Effects of occupational role conflict and emotional demands on subsequent psychological distress. A 3-year follow-up study of the general working population in Norway

Objective: To examine the impact of occupational role conflict and emotional
demands on subsequent psychological distress. Methods: A randomly drawn
cohort from the general Norwegian working-age population was followed up
for 3 years (n = 12,550; response rate = 67%). Eligible respondents were
in paid work during the reference week in 2006 and 2009 or temporarily
absent from such work (n = 6,745; response rate = 68%). Results: In the
fully adjusted model, both high role conflict (odds ratios = 1.53; 95% CI =
1.15 to 2.03) and high emotional demands (odds ratios = 1.38; 95% CI =
1.13 to 1.69) were significant predictors of psychological distress. Additional
significant predictors were low job control, bullying/harassment, and job
insecurity (P < 0.05). Conclusions: Considering all of the evaluated workrelated factors, role conflict and emotional demands contributed the most to the population risk of developing psychological distress.