Job Stress in the View of the Department of Psychosomatic Internal Medicine(&lt;Symposium&gt;Approaches towards Various Problems during the Social Changes : Mental Health at Work)

Ashihara Mutsumi, Ohira Taiko, Sata Akimi

doi:10.15064/jjpm.45.2_111

The Department of Psychosomatic Internal Medicine has been visited by a number of patients with job stress symptoms. These patients have been referred to us by an industrial physician or have come on their own volition. The purpose of this study was to investigate background factors relating to stress, the reason why people chose to visit us, the actual conditions of job stress and the details of disorders from the two clinical researches we performed. Subjects taking part in the first study consisted of 136 patients referred to us by industrial physicians and 236 patients who visited us took part in the second study because they exhibited symptoms which were thought to be related to job stress. Based on the results, the findings were as follows : 1. The most prevalent diagnosis was depression. 2. Classifying the stressors into four categories, i. e. the contents of the job (quality or quantity), human relationships, working environment and physical trauma, revealed that the content of the job was the most frequently cited stress factor. 3. The role of psychosomatic internal physician is not well discriminated from that of the industrial physician, and cooperation between them is not adequate at present. We found that the percentage of depression in the disorders increased in comparison with our prior research. (From 37.5% to 60.2%) It is necessary to develop close cooperation between the industrial sites and clinical sites, and to develop educational activities for stress related diseases, especially depression and mental health.

Job Stress in the View of the Department of Psychosomatic Internal Medicine(<Symposium>Approaches towards Various Problems during the Social Changes : Mental Health at Work)

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