The Division for Epidemiology, Stress Research Institute, Department of Psychology, Stockholm University, Stockholm SE-106 91, Sweden.
Scand J Work Environ Health. 2020 Sep 1;46(5):488-497. doi: 10.5271/sjweh.3889. Epub 2020 Feb 24.
Objectives Retirement is a major life transition. However, previous evidence on its mental health effects has been inconclusive. Whether retirement is desirable or not may depend on pre-retirement work characteristics. We investigated trajectories of depressive symptoms across retirement and how a number of psychosocial working characteristics influenced these trajectories. Methods We included 1735 respondents from the Swedish Longitudinal Occupational Survey of Health (SLOSH), retiring during 2008-2016 (mean retirement age 66 years). They had completed biennial questionnaires reporting job demands, decision authority, workplace social support, efforts, rewards, procedural justice and depressive symptoms. We applied group-based trajectory modelling to model trajectories of depressive symptoms across retirement. Multinomial logistic regression analyses estimated the associations between -psychosocial working characteristics and depressive symptom trajectories. Results We identified five depression trajectories. In four of them, depressive symptoms decreased slightly around retirement. In one, the symptom level was initially high, then decreased markedly across retirement. Perceptions of job demands, job strain, workplace social support, rewards, effort-reward imbalance and procedural justice were associated with the trajectories, while perceptions of decision authority and work efforts were only partly related to the trajectories. Conclusions We observed a rather positive development of depressive symptoms across retirement in a sample of Swedish retirees. For a small group with poor psychosocial working characteristics, symptoms clearly decreased, which may indicate that a relief from poor working characteristics is associated with an improvement for some retirees. However, for other retirees poor working characteristics were associated with persistent symptoms, suggesting a long-term effect of these work stressors.
退休是人生的重大转折。然而,先前关于其心理健康影响的证据尚无定论。退休是否可取可能取决于退休前的工作特点。我们研究了退休期间抑郁症状的轨迹,以及许多心理社会工作特征如何影响这些轨迹。
我们纳入了来自瑞典职业健康纵向调查(SLOSH)的 1735 名受访者,他们在 2008-2016 年期间退休(平均退休年龄为 66 岁)。他们完成了两年一次的问卷,报告了工作需求、决策自主权、工作场所社会支持、努力、奖励、程序公正和抑郁症状。我们应用基于群组的轨迹建模来模拟退休期间抑郁症状的轨迹。使用多项逻辑回归分析估计心理社会工作特征与抑郁症状轨迹之间的关联。
我们确定了五种抑郁轨迹。在其中四种轨迹中,退休前后抑郁症状略有下降。在一种轨迹中,症状水平最初较高,然后在退休期间显著下降。工作需求、工作压力、工作场所社会支持、奖励、努力-回报失衡和程序公正是与轨迹相关的因素,而决策自主权和工作努力仅部分与轨迹相关。
在瑞典退休人群样本中,我们观察到退休期间抑郁症状呈相当积极的发展。对于一小部分心理社会工作特征较差的人来说,症状明显减轻,这可能表明从较差的工作特征中解脱出来与一些退休人员的改善有关。然而,对于其他退休人员来说,较差的工作特征与持续的症状有关,这表明这些工作压力源具有长期影响。