在职员工心理压力、焦虑及抑郁状态与代谢综合征的相关性研究
文献类型：学位论文
| 作者 | 温文 |
| 答辩日期 | 2022-12 |
| 文献子类 | 硕士 |
| 授予单位 | 中国科学院大学 |
| 授予地点 | 中国科学院心理研究所 |
| 其他责任者 | 王詠 |
| 关键词 | 代谢综合征 压力 焦虑 抑郁 在职员工 |
| 学位名称 | 理学硕士 |
| 学位专业 | 应用心理学 |
| 其他题名 | Research on Correlation of Psychological Stress, Anxiety, and Debression States of In-Service Staff with Metabolic Syndrome |
| 中文摘要 | Metabolic syndrome (MS) is a pathological state of abnormal aggregation of multiple metabolic components, which is associated with the occurrence of a variety of cardiovascular and cerebrovascular disorders. Traditionally, it is believed that the occurrence and development of metabolic syndrome is highly correlated with metabolic disorders caused by the sedentary lifestyle of modern people, but some recent studies have found that the occurrence and development of metabolic syndrome has a potential correlation with psychological factors. Therefore, exploring whether the adverse psychological status caused by work stress and interpersonal tension is correlated with metabolic syndrome among in-service staff in the workplace can provide a valuable reference for the health management of this population. In this study, 2,766 in-service staff members of enterprises who received health examination in Chinese PLA General Hospital from 2019 to 2020 were investigated and analyzed, and 928 effective samples were obtained after screening. The diagnostic criteria for metabolic syndrome recommended by the Chinese Diabetes Society (CDS) were used to determine whether the subject meets the diagnosis of metabolic syndrome. The Chinese version of the Perceived Stress Scale (CPSS), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) were used to assess the levels of the subject's stress, anxiety, and depression. The correlation between adverse psychological state and metabolic syndrome was analyzed, and the results were compared with those of heap场in-service staff during the same period. T-test, chi-square test, Pearson correlation analysis, logistic regression, and other methods were used to analyze the data. The results showed a significant difference in the gender ratio between patients with metabolic syndrome (male/female=93.52%/6.68%) and the total population surveyed (male/female=64.65%/35.35%) among in-service staff, and the proportion of males in patients with metabolic syndrome was much higher than that of males in the total population. T-test results showed significant differences in stress and anxiety states between healthy people and patients with metabolic syndrome among in-service staff, but there was no significant difference in depression. Pearson correlation analysis results showed that, the waist circumference of patients with metabolic syndrome was positively correlated with two psychological factors: stress and depression, and was not significantly correlated with anxiety; logistic regression analysis results showed that, metabolic syndrome was positively correlated with two psychological factors: stress and anxiety, while depression was not significantly correlated with the occurrence of metabolic syndrome. The above results demonstrated that the prevalence of metabolic syndrome was significantly higher in males than in females among the in-service staff surveyed, and both excessive psychological stress and anxiety state were positively correlated with metabolic syndrome and were risk factors of metabolic syndrome. Timely screening and assessment of psychological status are conducive to strengthening the psychological health management of in-service staff, and simultaneously contribute to the prevention, control, and adjuvant therapy of metabolic syndrome among this population. |
| 英文摘要 | 代谢综合征(metabolic syndrome, MS)是多种代谢成份异常聚集的病理状态，并与多种心脑血管疾病的发生相关。传统观念认为代谢综合征的发生、发展与现代人久坐少动生活方式导致的代谢紊乱高度相关，但新近的一些研究发现，代谢综合征的发生、发展可能与心理因素存在相关性。因此，探讨工作场所的在职员工因工作压力、人际关系紧张等情况导致的不良心理状态是否与代谢综合征存在相关性，可为该群体的健康管理工作提供有价值的参考。 本研究对2019-2020年在解放军总医院接受健康体检的2766名企业在职员工进行调查分析，经筛查获得有效样本928例。采用中华医学会糖尿病学分会(Chinese Diabetes Society, CDS)建议的代谢综合征诊断标准判别受检者是否符合代谢综合征的诊断，采用中文版压力知觉量表(Chinese Perceived Stress Scale, CPSS)、焦虑自评量表(Self-Rating Anxiety Scale, SAS)和抑郁自评量表(S elf-Rating Depression Scale, SDS)分别评估受检者的压力、焦虑与抑郁程度，分析不良心理状态与代谢综合征的相关性，并与同时期处于健康状态的在职员工进行对比。采用T检验、卡方检验、Pearson相关分析、多元线性回归及Logistic回归等方法对数据进行分析。结果表明，在职员工中代谢综合征患者(男/女一93.52%/6.68%)与调查总体(男/女一64.65%/35.35%)的性别比例存在显著差异，代谢综合征患者的男性占比远高于总人群男性占比。T检验结果显示在职员工中，健康人群的压力、焦虑状态与代谢综合征患者存在显著差异，而抑郁无差异。Pearson相关分析结果显示代谢综合征患者的腰围与抑郁水平成正相关，与压力水平、焦虑无显著相关性;Logistic回归分析结果显示压力、焦虑两项心理因素与代谢综合征患病为正相关关系且为代谢综合征患病的危险因素，而抑郁与代谢综合征的患病无显著相关性。 以上结果说明，受调查的在职人员中，男性的代谢综合征患病率显著高于女性，心理压力水平较高和焦虑状态与代谢综合征均显著正相关，且为代谢综合征的危险因素。适时的心理状态筛查与评估，有利于对在职人员加强心理健康管理，同时可有助于该群体的代谢综合征防控及辅助治疗。 |
| 语种 | 中文 |
| 源URL | [http://ir.psych.ac.cn/handle/311026/45130]  |
| 专题 | 心理研究所_社会与工程心理学研究室 |
| 推荐引用方式 GB/T 7714 | 温文. 在职员工心理压力、焦虑及抑郁状态与代谢综合征的相关性研究[D]. 中国科学院心理研究所. 中国科学院大学. 2022. |
入库方式： OAI收割
来源：心理研究所
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