| The psychological influences of shift work by "symptom checklist-90-revision". |
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Kee Woon Choi, Kyung Hwan Cho, Myung Ho Hong |
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| 간이정신진단검사를 이용한 교대근무의 정신적인 영향조사 |
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최기운, 조경환, 홍명호 |
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고려대학교의과대학 가정의학과 |
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| Abstract |
An every 8 to 12 hrs shift work is widely accepted in our society because of its economic efficacy which influences many aspects of physical, social, and psychological health. It is well know that the shift work affects physical disorders, such as peptic ulcer, rheumatoid arthritis, functional gastrointestinal disorders, awakeness and sleep disturbances, irregular menstruation, eating problems, and ischemic heart diseases etc. But there is not many investigations about psychological effects of shift work. In order to evaluate psychological effects of shiftwork, authors have surveyed day and shift workers. The Symptom Checklist-90-Revision-Somatization, Obsessive-compulsive, Interpersonal sensitivity, Depression, Anxiety, Hostility, Phobic anxiety, Paranoid ideation, Psychotism-was applied to 271 nurses, including 185 shift and 86 day workers, in a university, hospital, form July 30, 1990 to August 4, 1990.
The results were as follows.
1. The scores in Obsessive-compulsive, Interpersonal sensitivity, Depression, and Paranoid ideation of shift workers worked more than 4 times of night work during the last week were higher than those of day workers, significantly(p<0.05).
2. In the shift workers, the scores in Obsessive-compulsive, Interpersonal sensitivity, Depression, Anxiety, Paranoid ideation and Psychoticism of shift workers worked more than 4 times of night work during the last week, Obsessive-compulsive, Hostility and Paranoid ideation of shift workers worked 3 times of night work, Hostility of shift workers 2 times of night work, were significantly higher than those of non-night workers(p<0.05).
3. Although correlation coefficients were low between the frequency of night work and symptoms dimension in the shift workers, Obsessive-compulsive, Depression, Hostility and Paranoid ideation were correlated significantly to frequency of night work(p<0.05).
4. Results of 9 symptoms between shift workers and day workers were not different(p<0.05).
5. Three global indicies-Global Severity Index, Positive Symptom Total, Positive Symptom Distress Index-between shift and day workers were not different, too(p<0.05).
6. Several symptom dimensions were different according to marital and religious status in this study. Scores in Obsessive-compulsive, Depression, Hostility and Positive Symptom Total of unmarried group showed higher scores than those of married group, and obsessive-compulsive, Depression and Hostility of infidel group higher than those of having religion group. But the status of marriage and religion were not different in the compared groups-day workers and shift workers worked more than 4 times of night work during the last week, non-night workers and night workers worked 2,3 or 4 times of night work during the last week, respectively-in this study(p<0.05).
7. Scores of all symptom dimensions were not affected by such as age, duration of employment, mean work time per day, position-head nurse and nurse, work place, education and daily travel time to work. And scores of all symptom dimensions also were not affected by work types when questionnaire survey was recorded at that times-day work of day workers, day, evening and night work of shift workers(p<0.05).
From the above results, shift work, especially night work affects the developments of psychological symptoms. |
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