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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Death or illness of a family member, violence, interpersonal conflict, and financial difficulties as predictors of sickness absence: longitudinal cohort study on psychological and behavioral links.
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Death or illness of a family member, violence, interpersonal conflict, and financial difficulties as predictors of sickness absence: longitudinal cohort study on psychological and behavioral links.

机译：家庭成员的死亡或疾病，暴力，人际冲突和经济困难是疾病缺席的预测因素：纵向队列研究心理和行为联系。

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OBJECTIVE: Although an association between stressful life events and health problems has been demonstrated, the underlying mechanisms have remained unclear. We examined whether psychological problems and health-risk behaviors underpin the health effects of different event categories. METHOD: The initially healthy participants were 2991 (796 men, 2195 women) municipal employees who had taken no sick leave in 1995. In 1997, they completed a questionnaire requesting information on recent life events and psychological and behavioral factors. The outcome was recorded sickness absences in 1998. RESULTS: In men, the death or serious illness of a family member, violence, and financial difficulties increased the risk of later sickness absence. According to structural equation modeling, violence and financial difficulties also induced psychological problems such as anxiety, mental distress, and lowered sense of coherence. Psychological problems were associated with heightened cigarette and alcohol consumption, which in turn increased sickness absence. A corresponding structural model did not fit the data in relation to death or serious illness of a family member. In women, life events were associated with psychological problems and smoking but not sickness absence. CONCLUSIONS: Longitudinal evidence suggests that increased psychological problems and behaviors involving risk to health partially mediate the effect of stressful life events on health, as indicated by sickness absence. This model received support among men and for the event categories of violence and financial difficulties. Women were less affected by stressful life events than men.
机译：目的：尽管已证明生活压力与健康问题之间存在关联，但其潜在机制仍不清楚。我们检查了心理问题和健康风险行为是否支持不同事件类别的健康影响。方法：最初健康的参与者是2991名（796名男性，2195名女性）市政雇员，他们在1995年没有请病假。1997年，他们完成了一份问卷，要求提供有关近期生活事件以及心理和行为因素的信息。结果记录在1998年，因为没有病。结果：在男性中，家庭成员的死亡或严重疾病，暴力和经济困难增加了以后没有病的风险。根据结构方程模型，暴力和财务困难还会引发心理问题，例如焦虑，精神困扰和连贯感降低。心理问题与吸烟和饮酒增加有关，反过来又增加了病假率。相应的结构模型不适合有关家庭成员死亡或严重疾病的数据。在女性中，生活事件与心理问题和吸烟相关，但与疾病缺席无关。结论：纵向证据表明，增加的心理问题和涉及健康风险的行为部分地介导了压力性生活事件对健康的影响，如无病所表明。这种模式在男子以及暴力和经济困难事件类别中得到了支持。妇女受压力大的生活事件的影响要小于男人。

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