Job Dissatisfaction Mediated the Associations Between Work Stress and Mental Health Problems

Dan Qiu,Feiyun Ouyang,Jun He,Yilu Li,Ruiqi Li,Dan Luo,Shuiyuan Xiao

doi:10.3389/fpsyt.2021.711263

Dan Qiu, Feiyun Ouyang + Show 5 more

Open Access

https://doi.org/10.3389/fpsyt.2021.711263

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Abstract

Objective: This study aimed to explore the relationships and the underlying mechanisms between work stress and mental health problems, and potential mediation effects through job dissatisfaction in a working population.Methods: A large population-based study among workers in China was conducted. The self-reported scales of assessing job dissatisfaction and work stress were included in the questionnaire. Generalized Anxiety Disorder-2 and Patient Health Questionnaire-2 were used for assessment of mental health. Univariate logistic regression was conducted to test the associations between work stress and mental health. Path analysis was conducted to test the proposed mediation model.Results: Of the 6,190 included employees, 27.72% reported that they perceived work stress, 14.84% of them reported that they were not satisfied with their work, 5.01% of the employees reported depressive symptoms, and 3.75% of the employees reported anxiety symptoms. The results of univariate logistic regression showed that employees who perceived work stress were more likely to report anxiety symptoms (adjusted odds ratio (AOR) = 2.78; 95% CI: 2.03–3.79) or depressive symptoms (AOR = 1.61; 95% CI: 1.22–2.12). The path analysis showed that work stress was positively associated with job dissatisfaction. Job dissatisfaction mediated the relationship between work stress and mental health problems among Chinese working adults.Conclusion: This study suggests the importance of psychosocial work environment for mental health among Chinese working adults. Work dissatisfaction is a stressor that may induce negative consequences on the mental health among Chinese workers. Interventions to help workers with stress management may be beneficial for their mental health.

Highlights

Depression is a prevalent mental health problem in the working population worldwide
We firstly investigated the levels of two mental health problems in the Chinese employees and their associations with work stress
27.72% reported that they perceived work stress, 14.84% of them reported that they were not satisfied with their work, 5.01% of the participants were classified as having probable depression, and 3.75% of the participants were classified as having anxiety symptoms

Summary

Introduction

Depression is a prevalent mental health problem in the working population worldwide. It is reported that the global point prevalence of depression in the working population ranged from 3.73 to 19.0% [1,2,3]. Another prevalent mental health problem across the world, the prevalence of anxiety among the working population ranged from 5.40 to 20.70% [4, 5]. The available evidence suggests that mental health may be closely related to work stress in the general population [1, 8, 12]. Employees who experienced some work-related stressors would be more likely to experience job dissatisfaction [10], and in turn, such dissatisfaction would be positively associated with mental health problems [13]

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Results

Discussion

Conclusion