Low workplace social capital as a predictor of depression -: The Finnish public sector study
Low workplace social capital as a predictor of depression -: The Finnish public sector study
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DOI：
10.1093/aje/kwn067
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发表时间：
2008-05-15
影响因子：
5
通讯作者：
Kivimaki, Mika
中科院分区：
文献类型：
--
作者：
Kouvonen, Anne;Oksanen, Tuula;Kivimaki, Mika
在一项对芬兰公共部门员工进行的前瞻性队列研究中，作者研究了工作场所社会资本与抑郁症之间的关系。数据来自33,577名员工，他们最近没有抗抑郁治疗史，也没有报告在2000-2002年基线时医生诊断为抑郁症的病史。他们的抑郁风险是通过两个指标来衡量的：2005年12月31日之前有记录的抗抑郁药物购买量，以及在2004-2005年的随访调查中由医生诊断的新发抑郁症的自我报告。用多水平Logistic回归分析探讨自我报告和聚合水平的工作场所社会资本是否能在随访时预测抑郁指标。自我报告的社会资本低的员工接受抗抑郁治疗和医生诊断的抑郁症的几率比那些自我报告的高社会资本的员工高20%-50%。这些关联没有考虑到性别、年龄、婚姻状况、社会经济地位、工作地点、吸烟、饮酒、体力活动和体重指数。社会资本和自我报告的抑郁之间的联系减弱了，但在对基线心理痛苦(未诊断的心理健康问题的替代指标)进行进一步调整后，仍然显著。总体水平的社会资本与随后的抑郁无关。
In a prospective cohort study of Finnish public sector employees, the authors examined the association between workplace social capital and depression. Data were obtained from 33,577 employees, who had no recent history of antidepressant treatment and who reported no history of physician-diagnosed depression at baseline in 2000-2002. Their risk of depression was measured with two indicators: recorded purchases of antidepressants until December 31, 2005, and self-reports of new-onset depression diagnosed by a physician in the follow-up survey in 2004-2005. Multilevel logistic regression analysis was used to explore whether self-reported and aggregate-level workplace social capital predicted indicators of depression at follow-up. The odds for antidepressant treatment and physician-diagnosed depression were 20-50% higher for employees with low self-reported social capital than for those reporting high social capital. These associations were not accounted for by sex, age, marital status, socioeconomic position, place of work, smoking, alcohol use, physical activity, and body mass index. The association between social capital and self-reported depression attenuated but remained significant after further adjustment for baseline psychological distress (a proxy for undiagnosed mental health problems). Aggregate-level social capital was not associated with subsequent depression.