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Mediating and Moderating Effects of Psychological Detachment on the Association Between Stressors and Depression: A Longitudinal Study of Japanese Workers. J Occup Environ Med 2023; 65:e161-e169. [PMID: 36576796 DOI: 10.1097/jom.0000000000002780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
OBJECTIVES This study examines the mediating and moderating effects of psychological detachment (PD) based on the stressor-detachment model in the long term. METHODS Two waves of Web-based surveys, 28 months apart, yielded 3556 responses from Japanese workers. Comparisons between models that included mediating and moderating effects of PD and reverse direction mediating effects (strain → PD → stressor) were made by structural equation modeling. Differences in depression as a strain between combinations of high and low stressors and PD were also examined. RESULTS The best-fitting model was the moderation/reciprocal partial-mediation model. The effect of PD was significant in the group with stable or decreasing stressor. CONCLUSION According to the worker's level of stressors, PD, and depression, targeted interventions may effectively prevent physical and mental health problems caused by chronic stress.
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Weigelt O, Seidel JC, Erber L, Wendsche J, Varol YZ, Weiher GM, Gierer P, Sciannimanica C, Janzen R, Syrek CJ. Too Committed to Switch Off-Capturing and Organizing the Full Range of Work-Related Rumination from Detachment to Overcommitment. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3573. [PMID: 36834267 PMCID: PMC9967488 DOI: 10.3390/ijerph20043573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 02/12/2023] [Accepted: 02/15/2023] [Indexed: 06/18/2023]
Abstract
Work-related thoughts during off-job time have been studied extensively in occupational health psychology and related fields. We provide a focused review of the research on overcommitment-a component within the effort-reward imbalance model-and aim to connect this line of research to the most commonly studied aspects of work-related rumination. Drawing on this integrative review, we analyze survey data on ten facets of work-related rumination, namely (1) overcommitment, (2) psychological detachment, (3) affective rumination, (4) problem-solving pondering, (5) positive work reflection, (6) negative work reflection, (7) distraction, (8) cognitive irritation, (9) emotional irritation, and (10) inability to recover. First, we apply exploratory factor analysis to self-reported survey data from 357 employees to calibrate overcommitment items and to position overcommitment within the nomological net of work-related rumination constructs. Second, we apply confirmatory factor analysis to self-reported survey data from 388 employees to provide a more specific test of uniqueness vs. overlap among these constructs. Third, we apply relative weight analysis to assess the unique criterion-related validity of each work-related rumination facet regarding (1) physical fatigue, (2) cognitive fatigue, (3) emotional fatigue, (4) burnout, (5) psychosomatic complaints, and (6) satisfaction with life. Our results suggest that several measures of work-related rumination (e.g., overcommitment and cognitive irritation) can be used interchangeably. Emotional irritation and affective rumination emerge as the strongest unique predictors of fatigue, burnout, psychosomatic complaints, and satisfaction with life. Our study is intended to assist researchers in making informed decisions on selecting scales for their research and paves the way for integrating research on the effort-reward imbalance and work-related rumination.
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Affiliation(s)
- Oliver Weigelt
- Wilhelm Wundt Institute of Psychology, Leipzig University, D-04109 Leipzig, Germany
| | - J. Charlotte Seidel
- Wilhelm Wundt Institute of Psychology, Leipzig University, D-04109 Leipzig, Germany
| | - Lucy Erber
- Wilhelm Wundt Institute of Psychology, Leipzig University, D-04109 Leipzig, Germany
| | - Johannes Wendsche
- Federal Institute for Occupational Safety and Health, Section 3 Work and Health, D-01099 Dresden, Germany
| | - Yasemin Z. Varol
- Educational Psychology, Goethe University Frankfurt, D-60629 Frankfurt, Germany
| | - Gerald M. Weiher
- Educational Psychology, Goethe University Frankfurt, D-60629 Frankfurt, Germany
| | - Petra Gierer
- Work and Organizational Psychology, University of Hagen, D-58084 Hagen, Germany
| | | | - Richard Janzen
- Wilhelm Wundt Institute of Psychology, Leipzig University, D-04109 Leipzig, Germany
| | - Christine J. Syrek
- Business Psychology, University of Applied Sciences Bonn-Rhein-Sieg, D-53359 Rheinbach, Germany
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Li Z, Zhang X, Zheng J, Zhang Z, Wan P. Challenge or Hindrance? The Dual Path Effect of Perceived Task Demand on In-Role Performance and Work Fatigue. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15561. [PMID: 36497636 PMCID: PMC9737550 DOI: 10.3390/ijerph192315561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Revised: 11/18/2022] [Accepted: 11/21/2022] [Indexed: 06/17/2023]
Abstract
The evidence for the existence of perceived task demand is paradoxical. The purpose of the present study is to explore whether perceived task demand is a challenge or a hindrance stressor. To achieve this research purpose, based on conservation of resources theory, a conceptual model is developed that utilizes both a resource acquisition path and a resource depletion path. Using the experience-sampling method, over five consecutive days, 370 matched data were collected via mobile phone from 74 full-time employees in mainland China. The results show that perceived task demand has the characteristics of both challenge and hindrance stressors. On the one hand, perceived task demand enhances employees' cognitive engagement, thereby facilitating task performance (resource acquisition path). On the other hand, perceived task demand boosts employees' cognitive strain, thereby increasing work fatigue and decreasing in-role performance (resource depletion path). This research offers a comprehensive understanding of perceived task demand and provides strategies for task demand management.
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Affiliation(s)
- Zhigang Li
- School of Economics and Management, Beijing Polytechnic, Beijing 100176, China
| | - Xin Zhang
- Graduate School of Education, Dalian University of Technology, Dalian 116024, China
| | - Junwei Zheng
- Faculty of Civil Engineering and Mechanics, Kunming University of Science and Technology, Kunming 650500, China
| | - Zhenduo Zhang
- School of Economics and Management, Dalian University of Technology, Dalian 116024, China
| | - Pengyu Wan
- School of Economics and Management, Chongqing Normal University, Chongqing 401331, China
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Foucreault A, Ménard J, Houlfort N, Trépanier SG, Lavigne GL. How Work-Family Guilt, Involvement with Children and Spouse's Support Influence Parents' Life Satisfaction in a Context of Work-Family Conflict. JOURNAL OF CHILD AND FAMILY STUDIES 2022; 32:1065-1077. [PMID: 36186677 PMCID: PMC9512965 DOI: 10.1007/s10826-022-02443-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 09/01/2022] [Indexed: 06/16/2023]
Abstract
Work-family guilt (WFG) is sometimes perceived as an adaptive characteristic, since it has been found to encourage working parents to engage in more activities with their children in off-work time (Cho & Allen, 2012). However, while it may be an adaptive characteristic for the parent-child relationship, the same may not be true for parents' psychological health. Using insights from the work-home resources model (W-HR), this study aims to determine WFG's influence on parents' life satisfaction. This study also investigates if parents' belief regarding the investment of their spouse in recreational activities with their children is a resource that could foster their life satisfaction. A cross-sectional design was used with a sample of 289 working parents with at least one child aged between 5 and 10. A path analysis shows a significant moderated mediation model. Parent-child activities were found to partially mediate the relationship between strain-based work interference with family and parents' life satisfaction. Furthermore, WFG moderated this mediation. Specifically, it worsened the detrimental effect of doing fewer parent-child activities on parents' life satisfaction. Results also show that a spouse's investment in activity with their child is a resource that motivates parents to invest more in their children and directly contributes to parents' life satisfaction.
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Affiliation(s)
- Annie Foucreault
- Department of Psychology, Université du Québec à Montréal, C.P. 8888, Succ. Centre-Ville, Montréal, Québec H3C 3P8 Canada
| | - Julie Ménard
- Department of Psychology, Université du Québec à Montréal, C.P. 8888, Succ. Centre-Ville, Montréal, Québec H3C 3P8 Canada
| | - Nathalie Houlfort
- Department of Psychology, Université du Québec à Montréal, C.P. 8888, Succ. Centre-Ville, Montréal, Québec H3C 3P8 Canada
| | - Sarah-Geneviève Trépanier
- Department of Management, Université du Québec à Trois-Rivières, 3351, boulevard des Forges, Bureau 3140, Pavillon Ringuet, Trois-Rivières, Québec G8Z 4M3 Canada
| | - Geneviève L. Lavigne
- Department of Psychology, Université du Québec à Montréal, C.P. 8888, Succ. Centre-Ville, Montréal, Québec H3C 3P8 Canada
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Shi Y, Xie J, Zhou ZE, Ma H, Tang Y. How parents' psychological detachment from work affects their children via fatigue: The moderating role of gender. Stress Health 2021; 38:463-476. [PMID: 34679228 DOI: 10.1002/smi.3107] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 10/06/2021] [Accepted: 10/15/2021] [Indexed: 11/10/2022]
Abstract
Previous studies demonstrated that psychological detachment from work can impact employees' work and family lives. Based on conservation of resources theory and social role theory, the present study examined the process through which working parents' psychological detachment from work influences their children's perception of neglectful parenting (emotional warmth and rejection). Specifically, we examined the mediating role of parents' fatigue and the moderating role of parent gender in this process. Data were collected from working parents (n = 371) and their children in junior high school (n = 371, 10-13 years old) at two time points with a three-month interval. Our results showed that working parents' psychological detachment from work at Time 1 significantly predicted children's perception of parent emotional warmth and rejection at Time 2, and parents' fatigue at Time 2 mediated this relationship. Besides, parent gender moderated this mediated process such that the positive indirect effect of parent psychological detachment from work on emotional warmth via fatigue was stronger for working mothers than for working fathers. These findings contribute to the limited research on the effects of psychological detachment from work on family members and highlight the importance of parent gender in children's perceptions of working parents' behaviours.
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Affiliation(s)
- Yanwei Shi
- Department of Human Resource Management, Shanghai Normal University, Shanghai, China
| | - Julan Xie
- School of Business, Central South University, Changsha, China
| | - Zhiqing E Zhou
- Baruch College and The Graduate Center, City University of New York, New York City, New York, USA
| | - Hongyu Ma
- School of Psychology, Central China Normal University, Wuhan, China
| | - Yan Tang
- Bureau of Education of Huanggang, Huanggang, China
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Pfaffinger KF, Reif JAM, Spieß E. When and why telepressure and technostress creators impair employee well-being. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2020; 28:958-973. [PMID: 33164707 DOI: 10.1080/10803548.2020.1846376] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Objectives. This article describes the effects of two specific information and communication technology (ICT) demands (telepressure, technostress creators) on employee well-being, and investigates a mediating effect of detachment (Study 1) and moderating effects of technostress inhibitors on the effects of ICT demands on well-being (Study 2) and detachment (Study 3). Methods. Three quantitative studies with employees (Study 1, N = 296; Study 2, N = 142; Study 3, N = 316) were conducted. Results. The results support the negative effect of ICT demands on several well-being indicators. They also show how detachment mediates the effect of telepressure on well-being (Study 1) and how technostress inhibitors moderate the effect of technostress creators on well-being (Study 2). Technostress inhibitors further buffer negative effects of technostress creators on detachment (Study 3). Conclusion. Interventions to reduce negative consequences of ICTs by increasing the level of technostress inhibitors (e.g., technical support) or facilitating employee detachment (e.g., through communication policies) are derived. The findings confirm that general models explaining stress and well-being are applicable to new forms of job demands and extend existing empirical support for the effect of ICT demands on well-being. Future research should investigate the interplay between the studied variables within a moderated mediation model.
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Affiliation(s)
- Katharina F Pfaffinger
- Economic and Organisational Psychology, Ludwig-Maximilians-Universitaet Muenchen, Germany
| | - Julia A M Reif
- Economic and Organisational Psychology, Ludwig-Maximilians-Universitaet Muenchen, Germany
| | - Erika Spieß
- Economic and Organisational Psychology, Ludwig-Maximilians-Universitaet Muenchen, Germany
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Ding J, Gehrman PR, Liu S, Yang F, Ma R, Jia Y, Yang X. Recovery Experience as the Mediating Factor in the Relationship Between Sleep Disturbance and Depressive Symptoms Among Female Nurses in Chinese Public Hospitals: A Structural Equation Modeling Analysis. Psychol Res Behav Manag 2020; 13:303-311. [PMID: 32273783 PMCID: PMC7108876 DOI: 10.2147/prbm.s243864] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2019] [Accepted: 03/13/2020] [Indexed: 12/17/2022] Open
Abstract
Purpose Nurses are suffering from considerable work-related stress, which can result in disturbed sleep and depressive symptoms. Whereas, recovery experience can alleviate sleep disturbance and help maintain well-being in the working environment. The aim of this study was to examine whether recovery experiences play a mediating role in the relationship between sleep disturbance and depressive symptoms of female nurses in Chinese public hospitals. Methods From December 2017 to May 2018, the study with proportional sampling of cross-sectional design was carried out in the public tertiary hospitals from Shenyang of Liaoning Province in China. A total of 1500 female nurses who had been working for one or more years participated in this study. A structural equation model (SEM) was applied to test the assumption that recovery experiences might function as a mediator in the relationship between sleep disturbance and symptoms of depression. Results Sleep disturbance contributed most to the variance (32.9%) of depressive symptoms and had a significantly positive correlation with depressive symptoms (P<0.01) among nurses. Psychological detachment in recovery experience had a significantly positive correlation with sleep disturbance (P<0.01) and depressive symptoms (P<0.01). Whereas, relaxation, mastery experience, and control in recovery experience were significantly and negatively correlated with sleep disturbance (P<0.01) and depressive symptoms (P<0.01). Recovery experience served as a mediator between sleep disturbance and depressive symptoms (a * b = 0.066, BCa 95% CI: 0.045, 0.095). Conclusion Sleep disturbance was the predictor of depressive symptoms for female nurses. Moreover, recovery experience could combat the detrimental impacts of sleep disturbances on symptoms of depression. This study suggested that nurses might benefit from interventions on improving sleep quality to relieve depressive symptoms through mediating path of recovery experience.
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Affiliation(s)
- Jialin Ding
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, Liaoning Province 110013, People's Republic of China
| | - Philip R Gehrman
- Perelman School of Medicine of the University of Pennsylvania, Philadelphia, PA, USA
| | - Shuchang Liu
- Department of Clinical Genetics, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, People's Republic of China
| | - Fengzhi Yang
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, Liaoning Province 110013, People's Republic of China
| | - Ruqing Ma
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, Liaoning Province 110013, People's Republic of China
| | - Yajing Jia
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, Liaoning Province 110013, People's Republic of China
| | - Xiaoshi Yang
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, Liaoning Province 110013, People's Republic of China
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Schadenhofer P, Kundi M, Abrahamian H, Blasche G, Stummer H, Kautzky-Willer A. Job-related meaningfulness moderates the association between over-commitment and emotional exhaustion in nurses. J Nurs Manag 2018; 26:820-832. [DOI: 10.1111/jonm.12602] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/22/2017] [Indexed: 11/29/2022]
Affiliation(s)
| | - Michael Kundi
- Centre for Public Health, Department of Environmental Health; Medical University of Vienna; Vienna Austria
| | - Heidemarie Abrahamian
- Department of Internal Medicine, Psychosomatic and Psychotherapeutic Medicine; Otto-Wagner-Spital; Vienna Austria
- Private Institute for Medicine and Neuro Linguistic Programming; Vienna Austria
| | - Gerhard Blasche
- Centre for Public Health, Department of Environmental Health; Medical University of Vienna; Vienna Austria
| | - Harald Stummer
- Department of Public Health; Health Services Research & Health Technology Assessment; University for Health Sciences, Medical Informatics and Technology; Hall in Tyrol Austria
- University Schloss Seeburg; Seekirchen/Wallersee Austria
| | - Alexandra Kautzky-Willer
- Department of Internal Medicine III; Division of Endocrinology and Metabolism; Vienna General Hospital; Head of the Gender Medicine Unit, Medical University of Vienna; Vienna Austria
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Ilies R, Aw SS, Lim VK. A Naturalistic Multilevel Framework for Studying Transient and Chronic Effects of Psychosocial Work Stressors on Employee Health and Well-Being. APPLIED PSYCHOLOGY-AN INTERNATIONAL REVIEW-PSYCHOLOGIE APPLIQUEE-REVUE INTERNATIONALE 2016. [DOI: 10.1111/apps.12069] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Liu Y, Wu LM, Chou PL, Chen MH, Yang LC, Hsu HT. The Influence of Work-Related Fatigue, Work Conditions, and Personal Characteristics on Intent to Leave Among New Nurses. J Nurs Scholarsh 2015; 48:66-73. [DOI: 10.1111/jnu.12181] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/13/2015] [Indexed: 11/28/2022]
Affiliation(s)
- Yi Liu
- Assistant Professor, School of Nursing; Kaohsiung Medical University; Kaohsiung Taiwan
| | - Li-Min Wu
- Assistant Professor, School of Nursing; Kaohsiung Medical University; Kaohsiung Taiwan
| | - Pi-Ling Chou
- Assistant Professor, School of Nursing; Kaohsiung Medical University; Kaohsiung Taiwan
| | - Mei-Hsin Chen
- Director, Department of Nursing, Kaohsiung Medical University Chung-Ho Memorial Hospital; Kaohsiung Taiwan
| | - Li-Chien Yang
- Head Nurse, Department of Nursing; Chi-Mei Medical Center; Tainan Taiwan
| | - Hsin-Tien Hsu
- Associate Professor, School of Nursing; Kaohsiung Medical University; Kaohsiung Taiwan
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Niks IM, Gevers JM, De Jonge J, Houtman IL. The relation between off-job recovery and job resources: person-level differences and day-level dynamics. EUROPEAN JOURNAL OF WORK AND ORGANIZATIONAL PSYCHOLOGY 2015. [DOI: 10.1080/1359432x.2015.1042459] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Derks D, Bakker AB. Smartphone Use, Work-Home Interference, and Burnout: A Diary Study on the Role of Recovery. APPLIED PSYCHOLOGY-AN INTERNATIONAL REVIEW-PSYCHOLOGIE APPLIQUEE-REVUE INTERNATIONALE 2012. [DOI: 10.1111/j.1464-0597.2012.00530.x] [Citation(s) in RCA: 191] [Impact Index Per Article: 15.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Ng TW, Feldman DC. The Effects of Organisational Embeddedness on Insomnia. APPLIED PSYCHOLOGY-AN INTERNATIONAL REVIEW-PSYCHOLOGIE APPLIQUEE-REVUE INTERNATIONALE 2012. [DOI: 10.1111/j.1464-0597.2012.00522.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Shimazu A, Sonnentag S, Kubota K, Kawakami N. Validation of the Japanese Version of the Recovery Experience Questionnaire. J Occup Health 2012; 54:196-205. [DOI: 10.1539/joh.11-0220-oa] [Citation(s) in RCA: 49] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Akihito Shimazu
- Department of Mental HealthThe University of Tokyo, Graduate School of MedicineJapan
| | - Sabine Sonnentag
- Department of PsychologySchool of Social Sciences, University of MannheimGermany
| | - Kazumi Kubota
- Department of Mental HealthThe University of Tokyo, Graduate School of MedicineJapan
| | - Norito Kawakami
- Department of Mental HealthThe University of Tokyo, Graduate School of MedicineJapan
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Bamberg E, Dettmers J, Funck H, Krähe B, Vahle-Hinz T. Effects of On-Call Work on Well-Being: Results of a Daily Survey1. Appl Psychol Health Well Being 2012; 4:299-320. [DOI: 10.1111/j.1758-0854.2012.01075.x] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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17
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Sonnentag S. Psychological Detachment From Work During Leisure Time. CURRENT DIRECTIONS IN PSYCHOLOGICAL SCIENCE 2012. [DOI: 10.1177/0963721411434979] [Citation(s) in RCA: 169] [Impact Index Per Article: 14.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Psychological detachment from work during leisure time refers to a state in which people mentally disconnect from work and do not think about job-related issues when they are away from their job. Empirical research has shown that employees who experience more detachment from work during off-hours are more satisfied with their lives and experience fewer symptoms of psychological strain, without being less engaged while at work. Studies have demonstrated that fluctuations in individuals’ psychological detachment from work can explain fluctuations in their affective states, and have identified positive relations between detachment from work during off-hours and job performance. Trait negative affectivity, high involvement in one’s job, job stressors, and poor environmental conditions are negatively related to psychological detachment from work during off-job time.
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van Hooff ML, Baas M. Recovering by Means of Meditation: The Role of Recovery Experiences and Intrinsic Motivation. APPLIED PSYCHOLOGY-AN INTERNATIONAL REVIEW-PSYCHOLOGIE APPLIQUEE-REVUE INTERNATIONALE 2012. [DOI: 10.1111/j.1464-0597.2011.00481.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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