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Impact of lifetime compared to adolescent-onset mental illness on psychosocial employment quality in adulthood analysis of a nationally representative French cohort

Identifieur interne : 000081 ( France/Analysis ); précédent : 000080; suivant : 000082

Impact of lifetime compared to adolescent-onset mental illness on psychosocial employment quality in adulthood analysis of a nationally representative French cohort

Auteurs : Katrina Witt [Australie] ; Allison Milner ; Jean-François Chastang [France] ; Anthony D. Lamontagne [Australie] ; Isabelle Niedhammer [France]

Source :

RBID : Hal:hal-01881587

Descripteurs français

English descriptors

Abstract

Purpose - We investigated prospective associations between mental illness and psychosocial employment quality using a nationally representative sample of the French working population by gender, primary diagnosis, and age of onset. Methods - 6234 employed French adults (aged 20-74 years) were followed from 2006 to 2010. All respondents provided data on 26 indicators of psychosocial employment quality drawn from the Job-Strain Model, other job stressors, and indicators of working time stressors (i.e., shift work, night work, and long working hours). Results - We performed 272 statistical tests, of which 37 were significant following adjustment for age, poor socio-economic position during childhood, unemployment status at wave one, and anxiety or depression at wave two. Females with a lifetime diagnosis of any mental illness reported higher psychological and emotional demands at work, whilst males reported low decision latitude, tensions with the public, and work-life imbalance. In both genders a lifetime diagnosis of any mental illness was associated with role and ethical conflict. A lifetime diagnosis of major depression appeared to have stronger associations for females, whilst substance use disorder was associated with poorer psychosocial employment quality in males. Adolescent-onset mental illness might be associated with poorer psychosocial employment quality among men more so than among women. Conclusions - Results suggest that people with a history of mental illness who obtain employment tend to be employed in jobs characterized by poor psychosocial quality. Employment quality should be considered in vocational rehabilitation policies and practices aimed at optimizing employment participation in this population.


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DOI: 10.1007/s00420-018-1331-6


Affiliations:


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Hal:hal-01881587

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<org type="institution" xml:id="struct-74911" status="VALID">
<idno type="IdRef">026402920</idno>
<idno type="ISNI">0000000122483363</idno>
<orgName>Université d'Angers</orgName>
<orgName type="acronym">UA</orgName>
<date type="start">1971-10-25</date>
<desc>
<address>
<addrLine>Université d'Angers - 40 Rue de Rennes, BP 73532 - 49035 Angers CEDEX 01</addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.univ-angers.fr/</ref>
</desc>
</org>
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<tutelle active="#struct-105160" type="direct">
<org type="institution" xml:id="struct-105160" status="VALID">
<orgName>Université de Rennes 1</orgName>
<orgName type="acronym">UR1</orgName>
<desc>
<address>
<addrLine>2 rue du Thabor - CS 46510 - 35065 Rennes cedex</addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.univ-rennes1.fr/</ref>
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<org type="regroupinstitution" xml:id="struct-528860" status="VALID">
<orgName>Université de Rennes</orgName>
<orgName type="acronym">UNIV-RENNES</orgName>
<date type="start">2018-01-01</date>
<desc>
<address>
<country key="FR"></country>
</address>
</desc>
</org>
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<orgName>École des Hautes Études en Santé Publique [EHESP]</orgName>
<orgName type="acronym">EHESP</orgName>
<date type="start">2016-06-20</date>
<desc>
<address>
<addrLine>15, avenue du Pr. Léon Bernard - 35043 Rennes Cedex</addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.ehesp.fr/</ref>
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<orgName>Institut National de la Santé et de la Recherche Médicale</orgName>
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<addrLine>101, rue de Tolbiac, 75013 Paris </addrLine>
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</address>
<ref type="url">http://www.inserm.fr</ref>
</desc>
</org>
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<org type="institution" xml:id="struct-453207" status="VALID">
<orgName>Structure Fédérative de Recherche en Biologie et Santé de Rennes </orgName>
<orgName type="acronym"> Biosit : Biologie - Santé - Innovation Technologique </orgName>
<desc>
<address>
<addrLine>Université Rennes 1 - Campus Santé Villejean - 2, avenue Professeur Léon Bernard 35043 Rennes cedex</addrLine>
<country key="FR"></country>
</address>
</desc>
</org>
</tutelle>
</tutelles>
</hal:affiliation>
<country>France</country>
<placeName>
<settlement type="city">Angers</settlement>
<region type="region" nuts="2">Pays de la Loire</region>
</placeName>
<orgName type="university">Université d'Angers</orgName>
<placeName>
<settlement type="city">Rennes</settlement>
<region type="region" nuts="2">Région Bretagne</region>
</placeName>
<orgName type="university">Université de Rennes 1</orgName>
<orgName type="institution" wicri:auto="newGroup">Université européenne de Bretagne</orgName>
</affiliation>
</author>
</analytic>
<idno type="DOI">10.1007/s00420-018-1331-6</idno>
<series>
<title level="j">International Archives of Occupational and Environmental Health</title>
<idno type="ISSN">0340-0131</idno>
<imprint>
<date type="datePub">2018</date>
</imprint>
</series>
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<textClass>
<keywords scheme="mix" xml:lang="en">
<term>Job stress</term>
<term>Job-strain</term>
<term>Mental health</term>
<term>Psychosocial job quality</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Santé mentale</term>
</keywords>
</textClass>
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<front>
<div type="abstract" xml:lang="en">
<p>Purpose - We investigated prospective associations between mental illness and psychosocial employment quality using a nationally representative sample of the French working population by gender, primary diagnosis, and age of onset. Methods - 6234 employed French adults (aged 20-74 years) were followed from 2006 to 2010. All respondents provided data on 26 indicators of psychosocial employment quality drawn from the Job-Strain Model, other job stressors, and indicators of working time stressors (i.e., shift work, night work, and long working hours). Results - We performed 272 statistical tests, of which 37 were significant following adjustment for age, poor socio-economic position during childhood, unemployment status at wave one, and anxiety or depression at wave two. Females with a lifetime diagnosis of any mental illness reported higher psychological and emotional demands at work, whilst males reported low decision latitude, tensions with the public, and work-life imbalance. In both genders a lifetime diagnosis of any mental illness was associated with role and ethical conflict. A lifetime diagnosis of major depression appeared to have stronger associations for females, whilst substance use disorder was associated with poorer psychosocial employment quality in males. Adolescent-onset mental illness might be associated with poorer psychosocial employment quality among men more so than among women. Conclusions - Results suggest that people with a history of mental illness who obtain employment tend to be employed in jobs characterized by poor psychosocial quality. Employment quality should be considered in vocational rehabilitation policies and practices aimed at optimizing employment participation in this population.</p>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Australie</li>
<li>France</li>
</country>
<region>
<li>Pays de la Loire</li>
<li>Région Bretagne</li>
</region>
<settlement>
<li>Angers</li>
<li>Rennes</li>
</settlement>
<orgName>
<li>Université d'Angers</li>
<li>Université de Rennes 1</li>
<li>Université européenne de Bretagne</li>
</orgName>
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<tree>
<noCountry>
<name sortKey="Milner, Allison" sort="Milner, Allison" uniqKey="Milner A" first="Allison" last="Milner">Allison Milner</name>
</noCountry>
<country name="Australie">
<noRegion>
<name sortKey="Witt, Katrina" sort="Witt, Katrina" uniqKey="Witt K" first="Katrina" last="Witt">Katrina Witt</name>
</noRegion>
<name sortKey="Lamontagne, Anthony D" sort="Lamontagne, Anthony D" uniqKey="Lamontagne A" first="Anthony D" last="Lamontagne">Anthony D. Lamontagne</name>
</country>
<country name="France">
<region name="Pays de la Loire">
<name sortKey="Chastang, Jean Francois" sort="Chastang, Jean Francois" uniqKey="Chastang J" first="Jean-François" last="Chastang">Jean-François Chastang</name>
</region>
<name sortKey="Niedhammer, Isabelle" sort="Niedhammer, Isabelle" uniqKey="Niedhammer I" first="Isabelle" last="Niedhammer">Isabelle Niedhammer</name>
</country>
</tree>
</affiliations>
</record>

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