title: The association of social support at work and in private life with mental health and antidepressant use: the Health 2000 Study.
abstract: BACKGROUND
  Social support is assumed to protect mental health, but it is not known whether low social support at work increases the risk of common mental disorders or antidepressant medication. This study, carried out in Finland 2000-2003, examined the associations of low social support at work and in private life with DSM-IV depressive and anxiety disorders and subsequent antidepressant medication.
  
  
  METHODS
  Social support was measured with self-assessment scales in a cohort of 3429 employees from a population-based health survey. A 12-month prevalence of depressive or anxiety disorders was examined with the Composite International Diagnostic Interview (CIDI), which encompasses operationalized criteria for DSM-IV diagnoses and allows the estimation of DSM-IV diagnoses for major mental disorders. Purchases of antidepressants in a 3-year follow-up were collected from the nationwide pharmaceutical register of the Social Insurance Institution.
  
  
  RESULTS
  Low social support at work and in private life was associated with a 12-month prevalence of depressive or anxiety disorders (adjusted odds ratio 2.02, 95% CI 1.48-2.82 for supervisory support, 1.65, 95% CI 1.05-2.59 for colleague support, and 1.62, 95% CI 1.12-2.36 for private life support). Work-related social support was also associated with subsequent antidepressant use.
  
  
  CONCLUSIONS
  This study used a cross-sectional analysis of DSM-IV mental disorders. The use of purchases of antidepressant as an indicator of depressive and anxiety disorders can result in an underestimation of the actual mental disorders.
  
  
  CONCLUSIONS
  Low social support, both at work and in private life, is associated with DSM-IV mental disorders, and low social support at work is also a risk factor for mental disorders treated with antidepressant medication.
authors: Finnish Institute of Occupational Health, Lemminkäisenkatu 14-18 B, FI-20520 Turku, Finland. marjo.sinokki@utu.fi
authors: Marjo
authors: M
authors: Sinokki
authors: Katariina
authors: K
authors: Hinkka
authors: Kirsi
authors: K
authors: Ahola
authors: Seppo
authors: S
authors: Koskinen
authors: Mika
authors: M
authors: Kivimäki
authors: Teija
authors: T
authors: Honkonen
authors: Pauli
authors: P
authors: Puukka
authors: Timo
authors: T
authors: Klaukka
authors: Jouko
authors: J
authors: Lönnqvist
authors: Marianna
authors: M
authors: Virtanen
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use*; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000188:drug therapy* / Q000453:epidemiology; D015331:Cohort Studies; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000175:diagnosis* / Q000188:drug therapy* / Q000453:epidemiology; D004363:Drug Utilization / Q000706:statistics & numerical data; D005260:Female; D005387:Finland; D006306:Health Surveys; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012737:Sex Factors; D012917:Social Adjustment; D012944:Social Support; D012959:Socioeconomic Factors; D013223:Statistics as Topic
chemical_list: D000928:Antidepressive Agents