Association between social psychological factors and depressive symptoms among healthcare workers / 中华劳动卫生职业病杂志

<p><b>OBJECTIVE</b>To explore the association between the effort-reward imbalance at work and depressive symptoms among healthcare workers.</p><p><b>METHODS</b>The effort-reward imbalance at work was conceptualized in terms of the Chinese version of the effort-reward imbalance (ERI) model. Depressive symptoms were assessed by the Chinese version of the Center of Epidemiology Survey Depression (CES-D) scale. The data came from the cross-sectional survey of 1 179 healthcare workers aged between 18 and 73 employed in 6 affiliated hospitals of Zhejiang University. The questionnaire comprised questions on the effort-reward at work, over-commitment, the full CES-D scale of depression and a range of other characteristics. Univariate analyses were used with Spearman's correlation, Mann-Whitney test, Pearson chi(2) test and likelihood chi(2) test. Multivariate logistic regression analyses was used to discover factors associated with depressive symptoms.</p><p><b>RESULTS</b>The prevalence of depressive symptoms among healthcare workers was 48.12% (95% CI: 45.08% to 51.16%). The prevalence of depressive symptoms among nurses was 52.40% (95% CI: 47.87% to 56.93%) higher than doctors' 44.70% (95% CI: 10.64% to 48.77%) with the significant difference (chi(2) = 6.077, P = 0.014). Positive associations were found between the high effort-low reward, level of work-related over commitment and depressive symptoms (OR = 1.859, 95% CI: 1.337 to 2.585; OR = 2.207, 95% CI: 1.656 to 2.942) among healthcare workers, respectively.</p><p><b>CONCLUSION</b>The high effort-low reward and the work-related over-commitment have a negative impact on healthcare workers' health.</p>

Comment on "the reliability and validity of the effort-reward imbalance - the Chinese version" / 中华流行病学杂志

<p><b>OBJECTIVE</b>To evaluate reliability and validity of the effort-reward imbalance (ERI) in the Chinese version.</p><p><b>METHODS</b>A cross-sectional survey was conducted comprising a large sample of 4782 subjects in China, using ERI in the Chinese version. This scale contained 23 scaled items while the questionnaire including questions on the effort and reward at work, over-commitment, the full CES-D scale of depression and a range of other characteristics. Reliability analysis was applied to evaluate reliability of the ERI scale in the Chinese version and factor analysis was applied to analyze validity of the scale.</p><p><b>RESULTS</b>Theoretical hypothesis on the ERI model was supported by the data derived in this study. Reliability and validity of the effort sub-scale, the reward sub-scale of the ERI scale in the Chinese version seemed to be better, but reliability and validity of the over-commitment sub-scale were not perfect.</p><p><b>CONCLUSION</b>The results of the study showed that the effort sub-scale, the reward sub-scale of the ERI in the Chinese version was applicable to the Chinese population but the scaled items of the over-commitment sub-scale should be further modified.</p>