Psychological Morbidity, Quality of Life and their Correlations among Military Health Care Workers in Taiwan

Tzeng, Dong‐Sheng; Chung, Wei‐Ching; Fan, Pao‐Luo; Lung, For‐Wey; Yang, Chun‐Yuh

doi:10.2486/indhealth.47.626

Cited by 27 publications

(35 citation statements)

References 34 publications

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“…The GHQ is used worldwide to measure mental health outcomes [1-3,39-41]. In many epidemiological studies, psychological morbidity was more prevalent in women than in men [1,2,6,40,42,43].…”

Section: Discussionmentioning

confidence: 99%

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Effort-reward imbalance and quality of life of healthcare workers in military hospitals: a cross-sectional study

Tzeng

Chung²,

Lin

et al. 2012

BMC Health Serv Res

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BackgroundTaiwan’s National Defense Bureau has been merging its hospitals and adjusting hospital accreditation levels since the beginning of 2006. These changes have introduced many stressors to the healthcare workers in these hospitals. This study investigates the association between job stress, psychological morbidity and quality of life in healthcare workers in three military hospitals.MethodsWe posted surveys to 1269 healthcare workers in three military hospitals located in southern Taiwan. The surveys included the General Health Questionnaire (GHQ), the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF), and the Effort-Reward Imbalance (ERI) Questionnaire. High effort-reward (ER) ratio and overcommitment were defined when scores fell into the upper tertile of the total distribution.ResultsThe survey was completed by 791 healthcare workers. On average, women reported a higher ERI than men. High ERI was associated with younger age, higher psychological morbidity, and poor physical and psychological QOL domains in this population. High ER ratio and high overcommitment were associated with psychological morbidity and poor QOL in both sexes. However, high ER ratio was not significantly associated with the social QOL domain in either sexes or the physical QOL domain in males.ConclusionsThere was a clear association between ERI and QOL in the healthcare workers in the military hospitals under reorganization and accreditation in this study. We found ER ratio and overcommitment to be suitable indicators of job stress.

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“…The GHQ is used worldwide to measure mental health outcomes [1-3,39-41]. In many epidemiological studies, psychological morbidity was more prevalent in women than in men [1,2,6,40,42,43].…”

Section: Discussionmentioning

confidence: 99%

“…There are epidemiological studies on the QOL of healthcare workers in hospitals, where certain stressors influencing QOL can be found [1,6,7]. Social support has been studied as a possible predictor of health-related QOL [7].…”

Section: Introductionmentioning

confidence: 99%

Effort-reward imbalance and quality of life of healthcare workers in military hospitals: a cross-sectional study

Tzeng

Chung²,

Lin

et al. 2012

BMC Health Serv Res

Self Cite

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“…Others have used tools measuring depression or mental health 4,7,8) , psychosomatic symptoms 20) , and general health 6,21) . No study has used tools that measure health comprehensively, taking into account biological, psychological, social and environmental aspects of health.…”

Section: Discussionmentioning

confidence: 99%

“…The combination of high level psychological demand and a low level of decisionmaking latitude have been found to adversely affect physical health, mental health and quality of life (QOL) by many studies. Most of these studies have been cross sectional [3][4][5][6][7] ; few have been longitudinal [8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Job Strain on Psychological Morbidity and Quality of Life in Military Hospital Nurses in Taiwan: A Follow-up Study

Tzeng

Chung²,

Yang

2013

Ind Health

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This study investigated changes in job strain in female nurses serving in a military hospital system being restructured and the effect of these changes on psychological morbidity and quality of life (QOL). Questionnaire surveys were sent twice to 618 nurses working in three military hospitals in southern Taiwan at the beginning and at follow up a half year later. A Job Content Questionnaire was used to divide subjects into high and low strain groups. The General Health Questionnaire and the WHO QOL Questionnaire were used to assess psychological morbidity and QOL. Four hundred eighteen nurses completed the study. Initially, the high strain group had a greater prevalence of psychological morbidity and lower QOL than the low strain group. At follow up, high strain group did not have a greater prevalence of psychological morbidity, though significant differences in QOL remained. Job control and social support directly affected the QOL (B=0.42, p<0.001; B=0.41, p=0.038, respectively) and the psychological demand affected directly on psychological morbidity (B=0.12, p<0.001). Job control and psychological demand are different aspects in job strain to impact the psychological morbidity and QOL in nurses working in military hospitals in Taiwan.

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Fatigue as a mediator of the relationship between quality of life and mental health problems in hospital nurses

Bazazan

Dianat

Mombeini

et al. 2019

Accident Analysis & Prevention

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Psychological Morbidity, Quality of Life and their Correlations among Military Health Care Workers in Taiwan

Cited by 27 publications

References 34 publications

Effort-reward imbalance and quality of life of healthcare workers in military hospitals: a cross-sectional study

Effort-reward imbalance and quality of life of healthcare workers in military hospitals: a cross-sectional study

The Effect of Job Strain on Psychological Morbidity and Quality of Life in Military Hospital Nurses in Taiwan: A Follow-up Study

Fatigue as a mediator of the relationship between quality of life and mental health problems in hospital nurses

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