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Original article
Are there bidirectional relationships between psychosocial work characteristics and depressive symptoms? A fixed effects analysis of Swedish national panel survey data
  1. Julia K Åhlin1,
  2. Anthony D LaMontagne2,
  3. Linda L Magnusson Hanson1
  1. 1 Stress Research Institute, Stockholm University, Stockholm, Sweden
  2. 2 Centre for Population Health Research, Deakin University, Geelong, Victoria, Australia
  1. Correspondence to Julia K Åhlin, Stress Research Institute, Stockholm University, Stockholm, Sweden; julia.ahlin{at}su.se

Abstract

Objectives Psychosocial work characteristics have been prospectively associated with depressive symptoms. However, methodological limitations have raised questions regarding causality. It is also unclear to what extent depressive symptoms affect the experience of the psychosocial work environment. We examined contemporaneous (measured simultaneously) and lagged bidirectional relationships between psychosocial work characteristics and depressive symptoms, simultaneously controlling for time-stable individual characteristics.

Methods We included 3947 subjects in the Swedish Longitudinal Occupational Survey of Health (SLOSH), with self-reported job demands, control, social support, work efforts, rewards, procedural justice and depressive symptoms in four waves 2010–2016. We applied dynamic panel models with fixed effects, using structural equation modelling, adjusting for all time-stable individual characteristics such as personality and pre-employment factors.

Results Higher levels of job demands, job demands in relation to control, work efforts and efforts in relation to rewards were contemporaneously associated with more depressive symptoms (standardised β: 0.18–0.25, p<0.001), while higher levels of workplace social support, rewards at work and procedural justice were associated with less depressive symptoms (β: −0.18, p<0.001,β: –0.16, p<0.001 and β: −0.09, p<0.01, respectively). In contrast, only work efforts predicted higher levels of depressive symptoms 2 years later (β: 0.05, p<0.05). No other lagged associations were found in any direction.

Conclusions After controlling for all time-invariant confounding, our results suggest that psychosocial work characteristics predominantly affect depressive symptoms immediately or with only a short time lag. Furthermore, we found no evidence of reverse causation. This indicates short-term causal associations, although the temporal precedence of psychosocial work characteristics remains uncertain.

  • depression
  • job-demand-control-support model
  • effort-reward imbalance model
  • organizational justice
  • longitudinal studies

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Footnotes

  • Contributors JKÅ assisted in designing the study, conducted the main part of the statistical analyses and drafted the manuscript. ADL contributed to the interpretation of data and critically reviewed the manuscript. LMH designed the study initially, assisted in the analyses and contributed to the draft, especially the discussion. All authors have met criteria for authorship and taken part of the final version of the manuscript.

  • Funding This work was supported by AFA Insurance (grant number 140323). The FORTE supports research based at the Stress Research Institute through the Stockholm Stress Center (grant number 2009-1758). The Swedish Longitudinal Occupational Survey of Health has also been supported by the FORTE (grant numbers 2005-0734 and 2009-1077) and the Swedish Research Council (VR) (grant numbers 2009-6192, 825-2013-1645, 821-2013-1646 and 2017-00624). Additional support was provided by Australian Rotary Health Mental Health of Young Australians Research Grant to ADL (RM 31643).

  • Competing interests None declared.

  • Ethics approval The study was approved by the Regional Research Ethics Board in Stockholm (2006/158-31, 2008/240-32, 2010/0145-32, 2012/373-31/5, 2013/2173-32 and 2015/2187-32). Participants gave informed consent by responding to the questionnaires.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement Swedish Longitudinal Occupational Survey of Health has an established policy for data sharing. Requests for data or results can be addressed to the data manager, data@slosh.se. For further information, see www.slosh.se (Swedish Longitudinal Occupational Survey of Health).

  • Patient consent for publication Obtained.