Diferencias de género en la relación entre factores personales intrínsecos y la sintomatología ansiosa y depresiva de una población trabajadora
DOI:
https://doi.org/10.26754/ojs_ais/accionesinvestigsoc.2024459727Palabras clave:
Salud Mental, depresión, ansiedad, determinantes sociales de la salud, roles de géneroResumen
Introducción: Los trastornos afectivos son un problema de salud con un gran impacto en el funcionamiento psicosocial y calidad de vida de las personas que los sufren. Por ello, el objetivo de este estudio fue analizar la analizar diferencias por género en la asociación entre los factores personales intrínsecos y la sintomatología depresiva y ansiosa de una población trabajadora.
Métodos: Se realizaron análisis descriptivo, bivariante y multivariante de datos de 242 individuos en edad laboral activa, entrevistados entre julio de 2021 y julio de 2022. El resultado primario fue la gravedad de la sintomatología depresiva y ansiosa como variable continua.
Resultados: La prevalencia de síntomas depresivos en nuestra muestra es del 22,22% en mujeres y del 6,54 en varones, mientras la prevalencia de sintomatología ansiosa fue similar en ambos sexos (21,50% en varones y 25,19% en mujeres). En varones, la alta autoestima (β = −0,300; p=0,022) y una mayor edad (β = −0,210; p=0,031) son factores protectores de sintomatología depresiva y, la alta autoestima (β = −0,269; p=0,005) y la alta activación (β = −0,031; p=0,049) en la sintomatología ansiosa. Mientras, en las mujeres, una mayor autoeficacia y un mayor sentido de coherencia son factores protectores de la sintomatología depresiva (β = −0,250, p=0,004; β = −0,244, p=0,005) y ansiosa (β = −0,254, p=0,004; β = −0,178, p=0,040).
Conclusión: Las mujeres trabajadoras tienen más sintomatología depresiva y ansiosa que sus homólogos masculinos. Existen diferencias entre hombres y mujeres en los factores personales intrínsecos que influyen en los síntomas depresivos y ansiosos.
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Álvarez, A., & Gómez, I. C. (2011). Conflicto trabajo-familia, en mujeres profesionales que trabajan en la modalidad de empleo. Pensamiento Psicológico, 6(16), 89–106.
Álvarez-Hernández, G., & Delgado-DelaMora, J. (2015). Diseño de Estudios Epidemiológicos. I. El Estudio Transversal: Tomando una Fotografía de la Salud y la Enfermedad. Bol Clin Hosp Infant Edo Son, 32(1), 26–34.
Antonovsky, A. (1993). The structure and properties of the sense of coherence scale. Social Science & Medicine, 36(6), 725–733. https://doi.org/10.1016/0277-9536(93)90033-Z DOI: https://doi.org/10.1016/0277-9536(93)90033-Z
Bailey, J. A. (2003). The foundation of self-esteem. Journal of the National Medical Association, 95(5), 388–393.
Blakemore, A., Hann, M., Howells, K., Panagioti, M., Sidaway, M., Reeves, D., & Bower, P. (2016). Patient activation in older people with long-term conditions and multimorbidity: correlates and change in a DOI: https://doi.org/10.1186/s12913-016-1843-2
cohort study in the United Kingdom. BMC Health Services Research, 16(1), 582. https://doi.org/10.1186/s12913-016-1843-2
Boettcher, N., Mitchell, J., Lashewicz, B., Jones, E., Wang, J., Gundu, S., Marchand, A., Michalak, E., & Lam, R. (2019). Men’s Work-Related Stress and Mental Health: Illustrating the Workings of Masculine Role Norms. American Journal of Men’s Health, 13(2), 1557988319838416. https://doi.org/10.1177/1557988319838416 DOI: https://doi.org/10.1177/1557988319838416
Cabrera Armijos, R. A., Tapia Viteri, M. G., García Junia, H. D., & López Acurio, O. R. (2022). La salud mental y ansiedad en los espacios de trabajo. Estrategias de mitigación. Dominio de Las Ciencias, 8(3),
–639. https://doi.org/10.23857/dc.v8i3
Campbell-Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the Connor-Davidson resilience scale (CD-RISC): Validation of a 10-item measure of resilience. Journal of Traumatic Stress, 20(6), 1019–1028. https://doi.org/10.1002/jts.20271 DOI: https://doi.org/10.1002/jts.20271
Choi, B., Granero, R., & Pak, A. (2010). Catálogo de sesgos o errores en cuestionarios sobre salud. Rev Costarr Salud Pública, 19(2), 106–118. www.amnet.info
de Breij, S., Huisman, M., Boot, C. R. L., & Deeg, D. J. H. (2022). Sex and gender differences in depressive symptoms in older workers: the role of working conditions. BMC Public Health, 22(1), 1023. https://doi.org/10.1186/s12889-022-13416-1 DOI: https://doi.org/10.1186/s12889-022-13416-1
Demetriou, C., Ozer, B. U., & Essau, C. A. (2015). Self-Report Questionnaires. In The Encyclopedia of Clinical Psychology (pp. 1–6). John Wiley & Sons, Inc. https://doi.org/10.1002/9781118625392.wbecp507 DOI: https://doi.org/10.1002/9781118625392.wbecp507
Ervin, J., Taouk, Y., Alfonzo, L. F., Hewitt, B., & King, T. (2022). Gender differences in the association between unpaid labour and mental health in employed adults: a systematic review. The Lancet Public Health, 7(9), e775–e786. https://doi.org/10.1016/S2468-2667(22)00160-8 DOI: https://doi.org/10.1016/S2468-2667(22)00160-8
Garcia-Campayo, J., Zamorano, E., Ruiz, M. A., Pardo, A., Perez-Paramo, M., Lopez-Gomez, V., Freire, O., & Rejas, J. (2010). Cultural adaptation into Spanish of the generalized anxiety disorder-7 (GAD-7) scale as a screening tool. Health and Quality of Life Outcomes, 8(1), 8. https://doi.org/10.1186/1477-7525-8-8 DOI: https://doi.org/10.1186/1477-7525-8-8
Giglio, R. E., Rodriguez-Blazquez, C., de Pedro-Cuesta, J., & Forjaz, M. J. (2015). Sense of coherence and health of community-dwelling older adults in Spain. International Psychogeriatrics, 27(4), 621–628. https://doi.org/10.1017/S1041610214002440 DOI: https://doi.org/10.1017/S1041610214002440
Glass, D., Kelsall, H., Slegers, C., Forbes, A., Loff, B., Zion, D., & Fritschi, L. (2015). A telephone survey of factors affecting willingness to participate in health research surveys. BMC Public Health, 15(1), 1017. https://doi.org/10.1186/s12889-015-2350-9 DOI: https://doi.org/10.1186/s12889-015-2350-9
Gómez, V. (2012). Cómo perciben los hombres el estrés asociado al desempeño de sus roles y su relación con la salud. In F. Arias & A. Juárez (Eds.), Agotamiento profesional y estrés. Hallazgos desde México y otros países latinoamericanos (Trillas). Miguel Ángel Porrúa.
Hamilton, J. D. (1994). Time Series Analysis. Princeton University Press. DOI: https://doi.org/10.1515/9780691218632
Herrero, R., Espinoza, M., Molinari, G., Etchemendy, E., Garcia-Palacios, A., Botella, C., & Baños, R. M. (2014). Psychometric properties of the General Self Efficacy-12 Scale in Spanish: General and clinical population samples. Comprehensive Psychiatry, 55(7), 1738–1743. https://doi.org/10.1016/j.comppsych.2014.05.015 DOI: https://doi.org/10.1016/j.comppsych.2014.05.015
Hibbard, J. H., Mahoney, E. R., Stockard, J., & Tusler, M. (2005). Development and Testing of a Short Form of the Patient Activation Measure. Health Services Research, 40(6p1), 1918–1930. https://doi.org/10.1111/j.1475-6773.2005.00438.x DOI: https://doi.org/10.1111/j.1475-6773.2005.00438.x
Hsu, H.-C. (2018). Age Differences in Work Stress, Exhaustion, Well-Being, and Related Factors From an Ecological Perspective. International Journal of Environmental Research and Public Health, 16(1). https://doi.org/10.3390/ijerph16010050 DOI: https://doi.org/10.3390/ijerph16010050
Instituto Aragonés de Estadística. (2021). Estadísticas de demografía y población de Aragón Censo 2021. https://www.aragon.es/-/demografia-y-poblacion
Kim, S., Shin, Y., Oh, K., Shin, D., Lim, W., Cho, S., & Jeon, S. (2020). Gender and age differences in the association between work stress and incident depressive symptoms among Korean employees: a cohort study. International Archives of Occupational and Environmental Health, 93(4), 457–467. https://doi.org/10.1007/s00420-019-01487-4 DOI: https://doi.org/10.1007/s00420-019-01487-4
Kim, S.-Y., Shin, Y., Oh, K., Shin, D., Lim, W., Kim, E., Cho, S., & Jeon, S. (2020). The association of occupational stress and sleep duration with anxiety symptoms among healthy employees: A cohort study. Stress and Health, 36(5), 675–685. https://doi.org/10.1002/smi.2948 DOI: https://doi.org/10.1002/smi.2948
Kroenke, K., & Spitzer, R. L. (2002). The PHQ-9: A New Depression Diagnostic and Severity Measure. Psychiatric Annals, 32(9), 509–515. https://doi.org/10.3928/0048-5713-20020901-06 DOI: https://doi.org/10.3928/0048-5713-20020901-06
Lakshmi, R., Romate, J., Rajkumar, E., George, A. J., & Wajid, M. (2023). Factors influencing tobacco use behaviour initiation – From the perspective of the Capability, Opportunity, Motivation- Behaviour (COM-B) Model. Heliyon, 9(6), e16385. https://doi.org/10.1016/j.heliyon.2023.e16385 DOI: https://doi.org/10.1016/j.heliyon.2023.e16385
Lee, H. Y., Lee, J., & Kim, N. K. (2015). Gender Differences in Health Literacy Among Korean Adults. American Journal of Men’s Health, 9(5), 370–379. https://doi.org/10.1177/1557988314545485 DOI: https://doi.org/10.1177/1557988314545485
Lelek-Kratiuk, M., & Szczygieł, M. (2022). Stress appraisal as a mediator between the sense of coherence and the frequency of stress coping strategies in women and men during COVID-19 lockdown. Scandinavian Journal of Psychology, 63(4), 365–375. https://doi.org/10.1111/sjop.12813 DOI: https://doi.org/10.1111/sjop.12813
Lopez, V., Sanchez, K., Killian, M. O., & Eghaneyan, B. H. (2018). Depression screening and education: an examination of mental health literacy and stigma in a sample of Hispanic women. BMC Public Health, 18(1), 646. https://doi.org/10.1186/s12889-018-5516-4 DOI: https://doi.org/10.1186/s12889-018-5516-4
Magallón-Botaya, R., Méndez-López, F., Oliván-Blázquez, B., Carlos Silva-Aycaguer, L., Lerma-Irureta, D., & Bartolomé-Moreno, C. (2023). Effectiveness of health literacy interventions on anxious and depressive symptomatology in primary health care: A systematic review and meta-analysis. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1007238 DOI: https://doi.org/10.3389/fpubh.2023.1007238
Magnusson Hanson, L. L., Theorell, T., Bech, P., Rugulies, R., Burr, H., Hyde, M., Oxenstierna, G., & Westerlund, H. (2009). Psychosocial working conditions and depressive symptoms among Swedish employees. International Archives of Occupational and Environmental Health, 82(8), 951–960. https://doi.org/10.1007/s00420-009-0406-9 DOI: https://doi.org/10.1007/s00420-009-0406-9
Martín-Albo, J., Núñez, J. L., Navarro, J. G., & Grijalvo, F. (2007). The Rosenberg self-esteem scale: Translation and validation in university students. Spanish Journal of Psychology, 10(2), 458–467. https://doi.org/10.1017/S1138741600006727 DOI: https://doi.org/10.1017/S1138741600006727
Melchior, M., Caspi, A., Milne, B. J., Danese, A., Poulton, R., & Moffitt, T. E. (2007). Work stress precipitates depression and anxiety in young, working women and men. Psychological Medicine, 37(8), 1119–1129. https://doi.org/10.1017/S0033291707000414 DOI: https://doi.org/10.1017/S0033291707000414
Méndez-López, F., Oliván-Blázquez, B., Domínguez-García, M., Bartolomé-Moreno, C., Rabanaque, I., & Magallón-Botaya, R. (2023). Protocol for an observational cohort study on psychological, addictive, lifestyle behavior and highly prevalent affective disorders in primary health care adults. Frontiers in Psychiatry, 14. https://doi.org/10.3389/fpsyt.2023.1121389 DOI: https://doi.org/10.3389/fpsyt.2023.1121389
Milanovic, M., Ayukawa, E., Usyatynsky, A., Holshausen, K., & Bowie, C. R. (2018). Self Efficacy in Depression. Journal of Nervous & Mental Disease, 206(5), 350–355. https://doi.org/10.1097/NMD.0000000000000804 DOI: https://doi.org/10.1097/NMD.0000000000000804
Moreno, B., Alonso, M., & Álvaréz, E. (1997). Sense of coherence, resistant, personality, self-esteem and health. Journal of Health Psychology, 9(2), 115–137. https://revistas.innovacionumh.es/index.php/psicologiasalud/article/view/820/1165
Moreno-Chico, C., González-de Paz, L., Monforte-Royo, C., Arrighi, E., Navarro-Rubio, M. D., & Gallart Fernández-Puebla, A. (2017). Adaptation to European Spanish and psychometric properties of the Patient Activation Measure 13 in patients with chronic diseases. Family Practice, 34(5), 627–634. https://doi.org/10.1093/fampra/cmx022 DOI: https://doi.org/10.1093/fampra/cmx022
Muñoz-Navarro, R., Cano-Vindel, A., Medrano, L. A., Schmitz, F., Ruiz-Rodríguez, P., Abellán-Maeso, C., Font-Payeras, M. A., & Hermosilla-Pasamar, A. M. (2017). Utility of the PHQ-9 to identify major depressive disorder in adult patients in Spanish primary care centres. BMC Psychiatry, 17(1), 291. https://doi.org/10.1186/s12888-017-1450-8 DOI: https://doi.org/10.1186/s12888-017-1450-8
Nolasco, A., Barona, C., Tamayo-Fonseca, N., Irles, M. Á., Más, R., Tuells, J., & Pereyra-Zamora, P. (2020). Health literacy: psychometric behaviour of the HLS-EU-Q16 questionnaire. Gaceta Sanitaria, 34(4), 399–402. https://doi.org/10.1016/j.gaceta.2018.08.006 DOI: https://doi.org/10.1016/j.gaceta.2018.08.006
Notario-Pacheco, B., Solera-Martínez, M., Serrano-Parra, M. D., Bartolomé-Gutiérrez, R., García-Campayo, J., & Martínez-Vizcaíno, V. (2011). Reliability and validity of the Spanish version of the 10-item Connor-Davidson Resilience Scale (10-item CD-RISC) in young adults. Health and Quality of Life Outcomes, 9(1), 63. https://doi.org/10.1186/1477-7525-9-63 DOI: https://doi.org/10.1186/1477-7525-9-63
Núñez, E., Steyerberg, E. W., & Núñez, J. (2011). Estrategias para la elaboración de modelos estadísticos de regresión. Revista Española de Cardiología, 64(6), 501–507. https://doi.org/10.1016/j.recesp.2011.01.019 DOI: https://doi.org/10.1016/j.recesp.2011.01.019
Orth, U., Robins, R. W., & Widaman, K. F. (2012). Life-span development of self-esteem and its effects on important life outcomes. Journal of Personality and Social Psychology, 102(6), 1271–1288. https://doi.org/10.1037/a0025558 DOI: https://doi.org/10.1037/a0025558
Park, J., & Lee, H. (2023). The relationship between depression, self-efficacy, social support, and health-promoting behaviors in Korean single-household women. Preventive Medicine Reports, 32, 102156. https://doi.org/10.1016/j.pmedr.2023.102156 DOI: https://doi.org/10.1016/j.pmedr.2023.102156
Paukkonen, L., Oikarinen, A., Kähkönen, O., & Kyngäs, H. (2021). Patient participation during primary health-care encounters among adult patients with multimorbidity: A cross-sectional study. Health Expectations : An International Journal of Public Participation in Health Care and Health Policy, 24(5), 1660–1676. https://doi.org/10.1111/hex.13306 DOI: https://doi.org/10.1111/hex.13306
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton University Press. Princeton. In Science (Issue 3671). https://doi.org/10.1126/science.148.3671.804
Santomauro, D. F., Mantilla Herrera, A. M., Shadid, J., Zheng, P., Ashbaugh, C., Pigott, D. M., Abbafati, C., Adolph, C., Amlag, J. O., Aravkin, A. Y., Bang-Jensen, B. L., Bertolacci, G. J., Bloom, S. S., Castellano, R., Castro, E., Chakrabarti, S., Chattopadhyay, J., Cogen, R. M., Collins, J. K., … Ferrari, A. J. (2021). Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. The Lancet, 398(10312), 1700–1712. https://doi.org/10.1016/S0140-6736(21)02143-7 DOI: https://doi.org/10.1016/S0140-6736(21)02143-7
Sardella, A., Lenzo, V., Basile, G., Musetti, A., Franceschini, C., & Quattropani, M. C. (2022). Gender and Psychosocial Differences in Psychological Resilience among a Community of Older Adults during the COVID-19 Pandemic. Journal of Personalized Medicine, 12(9). https://doi.org/10.3390/jpm12091414 DOI: https://doi.org/10.3390/jpm12091414
Schönfeld, P., Preusser, F., & Margraf, J. (2017). Costs and benefits of self-efficacy: Differences of the stress response and clinical implications. Neuroscience and Biobehavioral Reviews, 75, 40–52. https://doi.org/10.1016/J.NEUBIOREV.2017.01.031 DOI: https://doi.org/10.1016/j.neubiorev.2017.01.031
Sekhon, S., & Gupta, V. (2022). Mood Disorder. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/pubmed/32644337
Sherer, M., Maddux, J. E., Mercandante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R. W. (1982). The Self-Efficacy Scale: Construction and Validation. Psychological Reports, 51(2), 663–671. https://doi.org/10.2466/pr0.1982.51.2.663 DOI: https://doi.org/10.2466/pr0.1982.51.2.663
Sheskin, D. J. (2020). Handbook of Parametric and Nonparametric Statistical Procedures (Fifth). Chapman and Hall/CRC. https://doi.org/10.1201/9780429186196 DOI: https://doi.org/10.1201/9780429186196
Shiri, R., Turunen, J., Kausto, J., Leino-Arjas, P., Varje, P., Väänänen, A., & Ervasti, J. (2022). The Effect of Employee-Oriented Flexible Work on Mental Health: A Systematic Review. Healthcare, 10(5), 883. https://doi.org/10.3390/healthcare10050883 DOI: https://doi.org/10.3390/healthcare10050883
Siegrist, J. (1996). Adverse health effects of high-effort/low-reward conditions. Journal of Occupational Health Psychology, 1(1), 27–41. https://doi.org/10.1037/1076-8998.1.1.27 DOI: https://doi.org/10.1037//1076-8998.1.1.27
Siegrist, J., Starke, D., Chandola, T., Godin, I., Marmot, M., Niedhammer, I., & Peter, R. (2004). The measurement of effort–reward imbalance at work: European comparisons. Social Science & Medicine, 58(8), 1483–1499. https://doi.org/10.1016/S0277-9536(03)00351-4 DOI: https://doi.org/10.1016/S0277-9536(03)00351-4
Siegrist, J., Wege, N., Pühlhofer, F., & Wahrendorf, M. (2009). A short generic measure of work stress in the era of globalization: effort–reward imbalance. International Archives of Occupational and Environmental Health, 82(8), 1005–1013. https://doi.org/10.1007/s00420-008-0384-3 DOI: https://doi.org/10.1007/s00420-008-0384-3
Sistema Nacional de Salud. (2021). Salud mental en datos: prevalencia de los problemas de salud y consumo de psicofármacos y fármacos relacionados a partir de los registros clínicos de atención primaria BDCAP 2. https://www.sanidad.gob.es/estadEstudios/estadisticas/estadisticas/estMinisterio/SIAP/home.htm
Smith, J. L., & Hollinger-Smith, L. (2015). Savoring, resilience, and psychological well-being in older adults. Aging & Mental Health, 19(3), 192–200. https://doi.org/10.1080/13607863.2014.986647 DOI: https://doi.org/10.1080/13607863.2014.986647
Sørensen, K., Pelikan, J. M., Röthlin, F., Ganahl, K., Slonska, Z., Doyle, G., Fullam, J., Kondilis, B., Agrafiotis, D., Uiters, E., Falcon, M., Mensing, M., Tchamov, K., Broucke, S. van den, & Brand, H. (2015). Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). The European Journal of Public Health, 25(6), 1053–1058. https://doi.org/10.1093/eurpub/ckv043 DOI: https://doi.org/10.1093/eurpub/ckv043
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A Brief Measure for Assessing Generalized Anxiety Disorder. Archives of Internal Medicine, 166(10), 1092. https://doi.org/10.1001/archinte.166.10.1092 DOI: https://doi.org/10.1001/archinte.166.10.1092
Theorell, T., Hammarström, A., Gustafsson, P. E., Magnusson Hanson, L., Janlert, U., & Westerlund, H. (2014). Job strain and depressive symptoms in men and women: a prospective study of the working population in Sweden. Journal of Epidemiology and Community Health, 68(1), 78–82. https://doi.org/10.1136/jech-2012-202294 DOI: https://doi.org/10.1136/jech-2012-202294
To, Q. G., Vandelanotte, C., Cope, K., Khalesi, S., Williams, S. L., Alley, S. J., Thwaite, T. L., Fenning, A. S., & Stanton, R. (2022). The association of resilience with depression, anxiety, stress and physical activity during the COVID-19 pandemic. BMC Public Health, 22(1), 1–8. https://doi.org/10.1186/S12889-022-12911-9/TABLES/4 DOI: https://doi.org/10.1186/s12889-022-12911-9
von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2008). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Journal of Clinical Epidemiology, 61(4), 344–349. https://doi.org/10.1016/j.jclinepi.2007.11.008 DOI: https://doi.org/10.1016/j.jclinepi.2007.11.008
WHO. (2019). International Statistical Classification of Diseases and Related Health Problems (ICD-11). https://icd.who.int/en
WHO. (2021). Depression. https://www.who.int/news-room/fact-sheets/detail/depression
WHO. (2022). Noncommunicable Diseases Progress Monitor 2022. https://www.who.int/publications/i/item/9789240047761
WHO. (2023). Depressive disorder. https://www.who.int/news-room/fact-sheets/detail/depression
Wickham, R. J. (2019). Secondary Analysis Research. Journal of the Advanced Practitioner in Oncology, 10(4). https://doi.org/10.6004/jadpro.2019.10.4.7 DOI: https://doi.org/10.6004/jadpro.2019.10.4.7
Zhang, J.-P., Kahana, B., Kahana, E., Hu, B., & Pozuelo, L. (2009). Joint Modeling of Longitudinal Changes in Depressive Symptoms and Mortality in a Sample of Community-Dwelling Elderly People. Psychosomatic Medicine, 71(7), 704–714. https://doi.org/10.1097/PSY.0b013e3181ac9bce DOI: https://doi.org/10.1097/PSY.0b013e3181ac9bce
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Instituto de Salud Carlos III
Números de la subvención PI19/01076
Aceptado 2023-11-04
Publicado 2024-07-15