Bidirectional associations between workplace bullying and sickness absence due to common mental disorders - a propensity-score matched cohort study.

Journal: BMC public health

Volume: 24

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  Stress Research Institute, Division of Psychobiology and Epidemiology, Department of Psychology, Stockholm University, Stockholm, Sweden. rebecka.holmgren@su.se. Department of Public Health Sciences, Stockholm University, Sweden & Centre for Health Equity Studies, Stockholm University/Karolinska Institutet, Stockholm, Sweden. Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden. Stress Research Institute, Division of Psychobiology and Epidemiology, Department of Psychology, Stockholm University, Stockholm, Sweden.

Abstract summary 

The link between workplace bullying and poor mental health is well-known. However, little is known about the prospective and potentially reciprocal association between workplace bullying and mental health-related sickness absence. This 2-year prospective study examined bidirectional associations between exposure to workplace bullying and sickness absence due to common mental disorders (SA-CMD) while controlling for confounding factors from both work and private life.The study was based on propensity score-matched samples (N = 3216 and N = 552) from the Swedish Longitudinal Occupational Survey of Health, using surveys from years 2012, 2014 and 2016. Self-reported exposure to workplace bullying was linked to registry-based information regarding medically certified SA-CMD (≥ 14 consecutive days). The associations were examined by means of Cox proportional hazards regression and via conditional logistic regression analysis. Hazard ratios and odds ratios with 95% confidence intervals were estimated.Exposure to workplace bullying was associated with an increased risk of incident SA-CMD (HR: 1.3, 95% CI: 1.0-1.8), after accounting for the influence of job demands, decision authority, previous SA-CMD, as well as other sociodemographic covariates. However, we found no statistically significant association between SA-CMD and subsequent workplace bullying (OR 1.2, 95% CI 0.7-1.9).The results support an association between self-reported workplace bullying and SA-CMD, independent of other sociodemographic factors and workplace stressors. Preventing workplace bullying could alleviate a share of the individual and societal burden caused by SA globally.

Authors & Co-authors:  Holmgren Grotta Farrants Magnusson Hanson

Study Outcome 

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Statistics
Citations :  Henderson M, Harvey SB, Overland S, Mykletun A, Hotopf M. Work and common psychiatric disorders. J R Soc Med. 2011;104(5):198–207. doi: 10.1258/jrsm.2011.100231.
Authors :  4
Identifiers
Doi : 744
SSN : 1471-2458
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Bullying;Mental disorders;Occupational stress;Propensity score;Sick leave
Study Design
Cohort Study,Cohort Study,Cohort Study,Cohort Study,Cohort Study,Cohort Study
Study Approach
Country of Study
Publication Country
England