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

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

American Journal of Public Health, 2012, vol. 102, issue 12, 2360-2366

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.

Date: 2012
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Citations: View citations in EconPapers (9)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2011.300589_2

DOI: 10.2105/AJPH.2011.300589

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