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Psychosocial work characteristics and anxiety and depressive disorders in midlife: the effects of prior psychological distress

Stansfeld, S A; Clark, C; Caldwell, T; Rodgers, Bryan; Power, C

Description

OBJECTIVES The association between work stressors and adult psychiatric diagnoses may be biased by prior psychological distress influencing perception of work or selection into unfavourable work. This study examines the extent to which the association between work stressors and adult psychiatric diagnoses is explained by associations with earlier psychological distress and whether childhood and early adulthood psychological distress influences reported midlife work characteristics. METHODS...[Show more]

dc.contributor.authorStansfeld, S A
dc.contributor.authorClark, C
dc.contributor.authorCaldwell, T
dc.contributor.authorRodgers, Bryan
dc.contributor.authorPower, C
dc.date.accessioned2016-04-11T02:21:09Z
dc.date.available2016-04-11T02:21:09Z
dc.identifier.issn1351-0711
dc.identifier.urihttp://hdl.handle.net/1885/100992
dc.description.abstractOBJECTIVES The association between work stressors and adult psychiatric diagnoses may be biased by prior psychological distress influencing perception of work or selection into unfavourable work. This study examines the extent to which the association between work stressors and adult psychiatric diagnoses is explained by associations with earlier psychological distress and whether childhood and early adulthood psychological distress influences reported midlife work characteristics. METHODS Follow-up at 45 years of age of 8243 participants in paid employment from the 1958 British Birth Cohort. Karasek's work characteristics and psychiatric diagnoses (Revised Clinical Interview Schedule) were measured at 45 years. Childhood internalising and externalising problems were measured at 7, 11 and 16 and malaise at 23 and 33 years. RESULTS Internalising behaviours in childhood and early adult psychological distress predicted adverse work characteristics in mid-adulthood. High job demands (women: relative risk (RR) = 1.75, 95% CI 1.2 to 2.5; men: RR = 4.99, 95% CI 2.5 to 10.1), low decision latitude (RR = 1.46, 95% CI 1.1 to 1.9), high job strain (OR = 1.88, 95% CI 1.5 to 2.4), low work social support (RR = 1.97, 95% CI 1.5 to 2.6) and high job insecurity (OR = 1.86, 95% CI 1.4 to 2.4) were associated with mid-adulthood diagnoses. The association between work stressors and mid-adulthood diagnoses remained after adjustment for internalising behaviours and malaise at 23 and 33 years although diminished slightly in magnitude (eg, adjusted RR for support = 1.82, 95% CI 1.4 to 2.4; job strain OR = 1.78, 95% CI 1.4 to 2.3). CONCLUSIONS Childhood and early adulthood psychological distress predict work characteristics in mid-adulthood but do not explain the associations of work characteristics with depressive episode and generalised anxiety disorder in midlife. Work stressors are an important source of preventable psychiatric diagnoses in midlife. Psychological distress may influence selection into less advantaged occupations with poorer working conditions that may increase the risk of future depressive and anxiety disorders.
dc.description.sponsorshipThe biomedical examination and related statistical analyses were funded by Medical Research Council grant G0000934, awarded under the Health of the Public initiative. Charlotte Clark is supported by an Engineering and Physical Sciences Research Fellowship. Bryan Rodgers is supported by Research Fellowships nos. 148948 and 366758 and by Program Grant no. 179805 from the National Health and Medical Research Council of Australia. Research at the Institute of Child Health and Great Ormond Street Hospital for Children NHS Trust benefits from R&D funding received from the NHS Executive.
dc.publisherBMJ Publishing Group
dc.rights© BMJ Publishing Group
dc.sourceOccupational and Environmental Medicine
dc.subjectadolescent
dc.subjectadult
dc.subjectage of onset
dc.subjectanxiety disorders
dc.subjectchild
dc.subjectdepressive disorder
dc.subjectemployment
dc.subjectfemale
dc.subjectgreat britain
dc.subjecthealth status
dc.subjecthumans
dc.subjectjob satisfaction
dc.subjectlongitudinal studies
dc.subjectmale
dc.subjectmiddle aged
dc.subjectrisk factors
dc.subjectstress, psychological
dc.subjectworkload
dc.subjectworkplace
dc.titlePsychosocial work characteristics and anxiety and depressive disorders in midlife: the effects of prior psychological distress
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume65
dc.date.issued2008
local.identifier.absfor111714
local.identifier.ariespublicationu4468094xPUB59
local.publisher.urlhttp://www.bmj.com/company/
local.type.statusPublished Version
local.contributor.affiliationStansfeld, Stephen A, London School of Medicine and Dentistry, United Kingdom
local.contributor.affiliationClark, C, Queen Mary University of London , United Kingdom
local.contributor.affiliationDavidson (previously Caldwell), Tanya, College of Medicine, Biology and Environment, CMBE Research School of Population Health, Natl Centre for Epidemiology & Population Health, The Australian National University
local.contributor.affiliationRodgers, Bryan, College of Arts and Social Sciences, CASS Research School of Social Sciences, Australian Demographic and Social Research Institute, The Australian National University
local.contributor.affiliationPower, Chris, University College London (Inst of Child Health), United Kingdom
dc.relationhttp://purl.org/au-research/grants/nhmrc/148948
dc.relationhttp://purl.org/au-research/grants/nhmrc/366758
dc.relationhttp://purl.org/au-research/grants/nhmrc/179805
local.identifier.essn1470-7926
local.bibliographicCitation.issue9
local.bibliographicCitation.startpage634
local.bibliographicCitation.lastpage642
local.identifier.doi10.1136/oem.2007.036640
dc.date.updated2016-06-14T09:05:46Z
local.identifier.scopusID2-s2.0-50649100739
local.identifier.thomsonID000258782800012
CollectionsANU Research Publications

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