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Psychosocial stressors at work and the risk of sickness absence due to a diagnosed mental disorder: A systematic review and meta-analysis

JAMA Aug 08, 2020

Duchaine CS, Aubé K, Gilbert-Ouimet M, et al. - Via a systematic review and meta-analysis, researchers examined if psychosocial stressors at work are associated with greater sickness absence due to a diagnosed mental disorder among adult workers. Searching seven electronic databases (MEDLINE, Embase, PsycInfo, Web of Science, CINAHL, Sociological Abstracts, and International Bibliography of the Social Sciences), 3 gray literature databases (Grey Literature Report, WHO-IRIS and Open Grey), and the reference lists of all eligible studies and reviews, they included original prospective studies examining the correlation of at least 1 psychosocial stressor at work from the 3 most recognized theoretical models: the job demand-control-support model, including exposure to job strain (high psychological demands with low job control); effort-reward imbalance model; and organizational justice model. They performed 6 meta-analyses with 13 studies including 130,056 participants. Evidence supported the correlation of psychosocial stressors at work with an elevated risk of sickness absence due to a diagnosed mental disorder. Workers exposed to these work stressors had a 76% greater risk vs nonexposed workers. Physicians need to be aware of the importance of stressors when assessing patients’ mental health and work capacity.

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