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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:系统评价和荟萃分析

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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:这项系统的回顾和荟萃分析旨在检查已发表的前瞻性研究中所包括的工人中是否在标准工作时间之外工作是否与抑郁症风险更大有关。该手稿是根据PRISMA指南清单准备的。使用MEDLINE(PubMed),PsycINFO和PsycARTICLES使用一组相关的关键字进行数据库搜索。资格标准如下:(1)参与者是成年工人; (2)暴露被定义为加班工作; (3)结果是通过结构化访谈临床诊断或评估的抑郁症;(4)研究设计为前瞻性研究或队列研究。系统评价和荟萃分析确定了7项研究。在随机效应模型中,加班工作与较小的,不显着的抑郁症风险升高相关(合并相对风险= 1.075; 95%CI 0.834至1.387; p = 0.575)。妇女之间的联系往往更大。每周工作50小时或以上的风险略有但没有显着增加(合并相对风险= 1.241; 95%CI为0.880至1.750; p = 0.218)。超时工作对抑郁症的影响尚无定论,即使不能忽略,也可能很小。将来应该解决性别差异和更长的工作时间对抑郁症的影响。

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