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Study protocol for examining job strain as a risk factor for severe unipolar depression in an individual participant meta-analysis of 14 European cohorts

Madsen, Ida E.H. (author)
National Research Centre for the Working Environment, Copenhagen, Denmark,Department of Epidemiology and Public Health, University College London, London, United Kingdom
Hannerz, Harald (author)
Federal Institute for Occupational Safety and Health BAuA, Berlin, Germany,The Danish National Centre for Social Research, Copenhagen, DK-1052, Denmark,Stress Research Institute, Stockholm University, Stockholm, Sweden
Theorell, Töres (author)
Karolinska Institutet,Stockholms universitet,Stressforskningsinstitutet
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Magnusson Hanson, Linda L. (author)
Stockholms universitet,Stressforskningsinstitutet
Ahola, Kirsi (author)
Finnish Institute of Occupational Health, Helsinki, Finland
Alfredsson, Lars (author)
Karolinska Institutet
Battt, G. David (author)
Department of Epidemiology and Public Health, University College London, London, United Kingdom
Bjorner, Jakob B. (author)
National Research Centre for the Working Environment, Copenhagen, Denmark
Borritz, Marianne (author)
Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark
Burr, Hermann (author)
Dragano, Nico (author)
Department of Medical Sociology, University of Düsseldorf, Düsseldorf, Germany
Ferrie, Jane E. (author)
Department of Epidemiology and Public Health, University College London, London, United Kingdom
Hamer, Mark (author)
Westerholm, Peter J M (author)
Uppsala universitet,Arbets- och miljömedicin
Knutsson, Anders (author)
Mittuniversitetet,Avdelningen för hälsovetenskap
Koskenvuo, Markku (author)
Department of Public Health, University of Helsinki, Helsinki, Finland
Koskinen, Aki (author)
Finnish Institute of Occupational Health, Helsinki, Finland
Leineweber, Constanze (author)
Stockholms universitet,Stressforskningsinstitutet
Nielsen, Martin L. (author)
Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark
Nordin, Maria (author)
Umeå universitet,Yrkes- och miljömedicin,Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden
Oksanen, Tuula (author)
Finnish Institute of Occupational Health, Helsinki, Finland
Pejtersen, Jan H. (author)
Pentti, Jaana (author)
Finnish Institute of Occupational Health, Helsinki, Finland
Salo, Paula (author)
Department of Epidemiology and Public Health, University College London, London, United Kingdom
Singh-Manoux, Archana (author)
Department of Epidemiology and Public Health, University College London, London, United Kingdom
Suominen, Sakari (author)
Folkhälsan Research Center, Helsinki, Finland,Finnish Institute of Occupational Health, Helsinki, Finland
Theorell, Töres (author)
Toppinen-Tanner, Salla (author)
Vahtera, Jussi (author)
Finnish Institute of Occupational Health, Helsinki, Finland
Väänänen, Ari (author)
Finnish Institute of Occupational Health, Helsinki, Finland
Westerholm, Peter J. M. (author)
Westerlund, Hugo (author)
Uppsala universitet,Stockholms universitet,Stressforskningsinstitutet,Arbets- och miljömedicin,Eva Vingård
Fransson, Eleonor (author)
Jönköping University,HHJ, Avdelningen för naturvetenskap och biomedicin,HHJ. ADULT
Heikkilä, Katriina (author)
Finnish Institute of Occupational Health, Helsinki, Finland
Virtanen, Marianna (author)
Finnish Institute of Occupational Health, Helsinki, Finland
Rugulies, Reiner (author)
National Research Centre for the Working Environment, Copenhagen, Denmark
Kivimäki, Mika (author)
Finnish Institute of Occupational Health, Helsinki, Finland
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 (creator_code:org_t)
2014-02-26
2014
English.
In: F1000 Research. - : F1000 Research Ltd. - 2046-1402. ; 2
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background: Previous studies have shown that gainfully employed individuals with high work demands and low control at work (denoted "job strain") are at increased risk of common mental disorders, including depression. Most existing studies have, however, measured depression using self-rated symptom scales that do not necessarily correspond to clinically diagnosed depression. In addition, a meta-analysis from 2008 indicated publication bias in the field.Methods: This study protocol describes the planned design and analyses of an individual participant data meta-analysis, to examine whether job strain is associated with an increased risk of clinically diagnosed unipolar depression based on hospital treatment registers. The study will be based on data from approximately 120,000 individuals who participated in 14 studies on work environment and health in 4 European countries. The self-reported working conditions data will be merged with national registers on psychiatric hospital treatment, primarily hospital admissions. Study-specific risk estimates for the association between job strain and depression will be calculated using Cox regressions. The study-specific risk estimates will be pooled using random effects meta-analysis.Discussion: The planned analyses will help clarify whether job strain is associated with an increased risk of clinically diagnosed unipolar depression. As the analysis is based on pre-planned study protocols and an individual participant data meta-analysis, the pooled risk estimates will not be influenced by selective reporting and publication bias. However, the results of the planned study may only pertain to severe cases of unipolar depression, because of the outcome measure applied.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Arbetsmedicin och miljömedicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Occupational Health and Environmental Health (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Psykiatri (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Psychiatry (hsv//eng)

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