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Adverse Psychosocial Work Environments and Depression–A Narrative Review of Selected Theoretical Models

机译:不良的心理社会工作环境与抑郁 - 对所选理论模型的叙事综述

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摘要

Far-reaching progress of treatment and prevention of depressive disorders is still limited, mainly due to the multifactorial determinants of these disorders and the restricted knowledge of their aetiology. Stressful socio-environmental conditions represent one of the multifactorial determinants, and in view of the centrality of work and employment for human well-being, research on health-adverse psychosocial work environments turned out to be a promising line of scientific inquiry. During the past three decades, respective research focused mainly on three theoretical models of adverse psychosocial work and their measurement in prospective epidemiologic studies, termed “demand-control,” “effort-reward imbalance,” and “organizational injustice.” This report provides a review of current evidence on their associations with depression, based on several systematic reviews and updated by most recent publications. Moreover, it discusses the conceptual and methodological strengths and weaknesses of these associations. In summary, the results of more than 40 cohort studies from a variety of Western modern societies confirm that stressful work in terms of these models is associated with a moderately increased risk of subsequent onset of depression. While this knowledge is considered robust enough to instruct efforts of primary and secondary prevention, several methodological challenges still need to be resolved by future research.
机译:影响深远的治疗和预防抑郁症的进展仍然有限,主要是由于这些疾病的多因素决定因素及其病因的限制知识。紧张的社会环境条件表示多因素的决定因素之一,鉴于工作和就业为人类福祉的中心地位,对健康不利的心理工作环境的研究被证明是科学探究的承诺一致。在过去的三个十年里,各自的研究主要集中在不良心理工作三个理论模型及其在前瞻性流行病学研究测量,被称为“按需控制”,“付出 - 回报失衡”和“组织的不公平。”本报告提供了关于其患有抑郁症的关联,基于几个系统评价和最近的出版物更新现有的证据进行审查。此外,它讨论的概念和方法的优势和这些协会的弱点。综上所述,从各种西方现代社会的40多个队列研究的结果证实,在这些模式方面工作压力与抑郁症的发病以后的风险适度增加相关。虽然这方面的知识被认为是足够强大的,以一级和二级预防的请示工作,有几个方法上的挑战仍然需要通过进一步的研究来解决。

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