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. 2015 Oct 31;57(5):419–426. doi: 10.1539/joh.14-0231-OA

Is high job control a risk factor for poor quality of life in workers with high autism spectrum tendencies? A cross‐sectional survey at a factory in Japan

Norika Hayakawa 1,✉, Takashi Okada 2, Kenji Nomura 3, Tsukimi Tsukada 4, Mieko Nakamura 5
PMCID: PMC6706209  PMID: 26119207

Abstract

Is high job control a risk factor for poor quality of life in workers with high autism spectrum tendencies? A cross‐sectional survey at a factory in Japan: Norika Hayakawa, et al. Faculty of Policy Studies, Nanzan University

Objective

To examine the effect of autism spectrum (AS) tendencies and psychosocial job characteristics on health‐related quality of life (HRQOL) among factory workers.

Methods

A questionnaire survey was administered to 376 Japanese factory employees from the same company (response rate: 83.6%) in 2010. Psychosocial job characteristics, including job demand, job control, and social support, were evaluated using the Job Content Questionnaire (JCQ). AS tendencies was assessed using the Autism‐Spectrum Quotient (AQ), and HRQOL was assessed using the Medical Outcomes Study Short‐Form General Health Survey (SF‐8). Associations were investigated using multiple logistic regression analysis adjusted for confounders.

Results

In the multivariate analysis, AQ was positively (odds ratio [OR]: 3.94; 95% confidence interval [CI]: 1.70−9.73) and social support in the workplace was inversely (OR: 0.25; 95% CI: 0.10−0.57) associated with poor mental HRQOL. No significant interaction was observed between AQ and JCQ subitems. Only social support was inversely associated with poor physical HRQOL (OR and 95% CI for medium social support: 0.45 and 0.21−0.94), and a significant interaction between AQ and job control was observed (p=0.02), suggesting that high job control was associated with poor physical HRQOL among workers with high AQ, whereas low job control tended to be associated with poor physical HRQOL among others.

Conclusions

Our results suggest that AS tendencies have a negative effect on workers’ HRQOL and social support is a primary factor in maintaining HRQOL. Moreover, a structured work environment can maintain physical HRQOL in workers with high AS tendencies since higher job control will be stressful.

Keywords: Autism spectrum tendencies, HRQOL, Job control, Psychosocial job characteristics, Social support, Workers

References

  • 1. Stansfeld SA, Bosma H, Hemingway H, Marmot MG. Psychosocial work characteristics and social support as predictors of SF‐36 health functioning: the Whitehall II study. Psychosom Med 1998; 60: 247–55. [DOI] [PubMed] [Google Scholar]
  • 2. Bottcher HM, Steimann M, Rotsch M, Zurborn KH, Koch U, Bergelt C. Occupational stress and its association with early retirement and subjective need for occupational rehabilitation in cancer patients. Psycho‐oncology 2013; 22: 1807–14. [DOI] [PubMed] [Google Scholar]
  • 3. Karasek RA. Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Q 1979; 24: 285–308. [Google Scholar]
  • 4. Johnson JV, Hall EM. Job strain, work place social support, and cardiovascular disease: a cross‐sectional study of a random sample of the Swedish working population. Am J Public Health 1988; 78: 1336–42. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5. Rusli BN, Edimansyah BA, Naing L. Working conditions, self‐perceived stress, anxiety, depression and quality of life: a structural equation modelling approach. BMC Public Health 2008; 8: 48. (doi: 10.1186/1471‐2458‐8‐48.) [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 6. Silva LS, Barreto SM. Adverse psychosocial working conditions and poor quality of life among financial service employees in Brazil. J Occup Health 2012; 54: 88–95. [DOI] [PubMed] [Google Scholar]
  • 7. Lerner DJ, Levine S, Malspeis S, D'Agostino RB. Job strain and health‐related quality of life in a national sample. Am J Public Health 1994; 84: 1580–5. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 8. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders Fifth Edition: DSM‐5. Washington, DC: American Psychiatric Publishing; 2013. p. 50–9. [Google Scholar]
  • 9. Howlin P, Goode S, Hutton J, Rutter M. Adult outcome for children with autism. J Child Psychol Psychiatry 2004; 45: 212–29. [DOI] [PubMed] [Google Scholar]
  • 10. Ozonoff S, Pennington BF, Rogers SJ. Executive function deficits in high‐functioning autistic individuals: relationship to theory of mind. J Child Psychol Psychiatry 1991; 32: 1081–105. [DOI] [PubMed] [Google Scholar]
  • 11. Burnette CP, Mundy PC, Meyer JA, Sutton SK, Vaughan AE, Charak D. Weak central coherence and its relations to theory of mind and anxiety in autism. J Autism Dev Disord 2005; 35: 63–73. [DOI] [PubMed] [Google Scholar]
  • 12. Briskman J, Happe F, Frith U. Exploring the cognitive phenotype of autism: weak “central coherence” in parents and siblings of children with autism: II. Real‐life skills and preferences. J Child Psychol Psychiatry 2001; 42: 309–16. [PubMed] [Google Scholar]
  • 13. Jolliffe T, Baron‐Cohen S. A test of central coherence theory: can adults with high‐functioning autism or Asperger syndrome integrate fragments of an object? Cogn Neuropsychiatry 2001; 6: 193–216. [DOI] [PubMed] [Google Scholar]
  • 14. Baron‐Cohen S, Wheelwright S, Skinner R, Martin J, Clubley E. The autism‐spectrum quotient (AQ): evidence from Asperger syndrome/high‐functioning autism, males and females, scientists and mathematicians. J Autism Dev Disord 2001; 31: 5–17. [DOI] [PubMed] [Google Scholar]
  • 15. Wakabayashi A, Tojo Y, Baron‐Cohen S, Wheelwright S. The Autism‐Spectrum Quotient (AQ) Japanese version: Evidence from high‐functioning clinical group and normal adults. The Japanese Journal of Psychology 2004; 75: 78–84. [DOI] [PubMed] [Google Scholar]
  • 16. Kawakami N, Kobayashi F, Araki S, Haratani T, Furui H. Assessment of job stress dimensions based on the job demands‐ control model of employees of telecommunication and electric power companies in Japan: reliability and validity of the Japanese version of the Job Content Questionnaire. International Journal of Behavioral Medicine 1995; 2: 358–75. [DOI] [PubMed] [Google Scholar]
  • 17. Job Content Questionnaire Scoring Manual Japanese version . Morioka (Japan): the third JCQ/NIOSH Shokugyosei Stress Chosahyou Useres Club; 1998. (in Japanese).
  • 18. Ware JE Jr., Sherbourne CD. The MOS 36‐item short‐form health survey (SF‐36). I. Conceptual framework and item selection. Med Care 1992; 30: 473–83. [PubMed] [Google Scholar]
  • 19. Fukuhara S, Suzukamo Y. Manual of the SF‐8 Japanese version. Kyoto: Institute for Health Outcomes & Process Evaluation Research; 2004. [Google Scholar]
  • 20. Kamp‐Becker I, Schroder J, Remschmidt H, Bachmann CJ. Health‐related quality of life in adolescents and young adults with high functioning autism‐spectrum disorder. Psychosoc Med 2010; 7. (doi: 10.3205/psm000065) [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 21. Cederlund M, Hagberg B, Billstedt E, Gillberg IC, Gillberg C. Asperger syndrome and autism: a comparative longitudinal follow‐up study more than 5 years after original diagnosis. J Autism Dev Disord 2008; 38: 72–85. [DOI] [PubMed] [Google Scholar]
  • 22. Gillberg C. Outcome in autism and autistic‐like conditions. J Am Acad Child Adolesc Psychiatry 1991; 30: 375–82. [DOI] [PubMed] [Google Scholar]
  • 23. Hanebuth D, Meinel M, Fischer JE. Health‐related quality of life, psychosocial work conditions, and absenteeism in an industrial sample of blue‐ and white‐collar employees: a comparison of potential predictors. Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine 2006; 48: 28–37. [DOI] [PubMed] [Google Scholar]
  • 24. Taylor JL, Seltzer MM. Employment and post‐secondary educational activities for young adults with autism spectrum disorders during the transition to adulthood. J Autism Dev Disord 2011; 41: 566–74. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 25. Holwerda A, van der Klink JJ, Groothoff JW, Brouwer S. Predictors for work participation in individuals with an Autism spectrum disorder: a systematic review. J Occup Rehabil 2012; 22: 333–52. [DOI] [PubMed] [Google Scholar]
  • 26. Renty JO, Roeyers H. Quality of life in high‐functioning adults with autism spectrum disorder: the predictive value of disability and support characteristics. Autism 2006; 10: 511–24. [DOI] [PubMed] [Google Scholar]
  • 27. Karasek R, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B. The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol 1998; 3: 322–55. [DOI] [PubMed] [Google Scholar]

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