurement in studies to date have not allowed this suggestion to be properly evaluated.
The present study was designed to overcome these methodological weaknesses by using a sample of over 11,000 employees from 19 NHS trusts and a well-established measure of minor psychiatric disorder for which there are comparative data.
The findings show that 26.8% of the health service workers reported significant levels of minor psychiatric disorder, compared with 17.8% of people in the general population. Psychiatric morbidity was highest among managers, doctors, nurses and professions allied to medicine, with each of these groups recording higher rates than their professional counterparts outside the health service. It was lower among those in support occupations, such as administrative and ancillary staff. A feature of the findings was that female doctors and managers showed a much higher prevalence of minor psychiatric disorder than their male colleagues.
Studies are required to establish the organisational, occupational and individual determinants of minor psychiatric disorder among NHS employees.
人们普遍认为，许多国民保健服务（NHS）工作人员患有轻度精神疾病。然而，迄今为止的研究在抽样和测量方面存在不足，无法对这一观点进行恰当评估。
本研究旨在通过从19个NHS信托机构选取11000多名员工作为样本，并使用一种成熟的轻度精神疾病测量方法（该方法有比较数据）来克服这些方法上的弱点。
研究结果显示，26.8%的医疗服务人员报告有显著程度的轻度精神疾病，而普通人群中这一比例为17.8%。精神疾病发病率在管理人员、医生、护士和医学相关专业人员中最高，这些群体中的发病率均高于医疗服务行业外的同行。在行政和辅助人员等支持性职业中发病率较低。研究结果的一个特点是，女医生和女管理人员的轻度精神疾病患病率远高于男同事。
需要开展研究以确定NHS员工中轻度精神疾病的组织、职业和个体决定因素。
