The relationship between job satisfaction and depressive symptoms in Chinese men: a moderated multiple mediation model

Previous studies have primarily investigated the individual characteristics or social environment as separate mediators in the link between job satisfaction and depressive symptoms. However, these earlier studies overlooked the combined effects of these factors, thus resulting in limited ecological validity. Furthermore, these studies were mainly focused on women or the general population, with comparatively less attention given to men. Therefore, in this study, we investigated the multiple mediating and moderating effects of subjective social status and marital satisfaction on the relationship between job satisfaction and depressive symptoms based on the cumulative risk model and ecosystem theory. We analyzed cross-sectional data from the China Family Panel Studies (CFPS) of 2020 and focused on a sample of 7524 male participants aged between 18 and 86 years (mean ± standard deviation; 48.21 ± 13.18 years-of-age). After controlling for health status, household registration and age group variables, we conducted mediation and moderation analyses using the macro-PROCESS program models 6 and 88 in SPSS software. Analysis showed that subjective social status and marital satisfaction concurrently and serially mediated the association between job satisfaction and depressive symptoms. The multiple mediating effects accounted for 25% of the total product. Moreover, government employment moderated the mediating effects of subjective social status (β = −0.23, p = 0.024) and marital satisfaction (β = 0.22, p = 0.005). In conclusion, this study provides an enhanced understanding of how job satisfaction contributes to depressive symptoms and offers significant insights into the prevention and intervention of depressive symptoms among adult Chinese men.

Job satisfaction; Subjective social status; Marital satisfaction; Government employment; Depressive symptoms; Moderated multiple mediation

[1] James SL, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet. 2018; 392: 1789–1858.

[2] Wang Q, Ding F, Chen D, Zhang X, Shen K, Fan Y, et al. Intervention effect of psychodrama on depression and anxiety: a meta-analysis based on Chinese samples. The Arts in Psychotherapy. 2020; 69: 101661.

[3] Lu J, Xu X, Huang Y, Li T, Ma C, Xu G, et al. Prevalence of depressive disorders and treatment in China: a cross-sectional epidemiological study. The Lancet Psychiatry. 2021; 8: 981–990.

[4] Arias-de la Torre J, Vilagut G, Ronaldson A, Serrano-Blanco A, Martín V, Peters M, et al. Prevalence and variability of current depressive disorder in 27 European countries: a population-based study. The Lancet Public Health. 2021; 6: e729–e738.

[5] Xiang YT, Yu X, Sartorius N, Ungvari GS, Chiu HF. Mental health in China: challenges and progress. The Lancet. 2012; 380: 1715–1716.

[6] Choi EPH, Hui BPH, Wan EYF. Depression and anxiety in Hong Kong during COVID-19. International Journal of Environmental Research and Public Health. 2020; 17: 3740.

[7] Chen Y, Xu H, Liu C, Zhang J, Guo C. Association between future orientation and anxiety in university students during COVID-19 outbreak: the chain mediating role of optimization in primary-secondary control and resilience. Frontiers in Psychiatry. 2021; 12: 699388.

[8] Aboul-ata MA, Qonsua FT. The 5-factor model of psychological response to COVID-19: its correlation with anxiety and depression. Current Psychology. 2022; 41: 516–528.

[9] Yue J, Zang X, Le Y, An Y. Anxiety, depression and PTSD among children and their parent during 2019 novel coronavirus disease (COVID-19) outbreak in China. Current Psychology. 2022; 41: 5723–5730.

[10] Kola L, Kohrt BA, Hanlon C, Naslund JA, Sikander S, Balaji M, et al. COVID-19 mental health impact and responses in low-income and middle-income countries: reimagining global mental health. The Lancet Psychiatry. 2021; 8: 535–550.

[11] Doepke M, Tertilt M. Families in macroeconomics. Handbook of Macroeconomics. 2016; 2: 1789–1891.

[12] Adams-Prassl A, Boneva T, Golin M, Rauh C. Inequality in the impact of the coronavirus shock: evidence from real time surveys. Journal of Public Economics. 2020; 189: 104245.

[13] Qing S. Gender role attitudes and male-female income differences in China. The Journal of Chinese Sociology. 2020; 7: 12.

[14] Juvrud J, Rennels JL. “I don’t need help”: gender differences in how gender stereotypes predict help-seeking. Sex Roles. 2017; 76: 27–39.

[15] Himmelstein MS, Sanchez DT. Masculinity impediments: Internalized masculinity contributes to healthcare avoidance in men and women. Journal of Health Psychology. 2016; 21: 1283–1292.

[16] Zhou T, Xu C, Wang C, Sha S, Wang Z, Zhou Y, et al. Burnout and well-being of healthcare workers in the post-pandemic period of COVID-19: a perspective from the job demands-resources model. BMC Health Services Research. 2022; 22: 284.

[17] Gonzalez-Mulé E, Cockburn BS. This job is (literally) killing me: a moderated-mediated model linking work characteristics to mortality. Journal of Applied Psychology. 2021; 106: 140–151.

[18] Nauman S, Malik SZ, Jalil F. How workplace bullying jeopardizes employees’ life satisfaction: the roles of job anxiety and insomnia. Frontiers in Psychology. 2019; 10: 2292.

[19] Almroth M, Hemmingsson T, Sörberg Wallin A, Kjellberg K, Burström B, Falkstedt D. Psychosocial working conditions and the risk of diagnosed depression: a Swedish register-based study. Psychological Medicine. 2022; 52: 3730–3738.

[20] Simard AAP, Seidler ZE, Oliffe JL, Rice SM, Kealy D, Walther A, et al. Job satisfaction and psychological distress among help-seeking men: does meaning in life play a role? Behavioral Sciences. 2022; 12: 58.

[21] Pan Y, Aisihaer N, Li Q, Jiao Y, Ren S. Work-family conflict, happiness and organizational citizenship behavior among professional women: a moderated mediation model. Frontiers in Psychology. 2022; 13: 923288.

[22] Bronfenbrenner U. The ecology of human development: experiments by nature and design. 1st edn. Harvard University Press: Cambridge. 1979.

[23] Evans GW, Li D, Whipple SS. Cumulative risk and child development. Psychological Bulletin. 2013; 139: 1342–1396.

[24] Judge TA, Zhang SC, Glerum DR. Job Satisfaction. In Sessa VI, Bowling NA (eds.) Essentials of Job Attitudes and other Workplace Psychological Constructs (pp. 207–241). 1st edn. Routledge: New York. 2020.

[25] Asgari S, Shafipour V, Taraghi Z, Yazdani-Charati J. Relationship between moral distress and ethical climate with job satisfaction in nurses. Nursing Ethics. 2019; 26: 346–356.

[26] Faragher EB, Cass M, Cooper CL. The relationship between job satisfaction and health: a meta-analysis. Occupational and Environmental Medicine. 2005; 62: 105–112.

[27] Villarreal-Zegarra D, Lázaro-Illatopa WI, Castillo-Blanco R, Cabieses B, Blukacz A, Bellido-Boza L, et al. Relationship between job satisfaction, burnout syndrome and depressive symptoms in physicians: a cross-sectional study based on the employment demand-control model using structural equation modelling. BMJ Open. 2022; 12: e057888.

[28] Yang Y, Chen B, Huang P, Wang Y, Zhang L, Cai F. Prevalence and influencing factors of depressive symptoms among rural-to-urban migrant workers in China: a systematic review and meta-analysis. Journal of Affective Disorders. 2022; 307: 11–19.

[29] Chowdhury SR, Kabir H, Mazumder S, Akter N, Chowdhury MR, Hossain A. Workplace violence, bullying, burnout, job satisfaction and their correlation with depression among Bangladeshi nurses: a cross-sectional survey during the COVID-19 pandemic. PLOS ONE. 2022; 17: e0274965.

[30] Lopes MCC, Oliva CCC, Bezerra NMS, Silva MT, Galvão TF. Relationship between depressive symptoms, burnout, job satisfaction and patient safety culture among workers at a university hospital in the Brazilian Amazon region: cross-sectional study with structural equation modeling. Sao Paulo Medical Journal. 2022; 140: 412–421.

[31] Yavas U, Babakus E, Karatepe OM. Does hope moderate the impact of job burnout on frontline bank employees’ in-role and extra-role performances? International Journal of Bank Marketing. 2013; 31: 56–70.

[32] Kiseleva MV. Investigation of emotional burnout in bank employees working in “person-to-person” system. Russian Open Medical Journal. 2018; 7: e0307.

[33] Melchior M, Caspi A, Milne BJ, Danese A, Poulton R, Moffitt TE. Work stress precipitates depression and anxiety in young, working women and men. Psychological Medicine. 2007; 37: 1119–1129.

[34] Wang J, Patten SB. Perceived work stress and major depression in the Canadian employed population, 20–49 years old. Journal of Occupational Health Psychology. 2001; 6: 283–289.

[35] Maharaj S, Lees T, Lal S. Prevalence and risk factors of depression, anxiety, and stress in a cohort of Australian nurses. International Journal of Environmental Research and Public Health. 2019; 16: 61.

[36] Oliveira AM, Silva MT, Galvão TF, Lopes LC. The relationship between job satisfaction, burnout syndrome and depressive symptoms: an analysis of professionals in a teaching hospital in Brazil. Medicine. 2018; 97: e13364.

[37] Wilkinson RG. Health, hierarchy, and social anxiety. Annals of the New York Academy of Sciences. 1999; 896: 48–63.

[38] Operario D, Adler NE, Williams DR. Subjective social status: reliability and predictive utility for global health. Psychology & Health. 2004; 19: 237–246.

[39] Åslund C, Leppert J, Starrin B, Nilsson KW. Subjective social status and shaming experiences in relation to adolescent depression. Archives of Pediatrics & Adolescent Medicine. 2009; 163: 55–60.

[40] Leary MR. Interpersonal rejection. 1st edn. Oxford University Press: New York. 2001.

[41] Miech RA, Shanahan MJ. Socioeconomic status and depression over the life course. Journal of Health and Social Behavior. 2000; 41: 162–176.

[42] Evans MDR, Jonathan Kelley. Subjective Social Location: data from 21 nations. International Journal of Public Opinion Research. 2004; 16: 3–38.

[43] Feng D, Su S, Yang Y, Xia J, Su Y. Job satisfaction mediates subjective social status and turnover intention among Chinese nurses. Nursing & Health Sciences. 2017; 19: 388–392.

[44] Celi M. A theoretical approach to the job satisfaction. Polish Journal of Management Studies. 2011; 4: 7–14.

[45] Chen N, Chen H. Religion, marriage and happiness—evidence from Taiwan. Applied Research in Quality of Life. 2021; 16: 259–299.

[46] Tan L, Wang Y, Lu H. Leader humor extends beyond work: how and when followers have better family lives. Applied Research in Quality of Life. 2022; 17: 351–374.

[47] Vento PWPD, Cobb RJ. Chronic stress as a moderator of the association between depressive symptoms and marital satisfaction. Journal of Social and Clinical Psychology. 2011; 30: 905–936.

[48] Wang Q, Wang D, Li C, Miller RB. Marital satisfaction and depressive symptoms among Chinese older couples. Aging & Mental Health. 2014; 18: 11–18.

[49] Jace CE, Makridis CA. Does marriage protect mental health? Evidence from the COVID‐19 pandemic. Social Science Quarterly. 2021; 102: 2499–2515.

[50] Hampton AV. A phenomenological study of Christian African-American couples and their perceptions of marital longevity [doctoral dissertation]. Ann Arbor (MI): Regent University. 2008.

[51] Rogers SJ, May DC. Spillover between marital quality and job satisfaction: long-term patterns and gender differences. Journal of Marriage and Family. 2003; 65: 482–495.

[52] Du W, Luo M, Zhou Z. A study on the relationship between marital socioeconomic status, marital satisfaction, and depression: analysis based on actor-partner interdependence model (APIM). Applied Research in Quality of Life. 2022; 17: 1477–1499.

[53] Park TY. Marital satisfaction among Korean immigrant spouses in the United States [doctoral dissertation]. Ann Arbor (MI): The Florida State University. 1995.

[54] Liker JK, Elder GH Jr. Economic hardship and marital relations in the 1930s. American Sociological Review. 1983; 48: 343–359.

[55] Ko K, Han L. An empirical study on public service motivation of the next generation civil servants in China. Public Personnel Management. 2013; 42: 191–222.

[56] Miao Q, Newman A, Schwarz G, Xu L. Servant leadership, trust, and the organizational commitment of public sector employees in China. Public Administration. 2014; 92: 727–743.

[57] Brødsgaard KE. Institutional reform and the Bianzhi system in China. The China Quarterly. 2002; 170: 361–386.

[58] Chan HS, Suizhou EL. Civil service law in the people’s republic of China: a return to cadre personnel management. Public Administration Review. 2007; 67: 383–398.

[59] Xie Y, Hu J. An introduction to the China family panel studies (CFPS). Chinese Sociological Review. 2014; 47: 3–29.

[60] Xie Y, Lu P. The sampling design of the China family panel studies (CFPS). Chinese Journal of Sociology. 2015; 1: 471–484.

[61] Akuffo KO, Agyei-Manu E, Kumah DB, Danso-Appiah A, Mohammed AS, Asare AK, et al. Job satisfaction and its associated factors among optometrists in Ghana: a cross-sectional study. Health and Quality of Life Outcomes. 2021; 19: 12.

[62] Cao X, Zhang H, Li P, Huang X. The influence of mental health on job satisfaction: mediating effect of psychological capital and social capital. Frontiers in Public Health. 2022; 10: 797274.

[63] Liu Y, Yang X, Wu Y, Xu Y, Zhong Y, Yang S. The relationship between job satisfaction and depressive symptoms among Chinese adults aged 35–60 years: the mediating role of subjective well-being and life satisfaction. International Journal of Environmental Research and Public Health. 2023; 20: 2023.

[64] Kliem S, Beller J, Tibubos AN, Braehler E. Measurement invariance and normative data of the 8-item short form of the center of epidemiological studies-depression scale (CES-D-8). Zeitschrift fur Psychosomatische Medizin und Psychotherapie. 2020; 66: 259–271.

[65] Missinne S, Vandeviver C, Van de Velde S, Bracke P. Measurement equivalence of the CES-D 8 depression-scale among the ageing population in eleven European countries. Social science research. 2014; 46: 38-47.

[66] Hayes AF. Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. 2nd edn. Guilford Publications: New York. 2017.

[67] Kline RB. Principles and practice of structural equation modeling. 5th edn. Guilford publications: New York. 2023.

[68] Kock N. Harman’s single factor test in PLS-SEM: checking for common method bias. Data Analysis Perspectives Journal. 2021; 2: 1–6.

[69] Buruck G, Pfarr AL, Penz M, Wekenborg M, Rothe N, Walther A. The influence of workload and work flexibility on work-life conflict and the role of emotional exhaustion. Behavioral Sciences. 2020; 10: 174.

[70] Aruldoss A, Berube Kowalski K, Travis ML, Parayitam S. The relationship between work-life balance and job satisfaction: moderating role of training and development and work environment. Journal of Advances in Management Research. 2022; 19: 240–271.

[71] Leary MR, Tambor ES, Terdal SK, Downs DL. Self-esteem as an interpersonal monitor: the sociometer hypothesis. Journal of Personality and Social Psychology. 1995; 68: 518.

[72] Bhattacharya S, Kennedy M, Miguel C, Tröger A, Hofmann SG, Cuijpers P. Effect of psychotherapy for adult depression on self-esteem: a systematic review and meta-analysis. Journal of Affective Disorders. 2023; 325: 572–581.

[73] Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychological Bulletin. 1985; 98: 310.

[74] Fan X, Guo X, Ren Z, Li X, He M, Shi H, et al. The prevalence of depressive symptoms and associated factors in middle-aged and elderly Chinese people. Journal of Affective Disorders. 2021; 293: 222–228.

[75] Salinger JM, Whisman MA, Randall AK, Hilpert P. Associations between marital discord and depressive symptoms: a cross-cultural analysis. Family Process. 2021; 60: 493–506.

[76] O’Brien K, Cooper C. Equity and exchange theories. In O’Brien K, Cooper C (eds.) Elgar Introduction to Organizational Stress Theories (pp. 67–80). 1st edn. Edward Elgar Publishing: Cheltenham. 2022.

[77] Calvi R, Keskar A. Dowries, resource allocation, and poverty. Journal of Economic Behavior & Organization. 2021; 192: 268–303.

[78] Chung CN, Lee ZR, Zhu H. Resource extension and status identity: marriage ties among family business groups in an emerging economy. American Journal of Sociology. 2021; 127: 904–949.

[79] Dutil P. What do people want from politics? Rediscovering and repurposing the “Maslow Hierarchy” to teach political needs. Journal of Political Science Education. 2022; 18: 138–149.

[80] Leng X, Han J, Zheng Y, Hu X, Chen H. The role of a “happy personality” in the relationship of subjective social status and domain-specific satisfaction in China. Applied Research in Quality of Life. 2021; 16: 1733–1751.

[81] Park ER, Luberto CM, Chad-Friedman E, Traeger L, Hall DL, Perez GK, et al. A comprehensive resiliency framework: theoretical model, treatment, and evaluation. Global Advances in Health and Medicine. 2021; 10: 21649561211000306.