Psychosocial predictors of health status

This prospective study examined, in a sample of male and female adults, the relationship between specific psychosocial factors and health status. Measures of stress, health habits, social support, Type A behaviour, and coping style were collected for 203 professional employees in a large aerospace organization in 1988. One year later a follow-up questionnaire assessing self-reported physical illness and job burn-out was administered resulting in a final sample of 95 employees. When adjustments for age, sex, education, and initial psychological well-being were made, perceived stress, physical exercise, and an avoidant coping style significantly contributed to predictions of physical illness in multiple regression analyses. Employees who possessed less hardy appraisals of work/life and expressed greater Type A behaviour reported significantly more fatigue and exhaustion one year later. Type A individuals also reported being significantly less sensitive and caring towards others. Finally, individuals who perceived less stress and expressed more cognitive hardiness reported significantly greater work/life satisfaction. Overall, the data supported the view that psychosocial factors may be differentially associated with diverse physical and psychological health outcomes.     

A preliminary investigation of post-traumatic stress symptoms among firefighters

Emergency service personnel are at high risk of developing post-traumatic stress disorder (PTSD). However, there is little in-depth information on the psychological responses of firefighters to the daily incidents that they attend. This preliminary study aimed to investigate the PTSD symptoms of firefighters in relation to traumatic events experienced by them, and the availability of social support. Thirty-one UK fire service workers completed an adapted version of the Post-traumatic Diagnostic Scale (PDS; Foa, 1995) to investigate the existence of post-traumatic stress disorder (PTSD). They were also individually interviewed to explore the symptoms they had experienced, what events these were related to, types of social support and coping strategies. Two participants reached the DSM-IV criteria for PTSD. Rumination and sleep disturbance were the most commonly reported PTSD symptoms. Participants reported high levels of social support from within the service and outside. The results suggest that fire service personnel are at risk of developing some symptoms of PTSD; however most had not experienced severe enough symptoms for PTSD to be diagnosed. The study suggests that high levels of social support may play a role in buffering firefighters from the development of PTSD.     

Power motivation, illness, coping strategies and psychological stress in police trainees

Research suggests that there are substantial differences in the ways in which people cope with strcss, and that certain coping strategies buffer the degree of psychological and physical illness resulting from stress. Furthermore, personality, the situational context and subjective appraisal of the situation are believed to mediate coping behaviour and its effectiveness. The present investigation reports the results of two studies of the relationship between coping behaviour and the personality disposition need for power, taking into account the environment and the subject's appraisal of the situation. Highly power-motivated individuals were hypothesized to utilize emotion-focused coping strategies more than problem-focused coping strategies, to find the training environment stressful and anxietyprovoking, and to report more illness, than low power-motivated individuals. A 19-wcck policc academy training programme was used to measure these relationships in 34 police trainees. Thc results did not support all hypotheses. Findings are discussed with reference to sample characteristics, training intensity, and the empirical work in this area.     

A preliminary investigation of post-traumatic stress symptoms among firefighters

Emergency service personnel are at high risk of developing post-traumatic stress disorder (PTSD). However, there is little in-depth information on the psychological responses of firefighters to the daily incidents that they attend. This preliminary study aimed to investigate the PTSD symptoms of firefighters in relation to traumatic events experienced by them, and the availability of social support. Thirty-one UK fire service workers completed an adapted version of the Post-traumatic Diagnostic Scale (PDS; Foa, 1995) to investigate the existence of post-traumatic stress disorder (PTSD). They were also individually interviewed to explore the symptoms they had experienced, what events these were related to, types of social support and coping strategies. Two participants reached the DSM-IV criteria for PTSD. Rumination and sleep disturbance were the most commonly reported PTSD symptoms. Participants reported high levels of social support from within the service and outside. The results suggest that fire service personnel are at risk of developing some symptoms of PTSD; however most had not experienced severe enough symptoms for PTSD to be diagnosed. The study suggests that high levels of social support may play a role in buffering firefighters from the development of PTSD.     

Power motivation,illness, coping strategies and psychological stress in police trainees

Abstract

Research suggests that there are substantial differences in the ways in which people cope with strcss, and that certain coping strategies buffer the degree of psychological and physical illness resulting from stress. Furthermore, personality, the situational context and subjective appraisal of the situation are believed to mediate coping behaviour and its effectiveness. The present investigation reports the results of two studies of the relationship between coping behaviour and the personality disposition need for power, taking into account the environment and the subject's appraisal of the situation. Highly power-motivated individuals were hypothesized to utilize emotion-focused coping strategies more than problem-focused coping strategies, to find the training environment stressful and anxietyprovoking, and to report more illness, than low power-motivated individuals. A 19-wcck policc academy training programme was used to measure these relationships in 34 police trainees. Thc results did not support all hypotheses. Findings are discussed with reference to sample characteristics, training intensity, and the empirical work in this area.     

Job stressors, coping, and psychological distress among Japanese employees: interplay between active and non-active coping

In this study the sole and the combined effects of active and non-active forms of coping on psychological distress across various kinds of job stressors were examined. Data on job stressors, coping and psychological distress were obtained from 4487 male employees of a research institute in the automobile industry in Japan (mean age=36.27 years, SD = 7.43). A hierarchical moderated multiple regression analysis was conducted to estimate and test the significance of the main effects and their interactions. The results show that although active coping was effective in decreasing psychological distress regardless of the type of job stressor, the effectiveness was weaker in situations that require effortful coping, such as role ambiguity and insufficient authority. Furthermore, the effectiveness of active coping was influenced by the other strategies, especially in effortful coping situations. While distancing or seeking social support improved the effectiveness, restraint coping reduced it. These results suggest that the type of non-active coping that individuals combine with active coping can be critical in determining health outcomes in more complex and effortful coping situations. Consideration of the coping combinations, not merely the situational context, is important in explaining how the work environment influences employees' psychological distress.     

Effects of experimentally induced mental and physical stress on motor unit recruitment in the trapezius muscle

Mental stress may induce muscle tension and it is thought to contribute to the development of musculoskeletal disorders. Prolonged activity of a muscle's motor units (the smallest functional units) having low activation thresholds, may cause metabolic disturbances, degenerative processes and pain. The present experiment was aimed at investigating if the same motor units are activated by mental stress as by physical demands. Seventeen participants were exposed to mental stress tests (mental arithmetic, Stroop color word) and physical demands (standardized reference contraction, force ramp contraction) in the laboratory. In addition, they were exposed to the cold pressor test. Bipolar intramuscular electromyographic (EMG) activity was measured in the trapezius muscle, which covers the upper part of the back, the neck and the shoulder, and an automatic classification programme was used to separate the contributions of the individual motor units in the compex EMG signal. Overall muscle activity was measured by bipolar surface EMG and heart rate was recorded as an indicator of stress. The mental stress induced significant increases in muscle activity ( p < .05) and in heart rate ( p < .05). In 12 out of 14 participants, one or more motor units were found to be active in mentally as well as in physically induced muscle contraction. The results indicate that mentally induced stress may contribute to keeping low threshold motor units active, even in the absence of physical demands. Considering the health risks of prolonged motor unit activity, it was concluded that lack of mental rest is an important risk factor for the development of muscular pain.     

顾客价值及其评估方法研究

本文从经济价值、物理价值和心理价值三个方面对顾客价值进行了界定,基于顾客价值的这三个方面非线性相关的假设,顾客价值可以看成是一个由这三个维度构成的价值空间中的矢量。作为一种顾客感知的价值,很难对顾客价值进行精确计量。因此,本文采用模糊数学的方法,在对目标消费者进行调查的基础上,分别对经济价值、功能价值和心理价值进行模糊评价,从而确定顾客价值矢量的大小和方向。     

Job stressors,coping, and psychological distress among Japanese employees: Interplay between active and non-active coping

In this study the sole and the combined effects of active and non-active forms of coping on psychological distress across various kinds of job stressors were examined. Data on job stressors, coping and psychological distress were obtained from 4487 male employees of a research institute in the automobile industry in Japan (mean age=36.27 years, SD = 7.43). A hierarchical moderated multiple regression analysis was conducted to estimate and test the significance of the main effects and their interactions. The results show that although active coping was effective in decreasing psychological distress regardless of the type of job stressor, the effectiveness was weaker in situations that require effortful coping, such as role ambiguity and insufficient authority. Furthermore, the effectiveness of active coping was influenced by the other strategies, especially in effortful coping situations. While distancing or seeking social support improved the effectiveness, restraint coping reduced it. These results suggest that the type of non-active coping that individuals combine with active coping can be critical in determining health outcomes in more complex and effortful coping situations. Consideration of the coping combinations, not merely the situational context, is important in explaining how the work environment influences employees' psychological distress.     

The relationship of work stressors, coping and social support to psychological symptoms among female secretarial employees

A conceptual framework is advanced that assumes that psychological symptoms emerge within multiple contexts, such as the workplace, and are influenced by the interplay of individual and situational risk and protective factors over time. This framework was utilized to examine the impact of work and work-family role stressors, coping, and work-related social support on psychological symptoms among 239 female, secretarial employees in the USA, using both cross-sectional and longitudinal structural equation models. Work stressors and avoidance coping were viewed as risk factors, and active coping and social support as protective factors. Work stressors contributed substantially to increased symptoms, primarily through a direct pathway in the cross-sectional model, but also indirectly to both Time 1 and Time 2 symptoms (4 months later) via pathways through active and avoidance coping. In both models, avoidance coping also predicted increased symptoms. Avoidance coping also served to partially mediate the relationship between work stressors and symptoms in the cross-sectional model, but not in the longitudinal model. Active coping was related to fewer psychological symptoms in both models, thereby reducing the negative effect of work stressors on symptoms. Likewise, work-related social support served an indirect protective function by contributing to lower levels of reported work stressors and greater use of active coping. Work stressors but not active coping mediated the relationship between social support and symptoms. Implications for future research and workplace interventions are discussed.     

The four-dimensional symptom questionnaire (4DSQ): measuring distress and other mental health problems in a working population

In non-clinical (working) populations it is important to differentiate between general distress, on the one hand, and psychiatric symptoms—depression, anxiety and somatization—on the other hand. The Four-Dimensional Symptom Questionnaire (4DSQ) is a new instrument that measures these four symptom dimensions (Terluin, ). This study aimed to investigate the psychometric properties of the 4DSQ in a working population. A postal stress and health survey was sent to all employees of a Dutch telecom company, 51% of whom responded (N=3852). The mailing included the 4DSQ, a set of questionnaires concerning job stress (e.g. psychological demands), coping style (e.g. problem-focused coping, avoidant coping), and indicators of strain (e.g. emotional exhaustion, fatigue). Cronbach's α for the four sub-scales of the 4DSQ ranged from .79 to .90. Factor analysis showed four factors corresponding to the four scales of the 4DSQ: distress, depression, anxiety, and somatization. The validity of the 4DSQ was assessed using (partial) correlations with job stress, coping, and strain. As expected, the distress scale showed the strongest correlations with the indicators of strain, as well as with job stress and coping. In conclusion, the 4DSQ is a reliable and valid instrument that can be used in a working population to distinguish between stress-related symptoms and psychiatric illness.     

Coping with unemployment: a literature review and presentation of a new model

This paper reviews the unemployment literature with a view to identifying a new way of modelling the process of coping with unemployment. The review shows that early models of coping adopted a trait-based approach, which viewed coping as a stable, transcending disposition of the person and, therefore, failed to consider the range of coping responses that people use during unemployment. The use of state-based approaches to coping, in more recent research, has overcome this problem. However, the newer models still assess coping via discrete, linear relationships and have focused primarily on the obtainment of re-employment rather than promotion of psychological health during unemployment. In an attempt to overcome these problems, the 'Coping, Psychological and Employment Status' (CoPES) model is presented in the current paper. This new and comprehensive model illustrates the non-recursive relationships between stressors, cognitive appraisals, coping efforts and psychological health during unemployment. The CoPES model also depicts the relationship between coping, psychological health and re-employment. This model provides a more integrated approach to coping with unemployment and allows for the examination of new relationships. The CoPES model, applied within Ipsative-Normative designs and assessed using quantitative and qualitative techniques, will make a significant contribution to research conducted into unemployment.     

A study of coping behaviours and teacher burnout

This study investigated whether or not factors of teacher burnout were associated with adaptive and maladaptive coping behaviour. It was found, in a sample of 365 US (north Texas) school teachers, that many physical and psychological problems (e.g., stomach aches and depression) were related to teacher burnout factors. Furthermore, the data showed that certain maladaptive coping mechanisms (e.g., excessive alcohol consumption) were associated with higher teacher burnout, while adaptive coping strategies (e.g., hobbies) were related to lower burnout levels among school teachers. An association was also revealed between certain demographic factors (e.g., gender) and coping behaviour.     

The relationship of organizational and social coping resources to employee coping behaviour: A longitudinal analysis

Research on the determinants of coping behaviour has focused primarily on stressor-specific influences and on personal attributes and skills that serve as coping resources. However, coping resources can also include aspects of the organizational and social environment. This study investigates the role of supportive work relationships and of participation and influence in decision-making in determining the coping behaviour of employees in a manufacturing plant. Since the relationships between worksite coping resources and employee coping behaviours may be causally reciprocal, longitudinal models were analysed to sort out causal priorities. Results showed that organizational and social coping resources did influence subsequent coping behaviour. Perceiving oneself to have influence over decision-making at work predicted increases in active, problem-solving coping attempts and decreases in resignation in response to worksite stressors. Also, employees who perceived their co-workers and supervisors to be supportive were more likely to increase their mobilization of that support when faced with worksite stress. In addition, the use of certain employee coping behaviours influenced subsequent levels of participation in decision-making, as well as the quality of relationships with co-workers and supervisors.     

Research into work stress in Italy: A review

This paper reviews the development of stress research in Italy from the late 1960s onwards. It focuses on 1975 as the year when the first real studies on work stress were published, and interest was kindled in the psychological factors which affect physical health and in the physiological correlates of work stress. Much important work in these aspects of occupational health was started at this time at the Clinic of Work in Milan and at the University of Perugia. By the 1980s, Italian psychologists were also showing considerable interest in work stress, and the more psychological literature had begun to exceed that of a medical and physiological orientation. Despite this progress, stress research in Italy is still in its infancy, and the recognition of stress as an issue for management and trade unions is weak.     

Attitudes toward and desire for assisted suicide among persons with amyotrophic lateral sclerosis

This study aimed at investigating attitudes toward assisted suicide among individuals with amyotrophic lateral sclerosis, and the differences in health status (illness severity and functional disability) and psychosocial adjustment (depression, perceived stress, social support, and coping) between those in favor of and those against assisted suicide. This study also aimed at describing the characteristics of terminally-ill individuals who acknowledge contemplating assisted suicide. Forty-four individuals diagnosed with amyotrophic lateral sclerosis were surveyed about their attitudes and the circumstances that would make them contemplate assisted suicide and filled out standardized measures of mood, stress, social support, coping, and illness status. Seventy percent of the sample found assisted suicide morally acceptable and 60% thought it should be legalized. In addition, 60% of patients agreed they could foresee circumstances that would make them contemplate assisted suicide, but only three (7%) indicated they would have requested it already if it had been legal. Willingness to contemplate assisted suicide was associated with reports of elevated levels of depressive symptoms and reports of hopelessness. Results highlight the need to assess psychological status carefully when terminally ill individuals begin contemplating assisted suicide or voice a request for it.     

The relationship of organizational and social coping resources to employee coping behaviour: A longitudinal analysis

Abstract

Research on the determinants of coping behaviour has focused primarily on stressor-specific influences and on personal attributes and skills that serve as coping resources. However, coping resources can also include aspects of the organizational and social environment. This study investigates the role of supportive work relationships and of participation and influence in decision-making in determining the coping behaviour of employees in a manufacturing plant. Since the relationships between worksite coping resources and employee coping behaviours may be causally reciprocal, longitudinal models were analysed to sort out causal priorities. Results showed that organizational and social coping resources did influence subsequent coping behaviour. Perceiving oneself to have influence over decision-making at work predicted increases in active, problem-solving coping attempts and decreases in resignation in response to worksite stressors. Also, employees who perceived their co-workers and supervisors to be supportive were more likely to increase their mobilization of that support when faced with worksite stress. In addition, the use of certain employee coping behaviours influenced subsequent levels of participation in decision-making, as well as the quality of relationships with co-workers and supervisors.     

Stress,coping and problem solving

Abstract

This paper outlines the developing consensus on the nature of stress. It offers a definition of stress as a psychological state derived from the person's appraisal of their ability to cope with the demands which are made of them. The paper then examines the concept of coping and explores its role in stress theory. It contrasts two different approaches to the study of coping: the classification of coping strategies, and the investigation of the process of coping—coping as ‘problem solving’. The paper focuses on the latter and in doing so it describes the nature of rational models of problem solving, considering their utility and application to stress management.     

Loss and restoration in later life: an examination of dual process model of coping with bereavement

The Dual Process Model (DPM) of Coping with Bereavement identified two oscillating coping processes, loss and restoration (Stroebe & Schut, 1999). The utility of the model is investigated in two studies. In the first, we carried out secondary analyses on a large-scale qualitative study that we had conducted previously. In the second, we conducted a small-scale study specifically examining the DPM. In the first study we re-examined the interviews for Loss- (LO) and Restoration-Oriented (RO) Coping and examined whether these were associated with psychological adjustment. The results showed that those adjusting well reported the stressors New Roles/Identities/ Relationships and Intrusion of Grief significantly more. Those adjusting less well reported the stressors Denial/Avoidance of Restoration Changes and Distraction/Avoidance of Grief significantly more. In the second study, we asked participants about four RO stressors of the DPM: Attending to Life Changes; New Roles/Identities/Relationships; Distraction from Grief; and New Activities. These data showed that not all participants experienced all aspects of RO Coping. In particular, participants had diverse views about the utility of Distraction from Grief as a coping mechanism. The article concludes by discussing the challenges of testing the DPM empirically.     

How the psychosocial work environment of motor vehicle mechanics may influence coping with musculoskeletal symptoms

A number of studies have shown that musculoskeletal symptoms are related to the physical and psychosocial work environments. Workers with musculoskeletal symptoms are often advised to cope by such measures as changing working technique, using lifting equipment and discussing health and environmental problems with supervisors and colleagues. Intervention studies at the individual level, however, have shown that such advice has limited effects in reducing the prevalence of musculoskeletal symptoms. The hypothesis for this study was that negative social and organizational factors may prevent workers from implementing such coping strategies. All 103 motor vehicle mechanics surveyed in 12 different garages responded to a questionnaire on coping with musculoskeletal symptoms and the psychosocial work environment. Positive and significant relationships were shown between how mechanics coped with their musculoskeletal symptoms and such psychosocial factors as work demands, social support, control, manager's involvement in health and safety work, and whether the garages had regular meetings between management and workers. Achieving positive results from preventive work through back schools and other ergonomic interventions seems to require that an organization with positive attitudes towards health and safety work be created before such interventions are implemented.