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

      , , , , ,
      Journal of Affective Disorders
      Elsevier BV

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          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-depressive non-alcohol-related mental disorders. Supervisor support was not associated with any mental disorders. We used a single time point estimate in an industrial sample comprising largely of men. Contrary to previous research on job control, high decision authority increased the risk of depressive and alcohol-related disorders, which suggest a need to reconsider the strategies for prevention and clinical practise in regard to psychosocial work environment and mental health.

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          Author and article information

          Journal
          Journal of Affective Disorders
          Journal of Affective Disorders
          Elsevier BV
          01650327
          July 2010
          July 2010
          : 124
          : 1-2
          : 118-125
          Article
          10.1016/j.jad.2009.10.025
          19919881
          734e78e1-3e61-4f00-af3c-20b105ac98b5
          © 2010

          https://www.elsevier.com/tdm/userlicense/1.0/

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