Original article
Work and psychiatric disorder in the Whitehall II Study

https://doi.org/10.1016/S0022-3999(97)00001-9Get rights and content

Abstract

It is important that the effects of work on mental health are investigated when work practices are changing rapidly and there is decreasing job security. This has been examined in the Whitehall II Study, a cohort study of 6895 male and 3413 female, London-based civil servants, aged 35–55 years at baseline in 1985. Work characteristics were measured by modified Karasek indices in a self-report questionnaire. Psychiatric disorder was measured by the 30-item General Health Questionnaire (GHQ). In longitudinal analyses in men and women, high work social support predicted lower GHQ scores, and high job demands predicted higher GHQ scores at follow-up. High work social support and high skill discretion were protective against taking short spells of psychiatric sickness absence. The protective effects of social support at work and the potential risk of job demands have implications for management, job design, training, and further research.

References (28)

  • SA Stansfeld et al.

    Work characteristics and psychiatric disorder in civil servants in London

    J Epidemiol Commun Health

    (1995)
  • Stansfeld SA, Fuhrer R, Shipley MJ, Marmot MG. Do work characteristics predict mental health?: prospective results from...
  • Bosma H, Marmot MG, Hemingway H, Nicholson A, Brunner EJ, Stansfeld SA. Low job control and the risk of coronary heart...
  • SA Stansfeld et al.

    Social support and psychiatric sickness absence: a prospective study of British Civil Servants

    Psychol Med

    (1997)
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