In a prospective cohort study of Finnish public sector employees, the authors examined the association between workplace social capital and depression. Data were obtained from 33,577 employees, who had no recent history of antidepressant treatment and who reported no history of physician-diagnosed depression at baseline in 2000-2002. Their risk of depression was measured with two indicators: recorded purchases of antidepressants until December 31, 2005, and self-reports of new-onset depression diagnosed by a physician in the follow-up survey in 2004-2005. Multilevel logistic regression analysis was used to explore whether self-reported and aggregate-level workplace social capital predicted indicators of depression at follow-up. The odds for antidepressant treatment and physician-diagnosed depression were 20-50% higher for employees with low self-reported social capital than for those reporting high social capital. These associations were not accounted for by sex, age, marital status, socioeconomic position, place of work, smoking, alcohol use, physical activity, and body mass index. The association between social capital and self-reported depression attenuated but remained significant after further adjustment for baseline psychological distress (a proxy for undiagnosed mental health problems). Aggregate-level social capital was not associated with subsequent depression.

译文

:在对芬兰公共部门雇员的前瞻性队列研究中,作者研究了工作场所社会资本与抑郁症之间的联系。数据来自33577名员工,这些员工近期没有抗抑郁治疗史,并且在2000-2002年基线时没有医生诊断为抑郁症的历史。他们的抑郁风险有两个指标:2005年12月31日之前购买的抗抑郁药的购买记录,以及医生在2004-2005年的随访调查中诊断出的新发抑郁症的自我报告。使用多级逻辑回归分析来探讨自我报告和总体水平的工作场所社会资本是否在随访中预测了抑郁症的指标。自我报告的社会资本低的员工,其抗抑郁治疗和经医生诊断为抑郁的几率比那些报告高社会资本的员工高20-50%。这些关联没有按性别,年龄,婚姻状况,社会经济地位,工作地点,吸烟,饮酒,体育活动和体重指数来说明。社会资本与自我报告的抑郁症之间的联系有所减弱,但在进一步调整基线心理困扰(代表未确诊的精神健康问题)之后,这种联系仍然很显着。总的社会资本与随后的抑郁症无关。

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