Advertisement

Journal of Acupuncture and Tuina Science

, Volume 16, Issue 1, pp 21–27 | Cite as

Development of workplace-related Liver Meridian-depression scale

  • Guo-bin Dai (戴国斌)
  • Xia Liu (刘霞)
  • Xiao-rong Chang (常小荣)
Special Topic for 973 Program
  • 13 Downloads

Abstract

Objective

By taking the holism and differentiation concepts of traditional Chinese medicine (TCM) as the guidance, physical, mental and workplace factors were recruited in the observation of depression in employees, and were systematically classified to establish a workplace-related Liver Meridian-depression scale, for providing an evaluation index for depression in employees.

Methods

NVIVO 11 software was adopted to assort ancient TCM classics. Based on the holism and differentiation concepts of TCM and well-developed scales, the item pool was determined via brain storm and screened by Delphi method after classified; a Wechat questionnaire was handed out 240 times via the online system ‘Wen Juan Xing’, and the results were statistically analyzed by the SPSS 17.0 version software.

Results

Five dimensions consisting of 80 items were obtained after classification, and 60 items were selected by Delphi method; a total of 216 questionnaires were returned and the return rate was 90%. Of which, 215 questionnaires were valid ones, and the valid rate was 99%. By exploratory factor analysis (EFA), 44 items were obtained, and the aggregate split-half reliability coefficient was 0.922. The Cronbach’s alpha coefficient for the five dimensions, i.e. Liver Meridian, relevant meridians, basic psychological activities, work cognition and emotional reactions, was respectively 0.841, 0.842, 0.914, 0.836 and 0.839, indicating a content internal consistency. The score of each item was highly correlated with the corresponding dimension, and the intercommunity was between 0.474 and 0.801. Nine factors were generated, 2 in the dimension of Liver Meridian, 3 in the dimension of relevant meridians, 2 in the dimension of basic psychological activities, 1 in the dimension of work cognition, and 1 in the dimension of emotional reactions, and the load of each factor was between 0.438 and 0.859. The reliability and validity of the scale were well examined.

Conclusion

The scale can be applied to evaluate the qi activities of Liver Meridian and depression symptoms related to workplace.

Keywords

Liver Meridian Depression Workplace Holism Dialectical Notion Health Survey 

工作情境相关的肝经-抑郁量表开发研究

摘要

目的

以中医整体观和辨证思想为指导, 将身体、心理和工作情境因素整体地纳入员工抑郁的观察视野 并系统分类, 开发工作情境相关的肝经-抑郁量表, 为员工的抑郁情况提供评价指标。

方法

使用NVIVO 11软件进 行中医古籍文献整理, 以中医整体论和辨证思想为依据, 参考抑郁相关的成熟量表, 通过头脑风暴法确定条目池, 经过归类和德尔菲法对条目进行筛选; 使用“问卷星”在线系统, 发放微信问卷240份, 采用SPSS 17.0统计软件进 行统计分析。

结果

经过归类得出5个维度共80个条目, 使用德尔菲法筛选出60个条目; 回收量表216份,回收率 90%, 有效215份, 有效率99%; 使用探索性因子分析筛选得出44个条目, 总体分半信度系数为0.922, 肝经、相关 经络、基本心理、工作认知和情绪反应5个维度的Cronbach’s alpha系数分别为0.841、0.842、0.914、0.836和0.839, 该量表有充分的内部一致性; 各条目得分与其所在维度得分之间相关性均较大, 共同性介于0.474~0.801之间, 生成因子9个, 其中足厥阴肝经维度2个、相关经络维度3个、基本心理维度2个、工作认知维度1个和情绪反应维 度1个, 各条目的因子负荷在0.438~0.859之间; 量表的信度和效度均得到有效的检验。

结论

量表可以用于对工 作情境相关的肝经气机状态和抑郁症状进行测量。

关键词

肝经 抑郁 工作场所 整体观 辨证观 健康调查 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Notes

Acknowledgments

This work was supported by National Basic Research Program of China (973 Program, 国家重点基础研究发展 计划, No. 2015CB554502); General Program of National Social Science Fund of China (国家社会科学基金一般项 目, No.15BGL104); Open Fund Project of Hunan Provincial Key Discipline of Twelfth Five-year Plan (湖南 省“十二五”重点学科开放基金项目, No. 201515).

References

  1. [1]
    van Boven K, Lucassen P, van Ravesteijn H, olde Hartman T, Bor H, van Weel-Baumgarten E, van Weel C. Do unexplained symptoms predict anxiety or depression? Ten-year data from a practice-based research network. Br J Gen Pract, 2011, 61(587): e316–e325.CrossRefPubMedPubMedCentralGoogle Scholar
  2. [2]
    Hao XH, Zhang JB. Progress on clinical situation and Chinese medicine research of somatic symptoms of depression. Xiandai Zhongxiyi Jiehe Zazhi, 2014, 23(17): 1929–1931.Google Scholar
  3. [3]
    Zeng QZ, He YL, Liu ZN, Jia FJ, Ma H, Zhang L, Zhang MY. Distribution of physical symptoms and diagnoses in patients with depression or anxiety disorders in general hospitals. Zhongguo Quanke Yixue, 2012, 15(8B): 2656–2661.Google Scholar
  4. [4]
    Fox AB, Smith BN, Vogt D. the relationship between anticipated stigma and work functioning for individuals with pression. J Soc Clin Psychol, 2016, 35(10): 883–897.CrossRefGoogle Scholar
  5. [5]
    Vammen MA, Mikkelsen S, Hansen AM, Bonde JP, Grynderup MB, Kolstad H, Kaerlev L, Mors O, Rugulies R, Thomsen JF. Emotional demands at work and the risk of clinical depression: a longitudinal study in the Danish Public Sector. J Occup Environ Med, 2016, 58(10): 994–1001.CrossRefPubMedGoogle Scholar
  6. [6]
    Zhang LW. Series of Essences in Chinese Philosophical Category: Qi. Beijing: China Renmin University Press, 1990: 5.Google Scholar
  7. [7]
    Zheng YJ, Xu AP. Analysis on the thought of brain governing mind with relevance of meridians. Shijie Zhongxiyi Jiehe Zazhi, 2017, 12(5): 725–728.Google Scholar
  8. [8]
    Hu L, Kuang L. Research progress on magnetic resonance imaging related to suicide caused by depression. Zhongguo Shenjing Jingshen Jibing Zazhi, 2016, 42(11): 693–696.Google Scholar
  9. [9]
    Jing QK, Yang LJ, Liu JT, Lü W, Wang X, Lu MH, Shao QF, Li ZG, Saiyin CKT. Mechanism of acupuncture treatment of depression. Zhonghua Zhongyiyao Xuekan, 2017, 35(1): 20–22.Google Scholar
  10. [10]
    Li J, Zhuang X. Research progress on external therapy of Chinese medicine for depression. Hunan Zhongyi Zazhi, 2017, 33(9): 193–194.Google Scholar
  11. [11]
    Hu SY, Wang Z, You JS, Cai TS, Yao SQ. Preliminary development of emotion rating scale for Ganzangxiang of traditional Chinese medicine. Zhongguo Linchuang Xinlixue Zazhi, 2001, 9(2): 84–89.Google Scholar
  12. [12]
    Wang Z, Hu SY, Cai TS. Factor analysis of emotion rating scale for Ganzangxiang of traditional Chinese medicine. Zhongguo Xinli Weisheng Zazhi, 2003, 17(5): 306–308.Google Scholar
  13. [13]
    Wang Z, Hu SY, Cai TS, Xia DS. Development of emotion rating scale for Ganzangxiang of traditional Chinese medicine (ERSG). Zhongguo Xingwei Yixue Kexue, 2004, 13(1): 104–106.Google Scholar
  14. [14]
    Wang Q. Identification of the Nine Constitutions in Chinese Population. Beijing: Science Press, 2011: 317–320.Google Scholar
  15. [15]
    Kim YK, Cha NH. Correlations among occupational stress, fatigue, and depression in call center employees in Seoul. J Phys Ther Sci, 2015, 27(10): 3191–3194.CrossRefPubMedPubMedCentralGoogle Scholar
  16. [16]
    Martin AJ, Giallo R. Confirmatory factor analysis of a questionnaire measure of managerial stigma towards employee depression. Stress Health, 2016, 32(2): 621–628.CrossRefPubMedGoogle Scholar
  17. [17]
    Wu ML. Practice for Statistical Analysis of the Questionnaire. Chongqing: Chongqing University Press, 2010: 190.Google Scholar
  18. [18]
    Li YY, Lu DW. Research on relativity between depression trend and energy state of Liver Meridian. Zhongyi Yanjiu, 2013, 26(12): 14–15.Google Scholar
  19. [19]
    Yang YS. Reflections on modernization of traditional Chinese medicine and future development of traditional Chinese medicine. Zhonghua Zhongyiyao Zazhi, 2017, 32(3): 920–922.Google Scholar
  20. [20]
    Wang P, Shi ZH, Zhao JP. A brief analysis of selecting points thoughts in acupuncture for depression from treatment of liver. Beijing Zhongyiyao Daxue Xuebao (Zhongyi Linchuang Ban), 2013, 20(4): 50–51.Google Scholar
  21. [21]
    Juvani A, Oksanen T, Virtanen M, Elovainio M, Salo P, Pentti J, Kivimaki M, Vahtera J. Organizational justice and disability pension from all-causes, depression and musculoskeletal diseases: a Finnish cohort study of public sector employees. Scand J Work Environ Health, 2016, 42(5): 395–404.CrossRefPubMedGoogle Scholar
  22. [22]
    Han R, Li FY, Wang L, Ning L, Lian YL, Liu JW. Occupational stress and depressive symptoms among different occupational populations. Zhongguo Gonggong Weisheng, 2015, 31(10): 1346–1348.Google Scholar
  23. [23]
    Jiang J, Dong J, Wang R. Workplace bullying, employees' depression and job satisfaction: moderating effect of coping strategies. Zhongguo Xinli Weisheng Zazhi, 2012, 26(8): 610–615.Google Scholar
  24. [24]
    Bianchi R, Verkuilen J, Brisson R, Schonfeld IS, Laurent E. Burnout and depression: label-related stigma, help-seeking, and syndrome overlap. Psychiatry Research, 2016, 245: 91–98.CrossRefPubMedGoogle Scholar
  25. [25]
    Evans-Lacko S, Knapp M. Global patterns of workplace productivity for people with depression: absenteeism and presenteeism costs across eight diverse countries. Social Psychiatry and Psychiatric Edpdemiology, 2016, 51(11): 1525–1537.CrossRefGoogle Scholar
  26. [26]
    de Vries G, Koeter MWJ, Nieuwenhuijsen K, Hees HL, Schene AH. Predictors of impaired work functioning in employees with major depression in remission. J Affect Disord, 2015, 185: 180–187.CrossRefPubMedGoogle Scholar
  27. [27]
    Wang XL, Wang Z, Shi K. Mechanism and intervention pattern for depressive symptoms of 15 in workplace. Guanli Pinglun, 2009, 21(9): 39–46, 66.Google Scholar
  28. [28]
    Nieuwenhuijsen K, Sluiter JK, Dewa CS. Need for recovery as an early sign of depression risk in a working population. J Occup Environ Med, 2016, 58(11): E350–E354.CrossRefPubMedGoogle Scholar
  29. [29]
    Dai GB. The theoretical model and empirical research on manager's strategic competence based on of the unity of knowing and doing. Guanli Xuebao, 2012, 9(5): 650–657.Google Scholar
  30. [30]
    Dai GB. Humanistic paradigm of Chinese management research. Guanli Xuebao, 2010, 7(2): 171–176.Google Scholar
  31. [30a]
    Gong Y, Wang Z. Five key issues for interdiscipline and its research funding. Kexuexue Yanjiu, 2015, 33(9): 1297–1304, 1339.Google Scholar

Copyright information

© Shanghai Research Institute of Acupuncture and Meridian 2018

Authors and Affiliations

  • Guo-bin Dai (戴国斌)
    • 1
    • 2
  • Xia Liu (刘霞)
    • 1
  • Xiao-rong Chang (常小荣)
    • 1
  1. 1.School of Acupuncture, Moxibustion & TuinaHunan University of Chinese MedicineChangshaChina
  2. 2.Business SchoolCentral South UniversityChangshaChina

Personalised recommendations