Mona Berthelsen1, Ståle Pallesen, Nils Magerøy, Reidar Tyssen, Bjørn Bjorvatn, Bente Elisabeth Moen, Stein Knardahl. 1. Department of Work Psychology and Physiology (Ms Berthelsen, Dr Knardahl), National Institute of Occupational Health, Oslo; Department of Psychosocial Science (Ms Berthelsen, Dr Pallesen), Faculty of Psychology, University of Bergen; Department of Occupational Medicine (Dr Magerøy), Haukeland University Hospital, Bergen; Institute of Basic Medical Sciences (Dr Tyssen), Faculty of Medicine, University of Oslo; Department of Global Public Health and Primary Care (Dr Bjorvatn), Faculty of Medicine and Dentistry; and Department of Global Public Health and Primary Care (Dr Moen), University of Bergen, Norway.
Abstract
OBJECTIVES: The aim of the current study was to elucidate prospective effects of both shift schedules and work environment on mental distress. METHODS: A total of 2059 nurses participated at baseline (38.1%), and 1582 nurses completed wave 2 of the survey (76.8%). Psychosocial work factors were measured by the General Nordic Questionnaire for Psychological and Social factors at work and the Swedish Demand-Control-Support Questionnaire. Mental distress was measured by Hospital Anxiety and Depression Scale. RESULTS: Shiftwork was not associated with "caseness" anxiety or depression. Effects of shiftwork on mental distress were not moderated by psychosocial work factors. Mental distress predicted role clarity, role conflict, fair leadership, and social support. Job demands predicted symptoms of depression. CONCLUSIONS: Whether psychosocial working conditions buffer mental health effects of shiftwork remains undecided. Prospective studies with multiple measurement points are needed to elucidate potential mutual relationships between work factors and mental distress.
OBJECTIVES: The aim of the current study was to elucidate prospective effects of both shift schedules and work environment on mental distress. METHODS: A total of 2059 nurses participated at baseline (38.1%), and 1582 nurses completed wave 2 of the survey (76.8%). Psychosocial work factors were measured by the General Nordic Questionnaire for Psychological and Social factors at work and the Swedish Demand-Control-Support Questionnaire. Mental distress was measured by Hospital Anxiety and Depression Scale. RESULTS: Shiftwork was not associated with "caseness" anxiety or depression. Effects of shiftwork on mental distress were not moderated by psychosocial work factors. Mental distress predicted role clarity, role conflict, fair leadership, and social support. Job demands predicted symptoms of depression. CONCLUSIONS: Whether psychosocial working conditions buffer mental health effects of shiftwork remains undecided. Prospective studies with multiple measurement points are needed to elucidate potential mutual relationships between work factors and mental distress.
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