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Are effort–reward imbalance and social isolation mediating the association between education and depressiveness? Baseline findings from the lidA§-study

  • Original Article
  • Published:
International Journal of Public Health

Abstract

Objectives

To investigate multiple mediations of the association between education and depressive symptoms (BDI-V) by work-related stress (ERI) and social isolation, the regional variation of the first mediation and a potential moderating effect of regional unemployment rate.

Methods

6339 employees born in 1959 and 1965 were randomly recruited from 222 sample points in a German cohort study on work, age, health and work participation. A multilevel model of moderated lower-level mediation was used to investigate the confirmatory research question. Multiple mediations were tested corresponding to Baron and Kenny. These analyses were stratified for age and adjusted for sex, negative affectivity and overcommitment.

Results

In the association between education and depressive symptoms, indirect effects of work-related stress and social isolation were significant in both age cohorts whereas a direct association was observable in the younger cohort, only. The significant regional variation in the association between work-related stress and depressive symptoms was not statistically explained by regional unemployment rate.

Conclusions

Our findings point out that work-related stress and social isolation play an intermediary role between education and depressive symptoms in middle-aged employees.

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Acknowledgments

The authors thank the lidA-study group for good co-operation which has built the ground on which this analysis has been performed. We thank the sponsor, the German Federal Ministry of Education and Research for funding (FKZ 01ER0827, 01ER0825, 01ER0806, 01ER0826). We thank also the Pearson Assessment & Information GmbH for giving the permission for using the BDI-V-questionnaire.

Conflict of interest

The authors declare that they have no conflict of interest.

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Author notes

  1. Jean-Baptist du Prel

    Present address: Institute of Epidemiology and Medical Biometry, Schwabstr. 13, 89075, Ulm, Germany

Authors and Affiliations

  1. Institute of the History, Philosophy and Ethics in Medicine, Ulm University, Ulm, Germany

    Jean-Baptist du Prel & Richard Peter

  2. Institute for Safety Engineering, Section of Occupational Health Research, Bergische Universität Wuppertal, Wuppertal, Germany

    Mario Iskenius

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  1. Jean-Baptist du Prel
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Correspondence to Jean-Baptist du Prel.

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§ leben in der Arbeit (English: living at work).

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du Prel, JB., Iskenius, M. & Peter, R. Are effort–reward imbalance and social isolation mediating the association between education and depressiveness? Baseline findings from the lidA§-study. Int J Public Health 59, 945–955 (2014). https://doi.org/10.1007/s00038-014-0613-3

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  • DOI: https://doi.org/10.1007/s00038-014-0613-3

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