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Repeated Job Strain and the Risk of Depression: Longitudinal Analyses From the Whitehall II Study.
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- Author(s): Stansfeld, Stephen A.; Shipley, Martin J.; Head, Jenny; Fuhrer, Rebecca
- Source:
American Journal of Public Health. Dec2012, Vol. 102 Issue 12, p2360-2366. 7p. - Source:
- Additional Information
- Subject Terms: MENTAL depression risk factors; CONFIDENCE intervals; STATISTICAL correlation; EPIDEMIOLOGY; JOB descriptions; JOB stress; LONGITUDINAL method; QUESTIONNAIRES; SELF-evaluation; EMPLOYEES' workload; LOGISTIC regression analysis; PUBLIC sector; DATA analysis; SECONDARY analysis; SOCIAL support; PREDICTIVE validity; REPEATED measures design; DESCRIPTIVE statistics
- Subject Terms:
- 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 [Cl] = 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% Cl = 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. (Am J Public Health. 2012;102: 2360-2366.) [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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