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      Predicting new major depression symptoms from long working hours, psychosocial safety climate and work engagement: a population-based cohort study

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          Abstract

          Objectives

          This study sought to assess the association between long working hours, psychosocial safety climate (PSC), work engagement (WE) and new major depression symptoms emerging over the next 12 months. PSC is the work climate supporting workplace psychological health.

          Setting

          Australian prospective cohort population data from the states of New South Wales, Western Australia and South Australia.

          Participants

          At Time 1, there were 3921 respondents in the sample. Self-employed, casual temporary, unclassified, those with working hours <35 (37% of 2850) and participants with major depression symptoms at Time 1 (6.7% of 1782) were removed. The final sample was a population-based cohort of 1084 full-time Australian employees.

          Primary and secondary outcome measures

          The planned and measured outcomes were new cases of major depression symptoms.

          Results

          Long working hours were not significantly related to new cases of major depression symptoms; however, when mild cases were removed, the 41–48 and ≥55 long working hour categories were positively related to major depression symptoms. Low PSC was associated with a threefold increase in risk for new major depression symptoms. PSC was not related to long working hours, and long working hours did not mediate the relationship between PSC and new cases of major depression symptoms. The inverse relationship between PSC and major depression symptoms was stronger for males than females. Additional analyses identified that WE was positively related to long working hours. Long working hours (41–48 and ≥55 hours) mediated a positive relationship between WE and major depression symptoms when mild cases of major depression were removed.

          Conclusion

          The results suggest that low workplace PSC and potentially long working hours (41–48; ≥55 hours/week) increase the risk of new major depression symptoms. Furthermore, high WE may increase long working hours and subsequent major depression symptoms.

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          Most cited references81

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          The PHQ-9: validity of a brief depression severity measure.

          While considerable attention has focused on improving the detection of depression, assessment of severity is also important in guiding treatment decisions. Therefore, we examined the validity of a brief, new measure of depression severity. The Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as "0" (not at all) to "3" (nearly every day). The PHQ-9 was completed by 6,000 patients in 8 primary care clinics and 7 obstetrics-gynecology clinics. Construct validity was assessed using the 20-item Short-Form General Health Survey, self-reported sick days and clinic visits, and symptom-related difficulty. Criterion validity was assessed against an independent structured mental health professional (MHP) interview in a sample of 580 patients. As PHQ-9 depression severity increased, there was a substantial decrease in functional status on all 6 SF-20 subscales. Also, symptom-related difficulty, sick days, and health care utilization increased. Using the MHP reinterview as the criterion standard, a PHQ-9 score > or =10 had a sensitivity of 88% and a specificity of 88% for major depression. PHQ-9 scores of 5, 10, 15, and 20 represented mild, moderate, moderately severe, and severe depression, respectively. Results were similar in the primary care and obstetrics-gynecology samples. In addition to making criteria-based diagnoses of depressive disorders, the PHQ-9 is also a reliable and valid measure of depression severity. These characteristics plus its brevity make the PHQ-9 a useful clinical and research tool.
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            The PHQ-9

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              Job Demands, Job Decision Latitude, and Mental Strain: Implications for Job Redesign

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                Author and article information

                Journal
                BMJ Open
                BMJ Open
                bmjopen
                bmjopen
                BMJ Open
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                2044-6055
                2021
                16 June 2021
                : 11
                : 6
                : e044133
                Affiliations
                [1 ] departmentCentre for Workplace Excellence , University of South Australia , Adelaide, South Australia, Australia
                [2 ] departmentSchool of Medicine, Institute of Work, Health and Organisations , University of Nottingham , Nottingham, UK
                [3 ] departmentFaculty of Law, Management and Economics , Johannes Gutenberg University Mainz , Mainz, Germany
                [4 ] departmentDepartment of Environmental and Occupational Health Sciences , State University of New York Downstate School of Public Health , Brooklyn, New York, USA
                Author notes
                [Correspondence to ] Dr Amy Jane Zadow; amy.zadow@ 123456unisa.edu.au
                Author information
                http://orcid.org/0000-0002-2440-8962
                Article
                bmjopen-2020-044133
                10.1136/bmjopen-2020-044133
                8211051
                34162636
                ca5c00de-de36-4854-ae2f-b3ad69c8e42b
                © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:  http://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 01 September 2020
                : 19 May 2021
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100000923, Australian Research Council;
                Award ID: DP087900
                Award ID: LP100100449
                Categories
                Public Health
                1506
                1724
                Original research
                Custom metadata
                unlocked

                Medicine
                mental health,occupational & industrial medicine,depression & mood disorders
                Medicine
                mental health, occupational & industrial medicine, depression & mood disorders

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