Ibrahim, S.Williams, A.Franche, Renee-LouiseMustard, C.Grace, Sherry L.Stewart, Donna EileenMinore, B.2009-05-262009-05-262006-04Stress and Health, 22(2), 91-103. April.1532-3005http://hdl.handle.net/10315/2563https://dx.doi.org/10.1002/smi.1087This cross-sectional study involved 218 female health care workers who completed a survey assessing work conditions [Effort-Reward Imbalance (ERI) scale and Job Content Questionnaire (]CQ)], work-family balance (work-family spillover scale), sociodemographic information, and depressive symptoms [Center for Epidemiological Studies Depression (CES-D) scale]. Results: Path analysis supported the presence of a direct relationship between depressive symptoms and high effort-reward imbalance, high negative work-family spillover, low positive family to- work spillover, and low education. The indirect effect of low support from work was mediated by negative work-to-family spillover and high effort-reward imbalance. The indirect effect of high effort-reward imbalance was mediated by increased negative work-to-family spillover. The indirect effect of having children 18 years or younger was mediated by decreased positive family-to work spillover. An indirect effect of low education was mediated by high effort-reward imbalance and high negative work-to-family spillover. Conclusions: The association between work conditions and depressive symptomatology is mediated by increased negative work-to-family spillover. The impact of having young children is mediated by decreased positive family-to-work spillover.enWork conditionsDepressionWork-family balanceArticle