情感状态对职业应激与健康关系的影响

目的 探讨情感状态对职业应激与健康关系的影响.方法 整群选取某热电厂878名工人作为研究对象,使用问卷对研究对象进行测评,内容包括工作内容问卷、付出一失衡模式问卷及工作满意感、抑郁症状、身心抱怨和情感问卷.使用多因素logistic回归分析工作应激或付出一回报失衡与身心健康之间的关系,分析时对年龄、性别和文化程度进行控制.结果 负性情感和正性情感与职业应激因素和应激反应存在相关关系(p<0.01).在以工作不满意感、躯体抱怨和抑郁症状为应变量的预测方程中,分别控制正性情感和负性情感,均能减小OR值;控制负性情感时,OR值减小较多;同时控制正性情感和负性情感,OR值减小更为明显,在部分预测方程中,甚至无自变量进入方程.结论 情感状态对职业应激与健康关系存在影响.提示今后在进行职业应激与健康关系研究时,应根据研究指标的不同,考虑对情感因素进行控制.

Influence of affectivity trait on relationships between occupational stress and subjective physical health and job satisfaction

Objective To explore the influence of affectivity trait on relationships between occupational stress and subjective physical health and job satisfaction. Methods Serf-reports for psychosocial work conditions and health and well-being in a sample of 878 workers from a thermal power plant in China were conducted using the job demand-control model, the effort-reward imbalance model, job satisfaction, depression symptom, and physical health complaints questionnaires. Logistic regression analysis was used by controlling for age, sex, and educational level. Results Negative and positive affectivity were correlated with occupational stressors or strains (P<0.01). In the most equation of job dissatisfaction, psychosomatic complaints and depressive symptoms as dependent variables respectively, odds ratios decreased greatly when negative affectivity or positive affectivity was controlled;Odds ratios decreased greater when negative affectivity and positive affectivity were controlled simultaneously. Furthermore in some equation no variable entered. Conclusion Affectivity trait has effect on relationships between occupational stress and subjective physical health and job satisfaction. According to the outcome category of study,the possible confounding role of affectivity should be controlled in the study of the relationships between occupational stress and health serf-reports.