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.
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.
Mots-clés Pascal : Médecine travail, Fonctionnaire, Facteur risque, Condition travail, Santé mentale, Trouble psychiatrique, Etude cohorte, Etude longitudinale, Epidémiologie, Royaume Uni, Europe, Santé, Homme, Evaluation, Psychologie travail
Mots-clés Pascal anglais : Occupational medicine, Civil servant, Risk factor, Working condition, Mental health, Mental disorder, Cohort study, Follow up study, Epidemiology, United Kingdom, Europe, Health, Human, Evaluation, Occupational psychology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0233666
Code Inist : 002A26L09. Création : 16/11/1999.