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International Archives of Occupational and Environmental Health

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01-10-2008 | Original Article

Occupational stress and depression in Korean employees

Authors: Jung Jin Cho, Ji Yong Kim, Sei Jin Chang, Nancy Fiedler, Sang Baek Koh, Benjamin F. Crabtree, Dong Mug Kang, Yong Kyu Kim, Young Ho Choi

Published in: International Archives of Occupational and Environmental Health | Issue 1/2008

Abstract

Purpose

The purpose of this study is to analyze what aspects of occupational stress predict depression among Korean workers, and determine which components of occupational stress or job characteristics is more strongly associated with depression.

Methods

In this cross-sectional study, a total of 8,522 workers (21–65 years of age) from a nationwide sample were recruited. A self-administered questionnaire was used to assess socio-demographics, job characteristics, depressive symptoms measured by the Center for Epidemiologic Studies Depression Scale, and occupational stress assessed by the Korean occupational stress scale (KOSS).

Results

Multivariate analyses show that inadequate social support (OR = 1.58, 95% CI = 1.52, 1.66) and discomfort in occupational climate (OR = 1.25, 95% CI = 1.18, 1.32) were more important risk factors for depression than organizational injustice, job demand and job control. Compared to the ‘business activities’ industries, ‘recreational, cultural and sporting activities’ (OR = 3.45, 95% CI = 1.80, 6.58), ‘hotel and restaurants’ (OR = 3.34, 95% CI = 1.92, 5.80), ‘real estate and renting and leasing’ (OR = 2.24, 95% CI = 1.13, 4.44), ‘wholesale and retail’ (OR = 1.85, 95% CI = 1.28, 2.67), ‘transportation’ (OR = 1.85, 95% CI = 1.11, 3.07), and ‘financial institute and insurance’ (OR = 1.60, 95% CI = 1.04, 2.48) industries had significantly greater risk of depression after controlling for gender, age, marital status, duration of employment and all subscale of KOSS.

Conclusion

The finding that inadequate social support and discomfort in occupational climate is a better predictor of depressive symptoms than organizational injustice in Korea, indicates that the newly developed KOSS has cultural relevance for assessing occupational stress in Korea. Future studies need to understand factors such as “emotional labor” within certain industries where increased risk for depression is observed.

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Ahola K, Honkonen T, Kivimaki M, Virtanen M, Isometsa E, Aromaa A, Lonnqvist J (2006) Contribution of burnout to the association between job strain and depression: the health 2000 study. J Occup Environ Med 48:1023–1030PubMedCrossRef

Aziah BD, Rusli BN, Winn T, Naing L, Tengku MA (2004) Prevalence and associated factors of job-related depression in laboratory technicians in Hospital Universiti Sains Malaysia (HUSM) and Ministry of Health Malaysia (MOH) Hospitals in Kelantan. Med J Malaysia 59:268–278PubMed

Belkic K (2003) The occupational stress index: an approach derived from cognitive ergonomics and brain research for clinical practice. International Science Publishing, Cambridge

Burt VK, Stein K (2002) Epidemiology of depression throughout the female life cycle. J Clin Psychiatry 63(Suppl 7):9–15PubMed

Chang S, Koh S, Kang D, Kim S, Kang M, Lee C, Chung J, Cho J, Son M, Chae C, Kim J, Kim J, Kim H, Roh S, Park J, Woo J, Kim S, Kim J, Ha M, Park J, Rhee K, Kim H, Kong J, Kim I, Kim J, Park J, Huyun S, Son D (2005) Developing an occupational stress scale for Korean employees. Korean J Occup Environ Med 17:297–317

Cherry N (1978) Stress, anxiety and work: a longitudinal study. J Occup Psychol 5:259–270

Cho M, Kim K (1993) Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc 32:381–399

Chun H, Doyal L, Payne S, Il-Cho S, Kim IH (2006) Understanding women, health, and social change: the case of South Korea. Int J Health Serv 36:575–592PubMedCrossRef

Cooper CLSS, Williams S (1998) Occupational stress indicator management guide. NFER-Nelson, London

Cropley M, Steptoe A, Joekes K (1999) Job strain and psychiatric morbidity. Psychol Med 29:1411–1416PubMedCrossRef

Daley SE, Rizzo CJ, Gunderson BH (2006) The longitudinal relation between personality disorder symptoms and depression in adolescence: the mediating role of interpersonal stress. J Personal Disord 20:352–368PubMedCrossRef

Daniels K, Guppy A (1997) Stressors, locus of control, and social support as consequences of affective psychological well-being. J Occup Health Psychol 2:156–174PubMedCrossRef

de Castro AB, Agnew J, Fitzgerald ST (2004) Emotional labor: relevant theory for occupational health practice in post-industrial America. AAOHN J 52:109–115PubMed

Eblen A, Vivas V, Garcia J (1990) Prevalence of depression syndrome and its relationship with socioeconomic factors in a population of Valencia City, Carabobo state, Venezuela. Acta Cient Venez 41:250–254PubMed

Elovainio M, Kivimaki M, Vahtera J (2002) Organizational justice: evidence of a new psychosocial predictor of health. Am J Public Health 92:105–108PubMed

Fanous A, Gardner CO, Prescott CA, Cancro R, Kendler KS (2002) Neuroticism, major depression and gender: a population-based twin study. Psychol Med 32:719–728PubMedCrossRef

Ferrie JE, Shipley MJ, Stansfeld SA, Marmot MG (2002) Effects of chronic job insecurity and change in job security on self reported health, minor psychiatric morbidity, physiological measures, and health related behaviours in British civil servants: the Whitehall II study. J Epidemiol Community Health 56:450–454PubMedCrossRef

Firth-Cozens J (1990) Source of stress in women junior house officers. BMJ 301:89–91PubMedCrossRef

Frone M, Russell M, Ml C (1995) Job stressors, job involvement and employee health: a test of identity theory. J Occup Psychol 5:1–11

Glass D, McKnight J (1996) Perceived control, depressive symptomatology, and professional burnout: a review of the evidence. Psychol Health 11:23–48CrossRef

Glickman L, Tanaka J, Chan E (1991) Life events, chronic strain and psychological distress: longitudinal causal models. J Community Psychol 19:283–305CrossRef

Grandey AA (2000) Emotion regulation in the workplace: a new way to conceptualize emotional labor. J Occup Health Psychol 5:95–110PubMedCrossRef

Griffin JM, Fuhrer R, Stansfeld SA, Marmot M (2002) The importance of low control at work and home on depression and anxiety: do these effects vary by gender and social class? Soc Sci Med 54:783–798PubMedCrossRef

Heinisch D, Jex S (1997) Negative affectivity and gender as moderators of the relationship between work-related stressors and depressed mood at work. Work Stress 11:46–57CrossRef

Hurrell JJ Jr, McLaney MA (1988) Exposure to job stress—a new psychometric instrument. Scand J Work Environ Health 14(Suppl 1):27–28PubMed

Inaba A, Thoits PA, Ueno K, Gove WR, Evenson RJ, Sloan M (2005) Depression in the United States and Japan: gender, marital status, and SES patterns. Soc Sci Med 61:2280–2292PubMedCrossRef

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

Kendler KS, Thornton LM, Prescott CA (2001) Gender differences in the rates of exposure to stressful life events and sensitivity to their depressogenic effects. Am J Psychiatry 158:587–593PubMedCrossRef

Kessler RC (2003) Epidemiology of women and depression. J Affect Disord 74:5–13PubMedCrossRef

Kim C (1988) A study on the formative factors for lifetime commitment in Korea management. Vol Doctor, Seoul, Hanyang, p 167

Kim BJ (2000) Subjective class identification in Korea Korean. J Sociol 34:241–268

Kim DO, Park SS (1997) Changing patterns of pay systems in Japan and Korea: from seniority to performance. Int J Employ Stud 5:117–134

Kivimaki M, Elovainio M, Vahtera J, Virtanen M, Stansfeld SA (2003) Association between organizational inequity and incidence of psychiatric disorders in female employees. Psychol Med 33:319–326PubMedCrossRef

Kivimaki M, Vahtera J, Elovainio M, Virtanen M, Siegrist J (2007) Effort–reward imbalance, procedural injustice and relational injustice as psychosocial predictors of health: complementary or redundant models? Occup Environ Med 64:659–665PubMedCrossRef

Krantz G, Ostergren PO (2000) Common symptoms in middle aged women: their relation to employment status, psychosocial work conditions and social support in a Swedish setting. J Epidemiol Community Health 54:192–199PubMedCrossRef

Larisch M, Joksimovic L, von dem Knesebeck O, Starke D, Siegrist J (2003) Effort–reward imbalance at work and depressive symptoms—a cross-sectional investigation of middle-aged employees. Psychother Psychosom Med Psychol 53:223–228PubMedCrossRef

Lee K (1999) Women’s health and equality of men and women. Korean J Women Health Nurs 5:237–244

Lee SB (2006) Asian values scale: comparisons of Korean and Korean–American high school students. Psychol Rep 98:191–192PubMedCrossRef

Lopez-Castillo J, Gurpegui M, Ayuso-Mateos JL, Luna JD, Catalan J (1999) Emotional distress and occupational burnout in health care professionals serving HIV-infected patients: a comparison with oncology and internal medicine services. Psychother Psychosom 68:348–356PubMedCrossRef

Mausner-Dorsch H, Eaton WW (2000) Psychosocial work environment and depression: epidemiologic assessment of the demand–control model. Am J Public Health 90:1765–1770PubMed

Mazure CM, Bruce ML, Maciejewski PK, Jacobs SC (2000) Adverse life events and cognitive-personality characteristics in the prediction of major depression and antidepressant response. Am J Psychiatry 157:896–903PubMedCrossRef

Nam D (1986) A study on the characteristics of Japanese management. Business Education, Master, Choongnam, Daejeon, p 77

Nam C (2002) The restructuring of labor markets and the long-term unemployment and recurrent unemployment after the economic crisis. Korean J Labor Stud 8:271–282

Newbury-Birch D, Kamali F (2001) Psychological stress, anxiety, depression, job satisfaction, and personality characteristics in preregistration house officers. Postgrad Med J 77:109–111PubMedCrossRef

Parkes KR (1990) Coping, negative affectivity, and the work environment: additive and interactive predictors of mental health. J Appl Psychol 75:399–409PubMedCrossRef

Paterniti S, Niedhammer I, Lang T, Consoli SM (2002) Psychosocial factors at work, personality traits and depressive symptoms. Longitudinal results from the GAZEL Study. Br J Psychiatry 181:111–117PubMedCrossRef

Phelan J, Schwartz JE, Bromet EJ, Dew MA, Parkinson DK, Schulberg HC, Dunn LO, Blane H, Curtis EC (1991) Work stress, family stress and depression in professional and managerial employees. Psychol Med 21:999–1012PubMedCrossRef

Prosser D, Johnson S, Kuipers E, Szmukler G, Bebbington P, Thornicroft G (1997) Perceived sources of work stress and satisfaction among hospital and community mental health staff, and their relation to mental health, burnout and job satisfaction. J Psychosom Res 43:51–59PubMedCrossRef

Robins LN, Helzer JE, Weissman MM, Orvaschel H, Gruenberg E, Burke JD Jr, Regier DA (1984) Lifetime prevalence of specific psychiatric disorders in three sites. Arch Gen Psychiatry 41:949–958PubMed

Rugulies R, Bultmann U, Aust B, Burr H (2006) Psychosocial work environment and incidence of severe depressive symptoms: prospective findings from a 5-year follow-up of the Danish work environment cohort study. Am J Epidemiol 163:877–887PubMedCrossRef

Schonfeld IS (1990) Psychological distress in a sample of teachers. J Psychol 124:321–338PubMed

Seyle H (1956) The stress of life. Longmans, London

Siegrist J (1996) Adverse health effects of high-effort/low-reward conditions. J Occup Health Psychol 1:27–41PubMedCrossRef

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 58:1483–1499PubMedCrossRef

Sosik JJ, Jung DI (2002) Work-group characteristics and performance in collectivistic and individualistic cultures. J Soc Psychol 142:5–23PubMedCrossRef

Spurgeon A, Harrington JM, Cooper CL (1997) Health and safety problems associated with long working hours: a review of the current position. Occup Environ Med 54:367–375PubMed

Stansfeld SA, Fuhrer R, Shipley MJ (1998) Types of social support as predictors of psychiatric morbidity in a cohort of British Civil Servants (Whitehall II Study). Psychol Med 28:881–892PubMedCrossRef

Taris TW (1999) The mutual effects between job resources and mental health: a prospective study among Dutch youth. Genet Soc Gen Psychol Monogr 125:433–450PubMed

Totterdell P, Holman D (2003) Emotion regulation in customer service roles: testing a model of emotional labor. J Occup Health Psychol 8:55–73PubMedCrossRef

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 27:146–153PubMed

Virtanen M, Kivimaki M, Joensuu M, Virtanen P, Elovainio M, Vahtera J (2005) Temporary employment and health: a review. Int J Epidemiol 34:610–622PubMedCrossRef

Weissman MM, Bland RC, Canino GJ, Faravelli C, Greenwald S, Hwu HG, Joyce PR, Karam EG, Lee CK, Lellouch J, Lepine JP, Newman SC, Rubio-Stipec M, Wells JE, Wickramaratne PJ, Wittchen H, Yeh EK (1996) Cross-national epidemiology of major depression and bipolar disorder. JAMA 276:293–299PubMedCrossRef

Widiger TA, Anderson KG (2003) Personality and depression in women. J Affect Disord 74:59–66PubMedCrossRef

Title: Occupational stress and depression in Korean employees
Authors: Jung Jin Cho
Ji Yong Kim
Sei Jin Chang
Nancy Fiedler
Sang Baek Koh
Benjamin F. Crabtree
Dong Mug Kang
Yong Kyu Kim
Young Ho Choi
Publication date: 01-10-2008
Publisher: Springer-Verlag
Published in: International Archives of Occupational and Environmental Health / Issue 1/2008
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI: https://doi.org/10.1007/s00420-008-0306-4

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Occupational stress and depression in Korean employees

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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