路亚柯, 梁肖, 平智广, 燕贞, 姚武, 王惠欣. 职业紧张增加影响抑郁发生的Meta分析[J]. 环境与职业医学, 2018, 35(9): 830-834. DOI: 10.13213/j.cnki.jeom.2018.18191
引用本文: 路亚柯, 梁肖, 平智广, 燕贞, 姚武, 王惠欣. 职业紧张增加影响抑郁发生的Meta分析[J]. 环境与职业医学, 2018, 35(9): 830-834. DOI: 10.13213/j.cnki.jeom.2018.18191
LU Ya-ke, LIANG Xiao, PING Zhi-guang, YAN Zhen, YAO Wu, WANG Hui-xin. Meta analysis on effect of increased job strain on depression[J]. Journal of Environmental and Occupational Medicine, 2018, 35(9): 830-834. DOI: 10.13213/j.cnki.jeom.2018.18191
Citation: LU Ya-ke, LIANG Xiao, PING Zhi-guang, YAN Zhen, YAO Wu, WANG Hui-xin. Meta analysis on effect of increased job strain on depression[J]. Journal of Environmental and Occupational Medicine, 2018, 35(9): 830-834. DOI: 10.13213/j.cnki.jeom.2018.18191

职业紧张增加影响抑郁发生的Meta分析

Meta analysis on effect of increased job strain on depression

  • 摘要: 目的 探讨职业紧张增加对抑郁发生的影响。

    方法 以"职业紧张""工作要求""工作自主性""改变""抑郁""job strain" "occupational stress" "job demand" "jobcontrol" "change" "depression""mental health"为检索词,检索国内外数据库(Pubmed、Web of Science、中国知网、维普和万方数据库),搜集职业紧张增加对抑郁发生影响的相关研究,由2名研究者阅读纳入文献的题目、摘要和全文进行数据提取,使用Stata 12.0软件进行Meta分析。

    结果 初次检索出文章1 936篇,纳入研究主题为职业紧张增加与抑郁的关系的队列研究且职业紧张的评估选用的是工作内容问卷量表的文献,排除重复报告、综述或数据不完整等不符合标准的文献。最终纳入6篇文献,研究总人数24 335人,随访年限3~10年。职业紧张增加(由基线时的低职业紧张变为随访后的高职业紧张)会增加抑郁的发生率(RR=1.75,95%CI:1.32~2.23)。随着工作要求的增加(RR=1.47,95%CI:1.20~1.79)和工作自主性的降低(RR=1.25,95%CI:1.09~1.44),抑郁的发生率增加。经漏斗图、Egger's检验,无发表偏倚。

    结论 职业紧张增加、工作要求增加、工作自主性降低可增加抑郁的发生。

     

    Abstract: Objective To evaluate the effect of the increase of job strain on the incidence of depression.

    Methods Based on keywords including "job strain, " "job demand, " "job control, " "change, " "depression, " and "mental health" both in English and Chinese, published studies on the topic of the effects of increased job strain on depression were searched from databases such as Pubmed, Web of Science, China National Knowledge Infrastructure (CNKI), VIP, and WanFang. The information of included literature was extracted by two researchers through reading the topic, abstract, and full text. Stata 12.0 software was used to perform meta analysis.

    Results We identified 1936 studies, and finally included 6 studies with 24335 participants and 3-10 years of follow-up according to our inclusion criteria which included the cohort study on the relationship between increased occupational stress and depression using the questionnaire of work content to evaluate the occupational stress, and excluded duplicate reports, reviews, incomplete data, etc. A higher risk of depression was related to increased job strain (from low job strain at baseline to high job strain in follow-up visit, RR=1.75, 95%CI:1.32-2.23), as well as its sub-dimensions:increased job demand (RR=1.47, 95%CI:1.20-1.79) and decreased job control (RR=1.25, 95%CI:1.09-1.44). No significant publication bias was found after being tested by funnel plot and Egger's test.

    Conclusion Increased job demand, increased job strain, as well as decreased job control may increase the risk of depression.

     

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