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.     

Personality and the effort-reward imbalance model of stress: Individual differences in reward sensitivity

Abstract

The Effort-Reward Imbalance (ERI) model comprises both situational components (i.e. effort and reward) and a person-specific component (overcommitment). The aims of this study were to investigate the role of theoretically and historically linked personality variables (i.e. overcommitment and Type A personality) within the ERI model and to expand and extend the ERI model by investigating the contribution of individual reward components to both psychological (i.e. psychological distress) and attitudinal (i.e. affective commitment) employee strain indicators. A total of 897 police officers from a large Australian police agency participated in the study. The results provided no evidence of an interaction effect of effort or reward with overcommitment. The Type A variables did, however, make significant contributions and were involved in a number of interactions, suggesting that the person-specific component of the ERI model could be extended with the Type A personality profile. The findings also suggest that the esteem component of reward has the greatest relevance to employee outcomes, although tangible aspects of reward are more likely to act as a buffer of perceived work demand.     

The association between blood pressure and work stress: The importance of measuring isolated systolic hypertension

The objective was to study whether the relationships between elevated blood pressure and (a) work stress as related to the stressor overtime, and (b) unwinding after work, depend on what kind of criteria are used for the diagnosis of hypertension. A total of 126 healthy men (aged 20-66 years) employed in white-collar jobs were tested over 24 hours by means of ambulatory blood pressure monitoring on a regular working day. Four groups were defined according to their blood pressure status: normotensives (NT), hypertensives (HT), isolated systolic hypertensives (ISH), and isolated diastolic hypertensives (IDH). No differences of age, body mass index, overtime work, and disturbed unwinding were found between the normotensives and the hypertensives. ISH was found to be related to working overtime and to disturbed unwinding but not to biological risk factors; IDH, however, was related exclusively to the biological risk factor high body mass index. Thus, significant differences associated with overtime were found between ISH and both NT and IDH, with the isolated systolic hypertensives carrying out more than twice as much overtime as the normotensives or isolated diastolic hypertensives. More men with a disturbed ability to relax and vital exhaustion were found in the ISH group than in the NT group. It seems that, in addition to the usual diagnosis of hypertension, the classification of ISH and IDH adds new information about the relationship between blood pressure elevation and both work stress and disturbed unwinding.     

The moderating role of personality characteristics on the relationship between job insecurity and strain

The experience of job insecurity has been linked to several different outcomes, such as negative attitudes towards work and the organization, turnover intention, as well as health complaints. However, since the strength of these effects have been found to vary across studies, it is vital to identify factors that could influence the relationships. The present study examines the moderating role of three personality characteristics (negative affectivity, positive affectivity, and external locus of control) on the relation between job insecurity and outcomes (mental health complaints, job dissatisfaction, and job-induced tension). Data from 400 nurses at a Swedish acute care hospital (response rate 71%; 91% women, aged 20-68 years) showed that both job insecurity and personality were related to strain. Also, the data indicated some buffering effect of personality. Despite the gender bias of the sample, the study provides additional support for the notion that job insecurity affects strain even after controlling for individual characteristics. The study also expands the literature on job insecurity by pointing out the influence of personality characteristics on the relationship between stressors and strain.     

A comparative analysis of occupational stress in managerial and shopfloor workers in the brewing industry: Mental health, job satisfaction and sickness

This study assessed the mental health, job satisfaction and sickness absence of comparative groups of 236 managers and 377 shopfloor workers in the brewing industry in Scotland and northern England. The results showed significant differences between the groups' scores on type A behaviour, locus of control, job satisfaction, and number of incidents of sickness absence. Multiple regression was used to elucidate similarities and differences between managers and shopfloor workers in the predictors of stress outcomes.     

Beyond demand and control: The contribution of organizational risk factors in assessing the psychological well-being of health care employees

Abstract

The job demand–control(–support) model is frequently used as a theoretical framework in studies on determinants of psychological well-being. Consequently, these studies are confined to the impact of job characteristics on worker outcomes. In the present study the relation between work conditions and outcomes (job satisfaction, emotional exhaustion, psychological distress, and somatic complaints) is examined from a broader organizational perspective. This paper reports on an analysis that examines both the unique and the additional contribution of organizational characteristics to well-being indicators, beyond those attributed to job characteristics. A total of 706 care staff from three public residential institutions for people with mental or physical disabilities in the Netherlands took part in this research. To assess organizational risk factors a measurement instrument was developed, the organizational Risk Factors Questionnaire (ORFQ), based on the safety-critical factors of the Tripod accident causation model. Factor analyses and reliability testing resulted in a 52-item scale consisting of six reliable sub-scales: staffing resources, communication, social hindrance, training opportunities, job skills, and material resources. These organizational risk factors explained important parts of the variance in each of the outcome measures, beyond that accounted for by demographic variables and job demand–control–support (JDCS) measures. Communication and training opportunities were of central importance to carers’ job satisfaction. Social hindrance, job skills, and material resources explained a substantial amount of unique variance on the negative outcomes investigated.