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International Archives of Occupational and Environmental Health

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01.07.2013 | Original Article

Demands, skill discretion, decision authority and social climate at work as determinants of major depression in a 3-year follow-up study

verfasst von: Andrés Fandiño-Losada, Yvonne Forsell, Ingvar Lundberg

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 5/2013

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Abstract

Purpose

The psychosocial work environment may be a determinant of the development and course of depressive disorders, but the literature shows inconsistent findings. Thus, the aim of this study is to determine longitudinal effects of the job demands–control–support model (JDCSM) variables on the occurrence of major depression among working men and women from the general population.

Methods

The sample comprised 4,710 working women and men living in Stockholm, who answered the same questionnaire twice, 3 years apart, who were not depressed during the first wave and had the same job in both waves. The questionnaire included JDCSM variables (demands, skill discretion, decision authority and social climate) and other co-variables (income, education, occupational group, social support, help and small children at home, living with an adult and depressive symptoms at time 1; and negative life events at time 2). Multiple logistic regressions were run to calculate odds ratios of having major depression at time 2, after adjustment for other JDCSM variables and co-variables.

Results

Among women, inadequate work social climate was the only significant risk indicator for major depression. Surprisingly, among men, high job demands and low skill discretion appeared as protective factors against major depression.

Conclusions

The results showed a strong relationship between inadequate social climate and major depression among women, while there were no certain effects for the remaining exposure variables. Among men, few cases of major depression hampered well-founded conclusions regarding our findings of low job demands and high skill discretion as related to major depression.

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Titel: Demands, skill discretion, decision authority and social climate at work as determinants of major depression in a 3-year follow-up study
verfasst von: Andrés Fandiño-Losada
Yvonne Forsell
Ingvar Lundberg
Publikationsdatum: 01.07.2013
Verlag: Springer-Verlag
Erschienen in: International Archives of Occupational and Environmental Health / Ausgabe 5/2013
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI: https://doi.org/10.1007/s00420-012-0791-3

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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