Depression among health workers: The role of social characteristics, work stress, and chronic diseases
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| Format: | Artículo científico |
| Language: | en |
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Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
2006
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| author | Guilherme Luiz Guimaraes Borges |
| author_facet | Guilherme Luiz Guimaraes Borges |
| contents | Depression among health workers: The role of social characteristics, work stress, and chronic diseases Guilherme Luiz Guimaraes Borges Jyoti Mudgal Juan Carlos Díaz Montiel Yvonne Flores Jorge Salmerón Medicina stress Depression and chronic diseases AntecedentsA substantial number of Mexican adults (9-13%) experience psychologicaldistress and a significant minority suffers from severemental impairment. Most people suffering from depression donot seek treatment, even though they can be helped and treated.In some families, depression may occur across generations, but itmay also affect those without any family history. Low self-esteem,stressful life changes and chronic stress may provoke a depressiveepisode. In recent years, it has been demonstrated that medicalconditions, such as cardio-vascular diseases, cancer, Parkinsonsdisease and hormonal disorders, may lead to depression, making asick individual apathetic, incapable of taking care of his/her physicalneeds. In turn, such apathy increases the recovery period. Mostprobably, a combination of genetic, psychological, and social factorswork together in the development of a depressive disorder.However, very little is known about the principal causes of depressionin Mexico. It is possible that, due to cultural and socialdifferences, these factors and their impact are distributed differentlyon the Mexican population as compared to those from theUS population.ObjectivesThe first objective from this study is to estimate the frequencyand distribution of depression by social characteristics on a populationof health workers in Mexico. The second objective is tostudy the effect of stress and chronic diseases on depression.MethodsTo study the effects of stress and chronic diseases on depressionwe used a cross-sectional data obtained from a total of 4048 workers.These workers participated in the IMSS Health Worker CohortStudy in Morelos through the years 1998 to 2000. Their agevaried from 18 to 89 years. A self-reported questionnaire was administeredto obtain information on life-style factors, social characteristics,work stress, and chronic diseases. Data were analyzedusing politomic regressions to study the effects of social characteristicson moderate and high levels of depressive symptomatologyand on risk factors, such as work stress and chronic diseases.The analysis is stratified by gender as it is expected that effects ofsuch characteristics vary by gender.ResultsOur results show that the workers socioeconomic characteristicsare significantly associated with their depression level. Being female,being separated from the spouse, having lower education,and working in non-professional jobs with lower income is significantlyand positively associated with depression. Similarly, havinga less satisfying job and having more than one chronic disease issignificantly and positively associated with depression. Workersfrom a lower socioeconomic status report higher levels of stressand suffer more chronic diseases compared to those from highersocioeconomic levels. Hence, some of the effects of social characteristicsseem to be mediated by stress and chronic diseases. 2006 artículo científico 0185-3325 https://www.redalyc.org/articulo.oa?id=58229501 en http://www.redalyc.org/revista.oa?id=582 Salud Mental application/pdf Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Salud Mental (México) Num.5 Vol.29 |
| format | Artículo científico |
| id | redalyc_58229501 |
| institution | Redalyc |
| language | en |
| publishDate | 2006 |
| publisher | Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz |
| spellingShingle | Depression among health workers: The role of social characteristics, work stress, and chronic diseases Guilherme Luiz Guimaraes Borges Medicina stress Depression and chronic diseases Depression among health workers: The role of social characteristics, work stress, and chronic diseases Guilherme Luiz Guimaraes Borges Jyoti Mudgal Juan Carlos Díaz Montiel Yvonne Flores Jorge Salmerón Medicina stress Depression and chronic diseases AntecedentsA substantial number of Mexican adults (9-13%) experience psychologicaldistress and a significant minority suffers from severemental impairment. Most people suffering from depression donot seek treatment, even though they can be helped and treated.In some families, depression may occur across generations, but itmay also affect those without any family history. Low self-esteem,stressful life changes and chronic stress may provoke a depressiveepisode. In recent years, it has been demonstrated that medicalconditions, such as cardio-vascular diseases, cancer, Parkinsonsdisease and hormonal disorders, may lead to depression, making asick individual apathetic, incapable of taking care of his/her physicalneeds. In turn, such apathy increases the recovery period. Mostprobably, a combination of genetic, psychological, and social factorswork together in the development of a depressive disorder.However, very little is known about the principal causes of depressionin Mexico. It is possible that, due to cultural and socialdifferences, these factors and their impact are distributed differentlyon the Mexican population as compared to those from theUS population.ObjectivesThe first objective from this study is to estimate the frequencyand distribution of depression by social characteristics on a populationof health workers in Mexico. The second objective is tostudy the effect of stress and chronic diseases on depression.MethodsTo study the effects of stress and chronic diseases on depressionwe used a cross-sectional data obtained from a total of 4048 workers.These workers participated in the IMSS Health Worker CohortStudy in Morelos through the years 1998 to 2000. Their agevaried from 18 to 89 years. A self-reported questionnaire was administeredto obtain information on life-style factors, social characteristics,work stress, and chronic diseases. Data were analyzedusing politomic regressions to study the effects of social characteristicson moderate and high levels of depressive symptomatologyand on risk factors, such as work stress and chronic diseases.The analysis is stratified by gender as it is expected that effects ofsuch characteristics vary by gender.ResultsOur results show that the workers socioeconomic characteristicsare significantly associated with their depression level. Being female,being separated from the spouse, having lower education,and working in non-professional jobs with lower income is significantlyand positively associated with depression. Similarly, havinga less satisfying job and having more than one chronic disease issignificantly and positively associated with depression. Workersfrom a lower socioeconomic status report higher levels of stressand suffer more chronic diseases compared to those from highersocioeconomic levels. Hence, some of the effects of social characteristicsseem to be mediated by stress and chronic diseases. 2006 artículo científico 0185-3325 https://www.redalyc.org/articulo.oa?id=58229501 en http://www.redalyc.org/revista.oa?id=582 Salud Mental application/pdf Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Salud Mental (México) Num.5 Vol.29 |
| title | Depression among health workers: The role of social characteristics, work stress, and chronic diseases |
| topic | Medicina stress Depression and chronic diseases |
| url | https://www.redalyc.org/articulo.oa?id=58229501 |