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. 2005 Mar;59(3):243–249. doi: 10.1136/jech.2004.019778

Employment transitions and mental health: an analysis from the British household panel survey

C Thomas 1, M Benzeval 1, S Stansfeld 1
PMCID: PMC1733037  PMID: 15709086

Abstract

Study objective: To describe the impact of changes between employment and various forms of non-employment, and vice versa, on the psychological wellbeing of men and of women.

Design: Separate multivariate models for men and for women were constructed to study the association between employment transitions and episodes of psychological distress (general health questionnaire).

Participants: 13 359 employment transitions from 5092 people aged 16–74 years in the British household panel survey from 1991 to 1998.

Main results: Transitions from paid employment to either unemployment or long term sick leave were associated with increased psychological distress for both men and women. Starting maternity leave or staying home to look after the family were also associated with psychological distress for women. Transitions from these roles to formal employment resulted in an improvement in mental health. There was some evidence that the effects were felt most strongly within six months of the transition.

Conclusions: This paper provides further evidence that movements between paid employment and various forms of non-employment, in addition to unemployment, have an impact on mental health. The emphasis on transitions between a full range of employment states for both men and women from a large population based longitudinal study and a comparison of the relative magnitude of effects are unique features of this analysis. Interventions are suggested to minimise the psychological distress associated with transitions.

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Selected References

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  1. Arber S. Integrating nonemployment into research on health inequalities. Int J Health Serv. 1996;26(3):445–481. doi: 10.2190/MHUJ-U7KB-3W18-QQGH. [DOI] [PubMed] [Google Scholar]
  2. Bolton W., Oatley K. A longitudinal study of social support and depression in unemployed men. Psychol Med. 1987 May;17(2):453–460. doi: 10.1017/s0033291700025010. [DOI] [PubMed] [Google Scholar]
  3. Brown S., Birtwistle J. People with schizophrenia and their families. Fifteen-year outcome. Br J Psychiatry. 1998 Aug;173:139–144. doi: 10.1192/bjp.173.2.139. [DOI] [PubMed] [Google Scholar]
  4. Caradoc-Davies T. H., Harvey J. M. Do 'social relief' admissions have any effect on patients or their care-givers? Disabil Rehabil. 1995 Jul;17(5):247–251. doi: 10.3109/09638289509166642. [DOI] [PubMed] [Google Scholar]
  5. Claussen B., Bjørndal A., Hjort P. F. Health and re-employment in a two year follow up of long term unemployed. J Epidemiol Community Health. 1993 Feb;47(1):14–18. doi: 10.1136/jech.47.1.14. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Cox A. D., Pound A., Mills M., Puckering C., Owen A. L. Evaluation of a home visiting and befriending scheme for young mothers: Newpin. J R Soc Med. 1991 Apr;84(4):217–220. doi: 10.1177/014107689108400411. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Cox J. L., Murray D., Chapman G. A controlled study of the onset, duration and prevalence of postnatal depression. Br J Psychiatry. 1993 Jul;163:27–31. doi: 10.1192/bjp.163.1.27. [DOI] [PubMed] [Google Scholar]
  8. Ferrie Jane E., Shipley Martin J., Stansfeld Stephen A., Smith George Davey, Marmot Michael, Whitehall II Study Future uncertainty and socioeconomic inequalities in health: the Whitehall II study. Soc Sci Med. 2003 Aug;57(4):637–646. doi: 10.1016/s0277-9536(02)00406-9. [DOI] [PubMed] [Google Scholar]
  9. Goldberg D. P., Oldehinkel T., Ormel J. Why GHQ threshold varies from one place to another. Psychol Med. 1998 Jul;28(4):915–921. doi: 10.1017/s0033291798006874. [DOI] [PubMed] [Google Scholar]
  10. Kitamura T., Shima S., Sugawara M., Toda M. A. Temporal variation of validity of self-rating questionnaires: repeated use of the General Health Questionnaire and Zung's Self-rating Depression Scale among women during antenatal and postnatal periods. Acta Psychiatr Scand. 1994 Dec;90(6):446–450. doi: 10.1111/j.1600-0447.1994.tb01622.x. [DOI] [PubMed] [Google Scholar]
  11. Layton C. Employment, unemployment, and response to the General Health Questionnaire. Psychol Rep. 1986 Jun;58(3):807–810. doi: 10.2466/pr0.1986.58.3.807. [DOI] [PubMed] [Google Scholar]
  12. Livingston G., Manela M., Katona C. Depression and other psychiatric morbidity in carers of elderly people living at home. BMJ. 1996 Jan 20;312(7024):153–156. doi: 10.1136/bmj.312.7024.153. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Macintyre S. The Black Report and beyond: what are the issues? Soc Sci Med. 1997 Mar;44(6):723–745. doi: 10.1016/s0277-9536(96)00183-9. [DOI] [PubMed] [Google Scholar]
  14. Macran S., Clarke L., Joshi H. Women's health: dimensions and differentials. Soc Sci Med. 1996 May;42(9):1203–1216. doi: 10.1016/0277-9536(95)00432-7. [DOI] [PubMed] [Google Scholar]
  15. Matthews Sharon, Power Chris. Socio-economic gradients in psychological distress: a focus on women, social roles and work-home characteristics. Soc Sci Med. 2002 Mar;54(5):799–810. doi: 10.1016/s0277-9536(01)00110-1. [DOI] [PubMed] [Google Scholar]
  16. Mein G., Martikainen P., Hemingway H., Stansfeld S., Marmot M. Is retirement good or bad for mental and physical health functioning? Whitehall II longitudinal study of civil servants. J Epidemiol Community Health. 2003 Jan;57(1):46–49. doi: 10.1136/jech.57.1.46. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Pevalin D. J. Multiple applications of the GHQ-12 in a general population sample: an investigation of long-term retest effects. Soc Psychiatry Psychiatr Epidemiol. 2000 Nov;35(11):508–512. doi: 10.1007/s001270050272. [DOI] [PubMed] [Google Scholar]
  18. Pevalin David J., Goldberg David P. Social precursors to onset and recovery from episodes of common mental illness. Psychol Med. 2003 Feb;33(2):299–306. doi: 10.1017/s0033291702006864. [DOI] [PubMed] [Google Scholar]
  19. Saurel-Cubizolles M. J., Romito P., Ancel P. Y., Lelong N. Unemployment and psychological distress one year after childbirth in France. J Epidemiol Community Health. 2000 Mar;54(3):185–191. doi: 10.1136/jech.54.3.185. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Swallow B. L., Lindow S. W., Masson E. A., Hay D. M. Psychological health in early pregnancy: relationship with nausea and vomiting. J Obstet Gynaecol. 2004 Jan;24(1):28–32. doi: 10.1080/01443610310001620251. [DOI] [PubMed] [Google Scholar]
  21. Weatherall R., Joshi H., Macran S. Double burden or double blessing? Employment, motherhood and mortality in the Longitudinal Study of England and Wales. Soc Sci Med. 1994 Jan;38(2):285–297. doi: 10.1016/0277-9536(94)90398-0. [DOI] [PubMed] [Google Scholar]
  22. Weich S., Lewis G. Poverty, unemployment, and common mental disorders: population based cohort study. BMJ. 1998 Jul 11;317(7151):115–119. doi: 10.1136/bmj.317.7151.115. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Winefield A. H., Tiggemann M. Length of unemployment and psychological distress: longitudinal and cross-sectional data. Soc Sci Med. 1990;31(4):461–465. doi: 10.1016/0277-9536(90)90041-p. [DOI] [PubMed] [Google Scholar]
  24. Winefield A. H., Tiggemann M., Winefield H. R. The psychological impact of unemployment and unsatisfactory employment in young men and women: longitudinal and cross-sectional data. Br J Psychol. 1991 Nov;82(Pt 4):473–486. doi: 10.1111/j.2044-8295.1991.tb02414.x. [DOI] [PubMed] [Google Scholar]

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