Predictors of mental health in female teachers.
OBJECTIVE
Teaching profession is characterised by an above-average rate of psychosomatic and mental health impairment due to work-related stress. The aim of the study was to identify predictors of mental health in female teachers.


METHODS
A sample of 630 female teachers (average age 47 ± 7 years) participated in a screening diagnostic inventory. Mental health was surveyed with the General Health Questionnaire GHQ-12. The following parameters were measured: specific work conditions (teacher-specific occupational history), scales of the Effort-Reward-Imbalance (ERI) Questionnaire as well as cardiovascular risk factors, physical complaints (BFB) and personal factors such as inability to recover (FABA), sense of coherence (SOC) and health behaviour.


RESULTS
First, mentally fit (MH(+)) and mentally impaired teachers (MH(-)) were differentiated based on the GHQ-12 sum score (MH(+): < 5; MH(-): ≥ 5); 18% of the teachers showed evidence of mental impairment. There were no differences concerning work-related and cardiovascular risk factors as well as health behaviour between MH(+) and MH(-). Binary logistic regressions identified 4 predictors that showed a significant effect on mental health. The effort-reward-ratio proved to be the most relevant predictor, while physical complaints as well as inability to recover and sense of coherence were identified as advanced predictors (explanation of variance: 23%).


CONCLUSIONS
Contrary to the expectations, classic work-related factors can hardly contribute to the explanation of mental health. Additionally, cardiovascular risk factors and health behaviour have no relevant influence. However, effort-reward-ratio, physical complaints and personal factors are of considerable influence on mental health in teachers. These relevant predictors should become a part of preventive arrangements for the conservation of teachers' health in the future.
Institute and Clinic of Occupational and Social Medicine, Technical University of Dresden, Dresden, Germany, reingard.seibt@mailbox.tu-dresden.de.
Reingard
R
Seibt
Silvia
S
Spitzer
Diana
D
Druschke
Klaus
K
Scheuch
Andreas
A
Hinz
D000328:Adult; D002318:Cardiovascular Diseases / Q000453:epidemiology; D005178:Faculty; D005260:Female; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology*; D008603:Mental Health; D008875:Middle Aged; D012201:Reward; D012307:Risk Factors; D060685:Sense of Coherence; D013315:Stress, Psychological / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D013663:Teaching; D016526:Workload / Q000523:psychology