{"id":1113,"date":"2022-04-03T14:00:57","date_gmt":"2022-04-03T14:00:57","guid":{"rendered":"http:\/\/workaddiction.org\/?page_id=1113"},"modified":"2023-01-05T06:49:46","modified_gmt":"2023-01-05T06:49:46","slug":"consequences","status":"publish","type":"page","link":"https:\/\/workaddiction.org\/et\/consequences\/","title":{"rendered":"Tagaj\u00e4rjed"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"1113\" class=\"elementor elementor-1113\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-38a8037 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"38a8037\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f288d08\" data-id=\"f288d08\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fd80a86 elementor-widget elementor-widget-heading\" data-id=\"fd80a86\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.6.2 - 04-04-2022 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">T\u00f6\u00f6s\u00f5ltuvuse tagaj\u00e4rjed<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d1f84f5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d1f84f5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5078e3c\" data-id=\"5078e3c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-37842b6 elementor-widget elementor-widget-text-editor\" data-id=\"37842b6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.6.2 - 04-04-2022 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p style=\"text-align: left;\">T\u00f6\u00f6s\u00f5ltuvuse v\u00f5imalikel tagaj\u00e4rgedel on neli peamist aspekti:<\/p>\n<ul>\n<li>\u00fcksikisik (nt surm, sealhulgas enesetapp, vaimse ja f\u00fc\u00fcsilise tervise probleemid, sealhulgas l\u00e4bip\u00f5lemine, madalam elukvaliteet, v\u00e4iksem \u00f5nnetunne)<\/li>\n<li>sotsiaalsed (nt pereprobleemid, t\u00f6\u00f6s\u00f5ltlastest vanemate laste k\u00e4itumis- ja emotsionaalsed probleemid, konfliktid t\u00f6\u00f6kaaslastega, t\u00f6\u00f6s\u00f5ltlastest juhtide ebaefektiivne juhtimine t\u00f6\u00f6l, t\u00f6\u00f6s\u00f5ltlasest inimese surma tagaj\u00e4rjed)<\/li>\n<li>t\u00f6\u00f6 saajad (nt halb t\u00f6\u00f6kvaliteet, vead t\u00f6\u00f6l, nt t\u00f6\u00f6s\u00f5ltlaste ja l\u00e4bip\u00f5lemise arstide ravivead)<\/li>\n<li>majanduslik (nt tervishoiukulud, tootlikkuse langus)&nbsp;<\/li>\n<\/ul>\n<p>Enamik olemasolevaid andmeid on korrelatsioonilise iseloomuga ja n\u00e4itavad seost t\u00f6\u00f6s\u00f5ltuvuse ja v\u00f5imalike negatiivsete tagaj\u00e4rgede vahel. Kuid v\u00e4hesed prospektiivsed v\u00f5i pikaajalised uuringud viitavad t\u00f6\u00f6s\u00f5ltuvuse juhuslikule rollile funktsionaalsete h\u00e4irete korral. Neid toetavad juhtumiuuringud ja kliiniline kirjandus&nbsp;<a href=\"https:\/\/www.degruyter.com\/document\/doi\/10.18574\/nyu\/9780814770696.001.0001\/html\" target=\"_blank\" rel=\"noopener\">terapeutilised sekkumised<\/a>&nbsp;t\u00f6\u00f6s\u00f5ltlaste seas, sealhulgas aruanded&nbsp;<a href=\"https:\/\/www.jstage.jst.go.jp\/article\/indhealth\/advpub\/0\/advpub_2018-0021\/_article\/-char\/ja\/\" target=\"_blank\" rel=\"noopener\">kliinilise t\u00f6\u00f6meditsiini seaded<\/a>. Sellegipoolest on vaja suuremahulisi prospektiivseid epidemioloogilisi uuringuid, et teha kindlaks, mil m\u00e4\u00e4ral aitab t\u00f6\u00f6s\u00f5ltuvus kaasa negatiivsetele tagaj\u00e4rgedele. Samuti puuduvad s\u00fcsteemsed uuringud t\u00f6\u00f6s\u00f5ltuvuse majanduslike kulude kohta. Enamik andmeid on kaudsed ja p\u00e4rinevad hinnangutest&nbsp;<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0160412021002208\" target=\"_blank\" rel=\"noopener\">suure t\u00f6\u00f6koormuse kulud<\/a>, sama h\u00e4sti kui&nbsp;<a href=\"https:\/\/health.ec.europa.eu\/system\/files\/2017-07\/compass_2017workplace_en_0.pdf\" target=\"_blank\" rel=\"noopener\">t\u00f6\u00f6ga seotud stress, depressioon v\u00f5i l\u00e4bip\u00f5lemine<\/a>&nbsp;v\u00f5i hinnangud obsessiiv-kompulsiivse isiksuseh\u00e4ire tervishoiukulude kohta.<\/p>\n<p style=\"text-align: center;\"><span style=\"text-decoration: underline;\"><strong>\u00dcKSIKUD TAGAJ\u00c4RGED<\/strong><\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"text-decoration: underline;\"><strong>SOTSIAALSED TAGAJ\u00c4RGED<\/strong><\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"text-decoration: underline;\"><strong>T\u00d6\u00d6 SAADJAD<\/strong><\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"text-decoration: underline;\"><strong>MAJANDUSLIKUD TAGAJ\u00c4RGED<\/strong><\/span><\/p>\n<p>Enamik andmeid t\u00f6\u00f6s\u00f5ltuvuse v\u00f5imalike majanduslike kulude kohta on kaudsed ja p\u00e4rinevad hinnangutest&nbsp;<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0160412021002208\" target=\"_blank\" rel=\"noopener\">suure t\u00f6\u00f6koormuse kulud<\/a>, sama h\u00e4sti kui&nbsp;<a href=\"https:\/\/health.ec.europa.eu\/system\/files\/2017-07\/compass_2017workplace_en_0.pdf\" target=\"_blank\" rel=\"noopener\">t\u00f6\u00f6ga seotud stress, depressioon v\u00f5i l\u00e4bip\u00f5lemine<\/a>&nbsp;v\u00f5i hinnangud obsessiiv-kompulsiivse isiksuseh\u00e4ire (OCPD) tervishoiukulude kohta. P\u00f5hjendatud brutohinnangud saab teha kindlakstehtud faktide p\u00f5hjal:<\/p>\n<ul>\n<li>suur t\u00f6\u00f6koormus ja t\u00f6\u00f6stress on f\u00fc\u00fcsilise ja vaimse tervise probleemide riskitegurid<\/li>\n<li>l\u00e4bip\u00f5lemist seostatakse halvema tervisega<\/li>\n<li style=\"font-size: 16px;\">t\u00f6\u00f6s\u00f5ltuvus on rangelt seotud suure t\u00f6\u00f6koormuse, t\u00f6\u00f6stressi ja l\u00e4bip\u00f5lemisega<\/li>\n<li>OCPD on seotud t\u00f6\u00f6stressi, l\u00e4bip\u00f5lemise ja depressiooniga<\/li>\n<li>OCPD on tihedalt seotud t\u00f6\u00f6s\u00f5ltuvusega<\/li>\n<\/ul>\n<p>Seet\u00f5ttu j\u00e4rgmine \u00fcldine&nbsp;<a href=\"https:\/\/www.mdpi.com\/1660-4601\/17\/2\/660#B15-ijerph-17-00660\" target=\"_blank\" rel=\"noopener\">seos t\u00f6\u00f6s\u00f5ltuvuse ja \u00fclemaailmse haiguskoormuse vahel<\/a>&nbsp;koos selle sotsiaal-majanduslike kuludega v\u00f5ib eeldada:<\/p>\n<p style=\"text-align: center;\"><strong>t\u00f6\u00f6s\u00f5ltuvus =&gt; suur t\u00f6\u00f6koormus ja t\u00f6\u00f6stress =&gt; tervisem\u00f5jud\/sotsiaal-majanduslikud kulud<\/strong><\/p>\n<p>Kui arvestada OCDP rolli t\u00f6\u00f6s\u00f5ltuvuse riskitegurina ja l\u00e4bip\u00f5lemist halvasti juhitud t\u00f6\u00f6stressi tagaj\u00e4rjena, v\u00f5ib p\u00f5hjuslik ahel olla:<\/p>\n<p style=\"text-align: center;\"><strong>OCPD =&gt; t\u00f6\u00f6s\u00f5ltuvus =&gt; suur t\u00f6\u00f6koormus ja t\u00f6\u00f6stress =&gt; l\u00e4bip\u00f5lemine =&gt; tervisem\u00f5jud\/sotsiaal-majanduslikud kulud<\/strong><\/p>\n<p style=\"text-align: left;\">Praegu vajavad rohkem uuringuid OCPD ja t\u00f6\u00f6s\u00f5ltuvuse vaheline seos ning nende panus negatiivsetesse tagaj\u00e4rgedesse.&nbsp;<span style=\"font-style: inherit; font-weight: inherit; background-color: var(--ast-global-color-5); color: var(--ast-global-color-3);\">Samuti vajab rohkem selgitamist seos l\u00e4bip\u00f5lemise ja halva tervise vahel.&nbsp;<\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"font-style: inherit; font-weight: inherit; background-color: var(--ast-global-color-5); color: var(--ast-global-color-3);\">Sellegipoolest v\u00f5ib nende eelduste ja olemasolevate andmete p\u00f5hjal eeldada, et t\u00f6\u00f6s\u00f5ltuvus on suur sotsiaalmajanduslike kulude allikas t\u00f6\u00f6stusriikides j\u00e4rgmistel p\u00f5hjustel:&nbsp;<\/span><\/p>\n<ul>\n<li style=\"text-align: left;\"><span style=\"font-style: inherit; font-weight: inherit; background-color: var(--ast-global-color-5); color: var(--ast-global-color-3);\">tervisega seotud t\u00f6\u00f6lt puudumine,<\/span><\/li>\n<li style=\"text-align: left;\"><span style=\"font-style: inherit; font-weight: inherit; background-color: var(--ast-global-color-5); color: var(--ast-global-color-3);\">tervishoiukulud,<\/span><\/li>\n<li style=\"text-align: left;\"><span style=\"font-style: inherit; font-weight: inherit; background-color: var(--ast-global-color-5); color: var(--ast-global-color-3);\"> v\u00e4henenud tootlikkus.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: left;\"><b>T\u00f6\u00f6stressist tingitud depressioon<\/b><\/p>\n<p style=\"text-align: left;\">Depressioon on t\u00f6\u00f6stusriikides \u00fcks levinumaid t\u00f6\u00f6v\u00f5imetuse p\u00f5hjuseid.<\/p>\n<p>T\u00f6\u00f6stressiga seotud depressiooni praegune hinnanguline kulu Euroopa Liidus on&nbsp;<a href=\"https:\/\/osha.europa.eu\/pl\/publications\/calculating-cost-work-related-stress-and-psychosocial-risks\" target=\"_blank\" rel=\"noopener\">617 miljardit eurot aastas<\/a>, mis on suurem kui enamiku Euroopa riikide sisemajanduse kogutoodang (SKT).&nbsp;<\/p>\n<p style=\"text-align: left;\"><strong>Obsessiiv-kompulsiivne isiksuseh\u00e4ire<\/strong><\/p>\n<p>Obsessiiv-kompulsiivne isiksuseh\u00e4ire (OCPD; DSM klassifikatsioon) v\u00f5i anankastiline isiksuseh\u00e4ire (APD; ICD klassifikatsioon) on elanikkonna (3%\u20138%) ja ambulatoorsete r\u00fchmade seas k\u00f5ige levinum isiksuseh\u00e4ire. On kindlaks tehtud, et OCPD\/APD toodab&nbsp;<a href=\"https:\/\/www.researchgate.net\/profile\/Djora-Soeteman\/publication\/5489849_The_Economic_Burden_of_Personality_Disorders_in_Mental_Health_Care\/links\/5d965213299bf1c363f587ce\/The-Economic-Burden-of-Personality-Disorders-in-Mental-Health-Care.pdf\" target=\"_blank\" rel=\"noopener\">suurim majanduslik koormus isiksuseh\u00e4irete hulgas otseste ravikulude ja tootlikkuse v\u00e4henemise osas<\/a>\u00fcletades isegi piiripealse isiksuseh\u00e4ire (BPD) kulusid. Lisaks patsientidele, kellel on&nbsp;<a href=\"https:\/\/ajp.psychiatryonline.org\/doi\/full\/10.1176\/appi.ajp.158.2.295\" target=\"_blank\" rel=\"noopener\">isiksuseh\u00e4iretel on ulatuslikum ajalugu<\/a>&nbsp;ps\u00fchhiaatrilise ambulatoorse, statsionaarse ja ps\u00fchhofarmakoloogilise ravi osas, kui v\u00f5rrelda raske depressiivse h\u00e4irega patsiente.<\/p>\n<p><a href=\"https:\/\/d1wqtxts1xzle7.cloudfront.net\/87818608\/jom.0b013e3182717e6d20220621-1-1jxllb3-libre.pdf?1655794969=&amp;response-content-disposition=inline%3B+filename%3DObsessive_Compulsive_Personality_Disorde.pdf&amp;Expires=1671533856&amp;Signature=T4H4lAUTOkNHRg3nBzeyq3LSYTSYk4kp0xxEm7nDfnV4mNgdd54kz5rSMl2xl7QhCLCFNwGqUHKYxEzd5PrSXlSVA-zzt2xI4E3krJpCcNjgAKR70Vk9mIR-2JPknHX54ZeQCEr47aXdBgGIix2t5DEtcxZYUsSamZXWlXsG9ir64QSpVImdqH6BW9HuNjtkd8aYrY7Yd60k-HSZYUzTkW8frGPeLidaHer4iJpHdIlEgfXs4aC5ZdhEdZX2RLIWd9EOQhq~fqKR~HTXugrvr3AVzoIp2NfVmoA8m6xoRD3ahEFw0wnyhTwn0xvp-No2ybvghrIA~AfyLDQMZH80dA__&amp;Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA\" target=\"_blank\" rel=\"noopener\">Soome uuring<\/a>&nbsp;n\u00e4itas, et 50%-l meestest ja 28%-l naistest, kellel oli esimene depressiooni episoodi, t\u00f6\u00f6tervishoiu\u00fcksustest v\u00e4rvatud t\u00f6\u00f6tajate hulgas diagnoositi OCPD\/APD. See on koosk\u00f5las vahelise seose kohta teatatud m\u00f5ju suurustega&nbsp;<a href=\"https:\/\/doc.rero.ch\/record\/332056\/files\/406_2014_Article_512.pdf\" target=\"_blank\" rel=\"noopener\">OCPD\/APD ja l\u00e4bip\u00f5lemine<\/a>.&nbsp;<\/p>\n<p><strong>S\u00fcdame-veresoonkonna haigused ja muud terviseprobleemid<\/strong><\/p>\n<p>Neurops\u00fchhiaatrilised h\u00e4ired ja mittenakkuslikud haigused, nagu s\u00fcdame-veresoonkonna haigused (CVD) ja diabeet&nbsp;<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0140673616316786\" target=\"_blank\" rel=\"noopener\">\u00fclemaailmse haiguskoormuse peamised p\u00f5hjused<\/a>. Nende t\u00f6\u00f6stressiga seotud kogukulud on enam kui murettekitavad, teine k\u00f5ige kulukam kategooria on SVH.<\/p>\n<div id=\"as020\">\n<p id=\"sp0020\"><span style=\"font-size: 16px; font-style: normal; font-weight: 400;\">Maailma Terviseorganisatsiooni (WHO) ja Rahvusvahelise T\u00f6\u00f6organisatsiooni (ILO) hinnangul on kokkupuude pikkade t\u00f6\u00f6tundidega (\u226555 tundi n\u00e4dalas) tavaline ja p\u00f5hjustab suurel hulgal s\u00fcdame isheemiat\u00f5be ja insuldi. <\/span>2016. aastal t\u00f6\u00f6tas 488 miljonit inimest ehk 8,91 TP6T maailma elanikkonnast pikki t\u00f6\u00f6tunde (\u226555 tundi n\u00e4dalas). Selle kokkupuute p\u00f5hjuseks oli hinnanguliselt 745 194 surmajuhtumit ja 23,3 miljonit puude j\u00e4rgi kohandatud eluaastat s\u00fcdame isheemiat\u00f5ve ja insuldi t\u00f5ttu.<\/p>\n<\/div>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>T\u00f6\u00f6s\u00f5ltuvuse tagaj\u00e4rjed T\u00f6\u00f6s\u00f5ltuvuse v\u00f5imalikel tagaj\u00e4rgedel on neli peamist aspekti: individuaalne (nt surm, sh enesetapp, vaimse ja f\u00fc\u00fcsilise tervise probleemid, sh l\u00e4bip\u00f5lemine, madalam elukvaliteet, v\u00e4iksem \u00f5nnetunne) sotsiaalsed (nt perekondlikud probleemid, k\u00e4itumuslikud ja t\u00f6\u00f6s\u00f5ltlastest vanemate laste emotsionaalsed probleemid, konfliktid t\u00f6\u00f6kaaslastega, ebat\u00f5hus juhtimine t\u00f6\u00f6l\u2026<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/workaddiction.org\/et\/consequences\/\"> <span class=\"screen-reader-text\">Tagaj\u00e4rjed<\/span> Loe rohkem &quot;<\/a><\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":""},"_links":{"self":[{"href":"https:\/\/workaddiction.org\/et\/wp-json\/wp\/v2\/pages\/1113"}],"collection":[{"href":"https:\/\/workaddiction.org\/et\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/workaddiction.org\/et\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/workaddiction.org\/et\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/workaddiction.org\/et\/wp-json\/wp\/v2\/comments?post=1113"}],"version-history":[{"count":131,"href":"https:\/\/workaddiction.org\/et\/wp-json\/wp\/v2\/pages\/1113\/revisions"}],"predecessor-version":[{"id":4875,"href":"https:\/\/workaddiction.org\/et\/wp-json\/wp\/v2\/pages\/1113\/revisions\/4875"}],"wp:attachment":[{"href":"https:\/\/workaddiction.org\/et\/wp-json\/wp\/v2\/media?parent=1113"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}