Job demands, control and social support as predictors of trajectories of depressive symptoms

• Published in: Journal of affective disorders 2018-08, Vol.235, p.535-543
• Main Authors: Åhlin, Julia K., Rajaleid, Kristiina, Jansson-Fröjmark, Markus, Westerlund, Hugo, Magnusson Hanson, Linda L.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Arbetsmedicin och miljömedicin; Depressive Disorder - diagnosis; Female; folkhälsovetenskap; Humans; Hälsovetenskap; Klinisk medicin; Logistic Models; Longitudinal Studies; Male; Medicin och hälsovetenskap; Middle Aged; Occupational Stress - psychology; Psykiatri; Public Health Sciences; Self Report; Social Support; Stress, Psychological; Surveys and Questionnaires; Sweden; Young Adult
• ISSN: 0165-0327; 1573-2517; 1573-2517
• DOI: 10.1016/j.jad.2018.04.067

•We identified six depression trajectories with varying symptom levels and stability.•Job demands and social support were associated with depressive symptom trajectories.•The associations were stronger for higher/increasing symptom trajectories.•Job demands and social support may thus contribute to long-term depression course.•Deteriorating demands, support and control were associated with increased symptoms. Job demands, job control and social support have been associated with depressive symptoms. However, it is unknown how these work characteristics are associated with different trajectories of depressive symptoms, which this study aimed to examine. We included 6679 subjects in the Swedish Longitudinal Occupational Survey of Health (SLOSH), who completed biennial questionnaires in 2006–2016. Group-based trajectory models identified groups with similar development of depressive symptoms. Multinomial logistic regression estimated associations between baseline demands, control, social support and trajectories of depressive symptoms. We identified six depression trajectories with varying severity and stability across four measurements. High job demands and low social support, but not low control, were associated with higher probability of belonging to subsequent trajectories with higher symptom level compared to very low symptom level. Adjusted risk ratios ranged from 1.26, 95% CI = 1.06–1.51 (low symptom trajectory) to 2.51, 95% CI = 1.43–4.41 (persistent severe symptom trajectory). Results also indicated that onset of high demands, low control and low social support increases depressive symptoms over time. The results were based on self-reported data and all individuals did not have complete data in all waves. The results indicated that especially perceptions of high job demands and low social support are associated with higher or increasing levels of depressive symptoms over time. This support the supposition that high job demands, and low social support may have long-term consequences for depressive symptoms and that interventions targeting job demands and social support may contribute to a more favourable course of depression.