Testing the Job Demand-Control-Support model with anxiety and depression as outcomes: the Hordaland Health Study.

AIM To test the strain/iso-strain, interaction and buffer hypotheses of the Job Demand-Control-Support model in relation to anxiety and depression. METHODS Five thousand five hundred and sixty-two workers with valid Demand-Control-Support Questionnaire (DCSQ) scores were examined with the sub-scales of the Hospital Anxiety and Depression Scale as outcomes. Multiple statistical methods were applied. RESULTS The strain and iso-strain hypotheses were confirmed. Generally, additive and non-interaction effects were found between psychological demands, control and social support. The buffer hypotheses were refuted. Results from analyses testing different interaction operationalizations were complementary. CONCLUSIONS High demands, low control and low support individually, but particularly combined, are risk factors for anxiety and depression. Support is the DCSQ index most strongly associated with anxiety and depression in women. Assessment of psychosocial work environment may identify workers at risk, and serve as a basis for job-redesign.

[1]  Blair Wheaton,et al.  The epidemiology of social stress , 1995 .

[2]  Ben Fletcher,et al.  A refutation of Karasek's demand – discretion model of occupational stress with a range of dependent measures. , 1993 .

[3]  T. Kristensen.  The demand-control-support model: Methodological challenges for future research. , 1995 .

[4]  C. Bildt,et al.  Gender differences in the effects from working conditions on mental health: a 4-year follow-up , 2002, International archives of occupational and environmental health.

[5]  C. Y. Li,et al.  A review of the healthy worker effect in occupational epidemiology. , 1999, Occupational medicine.

[6]  W. Schaufeli,et al.  Job burnout. , 2001, Annual review of psychology.

[7]  A. Mykletun,et al.  Depression in relation to age and gender in the general population: the Nord‐Trøndelag Health Study (HUNT) , 2001, Acta psychiatrica Scandinavica.

[8]  Peter Vlerick,et al.  Scale reliability and validity of the Karasek 'Job Demand-Control-Support' model in the Belstress study , 2001 .

[9]  Y. Lecrubier,et al.  Depressed Subjects Unwittingly Overreport Poor Social Adjustment Which They Reappraise When Recovered , 1991, The Journal of nervous and mental disease.

[10]  M. Doef,et al.  The Job Demand-Control (-Support) Model and psychological well-being: A review of 20 years of empirical research , 1999 .

[11]  Michael Marmot,et al.  The importance of low control at work and home on depression and anxiety: do these effects vary by gender and social class? , 2002, Social science & medicine.

[12]  R. Karasek,et al.  Current issues relating to psychosocial job strain and cardiovascular disease research. , 1998, Journal of occupational health psychology.

[13]  N. Kawakami,et al.  The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. , 1998, Journal of occupational health psychology.

[14]  C. Allgulander.  Psychoactive drug use in a general population sample, Sweden: correlates with perceived health, psychiatric diagnoses, and mortality in an automated record-linkage study. , 1989, American journal of public health.

[15]  Marjan Jahanshahi,et al.  The Validity of the Hospital Anxiety and Depression Scale and the Geriatric Depression Scale in Parkinson’s Disease , 2006, Behavioural neurology.

[16]  W. Eaton,et al.  Psychosocial work environment and depression: epidemiologic assessment of the demand-control model. , 2000, American journal of public health.

[17]  S. Parker,et al.  The demands—control model of job strain: A more specific test , 1996 .

[18]  T. T. Haug,et al.  The validity of the Hospital Anxiety and Depression Scale. An updated literature review. , 2002, Journal of psychosomatic research.

[19]  M. Marmot,et al.  Explaining social class differences in depression and well-being , 1997, Social Psychiatry and Psychiatric Epidemiology.

[20]  G. Dagenais,et al.  Reliability and validity of the French version of the 18-item Karasek job content questionnaire , 1998 .

[21]  C. Herrmann.  International experiences with the Hospital Anxiety and Depression Scale--a review of validation data and clinical results. , 1997, Journal of psychosomatic research.

[22]  P. Bongers,et al.  "The very best of the millennium": longitudinal research and the demand-control-(support) model. , 2003, Journal of occupational health psychology.

[23]  J. Siegrist.  Adverse health effects of high-effort/low-reward conditions. , 1996, Journal of occupational health psychology.

[24]  I. Niedhammer,et al.  Psychosocial factors at work, personality traits and depressive symptoms , 2002, British Journal of Psychiatry.

[25]  P. Vlerick,et al.  Psychosocial work environment and psychological well‐being: assessment of the buffering effects in the job demand–control (–support) model in BELSTRESS , 2002 .

[26]  S. Stansfeld,et al.  Work and psychiatric disorder in the Whitehall II Study. , 1997, Journal of psychosomatic research.

[27]  Paul A. Landsbergis,et al.  The patterning of psychological attributes and distress by “job strain” and social support in a sample of working men , 1992, Journal of Behavioral Medicine.

[28]  A. Mykletun,et al.  Occupational Differences in Levels of Anxiety and Depression: The Hordaland Health Study , 2003, Journal of occupational and environmental medicine.

[29]  R. Tibshirani,et al.  Generalized Additive Models , 1991 .

[30]  Robert Karasek,et al.  Healthy Work : Stress, Productivity, and the Reconstruction of Working Life , 1990 .

[31]  J. Johnson,et al.  Job strain, work place social support, and cardiovascular disease: a cross-sectional study of a random sample of the Swedish working population. , 1988, American journal of public health.

[32]  Paulien M Bongers,et al.  Effects of stable and changing demand-control histories on worker health. , 2002, Scandinavian journal of work, environment & health.

[33]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[34]  T. Theorell,et al.  Measurement of psychosocial workplace exposure variables. , 2000, Occupational medicine.

[35]  S. Kasl.  The influence of the work environment on cardiovascular health: a historical, conceptual, and methodological perspective. , 1996, Journal of occupational health psychology.

[36]  J. Johnson,et al.  Combined effects of job strain and social isolation on cardiovascular disease morbidity and mortality in a random sample of the Swedish male working population. , 1989, Scandinavian journal of work, environment & health.

[37]  R. Kessler,et al.  Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. , 1994, Archives of general psychiatry.