Major Depressive Episodes and Work Stress: Results from a National Population Survey.
From: University of Rochester Medical Center, Rochester, New York 14462-8409, USA. emma_robertsonblackmore@urmc.rochester.edu
American journal of public health
- Publish Date: Nov 2007
- ISSN: 1541-0048
- Volume: 97
- Issue: 11
- Pages: 2088-93
- Medium: Internet
- Language: English
- Citation (JAMA): Blackmore Emma Robertson, Stansfeld Stephen A, Weller Iris, et al. Major Depressive Episodes and Work Stress: Results from a National Population Survey.. Nov 2007;97:2088-93
Abstract
OBJECTIVES: We determined the proportion of workers meeting criteria for major depressive episodes in the past year and examined the association between psychosocial work-stress variables and these episodes. METHODS: Data were derived from the Canadian Community Health Survey 1.2, a population-based survey of 24324 employed, community-dwelling individuals conducted in 2002. We assessed depressive episodes using the Composite International Diagnostic Interview. RESULTS: Of the original sample, 4.6% (weighted n=745948) met criteria for major depressive episodes. High job strain was significantly associated with depression among men (odds ratio [OR]=2.38; 95% confidence interval [CI]=1.29, 4.37), and lack of social support at work was significantly associated with depression in both genders (men, OR=2.70; 95% CI=1.55, 4.71; women, OR=2.37; 95% CI=1.71, 3.29). Women with low levels of decision authority were more likely to have depression (OR=1.59; 95% CI=1.06, 2.39) than were women with high levels of authority. CONCLUSIONS: A significant proportion of the workforce experienced major depressive episodes in the year preceding our study. Gender differences appear to affect work-stress factors that increase risk for depression. Prevention strategies need to be developed with employers and employee organizations to address work organization and to increase social support.
Mesh Headings (Keywords): Adolescent, Adult, Canada, Confounding Factors (Epidemiology), Depressive Disorder, Major, Employment, Female, Humans, Male, Middle Aged, Odds Ratio, Questionnaires, Risk Factors, Social Support, Stress, Psychological, Workplace
Check for Full Text / PubMed Unique Identifier (PMID): 17901431
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