2022 Fiscal Year Final Research Report
Management of highly stressed workers in a workplace: early detection and prevention of depression from a view of somatic complaints
| Project/Area Number |
20K10536
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Review Section |
Basic Section 58030:Hygiene and public health-related: excluding laboratory approach
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| Research Institution | International University of Health and Welfare |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
城月 健太郎 武蔵野大学, 人間科学部, 教授 (50582714)
竹内 武昭 東邦大学, 医学部, 准教授 (60453700)
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| Project Period (FY) |
2020-04-01 – 2023-03-31
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| Keywords | ストレス / 心身医学 / うつ病 / 身体愁訴 |
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| Outline of Final Research Achievements |
The purpose of the present study was to clarify psychosocial factors effecting somatic complaints of workers and to assess the relationship between depression and somatic complaints. Subjects were 2,508 employees working at a workplace located in a metropolitan area. Questionaire surveys and interviews were done to evaluate work-related stress and psychosocial conditions.As results, 301 (12.0%) were classified as a high-stressed group. The commonest somatic was fatigue, followed by insomnia, neck pain, and low back pain in the high-stress group. The average number of somatic symptoms was 6.9, and significantly associated with scores on alexithymia, somatosensory amplification, catastrophic thought about somatic sense, depression, and anxiety. The degree of severity of depression was significantly associated with the number of somatic symptoms, even after controlling for the effects of other factors by the multiple regression analysis.
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| Free Research Field |
心身医学、公衆衛生学
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| Academic Significance and Societal Importance of the Research Achievements |
うつ病のリスクが高い労働者はうつの部分症状でもある易疲労感と不眠の他に、吐気、息切れ、動悸、腰痛などの身体症状を高頻度に有し、訴える身体症状数自体がうつ傾向をスクリーニングする重要な指標になることが示唆された。本研究により、職業性ストレス簡易調査票の身体愁訴の項目の有効活用が可能となり、職場ストレスチェック時だけでなく、健康診断の場面などでも、新たな経済的負担をかけることなく簡便にうつ病の一次スクリーニングが可能なことを示した。
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