墨西哥城某三级精神病院精神卫生专业人员工作压力因素对精神病理症状的预测

Hernández Gutiérrez María Eugenia, Ortega-Andeane Patricia, Mendieta Danelia, García-Mejorado Karla Vanessa, Coballase-Urrutia Elvia, Barrera-Villalpando María Isabel, Zamora Anabel Flores, Irepan-Aguilar Maricela
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引用次数: 0

摘要

墨西哥的工作压力患病率很高;精神卫生专业人员是一个弱势群体,他们所经历的苛刻环境将他们自己的精神健康置于危险之中。目的:了解墨西哥城某三级精神病院精神卫生专业人员的工作压力水平和精神病理发展情况。方法:采用两份问卷对90名心理卫生专业人员进行调查:(1)采用墨西哥医师压力工作量表(SWI)分析其职业压力水平;(2)对症状性窘迫采用症状检查表90-修订版(SCL-90-R)。利用Karasek的“付出-回报”和Siegrist的“付出-回报失衡”两个理论假设,提出了一个基于结构方程的分析模型。结果:模型具有较高的正结构系数(0.76)。模型的拟合优度为可接受的(χ2 = 51.22, p = 0.02;Cfi = 0.97;Rmsea = 0.08)。本研究为痛苦的产生提供了一个因果解释,模型发现工作压力对痛苦的影响是强烈而显著的。结论:本模型预测了工作压力对心理健康人员焦虑、抑郁、躯体化和不足感等心理健康的显著影响。因此,应尽量减少与工作有关的压力因素,从而防止痛苦,以确保精神科人员享有身心健康,使他们能够进行有效和专业的临床实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Predictors of psychopathologic symptoms by work-related stress factors in Mental Health Professionals of a tertiary-level Psychiatric Hospital in Mexico City
Introduction: Mexico has a high prevalence of work stress; mental health professionals are a vulnerable group who experience demanding environments that place their own mental health at risk. Objective: The present study aimed to evaluate the work-related stress levels and development of psychopathology in mental health professionals of a tertiary-level psychiatric hospital in Mexico City. Methods: The study included 90 mental health professionals, utilizing two questionnaires: (1) to analyze the level of occupational stress, the Stress Work Instrument (SWI) for Mexican physicians was employed; and (2) for symptomatic distress, the Symptom Checklist-90-Revised (SCL-90-R) was applied. Two theoretical assumptions’ (‘Effort-Reward’ for Karasek and “Effort-Reward Imbalance” for Siegrist) were used to propose an analytical model based on structural equations. Results: The model obtained showed a high and positive structural coefficient (0.76). The goodness-of-fit for the model was acceptable (χ2 = 51.22, p = .02; CFI = .97; RMSEA = 0.08). This study showed a causal explanation for the generation of distress, and the model detected a strong and significant effect from work stress to distress. Conclusion: We conclude that the model obtained predicts a significant effect of work-related stress on mental health such as anxiety, depression, somatization, and feelings of inadequacy in mental health professionals. Therefore, work-related stress factors should be minimized thus preventing distress to ensure that psychiatric personnel enjoy physical and mental health enabling them for efficient and professional clinical practice.
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