工人群体生活事件与愤怒郁怒相关性流行病学调查

An epidemiological survey on relativity between life events and anger in the worker colony:a cross-sectional study

目的:提出"生活事件是引发愤怒郁怒情志反应的始发因素"新假说,探讨生活事件与愤怒郁怒的相关性,以期了解在当今社会中引发愤怒、郁怒情绪的主要生活事件。方法:采用流行病学横断面调查的方法,根据怒的流行特点及相关资料,选取济南、青岛两市工人群体为目标人群,由经过专门培训的调查人员,使用事先设计好的调查工具进行调查。调查对象填写一般情况问卷、状态-特质怒表达量表2(State-trait Anger Expression Inventory-2,STAXI-2)和生活事件量表(Life Events Scale,LES)调查问卷。应用二分类反应变量的logistic回归统计愤怒、郁怒工人与生活事件的相关性。结果:在愤怒工人中,事件"性生活不满意或独身"(OR:2.877)和"对现职工作不满意"(OR:3.308)与愤怒情绪呈正相关。在此基础上进一步分析,这一组生活事件是愤怒工人产生愤怒情绪的主要危险因素,提示工人对上述生活事件如处理不当,极易产生愤怒情绪。在郁怒工人中,事件"自己(爱人)流产"(OR:2.209)、"对现职工作不满意"(OR:2.054)和"与上级关系紧张"(OR:2.714)与郁怒情绪呈正相关。在此基础上进一步分析,这一组事件是郁怒工人产生郁怒情绪的主要危险因素,提示工人对上述生活事件如处理不当,极易产生郁怒情绪。而事件"结婚"与郁怒呈负相关,提示工人群体面临这一事件的刺激,不易产生郁怒情绪,可能产生其他情绪。结论:研究结果为新假说提供了流行病学调查第一手资料,这将拓展中医情志内伤病因学,从病因学角度为愤怒、郁怒产生及其发病机制提供相关理论依据和数据支持,为七情内伤学说增添新内容。

Objective：To study the relevant correlation of anger-out（expression of anger toward other persons or objects in the environment）or anger-in（holding in or suppression of angry feelings）with life events,so as to gain a better understanding of present-day social influences and assess which life events trigger anger.This study proposes the new hypothesis that ＂life events constitute originating factors of anger-triggered emotional action＂.Methods：A cross-sectional study using epidemiological methods enrolled 1 107 workers.According to the common features of anger and existing data,workers in the cities Jinan and Qingdao of Shandong Province were enrolled as target population.Investigators were specially trained and used designed survey instruments to investigate.Subjects were asked to complete the General Scale of study population,State-trait Anger Expression Inventory-2（STAXI-2）and Life Events Scale.Logistic regression was used to analyze the correlation between anger-out or anger-in and life events.Results：Those workers displaying anger-out showed positive correlations between the anger-out emotion and life events ＂not satisfied with sexual life or single＂（OR：2.877）,and ＂dissatisfaction with career status＂（OR：3.308）.Further statistical analysis showed that anger-out emotion in the worker population was triggered by life events,which constituted risk factors for them.This suggested that the workers would generate anger-out emotion if they improperly dealt with these trigger life events.In the workers with anger-in,positive correlations were found between the anger-in emotion and life events ＂own（lover）abortion＂（OR：2.209）,＂dissatisfaction with career status＂（OR：2.054）,and ＂strained relations with superiors＂（OR：2.714）.Further statistical analysis showed that the anger-in emotion in the worker population was triggered by life events,which constituted risk factors for them.This suggested that the workers would generate anger-in emotion if they improperly handled these life events.However,negative correlations were found between anger-in and the life events ＂marriage＂,which suggested that the workers would not generate anger-in emotion but potentially generate other emotions if they faced this stimulus event.Conclusion：Research results support the hypothesis,life events serve as a stimulus,which can cause anger,both anger-out and anger-in.The research results will expand understanding of the etiology of emotional injuries in traditional Chinese medicine;from the perspective of etiology it will provide a related theoretical basis and support data.