Modern Health Worries, Subjective Health Complaints, Health Care Utilization, and Sick Leave in the Norwegian Working Population

Background

Modern health worries (concerns about aspects of modern life affecting health) heve been associated with subjective health complaints and health care utilization.

Purpose

The aim of this study was to investigate the association between modern health worries (MHW) and subjective health complaints (SHC), health care utilization, and sick leave related to such complaints in the Norwegian working population.

Methods

A sample of the Norwegian working population (N?=?569) answered a questionnaire which included the Subjective Health Complaints Inventory and a Norwegian version of the Modern Health Worries Scale.

Results

Ninety-one percent of the participants reported at least one complaint in the past 30 days, and 96 % of the participants reported concerns for at least one of the items in the MHW scale. Women reported significantly more and more severe complaints compared to men and significantly more concern about aspects of modern life affecting health. Participants who reported a high level of MHW showed nearly twice the risk of reporting a high level of SHC (odds ratio (OR)?=?1.83; 95 % confidence interval (CI)?=?1.30–2.71; p?=?0.001), and they showed twice the risk for self-certified sick leave related to SHC (OR?=?2.04; 95 % CI?=?1.01–3.92; p?=?0.048). High levels of MHW showed no significant association with health care utilization or doctor-certified sick leave.

Conclusions

Subjective health complaints and concerns about aspects of modern life affecting health are very common, even among healthy workers. Women have more complaints and more concerns compared to men. Within the health care system, it may be advantageous to pay close attention to the association between high levels of MHW and high levels of SHC.     

河南省艾滋病医疗机构医护人员心理健康状况调查

目的调查艾滋病医护人员的心理健康状况,为有效提高他们的心理健康水平提供依据。方法采用一般健康问卷（GHQ-12）对342名河南省县、乡、村三级艾滋病定点医疗机构的艾滋病医护人员进行测试,采用SPSS13.0对测试数据进行统计分析。结果艾滋病医护人员心理健康状况不良的总检出率为33.9%,医、护之间,男、女之间,工作在县、乡、村不同级别艾滋病定点医疗机构的医护人员之间心理健康不良的检出率存在差异,在年龄、职称、从事艾滋病工作年限上,医护人员心理健康不良的检出率差异非常显著（P＆lt;0.05～0.01）。结论应关注艾滋病医护人员的心理健康,特别是年轻、职称低、从事艾滋病工作时间短的医护人员的心理健康。     

飞行员心理健康与工作压力和应对方式的相关分析

目的 探讨军事飞行员心理健康状况及其与工作压力和应对方式的相关关系.方法 采用症状自评量表、工作应激量表和应对方式问卷评估238名军事飞行员的心理健康状况、工作压力和应对方式.结果 飞行员SCL-90中焦虑、抑郁、偏执得分显著高于国内常模.工作压力在中上水平,显著高于一般人群(2.44±0.54),面对压力时,飞行员最...     

武警心理健康与自我价值感、工作状况的关系

目的探究工作负荷、工作支持和自我价值感对心理健康的影响。方法对某地区武警做了症状自评量表(SCL-90)、自编工作状况和工作自我感受问卷调查。结果除了工作支持外,异常组的价值感受因子、工作有效节奏、工作负荷与正常组差异显著,t值均在正负3以上,P均<0.01;异常组的加班次数显著高于正常组(t=-2.235,P=0.033),异常组中加班和未加班被试的心理健康状况无差异(t=0.724,P=0.471);心理健康与工作支持、自我价值感因子、工作节奏呈显著负相关,最小r值为-0.146,P<0.01,与工作负荷的相关极其显著(r=0.197,P<0.01);工作负荷与工作支持通过自我价值影响心理健康状况路径模型指标良好。结论异常群体的自我价值感和工作节奏低于正常者,工作负荷、工作支持通过自我价值间接影响心理健康状况,自我价值感和工作有效节奏既彼此互为中介间接影响心理健康,亦可直接影响心理健康。     

Healing, Exorcism and Object Relations Theory

From the earliest years of the psychoanalytic movement analysts have inclined to be either healers or exorcists. Jung, Ferençzi, Rank and Reich seem to speak with the characteristic voice of the healer. There is an implicit trust in the healing power of relationship, an emphasis on the patient's creative potential, a readiness to engage. Whereas those analysts, like Karl Abraham, who followed Freud's advocacy of analytic detachment, maintain a greater distance between themselves and their patient while focussing on the negative aspects of the infantile psyche. This tradition set the style of the classical analytic approach rigorously maintained by Melanie Klein and her followers. The Kleinian school actively challenges resistance, manipulation, seduction and all the carefully hidden expressions of negative transference. In their determination to‘name the devils’and their readiness to confront them, they, like Davanloo, take the characteristic stance of the exorcist. While healing and exorcism are very different modes of functioning, it would be a false simplification to see them as mutually exclusive. The shaman, in reclaiming the lost soul, must at the same time do battle with the devils that hold it captive. The exorcist, even as he drives out the demons, prays earnestly for the soul of the sinner. An object relations analyst must be capable of controntation when the occasion warrants; equally the classical analyst heals through sensitive understanding and the maintenance of safe analytic boundaries. Healing alone will fail where no attempt is made to purge the patient of his bad inner objects. But, more fundamentally, the whole therapeutic enterprise is meaningful only to the degree that a truly human connection has been established. The difficulty is to move freely between the two modes and to see them as complementary aspects of a single process.     

炼油企业职工工作倦怠与心理健康关系研究

目的探讨炼油企业职工的工作倦怠与心理健康的关系。方法采用M aslach倦怠量表和心理健康量表对125名炼油企业职工进行了调查。结果①炼油企业职工在情绪衰竭、玩世不恭、成就感3个维度上的总分均分是:3.097±1.502,2.066±1.002,3.333±1.124;②经检验,不同年龄和学历的职工在3维度上没有差异;③常与人打交道的职业(销售和管理者)与不经常与人打交道的职业(如化工和电工等)在情绪衰竭维度上存在差异,经常与人打交道的职业在此维度上得分(3.163±1.074)高于不经常与人打交道职业(2.894±1.613);④不同性别的职工有显著差异,男女职工在情绪衰竭和玩世不恭维度上差异极显著,女职工在情绪衰竭(3.485±1.503)和玩世不恭维度上分值(2.360±0.977)均偏高;⑤已婚和未婚职工在成就感维度上差异显著,且未婚职工的成就感得分(4.111±1.362)高于已婚职工(3.191±1.027);⑥职工的SCL-90各因子分与国内常模进行比较,职工在抑郁、焦虑、强迫因子上的分数高于国内常模,其差异具有统计学意义;⑦情绪衰竭与心理健康各因子呈显著的正相关。结论工作倦怠影响员工的心理健康。     

Healing corneas express embryonic fibronectin isoforms in the epithelium, subepithelial stroma, and endothelium.

The neu/erbB-2/HER-2 proto-oncogene is amplified and/or overexpressed in up to 30% of mammary carcinomas and has been variably correlated with poor prognosis. The signaling activity of the encoded receptor tyrosine kinase is regulated by interactions with other type 1 receptors and their ligands. We have used a novel approach, phosphorylation-sensitive anti-Neu antibodies, to quantify signaling by Neu and epidermal growth factor receptor in a panel of frozen sections of mammary carcinoma specimens. We also determined the relationship of Neu, phosphorylated Neu (and epidermal growth factor receptor), and phosphotyrosine to the expression of Neu-related receptors (epidermal growth factor receptor, HER-3, and HER-4) and to prognostic factors (estrogen and progesterone receptor). We found that tyrosine phosphorylation of Neu (and hence signaling activity) is highly variable among mammary carcinomas. Neu and HER-4 were associated with divergent correlates, suggesting that they have profoundly different biological activities. These results have implications for etiology of mammary carcinoma for clinical evaluation of mammary carcinoma patients, and for development of Neu-targeted therapeutic strategies.