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Self-reported workplace bullying and subsequent risk of diagnosed mental disorders and psychotropic drug prescriptions: A register-based prospective cohort study of 75,252 participants
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Number of Authors: 182025 (English)In: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 369, p. 1-7Article in journal (Refereed) Published
Abstract [en]

Background: Evidence concerning workplace bullying as a risk factor for mental disorders is currently limited to depressive disorders and mainly based on non-clinical assessments. This study aims to examine the prospective association of self-reported workplace bullying with different types of register-based hospital-diagnosed mental disorders and redeemed psychotropic drug prescriptions. Methods: Using a cohort study design, we examined a pooled dataset of 75,252 participants from 14 questionnaire-based surveys conducted between 2004 and 2014. In the questionnaires, workplace bullying was measured by a single item. The questionnaires were linked to Danish registers on hospital-diagnosed mental disorders and redeemed psychotropic drug prescriptions up to 2016. Data were analysed by multivariate Cox proportional hazard models, including only participants without a history of mental disorders or prescriptions since 1995. Results: After adjustment for sex, age, marital and socio-economic status, workplace bullying was associated with an excess risk of any mental disorder (HR 1.37; 95 % CI: 1.17–1.59) as well as mood disorders and neurotic, stress-related, and somatoform disorders. In stratified analyses, this association were statistically significant only among women. Workplace bullying was also associated with any psychotropic drug prescription (fully-adjusted HR 1.43; 95 % CI: 1.35–1.53). This association was observed in both sexes and for all prescriptions, including anxiolytics, hypnotics and sedatives, antidepressants, and nootropics. Limitations: Firm conclusions about sex-related differences cannot be drawn. Residual confounding by unmeasured factors such as personality cannot be ruled out. Conclusions: Workplace bullying was associated with higher risks of diagnosed mental disorders among women and psychotropic drug prescriptions in both sexes.

Place, publisher, year, edition, pages
2025. Vol. 369, p. 1-7
Keywords [en]
workplace bullying, mental disorders, depressive disorders, psychotropic drug prescriptions, register-based study
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:su:diva-235719DOI: 10.1016/j.jad.2024.09.134ISI: 001325216200001PubMedID: 39317298Scopus ID: 2-s2.0-85204607307OAI: oai:DiVA.org:su-235719DiVA, id: diva2:1914779
Note

The study was supported by the Region of Southern Denmark (grant number A1763) and the Danish Working Environment Research Fund (grant numbers 20130023294 and 10-2019-03).

Available from: 2024-11-20 Created: 2024-11-20 Last updated: 2025-02-06Bibliographically approved

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Magnusson Hanson, Linda

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