交警代谢综合征相关心理因素及职业紧张关系研究  

Psychological status and occupational stress among the traffic policemen with metabolic syndrome

作　　者：闫筠[1] 田凤石[2] 彭佳[1] 秦孝培[3] 郑喜兰[1] 吴燕[1] 岳松[4] 

机构地区：[1]天津市公安医院心理科,300042 [2]天津市公安医院内科,300042 [3]天津市公安医院科教科,300042 [4]天津市公安医院物检科,300042

出　　处：《中华内分泌代谢杂志》2012年第8期650-653,共4页Chinese Journal of Endocrinology and Metabolism

基　　金：天津市科技支撑计划重点项目（10ZCKFSF00600）

摘　　要：天津市2682名交通警察，采用职业紧张量表（OSI—R）和症状自评量表（SCL-90）进行职业心理状况测查，同时进行体重指数、血压、空腹血糖、甘油三酯和高密度脂蛋白胆固醇（HDL—C）等临床指标的检测，分析代谢综合征的发病情况与职业紧张和心理因素的关系。相关分析结果表明，体重指数与躯体化症状（r=0．039，P=0．045）、敌对（r=0．046，P=0．018）、精神病性（r=0．041，P=0．036）呈正相关；收缩压与躯体化症状（r=0．056，P=0．004）、强迫症状（r=0．044，P=0．023）、人际关系敏感（r=0．041，P=0．034）、抑郁（r=0．039，P=0．043）、焦虑（r=0．055，P=0．004）、精神病性（r=0．051，P=0．009）呈正相关；舒张压与躯体化症状（r=0．047，P=0．015）、人际关系敏感（r=0．042，P=0．030）、焦虑（r=0．050，P=0．010）、精神病性（r=0．047，P=0．014）呈正相关；空腹血糖与躯体化症状（r=0．042，P=0．028）呈正相关。多元回归分析显示，职业紧张影响因素由大到小，分别为任务界限不清、工作环境、责任感、休闲娱乐、任务模糊、任务过重、理性处事（P〈0．01），其中任务模糊和理性处事降低职业紧张，其他因子增加职业紧张。多因素logistic回归分析结果表明，躯体化症状、任务不足与代谢综合征的发病存在独立关联（P〈0．01）。In this cross-sectional survey, 2 682 traffic policemen in Tianjin were enrolled, and they were tested with Occupational Stress Inventory-Revised （OSI-R） and Symptom Checklist 90 （SCL-90）. Body mass index, blood pressure, fasting blood glucose, triglycerides, and high-density lipoprotein-cholesterol （ HDL-C ） were also determined at the same time. Correlation analysis showed that body mass index was positively correlated with somatization （r = 0. 039, P = 0. 045 ）, hostility （ r = 0. 046, P = 0. 018 ）, and psychoticism （ r = 0. 041, P = 0. 036）. Systolic blood pressure was positively correlated to soinatization （ r = 0. 056, P = 0. 004 ） , obsessive- compulsiveness （ r = 0. 044, P = 0. 023 ） , interpersonal sensitivity （ r = 0. 041, P = 0. 034 ）, depression （ r = 0. 039, P=0. 043 ） , anxiety （ r=0. 055, P= 0. 004 ）, and psychoticism （ r = 0. 051, P = 0. 009 ）. Diastolic blood pressure was positively correlated to somatization （ r = 0. 047, P = 0.015 ）, interpersonal sensitivity （ r = 0. 042, P = 0. 030 ）, anxiety （ r= 0. 050, P = 0. 010 ）, and psychoticism （ r = O. 047, P = 0. 014 ）. Fasting blood glucose was positively correlated to somatization （ r = 0. 042, P = 0. 028 ）. Multiple regression analysis showed that occupational stress factors were role boundary, physical environment, responsibility, recreation, role ambiguity, role overload, and cognitive coping. Among these factors, role ambiguity and cognitive coping reduced occupational stress while others increased the stress. The results of the unconditional logistical regression analysis showed that there is an independent association of metabolic syndrome with somatization, role insufficiency, and physical strain for the task and body tension （P〈 0.01）.

关 键 词：交通警察 代谢综合征 职业紧张 心理因素 

分 类 号：R589[医药卫生—内分泌]