Scand J Work Environ Health 2020;46(5):488-497 pdf full text
https://doi.org/10.5271/sjweh.3889 | Published online: 24 Feb 2020, Issue date: 01 Sep 2020
Psychosocial working characteristics before retirement and depressive symptoms across the retirement transition: a longitudinal latent class analysis
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.
Key terms depression; depressive symptom; effort–reward imbalance; job control; job demand; job strain; latent class analysis; longitudinal study; mental health; older worker; psychosocial; psychosocial working characteristic; retirement; SLOSH; stress; Swedish Longitudinal Occupational Survey of Health; work stress