직무스트레스 영역의 중복과 우울 및 자살사고 사이의 관계
Associations of Overlapped Job Stress Components with Depressive Symptoms and Suicidal Idea
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Objective : Several recent studies determined the associations of job stress with depression and suicidal idea, but the association between the number of job stress components and depression remains unclear. In the present study, we investigated the associations of the number of components of job stress with depression and suicidal idea. Methods : We studied 194,226 participants who attended employee health screenings from January to December, 2014, and completely answered all the questionnaires, including the short form of Korean Occupational Stress Scale (KOSS), the Center for Epidemiologic Study-Depression (CES-D) and suicidal idea. The presence of clinical depressive symptoms was defined as a CES-D score of ≥21. The subjects in the highest quartile of each subscale of KOSS were considered as suffering from each component of job stress. Chisquare tests, t-tests and logistic regressions were performed to compare study outcomes between groups. Results : When we included all seven components of job stress, there was no significant association of the number of the components with depressive symptoms, or suicidal idea. However, the prevalence of depressive symptoms and suicidal idea was increased only in three occupational stress subscales including job demand, job insecurity and occupational climate. When we analyzed only these 3 components of job stress, the number of job stress subscales was significantly associated with depressive symptoms and suicidal idea, even after adjustment for sex and age. Conclusion : The number of components of occupational stress was associated with depressive symptoms and suicidal idea, only in the related components.
Abstract
Objective : Several recent studies determined the associations of job stress with depression and suicidal idea, but the association between the number of job stress components and depression remains unclear. In the present study, we investigated the associations of the number of components of job stress with depression and suicidal idea. Methods : We studied 194,226 participants who attended employee health screenings from January to December, 2014, and completely answered all the questionnaires, including the short form of Korean Occupational Stress Scale (KOSS), the Center for Epidemiologic Study-Depression (CES-D) and suicidal idea. The presence of clinical depressive symptoms was defined as a CES-D score of ≥21. The subjects in the highest quartile of each subscale of KOSS were considered as suffering from each component of job stress. Chisquare tests, t-tests and logistic regressions were performed to compare study outcomes between groups. Results : When we included all seven components of job stress, there was no significant association of the number of the components with depressive symptoms, or suicidal idea. However, the prevalence of depressive symptoms and suicidal idea was increased only in three occupational stress subscales including job demand, job insecurity and occupational climate. When we analyzed only these 3 components of job stress, the number of job stress subscales was significantly associated with depressive symptoms and suicidal idea, even after adjustment for sex and age. Conclusion : The number of components of occupational stress was associated with depressive symptoms and suicidal idea, only in the related components.
참고문헌 (30)
- Marcus M, "Depression : a global public health concern, 1", WHO Department of Mental Health and Substance Abuse, 6~8 (2012)
- 박준혁, "한국의 우울증 역학에 대한 고찰", 대한의사협회지, 54(4), pp.362~369 (2011), 대한의사협회
- Cuijpers P, "Preventing depression : a global priority", Jama, 307, pp.1033~1034 (2012)
- Cavanagh JT, "Psychological autopsy studies of suicide : a systematic review", Psychological Medicine, 33, pp.395~405 (2003)
- "Korea Cause of Death Statistics"[URL]
- Kudielka BM, "Health-related quality of life measured by the sf12 in working populations : associations with psychosocial work characteristics", Journal of Occupational Health Psychology, 10, pp.429~ (2005)
- Kawakami N, "Effects of perceived job stress on depressive symptoms in blue-collar workers of an electrical factory in Japan", Scandinavian Journal of Work, Environment & Health, pp.195~200 (1992)
- Stansfeld S, "Psychosocial work environment and mental health—a meta-analytic review", Scandinavian Journal of Work, Environment & Health, pp.443~462 (2006)
- Harnois G, "Mental health and work:impact, issues and good practices" (2000)
- Takala J, "Indicators of death, disability and disease at work", African Newsletter on Occupational Health and Safety, 9, pp.60~64 (1999)
- "Report on the Social Survey"[URL]
- Iacovides A, "The relationship between job stress, burnout and clinical depression", Journal of Affective Disorders, 75, pp.209~221 (2003)
- Stanley IH, "A systematic review of suicidal thoughts and behaviors among police officers, firefighters, emts, and paramedics", Clinical Psychology Review, 44, pp.25~44 (2016)
- 이선웅, "경기지역 일부 이주노동자들의 직무스트레스와 우울 증상의 상관성", Annals of Occupational and Environmental Medicine, 21(1), pp.76~86 (2009), 대한직업환경의학회
- 김태우, "현장직 소방공무원에서 직무 스트레스와 우울 증상의 관련성", Annals of Occupational and Environmental Medicine, 22(4), pp.378~387 (2010), 대한직업환경의학회
- Park SG, "Job stress and depressive symptoms among korean employees: The effects of culture on work", International Archives of Occupational and Environmental Health, 82, pp.397~405 (2009)
- 장세진, "한국인 직무 스트레스 측정도구의 개발 및 표준화", Annals of Occupational and Environmental Medicine, 17(4), pp.297~317 (2005), 대한직업환경의학회
- Radloff LS, "The ces-d scale a self-report depression scale for research in the general population", Applied Psychological Measurement, 1, pp.385~401 (1977)
- Zich JM, "Screening for depression in primary care clinics: the ces-d and the bdi", The International Journal of Psychiatry in Medicine, 20, pp.259~277 (1990)
- Santor DA, "Examining scale discriminability in the bdi and ces-d as a function of depressive severity", Psychological Assessment, 7, pp.131~ (1995)
- Cho MJ, "Use of the center for epidemiologic studies depression(ces-d)scale in korea", The Journal of Nervous and Mental Disease, 186, pp.304~310 (1998)
- 김윤신, "직무스트레스와 우울 및 불안 증상의 연관성", 대한불안의학회지, 11(1), pp.38~46 (2015), 대한불안의학회
- 안지연, "직업분류 및 고용분류에 따른 스트레스, 우울증상, 의료기관 이용률", 한국콘텐츠학회 논문지, 14(2), pp.409~420 (2014), 한국콘텐츠학회[DOI]
- 조호성, "The relationship between depressive symptoms among female workers and job stress and sleep quality", Annals of Occupational and Environmental Medicine, 25(3), pp.12~12 (2013), 대한직업환경의학회[DOI]
- 장세진, "우리나라 직장인 스트레스의 역학적 특성", 예방의학회지, 38(1), pp.25~37 (2005), 대한예방의학회
- Southwick SM, "The psychobiology of depression and resilience to stress : implications for prevention and treatment", Annu Rev Clin Psychol, 1, pp.255~291 (2005)
- Weissman MM, "Depression and anxiety disorders in parents and children : Results from the yale family study", Archives of General Psychiatry, 41, pp.845~852 (1984)
- Goodwin RD, "Association between physical activity and mental disorders among adults in the united states", Preventive Medicine, 36, pp.698~703 (2003)
- Scott K, "Depression–anxiety relationships with chronic physical conditions : results from the world mental health surveys", Journal of Affective Disorders, 103, pp.113~120 (2007)
- Shin YC, "The associations among vitamin d deficiency, c-reactive protein, and depressive symptoms", Journal of Psychosomatic Research, 90, pp.98~104 (2016)