Title
Workplace social capital and the onset of major depressive episode among workers in Japan: A 3-year prospective cohort study
Date Issued
01 June 2017
Access level
metadata only access
Resource Type
journal article
Author(s)
Sakuraya A.
Imamura K.
Inoue A.
Tsutsumi A.
Shimazu A.
Takahashi M.
Totsuzaki T.
Kawakami N.
Publisher(s)
BMJ Publishing Group
Abstract
Background This study examined the prospective association of workplace social capital (WSC) with major depressive episode (MDE) among Japanese employees. Methods A 3-year prospective cohort study was conducted among 1058 employees from a private thinktank company who participated in a baseline survey; after excluding those with MDE in the past 12 months, 929 were followed up. WSC at baseline was measured using a 3-item scale. MDE was assessed at baseline and at follow-up every year, by using a web-based, selfadministered version of the WHO Composite International Diagnostic Interview (WHO-CIDI) 3.0 depression section, based on the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition: Text Revision (DSM-IV-TR)/DSM-5 criteria. Cox discretetime hazards analyses were used to estimate HRs and 95% CIs, adjusting for covariates. Results A group with middle-level WSC scores had the lowest risk of MDE after being fully adjusted (HR 0.34, 95% CI 0.14 to 0.84, p=0.02). The relationship between WSC and MDE was U-shaped, although a nonlinear model fit better than a linear model, with only marginally statistical significance (p=0.06). Dichotomised and continuous variables of WSC scores were significantly and negatively associated with MDE (p=0.03 and p<0.01, respectively). Conclusions The current study replicated a previous finding from Finland that WSC was a protective factor of the onset of MDE in Japan. The slightly U-shaped relationship, that is, the group with high WSC having a small elevated risk of MDE, may reflect a dark side of WSC in a country with collectivity-oriented and hierarchy-oriented culture, such as Japan.
Start page
606
End page
612
Volume
71
Issue
6
Language
English
OCDE Knowledge area
Salud pública, Salud ambiental Psiquiatría
Scopus EID
2-s2.0-85019240026
PubMed ID
Source
Journal of Epidemiology and Community Health
ISSN of the container
0143005X
Sponsor(s)
Japan Society for the Promotion of Science: 26253042. Japan Society for the Promotion of Science: 26860433.
Sources of information: Directorio de Producción Científica Scopus