Psychosocial factors at work and subsequent depressive symptoms in the Gazel cohort

Niedhammer, Isabelle; Goldberg, Marcel; Leclerc, Annette; Bugel, Isabelle; David, Stéphanie

doi:10.5271/sjweh.299

Cited by 277 publications

(233 citation statements)

References 36 publications

(42 reference statements)

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“…Several studies confirmed the pathogenic effects of stress and strain at work for mental health (e.g., Larisch et al, 2003;Niedhammer et al, 1998;Tennant, 2001;Tsutsumi et al, 2001;Wang & Patten, 2001). However, the present study extends previous research because it is one of the few using established diagnoses for mental disorders based on a standardized interview.…”

Section: Discussioncontrasting

confidence: 41%

“…Moreover, Karasek and Theorell (1990) suggest that apart from negative physical effects of job strain (e.g., elevated blood pressure), depression and loss of selfconfidence are possible consequences of high work demands in combination with restricted decision latitude. Several studies have mainly verified the predictive value of single dimensions of the Job ÁDemand ÁControl Model (JDC-Model, Karasek, 1979) for mental health problems (De Jonge, Dormann, Janssen, Dollard, Landeweerd, & Nijhuis, 2001;Mausner-Dorsch & Eaton, 2000;Niedhammer, Goldberg, Leclerc, Bugel, & David, 1998). According to the EffortÁRewardÁImbalance Model (Siegrist, 1995) low rewards, high overcommitment, and the imbalance of efforts and rewards at work must be considered as risk factors for mental ill-health (Larisch, Joksimovic, Knesebek, Starke, & Siegrist, 2003;Pikhart et al, 2004;Tsutsumi, Kayaba, Theorell, & Siegrist, 2001).…”

Section: Introductionmentioning

confidence: 99%

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Work and mental disorders in a German national representative sample

2006

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Most previous studies concerning the associations between work and mental ill-health have used dimensional self-report questionnaires for mental health problems (e.g., depressive symptoms). This study contributes to occupational health research by providing standardized clinical diagnoses based on DSM-IV criteria. A total of 2329 employees (age 18 Á65 years) took part in a structured, computer-assisted clinical interview (DIA-X/M-CIDI). Further, they specified whether their job was characterized by physical workload, overtime, or stress, and evaluated whether they feel impaired by each job characteristic. Results show that substance abuse/dependence (including nicotine dependence) was the highest prevalent mental disorder in German employees (12 month prevalence: 14.4%; only alcohol and illicit substance abuse/dependence: 4.9%) followed by anxiety (12.0%) somatoform (9.7%), and affective (9.3%) disorders. Sequential logistic regression analyses showed significant associations between the presence of stress at work and affective and somatoform disorders. Furthermore, feeling impaired by stress at work was strongly associated with anxiety, affective, somatoform disorders, and substance abuse/dependence. Beside work, personal characteristics, primarily gender, were associated with mental disorders in employees. However, except for affective disorders, gender did not modify the association between job characteristics and mental disorders. Taken together, results corroborate the necessity of considering mental disorders at work. Further studies to define the relation between work and mental disorders in employees are strongly recommended and should include objective analyses of job characteristics.

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Section: Discussioncontrasting

confidence: 41%

Section: Introductionmentioning

confidence: 99%

Work and mental disorders in a German national representative sample

2006

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“…The prevalence of major depressive disorder in working people is reported to be 2.3% by Kouzis and Eaton (1994) and 4.4% by Kessler and Frank (1997). Interestingly, in other studies, the prevalence of depressive symptoms is reported to be as high as 16.5-25.7% in occupational samples (Lexis et al 2009;Niedhammer et al 1998). There appears to be a big difference between depressive symptoms and depressive disorder, suggesting that depressive symptoms do not accurately provide information on depressive disorder.…”

Section: Discussionmentioning

confidence: 87%

Psychological symptoms and subsequent sickness absence

Terluin

Rhenen²,

Anema

et al. 2011

Int Arch Occup Environ Health

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Purpose Mental health problems are associated with sickness absence (SA). The present study aimed at establishing which symptoms-distress, depression, anxiety, or somatization-at which symptom levels were associated with SA frequency and duration. Moreover, a number of possible confounders or effect modifiers were taken into account. Methods A survey was completed by 3,678 employees of a large Dutch telecom company. Symptoms were measured using the Four-Dimensional Symptom Questionnaire (4DSQ). SA data were registered by the company's occupational health service during the 12 months' period following the survey. Poisson regression was used to analyze the number of SA spells (SA frequency). Negative binomial regression was used to analyze the total number of SA days (SA duration). Results In the bivariate analyses distress, depression, anxiety, and somatization impacted on SA frequency and duration. In the multivariate analyses, anxiety and depression turned out not to be directly associated with SA, suggesting that the effect of anxiety and depression was due to the association between anxiety/depression and distress/somatization. Regarding the SA frequency, the rate ratio for 'subclinical' distress was 1.13 (95% CI 1.03-1.25), for 'clinical' distress 1.26 (1.08-1.47), for 'subclinical' somatization 1.34 (1.23-1.46), and for 'clinical' somatization 1.69 (1.46-1.95). Regarding the SA duration, the count ratio for 'subclinical' distress was 1.15 (95% CI 0.91-1.44), for 'clinical' distress 1.50 (1.04-2.16), for 'subclinical' somatization 1.34 (1.10-1.64), and for 'clinical' somatization 1.45 (1.04-2.03). Conclusions Somatization and distress are key to understand why depression and anxiety are related to SA.

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“…24 Other studies showed that psychosocial factors and the use of alcoholic beverages contributed to reduce the electrical workers' ability to perform, 17 in addition to their being predictive of depressive symptoms. 19 Moreover, another study performed with this category of workers revealed a high percentage of responses that expressed psychosocial factors. a…”

Section: Introductionmentioning

confidence: 99%

Fatores psicossociais do trabalho e transtornos mentais comuns em eletricitários

Souza¹,

Carvalho²,

Araújo³

et al. 2010

Rev. Saúde Pública

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OBJECTIVE:To identify psychosocial aspects of work associated with common mental disorders in workers who maintain electrical transmission lines and equipment. METHODS:A cross-sectional study was performed with 158 workers in the maintenance sector of an electric power company, in Northeastern Brazil. The main independent variable were the psychosocial aspects of work, measured according to the demand-control model (passive job, active job, low-strain job, and high-strain job), while the dependent variable was the prevalence of common mental disorders, measured by the Self-Reporting Questionnaire (SRQ-20). The relationships between variables were analyzed in multiple logistic regression models, considering a 5% signifi cance level. RESULTS:The prevalence of common mental disorders was 20.3%, varying according to the four categories of the demand-control model. The high-strain job group showed a prevalence that was 2.7 times higher than that of the lowstrain job group, after adjustment for the "physical activity practice", "leisure", "level of education" and "social support" covariables. CONCLUSIONS:The prevalence of common mental disorders was associated with psychosocial aspects present in the work of electricians, especially high-strain jobs, in addition to high psychological demand and low social support.

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Psychosocial factors at work and subsequent depressive symptoms in the Gazel cohort

Cited by 277 publications

References 36 publications

Work and mental disorders in a German national representative sample

Work and mental disorders in a German national representative sample

Psychological symptoms and subsequent sickness absence

Fatores psicossociais do trabalho e transtornos mentais comuns em eletricitários

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