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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 2/2012

01-02-2012 | Original Paper

Three job-related stress models and depression: a population-based study

Authors: JianLi Wang, Elizabeth Smailes, Jitender Sareen, Norbert Schmitz, Gordon Fick, Scott Patten

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 2/2012

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Abstract

Objectives

To estimate the current prevalence of major depression in a sample of working population, and to examine the associations between job strain, effort–reward imbalance and family–work conflicts and major depression.

Methods

A sample of employees who were between the ages of 25 and 65 years and who were working in Alberta at the time of survey was recruited using the method of random digit dialing (n = 4,302). Data about job stress, effort–reward imbalance and work–family conflicts and depression were collected via telephone. Depression was assessed by the Patient Health Questionnaire (PHQ-9) for depression.

Results

The 2-week prevalence of major depression based on the DSM algorithm was 3.2%. The prevalence of severe depression was 0.8%. Job strain, effort–reward imbalance and work–family conflicts were strongly associated with continuous depression score. Effort–reward imbalance was significantly associated with depression scores in women, but not in men. Effort–reward imbalance was significantly associated with depression scores in participants with job strain ratio >1, but not in those with a lower job strain ratio. The association between work to family conflict and depression score was stronger in participants with a job strain ratio greater than one than in those whose job strain ratio was one or less.

Conclusions

The three job-related stress models are widely used in occupational health research. They are equally important in predicting depression and interact with each other. Improving work environment based on these models holds potentials to reduce the synergetic effects, therefore, improving employees’ mental health.
Literature
1.
Dewa CS, Lesage A, Goering P, Craveen M (2004) Nature and prevalence of mental illness in the workplace. Healthc Pap 5(2):12–25PubMed
2.
Benavides FG, Benach J, Diez-Roux AV, Roman C (2000) How do types of employment relate to health indicators? Findings from the second European survey on working conditions. J Epidemiol Commun Health 54(7):494–501CrossRef
3.
4.
Health Canada (2002) A report on mental illnesses in Canada. Ottawa, Canada. Cat. No. 0-662-32817-5
5.
Stewart WF, Ricci JA, Chee E, Morganstein D, Lipton R (2003) Cost of lost productive work time among US workers with depression. JAMA 289(23):3135–3144PubMedCrossRef
6.
Lim D, Sanderson K, Andrews G (2000) Lost productivity among full-time workers with mental disorders. J Ment Health Policy Econ 3(3):139–146PubMedCrossRef
7.
Kousiz AC, Eaton WW (1994) Emotional disability days: prevalence and predictors. Am J Public Health 84:1304–1307CrossRef
8.
Broadhead WE, Blazer DG, George LK, Tse CK (1990) Depression, disability days, and days lost from work in a prospective epidemiologic survey. JAMA 264(19):2524–2528PubMedCrossRef
9.
Lerner D, Adler DA, Chang H, Lapitsky L, Hood MY, Perissinotto C, Reed J, McLaughlin TJ, Berndt ER, Rogers WH (2004) Unemployment, job retention and productivity loss among employees with depression. Psychiatric Serv 55:1371–1378CrossRef
10.
Karasek RA (1979) Job demands, job decision latitude, and mental strain: implications for job redesign. Admin Sci Q 24:285–307CrossRef
11.
Siegrist J, Starke D, Chandola T, Godin I, Marmot M, Niedhammer I, Peter R (2004) The measurement of effort–reward imbalance at work: European comparisons. Soc Sci Med 58(8):1483–1499PubMedCrossRef
12.
Chandola T, Martikainen P, Bartley M, Lahelma E, Marmot M, Michikazu S, Nasermoaddeli A, Kagamimori S (2004) Does conflict between home and work explain the effect of multiple roles on mental health? A comparative study of Finland, Japan, and the UK. Int J Epidemiol 33(4):884–893PubMedCrossRef
13.
Wang JL (2004) Perceived work stress and major depressive episode(s) in a population of employed Canadians over 18 years old. J Nerv Ment Dis 192(2):160–163PubMedCrossRef
14.
Wang JL (2005) Work stress as a risk factor for major depressive episode(s). Psychol Med 35(6):865–871PubMedCrossRef
15.
Wang JL (2006) Perceived work stress, imbalance between work and family/personal lives, and mental disorders in the Canadian working population. Soc Psychiatry Psychiatr Epidemiol 41:541–548PubMedCrossRef
16.
Wang JL, Affifi TO, Cox B et al (2007) The relationship between work-home imbalance and mental disorders: findings from the US. National Comorbidity Survey. Am J Ind Med 50(2):143–149PubMedCrossRef
17.
Wang JL, Schmitz N, Dewa CS, Stansfeld SA (2009) Changes in perceived job strain and risk of major depression: results from a population-based longitudinal study. Am J Epidemiol 169(9):1085–1091PubMedCrossRef
18.
Wege N, Dragano N, Erbel R, Jockel KH, Moebus S, Stang A, Siegrist J (2008) When does work stress hurt? Testing the interaction with socioeconomic position in the Heinz Nixdorf Recall Study. J Epidemiol Commun Health 62(4):338–341CrossRef
19.
Dragano N, He Y, Moebus S, Jöckel KH, Erbel R, Siegrist J, Heinz Nixdorf Recall Study (2008) Two models of job stress and depressive symptoms. Results from a population-based study. Soc Psychiatry Psychiatr Epidemiol 43(1):72–78PubMedCrossRef
20.
Niedhammer I, Chastang JF, David S, Barouhiel L, Barrandon G (2006) Psychosocial work environment and mental health: job-strain and effort–reward imbalance models in a context of major organizational changes. Int J Occup Environ Health 12(2):111–119PubMed
21.
Pikhart H, Bobak M, Pajak A, Malyutina S, Kubinova R, Topor R, Sebakova H, Nikitin Y, Marmot M (2004) Psychosocial factors at work and depression in three countries of Central and Eastern Europe. Soc Sci Med 58(8):1475–1482PubMedCrossRef
22.
Radloff LS (1977) The CES-D scale: a self-report depression scale for research the general population. Appl Psychol Meas 1:385–401CrossRef
23.
Tsutsumi A, Kayaba K, Theorell T, Siegrist J (2001) Association between job stress and depression among Japanese employees threatened by job loss in a comparison between two complementary job-stress models. Scand J Work Environ Health 27(2):146–153PubMedCrossRef
24.
de Jonge J, Bosma H, Peter R, Siegrist J (2000) (2000) Job strain, effort–reward imbalance and employee well-being: a large-scale cross-sectional study. Soc Sci Med 50(9):1317–1327PubMedCrossRef
25.
Potthoff RF (1994) Telephone sampling in epidemiological research: to reap the benefits, avoid the pitfalls. Am J Epidemiol 139(10):967–978PubMed
26.
Watson EK, Firman DW, Heywood A, Ring I (1995) Conducting regional health surveys using a computer-assisted telephone interviewing method. Aust J Public Health 19(5):508–511PubMedCrossRef
27.
Kroenke K, Spitzer RL, Williams JB (2001) The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 16(9):606–613PubMedCrossRef
28.
Wang JL, Smaile E, Sareen J, Fick, GH, Schmitz N, Patten SB (2010) The prevalence of mental disorders in the working population over the period of global economic crisis. Can J Psychiatry 55(9):598–605
29.
Karasek R, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B (1998) The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol 3:322–355PubMedCrossRef
30.
Frone M, Russell M, Cooper L (1997) Relation of work-to-family conflict to health outcomes. J Occup Organization Psychol 70:325–335CrossRef
31.
Statistics Canada (2008) National population health survey—household component. Documentation for derived variables and constant longitudinal variables. Cycle 1 to Cycle 7. Statistics Canada, Ottawa, pp 174–175
32.
StataCorp (2008) Stata Statistical Software: Release 10.0. Stata Corporation, College Station
33.
Patten SB, Schopflocher D (2009) Longitudinal epidemiology of major depression as assessed by the Brief Patient Health Questionnaire (PHQ-9). Compr Psychiatry 50(1):26–33PubMedCrossRef
34.
Rief W, Nanke A, Klaiberg A, Braehler E (2004) Base rates for panic and depression according to the Brief Patient Health Questionnaire: a population-based study. J Affect Disord 82(2):271–276PubMedCrossRef
35.
Wang JL, Lesage A, Schmitz N, Drapeau A (2008) The relationships between work stress and mental disorders in men and women: cross-sectional findings from a population-based study. J Epidemiol Commun Health 62:42–47CrossRef
36.
Blackmore ER, Stansfeld SA, Weller I, Munce S, Zagorski BM, Stewart DE (2007) Major depressive episodes and work stress: results from a national population survey. Am J Public Health 97(11):2088–2093PubMedCrossRef
Metadata
Title
Three job-related stress models and depression: a population-based study
Authors
JianLi Wang
Elizabeth Smailes
Jitender Sareen
Norbert Schmitz
Gordon Fick
Scott Patten
Publication date
01-02-2012
Publisher
Springer-Verlag
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 2/2012
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-011-0340-5

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