Which work-related characteristics are most strongly associated with common mental disorders? A cross-sectional study

Rivière, M; Leroyer, Ariane; Carreira, L. Ferreira; Blanchon, Thierry; Plancke, Laurent; Melchior, Maria; Younès, Nadia

doi:10.1136/bmjopen-2017-020770

Cited by 17 publications

(14 citation statements)

References 59 publications

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“…Interestingly, mental strain of one's work was a risk for psychological distress in men but not in women. The link between the mental demands of one's work and psychological distress or mental disorder has been observed both in cross-sectional and in longitudinal studies [86][87][88]. Emotional exhaustion is more common in emotionally demanding jobs, such as in police work or among physicians and other professionals working in healthcare, and effective preventive interventions are available [89].…”

Section: Discussionmentioning

confidence: 99%

Factors contributing to psychological distress in the working population, with a special reference to gender difference - a population-based study

Viertiö¹,

Kiviruusu²,

Piirtola³

et al. 2020

Preprint

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BackgroundPsychological distress refers to non-specific symptoms of stress, anxiety and depression, and it is more common in women. Our aim was to investigate factors contributing to psychological distress in the working population, with a special reference to gender differences.MethodsWe used questionnaire data from the nationally representative Finnish Regional Health and Well-being Study (ATH) collected in the years 2012–2016 (target population participants aged 20 +, n=96 668, response rate 53%), restricting the current analysis to those persons who were working full-time and under 65 of age (n=34 468). Psychological distress was assessed using the Mental Health Inventory-5 (MHI-5) (cut-off value <=52). We studied the following factors potentially associated with psychological distress: sociodemographic factors, living alone, having children under18 years of age, lifestyle-related factors, social support, helping others outside of the home and work-related factors. We used logistic regression analysis to examine association between having work-family conflict with the likelihood for psychological distress. We first performed the models separately for men and women. Then interaction by gender was tested in the combined data for those independent variables where gender differences appeared probable in the analyses conducted separately for men and women.ResultsWomen reported more psychological distress than men (11.0% vs. 8.8%, respectively, p<0.0001). Loneliness, job dissatisfaction and family-work conflict were associated with the largest risk of psychological distress. Having children, active participation, being able to successfully combine work and family roles, and social support were found to be protective factors. A significant interaction with gender was found in only two variables: ignoring family due to being absorbed in one’s work was associated with distress in women (OR 1.30 (95% CI 1.00–1.70), and mental strain of work in men (OR 2.71 (95% CI 1.66–4.41).ConclusionsSatisfying work, family life and being able to successfully combine the two are important sources of psychological well-being for both genders in the working population.

show abstract

Section: Discussionmentioning

confidence: 99%

Factors contributing to psychological distress in the working population, with a special reference to gender difference - a population-based study

Viertiö¹,

Kiviruusu²,

Piirtola³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Interestingly, mental strain of one's work was a risk for psychological distress in men but not in women. The link between the mental demands of one's work and psychological distress or mental disorder has been observed both in cross-sectional and in longitudinal studies [83,85]. Emotional exhaustion is more common in emotionally demanding jobs, such as in police work or among physicians and other professionals working in healthcare, and effective preventive interventions are available [86].…”

Section: Discussionmentioning

confidence: 99%

Factors Contributing to Psychological Distress in the Working Population, With A Special Reference to Gender Difference - A Population-Based Study

Viertiö

Kiviruusu

Piirtola

et al. 2020

Preprint

View full text Add to dashboard Cite

BackgroundPsychological distress refers to non-specific symptoms of stress, anxiety and depression, and it is more common in women. Our aim was to investigate factors contributing to psychological distress in the working population, with a special reference to gender differences. Methods We used questionnaire data from the nationally representative Finnish Regional Health and Well-being Study (ATH) collected in the years 2012–2016 (target population participants aged 20 +, n=96 668, response rate 53%), restricting the current analysis to those persons who were working full-time and under 65 of age (n=34 468). Psychological distress was assessed using the Mental Health Inventory-5 (MHI-5) (cut-off value <=52). We studied the following factors potentially associated with psychological distress: sociodemographic factors, living alone, having children under 18 years of age, lifestyle-related factors, social support, helping others outside of the home and work-related factors. We used logistic regression analysis to examine association between having work-family conflict with the likelihood for psychological distress. We first performed the models separately for men and women. Then interaction by gender was tested in the combined data for those independent variables where gender differences appeared probable in the analyses conducted separately for men and women.Results Women reported more psychological distress than men (11.0% vs. 8.8%, respectively, p<0.0001). Loneliness, job dissatisfaction and family-work conflict were associated with the largest risk of psychological distress. Having children, active participation, being able to successfully combine work and family roles, and social support were found to be protective factors. A significant interaction with gender was found in only two variables: ignoring family due to being absorbed in one’s work was associated with distress in women (OR 1.30 (95% CI 1.00–1.70), and mental strain of work in men (OR 2.71 (95% CI 1.66–4.41).Conclusions Satisfying work, family life and being able to successfully combine the two are important sources of psychological well-being for both genders in the working population.

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“…As described in previous articles based on the Héraclès study, some limitations have to be acknowledged [10,50,51]. First, there is possible selection bias of GPs.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Management of work-related common mental disorders in general practice: a cross-sectional study

et al. 2020

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Background: General practitioners (GPs) often manage individuals with work-related common mental disorders (CMD: depressive disorders, anxiety and alcohol abuse). However, little is known about the ways in which they proceed. The aim of this study is to analyze GPs' management and patterns of referral to other health professionals of patients with work-related CMD and associated factors. Method: We used data from a cross-sectional study of 2027 working patients of 121 GPs in the Nord-Pas-de-Calais region in France (April-August 2014). Statistical analyses focused on patients with work-related CMD detected by the GP and examined the ways in which GPs managed these patients' symptoms. Associations between patient, work, GP and contextual characteristics and GPs' management were explored using modified Poisson regression models with robust variance. Results: Among the 533 patients with work-related CMD in the study, GPs provided psychosocial support to 88.0%, prescribed psychotropic treatment to 82.4% and put 50.7% on sick leave. Referral rates to mental health specialists and occupational physicians were respectively 39.8 and 26.1%. Several factors including patients' characteristics (occupational and sociodemographic), GPs' characteristics and environmental data were associated with the type of management used by the GP. Conclusion: Our study emphasizes the major and often lonesome role of the GP in the management of patients with work-related CMDs. Better knowledge of the way GPs manage those patients could help GPs in their practice, improve patients care and be a starting point to implement a more collaborative care approach.

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Which work-related characteristics are most strongly associated with common mental disorders? A cross-sectional study

Cited by 17 publications

References 59 publications

Factors contributing to psychological distress in the working population, with a special reference to gender difference - a population-based study

Factors contributing to psychological distress in the working population, with a special reference to gender difference - a population-based study

Factors Contributing to Psychological Distress in the Working Population, With A Special Reference to Gender Difference - A Population-Based Study

Management of work-related common mental disorders in general practice: a cross-sectional study

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