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Job strain as a risk factor for clinical depression: systematic review and meta-analysis with additional individual participant data

Identifieur interne : 000A50 ( Main/Exploration ); précédent : 000A49; suivant : 000A51

Job strain as a risk factor for clinical depression: systematic review and meta-analysis with additional individual participant data

Auteurs : I. E. H. Madsen ; S. T. Nyberg ; L. L. Magnusson Hanson ; J. E. Ferrie ; K. Ahola ; L. Alfredsson ; G. D. Batty ; J. B. Bjorner ; M. Borritz ; H. Burr ; Jean-François Chastang [France] ; R. Graaf ; N. Dragano ; M. Hamer ; M. Jokela ; A. Knutsson ; M. Koskenvuo ; A. Koskinen ; C. Leineweber ; Isabelle Niedhammer [France] ; M. L. Nielsen ; M. Nordin ; T. Oksanen ; J. H. Pejtersen ; J. Pentti ; I. Plaisier ; P. Salo ; A. Singh-Manoux [France] ; S. Suominen ; M. Havé [France] ; T. Theorell ; S. Toppinen-Tanner ; J. Vahtera ; A. Vaananen ; P. J. M. Westerholm ; H. Westerlund ; E. I. Fransson ; K. Heikkila ; M. Virtanen ; R. Rugulies ; M. Kivimaki

Source :

RBID : Hal:hal-01560152

English descriptors

Abstract

Background. Adverse psychosocial working environments characterized by job strain (the combination of high demands and low control at work) are associated with an increased risk of depressive symptoms among employees, but evidence on clinically diagnosed depression is scarce. We examined job strain as a risk factor for clinical depression. Method. We identified published cohort studies from a systematic literature search in PubMed and PsycNET and obtained 14 cohort studies with unpublished individual-level data from the Individual-Participant-Data Meta-analysis in Working Populations (IPD-Work) Consortium. Summary estimates of the association were obtained using random-effects models. Individual-level data analyses were based on a pre-published study protocol. Results. We included six published studies with a total of 27 461 individuals and 914 incident cases of clinical depression. From unpublished datasets we included 120 221 individuals and 982 first episodes of hospital-treated clinical depression. Job strain was associated with an increased risk of clinical depression in both published [relative risk (RR) = 1.77, 95% confidence interval (CI) 1.47-2.13] and unpublished datasets (RR = 1.27, 95% CI 1.04-1.55). Further individual participant analyses showed a similar association across sociodemographic subgroups and after excluding individuals with baseline somatic disease. The association was unchanged when excluding individuals with baseline depressive symptoms (RR = 1.25, 95% CI 0.94-1.65), but attenuated on adjustment for a continuous depressive symptoms score (RR = 1.03, 95% CI 0.81-1.32). Conclusions. Job strain may precipitate clinical depression among employees. Future intervention studies should test whether job strain is a modifiable risk factor for depression.


Url:
DOI: 10.1017/S003329171600355X


Affiliations:


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<name sortKey="Have, M" sort="Have, M" uniqKey="Have M" first="M." last="Havé">M. Havé</name>
<affiliation wicri:level="1">
<hal:affiliation type="institution" xml:id="struct-420786" status="VALID">
<idno type="IdRef">028021037</idno>
<idno type="ISNI">0000000121497878</idno>
<orgName>Université Paris-Est Créteil Val-de-Marne - Paris 12</orgName>
<orgName type="acronym">UPEC UP12</orgName>
<date type="start">1970-01-01</date>
<desc>
<address>
<addrLine>61 avenue du Général de Gaulle - 94010 Créteil cedex</addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.u-pec.fr/</ref>
</desc>
</hal:affiliation>
<country>France</country>
</affiliation>
</author>
<author>
<name sortKey="Theorell, T" sort="Theorell, T" uniqKey="Theorell T" first="T." last="Theorell">T. Theorell</name>
</author>
<author>
<name sortKey="Toppinen Tanner, S" sort="Toppinen Tanner, S" uniqKey="Toppinen Tanner S" first="S." last="Toppinen-Tanner">S. Toppinen-Tanner</name>
</author>
<author>
<name sortKey="Vahtera, J" sort="Vahtera, J" uniqKey="Vahtera J" first="J." last="Vahtera">J. Vahtera</name>
</author>
<author>
<name sortKey="Vaananen, A" sort="Vaananen, A" uniqKey="Vaananen A" first="A." last="Vaananen">A. Vaananen</name>
</author>
<author>
<name sortKey="Westerholm, P J M" sort="Westerholm, P J M" uniqKey="Westerholm P" first="P. J. M." last="Westerholm">P. J. M. Westerholm</name>
</author>
<author>
<name sortKey="Westerlund, H" sort="Westerlund, H" uniqKey="Westerlund H" first="H." last="Westerlund">H. Westerlund</name>
</author>
<author>
<name sortKey="Fransson, E I" sort="Fransson, E I" uniqKey="Fransson E" first="E. I." last="Fransson">E. I. Fransson</name>
</author>
<author>
<name sortKey="Heikkila, K" sort="Heikkila, K" uniqKey="Heikkila K" first="K." last="Heikkila">K. Heikkila</name>
</author>
<author>
<name sortKey="Virtanen, M" sort="Virtanen, M" uniqKey="Virtanen M" first="M." last="Virtanen">M. Virtanen</name>
</author>
<author>
<name sortKey="Rugulies, R" sort="Rugulies, R" uniqKey="Rugulies R" first="R." last="Rugulies">R. Rugulies</name>
</author>
<author>
<name sortKey="Kivimaki, M" sort="Kivimaki, M" uniqKey="Kivimaki M" first="M." last="Kivimaki">M. Kivimaki</name>
</author>
</analytic>
<idno type="DOI">10.1017/S003329171600355X</idno>
<series>
<title level="j">Psychological Medicine</title>
<idno type="ISSN">0033-2917</idno>
<imprint>
<date type="datePub">2017</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="mix" xml:lang="en">
<term>observational studies</term>
<term>occupational health</term>
<term>work stress</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>Background. Adverse psychosocial working environments characterized by job strain (the combination of high demands and low control at work) are associated with an increased risk of depressive symptoms among employees, but evidence on clinically diagnosed depression is scarce. We examined job strain as a risk factor for clinical depression. Method. We identified published cohort studies from a systematic literature search in PubMed and PsycNET and obtained 14 cohort studies with unpublished individual-level data from the Individual-Participant-Data Meta-analysis in Working Populations (IPD-Work) Consortium. Summary estimates of the association were obtained using random-effects models. Individual-level data analyses were based on a pre-published study protocol. Results. We included six published studies with a total of 27 461 individuals and 914 incident cases of clinical depression. From unpublished datasets we included 120 221 individuals and 982 first episodes of hospital-treated clinical depression. Job strain was associated with an increased risk of clinical depression in both published [relative risk (RR) = 1.77, 95% confidence interval (CI) 1.47-2.13] and unpublished datasets (RR = 1.27, 95% CI 1.04-1.55). Further individual participant analyses showed a similar association across sociodemographic subgroups and after excluding individuals with baseline somatic disease. The association was unchanged when excluding individuals with baseline depressive symptoms (RR = 1.25, 95% CI 0.94-1.65), but attenuated on adjustment for a continuous depressive symptoms score (RR = 1.03, 95% CI 0.81-1.32). Conclusions. Job strain may precipitate clinical depression among employees. Future intervention studies should test whether job strain is a modifiable risk factor for depression.</p>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>France</li>
</country>
<region>
<li>Pays de la Loire</li>
<li>Région Bretagne</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Angers</li>
<li>Rennes</li>
<li>Versailles</li>
</settlement>
<orgName>
<li>Université d'Angers</li>
<li>Université de Rennes 1</li>
<li>Université de Versailles-Saint-Quentin-en-Yvelines</li>
<li>Université européenne de Bretagne</li>
</orgName>
</list>
<tree>
<noCountry>
<name sortKey="Ahola, K" sort="Ahola, K" uniqKey="Ahola K" first="K." last="Ahola">K. Ahola</name>
<name sortKey="Alfredsson, L" sort="Alfredsson, L" uniqKey="Alfredsson L" first="L." last="Alfredsson">L. Alfredsson</name>
<name sortKey="Batty, G D" sort="Batty, G D" uniqKey="Batty G" first="G. D." last="Batty">G. D. Batty</name>
<name sortKey="Bjorner, J B" sort="Bjorner, J B" uniqKey="Bjorner J" first="J. B." last="Bjorner">J. B. Bjorner</name>
<name sortKey="Borritz, M" sort="Borritz, M" uniqKey="Borritz M" first="M." last="Borritz">M. Borritz</name>
<name sortKey="Burr, H" sort="Burr, H" uniqKey="Burr H" first="H." last="Burr">H. Burr</name>
<name sortKey="Dragano, N" sort="Dragano, N" uniqKey="Dragano N" first="N." last="Dragano">N. Dragano</name>
<name sortKey="Ferrie, J E" sort="Ferrie, J E" uniqKey="Ferrie J" first="J. E." last="Ferrie">J. E. Ferrie</name>
<name sortKey="Fransson, E I" sort="Fransson, E I" uniqKey="Fransson E" first="E. I." last="Fransson">E. I. Fransson</name>
<name sortKey="Graaf, R" sort="Graaf, R" uniqKey="Graaf R" first="R." last="Graaf">R. Graaf</name>
<name sortKey="Hamer, M" sort="Hamer, M" uniqKey="Hamer M" first="M." last="Hamer">M. Hamer</name>
<name sortKey="Heikkila, K" sort="Heikkila, K" uniqKey="Heikkila K" first="K." last="Heikkila">K. Heikkila</name>
<name sortKey="Jokela, M" sort="Jokela, M" uniqKey="Jokela M" first="M." last="Jokela">M. Jokela</name>
<name sortKey="Kivimaki, M" sort="Kivimaki, M" uniqKey="Kivimaki M" first="M." last="Kivimaki">M. Kivimaki</name>
<name sortKey="Knutsson, A" sort="Knutsson, A" uniqKey="Knutsson A" first="A." last="Knutsson">A. Knutsson</name>
<name sortKey="Koskenvuo, M" sort="Koskenvuo, M" uniqKey="Koskenvuo M" first="M." last="Koskenvuo">M. Koskenvuo</name>
<name sortKey="Koskinen, A" sort="Koskinen, A" uniqKey="Koskinen A" first="A." last="Koskinen">A. Koskinen</name>
<name sortKey="Leineweber, C" sort="Leineweber, C" uniqKey="Leineweber C" first="C." last="Leineweber">C. Leineweber</name>
<name sortKey="Madsen, I E H" sort="Madsen, I E H" uniqKey="Madsen I" first="I. E. H." last="Madsen">I. E. H. Madsen</name>
<name sortKey="Magnusson Hanson, L L" sort="Magnusson Hanson, L L" uniqKey="Magnusson Hanson L" first="L. L." last="Magnusson Hanson">L. L. Magnusson Hanson</name>
<name sortKey="Nielsen, M L" sort="Nielsen, M L" uniqKey="Nielsen M" first="M. L." last="Nielsen">M. L. Nielsen</name>
<name sortKey="Nordin, M" sort="Nordin, M" uniqKey="Nordin M" first="M." last="Nordin">M. Nordin</name>
<name sortKey="Nyberg, S T" sort="Nyberg, S T" uniqKey="Nyberg S" first="S. T." last="Nyberg">S. T. Nyberg</name>
<name sortKey="Oksanen, T" sort="Oksanen, T" uniqKey="Oksanen T" first="T." last="Oksanen">T. Oksanen</name>
<name sortKey="Pejtersen, J H" sort="Pejtersen, J H" uniqKey="Pejtersen J" first="J. H." last="Pejtersen">J. H. Pejtersen</name>
<name sortKey="Pentti, J" sort="Pentti, J" uniqKey="Pentti J" first="J." last="Pentti">J. Pentti</name>
<name sortKey="Plaisier, I" sort="Plaisier, I" uniqKey="Plaisier I" first="I." last="Plaisier">I. Plaisier</name>
<name sortKey="Rugulies, R" sort="Rugulies, R" uniqKey="Rugulies R" first="R." last="Rugulies">R. Rugulies</name>
<name sortKey="Salo, P" sort="Salo, P" uniqKey="Salo P" first="P." last="Salo">P. Salo</name>
<name sortKey="Suominen, S" sort="Suominen, S" uniqKey="Suominen S" first="S." last="Suominen">S. Suominen</name>
<name sortKey="Theorell, T" sort="Theorell, T" uniqKey="Theorell T" first="T." last="Theorell">T. Theorell</name>
<name sortKey="Toppinen Tanner, S" sort="Toppinen Tanner, S" uniqKey="Toppinen Tanner S" first="S." last="Toppinen-Tanner">S. Toppinen-Tanner</name>
<name sortKey="Vaananen, A" sort="Vaananen, A" uniqKey="Vaananen A" first="A." last="Vaananen">A. Vaananen</name>
<name sortKey="Vahtera, J" sort="Vahtera, J" uniqKey="Vahtera J" first="J." last="Vahtera">J. Vahtera</name>
<name sortKey="Virtanen, M" sort="Virtanen, M" uniqKey="Virtanen M" first="M." last="Virtanen">M. Virtanen</name>
<name sortKey="Westerholm, P J M" sort="Westerholm, P J M" uniqKey="Westerholm P" first="P. J. M." last="Westerholm">P. J. M. Westerholm</name>
<name sortKey="Westerlund, H" sort="Westerlund, H" uniqKey="Westerlund H" first="H." last="Westerlund">H. Westerlund</name>
</noCountry>
<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="Have, M" sort="Have, M" uniqKey="Have M" first="M." last="Havé">M. Havé</name>
<name sortKey="Niedhammer, Isabelle" sort="Niedhammer, Isabelle" uniqKey="Niedhammer I" first="Isabelle" last="Niedhammer">Isabelle Niedhammer</name>
<name sortKey="Singh Manoux, A" sort="Singh Manoux, A" uniqKey="Singh Manoux A" first="A." last="Singh-Manoux">A. Singh-Manoux</name>
</country>
</tree>
</affiliations>
</record>

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