Cited by 800Workplace Health and Well-beingEmployment and Welfare StudiesOccupational Health and Burnout

The DOI matches its Crossref record; 32 of the 33 references it cites were found in a registry or an index.

Work characteristics predict psychiatric disorder: prospective results from the Whitehall II Study.

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Stansfeld, S A, Fuhrer, R, Shipley, M J, Marmot, M G·1999·Occupational and Environmental Medicine

Abstract

OBJECTIVES: The impact of work on the risk of future psychiatric disorder has been examined in few longitudinal studies. This was examined prospectively in a large epidemiological study of civil servants. METHODS: In the Whitehall II study, a longitudinal, prospective cohort study of 6895 male and 3413 female London based civil servants, work characteristics measured at baseline (phase 1: 1985-8) and first follow up (phase 2: 1989) were used to predict psychiatric disorder measured by a 30 item general health questionnaire (GHQ) at phase 2 and phase 3 follow up (phase 3: 1991-3). Work characteristics and GHQ were measured at all three phases. RESULTS: Low social support at work and low decision authority, high job demands and effort-reward imbalance were associated with increased risk of psychiatric disorder as assessed by the GHQ at follow up adjusting for age, employment grade, and baseline GHQ score. CONCLUSIONS: Social support and control at work protect mental health while high job demands and effort-reward imbalance are risk factors for future psychiatric disorder. Intervention at the level of work design, organisation, and management might have positive effects on mental health in working populations.

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  1. Kasl SV. Stress and disease in the work place: A methodological commentary on the accumulated evidence. In: Cataldo MF, Coates TJ, eds. Health and industry: a behavioural medicine perspective. New York: John Wiley, 1984:52–85.

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Metadata

Authors
Stansfeld, S. A., Fuhrer, R., Shipley, M. J., & Marmot, M. G.
Affiliations
  • University College London (GB)
  • The Royal Free Hospital (GB)
Venue
Occupational and Environmental Medicine
Publisher
BMJ
Published
1999-05
Volume
56
Issue
5
Pages
302-307
ISSN
  • 0007-1072 (ISSN-L)
  • 1351-0711
  • 1470-7926
OpenAlex
W2111757965
Cited by
800
References
33
Citations by year
2026: 5 · 2025: 7 · 2024: 5 · 2023: 13 · 2022: 16 · 2021: 21 · 2020: 22 · 2019: 23 · 2018: 16 · 2017: 58 · 2016: 21 · 2015: 34 · 2014: 31 · 2013: 39 · 2012: 40
FWCI
37.73
Type
journal article
Language
en
Open access
Locations
  • Occupational and Environmental Medicine (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
Funders
  • John D. and Catherine T. MacArthur Foundation
  • British Heart Foundation
  • Health and Safety Executive
  • Medical Research Council
  • National Heart, Lung, and Blood Institute (2 RO1 HL 36310, HL36310, R01HL036310)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Employment and Welfare Studies
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
Keywords
mental illness, job characteristics, mental health, social support at work, decision-making power, job demands, effort-reward imbalance, public sector employees, occupational stress, job design, Whitehall II study
MeSH terms
Adult, Mental Disorders, Female, Government Agencies, Humans, Male, Middle Aged, Occupational Diseases, Prospective Studies, Social Support, Work, Work Schedule Tolerance

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