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Working hours and the onset of depressive disorder: a systematic review and meta-analysis

机译：工作时间和抑郁症的发作：系统审查和荟萃分析

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摘要

This systematic review and meta-analysis aimed to examine whether working beyond the standard working hours was associated with a greater risk of depressive disorder among workers included in published prospective studies. This manuscript was prepared according to the PRISMA guideline checklist. A database search was conducted using MEDLINE (PubMed), PsycINFO, and PsycARTICLES using a relevant set of keywords. The eligibility criteria were as follows: (1) participants were adult workers; (2) exposure was defined as overtime work; (3) outcome were depressive disorders clinically diagnosed or assessed by a structured interview and (4) the study design was prospective or cohort. 7 studies were identified in the systematic review and meta-analysis. Overtime work was associated with a small, non-significant, elevated risk of depressive disorder (pooled relative risk=1.075; 95% CI 0.834 to 1.387; p=0.575) in a random effects model. The association tended to be greater for women. The risk of working 50 or more hours per week was slightly but not significantly increased (pooled relative risk=1.241; 95% CI 0.880 to 1.750; p=0.218). The effect of overtime work on depressive disorder remains inconclusive and may be small if not negligible. Sex differences and the effect of longer working hours on depressive disorder should be addressed in the future.
机译：这种系统审查和荟萃分析旨在审查在公布的前瞻性研究中包括抑郁症的抑郁症的风险更远的情况下是否有关。根据Prisma指南清单编写此手稿。使用相关的关键字使用Medline（Pubmed），Psycinfo和Psycarticles进行数据库搜索。资格标准如下：（1）参与者是成年工人; （2）曝光被定义为加班工作; （3）结果是通过结构访谈临床诊断或评估的抑郁症和（4）研究设计是潜在的或群组。在系统审查和荟萃分析中确定了7项研究。加班工作与抑郁症的小，非显着，升高的风险有关（相对风险= 1.075; 95％CI 0.834至1.387; p = 0.575）。联想往往对女性更大。每周工作50小时或更长时间的风险略微但没有显着增加（合并相对风险= 1.241; 95％CI 0.880至1.750; P = 0.218）。加班工作对抑郁症的影响仍然不确定，如果不可忽略的话，可能很小。未来应解决性别差异和较长工作时间对抑郁症的效果。

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