Managerial quality and risk of depressive disorders among Danish eldercare workers: A multi-level cohort study

Tidsskriftartikel - 2017

Resume

OBJECTIVE: To examine whether low managerial quality predicts risk of depressive disorders.

METHODS: Using multilevel mixed-effects logistic regression analyses we examined the prospective association of individual-level and workplace-mean managerial quality with onset of depressive disorders among 5,244 eldercare workers from 274 workplaces during 20 months follow-up.

RESULTS: Low managerial quality predicted onset of depressive disorders in both the individual-level (OR = 1.85, 95% CI = 1.25-2.76) and the workplace-mean analysis (OR = 1.48, 95% CI = 1.06-2.07). Low individual-level managerial quality predicted onset of depressive disorders when workplace-mean managerial quality was high (OR = 3.10, 95% CI = 1.71-5.62) but not when it was low (OR = 1.07, 95% CI = 0.61-1.87). This interaction was statistically significant (p = 0.03).

CONCLUSIONS: Both low individual-level and low workplace-mean managerial quality predicted risk of depressive disorders. The association was strongest among individuals reporting low managerial quality at workplaces with high workplace-mean managerial quality.

Reference

Rugulies R, Jakobsen LM, Madsen IEH, Borg V, Carneiro IG, Aust B. Managerial quality and risk of depressive disorders among Danish eldercare workers: A multi-level cohort study. Journal of Occupational and Environmental Medicine 2017;60(2):120-125.
doi: 10.1097/JOM.0000000000001195

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