Work-related factors and the risk of common mental disorder 1 year later: A prospective cohort study among junior doctors

Author:

Petrie Katherine12ORCID,Gayed Aimee2,Spittal Matthew J3ORCID,Glozier Nicholas45ORCID,Shand Fiona2ORCID,Harvey Samuel B2

Affiliation:

1. Discipline of Psychiatry, Faculty of Medicine and Health, University of New South Wales, Sydney, NSW, Australia

2. Black Dog Institute, University of New South Wales, Randwick, NSW, Australia

3. Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia

4. Central Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia

5. Australian Research Council (ARC) Centre of Excellence for Children and Families over the Life Course, Sydney, NSW, Australia

Abstract

Objective: This study investigated the relationship between work-related factors at baseline and the risk of common mental disorder at 12 month follow-up among a cohort of junior doctors. Method: The data comprised the junior doctor respondents from two annual waves of the ‘Medicine in Australia: Balancing Employment and Life’ (MABEL) survey, a national longitudinal cohort of Australian doctors. Individual and work-related risk factors were assessed at baseline and the mental health outcome of caseness of common mental disorder (CMD) was assessed using the 6-item Kessler Psychological Distress Scale at 12-month follow-up. Unadjusted and adjusted logistic regressions were conducted to estimate the association between each baseline variable and the likelihood of CMD caseness at follow-up 1 year later. Results: Among 383 junior doctors, 24 (6%) had CMD 1 year later. Five work-related baseline variables were significantly associated with a higher likelihood of CMD 1 year later in adjusted models; lack of social support in work location (odds ratios (OR) = 6.11; 95% confidence intervals (CI) = [2.52, 14.81]), work-life imbalance (OR = 4.50; 95% CI = [1.31, 15.46]), poor peer support network in the workplace (OR = 2.61; 95% CI = [1.08, 6.27]), perceptions of patient expectations (OR = 2.46; 95% CI = [1.06, 5.71]) and total weekly work hours (OR 1.04; 95% CI = [1.01, 1.07]; p = 0.002)in models adjusting for gender. Conclusion: These results identify key modifiable work-related factors that are associated with junior doctors’ future mental health. Our findings suggest the need for a greater focus upon interpersonal factors and work-life balance in multi-level interventions while continuing to address workplace and system-level factors to prevent future mental disorder in junior doctors.

Funder

NHMRC Centre of Research in Suicide Prevention

Thriving in Health

Front of Mind

NHMRC Investigator Grant

Australian Government Research Training Program Scholarship

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,General Medicine

Reference94 articles.

1. ABS (2012) 4817.0.55.001 – Information paper: Use of the Kessler Psychological Distress Scale in ABS health surveys, Australia, 2007-08. Available at: www.abs.gov.au/ausstats/abs@.nsf/mf/4817.0.55.001 (accessed 22 September).

2. ABS (2020) National Study of Mental Health and Wellbeing. Available at: www.abs.gov.au/statistics/health/mental-health/national-study-mental-health-and-wellbeing/latest-release (accessed 22 September).

3. Social relationship correlates of major depressive disorder and depressive symptoms in Switzerland: nationally representative cross sectional study

4. Regional variation in social isolation amongst older Australians

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3