Psychosocial work environment and hospital admissions due to mental disorders: a 15-year prospective study of industrial employees

Journal of Affective Disorders
Matti JoensuuJussi Vahtera

Abstract

Low levels of job control and social support may increase the risk of mental disorders, particularly depression, but the evidence is mostly based on self-reports. We examined whether components of job control and work-related social support predict medically-certified mental disorders. 13868 forest company employees with no previous hospital admissions for mental disorders responded to questionnaires on decision authority, skill discretion, co-worker and supervisor support. They were followed-up for hospital admissions due to mental disorders (ICD-9 codes 290 to 319), using national hospital discharge records (577 hospitalized, mean follow-up 15.1 years). In analyses adjusted for confounders, high skill discretion was associated with a reduced risk of hospital admission for mental disorders (HR 0.74, 95% CI 0.58-0.95). High decision authority was associated with an elevated risk (HR 1.48, 95% CI 1.17-1.87). Diagnosis-specific analyses showed high skill discretion to associate with a reduced risk of both depressive and non-depressive non-alcohol-related mental disorders. High decision authority was a risk factor for alcohol-related and depressive disorders. Good co-worker support was associated with a reduced risk of non-depress...Continue Reading

References

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Citations

Jul 5, 2012·International Archives of Occupational and Environmental Health·Andrés Fandiño-LosadaIngvar Lundberg
Aug 17, 2011·International Journal of Environmental Research and Public Health·Alain MarchandMarie-Ève Blanc
Mar 7, 2012·American Journal of Epidemiology·Matti JoensuuAri Väänänen
Apr 4, 2012·Journal of Psychosomatic Research·Hsiao-Yun HuNicole Huang
Jul 4, 2015·American Journal of Epidemiology·Rebecca J BentleyAnthony D LaMontagne
Dec 3, 2014·Atencion primaria·Antonio García-RodríguezJoaquín Fernández-Crehuet Navajas
Jun 4, 2014·Occupational and Environmental Medicine·Matti JoensuuJussi Vahtera
Jun 10, 2017·American Journal of Industrial Medicine·Albert NavarroSalvador Moncada
Jan 8, 2011·Substance Use & Misuse·Alain Marchand, Marie-Eve Blanc
Jan 1, 2014·Health Psychology and Behavioral Medicine·Samantha BattamsVictoria Kostadinov
Feb 14, 2021·European Journal of Epidemiology·Sigurd MikkelsenJens Peter Bonde
Apr 13, 2021·International Journal of Occupational Safety and Ergonomics : JOSE·Sohrab Amiri

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