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J Occup Med Toxicol. 2018 Feb 13;13:7. doi: 10.1186/s12995-018-0188-7. eCollection 2018.

Validating the Demand Control Support Questionnaire among white-collar employees in Switzerland and the United States.

Journal of occupational medicine and toxicology (London, England)

Daniel Mauss, Raphael M Herr, Töres Theorell, Peter Angerer, Jian Li

Affiliations

  1. 1Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, Ludolf-Krehl-Str. 7-11, D-68167 Mannheim, Germany.
  2. 2Institute for Stress Research, Stockholm University, Stockholm, Sweden.
  3. 3Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, University of Düsseldorf, Düsseldorf, Germany.

PMID: 29449870 PMCID: PMC5812053 DOI: 10.1186/s12995-018-0188-7

Abstract

BACKGROUND: The Demand Control Support Questionnaire (DCSQ) is an established self-reported tool to measure a stressful work environment. Validated German and English versions are however currently missing. The aim of this study was therefore to evaluate the psychometric properties of German and English versions of the DCSQ among white-collar employees in Switzerland and the US.

METHODS: This cross-sectional study was carried out on 499 employees in Switzerland and 411 in the US, respectively. The 17-item DCSQ with three scales assessed psychosocial stress at work (psychological demands, decision latitude, and social support at work). Depressive symptoms were measured by the 2-item Patient Health Questionnaire. Cronbach's α and item-total correlations tested the scale reliability (internal consistency). Construct validity of the questionnaire was examined using exploratory factor analysis (EFA). Logistic regressions estimated associations of each scale and job strain with depressive symptoms (criterion validity).

RESULTS: In both samples, all DCSQ scales presented satisfactory internal consistency (Cronbach's α ≥ 0.72; item-total correlations ≥ 0.33), and EFA showed the 17 items loading on three factors, which is in line with the theoretically assumed structure of the DCSQ construct. Moreover, all three scales as well as high job strain were significantly associated with depressive symptoms. The associations were stronger in the US sample.

CONCLUSIONS: The German and the English versions of the DCSQ seem to be reliable and valid instruments to measure psychosocial stress based on the job demand-control-support model in the workplace of white-collar employees in Switzerland and the US.

Keywords: Demand-control-support model; Depressive symptoms; Job strain; Psychosocial stress; Validation

Conflict of interest statement

Informed consent was given by each participant. Data collection and study procedure was approved by the corporate data protection officer and by the Ethical Committee of the Bavarian State Chamber of

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