Longitudinal association of exposure to work-related stress with major depressive disorder and the role of occupational burnout in this association in the general population

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Titel: Longitudinal association of exposure to work-related stress with major depressive disorder and the role of occupational burnout in this association in the general population
Autoren: Shoman, Yara, Ranjbar, Setareh, Strippoli, Marie-Pierre F, von Känel, Roland, Preisig, Martin, Guseva Canu, Irina
Weitere Verfasser: University of Zurich, Shoman, Yara
Quelle: Soc Psychiatry Psychiatr Epidemiol
Social psychiatry and psychiatric epidemiology, vol. 60, no. 3, pp. 593-606
Verlagsinformationen: Springer Science and Business Media LLC, 2024.
Publikationsjahr: 2024
Schlagwörter: 3207 Social Psychology, 2738 Psychiatry and Mental Health, 03 medical and health sciences, 10057 Klinik für Konsiliarpsychiatrie und Psychosomatik, 0302 clinical medicine, Research, 610 Medicine & health, 3306 Health (social science), Humans, Depressive Disorder, Major/epidemiology, Depressive Disorder, Major/psychology, Male, Female, Adult, Middle Aged, Prospective Studies, Longitudinal Studies, Occupational Stress/epidemiology, Occupational Stress/psychology, Burnout, Professional/epidemiology, Burnout, Professional/psychology, Surveys and Questionnaires, Incidence, Reward, Logistic Models, Burnout, Diagnosis, Esteem, Major depressive disorder, Work-related stress, 16. Peace & justice, 2713 Epidemiology, 3. Good health
Beschreibung: Purpose To prospectively assess (1) the associations of Effort-Reward Imbalance (ERI), its individual components, and over-commitment with (a) the onset of a Major Depressive Episode (MDE) during a 3.6-year follow-up in a population-based cohort in participants with no current Major Depressive Disorder (MDD) in the beginning of the follow-up (n = 959), (b) incidence of MDD in the subsample of participants exempt from lifetime MDD (n = 490), and (c) the onset of a new MDE (i.e. recurrence) in the subsample of participants with remitted but no current MDD (n = 485), and (2) potential effect modification of burnout on these associations. Methods DSM-IV Axis-I disorders were elicited using the semi-structured Diagnostic Instrument for Genetic Studies at each investigation. The ERI Questionnaire was used to measure ERI and overcommitment. Burnout was measured with the Maslach Burnout Inventory General Survey. Serially adjusted logistic regression models were used. The effect of burnout dimensions on these associations was assessed by testing interactions between the ERI and burnout dimensions. Results (1) ERI was prospectively associated with the onset of MDE, even after adjustment for burnout [OR (95CI) = 1.22 (1.003–1.49)]. (2) The association between ERI and MDD incidence became non-significant after adjusting for burnout. (3) ERI was not associated with recurrence of pre-existing MDD. (4) burnout did not interact with ERI. Conclusions Our results support a longitudinal association between ERI and the risk of onset of MDE in the community. Burnout did not modify this effect, but it may partially account for the association between ERI and MDD incidence.
Publikationsart: Article
Other literature type
Dateibeschreibung: application/pdf; s00127_024_02735_w.pdf - application/pdf
Sprache: English
ISSN: 1433-9285
0933-7954
DOI: 10.1007/s00127-024-02735-w
DOI: 10.5167/uzh-267017
Zugangs-URL: https://pubmed.ncbi.nlm.nih.gov/39215821
https://serval.unil.ch/resource/serval:BIB_BAAEA757EA23.P001/REF.pdf
https://serval.unil.ch/notice/serval:BIB_BAAEA757EA23
http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_BAAEA757EA233
Rights: CC BY
Dokumentencode: edsair.doi.dedup.....0d603c74d28e4bf62db2660e57f19896
Datenbank: OpenAIRE
Beschreibung
Abstract:Purpose To prospectively assess (1) the associations of Effort-Reward Imbalance (ERI), its individual components, and over-commitment with (a) the onset of a Major Depressive Episode (MDE) during a 3.6-year follow-up in a population-based cohort in participants with no current Major Depressive Disorder (MDD) in the beginning of the follow-up (n = 959), (b) incidence of MDD in the subsample of participants exempt from lifetime MDD (n = 490), and (c) the onset of a new MDE (i.e. recurrence) in the subsample of participants with remitted but no current MDD (n = 485), and (2) potential effect modification of burnout on these associations. Methods DSM-IV Axis-I disorders were elicited using the semi-structured Diagnostic Instrument for Genetic Studies at each investigation. The ERI Questionnaire was used to measure ERI and overcommitment. Burnout was measured with the Maslach Burnout Inventory General Survey. Serially adjusted logistic regression models were used. The effect of burnout dimensions on these associations was assessed by testing interactions between the ERI and burnout dimensions. Results (1) ERI was prospectively associated with the onset of MDE, even after adjustment for burnout [OR (95CI) = 1.22 (1.003–1.49)]. (2) The association between ERI and MDD incidence became non-significant after adjusting for burnout. (3) ERI was not associated with recurrence of pre-existing MDD. (4) burnout did not interact with ERI. Conclusions Our results support a longitudinal association between ERI and the risk of onset of MDE in the community. Burnout did not modify this effect, but it may partially account for the association between ERI and MDD incidence.
ISSN:14339285
09337954
DOI:10.1007/s00127-024-02735-w