Effort-Reward Imbalance and Depression in Japanese Medical Residents

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概要

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• The effort-reward imbalance is an important psychosocial factor which is related to poor health among employees. However, there are few studies that have evaluated effort-reward imbalance among medical residents. The present study was done to determine the association between psychosocial factors at work as defined by the effort-reward imbalance model and depression among Japanese medical residents. We distributed a questionnaire to 227 medical residents at 16 teaching hospitals in Japan at the end of August 2005. We asked participants to answer questions which included demographic information, depressive symptoms, effort-reward imbalance, overcommitment and social support. Depression was evaluated using the Japanese version of the Center for Epidemiologic Studies-Depression (CES-D) scale. The effort-reward imbalance and overcommitment were assessed by the Effort-Reward Imbalance (ERI) questionnaire which Siegrist developed. Social support was determined on a visual analog scale. Logistic regression analysis was performed to determine the associations between effort-reward imbalance and depressive symptoms. Depressive symptoms were found in 35 (29.2%) 1st-year residents and 21 (27.6%) 2nd-year residents. The effort-reward ratio >1 (OR, 8.83; 95%CI, 2.87-27.12) and low social support score (OR, 2.77, 95%CI, 1.36-5.64) were associated with depressive symptoms among medical residents. Effort-reward imbalance was independently related to depression among Japanese medical residents. The present study suggests that balancing between effort and reward at work is important for medical residents' mental health.

著者

• WADA Koji

  Department of Preventive Medicine and Public Health, Kitasato University School of Medicine

• AIZAWA Yoshiharu

  Department of Preventive Medicine and Public Health, Kitasato University School of Medicine

• WATANABE Mayumi

  Department of Immunology and Medical Zoology, Graduate School of Medicine, Niigata University

• TSUTSUMI Akizumi

  Occupational Health Training Center, University of Occupational and Environmental Health

• Tsutsumi Akizumi

  Occupational Health Training Center University Of Occupational And Environmental Health

• SAKATA Yumi

  Department of Occupational Mental Health, Graduate School of Medical Sciences, Kitasato University

• ISHIKAWA Hiroyasu

  Tokyo Metropolitan Matsuzawa Hospital

• ARATAKE Yutaka

  Department of Occupational Mental Health, Graduate School of Medical Sciences, Kitasato University

• KATOH Noritada

  Department of Occupational Mental Health, Graduate School of Medical Sciences, Kitasato University

• TANAKA Katsutoshi

  Department of Occupational Mental Health, Graduate School of Medical Sciences, Kitasato University

• Watanabe Mayumi

  Department Of Occupational Mental Health Graduate School Of Medical Sciences Kitasato University

• Watanabe Mayumi

  Department Of Immunology And Medical Zoology Graduate School Of Medicine Niigata University

• Aizawa Yoshiharu

  Department Of Preventive Medicine And Public Health Kitasato University School Of Medicine

• Sakata Yumi

  Department Of Occupational Mental Health Graduate School Of Medical Sciences Kitasato University

• Kato Noritada

  Department Of Occupational Mental Health Graduate School Of Medical Sciences Kitasato University

• Aratake Yutaka

  Department Of Occupational Mental Health Graduate School Of Medical Sciences Kitasato University

• Tanaka Katsutoshi

  Dep. Of Occupational Mental Health Graduate School Of Medical Sci. Kitasato Univ.

• Wada Koji

  Department Of Preventive Medicine And Public Health Kitasato University School Of Medicine

• Wada Koji

  Department Of Agricultural Chemistry Faculty Of Agriculture Kyushu University Japan

• Watanabe Mayumi

  Department Of Applied Chemistry Faculty Of Engineering Kobe University

• Tanaka Katsutoshi

  Department Of Occupational Mental Health Graduate School Of Medical Science Kitasato University

• Aizawa Yoshiharu

  Department Of Occupational Health Graduate School Of Medical Sciences Kitasato University

• AIZAWA YOSHIHARU

  Department of Internal Medicine, School of Medicine, Keio University

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