Effort–reward imbalance at work and risk of depressive disorders. A systematic review and meta-analysis of prospective cohort studies
OBJECTIVE: The aim of this review was to determine whether employees exposed to effort–reward imbalance (ERI) at work have a higher risk of depressive disorders than non-exposed employees. METHODS: We conducted a systematic review and meta-analysis of published prospective cohort studies examining t...
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| Format: | Article |
| Language: | English |
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Nordic Association of Occupational Safety and Health (NOROSH)
2017-07-01
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| Series: | Scandinavian Journal of Work, Environment & Health |
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https://www.sjweh.fi/show_abstract.php?abstract_id=3632
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| _version_ | 1818454543067774976 |
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| author | Reiner Rugulies Birgit Aust Ida EH Madsen |
| author_facet | Reiner Rugulies Birgit Aust Ida EH Madsen |
| author_sort | Reiner Rugulies |
| collection | DOAJ |
| description | OBJECTIVE: The aim of this review was to determine whether employees exposed to effort–reward imbalance (ERI) at work have a higher risk of depressive disorders than non-exposed employees. METHODS: We conducted a systematic review and meta-analysis of published prospective cohort studies examining the association of ERI at baseline with onset of depressive disorders at follow-up. The work was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and a detailed study protocol was registered before literature search commenced (Registration number: CRD42016047581). We obtained a summary estimate for the association of ERI with risk of depressive disorders by pooling the study-specific estimates in a meta-analysis. We further conducted pre-defined sensitivity analyses. RESULTS: We identified eight eligible cohort studies, encompassing 84 963 employees and 2897 (3.4%) new cases of depressive disorders. Seven of the eight studies suggested an increased risk of depressive disorders among employees exposed to ERI. The pooled random-effects estimate was 1.49 [95% confidence interval (95% CI) 1.23–1.80, P<0.001], indicating that ERI predicts risk of depressive disorders. The estimate was robust in sensitivity analyses stratified by study quality, type of ERI ascertainment and type depressive disorder ascertainment, respectively. CONCLUSIONS: Employees exposed to ERI were at increased risk of depressive disorder. Future studies on ERI and depressive disorders should examine if this association is stronger or weaker when ERI is measured repeatedly during follow-up and with other methods than self-report or when depressive disorders are ascertained with clinical diagnostic interviews. |
| first_indexed | 2024-12-14T21:56:33Z |
| format | Article |
| id | doaj.art-1ccff2e2be744b15b3d04a1e4fc51691 |
| institution | Directory Open Access Journal |
| issn | 0355-3140 1795-990X |
| language | English |
| last_indexed | 2024-12-14T21:56:33Z |
| publishDate | 2017-07-01 |
| publisher | Nordic Association of Occupational Safety and Health (NOROSH) |
| record_format | Article |
| series | Scandinavian Journal of Work, Environment & Health |
| spelling | doaj.art-1ccff2e2be744b15b3d04a1e4fc516912022-12-21T22:46:07ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2017-07-0143429430610.5271/sjweh.36323632Effort–reward imbalance at work and risk of depressive disorders. A systematic review and meta-analysis of prospective cohort studiesReiner Rugulies0Birgit AustIda EH MadsenNational Research Centre for the Working Environment, Lersø Parkallé 105, DK-2100 Copenhagen.OBJECTIVE: The aim of this review was to determine whether employees exposed to effort–reward imbalance (ERI) at work have a higher risk of depressive disorders than non-exposed employees. METHODS: We conducted a systematic review and meta-analysis of published prospective cohort studies examining the association of ERI at baseline with onset of depressive disorders at follow-up. The work was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and a detailed study protocol was registered before literature search commenced (Registration number: CRD42016047581). We obtained a summary estimate for the association of ERI with risk of depressive disorders by pooling the study-specific estimates in a meta-analysis. We further conducted pre-defined sensitivity analyses. RESULTS: We identified eight eligible cohort studies, encompassing 84 963 employees and 2897 (3.4%) new cases of depressive disorders. Seven of the eight studies suggested an increased risk of depressive disorders among employees exposed to ERI. The pooled random-effects estimate was 1.49 [95% confidence interval (95% CI) 1.23–1.80, P<0.001], indicating that ERI predicts risk of depressive disorders. The estimate was robust in sensitivity analyses stratified by study quality, type of ERI ascertainment and type depressive disorder ascertainment, respectively. CONCLUSIONS: Employees exposed to ERI were at increased risk of depressive disorder. Future studies on ERI and depressive disorders should examine if this association is stronger or weaker when ERI is measured repeatedly during follow-up and with other methods than self-report or when depressive disorders are ascertained with clinical diagnostic interviews. https://www.sjweh.fi/show_abstract.php?abstract_id=3632 epidemiologystressoccupational healthlongitudinal studymental healthmeta-analysisdepressionsystematic revieweffort–reward imbalanceeridepressive disordercommon mental disorderpsychosocial |
| spellingShingle | Reiner Rugulies Birgit Aust Ida EH Madsen Effort–reward imbalance at work and risk of depressive disorders. A systematic review and meta-analysis of prospective cohort studies Scandinavian Journal of Work, Environment & Health epidemiology stress occupational health longitudinal study mental health meta-analysis depression systematic review effort–reward imbalance eri depressive disorder common mental disorder psychosocial |
| title | Effort–reward imbalance at work and risk of depressive disorders. A systematic review and meta-analysis of prospective cohort studies |
| title_full | Effort–reward imbalance at work and risk of depressive disorders. A systematic review and meta-analysis of prospective cohort studies |
| title_fullStr | Effort–reward imbalance at work and risk of depressive disorders. A systematic review and meta-analysis of prospective cohort studies |
| title_full_unstemmed | Effort–reward imbalance at work and risk of depressive disorders. A systematic review and meta-analysis of prospective cohort studies |
| title_short | Effort–reward imbalance at work and risk of depressive disorders. A systematic review and meta-analysis of prospective cohort studies |
| title_sort | effort reward imbalance at work and risk of depressive disorders a systematic review and meta analysis of prospective cohort studies |
| topic | epidemiology stress occupational health longitudinal study mental health meta-analysis depression systematic review effort–reward imbalance eri depressive disorder common mental disorder psychosocial |
| url |
https://www.sjweh.fi/show_abstract.php?abstract_id=3632
|
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