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Is there a relationship between major depression and both objectively assessed and perceived demands and control?

机译:严重抑郁与客观评估和感知的需求与控制之间是否存在关系?

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The aim of this study was to explore whether the association between depression and work characteristics (demands and control) is free from the subjective bias of employees. This study examined the relation between psychosocial work characteristics (job demands and job control) and major depression in 343 participants employed in three occupational sectors in Germany. Participants were divided into a case group and a mentally healthy control group. Since depression itself may bias the reporting of work characteristics were assessed twice: (a) objectively, by job analysis experts and (b) by employees' self-reports. Major depression was assessed according to DSM-IV criteria using an international standard clinical interview. The results showed that objective demand but not control was significantly associated with major depression. Employees who had suffered an incidence of depression had higher objective job demands than those in the control group. Self-rated job demands partially mediated the relationship between objective demands and depression. Additionally, employees in the case group perceived significantly less job control than those classed as mentally healthy. The results indicate that high job demands were associated with major depression, a finding that cannot be better explained by distorted response behaviour due to the depression. However, objectively assessed job control was not found to be related to depression.
机译:这项研究的目的是探讨抑郁与工作特征(需求和控制)之间的联系是否摆脱了员工的主观偏见。这项研究调查了德国三个职业领域的343名参与者的社会心理工作特征(工作需求和工作控制)与严重抑郁之间的关系。参与者分为病例组和心理健康对照组。由于抑郁症本身可能会使工作特征的报告产生偏差,因此对其进行了两次评估:(a)客观地由工作分析专家进行评估;(b)通过雇员的自我报告进行评估。使用国际标准临床访谈根据DSM-IV标准评估严重抑郁症。结果表明,客观需求而不是控制与重大抑郁症显着相关。患有抑郁症的员工的客观工作要求高于对照组。自我评价的工作需求部分地调节了客观需求与抑郁之间的关系。此外,案例组的员工所感觉到的工作控制能力远弱于被归类为心理健康的人。结果表明,高工作需求与重度抑郁症有关,这一发现不能通过抑郁症导致的反应行为扭曲而得到更好的解释。但是,没有发现客观评估的工作控制与抑郁症有关。

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