Self-reported workplace bullying and subsequent risk of diagnosed mental disorders and psychotropic drug prescriptions: A register-based prospective cohort study of 75,252 participants.

Autor: Conway PM; Department of Psychology, University of Copenhagen, Denmark. Electronic address: paul.conway@psy.ku.dk., Erlangsen A; Danish Research Institute for Suicide Prevention, Mental Health Centre Copenhagen, Capital Region of Denmark, Copenhagen, Denmark; Copenhagen Research Centre for Mental Health, Capital Region of Denmark, Copenhagen, Denmark; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States; Centre for Mental Health Research, Australian National University, Canberra, ACT, Australia., Grynderup MB; Department of Psychology, University of Copenhagen, Denmark., Clausen T; National Research Centre for the Working Environment, Copenhagen, Denmark., Bjørner JB; National Research Centre for the Working Environment, Copenhagen, Denmark; Section of Epidemiology, Department of Public Health, University of Copenhagen, Denmark; Optum Patient Insights, Lincoln, RI, USA., Burr H; Department of Work and Health, Federal Institute for Occupational Safety and Health (BAuA), Berlin, Germany., Francioli L; Independent Researcher, Denmark., Garde AH; National Research Centre for the Working Environment, Copenhagen, Denmark; Section of Epidemiology, Department of Public Health, University of Copenhagen, Denmark., Hansen ÅM; National Research Centre for the Working Environment, Copenhagen, Denmark; Section of Epidemiology, Department of Public Health, University of Copenhagen, Denmark., Magnusson Hanson LL; Stress Research Institute at Department of Psychology, Stockholm University, Sweden., Kirchheiner-Rasmussen J; National Research Centre for the Working Environment, Copenhagen, Denmark., Kristensen TS; Gilleleje, Denmark., Mikkelsen EG; Department of Psychology, University of Southern Denmark, Odense, Denmark., Stenager E; Focused Research Unit in Psychiatry, Institute of Regional Health Research, University of Southern Denmark, Odense, Denmark., Thorsen SV; National Research Centre for the Working Environment, Copenhagen, Denmark., Villadsen E; National Research Centre for the Working Environment, Copenhagen, Denmark., Høgh A; Department of Psychology, University of Copenhagen, Denmark., Rugulies R; National Research Centre for the Working Environment, Copenhagen, Denmark; Section of Epidemiology, Department of Public Health, University of Copenhagen, Denmark.
Jazyk: angličtina
Zdroj: Journal of affective disorders [J Affect Disord] 2025 Jan 15; Vol. 369, pp. 1-7. Date of Electronic Publication: 2024 Sep 22.
DOI: 10.1016/j.jad.2024.09.134
Abstrakt: Background: Evidence concerning workplace bullying as a risk factor for mental disorders is currently limited to depressive disorders and mainly based on non-clinical assessments. This study aims to examine the prospective association of self-reported workplace bullying with different types of register-based hospital-diagnosed mental disorders and redeemed psychotropic drug prescriptions.
Methods: Using a cohort study design, we examined a pooled dataset of 75,252 participants from 14 questionnaire-based surveys conducted between 2004 and 2014. In the questionnaires, workplace bullying was measured by a single item. The questionnaires were linked to Danish registers on hospital-diagnosed mental disorders and redeemed psychotropic drug prescriptions up to 2016. Data were analysed by multivariate Cox proportional hazard models, including only participants without a history of mental disorders or prescriptions since 1995.
Results: After adjustment for sex, age, marital and socio-economic status, workplace bullying was associated with an excess risk of any mental disorder (HR 1.37; 95 % CI: 1.17-1.59) as well as mood disorders and neurotic, stress-related, and somatoform disorders. In stratified analyses, this association were statistically significant only among women. Workplace bullying was also associated with any psychotropic drug prescription (fully-adjusted HR 1.43; 95 % CI: 1.35-1.53). This association was observed in both sexes and for all prescriptions, including anxiolytics, hypnotics and sedatives, antidepressants, and nootropics.
Limitations: Firm conclusions about sex-related differences cannot be drawn. Residual confounding by unmeasured factors such as personality cannot be ruled out.
Conclusions: Workplace bullying was associated with higher risks of diagnosed mental disorders among women and psychotropic drug prescriptions in both sexes.
Competing Interests: Declaration of competing interest None.
(Copyright © 2024. Published by Elsevier B.V.)
Databáze: MEDLINE
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