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The Contributions Made by Job Satisfaction and Psychosocial Stress to the Development and Persistence of Depressive Symptoms

A 1-Year Prospective Study

Tatsuse, Takashi, BA; Sekine, Michikazu, PhD; Yamada, Masaaki, MD

Journal of Occupational and Environmental Medicine: March 2019 - Volume 61 - Issue 3 - p 190–196
doi: 10.1097/JOM.0000000000001491

Objective: The purpose of this study was to determine the factors that contributed to the development and persistence of depression over the course of 1 year in work environment.

Methods: The subjects were 992 Japanese civil servants aged between 19 and 65 years. Baseline data and linked with data collected at 1-year follow up.

Results: After adjusting for baseline depression levels, job satisfaction, and work-related psychosocial stress (job control and job demand) were significantly related to depression at 1-year follow up. Moreover, those who reported job dissatisfaction were at higher risk of developing depression (odds ratios [ORs]: 1.94) and persistent depression associated with low job control (ORs: 2.64) and high job demand (ORs: 2.20).

Conclusions: Job satisfaction, and psychosocial stress at baseline predicted development of and recovery from depression at 1-year follow up, respectively.

Department of Epidemiology and Health Policy, University of Toyama, Japan.

Address correspondence to: Takashi Tatsuse, BA, Department of Epidemiology and Health Policy, University of Toyama, 2630 Sugitani, Toyama 930-0194, Japan (

Funding: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for profit sectors.

Clinical Significance: Job satisfaction was an important indicator of the development of depression at 1-year follow-up, and low job control and high job demand influenced the inhibition of recovery from depression during this period. Therefore they should be managed in particular to prevent and alleviate depression.

Tatsuse, Sekine, and Yamada have no relationships/conditions/circumstances that present potential conflict of interest.

The JOEM editorial board and planners have no financial interest related to this research.

Copyright © 2019 by the American College of Occupational and Environmental Medicine