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

在一项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关联。数据来自33,577名员工,他们最近没有抗抑郁药治疗史,并且在2000-2002年的基线时没有医生诊断的抑郁症病史。通过两个指标来衡量他们的抑郁症风险: 记录到2005年12月31日之前的抗抑郁药购买量,以及2004-2005年医生在随访调查中诊断出的新发抑郁症的自我报告。使用多水平logistic回归分析来探讨自我报告和综合水平的工作场所社会资本是否可以预测随访时的抑郁指标。自我报告社会资本低的员工的抗抑郁治疗和医生诊断的抑郁症的几率比报告社会资本高的员工高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,体育锻炼和体重指数来解释。社会资本与自我报告的抑郁症之间的关联减弱,但在进一步调整基线心理困扰 (未诊断的精神卫生问题的代表) 后仍然显着。总水平的社会资本与随后的萧条无关。

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