Working hours, occupational stress and depression among physicians.
Occup Med (Lond)
; 61(3): 163-70, 2011 May.
Article
en En
| MEDLINE
| ID: mdl-21383384
ABSTRACT
BACKGROUND:
Physicians report high prevalence of depression, work long hours and are exposed to many occupational stresses (OSs).AIMS:
To investigate the cross-sectional association between working hours, OS and depression among physicians.METHODS:
A self-administered questionnaire was mailed to 1902 alumni of a medical school. The questionnaire evaluated working hours in the previous week, OS assessed by the effort-reward imbalance model, social support and depression evaluated by the Center for Epidemiologic Studies Depression scale. The associations between these occupational factors and depression were analyzed using multiple logistic regression.RESULTS:
The questionnaire was returned by 795 alumni (response rate, 42%), and 706 respondents (534 men and 172 women) were suitable for analysis. The odds ratio (OR) of depression in the long working hours group (>70 h/week) was 1.8 (95% CI 1.1-2.8) compared with the short working hours group (<54 h/week), adjusted for basic attributes. The adjusted ORs of depression in the upper effort-reward ratio (ERR) tertile versus the lower ERR tertile were 0.6 (0.2-1.8) in the short working hours group, 8.5 (3.0-24.0) in the middle working hours group and 9.9 (3.8-25.7) in the long working hours group. The adjusted ORs of depression stratified according to working hours and ERR tended to be higher in the groups with a higher ERR, but no association between working hours and depression was found.CONCLUSIONS:
This study indicates that the management of OS is needed as a countermeasure against depression among physicians.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Médicos
/
Estrés Psicológico
/
Carga de Trabajo
/
Trastorno Depresivo
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Enfermedades Profesionales
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
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Prognostic_studies
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Qualitative_research
/
Risk_factors_studies
Límite:
Adult
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Female
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Humans
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Male
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Middle aged
País como asunto:
Asia
Idioma:
En
Año:
2011
Tipo del documento:
Article