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RESEARCH PRODUCT

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

Amy ZadowMaureen F. DollardPaul LandsbergisChristian Dormann

subject

Malemedicine.medical_specialtyoccupational & industrial medicinePopulationSafety climateCohort Studies03 medical and health sciences0302 clinical medicineSouth AustraliaHumans1724MedicineProspective Studies1506030212 general & internal medicineeducationProspective cohort studyPsychiatryDepression (differential diagnoses)Depressive Disorder Majoreducation.field_of_studyDepressionbusiness.industryWork engagementAustraliaRWestern AustraliaGeneral MedicineWork EngagementOrganizational Culture030210 environmental & occupational healthMental healthdepression & mood disordersCohortMedicineFemalePublic HealthNew South WalesbusinessPsychosocialmental health

description

ObjectivesThis 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.SettingAustralian prospective cohort population data from the states of New South Wales, Western Australia and South Australia.ParticipantsAt 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 measuresThe planned and measured outcomes were new cases of major depression symptoms.ResultsLong 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.ConclusionThe 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.

10.1136/bmjopen-2020-044133https://bmjopen.bmj.com/content/11/6/e044133.full