DOI QR코드

DOI QR Code

Association Between Organizational Downsizing and Depressive Symptoms Among Korean Workers: A Cross-sectional Analysis

  • Youngsun Park (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Juyeon Oh (Department of Public Health, Graduate School, Yonsei University) ;
  • Heejoo Park (Department of Public Health, Graduate School, Yonsei University) ;
  • Jian Lee (Department of Public Health, Graduate School, Yonsei University) ;
  • Byungyoon Yun (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Jin-Ha Yoon (Department of Preventive Medicine, Yonsei University College of Medicine)
  • Received : 2024.04.08
  • Accepted : 2024.06.30
  • Published : 2024.09.30

Abstract

Background: Organizational downsizing may be significantly linked to depressive symptoms, yet research on this impact in Asian contexts is limited. This study investigates the association between downsizing during the COVID-19 pandemic and depressive symptoms across diverse employment statuses. Methods: This study used the data from 6th Korean Working Conditions Survey. Depressive symptoms were measured using WHO-5 well-being index with a cut-off of 50. Downsizing was defined as decrease in the number of employees during last three years. Multivariable logistic regression adjusted for socio-demographic and occupational factors was used to estimate the adjusted odds ratio (OR) and 95% confidence interval (CI) for depressive symptoms associated with downsizing, including subgroup analyses. Results: Among 26,247 Korean workers (mean age: 43.4, men: 47.5%), the prevalence of depressive symptoms was 29.5% (n = 7,751), and the proportion of downsizing was 15.2% (n = 3,978). The prevalence of depressive symptoms was significantly higher among the downsizing group (36.7%, n = 1,460) than among the no-downsizing group (28.3%, n = 6,291). The result of logistic regression revealed a significant association between downsizing and depressive symptoms (adjusted OR [95% CI]: 1.39 [1.29-1.50]), particularly pronounced among high socioeconomic status workers. Conclusion: This study underscores the significant association between depressive symptoms and organizational downsizing, especially high vulnerability of socioeconomically advantaged and stable workers. These findings highlight the necessity for targeted mental health support and further longitudinal research to clarify the relationship between employment changes and mental health within the Korean workforce.

Keywords

References

  1. Pratt LA. Depression in the US household population, 2009-2012: US department of health and human services, centers for disease control and...; 2014.
  2. Organization WH. Depression and other common mental disorders: global health estimates. World Health Organization; 2017.
  3. Lim GY, Tam WW, Lu Y, Ho CS, Zhang MW, Ho RC. Prevalence of depression in the community from 30 countries between 1994 and 2014. Scientific Rep 2018;8(1):2861.
  4. Santomauro DF, Herrera AMM, Shadid J, Zheng P, Ashbaugh C, Pigott DM, Abbafati C, Adolph C, Amlag JO, Aravkin AY. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. The Lancet 2021;398(10312):1700-12.
  5. Lepine J-P, Briley M. The increasing burden of depression. Neuropsychiatr Dis Treat 2011;7(Suppl. 1):3-7.
  6. McTernan WP, Dollard MF, LaMontagne AD. Depression in the workplace: an economic cost analysis of depression-related productivity loss attributable to job strain and bullying. Work Stress 2013;27(4):321-38.
  7. Badellino H, Gobbo ME, Torres E, Aschieri ME, Biotti M, Alvarez V, Gigante C, Cachiarelli M. It's the economy, stupid': lessons of a longitudinal study of depression in Argentina. Inter J Soc Psychiatr 2022;68(2):384-91.
  8. Lerner D, Adler DA, Rogers WH, Lapitsky L, McLaughlin T, Reed J. Work performance of employees with depression: the impact of work stressors. Am J Health Promot 2010;24(3):205-13.
  9. Nielsen MBD, Bultmann U, Madsen IE, Martin M, Christensen U, Diderichsen F, Rugulies R. Health, work, and personal-related predictors of time to return to work among employees with mental health problems. Disabil Rehabil 2012;34(15):1311-6.
  10. Tourigny L, Baba VV, Wang X. Burnout and depression among nurses in Japan and China: the moderating effects of job satisfaction and absence. Inter J Human Res Manage 2010;21(15):2741-61.
  11. Ronnblad T, Gronholm E, Jonsson J, Koranyi I, Orellana C, Kreshpaj B, Chen L, Stockfelt L, Bodin T. Precarious employment and mental health. Scandinavian J Work Environment Health 2019;45(5):429-43.
  12. Ikeda T, Nakata A, Takahashi M, Hojou M, Haratani T, Nishikido N, Kamibeppu K. Correlates of depressive symptoms among workers in small- and medium-scale manufacturing enterprises in Japan. J Occupat Health 2009;51(1):26-37.
  13. Theorell T, Hammarstrom A, Aronsson G, Traskman Bendz L, Grape T, Hogstedt C, Marteinsdottir I, Skoog I, Hall C. A systematic review including meta-analysis of work environment and depressive symptoms. BMC Public Health 2015;15(1):1-14.
  14. Joshi SS. To study the impact of downsizing on survivor's productivity at managerial level with reference to multinational engineering companies in Pune city: Tilak Maharashtra Vidyapeeth; 2022.
  15. Cascio WF. Downsizing: what do we know? What have we learned? Acad Manage Perspect 1993;7(1):95-104.
  16. Shwedeh F, Aburayya A, Alfaisal R, Adelaja AA, Ogbolu G, Aldhuhoori A, Salloum S. SMEs' innovativeness and technology adoption as downsizing strategies during COVID-19: the moderating role of financial sustainability in the tourism industry using structural equation modelling. Sustainability 2022;14(23):16044.
  17. Gandolfi F. Why do firms downsize? J Manage Res 2014;14(1):3-14.
  18. Luthans BC, Sommer SM. The impact of downsizing on workplace attitudes: differing reactions of managers and staff in a health care organization. Group Organ Manage 1999;24(1):46-70.
  19. Blien U, Dauth W, Roth DH. Occupational routine intensity and the costs of job loss: evidence from mass layoffs. Labour Econo 2021;68:101953.
  20. Frone MR, Blais A-R. Organizational downsizing, work conditions, and employee outcomes: identifying targets for workplace intervention among survivors. Inter J Environ Res Pub Health 2020;17(3):719.
  21. Andreeva E, Magnusson Hanson LL, Westerlund H, Theorell T, Brenner MH. Depressive symptoms as a cause and effect of job loss in men and women: evidence in the context of organisational downsizing from the Swedish Longitudinal Occupational Survey of Health. BMC Pub Health 2015;15:1-11.
  22. Appelbaum SH, Delage C, Labib N, Gault G. The survivor syndrome: aftermath of downsizing. Career Develop Inter 1997;2(6):278-86.
  23. Brenner MH, Andreeva E, Theorell T, Goldberg M, Westerlund H, Leineweber C, Hanson LLM, Imbernon E, Bonnaud S. Organizational downsizing and depressive symptoms in the European recession: the experience of workers in France, Hungary, Sweden and the United Kingdom. PloS One 2014;9(5):e97063.
  24. Islam MR, Nahar Z, Hossain MS, Hossain MJ, Shahriar M, Islam SMA, Bhuiyan MA. Prevalence and associated factors for elevated fear and depressive symptoms among the private service holders in Bangladesh during the Covid-19 pandemic: a cross-sectional study. Health Sci Rep 2022;5(5):e795.
  25. Cho Y. Data resource profile: the Korean working conditions survey (KWCS). Ann Occupat Environ Med 2023;35.
  26. Ariza-Montes A, Giorgi G, Hernandez-Perlines F, Fiz-Perez J. Decent work as a necessary condition for sustainable well-being. A tale of Pi (i) gs and farmers. Sustainability 2019;11(4):1051.
  27. Topp CW, Ostergaard SD, Sondergaard S, Bech P. The WHO-5 Well-Being Index: a systematic review of the literature. Psychother Psychoso 2015;84(3):167-76.
  28. Seo HJ. Development of a tailored analysis system for Korean working conditions survey. Safe Health Work 2016;7(3):201-7.
  29. Jung J, Ko K, Park JB, Lee K-J, Cho YH, Jeong I. Association between commuting time and subjective well-being in relation to regional differences in Korea. J Korean Med Sci 2023;38(15).
  30. Park JW, Cho SS, Lee J, Hwang J, Kim JI, Kim BG, Hong YS. Association between employment status and sickness presenteeism among Korean employees: a cross-sectional study. Ann Occupat Environ Med 2020;32.
  31. Lee H-E, Kim M-H, Choi M, Kim H-R, Kawachi I. Variability in daily or weekly working hours and self-reported mental health problems in Korea, Korean working condition survey, 2017. Archi Pub Health 2021;79:1-8.
  32. Yang Y-J, Lee J. Association between depressive symptoms and employment type of Korean workers: the Fifth Korean Working Conditions Survey. BMC Pub Health 2024;24(1):93.
  33. Han E, Kim U-J, Lee Y, Lee S, Ham S, Lee W, Choi W-J, Kang S-K. Association between lone work and self-rated health status: using the 5th Korean Working Conditions Survey. Ann Occupat Environ Med 2023;35.
  34. Malik MI, Ahmad A, Hussain S. How downsizing affects the job satisfaction and life satisfaction of layoff survivors. African J Business Manage 2010;4(16):3564.
  35. Lopez Bohle SA, Chambel MJ, Diaz-Valdes Iriarte A. Job insecurity, procedural justice and downsizing survivor affects. Inter J Human Res Manage 2021;32(3):596-615.
  36. Rugulies R, Bultmann U, Aust B, Burr H. Psychosocial work environment and incidence of severe depressive symptoms: prospective findings from a 5-year follow-up of the Danish work environment cohort study. Am J Epidemiol 2006;163(10):877-87.
  37. Quesnel-Vallee A, DeHaney S, Ciampi A. Temporary work and depressive symptoms: a propensity score analysis. Soc Sci Med 2010;70(12):1982-7.
  38. Ahn J, Kim N-S, Lee B-K, Park J, Kim Y. Non-standard workers have poorer physical and mental health than standard workers. J Occupat Environ Med 2019;61(10):e413-21.
  39. Vahtera J, Kivimaki M, Pentti J, Linna A, Virtanen M, Virtanen P, Ferrie JE. Organisational downsizing, sickness absence, and mortality: 10-town prospective cohort study. Bmj 2004;328(7439):555.
  40. Robone S, Jones AM, Rice N. Contractual conditions, working conditions and their impact on health and well-being. Europ J Health Econo 2011;12:429-44.
  41. Fitch TJ, Moran J, Villanueva G, Sagiraju HKR, Quadir MM, Alamgir H. Prevalence and risk factors of depression among garment workers in Bangladesh. Inter J Soc Psychiatr 2017;63(3):244-54.
  42. Qian Z, Pines A, Stone BV, Lipsitz SR, Moran LV, Trinh Q-D. Changes in anxiety and depression in patients with different income levels through the COVID-19 pandemic. J Affect Disorder 2023;338:17-20.
  43. Islam MS, Ferdous MZ, Potenza MN. Panic and generalized anxiety during the COVID-19 pandemic among Bangladeshi people: an online pilot survey early in the outbreak. J Affect Disorder 2020;276:30-7.
  44. Niknian M, Linnan LA, Lasater TM, Carleton RA. Use of population-based data to assess risk factor profiles of blue and white collar workers. J Occupat Med 1991:29-36.
  45. Bellante D, Link AN. Are public sector workers more risk averse than private sector workers? ILR Review 1981;34(3):408-12.
  46. Hobfoll SE. Conservation of resources: a new attempt at conceptualizing stress. Am Psychol 1989;44(3):513.
  47. Hobfoll SE, Vinokur AD, Pierce PF, Lewandowski-Romps L. The combined stress of family life, work, and war in Air Force men and women: a test of conservation of resources theory. Inter J Stress Manage 2012;19(3):217.
  48. Grissom N, Bhatnagar S. Habituation to repeated stress: get used to it. Neurobiol Learn Memory 2009;92(2):215-24.
  49. Smith HJ, Pettigrew TF, Pippin GM, Bialosiewicz S. Relative deprivation: a theoretical and meta-analytic review. Person Soc Psychol Rev 2012;16(3):203-32.
  50. Mishra S, Carleton RN. Subjective relative deprivation is associated with poorer physical and mental health. Soc Sci Med 2015;147:144-9.
  51. Ceylan RF, Ozkan B. The economic effects of epidemics: from SARS and MERS to COVID-19. Res J Adv Human 2020;1(2):21-9.
  52. Andreeva E, Brenner MH, Theorell T, Goldberg M. Risk of psychological ill health and methods of organisational downsizing: a cross-sectional survey in four European countries. BMC Pub Health 2017;17:1-12.
  53. Blomqvist S, Hognas RS, Virtanen M, LaMontagne AD, Hanson LLM. Job loss and job instability during the COVID-19 pandemic and the risk of depression and anxiety among Swedish employees. SSM-Popul Health 2023;22:101424.
  54. Theorell T. Downsizing in Europe: a social perspective. Scandinavian J Pub Health 2018;46(1):42-3.