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Current Status of Workplace-induced Stress and Workers' Accident Compensation Insurance from the Perspective of Traumatic Events Yasuyuki OHTA 1 , Ken-ichiro FUKUDA 2 , Hiroyuki INADOMI 3 , Goro TANAKA 4 1Unit of Rehabilitation Sciences, Graduate School of Health and Social Welfare, Nishikyushu University, Kanzaki, Japan 2Division of Occupational Therapy, Shinjyuen-Ryoyosho 3Department of Occupational Therapy, School of Comprehensive Rehabilitation, Osaka Prefecture University 4Unit of Rehabilitation Sciences, Graduate School of Biomedical Sciences, Nagasaki University Keyword: Workplace-induced mental disorder , Workers' accident compensation insurance , Workplace harassment , Traumatic reaction , Industrial psychiatry pp.636-648
Published Date 2015/8/15
DOI https://doi.org/10.11477/mf.1405204970
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 The workplace environment in Japan underwent rapid changes following the collapse of the bubble economy in 1991. According to a 2012 survey, over 60% of workers experience high levels of stress in their occupational life, and 50% of all leave-of-absence cases are for mental disorders in local government officials. Although return-to-work support programs are actively being implemented for individuals who are on leaves of absence due to depression, a high proportion of these individuals eventually resign. An examination of the state of workers' accident compensation insurance for mental disorders suggests the presence of a complex interaction between (1) chronic or persistent stress due to issues such as excessive overtime, and (2) traumatic stress from incidents such as harassment or major workplace accidents. This interaction is thought to lead to depression or traumatic reaction. However, because most studies on traumatic reaction have focused only on individuals in occupational fields, such as nurses who are directly involved with sudden changes in a patient's condition, and firefighters, police officers, and other individuals who provide assistance to disaster victims, traumatic reaction in the general workplace remains difficult to visualize. Therefore, traumatic reaction studies using a standardized assessment scale are needed in a broader range of occupational fields. In addition, as traumatic reaction is often comorbid with depression, using a clinical approach from the perspective of trauma is also necessary.


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