title: Changes in mental health as a predictor of changes in working time arrangements and occupational mobility: results from a prospective cohort study.
abstract: OBJECTIVE
  The aim of this prospective study was to gain insight into a possible causal relationship between mental health and characteristics of the work situation.
  
  
  METHODS
  Using longitudinal data from the Maastricht Cohort Study, this study examines whether deterioration in mental health (prolonged fatigue, need for recovery, and psychological distress) results in a subsequent change in working time arrangements (assessed by means of logistic regression analysis) or occupational mobility (assessed by means of Cox regression analysis).
  
  
  RESULTS
  Compared to employees not experiencing a deterioration in mental health, employees who became a prolonged fatigue case were more likely to reduce their working hours (OR 2.49; 95% CI 1.42-4.35) and leave a shift work job (OR 3.44; 95% CI 1.42-8.38). Employees who became a need for recovery case were more likely to reduce their working hours (OR 2.83; 95% CI 1.53-5.26) or change jobs within the company (RR 1.31; 95% CI 1.07-1.61). Employees who became a psychological distress case were more likely to change jobs within the company (RR 1.38; 95% CI 1.16-1.65) or to change jobs from one employer to another (RR 1.45; 95% CI 1.03-2.03).
  
  
  CONCLUSIONS
  The results of this study provide evidence for a possible causal relationship between deterioration in mental health and subsequent change in working time arrangements or occupational mobility. These results suggest that workers adapt to the onset of a mental health problem by reducing their working hours, by leaving a shift work job, by changing jobs within the company, or by changing jobs from one employer to another.
authors.affiliation: Department of Epidemiology, School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands. lore.deraeve@epid.unimaas.nl
authors.forename: Lore
authors.initials: L
authors.lastname: De Raeve
authors.forename: Ijmert
authors.initials: I
authors.lastname: Kant
authors.forename: Nicole W H
authors.initials: NW
authors.lastname: Jansen
authors.forename: Rineke M
authors.initials: RM
authors.lastname: Vasse
authors.forename: Piet A
authors.initials: PA
authors.lastname: van den Brandt
mesh_terms: D000328:Adult; D002322:Career Mobility; D004651:Employment / Q000523:psychology*; D005221:Fatigue / Q000523:psychology; D005260:Female; D006304:Health Status; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D008603:Mental Health / Q000706:statistics & numerical data*; D008875:Middle Aged; D009790:Occupations / Q000706:statistics & numerical data*; D011446:Prospective Studies; D012044:Regression Analysis; D016526:Workload / Q000523:psychology* / Q000706:statistics & numerical data