Bullying at work and onset of a major depressive episode among Danish female eldercare workers

OBJECTIVE: The aim of this study was to analyze whether exposure to workplace bullying among 5701 female employees in the Danish eldercare sector increases the risk of onset of a major depressive episode (MDE). METHODS: Participants received questionnaires in 2004–2005 and again in 2006–2007. MDE wa...

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Main Authors: Reiner Rugulies, Ida EH Madsen, Pernille U Hjarsbech, Annie Hogh, Vilhelm Borg, Isabella G Carneiro, Birgit Aust
Format: Article
Language:English
Published: Nordic Association of Occupational Safety and Health (NOROSH) 2012-05-01
Series:Scandinavian Journal of Work, Environment & Health
Subjects:
Online Access: https://www.sjweh.fi/show_abstract.php?abstract_id=3278
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author Reiner Rugulies
Ida EH Madsen
Pernille U Hjarsbech
Annie Hogh
Vilhelm Borg
Isabella G Carneiro
Birgit Aust
author_facet Reiner Rugulies
Ida EH Madsen
Pernille U Hjarsbech
Annie Hogh
Vilhelm Borg
Isabella G Carneiro
Birgit Aust
author_sort Reiner Rugulies
collection DOAJ
description OBJECTIVE: The aim of this study was to analyze whether exposure to workplace bullying among 5701 female employees in the Danish eldercare sector increases the risk of onset of a major depressive episode (MDE). METHODS: Participants received questionnaires in 2004–2005 and again in 2006–2007. MDE was assessed with the Major Depression Inventory. We examined baseline bullying as a predictor of onset of MDE at follow-up using multiple logistic regression. We further conducted a cross-sectional analysis at the time of follow-up among participants who at baseline were free of bullying, MDE, and signs of reduced psychological health. Finally, we analyzed reciprocal effects, by using baseline bullying and baseline MDE as predictors for bullying and MDE at follow-up. RESULTS: Onset rates of MDE in the groups of no, occasional, and frequent bullying were 1.5%, 3.4%, and 11.3%, respectively. Odds ratios (OR) for onset of MDE were 2.22 [95% confidence interval (95% CI) 1.31–3.76] for occasional bullying and OR 8.45 (95% CI 4.04–17.70) for frequent bullying, after adjustment for covariates. In the cross-sectional analysis, OR were 6.29 (95% CI 2.52–15.68) for occasional bullying and 20.96 (95% CI 5.80–75.80) for frequent bullying. In the analyses on reciprocal effects, both baseline bullying [occasional: OR 2.12 (95% CI 1.29–3.48) and frequent: OR 6.39 (95% CI 3.10–13.17)] and baseline MDE [OR 7.18 (95% CI 3.60–14.30] predicted MDE at follow-up. However, only baseline bullying [occasional: OR 7.44 (95% CI 5.94–9.31) and frequent: OR 11.91 (95% CI 7.56–18.77)] but not baseline MDE [OR 0.93 (95% CI 0.47–1.84)] predicted bullying at follow-up. CONCLUSIONS: Workplace bullying increased the risk of MDE among female eldercare workers. MDE did not predict risk of bullying. Eliminating bullying at work may be an important contribution to the prevention of MDE.
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spelling doaj.art-071d77398fd145e88313112a85a953e12022-12-21T17:00:52ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2012-05-0138321822710.5271/sjweh.32783278Bullying at work and onset of a major depressive episode among Danish female eldercare workersReiner Rugulies0Ida EH MadsenPernille U HjarsbechAnnie HoghVilhelm BorgIsabella G CarneiroBirgit AustNational Research Centre for the Working Environment, Lersø Parkallé 105, DK-2100 Copenhagen, Denmark.OBJECTIVE: The aim of this study was to analyze whether exposure to workplace bullying among 5701 female employees in the Danish eldercare sector increases the risk of onset of a major depressive episode (MDE). METHODS: Participants received questionnaires in 2004–2005 and again in 2006–2007. MDE was assessed with the Major Depression Inventory. We examined baseline bullying as a predictor of onset of MDE at follow-up using multiple logistic regression. We further conducted a cross-sectional analysis at the time of follow-up among participants who at baseline were free of bullying, MDE, and signs of reduced psychological health. Finally, we analyzed reciprocal effects, by using baseline bullying and baseline MDE as predictors for bullying and MDE at follow-up. RESULTS: Onset rates of MDE in the groups of no, occasional, and frequent bullying were 1.5%, 3.4%, and 11.3%, respectively. Odds ratios (OR) for onset of MDE were 2.22 [95% confidence interval (95% CI) 1.31–3.76] for occasional bullying and OR 8.45 (95% CI 4.04–17.70) for frequent bullying, after adjustment for covariates. In the cross-sectional analysis, OR were 6.29 (95% CI 2.52–15.68) for occasional bullying and 20.96 (95% CI 5.80–75.80) for frequent bullying. In the analyses on reciprocal effects, both baseline bullying [occasional: OR 2.12 (95% CI 1.29–3.48) and frequent: OR 6.39 (95% CI 3.10–13.17)] and baseline MDE [OR 7.18 (95% CI 3.60–14.30] predicted MDE at follow-up. However, only baseline bullying [occasional: OR 7.44 (95% CI 5.94–9.31) and frequent: OR 11.91 (95% CI 7.56–18.77)] but not baseline MDE [OR 0.93 (95% CI 0.47–1.84)] predicted bullying at follow-up. CONCLUSIONS: Workplace bullying increased the risk of MDE among female eldercare workers. MDE did not predict risk of bullying. Eliminating bullying at work may be an important contribution to the prevention of MDE. https://www.sjweh.fi/show_abstract.php?abstract_id=3278 healthcare workernegative actmajor depressive episodestresspsychosocial factoroccupational healthlongitudinal studymental healthanxietydepressiondenmarkbullyingworkplace bullyingoccupational healtheldercare workerdepressive episode
spellingShingle Reiner Rugulies
Ida EH Madsen
Pernille U Hjarsbech
Annie Hogh
Vilhelm Borg
Isabella G Carneiro
Birgit Aust
Bullying at work and onset of a major depressive episode among Danish female eldercare workers
Scandinavian Journal of Work, Environment & Health
healthcare worker
negative act
major depressive episode
stress
psychosocial factor
occupational health
longitudinal study
mental health
anxiety
depression
denmark
bullying
workplace bullying
occupational health
eldercare worker
depressive episode
title Bullying at work and onset of a major depressive episode among Danish female eldercare workers
title_full Bullying at work and onset of a major depressive episode among Danish female eldercare workers
title_fullStr Bullying at work and onset of a major depressive episode among Danish female eldercare workers
title_full_unstemmed Bullying at work and onset of a major depressive episode among Danish female eldercare workers
title_short Bullying at work and onset of a major depressive episode among Danish female eldercare workers
title_sort bullying at work and onset of a major depressive episode among danish female eldercare workers
topic healthcare worker
negative act
major depressive episode
stress
psychosocial factor
occupational health
longitudinal study
mental health
anxiety
depression
denmark
bullying
workplace bullying
occupational health
eldercare worker
depressive episode
url https://www.sjweh.fi/show_abstract.php?abstract_id=3278
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