Prospective study of workplace social capital and depression: are vertical and horizontal components equally important?
Prospective study of workplace social capital and depression: are vertical and horizontal components equally important?
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DOI：
10.1136/jech.2008.086074
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发表时间：
2010-08-01
影响因子：
6.3
通讯作者：
Kivimaki, Mika
中科院分区：
文献类型：
--
作者：
Oksanen, Tuula;Kouvonen, Anne;Kivimaki, Mika
背景最近的研究强调了社会资本概念的多维性，但尚不清楚社会资本对健康的影响是否因维度而异。本研究的目的是考察职场社会资本的纵向成分(即职场权力差异中的尊重和信任关系)和职场社会资本的横向成分(同一等级的员工之间的信任和互惠)作为随后抑郁的风险因素。方法对25763名最初没有抑郁的芬兰公共部门员工进行了平均3.5年的随访，以了解医生诊断的新抑郁症和国家登记的抗抑郁药物处方。结果因素分析证实了职场社会资本的纵向和横向成分的存在。与在工作中拥有高社会资本的员工相比，垂直或水平工作场所社会资本低的员工新出现医生诊断的抑郁症和抗抑郁药物治疗的几率要高出30%-50%。在相互调整的模型中，纵向和横向社会资本仍然是医生诊断的抑郁和抗抑郁药物治疗的独立预测因素。结论这些结果强调了工作场所社会资本的纵向和横向成分作为员工心理健康预测因素的重要性。
Background Recent studies have emphasised the multidimensional nature of the social capital concept, but it is not known whether the health effects of social capital vary by dimension. The objective of this study was to examine the vertical component (ie, respectful and trusting relationships across power differentials at work) and the horizontal component of workplace social capital (trust and reciprocity between employees at the same hierarchical level) as risk factors for subsequent depression.Methods A cohort of 25 763 Finnish public sector employees who were initially free from depression was followed up on average 3.5 years for new self-reported physician-diagnosed depression and recorded antidepressant prescriptions derived from national registers.Results Factor analysis confirmed the existence of vertical and horizontal components of workplace social capital. The odds for new physician-diagnosed depression and antidepressant treatment were 30-50% higher for employees with low vertical or horizontal workplace social capital than for their counterparts with high social capital at work. In mutually adjusted models, vertical and horizontal social capital remained independent predictors of physician-diagnosed depression and antidepressant treatment.Conclusion These results highlight the importance of both vertical and horizontal components of workplace social capital as predictors of employee mental health.