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Featured researches published by Kanami Tsuno.


Journal of Occupational Health | 2010

Measuring Workplace Bullying: Reliability and Validity of the Japanese Version of the Negative Acts Questionnaire

Kanami Tsuno; Norito Kawakami; Akiomi Inoue; Kiyoko Abe

Measuring Workplace Bullying: Reliability and Validity of the Japanese Version of the Negative Acts Questionnaire: Kanami Tsuno, et al. Japan Society for the Promotion of Science


International Journal of Behavioral Medicine | 2013

Organizational Justice and Psychological Distress Among Permanent and Non-permanent Employees in Japan: A Prospective Cohort Study

Akiomi Inoue; Norito Kawakami; Kanami Tsuno; Kimiko Tomioka; Mayuko Nakanishi

BackgroundOrganizational justice has recently been introduced as a new concept as psychosocial determinants of employee health, and an increase in precarious employment is a challenging issue in occupational health. However, no study investigated the association of organizational justice with mental health among employees while taking into account employment contract.PurposeThe purpose of the present study was to investigate the prospective association of organizational justice (procedural justice and interactional justice) with psychological distress by employment contract among Japanese employees.MethodsA total of 373 males and 644 females from five branches of a manufacturing company in Japan were surveyed. At baseline (August 2009), self-administered questionnaires, including the Organizational Justice Questionnaire (OJQ), the K6 scale (psychological distress scale), the Eysenck Personality Questionnaire-Revised (EPQ-R), and other covariates, were used. After one-year follow-up (August 2010), the K6 scale was used again to assess psychological distress. Multiple logistic regression analyses were conducted by sex and employment contract.ResultsAfter adjusting for demographic characteristics, psychological distress, and neuroticism at baseline, low procedural justice was significantly associated with a higher risk of psychological distress at follow-up among non-permanent female employees, while no significant association of procedural justice or interactional justice with psychological distress at follow-up was observed among permanent male or female employees. The results of non-permanent male employees could not be calculated because of small sample size.ConclusionsLow procedural justice may be an important predictor of psychological distress among non-permanent female employees.


Archives of Suicide Research | 2016

Suicidal behavior and psychological distress in university students: a 12-nation study

Mehmet Eskin; Jian-Min Sun; Jamila Abuidhail; Kouichi Yoshimasu; Omar Kujan; Mohsen Janghorbani; Chris Flood; Mauro Giovanni Carta; Ulrich S. Tran; Anwar Mechri; Motasem Hamdan; Senel Poyrazli; Khouala Aidoudi; Seifollah Bakhshi; Hacer Harlak; Maria Francesca Moro; Hani Nawafleh; Louise Phillips; Amira Shaheen; Shahama Taifour; Kanami Tsuno; Martin Voracek

This study investigated the prevalence of suicidal behavior and psychological distress in university students across 12 nations. A total of 5,572 university students from 12 countries were surveyed about suicide ideation, suicide attempts, and psychological distress by means of a self-administered questionnaire. Almost 29% of the samples reported having contemplated suicide and 7% reported attempting suicide. Of the total sample, 51.1% scored above the General Health Questionnaire-12 ≥ 3 cut-off points, 41.6% above the GHQ-12 ≥ 4 cut-off points, and 33.8% scored above the GHQ-12 ≥ 5 cut-off points. While odds of suicide ideation were elevated in Austria and the UK, reduced ORs were detected for China, Italy, Saudi Arabia, Tunisia, and Turkey. Similarly, while odds of suicide attempt were high in Jordan, Palestine, Saudi Arabia, and to some extent in Turkey, reduced ORs were observed for Austria, China, Italy, Japan and the United States. Elevated ORs for psychological distress were seen in Japan, Jordan, Palestine, Saudi Arabia, Tunisia, and Turkey but reduced ORs were noted in Austria, China, Iran, Italy, and the United States. Psychological distress was strongly associated with reports of suicide ideation and attempts. Suicide ideation, suicide attempt, and psychological distress are common in university students but their rates vary depending on the sociocultural context. Due attention should be devoted to the mental health needs of young adults enrolled in higher educational institutions and more cross-cultural research is warranted to better understand the etiology of the observed intersocietal variations in suicidal behavior and psychological distress.


Journal of Occupational Health | 2012

Organizational Justice and Major Depressive Episodes in Japanese Employees: A Cross-sectional Study

Akiomi Inoue; Norito Kawakami; Kanami Tsuno; Kimiko Tomioka; Mayuko Nakanishi

Organizational Justice and Major Depressive Episodes in Japanese Employees: A Cross‐Sectional Study: Akiomi INOUE, et al. Department of Mental Health, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan—


PLOS ONE | 2015

Socioeconomic Determinants of Bullying in the Workplace: A National Representative Sample in Japan

Kanami Tsuno; Norito Kawakami; Akizumi Tsutsumi; Akihito Shimazu; Akiomi Inoue; Yuko Odagiri; Toru Yoshikawa; Takashi Haratani; Teruichi Shimomitsu; Ichiro Kawachi

Bullying in the workplace is an increasingly recognized threat to employee health. We sought to test three hypotheses related to the determinants of workplace bullying: power distance at work; safety climate; and frustration related to perceived social inequality. A questionnaire survey was administered to a nationally representative community-based sample of 5,000 residents in Japan aged 20–60 years. The questionnaire included questions about employment, occupation, company size, education, household income, and subjective social status (SSS). We inquired about both the witnessing and personal experience of workplace bullying during the past 30 days. Among 2,384 respondents, data were analyzed from 1,546 workers. Multiple logistic regression analyses were used to examine the social determinants of workplace bullying. Six percent and 15 percent of the total sample reported experiencing or witnessing workplace bullying, respectively. After adjusting for gender and age, temporary employees (Odds Ratio [OR]: 2.45 [95% Confidence Interval (CI) = 1.03–5.85]), junior high school graduates (OR: 2.62 [95%CI: 1.01–6.79]), workers with lowest household income (OR: 4.13 [95%CI:1.58–10.8]), and workers in the lowest SSS stratum (OR: 4.21 [95%CI:1.66–10.7]) were at increased risk of experiencing workplace bullying. When all variables were entered simultaneously in the model, a significant inverse association was observed between higher SSS and experiencing bullying (p = 0.002). Similarly in terms of witnessing bullying; SSS was significantly inversely associated (p = 0.017) while temporary employees reported a significantly higher risk of witnessing bullying compared to permanent workers (OR: 2.25 [95%CI:1.04 to 4.87]). The significant association between SSS and experiencing/witnessing workplace bullying supports the frustration hypothesis. The power distance hypothesis was also partly supported by the finding that temporary employees experienced a higher prevalence of workplace bullying.


Drug and Alcohol Dependence | 2015

Genetic alcohol sensitivity regulated by ALDH2 and ADH1B polymorphisms is strongly associated with depression and anxiety in Japanese employees

Kouichi Yoshimasu; Kanae Mure; Marowa Hashimoto; Shigeki Takemura; Kanami Tsuno; Mariko Hayashida; Kenji Kinoshita; Tatsuya Takeshita; Kazuhisa Miyashita

BACKGROUND Although alcohol-related disorders (ARD) have been shown to be accompanied by comorbid depressive and anxiety disorders, and alcohol metabolic enzyme genes, ADH1B and ALDH2 polymorphisms, have been associated with an increased risk of ARD, no studies have been conducted to evaluate the associations between these genetic polymorphisms and anxiety or depression. METHOD A total of 1944 Japanese workers were interviewed regarding their depressive and anxiety disorders, including suicidality, by a brief psychiatric structured interview (MINI). We investigated the relationship of ADH1B rs1229984 and ALDH2 rs671 polymorphism combinations with mental disorder risks. Logistic regression analysis was used to evaluate the associations between those polymorphisms and anxiety/depressive disorders, adjusting for sex, age, and job rank. The degree of alcohol sensitivity was classified into five groups according to the combination of two enzyme genotypes (Group I-V, in order from the lowest alcohol sensitivity). RESULTS Those with ALDH2(*)1/(*)1 and ADH1B(*)1/(*)1 were likely to be at an increased risk of depressive and anxiety disorders as well as ARD. This tendency was more apparent among non-drinkers (OR 9.20, 95% CI 1.66-50.89). No adverse effects of ALDH2 or ADH1B alone were observed with mental disorder risks. Likewise, analyses conducted combining job rank and genetic alcohol sensitivity showed no material associations with such risks. CONCLUSIONS Genetic alcohol sensitivity, especially that with the genotype combination of ALDH2(*)1/(*)1 and ADH1B(*)1/(*)1, was significantly associated with an increased risk of depressive and anxiety disorders as well as ARD.


International Journal of Methods in Psychiatric Research | 2015

One-year test-retest reliability of a Japanese web-based version of the WHO Composite International Diagnostic Interview (CIDI) for major depression in a working population.

Haruki Shimoda; Akiomi Inoue; Kanami Tsuno; Norito Kawakami

The purpose of this study was to investigate the one‐year test–retest reliability and the demographic correlates of a self‐administered web‐based depression section of the World Health Organization‐Composite International Diagnostic Interview (WHO‐CIDI) in a working population. Overall, 1060 out of all employees (N = 1279) from a manufacturing company in Japan responded to two web‐based surveys of depression of the WHO‐CIDI within a one‐year interval in 2009 and 2010. The concordance between lifetime diagnoses of major depressive disorder on two occasions was calculated as percent agreement (%), Gwets AC1, and Yules Q indicators were compared by gender, age, education, and marital status. For the total sample, percent agreement was 94%, AC1 was 0.93, and Yules Q was 0.82. The concordance rate was low (0.15) among those who were diagnosed at either time or both times. The concordance differed significantly across education and marital status. While the agreement indicators were relatively high, consistent with previous reports based on face‐to‐face interviews conducted within a shorter interval, the low stability of positive cases may challenge the accuracy of lifetime diagnosis of major depressive disorder using a web version of the WHO‐CIDI. Education and marital status might affect the test–retest reliability. Copyright


Scandinavian Journal of Psychology | 2016

Cross - national comparisons of attitudes towards suicide and suicidal persons in university students from 12 countries

Mehmet Eskin; Omar Kujan; Martin Voracek; Amira Shaheen; Mauro Giovanni Carta; Jian-Min Sun; Chris Flood; Senel Poyrazli; Mohsen Janghorbani; Kouichi Yoshimasu; Anwar Mechri; Yousef Khader; Khouala Aidoudi; Seifollah Bakhshi; Hacer Harlak; Muna Ahmead; Maria Francesca Moro; Hani Nawafleh; Louise Phillips; Abdulwahab Abuderman; Ulrich S. Tran; Kanami Tsuno

This paper reports the results of a comparative investigation of attitudes to suicide and suicidal persons in 5,572 university students from 12 countries. Participants filled out two scales measuring attitudes towards suicide and suicidal persons, a measure of psychological distress together with the questions about suicidal behavior. Results showed that the highest suicide acceptance scores were observed in Austrian, UK, Japanese and Saudi Arabian samples and the lowest scores were noted in Tunisian, Turkish, Iranian and Palestinian samples. While the highest social acceptance scores for a suicidal friend were noted in Turkish, US, Italian and Tunisian samples, the lowest scores were seen in Japanese, Saudi Arabian, Palestinian and Jordanian samples. Compared to participants with a suicidal past, those who were never suicidal displayed more internal barriers against suicidal behavior. Men were more accepting of suicide than women but women were more willing to help an imagined suicidal peer. Participants with accepting attitudes towards suicide but rejecting attitudes towards suicidal persons reported more suicidal behavior and psychological distress, and were more often from high suicide rate countries and samples than their counterparts. They are considered to be caught in a fatal trap in which most predominant feelings of suicidality such as hopelessness or helplessness are likely to occur. We conclude that in some societies such as Japan and Saudi Arabia it might be difficult for suicidal individuals to activate and make use of social support systems.


Journal of Occupational and Environmental Medicine | 2016

The Association of Workplace Social Capital With Work Engagement of Employees in Health Care Settings: A Multilevel Cross-Sectional Analysis.

Sumiko Fujita; Norito Kawakami; Emiko Ando; Akiomi Inoue; Kanami Tsuno; Sumiko Kurioka; Ichiro Kawachi

Objective: The aim of the study was to examine the cross-sectional multilevel association between unit-level workplace social capital and individual-level work engagement among employees in health care settings. Methods: The data were collected from employees of a Japanese health care corporation using a questionnaire. The analyses were limited to 440 respondents from 35 units comprising five or more respondents per unit. Unit-level workplace social capital was calculated as an average score of the Workplace Social Capital Scale for each unit. Multilevel regression analysis with a random intercept model was conducted. Results: After adjusting for demographic variables, unit-level workplace social capital was significantly and positively associated with respondents’ work engagement (P < 0.001). The association remained significant after additionally adjusting for individual-level perceptions of workplace social capital (P < 0.001). Conclusions: Workplace social capital might exert a positive contextual effect on work engagement of employees in health care settings.


Environmental Health and Preventive Medicine | 2017

Determinants of polyunsaturated fatty acid concentrations in erythrocytes of pregnant Japanese women from a birth cohort study: study protocol and baseline findings of an adjunct study of the Japan environment & Children’s study

Shoji Saito; Terue Kawabata; Nozomi Tatsuta; Fumiko Kimura; Teruo Miyazawa; Satoshi Mizuno; Hidekazu Nishigori; Takahiro Arima; Yasuo Kagawa; Kouichi Yoshimasu; Kanami Tsuno; Yuki Ito; Michihiro Kamijima; Kunihiko Nakai; Nobuo Yaegashi

BackgroundN-3 polyunsaturated fatty acids (n-3 PUFA) may have multiple beneficial effects on the outcome of pregnancy, maternal health and child development. The present study introduced the protocol of a birth cohort study to examine the beneficial effects of n-3 PUFA status in pregnant Japanese women as an adjunct study of the Japan Environment and Children’s Study (JECS).MethodsThe JECS participants in the coastal areas of Miyagi Prefecture were further invited to participate in this adjunct study, and 1,878 pregnant women were enrolled prior to delivery. Their n-3 PUFA status was evaluated with fatty acid profiles in erythrocytes of maternal blood collected from 1,623 mothers at 24–30 weeks of gestation and cord blood from 1,505 deliveries.ResultsThe baseline results, including comprehensive data on the fatty acid status and determinants affecting the PUFA status, were analyzed. In stepwise multivariate analyses, the cord blood docosahexaenoic acid (DHA) level was found to be significantly influenced by the DHA level in maternal blood, the child’s sex, and the gestational period. The maternal DHA level was influenced by fish intake, maternal age, and the prepregnancy body mass index. While cord blood eicosapentaenoic acid (EPA) was influenced by maternal EPA, fish intake, and season at birth, additional factors such as maternal education, household income, and smoking habits affected the maternal EPA content.ConclusionFurther studies are warranted to clarify the nutritional impacts of n-3 PUFA in pregnant Japanese women of the cohort study.

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Kouichi Yoshimasu

Wakayama Medical University

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Kazuhisa Miyashita

Wakayama Medical University

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Shigeki Takemura

Wakayama Medical University

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Hisanori Hiro

University of Occupational and Environmental Health Japan

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Kosuke Mafune

University of Occupational and Environmental Health Japan

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