事業所におけるメンタルヘルス予防活動 : 定期健康診断を活用したメンタルヘルス対策の有用性(シンポジウム:疾病予防のための健康増進活動,2010年,第51回日本心身医学総会ならびに学術講演会(仙台))  [in Japanese] A Workplace-Based Preventive Measure for Employees' Mental Health: Usability of a Mental Health Care Program Utilizing Periodic Health Checkups(Symposium/Health Promotion Activities for Prevention of Disease)  [in Japanese]

Access this Article

Author(s)

    • 大平 泰子 Ohira Taiko
    • 富山国際大学子ども育成学部 Faculty of Child Development and Education, Toyama University of International Studies
    • 芦原 睦 Ashihara Mutsumi
    • 中部労災病院心療内科:中部労災病院勤労者メンタルヘルスセンター Department of Psychosomatic Internal Medicine, Chubu Rosai Hospital:Clinical Center for Worker's Mental Health

Abstract

本稿は,製造業事業所において実施してきたメンタルヘルス対策を,予防策としての効果と実践可能性の観点から検討する.本稿で報告するのは,2006年度に定期健康診断を受けた3,882名の従業員(男性3,464名,女性418名,正規社員3,402名,契約社員480名,平均年齢40.5±12.3歳)に実施されたプログラムである.メンタルヘルス不調の有無を調べるために,定期健診の際にメンタルヘルスに関する問診表および保健師問診を実施し,そのいずれかで抽出された従業員に対して産業カウンセラー面接と産業医診察を実施した.結果,新規に22名(0.6%)のメンタルヘルス不調者を把握した.メンタルヘルス不調ではないと判断された従業員に対しても,カウンセリング,環境調整などの予防的介入を行った.本対策を実施した2003年度と2006年度には他の年度よりも事業所内診療所メンタルヘルス部門の来談者が増加し,うち定期健診以外の来談経路による来談者が減少した.この結果は,本対策が二次予防(早期発見・早期治療)および一次予防(発症予防)として有効であることを示唆している.さらに,小人数の産業保健スタッフで効率的にメンタルヘルス対策を実践しえた.このような高い実践可能性は,メンタルヘルス対策の推進にとって重要である.

This paper examines a mental health care program that has been implemented at a company in the manufacturing industry, from the viewpoint of its effectiveness and practicability as a workplace-based preventive measure. It presents a report on the program conducted with 3882 employees in the fiscal year 2006. For the purpose of screening, two procedures were incorporated into periodic health checkups: a mental health questionnaire and a history-taking by a public health nurse. For case identification, interviews were given by a counselor and examinations by an occupational physician. As a result, 22 employees (0.6%) were newly identified as having mental health disturbances. Preventive interventions such as counseling and environmental control were also conducted for some of those employees who were not identified as suffering from mental health disturbances. An examination of the numbers of clients between 2003 and 2007 shows that, in the two years when screening was conducted at the time of periodic health checkups (i.e., in 2003 and 2006), the company clinic received many more clients than in other years, while the number of clients from routes other than periodic health checkups decreased. This result suggests that a mental health care program utilizing periodic health checkups can be effective for both secondary and primary prevention. Further-more, the program reported in this study was conducted by a small number of occupational health staff members. This practicability should be of importance to many companies that attempt to promote mental health care for their employees.

Journal

  • Japanese Journal of Psychosomatic Medicine

    Japanese Journal of Psychosomatic Medicine 51(3), 236-244, 2011

    Japanese Society of Psychosomatic Medicine

References:  18

Codes

  • NII Article ID (NAID)
    110008460547
  • NII NACSIS-CAT ID (NCID)
    AN00121636
  • Text Lang
    JPN
  • Article Type
    REV
  • ISSN
    0385-0307
  • NDL Article ID
    10983142
  • NDL Source Classification
    ZS31(科学技術--医学--精神神経科学)
  • NDL Call No.
    Z19-26
  • Data Source
    CJP  NDL  NII-ELS  J-STAGE 
Page Top