Combinations of job demands are associated with increased risk of depression in clinical veterinary practice: a cross-sectional study.

Background: Veterinarians have a high prevalence of mental health disorders, such as depression. Previous research suggests that veterinarians are highly exposed to emotional demands at work and that these emotional demands are associated with adverse mental health outcomes. However, little is known about the consequences of the simultaneous exposure to emotional demands and other types of job demands in clinical veterinary practice. In this cross-sectional study, we investigate the combined effect of simultaneous exposure to emotional demands and other types of job demands on the risk of depression. We invited 1,757 employees in clinical veterinary practice in Denmark to participate in an online survey in the spring of 2022.

Results: We obtained response from 885 employees (50.4%). Mean age was 38.2 years and 90.2% of the sample identified as women. The majority of the respondents worked in small animal practice (80.6%). We assessed psychosocial job demands (emotional demands, quantitative demands, role conflicts, work pace, and threats) and depressive symptoms in the study questionnaire, and defined depression as a score of ≥ 21 on the Major Depression Inventory. Data were analyzed using logistic regression analysis. 15.1% of the participants had an indication of depression. Results showed an increased risk of depression for participants reporting high emotional demands in combination with high quantitative demands (OR:8.37; 95%CI:4.31-16.24), high role conflicts (OR:8.95; 95%CI:4.71-16.99), threats at work (OR:7.06; 95%CI:4.06-12.28) and high work pace (OR:14.24; 95%CI:6.51-31.15). The combined effects indicated additive but not synergistic interaction.

Conclusions: Combinations of emotional demands and other types of job demands are associated with an increased risk of depression among employees in clinical veterinary practice in Denmark. The results have implications for preventing negative health-related consequences of adverse psychosocial working conditions among employees in clinical veterinary practice. Preventive strategies and initiatives to promote a healthy psychosocial work environment and well-being among veterinary employees are discussed, and we further encourage employers and relevant authorities in veterinary practice to prioritize efforts to enhance the psychosocial work environment and employee well-being in clinical veterinary practice.