title: Psychosocial work environment and mental health: Job-strain and effort-reward imbalance models in a context of major organizational changes.
abstract: This study explored the association between the two job-stress models, job-strain and effort-reward imbalance, and mental health outcomes in a working population exposed to major organizational changes. The cross-sectional study was based on 680 subjects, 504 men and 176 women. Psychosocial factors at work included: psychological demands, decision latitude, social support, effort, reward, and overcommitment. Mental health outcomes were depressive symptoms (CES-D) and psychiatric disorders (GHQ-12). Job strain, low decision latitude, effort-reward imbalance, and low reward (especially job instability) were found to be associated with depressive symptoms and/or psychiatric disorders among men. Overcommitment at work was a risk factor for both men and women. Social support at work played a role to reduce depressive symptoms for women. These findings emphasize the deleterious effects of psychosocial work environment on mental health during major organizational changes.
authors.affiliation: INSERM, U687-IFR69, Saint-Maurice, France. isabelle.niedhammer@st-maurice.inserm.fr
authors.forename: Isabelle
authors.initials: I
authors.lastname: Niedhammer
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Chastang
authors.forename: Simone
authors.initials: S
authors.lastname: David
authors.forename: Lina
authors.initials: L
authors.lastname: Barouhiel
authors.forename: Guy
authors.initials: G
authors.lastname: Barrandon
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology*; D005260:Female; D005602:France; D006801:Humans; D007588:Job Satisfaction; D008016:Life Change Events; D008297:Male; D001523:Mental Disorders / Q000523:psychology*; D008603:Mental Health; D008875:Middle Aged; D009936:Organizational Innovation; D012201:Reward; D013315:Stress, Psychological / Q000523:psychology*; D011795:Surveys and Questionnaires