title: Effects of psychosocial work factors and psychological distress on self-assessed work ability: A 7-year follow-up in a general working population.
abstract: BACKGROUND
  Toinvestigate the effects of psychosocial work factors (PWF) and psychological distress (PD) on self-assessed work ability.
  
  
  METHODS
  This follow-up study included 7,810 individuals (55%women) with good work ability at baseline. PWFandPD (measured by GHQ-12) were assessed at baseline and work ability at 7-year follow-up. Effects of PWF and PD on work ability were analyzed by logistic regression, odds ratios (OR) with 95% CI, and by mediation analysisusing 4-way decomposition.
  
  
  RESULTS
  Low support was associated with poor work ability for both women and men (OR 1.78 and 1.89). For men, also low skill discretion was associated with poor work ability (OR 2.07). For both women and men, PD was associated with poor work ability (OR 3.41 and 1.84). PD did not act as an intermediate variablein the association between PWF and work ability.
  
  
  CONCLUSIONS
  Strategies for sustainable work ability should focus on both working conditions and health factors. Am. J. Ind. Med. 60:121-130, 2017. © 2016 Wiley Periodicals, Inc.
authors: Swedish Social Insurance Inspectorate, Stockholm, Sweden.|Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
authors: Ola
authors: O
authors: Leijon
authors: Centre for Occupational and Environmental Medicine, Stockholm County Council, Stockholm, Sweden.
authors: Natalja
authors: N
authors: Balliu
authors: Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
authors: Andreas
authors: A
authors: Lundin
authors: Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
authors: Marjan
authors: M
authors: Vaez
authors: Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.|Centre for Occupational and Environmental Medicine, Stockholm County Council, Stockholm, Sweden.
authors: Katarina
authors: K
authors: Kjellberg
authors: Centre for Social Research on Alcohol and Drugs (SoRAD), Stockholm University, Stockholm, Sweden.
authors: Tomas
authors: T
authors: Hemmingsson
mesh_terms: D000293:Adolescent; D000328:Adult; D059026:Diagnostic Self Evaluation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017009:Professional Autonomy; D011446:Prospective Studies; D012944:Social Support; D013315:Stress, Psychological / Q000523:psychology*; D014938:Work Capacity Evaluation; D016526:Workload / Q000523:psychology; D017132:Workplace / Q000523:psychology*; D055815:Young Adult
keywords: decision authority; mediation; psychological distress; skill discretion; support; work ability