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Psychosocial work characteristics and incidence of newly diagnosed depression: a prospective cohort study of three different models

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  • Ylipaavalniemi, Jaana
  • Kivimäki, Mika
  • Elovainio, Marko
  • Virtanen, Marianna
  • Keltikangas-Järvinen, Liisa
  • Vahtera, Jussi

Abstract

This study explored the association between psychosocial work characteristics and incidence of depression as indicated in three complementary models (the Job Strain Model, the Team Climate Model, and the Procedural Justice Model). Participants were 4815 Finnish hospital personnel (4278 women and 537 men) free from diagnosed depression at entry into the study. A baseline survey in 1998 measured psychosocial work characteristics, health-related behaviours, psychological distress, and doctor-diagnosed depression. The factor analysis of pooled questionnaire items on psychosocial work characteristics supported a five-factor solution with the following distinct dimensions: team climate, relational justice, procedural justice, job control, and job demands. Items in these dimensions were used as scales and job strain was modelled as a combination of job demands and job control. A follow-up survey in 2000 identified 225 incident cases of depression. After adjustment for age, sex and income, poor team climate, low procedural justice, and low relational justice were associated with a higher risk of new depression, the odds ratios (ORs) 1.58 (95% confidence interval (CI) 1.11-2.24), 1.45 (95% CI 1.03-2.04), and 1.39 (95% CI 1.00-1.96), respectively. After additional adjustment for lifestyle factors and exclusion of those with psychological distress at baseline, there was still an association between poor team climate and risk of depression (ORs 1.55 and 1.75, respectively). Job control, work demands, and job strain did not predict the 2-year incidence of depression, and the effects of all psychosocial work characteristics were attenuated when entered simultaneously in the model. In conclusion, work unit social factors seem to be predictive of subsequent doctor-diagnosed depression, but other aspects of psychosocial work environment may also be important.

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  • Ylipaavalniemi, Jaana & Kivimäki, Mika & Elovainio, Marko & Virtanen, Marianna & Keltikangas-Järvinen, Liisa & Vahtera, Jussi, 2005. "Psychosocial work characteristics and incidence of newly diagnosed depression: a prospective cohort study of three different models," Social Science & Medicine, Elsevier, vol. 61(1), pages 111-122, July.
    • Handle: RePEc:eee:socmed:v:61:y:2005:i:1:p:111-122
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    1. Bosma, H. & Peter, R. & Siegrist, J. & Marmot, M., 1998. "Two alternative job stress models and the risk of coronary heart disease," American Journal of Public Health, American Public Health Association, vol. 88(1), pages 68-74.
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    1. Elovainio, Marko & Linna, Anne & Virtanen, Marianna & Oksanen, Tuula & Kivimäki, Mika & Pentti, Jaana & Vahtera, Jussi, 2013. "Perceived organizational justice as a predictor of long-term sickness absence due to diagnosed mental disorders: Results from the prospective longitudinal Finnish Public Sector Study," Social Science & Medicine, Elsevier, vol. 91(C), pages 39-47.
    2. Live Bakke Finne & Jan Olav Christensen & Stein Knardahl, 2014. "Psychological and Social Work Factors as Predictors of Mental Distress: A Prospective Study," PLOS ONE, Public Library of Science, vol. 9(7), pages 1-12, July.
    3. M Harvey Brenner & Elena Andreeva & Töres Theorell & Marcel Goldberg & Hugo Westerlund & Constanze Leineweber & Linda L Magnusson Hanson & Ellen Imbernon & Sophie Bonnaud, 2014. "Organizational Downsizing and Depressive Symptoms in the European Recession: The Experience of Workers in France, Hungary, Sweden and the United Kingdom," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-14, May.
    4. Bram P. I. Fleuren & Lieze T. Poesen & Rachel E. Gifford & Fred R. H. Zijlstra & Dirk Ruwaard & Frank C. van de Baan & Daan D. Westra, 2021. "We’re Not Gonna Fall: Depressive Complaints, Personal Resilience, Team Social Climate, and Worries about Infections among Hospital Workers during a Pandemic," IJERPH, MDPI, vol. 18(9), pages 1-14, April.
    5. José Pérez-Alonso & Marta Gómez-Galán & Marta Agüera-Puntas & Julián Sánchez-Hermosilla & Ángel-Jesús Callejón-Ferre, 2021. "Approach for Assessing the Prevalence of Psychosocial Risks of Workers in the Greenhouse Construction Industry in South-Eastern Spain," IJERPH, MDPI, vol. 18(9), pages 1-29, April.
    6. Hanul Park & Kang-Sook Lee & Yong-Jun Park & Dong-Joon Lee & Hyun-Kyung Lee, 2019. "The Association between Organizational Justice and Psychological Well-Being by Regular Exercise in Korean Employees," IJERPH, MDPI, vol. 16(12), pages 1-11, June.
    7. Folke, Filippa & Melin, Marika, 2022. "Selecting flight mode – Risk factors associated with presenteeism among commercial pilots and the role of depressive symptoms," Journal of Air Transport Management, Elsevier, vol. 103(C).
    8. Marchand, Alain & Bilodeau, Jaunathan & Demers, Andrée & Beauregard, Nancy & Durand, Pierre & Haines, Victor Y., 2016. "Gendered depression: Vulnerability or exposure to work and family stressors?," Social Science & Medicine, Elsevier, vol. 166(C), pages 160-168.
    9. Elovainio, Marko & Kivimäki, Mika & Ek, Ellen & Vahtera, Jussi & Honkonen, Teija & Taanila, Anja & Veijola, Juha & Järvelin, Marjo-Riitta, 2007. "The effect of pre-employment factors on job control, job strain and psychological distress: A 31-year longitudinal study," Social Science & Medicine, Elsevier, vol. 65(2), pages 187-199, July.
    10. Michael Silva-Peñaherrera & Paula Santiá & Fernando G. Benavides, 2022. "Informal Employment and Poor Mental Health in a Sample of 180,260 Workers from 13 Iberoamerican Countries," IJERPH, MDPI, vol. 19(13), pages 1-12, June.
    11. Ybema, Jan F. & van den Bos, Kees, 2010. "Effects of organizational justice on depressive symptoms and sickness absence: A longitudinal perspective," Social Science & Medicine, Elsevier, vol. 70(10), pages 1609-1617, May.

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