Appreciation and job control predict depressive symptoms: results from the Study on Mental Health at Work

Pohrt, Anne; Fodor, Daniel; Burr, Hermann; Kendel, Friederike

doi:10.1007/s00420-021-01735-6

Cited by 5 publications

(8 citation statements)

References 31 publications

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“…Many secondary analyses of RCTs of IPS have shown that employment mediates the salutary effects of IPS on the nonvocational outcomes. The findings regarding positive effects of competitive employment align with studies in the general population 2,69–72 …”

Section: Effectiveness Of Ipssupporting

confidence: 80%

Individual placement and support: History, current status, and future directions

Drake

Bond

2023

PCN Reports

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Over the past three decades, Individual Placement and Support (IPS) has emerged as a robust evidence‐based approach to helping people with severe mental illnesses, such as schizophrenia, bipolar disorder, and major depression, to obtain and succeed in competitive employment. This review addresses the history, principles, research, and future directions of IPS. It covers current evidence on employment outcomes, cost‐effectiveness, and nonvocational outcomes. It also describes current attempts to extend IPS to new populations. The authors provide an overview of numerous systematic reviews and meta‐analyses of randomized controlled trials involving people with serious mental illness. For studies addressing nonvocational outcomes and new populations, the review uses best available evidence. Published reviews agree that IPS enables patients with serious mental illness in high‐income countries to succeed in competitive employment at a higher rate than patients who receive other vocational interventions. Within IPS programs, quality of implementation, measured by standardized fidelity scales, correlates with better outcomes. Employment itself leads to enhanced income, psychosocial outcomes, clinical improvements, and decreased mental health service use. As IPS steadily spreads to new populations and new settings, research is active across high‐income countries and spreading slowly to middle‐income countries. IPS is an evidence‐based practice for people with serious mental illness in high‐income countries. It shows promise to help other disability groups also, and emerging research aims to clarify adaptations and outcomes.

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Section: Effectiveness Of Ipssupporting

confidence: 80%

Individual placement and support: History, current status, and future directions

Drake

Bond

2023

PCN Reports

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“… 34 These factors have also been associated with higher risk of musculoskeletal 35 , 36 and mental disorders. 37 , 38 Employees who have low control over their work may experience more musculoskeletal disorders 35 , 36 and depressive symptoms, 37 and employees who perceive an imbalance between their efforts and rewards may have a higher probability to experience musculoskeletal disorders 35 and stress-related mental disorders. 38 …”

Section: Discussionmentioning

confidence: 99%

How does lowering psychosocial risks influence sickness absence? A prospective cohort study analyzed as a quasi-experiment

Shiri,

Mattila-Holappa,

Kauppi

et al. 2023

European Journal of Public Health

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Background We examined how reducing work-related psychosocial stressors affected long-term sickness absence of younger and older employees. Methods We used data from 43 843 public sector employees in Finland who participated in surveys in 2018 and 2020. We assessed psychosocial factors, such as job demands, job control, work effort, job rewards and worktime control. We obtained sickness absence data from registers for spells longer than 10 consecutive working days. We applied age-specific propensity score weighting and generalized linear models to estimate the effects of changes in psychosocial factors between 2018 and 2020 on sickness absence in 2020. Results Among employees under 50 years, increasing job rewards by 1 SD reduced the risk of sickness absence by 17% [risk ratio (RR) 0.83, 95% CI 0.72–0.96]. Among employees aged 50 years or older, decreasing job demands by 1 SD reduced the risk of sickness absence by 13% (RR 0.87, 95% CI 0.78–0.98), and increasing job control by 1 SD reduced the risk by 12% (RR 0.88, 95% CI 0.76–1.01). Changes in efforts and worktime control had no significant associations with sickness absence. Conclusions Reducing psychosocial stressors can lower the occurrence of long-term sickness absence, but the associations differ by age group. Younger workers benefit more from enhancing job rewards, while older workers benefit more from lowering job demands and increasing job control. To establish the causal impact of psychosocial risk reduction on sickness absence across age groups, future research should employ randomized controlled trials as the methodological approach.

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“…A prospective study of patients referred to secondary care with back and or neck pain found that the perception of support and control at work were associated with disability measured by the Oswestry Disability Index or neck disability index [ 26 ]. A recent study found that low appreciation of superior and low job control was associated with depressive symptoms [ 27 ]. Our study’s results are somewhat in line with this, suggesting that aspects of work support in addition to work demands are connected to treatment outcomes, work ability and disability.…”

Section: Discussionmentioning

confidence: 99%

Are Work Demand, Support and Control Associated with Work Ability and Disability during Back Pain Treatment? A Prospective Explorative Study

Unsgaard-Tøndel

Nordstoga

2022

IJERPH

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Background: Low back pain is a multifactorial disease with consequences for work ability and social participation. Improved integration of the work domain in health care management is needed. The aim of this study was to explore the relation between working conditions with outcome of low back pain treatment. Methods: Observational study of 41 patients attending physiotherapy for low back pain. Work demands, support and control were registered at baseline and work ability and disability also at baseline, with follow up after three and nine months. We used mixed-effects models to estimate the longitudinal associations between working conditions and outcome. Results: Higher work demands were related to reduced work ability (−1.1 points, 95% CI: −2.1 to −0.1) and slightly increased disability (5.6 points, 95% CI: 0.5 to 10.7). Lack of social support from colleagues was associated with reduced work ability (−2.7 points, 95% CI: −0.2 to 1.5) and disability (14.0 points, 95% CI: 4.9 to 23.1). Conclusions: This explorative study found associations between work demands and support, and work ability and disability outcome. Screening for psychosocial working conditions may influence the work ability and disability treatment outcome. The results need replication in larger samples and may indicate that patients seeking primary care management for low back pain should be screened for work demands, support and control.

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Appreciation and job control predict depressive symptoms: results from the Study on Mental Health at Work

Cited by 5 publications

References 31 publications

Individual placement and support: History, current status, and future directions

Individual placement and support: History, current status, and future directions

How does lowering psychosocial risks influence sickness absence? A prospective cohort study analyzed as a quasi-experiment

Are Work Demand, Support and Control Associated with Work Ability and Disability during Back Pain Treatment? A Prospective Explorative Study

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