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The multilevel determinants of workers’ mental health: results from the SALVEO study

Social Psychiatry and Psychiatric Epidemiology volume 50, pages 445–459 (2015)Cite this article

Abstract

Purpose

This study examined the contribution of work, non-work and individual factors on workers’ symptoms of psychological distress, depression and emotional exhaustion based on the multilevel determinants of workers’ mental health model.

Methods

Data from the SALVEO Study were collected in 2009–2012 from a sample of 1,954 employees nested in 63 workplaces in the province of Quebec (Canada). Multilevel regression models were used to analyse the data.

Results

Altogether, variables explain 32.2 % of psychological distress, 48.4 % of depression and 48.8 % of emotional exhaustion. Mental health outcomes varied slightly between workplaces and skill utilisation, physical and psychological demands, abusive supervision, interpersonal conflicts and job insecurity are related to the outcomes. Living in couple, having young children at home, family-to-work conflict, work-to-family conflict, strained marital and parental relations, and social support outside the workplace associated with the outcomes. Most of the individual characteristics also correlated with the three outcomes. Importantly, non-work and individual factors modulated the number and type of work factors related to the three outcomes.

Conclusion

The results of this study suggest expanding perspectives on occupational mental health that fully recognise the complexity of workers’ mental health determinants.

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References

  1. Adam S, Gyorffy Z, Susanszky E (2008) Physician burnout in Hungary: a potential role for work–family conflict. J Health Psychol 13:847–856

    Article  PubMed  Google Scholar 

  2. Adriaenssens J, De Gucht V, Maes S (2013) Causes and consequences of occupational stress in emergency nurses, a longitudinal study. J Nurs Manag. doi:10.1111/jonm.12138

  3. Afifi A, Clark V, May S (2004) Computer-Aided Multivariate Analysis, 4th edn. Chapman & Hall/CRC, Boca Raton

    Google Scholar 

  4. Ahola K, Honkonen T, Isometsa E, Kalimo R, Nykyri E, Koskinen S, Aromaa A, Lonnqvist J (2006) Burnout in the general population results from the Finnish Health 2000 Study. Soc Psychiatry Psychiatr Epidemiol 41:11–17

    Article  PubMed  Google Scholar 

  5. Ahola K, Pulkki-Raback L, Kouvonen A, Rossi H, Aromaa A, Lonnqvist J (2012) Burnout and behavior-related health risk factors: results from the population-based Finnish Health 2000 study. J Occup Environ Med 54:17–22

    Article  PubMed  Google Scholar 

  6. Alexander JC (1987) Action and its environments. In: Alexander JC, Giesen B, Münch R, Smelser NJ (eds) The micro–macro link. University of California, Berkeley, pp 289–318

    Google Scholar 

  7. Archer MS (1995) Realist social theory. The morphogenetic approach. Cambridge University Press, Cambridge

    Book  Google Scholar 

  8. Ballard TJ, Romito P, Lauria L, Vigiliano V, Caldora M, Mazzanti C, Verdecchia A (2006) Self perceived health and mental health among women flight attendants. Occup Environ Med 63:33–38

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. Baruch Y, Holtom BC (2008) Survey response rate levels and trends in organizational research. Hum Relat 61:1139–1160

    Article  Google Scholar 

  10. Beauregard N, Marchand A, Blanc M-E (2011) What do we know about the non-work determinants of workers’ mental health? A systematic review of longitudinal studies. BMC Public Health 11:439

    Article  PubMed Central  PubMed  Google Scholar 

  11. Beck AT, Steer RA, Brown GK (1996) BDI-II. Beck depression inventory, 2 edn. Psychological Corporation, San Antonio

  12. Bellavia GM, Frone MR (2005) Work–family conflict. Handbook of work stress, pp 113–147

  13. Belsley DA, Kuh E, Welsch RE (1980) Regression diagnostics: identifying influential data and sources of collinearity. Wiley, New York

    Book  Google Scholar 

  14. Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: a practical and powerful approach to multiple testing. J R Stat Soc Ser B 57

  15. Blackmore ER, Stansfeld SA, Weller I, Munce S, Zagorski BM, Stewart DE (2007) Major depressive episodes and work stress: results from a National Population Survey. Am J Public Health 97:2088–2093

    Article  PubMed Central  PubMed  Google Scholar 

  16. Bonde JPE (2008) Psychosocial factors at work and risk of depression: a systematic review of the epidemiological evidence. Occup Environ Med 65:438–445

    Article  CAS  PubMed  Google Scholar 

  17. Boyas J, Wind LH (2010) Employment-based social capital, job stress, and employee burnout: a public child welfare employee structural model. Child Youth Serv Rev 32:380–388

    Article  Google Scholar 

  18. Burgard SA, Brand JE, House JS (2009) Perceived job insecurity and worker health in the United States. Soc Sci Med 69:777–785

    Article  PubMed Central  PubMed  Google Scholar 

  19. Campbell C (1996) The myth of social action. Cambridge University Press, Cambridge

    Book  Google Scholar 

  20. Catlin G, Will P (1992) The National Population Health Survey: highlights of initial developments. Health Rep 4:313–319

    CAS  PubMed  Google Scholar 

  21. Chida Y, Steptoe A (2009) Cortisol awakening response and psychosocial factors: a systematic review and meta-analysis. Biol Psychol 80:265–278

    Article  PubMed  Google Scholar 

  22. Clark C, Pike C, McManus S, Harris J, Bebbington P, Brugha T, Jenkins R, Meltzer H, Weich S, Stansfeld S (2012) The contribution of work and non-work stressors to common mental disorders in the 2007 Adult Psychiatric Morbidity Survey. Psychol Med 42:829–842

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  23. Clays E, De Bacquer D, Leynen F, Kornitzer M, Kittel F, De Backer G (2007) Job stress and depression symptoms in middle-aged workers—prospective results from the Belstress study. Scand J Work Environ Health 33:252–259

    Article  PubMed  Google Scholar 

  24. D’Auria D (1997) Stress and stress related illness. In: Brume D, Gerhardsson G, Crockford GW, D’Auria D (eds) The workplace, vol 1., Fundamentals of health. Safety and welfareInternational Occupational Safety and Health Information Center; International Labour Office, Scandinavian Science Publishers (Oslo), Geneva, pp 954–960

    Google Scholar 

  25. Daveluy C, Pica L, Audet N, Courtemanche R, Lapointe F, Côté L et al (2000) Enquête sociale et de santé 1998. Institut de la statistique du Québec, Québec

    Google Scholar 

  26. Demerouti E, Bakker AB, Nachreiner F, Schaufeli WB (2001) The job demands—resources model of burnout. J Appl Psychol 86:499–512

    Article  CAS  PubMed  Google Scholar 

  27. Driesen K, Jansen NW, Kant I, Mohren DC, van Amelsvoort LG (2010) Depressed mood in the working population: associations with work schedules and working hours. Chronobiol Int 27:1062–1079

    Article  PubMed  Google Scholar 

  28. Eriksen W, Tambs K, Knardahl S (2006) Work factors and psychological distress in nurses’ aides: a prospective cohort study. BMC Public Health 6:290

    Article  PubMed Central  PubMed  Google Scholar 

  29. Giddens A (1987) La Constitution de la société. PUF, Paris

    Google Scholar 

  30. Goldstein H (1995) Multilevel statistical models. Edward Arnold, Halstead Press, London, New York

    Google Scholar 

  31. Grandey AA, Kern JH, Frone MR (2007) Verbal abuse from outsiders versus insiders: comparing frequency, impact on emotional exhaustion, and the role of emotional labor. J Occup Health Psychol 12:63–79

    Article  PubMed  Google Scholar 

  32. Gutek AB, Searle S, Klepa L (1991) Rational versus gender role explanations for work-family conflict. J Appl Psychol 76:560–568

    Article  Google Scholar 

  33. Haines VY III, Marchand A, Rousseau V, Demers A (2008) The mediating role of work-to-family conflict in the relationship between shiftwork and depression. Work Stress 22:341–356

    Article  Google Scholar 

  34. Haines VY 3rd, Marchand A, Harvey S (2006) Crossover of workplace aggression experiences in dual-earner couples. J Occup Health Psychol 11:305–314

    Article  PubMed  Google Scholar 

  35. Hansen AM, Hogh A, Persson R, Karlson B, Garde AH, Orbaek P (2006) Bullying at work, health outcomes, and physiological stress response. J Psychosom Res 60:63–72

    Article  PubMed  Google Scholar 

  36. Harvey S, Blouin C, Stout D (2006) Proactive personality as a moderator of outcomes for young workers experiencing conflict at work. Personal Individ Differ 40:1063–1074

    Article  Google Scholar 

  37. Huang Y-H, Chen C-H, Du P-L, Huang I-C (2012) The causal relationships between job characteristics, burnout, and psychological health: a two-wave panel study. Int J Human Res Manag 23:2108–2125

    Article  Google Scholar 

  38. Karasek R, Gordon G, Pietrokovsky C, Frese M, Pieper C, Schwartz J, Fry L, Schirer D (1985) Job content questionnaire: questionnaire and users’ guide. University of Massachusetts, Lowell

    Google Scholar 

  39. Karasek RA (1979) Job demands, job decision latitude, and mental strain: implication for job redesign. Adm Sci Q 24:285–309

    Article  Google Scholar 

  40. Karasek RA, Theorell T (1990) Healthy work: stress, productivity, and the reconstruction of the working life. Basic Books, New York

    Google Scholar 

  41. Kleppa E, Sanne B, Tell GS (2008) Working overtime is associated with anxiety and depression: the Hordaland Health Study. J Occup Environ Med 50:658–666

    Article  PubMed  Google Scholar 

  42. Klersy C, Callegari A, Martinelli V, Vizzardi V, Navino C, Malberti F, Tarchini R, Montagna G, Guastoni C, Bellazzi R, Rampino T, David S, Barbieri C, Dal Canton A, Politi P, Working Group on B, Dialysis (2007) Burnout in health care providers of dialysis service in Northern Italy—a multicentre study. Nephrol Dial Transplant 22:2283–2290

  43. Kowalski C, Ommen O, Driller E, Ernstmann N, Wirtz MA, Kohler T, Pfaff H (2010) Burnout in nurses—the relationship between social capital in hospitals and emotional exhaustion. J Clin Nurs 19:1654–1663

    Article  PubMed  Google Scholar 

  44. Lee RT, Ashforth BE (1996) A meta-analytic examination of the correlates of the three dimensions of job burnout. J Appl Psychol 81:122–133

    Article  Google Scholar 

  45. Lindwall M, Gerber M, Jonsdottir IH, Borjesson M, Ahlborg G (2013) The relationships of change in physical activity with change in depression, anxiety, and burnout: a longitudinal study of swedish healthcare workers. Health Psychol

  46. Losa Iglesias ME, de Bengoa Becerro, Vallejo R, Salvadores Fuentes P (2010) The relationship between experiential avoidance and burnout syndrome in critical care nurses: a cross-sectional questionnaire survey. Int J Nurs Stud 47:30–37

    Article  PubMed  Google Scholar 

  47. Marchand A, Blanc M-È (2011) Occupation, work organisation conditions and the development of chronic psychological distress. Work 40:425–435

    PubMed  Google Scholar 

  48. Marchand A, Demers A, Durand P (2005) Do occupation and work conditions really matter? A longitudinal analysis of psychological distress experiences among Canadian workers. Sociol Health Illn 27:602–627

    Article  PubMed  Google Scholar 

  49. Marchand A, Demers A, Durand P (2005) Does work really cause distress? The contribution of occupational structure and work organization to the experience of psychological distress. Soc Sci Med 60:1–14

    Article  Google Scholar 

  50. Marchand A, Durand P, Lupien S (2013) Work hours and cortisol variation from non-working to working days. Int Arch Occup Environ Health 85:553–559

    Article  Google Scholar 

  51. Marchand A, Juster R-P, Durand P, Lupien S (2014) Burnout symptom sub-types and cortisol profiles: what’s burning most? Psychoneuroendocrinology 40:27–36

    Article  CAS  PubMed  Google Scholar 

  52. Martinko MJ, Harvey P, Brees JR, Mackey J (2013) A review of abusive supervision research. J Organ Behav 34:S120–S137

    Article  Google Scholar 

  53. Maslach C (1998) A multidimensional theory of burnout. In: Cooper C (ed) Theories of organizational stress. University Press, Oxford, pp 68–85

    Google Scholar 

  54. McDowell I, Newell C (1996) Measuring health: a guide to rating scales and questionnaires, 2nd edn. Oxford University Press, New York

    Google Scholar 

  55. Merecz D, Drabek M, Moscicka A (2009) Aggression at the workplace—psychological consequences of abusive encounter with coworkers and clients. Int J Occup Med Environ Health 22:243–260

    Article  PubMed  Google Scholar 

  56. Nakao M, Yano E (2006) Somatic symptoms for predicting depression: one-year follow-up study in annual health examinations. Psychiatry Clin Neurosci 60:219–225

    Article  PubMed  Google Scholar 

  57. Pearlin LI (1999) Stress and mental health: a conceptual overview. In: Horwitz AV, Scheid TL (eds) A handbook for the study of mental health-social contexts and systems. Cambridge University Press, New York, pp 161–175

    Google Scholar 

  58. Pearlin LI, Schooler C (1978) The structure of coping. J Health Soc Behav 19:2–21

    Article  CAS  PubMed  Google Scholar 

  59. Plaisier I, de Bruijn JG, de Graaf R, Have Mt, Beekman AT, Penninx BW (2007) The contribution of working conditions and social support to the onset of depressive and anxiety disorders among male and female employees. Soc Sci Med 64:401–410

    Article  PubMed  Google Scholar 

  60. Podsakoff PM, MacKenzie SB, Lee JY, Podsakoff NP (2003) Common method biases in behavioral research: a critical review of the literature and recommended remedies. J Appl Psychol 88:879–903

    Article  PubMed  Google Scholar 

  61. Rasbash J, Steele F, Browne WJ, Goldstein H (2012) A user’s guide to MLwiN. Version 2.26. Multilevel Models Project, Institute of Education, University of London, London

  62. Rau R, Morling K, Rösler U (2010) Is there a relationship between major depression and both objectively assessed and perceived demands and control? Work Stress 24:88–106

    Article  Google Scholar 

  63. Rosenberg M (1979) Conceiving the self. Basic Books, New York

    Google Scholar 

  64. Schaufeli WB, Leiter MP, Maslach C, Jackson SE (1996) The Maslach Burnout Inventory—general survey. In: Maslach C, Jackson SE, Leiter MP (eds) MBI manual. Consulting Psychologists Press, Palo Alto

    Google Scholar 

  65. Shirom A (2003) Job related burnout: a review. In: Quick JC, Tetrick LE (eds) Handbook of occupational health psychology. American Psychological Association, Washington, DC, pp 245–264

    Chapter  Google Scholar 

  66. Siegrist J (1996) Adverse health effects of high-effort/low-reward conditions. J Occup Health Psychol 1:27–41

    Article  CAS  PubMed  Google Scholar 

  67. Siegrist J, Peter R (1996) Measuring effort-reward imbalance at work: guidelines. Heinrich Heine University, Düsseldorf

    Google Scholar 

  68. Singh P, Suar D, Leiter MP (2012) Antecedents, work-related consequences, and buffers of job burnout among Indian software developers. J Leadersh Organ Stud 19:83–104

    Article  Google Scholar 

  69. Smelser NJ (1997) Problematics of sociology. The George Simmel lecture 1995. University of California Press, Berkeley

  70. Snijders TAB, Bosker RJ (1999) Multilevel analysis. In: An introduction to basic and advanced multilevel modeling. Sage Publications, London

  71. Spence Laschinger HK, Finegan J (2008) Situational and dispositional predictors of nurse manager burnout: a time-lagged analysis. J Nurs Manag 16:601–607

    Article  PubMed  Google Scholar 

  72. Stansfeld S, Candy B (2006) Psychosocial work environment and mental health—a meta-analytic review. Scand J Work Environ Health 32:443–462

    Article  PubMed  Google Scholar 

  73. Sundin O, Soares J, Grossi G, Macassa G (2011) Burnout among foreign-born and native Swedish women: a longitudinal study. Women Health 51:643–660

    Article  PubMed  Google Scholar 

  74. Tai W-T, Liu S-C (2007) An investigation of the influences of job autonomy and neuroticism on job stressor–strain relations. Soc Behav Personal 35:1007–1020

    Article  Google Scholar 

  75. Tayfur O, Arslan M (2013) The role of lack of reciprocity, supervisory support, workload and work-family conflict on exhaustion: evidence from physicians. Psychol Health Med 18:564–575

    Article  PubMed  Google Scholar 

  76. Tepper BJ (2000) Consequences of abusive supervision. Acad Manage J 43:178–190

    Article  Google Scholar 

  77. Tepper BJ (2007) Abusive supervision in work organizations: review, synthesis, and research Agenda. J Manag 33:261–289

    Google Scholar 

  78. Wang J, Adair CE, Patten SB (2006) Mental health and related disability among workers: a population-based study. Am J Ind Med 49:514–522

    Article  PubMed  Google Scholar 

  79. Wang J, Lesage A, Schmitz N, Drapeau A (2008) The relationship between work stress and mental disorders in men and women: findings from a population-based study. J Epidemiol Commun Health 62:42–47

    Article  CAS  Google Scholar 

  80. Wang JL, Schmitz N, Dewa C (2010) Socioeconomic status and the risk of major depression: the Canadian National Population Health Survey. J Epidemiol Commun Health 64:447–452

    Article  CAS  Google Scholar 

  81. Wang Z, Inslicht SS, Metzler TJ, Henn-Haase C, McCaslin SE, Tong H, Neylan TC, Marmar CR (2010) A prospective study of predictors of depression symptoms in police. Psychiatry Res 175:211–216

    Article  PubMed Central  PubMed  Google Scholar 

  82. Wheaton B (1994) Sampling the stress universe. In: Avison WR, Gotlib IH (eds) Stress and mental health contemporary issues and prospects for the future. Plenum Press, New York, pp 77–114

    Google Scholar 

  83. Xanthopoulou D, Bakker AB, Dollard MF, Demerouti E, Schaufeli WB, Taris TW, Schreurs PJ (2007) When do job demands particularly predict burnout? The moderating role of job resources. J Manage Psychol 22:766–786

    Article  Google Scholar 

  84. Xie Z, Wang A, Chen B (2011) Nurse burnout and its association with occupational stress in a cross-sectional study in Shanghai. J Adv Nurs 67:1537–1546

    Article  PubMed  Google Scholar 

  85. Ylipaavalniemi J, Kivimaki M, Elovainio M, Virtanen M, Keltikangas-Jarvinen L, Vahtera J (2005) Psychosocial work characteristics and incidence of newly diagnosed depression: a prospective cohort study of three different models. Soc Sci Med 61:111–122

    Article  PubMed  Google Scholar 

  86. Zhong J, You J, Gan Y, Zhang Y, Lu C, Wang H (2009) Job stress, burnout, depression symptoms, and physical health among Chinese university teachers. Psychol Rep 105:1248–1254

    Article  PubMed  Google Scholar 

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Acknowledgments

This study was supported by the Canadian Health Research Institutes under Grant number: 200607MHF-164381-MHF-CFCA-155960, and the Fonds de recherche du Québec-Santé under Grant number: 13928. The authors also thank Standard Life Canada for their help in workplace recruitment and Marie-Eve Blanc and Julie Dextras-Gauthier for the field work.

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

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Authors and Affiliations

  1. School of Industrial Relations, University of Montreal, CP 6128, Succursale Centre-ville, Montreal, QC, H3C 3J7, Canada

    Alain Marchand, Pierre Durand & Victor Haines III

  2. John Molson School of Business, Concordia University, 1455 De Maisonneuve Blvd. West, Montreal, QC, H3G 1M8, Canada

    Steve Harvey

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  1. Alain Marchand
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  2. Pierre Durand
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  4. Steve Harvey
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Correspondence to Alain Marchand.

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Marchand, A., Durand, P., Haines, V. et al. The multilevel determinants of workers’ mental health: results from the SALVEO study. Soc Psychiatry Psychiatr Epidemiol 50, 445–459 (2015). https://doi.org/10.1007/s00127-014-0932-y

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