Evidence map›Paper›PMID 40050694›Full record

ArticleScientific reports2025

A comparison among employees in Germany and Denmark of associations between quality of leadership and subsequent 5-year development of mental distress.

Hermann Burr, Norbert Kersten, Kathrine Sørensen, Jeppe K Sørensen, Louise Dalsager, Ida E H Madsen, Ina Schöllgen, Angelo d'Errico, Uwe Rose, Reiner Rugulies

Erratum issuedAbstract readComparative Study
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Hermann BurrDepartment of Work and Health, Federal Institute for Occupational Safety and Health (BAuA), 10317, Berlin, Germany. burr.hermann@baua.bund.de.
Norbert KerstenDepartment of Work and Health, Federal Institute for Occupational Safety and Health (BAuA), 10317, Berlin, Germany.
Kathrine SørensenNational Research Centre for the Working Environment (NRCWE), 2100, Copenhagen Ø, Denmark.
Jeppe K SørensenNational Research Centre for the Working Environment (NRCWE), 2100, Copenhagen Ø, Denmark.
Louise DalsagerNational Research Centre for the Working Environment (NRCWE), 2100, Copenhagen Ø, Denmark.
Ida E H MadsenNational Research Centre for the Working Environment (NRCWE), 2100, Copenhagen Ø, Denmark.
Ina SchöllgenDepartment of Work and Health, Federal Institute for Occupational Safety and Health (BAuA), 10317, Berlin, Germany.
Angelo d'ErricoDepartment of Epidemiology, Local Health Unit TO 3, 10095, Grugliasco Turin, Italy.
Uwe RoseDepartment of Work and Health, Federal Institute for Occupational Safety and Health (BAuA), 10317, Berlin, Germany.
Reiner RuguliesNational Research Centre for the Working Environment (NRCWE), 2100, Copenhagen Ø, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We hypothesised that the association between quality of leadership and mental distress would be stronger in Germany than in Denmark. The two countries differ in terms of working life cultures and labour markets, factors possibly mitigating the association of quality of leadership with mental distress. Data were based on the German Study on Mental Health at Work (2012-2017) and the Danish Work Environment Cohort Study (2000-2005 and 2005-2010), comprising 9,613 observations. A two-part model approach was employed, combining logistic and generalized linear regression models, with mental distress at follow-up as outcome variable. Heterogeneity of the country-specific estimates was assessed using a Cochran Q test. Among all participating employees, the logistic regression showed that higher quality of leadership was associated with lower mental distress (> 0) in both Germany and Denmark. This association was stronger in Germany, with the country difference being statistically significant (p = 0.036). Among employees with mental distress at follow-up, the generalized linear models revealed that quality of leadership was associated with decreased mental distress in Denmark, but not in Germany, with the country difference also being significant (p = 0.014). The inconsistent results did not support our hypothesis of a stronger association between quality of leadership and mental health in Germany. All results taken into consideration, the findings suggest that poor quality of leadership is associated with the development of mental distress in both countries. Further research is needed to examine the association between quality of leadership and mental health in other countries.

Indexed as

LeadershipMental HealthStress, PsychologicalAdultDenmarkFemaleGermanyHumansMaleMiddle AgedWorkplaceCross-country studiesMental healthPsychosocial working conditions

Identifiers

PMID40050694
PMCPMC11885610

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