%0 Journal Article %T Psychosocial work environment and mental health: Job-strain and effort-reward imbalance models in a context of major organizational changes. %+ Santé publique et épidémiologie des déterminants professionnels et sociaux de la santé %+ Service médical %A Niedhammer, Isabelle %A Chastang, Jean-François %A David, Simone %A Barouhiel, Lina %A Barrandon, Guy %Z Supported by Fondation pour la Recherche Médicale and Mécénat Santé of the NMPP. %< avec comité de lecture %J International journal of occupational and environmental health : official journal of the International Commission on Occupational Health %V 12 %P 111-9 %8 2006 %D 2006 %M 16722190 %Z Life Sciences [q-bio]/Santé publique et épidémiologieJournal articles %X This study explored the association between the two job-stress models, job-strain and effort-reward imbalance, and mental health outcomes in a working population exposed to major organizational changes. The cross-sectional study was based on 680 subjects, 504 men and 176 women. Psychosocial factors at work included: psychological demands, decision latitude, social support, effort, reward, and overcommitment. Mental health outcomes were depressive symptoms (CES-D) and psychiatric disorders (GHQ-12). Job strain, low decision latitude, effort-reward imbalance, and low reward (especially job instability) were found to be associated with depressive symptoms and/or psychiatric disorders among men. Overcommitment at work was a risk factor for both men and women. Social support at work played a role to reduce depressive symptoms for women. These findings emphasize the deleterious effects of psychosocial work environment on mental health during major organizational changes. %G English %L inserm-00086715 %U https://inserm.hal.science/inserm-00086715 %~ INSERM %~ UNIV-PARIS5 %~ UNIV-PARIS1 %~ CNRS %~ UNIV-PSUD %~ EHESS %~ IFR69 %~ APHP %~ SANTE_PUB_INSERM %~ UVSQ %~ UNIV-PARIS-SACLAY %~ UNIV-PSUD-SACLAY %~ IRSET-10 %~ UNIV-PARIS %~ FRM