Changes in mental health as a predictor of changes in working time arrangements and occupational mobility: Results from a prospective cohort study

Employees experiencing prolonged fatigue are 2.49 times more likely to reduce their working hours compared to those without mental health deterioration.

• Deterioration in mental health is associated with subsequent changes in working arrangements.
• Employees with prolonged fatigue are more likely to leave shift work jobs (3.44 times more likely).
• Those showing a need for recovery are more likely to reduce working hours (2.83 times more likely) or change jobs within the same company.
• Psychological distress is linked to an increased likelihood of changing jobs within the same company (1.38 times) or moving to a different employer (1.45 times).

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