345 Which psychosocial risk factors at work contribute to the onset of stress-related disorders? a systematic review and meta-analysis

ObjectiveThe objective was to conduct an update of a previously published review and meta-analysis on the association between work-related psychosocial risk factors and stress-related mental disorders (SRD).DesignSystematic review and meta-analysis.Data sourcesMedline, Embase and PsycINFO were searched for articles published between 2008 and 12 August 2019 and references of a systematic review performed for the period before 2008 were included. Primary prospective studies were included when outcome data were described in terms of SRD assessment or a dichotomous outcome, based on a validated questionnaire, and at least two levels of work-related exposure were reported (exposed vs less or non-exposed). We used GRADE to assess the evidence for the associations between risk factors and the onset of SRD.ResultsSeventeen studies met the inclusion criteria. In total, a population of 73 874 workers from Belgium, Denmark, England, Finland, Japan, the Netherlands and Sweden were included in the meta-analysis of 14 prospective cohort studies. This meta-analysis revealed moderate evidence for associations between SRD and effort reward imbalance (OR=1.9, 95% CI 1.70 to 2.15), high job demands (OR=1.6, 95% CI 1.41 to 1.72), organisational justice (ORs=1.6 to 1.7, CIs 1.44 to 1.86), social support (ORs=1.3 to 1.4, CIs 1.16 to 1.69), high emotional demands (OR=1.6, 95% CI 1.35 to 1.84) and decision authority (OR=1.3, CI 1.20 to 1.49). No significant or inconsistent associations were found for job insecurity, decision latitude, skill discretion and bullying.ConclusionModerate evidence was found that work-related psychosocial risk factors are associated with a higher risk of SRD. Effort-reward imbalance, low organisational justice and high job demands exhibited the largest increased risk of SRD, varying from 60% to 90%.

Download Full-text

Psychosocial Risk Factors for Perinatal Depression among Female Adolescents: A Systematic Review

Issues in Mental Health Nursing ◽

10.1080/01612840.2017.1330908 ◽

2017 ◽

Vol 38 (8) ◽

pp. 633-642 ◽

Cited By ~ 13

Author(s):

Pamela Recto ◽

Jane Dimmitt Champion

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Perinatal Depression ◽

Psychosocial Risk Factors ◽

Psychosocial Risk ◽

Female Adolescents

Download Full-text

The efficacy of targeted interventions for modifiable psychosocial risk factors of persistent nonspecific low back pain – A systematic review

Manual Therapy ◽

10.1016/j.math.2012.02.008 ◽

2012 ◽

Vol 17 (5) ◽

pp. 385-401 ◽

Cited By ~ 28

Author(s):

Peter Kent ◽

Per Kjaer

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Low Back Pain ◽

Back Pain ◽

Psychosocial Risk Factors ◽

Psychosocial Risk ◽

Low Back ◽

Targeted Interventions

Download Full-text

Exposure to psychosocial risk factors in the context of work: a systematic review

Revista de Saúde Pública ◽

10.1590/s1518-8787.2016050006129 ◽

2016 ◽

Vol 50 (0) ◽

Cited By ~ 15

Author(s):

Cláudia Fernandes ◽

Anabela Pereira

Keyword(s):

Mental Health ◽

Risk Factors ◽

Systematic Review ◽

Psychosocial Factors ◽

Well Being ◽

Psychosocial Risk Factors ◽

Psychosocial Risk ◽

Sample Type ◽

Related Factors ◽

Health And Well Being

ABSTRACT OBJECTIVE To analyze the scientific literature about the effects of exposure to psychosocial risk factors in work contexts. METHODS A systematic review was performed using the terms “psychosocial factors” AND “COPSOQ” in the databases PubMed, Medline, and Scopus. The period analyzed was from January 1, 2004 to June 30, 2012. We have included articles that used the Copenhagen Psychosocial Questionnaire (COPSOQ) as a measuring instrument of the psychosocial factors and the presentation of quantitative or qualitative results. German articles, psychometric studies or studies that did not analyze individual or work factors were excluded. RESULTS We included 22 articles in the analysis. Individual factors, such as gender, age, and socioeconomic status, were analyzed along with work-related factors such as labor demands, work organization and content, social relationships and leadership, work-individual interface, workplace values, justice and respect, personality, health and well-being, and offensive behaviors. We analyzed the sample type and the applied experimental designs. Some population groups, such as young people and migrants, are more vulnerable. The deteriorated working psychosocial environment is associated with physical health indicators and weak mental health. This environment is also a risk factor for the development of moderate to severe clinical conditions, predicting absenteeism or intention of leaving the job. CONCLUSIONS The literature shows the contribution of exposure to psychosocial risk factors in work environments and their impact on mental health and well-being of workers. It allows the design of practical interventions in the work context to be based on scientific evidences. Investigations in specific populations, such as industry, and studies with more robust designs are lacking.

Download Full-text

Systematic Review and Meta-Analysis of Psychosocial Risk Factors for Stroke

Seminars in Neurology ◽

10.1055/s-0037-1603758 ◽

2017 ◽

Vol 37 (03) ◽

pp. 294-306 ◽

Cited By ~ 9

Author(s):

Andrew Clegg ◽

Kulsum Patel ◽

Julie Lucas ◽

Hannah Storey ◽

Maree Hackett ◽

...

Keyword(s):

Risk Factors ◽

Meta Analysis ◽

Case Control ◽

Psychosocial Risk Factors ◽

Psychosocial Risk ◽

Systemic Review ◽

Case Control Studies ◽

Cochrane Database ◽

Increased Risk ◽

Meta Analyses

AbstractSeveral studies have assessed the link between psychosocial risk factors and stroke; however, the results were inconsistent. We have conducted a systemic review and meta-analysis of cohort or case-control studies to ascertain the association between psychosocial risk factors (psychological, vocational, behavioral, interpersonal, and neuropsychological) and the risk of stroke. Systematic searches were undertaken in MEDLINE, EMBASE, CINAHL, PsycINFO, and the Cochrane Database of Systematic Reviews between 2000 and January 2017. Two reviewers independently screened titles, abstracts, and full texts. One reviewer assessed quality and extracted data, which was checked by a second reviewer. For studies that reported risk estimates, a meta-analysis was performed. We identified 41 cohort studies and 5 case-control studies. No neuropsychological papers were found. Overall, pooled adjusted estimates showed that all other psychosocial risk factors were independent risk factors for stroke. Psychological factors increased the risk of stroke by 39% (hazard ratio [HR], 1.39; 95% confidence interval [CI], 1.27–1.51), vocational by 35% (HR, 1.35; 95% CI, 1.20–1.51), and interpersonal by 16% (HR, 1.16; 95% CI, 1.03–1.31), and the effects of behavioral factors were equivocal (HR, 0.94; 95% CI, 0.20–4.31). The meta-analyses were affected by heterogeneity. Psychosocial risk factors are associated with an increased risk of stroke.

Download Full-text