The Moderating Effect of Generation on the Association Between Long Working Hours and Mental Health: A Cross-Sectional Study of Korean Employees

<b>Background/Objectives:</b> Long working hours are a recognized risk factor for poor mental health, but their impact may vary across generations. Millennials and Generation Z (MZ generation) have received attention for their distinct values, work-life expectations, and communication styles compared with older cohorts. The present study assessed generational differences (MZ vs. non-MZ) in the association between weekly working hours and depressive and anxiety symptoms among Korean employees. <b>Methods:</b> We analyzed cross-sectional data from 11,372 employees (68.0% men; mean age = 36.7 years) who underwent mental health screenings between 2020 and 2022. Participants born on or after 1 January 1980, were classified as belonging to the MZ generation (<i>n</i> = 7538). Symptoms of depression and anxiety were assessed using the Center for Epidemiologic Studies Depression Scale (CES-D) and the Clinically Useful Anxiety Outcome Scale (CUXOS). Multiple linear regression models tested the interaction between mean-centered weekly working hours and generation, adjusting for sociodemographic covariates. <b>Results:</b> Longer working hours were significantly associated with greater depressive (B = 0.080, <i>p</i> < 0.001) and anxiety (B = 0.119, <i>p</i> < 0.001) symptom severity. Significant interactions between generation and working hours were observed for both depression (B = 0.140, <i>p</i> < 0.001) and anxiety (B = 0.182, <i>p</i> < 0.001). Generation-stratified models showed that the increase in symptom severity per additional work hour was approximately three-fold higher in the MZ generation than in the non-MZ generation. <b>Conclusions:</b> The mental health burden of long working hours is amplified in the MZ generation. Generation-sensitive workplace health strategies are needed to address this vulnerability.

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Publication Details

Journal
Healthcare
Published
2025-11-21
DOI
https://doi.org/10.3390/healthcare13233002
Primary Topic
Work-Family Balance Challenges
Type
article
Field-Weighted Citation Impact
0.00

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article

The Moderating Effect of Generation on the Association Between Long Working Hours and Mental Health: A Cross-Sectional Study of Korean Employees

Yoosuk An, Eunsoo Kim, Jeong Hun Yang, Sra Jung et al.
Healthcare
Work-Family Balance Challenges
article

The Moderating Effect of Generation on the Association Between Long Working Hours and Mental Health: A Cross-Sectional Study of Korean Employees

Yoosuk An, Eunsoo Kim, Jeong Hun Yang, Sra Jung, Junhyung Kim, Sang‐Won Jeon, Sung Joon Cho
article en

Abstract

<b>Background/Objectives:</b> Long working hours are a recognized risk factor for poor mental health, but their impact may vary across generations. Millennials and Generation Z (MZ generation) have received attention for their distinct values, work-life expectations, and communication styles compared with older cohorts. The present study assessed generational differences (MZ vs. non-MZ) in the association between weekly working hours and depressive and anxiety symptoms among Korean employees. <b>Methods:</b> We analyzed cross-sectional data from 11,372 employees (68.0% men; mean age = 36.7 years) who underwent mental health screenings between 2020 and 2022. Participants born on or after 1 January 1980, were classified as belonging to the MZ generation (<i>n</i> = 7538). Symptoms of depression and anxiety were assessed using the Center for Epidemiologic Studies Depression Scale (CES-D) and the Clinically Useful Anxiety Outcome Scale (CUXOS). Multiple linear regression models tested the interaction between mean-centered weekly working hours and generation, adjusting for sociodemographic covariates. <b>Results:</b> Longer working hours were significantly associated with greater depressive (B = 0.080, <i>p</i> < 0.001) and anxiety (B = 0.119, <i>p</i> < 0.001) symptom severity. Significant interactions between generation and working hours were observed for both depression (B = 0.140, <i>p</i> < 0.001) and anxiety (B = 0.182, <i>p</i> < 0.001). Generation-stratified models showed that the increase in symptom severity per additional work hour was approximately three-fold higher in the MZ generation than in the non-MZ generation. <b>Conclusions:</b> The mental health burden of long working hours is amplified in the MZ generation. Generation-sensitive workplace health strategies are needed to address this vulnerability.

HealthcareVol. 13(23)
Korea National Open University (KR), Seoul National University (KR), Seoul National University Hospital (KR), Kangbuk Samsung Hospital (KR), Sejong General Hospital (KR), National Health Insurance Service Ilsan Hospital (KR), National Rehabilitation Center (KR), CHA University (KR), Sungkyunkwan University (KR)
Samsung
Openalex Percentile: Top 55%
Work-Family Balance Challenges
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