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BMC Public Health
Published in: BMC Public Health 1/2014

Open Access 01-12-2014 | Research article

Psychological distress in the workforce: a multilevel and longitudinal analysis of the case of regulated occupations in Canada

Authors: Nathalie Cadieux, Alain Marchand

Published in: BMC Public Health | Issue 1/2014

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Abstract

Background

This study uses a multidimensional theoretical model to evaluate the role of regulated occupations and working conditions in explaining psychological distress.

Methods

Various multilevel regression analyses were conducted on longitudinal data for which measures repeated over time (n1 = 36,166) were nested in individuals (n2 = 7007).

Results

Results showed that when we controlled for working conditions, family situation, the social network outside the workplace, and personal characteristics, the level of psychological distress was significantly lower among professional workers in regulated occupations than among professionals not in regulated occupations. Among the working conditions studied, skill utilisation, psychological demands, and job insecurity were positively associated with psychological distress levels, whereas social support in the workplace was inversely related to distress. Finally, our results suggest that self-esteem reduced the effect of social support in the workplace on psychological distress levels in the workforce.

Conclusions

These results support our hypothesis that working in regulated occupations exerts a direct effect on mental health. These results also make clear the importance of developing new tools for measuring psychological distress among upper-level professional workers. Such tools will be much better suited to the realities characterising today's knowledge-based economies.
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Literature
1.
Darr W, Johns G: Work strain, health, and absenteeism: a meta-analysis. J Occup Health Psych. 2008, 13 (4): 293-318.CrossRef
2.
Hauge LJ, Skogstad A, Einarsen S: The relative impact of workplace bullying as a social stressor at work. Scand J Psychol. 2010, 51 (5): 426-433.PubMed
3.
Kendall E, Muenchberger H: Stressors and supports across work and non-work domains: the impact on mental health and the workplace. Work. 2009, 32 (1): 27-37.PubMed
4.
Mental Health Commission of Canada: Annual report. 2010, Calgary: Mental Health Commission of Canada
5.
National Institute for Occupational Safety and Health: Stress at work. 1999, Cincinnati: National Institute for Occupational Safety and Health
6.
Gintrac A: Le stress au travail, un état des lieux. Management & amp. 2011, 41 (1): 89-106.
7.
Trontin C, Lassagne M, Boini S, Rinal S: Le coût du stress professionnel en France en 2007. 2010, France: INRS
8.
Kahlain K, Kholti A: Stress au travail, un problème de santé publique. Esper Med. 2010, 17 (166): 154-157.
9.
Bartram DJ, Yadegarfar G, Baldwin DS: Psychosocial working conditions and work-related stressors among UK veterinary surgeons. Occup Med. 2009, 59 (5): 334-341.CrossRef
10.
Langan-Fox J, Cooper CL: Handbook of Stress in the Occupations. 2011, Northampton: Edward Elgar Publishing LimitedCrossRef
11.
Lavoie-Tremblay M, Wright D, Desforges N, Gélinas C, Marchionni C, Drevniok U: Creating a healthy workplace for new-generation nurses. J Nurs Scholarship. 2008, 40 (3): 290-297.CrossRef
12.
Wallace JE: Job stress, depression and work-to-family conflict. A test of the strain and buffer hypothesis. Ind Relat. 2005, 60 (3): 510-539.
13.
National Assembly of Quebec: Professional Code. 1973, Quebec: Government of Quebec, art.25
14.
Wilensky HL: The professionalization of everyone?. Am J Sociol. 1964, 70 (2): 137-158.CrossRef
15.
Hugues EC: The sociological study of work: an editorial foreword. Am J Sociol. 1952, 57 (5): 423-426.CrossRef
16.
Hugues EC: Professions. Daedalus. 1963, 92 (4): 655-668.
17.
Gyarmati GK: La doctrine des professions: fondements d'un pouvoir. RISSoc. 1975, 27: 673-699.
18.
Beauregard N, Marchand A, Blanc M-È: What do we know about the non-work determinants of workers' mental health? A systematic review of longitudinal studies. BMC Public Health. 2011, 11: 439-CrossRefPubMedPubMedCentral
19.
Marchand A, Durand P, Demers A: Un modèle multi-niveaux des déterminants de la santé mentale dans la main-d'oeuvre. CJCMH/RCSMC. 2006, 25 (2): 11-30.
20.
Marchand A, Demers A, Durand P: Social structures, agent personality and workers' mental health: a longitudinal analysis of the specific role of occupation and the workplace constraints-resources on psychological distress in the Canadian workforce. Hum Relat. 2006, 59 (7): 875-901.CrossRef
21.
Alexander JC, Giesen B, Münch R, Smelser NJ: The Micro–macro link. 1987, Berkeley: University of California Press
22.
Ritzer G: Modern Sociological Theory. 1996, Toronto: McGraw Hill
23.
Archer MS: Realist Social Theory: The Morphogenetic Approach. 1995, Cambridge: Cambridge University PressCrossRef
24.
Giddens A: La constitution de la société. 1987, Paris: PUF
25.
Pearlin LI: Stress and Mental Health: A Conceptual Overview. A Handbook for the Study of Mental Health - Social Contexts, Theories, and Systems. Edited by: Horwitz AV, Schied TL. 1999, New York: Cambridge University Press, 161-175.
26.
Daniels K, Guppy A: Stress, social support and psychological wellbeing in British accountants. Work Stress. 1995, 9 (4): 432-447.CrossRef
27.
Magnavita N, Garbarino S: Social psychiatry in the waiting room: what a physician can learn about occupational stress from workers waiting to be examined. Psychiatry J. 2013, 2013: 7-CrossRef
28.
Karasek RA: Job demands, job decision latitude, and mental strain: implications for job design. Adm Sci Q. 1979, 24 (2): 285-308.CrossRef
29.
Karasek R, Theorell T: Healthy Work. Stress, Productivity and the Reconstruction of Working Life. 1990, New York: Basic Books
30.
Siegrist J: Adverse health effects of high effort-low reward conditions. J Occup Health Psycho. 1996, 1 (1): 27-41.CrossRef
31.
Clays E, De Bacquer D, Leynen F, Kornitzer M, Kittel F, De Backer G: Job stress and depression symptoms in middle-aged workers- prospective results from Belstress study. Scand J Env Hea. 2007, 33 (4): 252-259.CrossRef
32.
Dragano N, He Y, Moesbus S, Jöckel K-H, Erbel R, Siegrist J: Two models of job stress and depressive symptoms. Soc Psych Psych Epid. 2008, 43 (1): 72-78.CrossRef
33.
Nieuwenhuijsen K, Bruinvels D, Frings-Dresen M: Psychosocial work environment and stress-related disorders, a systematic review. Occup Med. 2010, 60 (4): 277-286.CrossRef
34.
Joensuu M, Väänänen A, Koskinen A, Kivimäki M, Virtanen M, Vahtera J: Psychosocial work environment and hospital admissions due to mental disorders: a 15-year prospective study of industrial employees. J affect disorders. 2010, 124 (1): 118-125.CrossRefPubMed
35.
Lee RT, Lovell BL, Brotheridge CM: Tenderness and steadiness: relating job and interpersonal demands and resources with burnout and physical symptoms of stress in Canadian Physicians. J Appl Soc Psychol. 2010, 40 (9): 2319-2342.CrossRef
36.
Paterson JL, Dorrian J, Pincombe J, Grech C, Dawson D: Mood change and perception of workload in Australian midwives. Ind Health. 2010, 48 (4): 381-389.CrossRefPubMed
37.
Hayasaka Y, Nakamura K, Yamamoto M, Sasaki S: Work environment and mental health status assessed by General Health Questionnaire in Female Japanese Doctors. Ind Health. 2007, 45 (6): 781-786.CrossRefPubMed
38.
Marchand A, Demers A, Durand P: Do occupation and work conditions really matter? A longitudinal analysis of psychological distress experiences among Canadian workers. Sociol Health Ill. 2005, 27 (5): 602-627.CrossRef
39.
Paterniti S, Niedhammer I, Lang T, Consoli SM: Psychosocial factors at work, personality traits and depressive symptoms. Longitudinal results from the GAZEL Study. Brit J Psychiat. 2002, 181 (2): 111-117.PubMed
40.
Magnavita N, Fileni A, Magnavita G, Mammi F, Mirk P, Roccia K, Bergamaschi A: Work stress in radiologists. A pilot study. Radiol Med. 2008, 113 (3): 329-346.CrossRefPubMed
41.
Miech R, Power C, Eaton W: Disparities in psychological distress across education and sex: a longitudinal analysis of their persistence within a cohort over 19 years. Ann Epidemiol. 2007, 17 (4): 289-295.CrossRefPubMed
42.
Holden L, Scuffham P, Hilton M, Vecchio N, Whiteford H: Psychological distress is associated with a range of high-priority health conditions affecting working Australians. Aust NZ J Publ Heal. 2010, 34 (3): 304-310.CrossRef
43.
Chang SJ, Koh SB, Kang MG, Cha BS: Epidemiology of psychosocial distress in Korean employees. J Prev Med Pub Health. 2005, 38 (1): 25-37.
44.
Gray-Stanley JA, Muramatsu N, Heller T, Hughes SL, Johnson TP, Ramirez-Valles J: Work stress and depression among direct support professionals: the role of work support and locus of control. J Intell Disabil Res. 2010, 54 (8): 749-761.CrossRef
45.
Ali J: Mental health of Canada’s immigrants. Health Rep. 2002, 13 (Suppl 1): 101-113.
46.
Ng E, Omariba W: Is there a Healthy Immigrant Effect in Mental Health? Evidences from Population-Based Health Surveys in Canada. Can Iss. 2010, 23-28. summer
47.
Wu Z, Schimmele CM: The healthy migrant effect on depression: variation over time?. Can Stud Popul. 2005, 32 (2): 271-295.
48.
Bun Chan K, Lai G, Chung Ko Y, Weng Boey K: Work Stress among six professional groups: the Singapore experience. Soc Sci Med. 2000, 50 (10): 1415-1432.CrossRef
49.
Giacalone RA, Promislo MD: Unethical and unwell: decrements in well-being and unethical activity at work. J Bus Ethics. 2010, 91 (2): 275-297.CrossRef
50.
Sonnentag S, Jelden S: Job stressors and the pursuit of sport activities: a day level perspective. J Occup Health Psych. 2009, 14 (2): 165-181.CrossRef
51.
Lawson KJ, Noblet AJ, Rodwell JJ: Promoting employee wellbeing: the relevance of work characteristics and organisational justice. Health Promot Int. 2009, 24 (3): 223-233.CrossRefPubMed
52.
Virtanen M, Kivimaki M, Ferrie JE, Elovainio M, Pentti J, Klaukka T, Vahtera J: Temporary employment and antidepressant medication: a register linkage study. J Psychiatr Res. 2008, 42 (3): 221-229.CrossRefPubMed
53.
Viviers S, Lachance L, Maranda M-F, Ménard C: Burnout, psychological distress, and overwork: the case of Quebec's ophthalmologists. Can J Ophthalmology. 2008, 43 (5): 535-546.CrossRef
54.
Gaither CA, Kahaleh AA, Doucette WR, Mott DA, Pederson CA, Schommer JC: A modified model of pharmacists' job stress: the role of organizational, extra-role, and individual factors on work-related outcomes. Res soc Adm Pharm. 2008, 4 (3): 231-243.CrossRef
55.
Ross CE, Mirowsky J, Goldsteen K: The impact of the family on health: the decade in review. J Marriage Fam. 1990, 52 (4): 1059-1078.CrossRef
56.
Magnavita N: Is there a gender gap in Italian radiology? A cross-sectional study. Eur J Radiol. 2013, 82 (9): 502-507.CrossRef
57.
Marchand A, Blanc M-È: The contribution of work and non-work factors to the onset of psychological distress: an eight-year prospective study of a representative sample of employees in Canada. J Occup Health. 2010, 52 (3): 176-185.CrossRefPubMed
58.
Kouvonen AM, Väänänen A, Vahtera J, Heponiemi T, Koskinen A, Cox SJ, Kivimäki M: Sense of coherence and psychiatric morbidity: a 19-year register-based prospective study. J Epidemiol Commun H. 2010, 64 (3): 255-261.CrossRef
59.
Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand S-LT, Walters EE, Zaslavsky AM: Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002, 32 (6): 959-976.CrossRefPubMed
60.
Tabachnick BG, Fidell LS: Using Multivariate Statistics. 2007, New York: Allyn & Bacon, 5
61.
Pineo PC, Porter J, McRoberts HA: The 1971 census and the socioeconomic classification of occupations. Can Rev Sociol Anthr. 1977, 14 (1): 91-102.CrossRef
62.
Marchand A, Parent-Lamarche A, Blanc M-È: Work and high-risk alcohol consumption in the Canadian workforce. Int J Environ Res Pub Health. 2011, 8 (7): 2692-2705.CrossRef
63.
Karasek RA: Job Content Questionnaire and User's Guide. 1985, Lowell: University of Massachusetts
64.
Rosenberg M: Conceiving the Self. 1979, New York: Basic Books
65.
66.
Antonovsky A: Unraveling the Mystery of Health: How People Manage Stress and Stay Well. 1987, San Francisco: Jossey-Bass
67.
Wheaton B: Sampling the stress universe. Stress and Mental Health Contemporary Issues and Prospects for the Future. Edited by: Avison WR, Gotlib IH. 1994, New York: Plenum Press, 77-114.
68.
Goldstein H: Multilevel Statistical Models. 1995, London: Edward Arnold
69.
Snijders TAB, Bosker RJ: Multilevel Analysis. An Introduction to Basic and Advanced Multilevel Modelling. 1999, London: Sage
70.
Drapeau A, Beaulieu-Prévost D, Marchand A, Boyer R, Préville M, Kairouz S: A life-course and time perspective on the construct validity of psychological distress in women and men. Measurement invariance of the K6 across gender. BMC Med Res Methodol. 2010, 10 (1): 68-83.CrossRefPubMedPubMedCentral
71.
Brisson C, Larocque B: Validité des indices de demande psychologique et de latitude décisionnelle utilisés dans l'Enquête nationale sur la santé de la population (ENSP) 1994–1995. Can J Pub Health. 2001, 92 (6): 468-474.
72.
Wang J: Work stress as a risk factor for major depressive episode(s). Psychol Med. 2005, 35 (6): 865-871.CrossRefPubMed
73.
Marchand A, Blanc M-È: Occupation, work organisation conditions and the development of chronic psychological distress. Work. 2011, 40 (4): 425-435.PubMed
74.
Carmines EG, Zeller RA: Reliability and Validity Assessment. 1979, Beverly Hills: SageCrossRef
75.
Marchand A, Demers A, Durand P, Simard M: The moderating effect of alcohol intake on the relationship between work strains and psychological distress. J Stud Alcohol. 2003, 64 (3): 419-427.CrossRefPubMed
Metadata
Title
Psychological distress in the workforce: a multilevel and longitudinal analysis of the case of regulated occupations in Canada
Authors
Nathalie Cadieux
Alain Marchand
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2014
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-14-808

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