ArticleSocial psychiatry and psychiatric epidemiology2014
Does good leadership buffer effects of high emotional demands at work on risk of antidepressant treatment? A prospective study from two Nordic countries.
Article in Social psychiatry and psychiatric epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 36 citations in OpenAlex.
- Protecting healthcare workers? Effects of a multilevel intervention targeting emotional demands.Health economics review · 2026Article
- Emotional demands and depression: The buffering role of positive work-related factors in clinical veterinary practice.The Veterinary record · 2026Article
- Changes in exposure to positive leadership behaviours and subsequent changes in workers' depressive symptoms and risk of onset of antidepressant treatment.Occupational and environmental medicine · 2026Article
- Between Care and Mental Health: Experiences of Managers and Workers on Leadership, Organizational Dimensions, and Gender Inequalities in Hospital Work.Healthcare (Basel, Switzerland) · 2025Article
- A comparison among employees in Germany and Denmark of associations between quality of leadership and subsequent 5-year development of mental distress.Scientific reports · 2025Article
- Combinations of job demands are associated with increased risk of depression in clinical veterinary practice: a cross-sectional study.Irish veterinary journal · 2024Article
- Quality of leadership and self-rated health: the moderating role of 'Effort-Reward Imbalance': a longitudinal perspective.International archives of occupational and environmental health · 2023Article
- Rampart of Health-Specific Leadership and Social Support of Colleagues to Overcome Burnout in an Emotionally Demanding Situations: The Mediating Role of Stress.Journal of healthcare leadership · 2023Article
- Knowledge, Attitudes and Practices Related to Medication, Antibiotics, and Vaccination among Public Service Population: National Survey Conducted in France.International journal of environmental research and public health · 2022Article
- Characteristics of Workplace Psychosocial Resources and Risk of Diabetes: A Prospective Cohort Study.Diabetes care · 2022Article
- Article
- Can leadership quality buffer the association between emotionally demanding work and risk of long-term sickness absence?European journal of public health · 2021Article
- Perceived and content-related emotional demands at work and risk of long-term sickness absence in the Danish workforce: a cohort study of 26 410 Danish employees.Occupational and environmental medicine · 2019Article
- Lack of supportive leadership behavior predicts suboptimal self-rated health independent of job strain after 10 years of follow-up: findings from the population-based MONICA/KORA study.International archives of occupational and environmental health · 2018Article
- Managerial Quality and Risk of Depressive Disorders Among Danish Eldercare Workers: A Multilevel Cohort Study.Journal of occupational and environmental medicine · 2018Article
- Influencing factors of alexithymia in Chinese medical students: a cross-sectional study.BMC medical education · 2017Article
- Gender differences in psychosocial work factors, work-personal life interface, and well-being among Swedish managers and non-managers.International archives of occupational and environmental health · 2015Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeEmotionally demanding work has been associated with increased risk of common mental disorders. Because emotional demands may not be preventable in certain occupations, the identification of workplace factors that can modify this association is vital. This article examines whether effects of emotional demands on antidepressant treatment, as an indicator of common mental disorders, are buffered by good leadership.
methodsWe used data from two nationally representative work environment studies, the Danish Work Environment Cohort Study (n = 6,096) and the Swedish Longitudinal Occupational Survey of Health (n = 3,411), which were merged with national registers on antidepressant purchases. All individuals with poor self-reported baseline mental health or antidepressant purchases within 8.7 months before baseline were excluded, and data analysed prospectively. Using Cox regression, we examined hazard ratios (HRs) for antidepressants in relation to the joint effects of emotional demands and leadership quality. Buffering was assessed with Rothman's synergy index. Cohort-specific risk estimates were pooled by random effects meta-analysis.
resultsHigh emotional demands at work were associated with antidepressant treatment whether quality of leadership was poor (HR = 1.84, 95 % CI 1.32-2.57) or good (HR = 1.70, 95 % CI 1.25-2.31). The synergy index was 0.66 (95 % CI 0.34-1.28).
conclusionsOur findings suggest that good leadership does not substantially ameliorate any effects of emotional demands at work on employee mental health. Further research is needed to identify possible preventive measures for this work environment exposure.
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