본문 바로가기
KERD
논문KCI 등재

Association of Subway Driver's Depressive Symptoms and Experience of Work-Related Problems

2

조회

0

다운로드

5

인용

0

참고문헌

키워드

초록

OBJECTIVES: Subway drivers experience various types of work-related problems during their driving, and those experiences can act as risk factors for depressive symptoms. This study was conducted to investigate the association between work-related problems and subway driver’s depressive symptoms. METHODS: We recruited all of the 961 current subway drivers of a subway company located in Seoul, South Korea and conducted a survey of their socio-demographic and vocational characteristics, hospital visits as an outpatient or inpatient, and work-related problem experiences during the last year. Work-related problems included an accident resulting in death or injury, a conflict with a customer, a sudden stop from an emergency bell, or a near accident. Depressive symptoms were measured with the Center for Epidemiologic Studies-Depression (CES-D) instrument. The survey was performed using a self-report questionnaire from April 16 to July 13, 2007. The data of 827 drivers (86.2%) were analyzed. RESULTS: Experience of a conflict with a passenger (p=0.011), a sudden stop from an emergency bell (p=0.001), or a near accident (p=0.001) increased the prevalence of depressive symptoms among subway drivers. A multiple logistic regression analysis revealed that a sudden stop from an emergency bell increased the risk of depressive symptoms significantly (OR=2.59, p=0.026). Near accidents were marginally associated with a higher risk for depressive symptoms (OR=1.62, p=0.062). CONCLUSION: The experience of a sudden stop from an emergency bell increased subway driver’s depressive symptoms, and near accidents may increase the risk of depressive symptoms. Therefore, interventions for the drivers who had experienced these work-related problems are needed.

Abstract

OBJECTIVES: Subway drivers experience various types of work-related problems during their driving, and those experiences can act as risk factors for depressive symptoms. This study was conducted to investigate the association between work-related problems and subway driver’s depressive symptoms. METHODS: We recruited all of the 961 current subway drivers of a subway company located in Seoul, South Korea and conducted a survey of their socio-demographic and vocational characteristics, hospital visits as an outpatient or inpatient, and work-related problem experiences during the last year. Work-related problems included an accident resulting in death or injury, a conflict with a customer, a sudden stop from an emergency bell, or a near accident. Depressive symptoms were measured with the Center for Epidemiologic Studies-Depression (CES-D) instrument. The survey was performed using a self-report questionnaire from April 16 to July 13, 2007. The data of 827 drivers (86.2%) were analyzed. RESULTS: Experience of a conflict with a passenger (p=0.011), a sudden stop from an emergency bell (p=0.001), or a near accident (p=0.001) increased the prevalence of depressive symptoms among subway drivers. A multiple logistic regression analysis revealed that a sudden stop from an emergency bell increased the risk of depressive symptoms significantly (OR=2.59, p=0.026). Near accidents were marginally associated with a higher risk for depressive symptoms (OR=1.62, p=0.062). CONCLUSION: The experience of a sudden stop from an emergency bell increased subway driver’s depressive symptoms, and near accidents may increase the risk of depressive symptoms. Therefore, interventions for the drivers who had experienced these work-related problems are needed.

참고문헌 (26)

  1. Cho MJ, "The epidemilogical survey of psychiatric illnesses in Korea 2006", pp.70~ (2007), Ministry of Health & Welfare
  2. World Health Organization, "Burden of mental and behavioral disorders, in World Health Report", pp.19~46 (2001), World Health Organization
  3. Teasdale EL, "Health and mental illness at work: clinical assessment and management. In Hunter’s disease of occupations", pp.569~580 (2000), Hodder Arnold Publication
  4. Glozier N, "Mental ill health and fitness for work", Occup Environ Med, 59, pp.714~720 (2002)
  5. Kearns J, "Psychiatric disorders. In Fitness for work: the medical aspect, 3rd ed", pp.122~143 (2000), Oxford University Press
  6. Park SY, "Medical utilization and general health status according to experience of accidents among subway driver", Book of abstract of 39th Conference, pp.343~ (2007), Korean Society of Occupational & Environmental Medicine
  7. Vatshelle A, "Serious on-the-track accidents experienced by train drivers: psychological reactions and long-term health effects", J Psychosom Res, 42, pp.43~52 (1997)
  8. Cothereau C, "Professional and medical outcomes for French train drivers after person under train accidents: three year follow up study", Occup Environ Med, 61, pp.488~494 (2004)
  9. Kanner AD, "Comparison of two modes of stress measurement: daily hassles and uplifts versus major life events", J Behav Med, 4, pp.1~39 (1981)
  10. Ravindran AV, "Stress, coping, uplifts, and quality of life in subtypes of depression: a conceptual frame and emerging data", J Affect Disord, 71, pp.121~130 (2002)
  11. Klein DN, "Psychosocial characteristics of adolescents with a past history of dysthymic disorder: comparison with adolescents with past histories of major depressive and non-affective disorders, and never mentally ill controls", J Affect Disord, 42, pp.127~135 (1997)
  12. Cho MJ, "Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression", J Korean Neuropsychiatr Assoc, 32, pp.381~399 (1993)
  13. Weissman MM, "Assessing depressive symptoms in five psychiatric populations: a validation study", Am J Epidemiol, 106, pp.203~214 (1977)
  14. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (1994), American Psychiatric Association
  15. Roberts RE, "The Center for Epidemiologic Studies Depression Scale: its use in a community sample", Am J Psychiatry, 140, pp.41~46 (1983)
  16. Cho MJ, "Use of the Center for Epidemiologic Studies Depression (CES-D) Scale in Korea", J Nerv Ment Dis, 186, pp.304~310 (1998)
  17. Wen CP, "Anatomy of the health worker effect - a critique of summary statistics employed in occupational epidemiology", Scand J Work Environ Health, 8, pp.48~52 (1982)
  18. Tranah T, "Psychological reactions of drivers to railway suicide", Soc Sci Med, 38, pp.459~469 (1994)
  19. Williams C, "A strategy for trauma debriefing after railway suicides", Soc Sci Med, 38, pp.483~487 (1994)
  20. Malt UF, "The effect of major railway accidents on the psychological health of train drivers--I. Acute psychological responses to accident", J Psychosom Res, 37, pp.793~805 (1993)
  21. Tang D, "Psychotherapy for train drivers after railway suicide", Soc Sci Med, 38, pp.477~478 (1994)
  22. Heinrich HW, "Industrial accident prevention", pp.27~ (1980), McGraw-Hill
  23. Kessler RC, "Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey", Arch Gen Psychiatry, 51, pp.8~19 (1994)
  24. Kessler RC, "Prevalence, correlates, and course of minor depression and major depression in the National Comorbidity Survey", J Affect Disord, 45, pp.19~30 (1997)
  25. Weissman MM, "Affective disorders in a US urban community: the use of research diagnostic criteria in an epidemiological survey", Arch Gen Psychiatry, 35, pp.1304~1311 (1978)
  26. OPCS surveys of psychiatric morbidity in Great Britain, report 1: the prevalence of psychiatric morbidity among adults living in private households, "Meltzer H", HMSO, ~ (1995)

관련 논문AI추천

이 간행물의 다른 논문 (11건)