Stephen A Stansfeld1, Martin J Shipley, Jenny Head, Rebecca Fuhrer. 1. Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary, University of London, UK. s.a.stansfeld@qmul.ac.uk
Abstract
OBJECTIVES: We addressed whether repeated job strain and low work social support increase the risk of major depressive disorder (MDD). METHODS: We used work characteristics from Karasek's Job Strain model, measured on 3 occasions over 10 years in a cohort of 7732 British civil servants, to predict subsequent onset of MDD with the Composite International Diagnostic Interview. RESULTS: Repeated job strain was associated with increased risk of MDD (odds ratio [OR] = 2.19; 95% confidence interval [CI] = 1.48, 3.26; high job strain on 2 of 3 occasions vs none) in a fully adjusted model. Repeated low work social support was associated with MDD (OR = 1.61; 95% CI = 1.10, 2.37; low work social support on 2 of 3 occasions vs none). Repeated job strain remained associated with MDD after adjustment for earlier psychological distress. CONCLUSIONS: Demonstration of an increased association for repeated job strain adds to the evidence that job strain is a risk factor for depression. Recognition and alleviation of job strain through work reorganization and staff training could reduce depression in employees.
OBJECTIVES: We addressed whether repeated job strain and low work social support increase the risk of major depressive disorder (MDD). METHODS: We used work characteristics from Karasek's Job Strain model, measured on 3 occasions over 10 years in a cohort of 7732 British civil servants, to predict subsequent onset of MDD with the Composite International Diagnostic Interview. RESULTS: Repeated job strain was associated with increased risk of MDD (odds ratio [OR] = 2.19; 95% confidence interval [CI] = 1.48, 3.26; high job strain on 2 of 3 occasions vs none) in a fully adjusted model. Repeated low work social support was associated with MDD (OR = 1.61; 95% CI = 1.10, 2.37; low work social support on 2 of 3 occasions vs none). Repeated job strain remained associated with MDD after adjustment for earlier psychological distress. CONCLUSIONS: Demonstration of an increased association for repeated job strain adds to the evidence that job strain is a risk factor for depression. Recognition and alleviation of job strain through work reorganization and staff training could reduce depression in employees.
Authors: William W Eaton; Silvia S Martins; Gerald Nestadt; O Joseph Bienvenu; Diana Clarke; Pierre Alexandre Journal: Epidemiol Rev Date: 2008-09-19 Impact factor: 6.222
Authors: Bo Netterstrøm; Nicole Conrad; Per Bech; Per Fink; Ole Olsen; Reiner Rugulies; Stephen Stansfeld Journal: Epidemiol Rev Date: 2008-06-27 Impact factor: 6.222
Authors: Andréa Tenório Correia da Silva; Claudia de Souza Lopes; Ezra Susser; Paulo Rossi Menezes Journal: Am J Public Health Date: 2016-09-15 Impact factor: 9.308
Authors: Bradley M Appelhans; Eisuke Segawa; Imke Janssen; Rasa Kazlauskaite; Rebecca C Thurston; Tené T Lewis; Howard M Kravitz Journal: Ann Epidemiol Date: 2013-12-28 Impact factor: 3.797
Authors: Nina Fischer; Christiane Degen; Jian Li; Adrian Loerbroks; Andreas Müller; Peter Angerer Journal: Int Arch Occup Environ Health Date: 2015-11-05 Impact factor: 3.015
Authors: O Rantonen; K Alexanderson; J Pentti; L Kjeldgård; J Hämäläinen; E Mittendorfer-Rutz; M Kivimäki; J Vahtera; P Salo Journal: Epidemiol Psychiatr Sci Date: 2016-09-09 Impact factor: 6.892