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Repeated job strain and the risk of depression: Longitudinal analyses from the whitehall ii study

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  • Stansfeld, S.A.
  • Shipley, M.J.
  • Head, J.
  • Fuhrer, R.

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 [CI] = 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% CI = 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.

Suggested Citation

  • Stansfeld, S.A. & Shipley, M.J. & Head, J. & Fuhrer, R., 2012. "Repeated job strain and the risk of depression: Longitudinal analyses from the whitehall ii study," American Journal of Public Health, American Public Health Association, vol. 102(12), pages 2360-2366.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2011.300589_2
    DOI: 10.2105/AJPH.2011.300589
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    1. Oshio, Takashi & Tsutsumi, Akizumi & Inoue, Akiomi, 2015. "Do time-invariant confounders explain away the association between job stress and workers' mental health?: Evidence from Japanese occupational panel data," Social Science & Medicine, Elsevier, vol. 126(C), pages 138-144.
    2. Piao, Xiangdan & Managi, Shunsuke, 2022. "Long-term improvement of psychological well-being in the workplace: What and how," Social Science & Medicine, Elsevier, vol. 298(C).
    3. Stephen A Stansfeld & Martin J Shipley & Jenny Head & Rebecca Fuhrer & Mika Kivimaki, 2013. "Work Characteristics and Personal Social Support as Determinants of Subjective Well-Being," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-8, November.
    4. Elena Boysen & Birgitta Schiller & Kathrin Mörtl & Harald Gündel & Michael Hölzer, 2018. "Preliminary Analyses Showed Short-Term Mental Health Improvements after a Single-Day Manager Training," IJERPH, MDPI, vol. 15(1), pages 1-8, January.
    5. Leidjaira Lopes Juvanhol & Enirtes Caetano Prates Melo & Marilia Sá Carvalho & Dóra Chor & José Geraldo Mill & Rosane Härter Griep, 2017. "Job Strain and Casual Blood Pressure Distribution: Looking beyond the Adjusted Mean and Taking Gender, Age, and Use of Antihypertensives into Account. Results from ELSA-Brasil," IJERPH, MDPI, vol. 14(4), pages 1-19, April.
    6. Zheng, Jason & Morstead, Talia & Sin, Nancy & Klaiber, Patrick & Umberson, Debra & Kamble, Shanmukh & DeLongis, Anita, 2021. "Psychological distress in North America during COVID-19: The role of pandemic-related stressors," Social Science & Medicine, Elsevier, vol. 270(C).
    7. Emanuele Cannizzaro & Luigi Cirrincione & Walter Mazzucco & Alessandro Scorciapino & Cesare Catalano & Tiziana Ramaci & Caterina Ledda & Fulvio Plescia, 2020. "Night-Time Shift Work and Related Stress Responses: A Study on Security Guards," IJERPH, MDPI, vol. 17(2), pages 1-9, January.
    8. Du, Yana & Zhang, Li & Tekleab, Amanuel G., 2018. "Job strains, job control, and POS on employee performance: An interactionist perspective," Journal of Business Research, Elsevier, vol. 82(C), pages 213-219.
    9. Amira Barrech & Reinhold Kilian & Edit Rottler & Lucia Jerg-Bretzke & Michael Hölzer & Monika Annemarie Rieger & Marc Nicolas Jarczok & Harald Gündel & Eva Rothermund, 2018. "Do Working Conditions of Patients in Psychotherapeutic Consultation in the Workplace Differ from Those in Outpatient Care? Results from an Observational Study," IJERPH, MDPI, vol. 15(2), pages 1-10, January.

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