title: Misfit of organizational and personal work standards and its longitudinal effect on physicians' depressiveness.
abstract: The misfit of organizational and personal work standards and its relationship to health is an issue that has rarely been investigated in hospital physicians. In particular, compensatory factors for the negative effects of a misfit of organizational and personal work standards remain unknown. Our longitudinal study investigated whether autonomous experiences at work and during leisure time compensate for the effects of a misfit of organizational and personal work standards on depressive complaints. Data were collected through surveys of German hospital physicians. Two surveys were conducted with a time lag of 12 months. One hundred sixty-one physicians participated in both surveys. To test our hypothesis, we used path analysis and controlled for autoregressive effects. The results confirmed that a misfit of organizational and personal work standards affects depressive complaints over a 12-month period. Additionally, leisure autonomy compensates for the negative effects of misfit. Contrary to that, high levels of job autonomy were found to intensify the effects of a misfit of organizational and personal work standards. Our findings support previous research assumptions that job autonomy has the potential to add to stress. Hospitals must ensure that physicians can adequately use their job autonomy.
authors.affiliation: Department of Work and Organizational Psychology, University of Hamburg, Hamburg, Germany.
authors.forename: Grit
authors.identifier: http://orcid.org/0000-0003-2966-9894
authors.initials: G
authors.lastname: Tanner
authors.affiliation: Department of Work and Organizational Psychology, University of Hamburg, Hamburg, Germany.
authors.forename: Eva
authors.initials: E
authors.lastname: Bamberg
authors.affiliation: Department of Principles of Prevention and Rehabilitation-Health Protection, Institution for Statutory Accident Insurance and Prevention in the Healthcare and Welfare Services, Hamburg, Germany.
authors.forename: Maren
authors.initials: M
authors.lastname: Kersten
authors.affiliation: Competence Center for Epidemiology and Health Services Research in Nursing (CVcare), University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
authors.forename: Agnessa
authors.initials: A
authors.lastname: Kozak
authors.affiliation: Department of Principles of Prevention and Rehabilitation-Health Protection, Institution for Statutory Accident Insurance and Prevention in the Healthcare and Welfare Services, Hamburg, Germany.|Competence Center for Epidemiology and Health Services Research in Nursing (CVcare), University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
authors.forename: Albert
authors.initials: A
authors.lastname: Nienhaus
mesh_terms: D000328:Adult; D003863:Depression / Q000523:psychology*; D005260:Female; D006761:Hospitals; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008505:Medical Staff, Hospital / Q000523:psychology*; D008875:Middle Aged; D015279:Organizational Culture; D026684:Personal Autonomy; D017009:Professional Autonomy
keywords: autonomous experiences; depressive complaints; longitudinal study; misfit of organizational and personal work standards; two-way interaction