GPs | Specialists | P for interaction† | |||||
---|---|---|---|---|---|---|---|
B | 95% CI | p Value | B | 95% CI | p Value | ||
Psychological distress (GHQ) | |||||||
Job demands | |||||||
Total effect | 0.15 | 0.11 to 0.18 | 0.000 | 0.04 | −0.03 to 0.10 | 0.227 | 0.005 |
Within individual effect | 0.19 | 0.12 to 0.26 | 0.000 | 0.03 | −0.17 to 0.23 | 0.755 | |
p for difference* | 0.06 | ||||||
Job control | |||||||
Total effect | −0.16 | −0.22 to −0.09 | 0.000 | −0.13 | −0.24 to −0.02 | 0.019 | 0.65 |
Within individual effect | −0.08 | −0.24 to 0.07 | 0.28 | 0.07 | −0.29 to 0.42 | 0.71 | |
p for difference* | 0.48 | 0.07 | |||||
Effort-reward-imbalance | |||||||
Total effect | 0.30 | 0.22 to 0.37 | 0.000 | 0.14 | −0.02 to 0.29 | 0.077 | 0.06 |
Within individual effect | 0.25 | 0.10 to 0.39 | 0.001 | 0.15 | −0.23 to 0.54 | 0.440 | |
p for difference* | 0.13 | 0.70 | |||||
Sleeping problems | |||||||
Job demands | |||||||
Total effect | 0.32 | 0.20 to 0.43 | 0.000 | 0.31 | 0.12 to 0.51 | 0.002 | 0.99 |
Within individual effect | 0.26 | 0.09 to 0.43 | 0.002 | 0.14 | −0.23 to 0.50 | 0.46 | |
p for difference* | 0.22 | 0.15 | |||||
Job control | |||||||
Total effect | −0.20 | −0.41 to 0.01 | 0.06 | −0.15 | −0.48 to 0.18 | 0.37 | 0.81 |
Within individual effect | −0.04 | −0.37 to 0.28 | 0.79 | 0.25 | −0.37 to 0.87 | 0.43 | |
p for difference* | 0.48 | 0.49 | |||||
Effort-reward-imbalance | |||||||
Total effect | 0.66 | 0.44 to 0.88 | 0.000 | 0.69 | 0.27 to 1.10 | 0.001 | 0.91 |
Within individual effect | 0.24 | −0.08 to 0.56 | 0.15 | 0.50 | −0.11 to 1.12 | 0.11 | |
p for difference* | 0.000 | 0.71 |
Multilevel longitudinal models with four repeated measurements.
Number of person-observations=1028, Number of groups (individuals)=699.
*p for difference between total effect versus within-individual effect.
†p for interaction effect between GP and specialists.
GHQ, General Health Questionnaire; GP, general practitioner.