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Psychiatr Prax. 2016 Jul;43(5):245-52. doi: 10.1055/s-0035-1552769. Epub 2015 Nov 10.

[Which Working Conditions Promote the Development of Depressive Disorders?].

Psychiatrische Praxis

[Article in German]
Heiner Stuke, Felix Bermpohl

Affiliations

  1. Klinik für Psychiatrie und Psychotherapie - Charité - Universitätsmedizin Berlin, Campus Mitte.

PMID: 26556686 DOI: 10.1055/s-0035-1552769

Abstract

BACKGROUND: Epidemiological and neurobiological research suggests an association between stress and the development of depression. In this context, the question arises whether certain working conditions do act as depressogenic stressors.

METHOD: We systematically reviewed cross-sectional and prospective studies (published since 2005) investigating the association between working conditions and the occurrence of depression. Moreover, meta-analyses on reported effect sizes were calculated.

RESULTS: Our meta-analyses confirmed a depressogenic effect of high job demands and the combination of high demands and low job control ("Job Strain"). We did not find an effect of low job control alone. The impact of these working conditions is modulated by contextual factors like occupational grade or cognitive coping strategies.

CONCLUSION: Based on these results, we suggest an extended model of working conditions, coping capacities, and their relation to the development of depression. This can be utilized for strategies of occupational prevention and individual therapy.

© Georg Thieme Verlag KG Stuttgart · New York.

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