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Determinants of Managerial Preventive Actions in Relation to Common Mental Disorders at Work

A Cross-Sectional Study Among Swedish Managers

van de Voort, Iris MSc; de Rijk, Angelique PhD; Hensing, Gunnel PhD; Bertilsson, Monica PhD

Journal of Occupational and Environmental Medicine: October 2019 - Volume 61 - Issue 10 - p 854–862
doi: 10.1097/JOM.0000000000001629

Objective: Manager characteristics (personal, work-, and competence-related) were investigated as determinants of managerial preventive actions (MPAs) in relation to common mental disorders (CMDs) among employees.

Methods: A web survey (n = 2921) among Swedish managers measured diverse managerial characteristics and two types of MPAs: reviewing assignments and work situation (MPA-review); talking about CMDs at the work place (MPA-talk).

Results: MPA-review was reported by 50% and MPA-talk by 57% of managers. Characteristics that related to more MPAs were female gender, workplace offering lectures on CMDs, workplace offering stress counseling, being responsible for the work environment, management training on CMDs, and more than 10 years of managerial experience (MPA-talk only).

Conclusion: Managers who are female, have had training on CMDs, and work for organizations paying attention to CMD prevention initiate MPAs more often.

Department of Social Medicine, Care and Public Health Institute, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands (Ms van de Voort, Dr de Rijk) and Institute of Medicine/Epidemiology and Social Medicine, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden (Dr Hensing, Dr Bertilsson).

Address correspondence to: Monica Bertilsson, PhD, Epidemiology and Social Medicine (EPSO), Department of Public Health and Community Medicine, P.O. Box 453, SE-405 30 Göteborg, Sweden (

The project was granted by AFA Insurance, Sweden, Dnr:150378.

The authors have no conflicts of interest to declare.

Clinical significance: Managers take more actions to prevent common mental disorders among their subordinates if supported by in-company education for them and have counselling for their subordinates available.

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