Satisfaction with employee welfare was associated with better mental health through lower work-life conflict for both genders, but welfare was less supportive in reducing work-to-life conflict (and thereby improving mental health) for women, and welfare programs appear less effective in addressing life-to-work conflict.
Key Findings
Results
Women more frequently reported lower levels of mental health than men in the sample of Italian employees.
Cross-sectional study of N = 7180 employees from four Italian companies.
Data were collected between September 2020 and July 2024.
This was a descriptive finding, reported before the moderated mediation analysis.
Results
Satisfaction with employee welfare was associated with lower work-to-life conflict, which in turn was associated with better mental health for both men and women.
The mediational hypothesis was confirmed in a moderated mediation model.
Welfare satisfaction was linked to mental health through reduced perceived work-life conflict.
The indirect association held for both genders.
Results
Satisfaction with employee welfare was also associated with lower life-to-work conflict, which in turn was associated with improved mental health for both genders.
Life-to-work conflict was tested as a second mediating pathway.
The mediational hypothesis was confirmed for both genders.
Authors note that welfare appears less effective on this dimension than on work-to-life conflict.
Results
Gender moderated the pathway from employee welfare to mental health via work-to-life conflict, with welfare being less supportive in reducing work-to-life conflict, and thus improving mental health, for women than for men.
Moderated mediation model tested gender as a moderator.
The moderation was found for the work-to-life conflict pathway.
The effect was in the direction of weaker benefit for women.
Conclusions
Welfare programs appear less effective in addressing life-to-work conflict, and the authors suggest this is particularly detrimental for women.
Authors interpret this in light of women's disproportionate domestic responsibilities.
The burden was reportedly exacerbated during and after the pandemic.
Interpretation is based on a cross-sectional design, which limits causal inference.
What This Means
This study surveyed more than 7,000 employees at four Italian companies between 2020 and 2024 to see whether company welfare programs (benefits meant to support employees' wellbeing and work-life balance) are linked to better mental health. It also looked at whether this differs for men and women, since women still do more of the housework and caregiving. Women more often reported poorer mental health than men.
Employees who were more satisfied with their company's welfare program reported less conflict between work and private life, and in both directions: work interfering with life and life interfering with work. Less conflict was in turn linked to better mental health for both men and women. However, the link between welfare and better mental health through reduced work-to-life conflict was weaker for women than for men, and welfare programs seemed less able to ease the problem of private-life demands spilling into work, which may especially affect women.
This research suggests that welfare programs may help, but may not fully meet women's needs, particularly around domestic and caregiving demands. Because the study is cross-sectional, it shows associations rather than proof that welfare programs cause better mental health.
Alessia Valmori, R. Adorni, C. Manzi. (2026). Balancing work and life: how employee welfare programs influence mental health with a gendered lens. BMC Psychology. https://doi.org/10.1186/s40359-026-05235-5