Stress at work and psychological and immunological parameters in a group of Norwegian female bank employees

This study concerned the immunological correlates of stress and work. Self reported stress, emotional state, ego-strength, and defensiveness were examined in relation to measures of cellular immunity (T-cell response to Con A and number of T4 and T8 cells) and humoral immunity (concentrations of immunoglobulins and complement components in plasma) in a group of 96 Norwegian female bank employees. The analyses showed that workload, the stress factor with the highest group mean, was associated with number of T-cells, while strain due to body posture during work was related to concentrations of IgM and C3. Further, depression was significantly correlated with IgM concentration and T-cell number, and anxiety with C3 concentration. T-cell activity was the immunological parameter most consistently associated with psychological well-being, showing positive correlations with defensiveness and ego-strength and negative correlations with anxiety and depression. In conclusion, T-cell number and concentrations of IgM and C3 were sensitive to both work-related stress experience and emotional distress. Coping abilities, indicated by the MMPI Ego-strength scale and emotional distress, were reflected in T-cell activity; insufficient coping was associated with low T-cell activity.     

Daily reports of distress: Not for women only

Abstract

A context-dependence paradigm was developed for research into effects of the menstrual cycle in women. This involved the investigation of situational effects on self-reported distress in both men and women. For 35 consecutive days, 25 women and 36 men working in two occupations that varied in degree of situational stress completed Body Awareness Questionnaires (modified menstrual distress questionnaires) and daily subjective stress ratings. After controlling for contraceptive use, age range, and percentage of body fat, the following variables were selected for a multiple regression analysis as predictors of distress: (a) job stress, (b) feminine values, (c) life stress, (d) subjective stress, (e) type of job, (f) sex, (g) job experience, and (h) history of menstrual distress. Women working in the high-stress job (military police) reported significantly more distress than all the other groups. Life stress was identified as the dominant predictor of distress. In a separate analysis of daily distress scores and menstrual cycle phases for all the women, there was no interaction between the type of job and the menstrual cycle phase on reports of distress. A similar analysis of the effects on sex and shift revealed shift effects in distress for men but not women. Sources of variability for both sexes (shift-work rotation and cycle phase) are discussed.     

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.     

Daily reports of distress: Not for women only

A context-dependence paradigm was developed for research into effects of the menstrual cycle in women. This involved the investigation of situational effects on self-reported distress in both men and women. For 35 consecutive days, 25 women and 36 men working in two occupations that varied in degree of situational stress completed Body Awareness Questionnaires (modified menstrual distress questionnaires) and daily subjective stress ratings. After controlling for contraceptive use, age range, and percentage of body fat, the following variables were selected for a multiple regression analysis as predictors of distress: (a) job stress, (b) feminine values, (c) life stress, (d) subjective stress, (e) type of job, (f) sex, (g) job experience, and (h) history of menstrual distress. Women working in the high-stress job (military police) reported significantly more distress than all the other groups. Life stress was identified as the dominant predictor of distress. In a separate analysis of daily distress scores and menstrual cycle phases for all the women, there was no interaction between the type of job and the menstrual cycle phase on reports of distress. A similar analysis of the effects on sex and shift revealed shift effects in distress for men but not women. Sources of variability for both sexes (shift-work rotation and cycle phase) are discussed.     

Subjective health and its relationship with working time variables and job stressors: Sequence or general factor model?

Abstract

This study compares two theoretical models that make different assumptions about the structure of subjective health constructs and about the effects of job stressors and working time variables on health. The first model, the sequence model, is based on sequential models of the development of ill-health and posits that chronic fatigue and sleep problems mediate the effects of job stressors and working time variables on depression and somatic complaints. The second model, the general strain factor model, posits that specific health constructs (e.g. fatigue, depression, and somatic complaints) are reflections of a common general strain factor (i.e. detrimental job conditions increase the individual's sensitization to strain). In this way the study expands traditional models of stress-related effects on health. The analyses were carried out in a sample of 365 individuals in Germany. Although both models fitted the data, the general strain factor model was found to be superior. Furthermore, the effects of job stressors and working time on the health constructs fatigue and sleep quality were mediated by the general strain factor. Also, a negative relationship emerged between working time duration and general strain. It is suggested that the general strain model could be useful in future health psychology research.     

Lifestyle habits,substance use and predictors of job burnout in professional working women

Abstract

This study explores differences in self-reported lifestyle habits, substance use (alcohol, drugs and smoking) and predictors of job burnout in a sample of 879 professional working women employed in dental health ofices in a cross-sectional design. Job burnout was measured using the Maslach Burnout Inventory (MBI) and self-reported substance use and lifestyle habits were assessed using the Stress Assessment Profile. Self-reported drinking, smolung and drug use were only modestly correlated with each other in this sample. Employed women with higher levels of drinking reported significantly lower quality overall lifestyle practices, eating/nunition habits, and more frequent use of avoidant coping strategies in the face of work and life hassles compared to non-drinkers. Women who smoked also reported significantly lower overall lifestyle practices and eating/nutrition habits. Those who reported using drugs for recreational purposes reported significantly greater hassles, poorer lifestyle habits, a less hardy outlook on life, and more frequent use of dysfunctional coping strategies. Although women who reported using drugs experienced significantly higher interpersonal burnout (depersonalization) compared to non-drug users, in general, self-reported substance use was not significantly related to job burnout. After controlling for age and psychological distress, perceived stress, type A behaviour, cognitive hardiness and lifestyle habits significantly contributed to predictions of job burnout in multiple regression analyses. Despite methodological limitations, the prevalence of substance use found in this study supports previous research findings. Professional working women who practise poor lifestyle and health habits appear to be at risk of experiencing job burnout.     

A community study of dual-role stress and coping in working mothers

This paper describes a pilot study in a community in North London of dual-role stress and coping in three groups of working mothers with dependent children at home. One group was married and enjoying comparatively high income; another was 'single' and also with comparatively high income; the third group was 'single' with comparatively low income. There were 15 women in each group. The study was by interview and questionnaire. Evidence of dual-role stress was found in the study, and the results are consistent with conclusions drawn from the literature. However, many women appeared to obtain important benefits from going to work, and there was considerable evidence of good coping, especially in terms of drawing on the informal support of other women. Both the quality of the job and quality of domestic support were important for the working mother's stress management. The relative poverty of organized child-care in Britain was reflected in the child-care problem reported by most of these women and the 'single' women in particular. Low income 'single' women reported greatest levels of stress and strain, financial and child-care stress, and work stress.     

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.     

Assessing the cumulative effects of stress: The association between job stress and allostatic load in a large sample of Chinese employees

Abstract

Job stress can lead to various system dysfunctions, but until now no reliable biomarkers for its assessment have been identified. Allostatic load (AL) is an index that enables the cumulative effect on the body of chronic stress to be assessed, and is derived from a set of relevant biological measures. In this study, a 13-parameter index (building on the original 10-item index) was used to examine the relationship between job strain and AL. Participants were 1219 healthy Chinese employees. Job strain was measured using the Job Content Questionnaire, and AL was assessed by various possible stress responses, including blood pressure, cholesterol, indicators of glucose metabolism, and hormone and inflammation markers. AL in the high job strain group differed sharply from that in the low job strain group. The AL score was positively associated with age and educational level. Several individual parameters also differed between the two groups. Men scored significantly higher on AL and cardiovascular and metabolic health outcomes, whereas for women the associations appeared in the biological indicators. Analyses indicated that decision latitude (DL) and job demands were significantly related to AL. Job demands correlated significantly with the primary biological indicators and DL with the secondary health outcomes. In conclusion, this study provides evidence of the value of measuring allostatic load in assessing the chronic effects of job stress.     

Benchmark Duration of Work Hours for Development of Fatigue Symptoms in Japanese Workers with Adjustment for Job‐Related Stress

The objective of this study was to calculate benchmark durations and lower 95% confidence limits for benchmark durations of working hours associated with subjective fatigue symptoms by applying the benchmark dose approach while adjusting for job‐related stress using multiple logistic regression analyses. A self‐administered questionnaire was completed by 3,069 male and 412 female daytime workers (age 18–67 years) in a Japanese steel company. The eight dependent variables in the Cumulative Fatigue Symptoms Index were decreased vitality, general fatigue, physical disorders, irritability, decreased willingness to work, anxiety, depressive feelings, and chronic tiredness. Independent variables were daily working hours, four subscales (job demand, job control, interpersonal relationship, and job suitability) of the Brief Job Stress Questionnaire, and other potential covariates. Using significant parameters for working hours and those for other covariates, the benchmark durations of working hours were calculated for the corresponding Index property. Benchmark response was set at 5% or 10%. Assuming a condition of worst job stress, the benchmark duration/lower 95% confidence limit for benchmark duration of working hours per day with a benchmark response of 5% or 10% were 10.0/9.4 or 11.7/10.7 (irritability) and 9.2/8.9 or 10.4/9.8 (chronic tiredness) in men and 8.9/8.4 or 9.8/8.9 (chronic tiredness) in women. The threshold amounts of working hours for fatigue symptoms under the worst job‐related stress were very close to the standard daily working hours in Japan. The results strongly suggest that special attention should be paid to employees whose working hours exceed threshold amounts based on individual levels of job‐related stress.     

Job stress,social support and health amongst shrimp fishermen

Abstract

Samples of shrimp fishermen (n = 211) and land-based workers (n = 99) drawn from a US Gulf Coast community are compared with regard to their degree of exposure to occupational stressors, level of social support, and extent of non-clinical depression and somatization. As hypothesized, shrimp fishermen report significantly greater levels of stressor exposure, support, depression and somatization at the zero-order level. At the multivariate level, with several covariates controlled, shrimpers report greater levels of stressor exposure, support and somatization. A model of the stress process which hypothesizes positive effects of stressors, and direct and indirect negative effects of social support on distress, is evaluated for each group. Occupational stressors predict as hypothesized, but social support does not. An explanation is offered which emphasizes the migratory character of shrimping as an occupation.     

The moderating role of social support in Karasek's job strain model

The potential stressfulness of an event may depend on how it is appraised by the individual, although up to now there have been no longitudinal studies on the relationship between lay beliefs concerning work stress and perceived strain. This longitudinal study examines how lay theories of work stress at baseline were related to perceived mental strain at follow up. The present paper builds on an earlier study (Furnham, ), using a longitudinal design and a much larger population of the British workforce (N=2270). Lay beliefs were assessed by a scale consisting of 36 items. Factor analysis gave a solution with five factors on perceived causes and four factors of perceived alleviation of work stress. Linear multiple regression analysis revealed significant relations between lay beliefs of work stress at baseline and perceived mental strain as well as job stress 14 months later. The effect sizes were small but of a similar magnitude to those that have been found, for example, in occupational stress-reducing interventions. A problem with the factor analytic approach was the discrepancies between the factor solutions and the relative importance of the perceived causes of work stress. The results from the study suggest that subjective beliefs about work stress merits further analysis as potentially mediating between ‘objective’ working conditions and stress outcomes.     

Preventing short-term strain through time-management coping

This project investigated the effectiveness of time-management coping in preventing strain resulting from role overload. Structural regressions, a form of causal-correlational analysis, were used on repeated-measures questionnaire data from 96 working adults attending evening degree classes in business administration. Results showed that time-management techniques significantly lowered anxiety, but not depression or somatic symptoms. In addition, the effect of coping on anxiety remained significant when social desirability was controlled. Anxiety did not influence subsequent coping, and no significant moderator effects were found.     

Psychosocial safety climate as an antecedent of work characteristics and psychological strain: A multilevel model

Abstract

Psychosocial safety climate (PSC) refers to a specific organizational climate for the psychological health of workers. It is largely determined by management and at low levels is proposed as a latent pathogen for psychosocial risk factors and psychological strain. Using an extended Job Demands-Control-Support framework, we predicted the (24 month) cross-level effects of PSC on psychological strain via work conditions. We used a novel design whereby data from two unrelated samples of nurses working in remote areas were used across time (N=202, Time 1; N=163, Time 2), matched at the work unit level (N= 48). Using hierarchical linear modelling we found that unit PSC assessed by nurses predicted work conditions (workload, control, supervisor support) and psychological strain in different nurses in the same work unit 24 months later. There was evidence that the between-group relationship between unit PSC and psychological strain was mediated via Time 2 work conditions (workload, job control) as well as Time 1 emotional demands. The results support a multilevel work stress model with PSC as a plausible primary cause, or “cause of the causes”, of work-related strain. The study adds to the literature that identifies organizational contextual factors as origins of the work stress process.     

ENOP: Organizational issues in hospitals

Abstract

The major aim of this study was to examine how job stress in the offshore working environment may affect workers experience of strain. This study also analyses both the main and moderator effect of social support on the association between job stress and strain. The association between strain and absenteeism is also analysed. The analyses are based on a self-completion questionnaire survey among employees on offshore oil installations in the Norwegian part of the North Sea (n = 1137). The data collection was carried out in 1994. A similar study was conducted in 1990. Job stress was found to be associated with job dissatisfaction, as well as experience of strain. Social support from a supervisor had a main effect on strain. Some evidence of the moderating effects of social support were found. The employees who had been absent from work experienced most strain. It is concluded that job stress predicted job dissatisfaction and strain. In turn, strain and absenteeism were associated with each other. These results suggest that improving organizational and social factors should be the focal area in health promotion in the offshore oil industry.     

Satisfactions and stresses in the sorting of mail

Abstract

The effects of two types of letter-sorting technology on job stress and satisfaction were compared. Manual sorting, which uses the traditional method of assigning letters to classified pigeon-holes, was judged to provide elements of discretion, autonomy, and social interaction which are largely absent in coding-desk work, in which a keyboard is used to enter postcodes. Between and within-subject methodology was used in the analysis of data from those engaged in sorting (n = 160). In addition, these groups were compared with supervisors (n = 36) and engineers (n = 26) also working in the sorting area.

The key findings were: (a) higher levels of satisfaction were found amongst manual sorters and those spending 50–75% of their time in code-sorting; (b) stress is closely related to satisfaction in the code-sort group but not in the manual group; (c) in manual groups and in supervisors stress was manifested in fatigue, but in the code-sort group stress took the form of anxiety. The results are discussed in terms of the impact of the type of work on fatigue, as well as on job stress and satisfaction.     

Demanding work schedules and mental health in nursing assistants working in nursing homes

Nursing home assistants have physically and emotionally challenging jobs, and they often work demanding schedules in order to provide 24-h care. While the physical effects of demanding work schedules have been studied, little is known about the impact on mental health. This study explored the relationship between demanding scheduling variables and mental health indicators of depression, anxiety and somatization. A cross-section of 473 US female nursing assistants working in nursing homes was surveyed. Work schedule characteristics included shiftwork, hours per day and week, days per week, number of weekends per month, number of double shifts per month, breaks, and number of jobs worked. Working two or more double-shifts per month was associated with increased risk for all mental health indicators, and working 6-7 days per week was associated with depression and somatization. There was a trend for increasing odds of adverse mental health with increased numbers of demanding work schedule factors. The odds of depression was increased four-fold when working 50+ h/week, more than two weekends/month and more than two double shifts/month. Providing work schedules that are less unhealthy may have implications for both worker retention and the quality of care delivered to nursing home residents.     

Job stress,burnout and substance use among urban transit operators: The potential mediating role of coping behaviour

Abstract

Urban transit operators, compared to other occupational groups, have higher rates of mortality and morbidity. A major risk factor is the highly stressful objective environment. This study used structural equation modelling to test a model hypothesizing that transit operators’ coping behaviours in responding to daily job hassles mediate the associations of work stress with burnout and substance use. The study sample consisted of 1231 transit operators who participated in the San Francisco MUNI Health and Safety Study. The results showed a direct and strong association between transit operators’ daily job stress and symptoms of occupational burnout even when a series of controls and coping behaviours were considered. In addition, use of “disengage-deny” and escapist strategies to cope with job stress was positively associated with burnout; the job stress–burnout association was partially mediated through such coping practices. Daily job stress was related to substance use only indirectly and mediated through burnout and use of “disengage-deny” and escapist coping strategies. “Disengage-deny” coping strategies might help reduce substance use whereas escapist coping strategies might increase such use. Overall, our findings suggest that coping behaviour may be an important correlate of transit operators’ ill health. Interventions enabling healthy coping behaviours may help reduce health risks for this occupational group.     

Job insecurity,coping resources and personality dispositions in occupational strain

This paper presents research on the relationships between the work-related stressor of perceived job insecurity and various indicators of occupational strain, taking into account employees' personality dispositions (trait negative and positive affectivity) and coping resources. Respondents were 222 Australian public servants surveyed during organizational restructuring that involved downsizing and threat to job certainty. The research was formulated within an adaptation of Osipow, Doty, and Spokane's (1985) framework of stress-strain-coping that included the possible direct as well as moderating effects of personality dispositions in reporting occupational strain (Parkes, 1990). Findings from hierarchical regression analyses indicate consistent significant independent effects of personality dispositions, coping resources and perceived job insecurity on various indicators of strain. There was also support for the moderating roles of negative affectivity and self-care in the relation between perceived job insecurity and physical strain. Implications for the role of dispositional factors, especially negative affectivity, and the utility of various coping resources in accounting for occupational strain in times of threatened job security are discussed.     

Sources of occupational stress in the police

This paper describes an empirical study (n = 954) of occupational stress conducted in a large provincial English police force. Conceptual distinctions were made between stressors, i.e., potential external sources of adverse reactions; felt stress, i.e., self-perceived negative impact; and distress, i.e., self-reported symptoms of anxiety, depression, social dysfunction, and somatic disturbance. Findings indicates that overall exposure rates are highest for organizational and management stressors rather than routine operational duties. Differential rates of exposure, felt stress, and distress are reported for different ranks of officers. The paper confirms the nature of postulated sources of police stress from earlier studies and extends analysis to differentiate between exposure to stressors and experience of distress.