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Li N, Wang Y, Dong Y, Chen X, Zhang B, Chen X, Wang K, Sun Y. The impact of psychological stress on physiological indicators in healthcare workers: a cross-sectional study. Front Public Health 2024; 12:1393743. [PMID: 39386960 PMCID: PMC11461262 DOI: 10.3389/fpubh.2024.1393743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Accepted: 09/12/2024] [Indexed: 10/12/2024] Open
Abstract
Background Medical health workers play an essential role in the healthcare system and face unique workplace stressors. However, the impact of psychological stress on their physical health has received less attention compared to the general population. Methods We retrospectively analyzed the Self-rating Depression Scale (SDS) questionnaires and blood testing results from 1963 medical health workers. Multivariate linear regression analysis using a backward stepwise selection strategy to identify physical examination indicators that were significantly affected by depression. Results Depression severity, as measured by SDS index score, was positively correlated with the levels of hemoglobin (coefficient 0.0027, p = 0.0412), platelet count (coefficient 0.0005, p = 0.0198), and uric acid (coefficient 0.0004, p = 0.0492), while negatively correlated with red blood cell count (coefficient-0.0895, p = 0.0406). Similar results were observed in the subgroup analysis stratified by age and sex. Conclusion Our study found a significant association between higher levels of depression and specific physiological indicators in healthcare professionals, including elevated hemoglobin, platelet counts, and uric acid levels, as well as decreased red blood cell counts. These changes in blood parameters may reflect underlying physiological stress and inflammation, potentially increasing overall health risks for healthcare workers. Addressing these physiological changes may be crucial for mitigating the health risks associated with depression. To validate our findings and develop targeted interventions, larger multi-center studies are needed to further explore the relationship between depression severity and blood parameters in healthcare professionals.
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Affiliation(s)
- Na Li
- The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Yan Wang
- The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Yijiao Dong
- The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Xiaoxue Chen
- The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Bin Zhang
- The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Xianghua Chen
- The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Kejian Wang
- Innovative Institute of Chinese Medicine and Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan, China
- Systems Biology Research Center, Biology Institute, Guangxi Academy of Sciences, Nanning, China
| | - Ying Sun
- The Affiliated Hospital of Qingdao University, Qingdao, China
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Abe T, Okuyama K, Motohiro A, Shiratsuchi D, Isomura M. Association between different types of physical activity and occupational stress in Japanese workers: a cross-sectional study. INDUSTRIAL HEALTH 2024; 62:227-236. [PMID: 38233117 PMCID: PMC11292311 DOI: 10.2486/indhealth.2023-0092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Accepted: 01/05/2024] [Indexed: 01/19/2024]
Abstract
This cross-sectional study investigated the association between different types of physical activity (PA) and occupational psychological and physical stress responses among workers in Japan. Stress responses were assessed using the Brief Job Stress Questionnaire. Work-related PA (time spent sitting, sitting bouts, standing, walking, engaging in heavy labor, and moderate-to-vigorous PA [MVPA]) and exercise-based PA (frequencies [times/week] of flexibility and muscle-strengthening activity, and walking) were measured using a questionnaire. Multiple linear regression was performed to examine the association between each type of PA and stress responses. Participants who engaged in >108 min/day of work-related MVPA exhibited a statistically significant association with higher psychological stress responses when compared to those who engaged in 0-42 min/day of work-related MVPA. For exercise-based PA, participants who engaged in flexibility activity or walking five or more times/week, or muscle-strengthening activity one to three times/week, demonstrated significantly lower psychological stress responses compared to those who did not exercise. Participants who engaged in flexibility activity five or more times/week demonstrated significantly lower physical stress responses compared to those who did not exercise. This study suggests that work-related MVPA is associated with higher psychological stress responses, while exercise-based PA is associated with lower psychological or physical stress responses.
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Affiliation(s)
- Takafumi Abe
- Center for Community-based Healthcare Research and Education (CoHRE), Head Office for Research and Academic Information, Shimane University, Japan
| | - Kenta Okuyama
- Center for Community-based Healthcare Research and Education (CoHRE), Head Office for Research and Academic Information, Shimane University, Japan
- Center for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Sweden
| | - Atsushi Motohiro
- Center for Community-based Healthcare Research and Education (CoHRE), Head Office for Research and Academic Information, Shimane University, Japan
- Canvas Inc., Japan
| | - Daijo Shiratsuchi
- Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Japan
| | - Minoru Isomura
- Center for Community-based Healthcare Research and Education (CoHRE), Head Office for Research and Academic Information, Shimane University, Japan
- Faculty of Human Sciences, Shimane University, Japan
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Giorgianni CM, Martino G, Brunetto S, Buta F, Lund-Jacobsen T, Tonacci A, Gangemi S, Ricciardi L. Allergic Sensitization and Psychosomatic Involvement in Outdoor and Indoor Workers: A Preliminary and Explorative Survey of Motorway Toll Collectors and Office Employees. Healthcare (Basel) 2024; 12:1429. [PMID: 39057572 PMCID: PMC11276685 DOI: 10.3390/healthcare12141429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2024] [Revised: 07/12/2024] [Accepted: 07/15/2024] [Indexed: 07/28/2024] Open
Abstract
The incidence of respiratory and cutaneous allergic disorders may be variable if we consider work activity. These disorders are reported in the current literature to have a relevant psychosomatic involvement. The aim of the study was to submit a survey on the self-reported occurrence of allergic respiratory and cutaneous diseases in outdoor and indoor workers to verify the onset or exacerbations of such pathologies, encourage surveillance, and suggest the need for further studies. Two groups of workers were compared when exposed and not exposed to air pollutants. An outdoor population of motorway toll collectors (153 workers; M: 58.03 years old, SD: 6.1; and female prevalence of 66.01%) and an indoor group of office employees (59 workers; mean age 54.44 years, SD: 8.50; and male prevalence of 61.02%) entered the study. The results of three multivariate analyses of the obtained data, investigating contributions of external factors, including age, sex, smoking habits, working type, and seniority, on allergic conditions were significant in both workers' groups. The findings highlighted that age and smoking habits were significant contributors to allergic conditions, both independently and in combination with other factors, such as sex and working type. The data suggest the presence of phenomena related to different etiological domains, as already reported in the literature. Through the collection of these data, it was possible to highlight the need to analyze clinical signs from different perspectives.
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Affiliation(s)
- Concetto Mario Giorgianni
- Department of Biomedical Sciences, Dental, Morphological and Functional Investigations, University of Messina, 98124 Messina, Italy;
| | - Gabriella Martino
- Department of Clinical and Experimental Medicine, University of Messina, 98124 Messina, Italy; (G.M.); (S.B.); (F.B.); (S.G.)
| | - Silvia Brunetto
- Department of Clinical and Experimental Medicine, University of Messina, 98124 Messina, Italy; (G.M.); (S.B.); (F.B.); (S.G.)
- School and Operative Unit of Allergy and Clinical Immunology, University of Messina, 98124 Messina, Italy
| | - Federica Buta
- Department of Clinical and Experimental Medicine, University of Messina, 98124 Messina, Italy; (G.M.); (S.B.); (F.B.); (S.G.)
- School and Operative Unit of Allergy and Clinical Immunology, University of Messina, 98124 Messina, Italy
| | - Trine Lund-Jacobsen
- Department of Endocrinology, Centre for Cancer and Organ Diseases, Copenhagen University Hospital, Rigshospitalet, 2100 Copenhagen, Denmark;
| | - Alessandro Tonacci
- Institute of Clinical Physiology, National Research Council of Italy (IFC-CNR), Via G. Moruzzi 1, 56124 Pisa, Italy;
| | - Sebastiano Gangemi
- Department of Clinical and Experimental Medicine, University of Messina, 98124 Messina, Italy; (G.M.); (S.B.); (F.B.); (S.G.)
- School and Operative Unit of Allergy and Clinical Immunology, University of Messina, 98124 Messina, Italy
| | - Luisa Ricciardi
- Department of Clinical and Experimental Medicine, University of Messina, 98124 Messina, Italy; (G.M.); (S.B.); (F.B.); (S.G.)
- School and Operative Unit of Allergy and Clinical Immunology, University of Messina, 98124 Messina, Italy
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Abe T, Okuyama K, Motohiro A, Shiratsuchi D, Isomura M. Combined associations of regular exercise and work-related moderate-to-vigorous physical activity with occupational stress responses: a cross-sectional study. Front Sports Act Living 2024; 6:1386775. [PMID: 38783865 PMCID: PMC11111849 DOI: 10.3389/fspor.2024.1386775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2024] [Accepted: 04/24/2024] [Indexed: 05/25/2024] Open
Abstract
Objective The association between work-related moderate-to-vigorous physical activity (MVPA) and higher levels of stress response is recognized, but whether this association is moderated by regular exercise remains unclear. This cross-sectional study investigated whether exercise-based physical activity (PA) associates with lower levels of stress responses moderated by work-related MVPA. Methods The study participants comprised 863 workers from 35 small and medium-sized enterprises in Shimane prefecture, Japan, collected through convenient sampling from April 2021 to August 2022. The Brief Job Stress Questionnaire was used to assess stress responses. Work-related MVPA and exercise-based PA were measured using questionnaires. Multiple linear regression was used to analyze the combined variables of work-related MVPA and exercise-based PA. The reference group had no weekly exercise-based PA and >60 min of work-related MVPA. Results When work-related MVPA exceeded 60 min/day, flexibility activity or walking for ≥5 days/week (B = -3.53, 95% CI = -5.96, -1.11; B = -2.53, 95% CI = -4.90, -0.16) and muscle-strengthening activity 1-3 times/week (B = -3.52, 95% CI = -6.91, -0.12) were significantly associated with lower psychological stress response. Flexibility activity (B = -1.74, 95% CI = -3.01, -0.46) showed a similar link with physical stress response. When work-related MVPA was below 60 min/day, flexibility activity (B = -3.23, 95% CI = -6.01, -0.44; B = -3.29, 95% CI = -5.94, -0.63) or walking (B = -4.03, 95% CI = -6.62, -1.45; B = -3.10, 95% CI = -5.76, -0.44) practice 1-4 times/week and ≥5 times/week was significantly associated with lower psychological stress response. Conclusion Exercise-based PA greatly and consistently associates with a lower level of stress responses moderated by work-related MVPA.
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Affiliation(s)
- Takafumi Abe
- Center for Community-Based Healthcare Research and Education (CoHRE), Head Office for Research and Academic Information, Shimane University, Shimane, Japan
| | - Kenta Okuyama
- Center for Community-Based Healthcare Research and Education (CoHRE), Head Office for Research and Academic Information, Shimane University, Shimane, Japan
- Center for Primary Health Care Research, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden
| | - Atsushi Motohiro
- Center for Community-Based Healthcare Research and Education (CoHRE), Head Office for Research and Academic Information, Shimane University, Shimane, Japan
- Canvas Inc., Shimane, Japan
| | - Daijo Shiratsuchi
- Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Japan
| | - Minoru Isomura
- Center for Community-Based Healthcare Research and Education (CoHRE), Head Office for Research and Academic Information, Shimane University, Shimane, Japan
- Faculty of Human Sciences, Shimane University, Shimane, Japan
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Schwartz M, Berkowitz J, McCann-Pineo M. Understanding the Role of Empathy and Gender on EMS Clinician Occupational Stress and Mental Health Outcomes. PREHOSP EMERG CARE 2024; 28:635-645. [PMID: 38359401 DOI: 10.1080/10903127.2024.2319139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Accepted: 02/08/2024] [Indexed: 02/17/2024]
Abstract
BACKGROUND Emergency Medical Service (EMS) clinicians experience high levels of occupational stress due to long hours, short staffing, and patient deaths, among other factors. While gender has been partially examined, little is known regarding the role of empathy on occupational stress and mental health (MH) outcomes among EMS clinicians. Therefore, the current study examines the moderating role of empathy and, separately, gender on associations between occupational stress and mental health. METHODS A cross-sectional examination of EMS clinician occupational and personal wellbeing was conducted via an anonymous, electronic survey. Information on clinician demographics, and validated measures of occupational stress, burnout, and MH outcomes were collected. Empathy was assessed using the Toronto Empathy Scale (TEQ). Descriptive/bivariate statistics were conducted for variables of interest. Separate multivariable regression models evaluated associations between occupational stress and mental health outcomes. Empathy and gender were examined as potential moderators using interactions. RESULTS A total of 568 EMS clinicians completed the survey. High levels of mental health difficulties were reported (34.0% anxiety, 29.2% depression, 48.6% burnout). Increased occupational stress was associated with increased anxiety (OR =1.08, 95% CI 1.05-1.10), depression (OR = 1.09, 95% CI 1.06-1.10), and burnout (OR = 1.10, 95% CI 1.07-1.12). No moderation analyses were significant. Greater resilience was associated with lower depression, anxiety, and burnout. CONCLUSION EMS clinicians, much like other first responders, experience considerable occupational stress, of which is associated with mental health difficulties and burnout. Findings underscore the need for intervention programs aimed at reducing the impact of occupational stress and the promotion of resilience. Continuing to understand the full scope of EMS mental health, including the role of resilience, is imperative, particularly in light of future public emergencies.
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Affiliation(s)
| | - Jonathan Berkowitz
- Northwell, New Hyde Park, New York, USA
- Department of Emergency Medicine, Northshore University Hospital, Manhasset, New York, USA
- Department of Emergency Medicine, Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA
| | - Molly McCann-Pineo
- Northwell, New Hyde Park, New York, USA
- Department of Emergency Medicine, Northshore University Hospital, Manhasset, New York, USA
- Department of Emergency Medicine, Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA
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Saiki M, Matthews TA, Kawakami N, Robbins W, Li J. Formulations of Job Strain and Psychological Distress: A Four-year Longitudinal Study in Japan. Saf Health Work 2024; 15:59-65. [PMID: 38496287 PMCID: PMC10944203 DOI: 10.1016/j.shaw.2024.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Revised: 12/12/2023] [Accepted: 01/08/2024] [Indexed: 03/19/2024] Open
Abstract
Background Different job strain formulations based on the Job Demand-Control model have been developed. This study evaluated longitudinal associations between job strain and psychological distress and whether associations were influenced by six formulations of job strain, including quadrant (original and simplified), subtraction, quotient, logarithm quotient, and quartile based on quotient, in randomly selected Japanese workers. Methods Data were from waves I and II of the Survey of Midlife in Japan (MIDJA), with a 4-year follow-up period. The study sample consisted of 412 participants working at baseline and had complete data on variables of interest. Associations between job strain at baseline and psychological distress at follow-up were assessed via multivariable linear regression, and results were expressed as β coefficients and 95% confidence intervals including R2 and Akaike information criterion (AIC) evaluation. Results Crude models revealed that job strain formulations explained 6.93-10.30% of variance. The AIC ranged from 1475.87 to 1489.12. After accounting for sociodemographic and behavioral factors and psychological distress at baseline, fully-adjusted models indicated significant associations between all job strain formulations at baseline and psychological distress at follow-up: original quadrant (β: 1.16, 95% CI: 0.12, 2.21), simplified quadrant (β: 1.01, 95% CI: 0.18, 1.85), subtraction (β: 0.39, 95% CI: 0.09, 0.70), quotient (β: 0.37, 95% CI: 0.08, 0.67), logarithm quotient (β: 0.42, 95% CI: 0.12, 0.72), and quartile based on quotient (β: 1.22, 95% CI: 0.36, 2.08). Conclusion Six job strain formulations showed robust predictive power regarding psychological distress over 4 years among Japanese workers.
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Affiliation(s)
- Mayumi Saiki
- School of Nursing, University of California, Los Angeles, Los Angeles, United States
| | - Timothy A. Matthews
- Department of Environmental Health Sciences, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, United States
- Department of Environmental & Occupational Health, College of Health & Human Development, California State University, Northridge, Northridge, United States
| | - Norito Kawakami
- Department of Digital Mental Health, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
| | - Wendie Robbins
- School of Nursing, University of California, Los Angeles, Los Angeles, United States
- Department of Environmental Health Sciences, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, United States
| | - Jian Li
- School of Nursing, University of California, Los Angeles, Los Angeles, United States
- Department of Environmental Health Sciences, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, United States
- Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Bangkok, Thailand
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Nkyi AK, Baaba B. Coping, health anxiety, and stress among health professionals during Covid-19, Cape Coast, Ghana. PLoS One 2024; 19:e0296720. [PMID: 38285712 PMCID: PMC10824413 DOI: 10.1371/journal.pone.0296720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 12/15/2023] [Indexed: 01/31/2024] Open
Abstract
The aim of this study is to investigate coping strategies, health anxiety and stress among healthcare professionals in selected hospitals in the Cape Coast Metropolis during the Covid 19 pandemic. This study adopted the Descriptive survey design. The Multistage sampling technique was used to select 322 health professionals. The health professionals included Medical Officers, Physician Assistants and Nurses. Data were gathered using the Health Anxiety Inventory (HAI-SF), Perceived Stress Scale (PSS), and the Brief-COPE Inventory. Analyses were conducted using mean and standard deviation, ANOVA as well as Independent Samples t-test. Results indicate that Health professionals adopted diverse coping strategies ranging from positive to negative coping style to overcome the negative impact of the COVID-19 pandemic. Results also indicate that coping strategies significantly influenced health anxiety levels of health professionals, and that Active Coping is a significant determinant of stress among health professionals. Male health professionals had significantly more health anxiety than females. However, gender was not a significant factor in the experiences of stress. Lastly, age of health professionals does not determine the type of coping strategy they adopted during the pandemic.
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Affiliation(s)
- Anthony K. Nkyi
- Department of Guidance and Counselling, College of Education Studies, University of Cape Coast, Cape Coast, Ghana
| | - Bridgette Baaba
- Counselling Center, College of Education Studies, University of Cape Coast, Cape Coast, Ghana
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Mao Y, Raju G, Zabidi MA. Association Between Occupational Stress and Sleep Quality: A Systematic Review. Nat Sci Sleep 2023; 15:931-947. [PMID: 38021213 PMCID: PMC10656850 DOI: 10.2147/nss.s431442] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Accepted: 11/07/2023] [Indexed: 12/01/2023] Open
Abstract
Occupational stress and sleep quality are prevalent issues that can impact the physical and mental well-being of adults. An association between occupational stress and sleep quality has been found. However, this association is not entirely the same across different occupational groups. Additionally, variations are present in the research design and instruments employed.This systematic review aims to investigate the association between these two factors and identify gaps and limitations in current research. Articles published between January 1, 2011, and December 31, 2022, were retrieved from the WOS, Scopus, and PubMed databases. Out of 1225 articles, 38 studies met the predetermined inclusion and exclusion criteria and were included in the review. In the study, research designs, samples, instruments, and associations between occupational stress and sleep quality were statistically analyzed.These studies encompassed a diverse range of occupations, including both blue-collar and white-collar workers. Cross-sectional study is the most common research method. The Pittsburgh Sleep Quality Index (PSQI) was the most frequently utilized tool for assessing sleep quality, while there was a wide variety of measurement tools employed to assess occupational stress. The association between occupational stress and sleep quality consistently demonstrated a negative association, although the specific dimensions varied among studies. Moreover, several other factors were identified to have direct or indirect effects on occupational stress and sleep quality. For future research in this field, we propose four recommendations: (1) Consider utilizing objective measures to assess occupational stress and sleep quality. (2) Employ controlled experiments to further validate the causal relationship between occupational stress and sleep quality. (3) Investigate occupational groups that have received less attention. (4) Take into account the potential influence of other factors on occupational stress and sleep quality.
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Affiliation(s)
- Yongchun Mao
- School of Distance Education, Universiti Sains Malaysia, Penang, Malaysia
- School of Arts and Design, Qilu University of Technology (Shandong Academy of Sciences), Jinan, People’s Republic of China
| | - Gunasunderi Raju
- School of Distance Education, Universiti Sains Malaysia, Penang, Malaysia
| | - Muhammad Azrul Zabidi
- Advanced Medical and Dental Institute, Universiti Sains Malaysia, Kepala Batas, Pulau Pinang, 13200, Malaysia
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Alghamdi AA, Alghamdi AH. Determining the Best Approach: Comparing and Contrasting the Impact of Different Coping Strategies on Work-Related Stress and Burnout Among Saudi Commercial Pilots. Cureus 2023; 15:e41948. [PMID: 37588331 PMCID: PMC10426258 DOI: 10.7759/cureus.41948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/16/2023] [Indexed: 08/18/2023] Open
Abstract
Background Many physiological, psychological, and environmental stressors can be experienced by pilots throughout their careers, which may affect their mental and psychological health and their performance consequently. Stressing factors of aviation and commercial operations can result in pilots' burnout, which is a description of the response to chronic emotional exhaustion and loss of motivation. Objective The objective of this study was to determine the prevalence of burnout and compare the effects of different coping strategies on burnout levels among commercial pilots in the Kingdom of Saudi Arabia, 2023 Methods The study was a cross-sectional survey utilizing an online form of a validated questionnaire administered to pilots of Saudi commercial airlines in the Kingdom of Saudi Arabia. The study targeted on-duty Saudi commercial pilots, excluding retired and in-training pilots, with an estimated population of around 2000. A sample size of 311 was determined using an equation considering a 5% margin of error, 95% confidence level, and a 60.3% burnout prevalence rate. Non-probability snowball sampling method was used to achieve sample size. Results A total of 321 pilots were included, mostly Saudis. The participants had a median age of 47, and the majority were married with one to two children. BMI classifications showed high percentages of overweight and obese individuals. The study found that most pilots experienced medium levels of burnout (70.1%). Nationality, marital status, and shorter sleeping duration were significantly associated with higher burnout levels. Common challenges included long duties (79.4%), irregular working hours (72.3%), and time away from home (55.5%). Coping strategies included rest and sleep (81%), exercise (59.2%), and relaxation behaviors (50.5%). Stressors such as long duties, irregular working hours, and work conflicts were significantly associated with higher burnout levels. However, no significant associations were found between coping strategies and burnout levels. Conclusion The study found that most pilots experienced medium levels of burnout. In addition, common challenges included long duties, irregular working hours, and time away from home. The study emphasizes the need to address work-related stressors, implement interventions, and support pilots' mental health. Promoting healthy coping strategies and understanding individual resilience is important. Further research and organizational efforts are required to mitigate burnout and enhance the quality of life for aviation professionals, benefiting both individuals and the industry.
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Affiliation(s)
- Abdullmajeed A Alghamdi
- Medical Directorate, Saudi Royal Land Forces, Riyadh, SAU
- Preventive Medicine Postgraduate Program, Ministry of Health, Jeddah, SAU
| | - Amal H Alghamdi
- Preventive Medicine Postgraduate Program, Ministry of Health, Jeddah, SAU
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Alzahrani MA, Alamri HA, Alshehri MA, Ayyashi MM, Alqarni SA, Alshehri SH, Alshehri MS, Alqahtani MM, Alasmari NH, Alsabban AM, Alshahrani AS. Assessing the relationship between burnout syndrome and irritable bowel syndrome among medical health providers and medical students in Saudi Arabia. J Med Life 2023; 16:277-283. [PMID: 36937468 PMCID: PMC10015567 DOI: 10.25122/jml-2022-0242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2022] [Accepted: 01/29/2023] [Indexed: 03/21/2023] Open
Abstract
Burnout syndrome, characterized by chronic unmanageable workplace stress, has been linked to lower gastrointestinal disorders, including irritable bowel syndrome. However, the relationship between burnout syndrome and irritable bowel syndrome among medical health providers and medical students in Saudi Arabia has not been fully explored. This cross-sectional correlational study was conducted in Southern Saudi Arabia from 2021 to 2022 and involved 931 medical health providers and medical students who completed an electronic questionnaire. The study assessed the presence and severity of burnout and irritable bowel syndrome and examined their relationship. Burnout syndrome was evaluated using the Maslach Burnout Inventory-Student Survey (MBI-SS), while irritable bowel syndrome criteria and severity were assessed using validated tools. The study found that 85% of medical health providers and medical students experienced high levels of burnout and irritable bowel syndrome severity, with physicians and nurses mainly affected. Occupational exhaustion was high in 44.4% of participants, while depersonalization was high in 53% of participants. Personal accomplishment was low in 73.5% of participants. Mild, moderate, and severe irritable bowel syndrome was reported in 25.6%, 23.8%, and 12% of participants, respectively. The study highlights a significant association between burnout syndrome and irritable bowel syndrome severity among medical health providers and medical students in Saudi Arabia. These findings underscore the importance of developing effective interventions to prevent and manage burnout syndrome and related health issues among healthcare professionals and medical students in the region.
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Affiliation(s)
- Mohammed Attieh Alzahrani
- Internal Medicine, College of Medicine, King Khalid University, Abha, Saudi Arabia
- Gastroenterology Department, Assir Central Hospital, Abha, Saudi Arabia
| | | | | | | | - Saeed Ali Alqarni
- Department of Medicine, College of Medicine, King Khalid University, Abha, Saudi, Arabia
| | - Salem Hassan Alshehri
- Department of Medicine, College of Medicine, King Khalid University, Abha, Saudi, Arabia
| | | | - Majed Musfer Alqahtani
- Department of Medicine, College of Medicine, King Khalid University, Abha, Saudi, Arabia
| | - Nader Hasan Alasmari
- Department of Medicine, College of Medicine, King Khalid University, Abha, Saudi, Arabia
| | | | - Abdulaziz Saad Alshahrani
- Internal Medicine, College of Medicine, Najran University, Saudi Arabia
- Department of Medicine, King Khalid Hospital, Najran, Saudi Arabia
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11
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Lenger M, Maget A, Dalkner N, Lang JN, Fellendorf FT, Ratzenhofer M, Schönthaler E, Fleischmann E, Birner A, Bengesser SA, Queissner R, Platzer M, Tmava-Berisha A, Trojak RM, Reininghaus EZ. Feeling Informed and Safe Are Important Factors in the Psychosomatic Health of Frontline Workers in the Health Sector during the COVID-19 Pandemic in Austria. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1533. [PMID: 36674287 PMCID: PMC9862596 DOI: 10.3390/ijerph20021533] [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: 11/05/2022] [Revised: 12/30/2022] [Accepted: 12/30/2022] [Indexed: 06/17/2023]
Abstract
The global spread of the coronavirus disease (COVID-19) has created new challenges for the entire healthcare system, and those who work directly with the patients or even on the front lines with COVID-19 patients have been particularly stressed. Only a few studies are currently available investigating psychosomatic symptoms among healthcare workers, particularly frontline workers, over the entire pandemic period (2020-2022). There is also a lack of knowledge about strategies to prevent stress during and after a health crisis. METHODS An online survey was conducted at three times (April 2020, winter 2020/2021, and winter 2021/2022) during the COVID-19 pandemic in Austria. The sample included 160 healthcare workers at screening time 1, 1.361 healthcare workers at screening time 2, and 1.134 healthcare workers at screening time 3. The survey included COVID-19 work-related fears, satisfaction with the frontline work, and standardized inventories to assess psychosomatic symptoms, such as the Patient Health Questionnaire (PHQ-D). RESULTS Psychosomatic symptoms were more common among women compared to men, and among frontline workers compared to non-frontline workers, especially during the course of the pandemic at t2 and t3. Self-reported scores of COVID-19 work-related fears were significantly associated with psychosomatic symptoms. Furthermore, in frontline workers, there was a significant association between the feeling of being safe and well-informed and psychosomatic symptoms. CONCLUSION COVID-19 work-related fears and psychosomatic symptoms have been prevalent among healthcare workers throughout the pandemic. Feeling safe and informed appears to be essential to prevent psychosomatic symptoms, leading to a recommendation for employers in the healthcare sector to focus on communication and information. As frontline workers are especially prone to psychosomatic symptoms, more stress prevention programs for them will be essential to maintain productivity and reduce sick days and fluctuations in the healthcare system.
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Affiliation(s)
| | - Alexander Maget
- Clinical Department of Psychiatry and Psychotherapeutic Medicine, Medical University Graz, 8036 Graz, Austria
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12
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Igu NCN, Ogba FN, Eze UN, Binuomote MO, Elom CO, Nwinyinya E, Ugwu JI, Ekeh DO. Effectiveness of cognitive behavioral therapy with yoga in reducing job stress among university lecturers. Front Psychol 2023; 13:950969. [PMID: 36687866 PMCID: PMC9849775 DOI: 10.3389/fpsyg.2022.950969] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 11/29/2022] [Indexed: 01/07/2023] Open
Abstract
Introduction Job stress is highly prevalent in the workforce worldwide, and tends to threaten employees' physical and mental wellbeing, reducing organizational outcomes. The negative impacts of workplace stress on academics have been found to disproportionately interfere with both institutional research productivity and students' learning outcomes. This study analyzed data from a randomized control trial, to validate the effectiveness of cognitive behavioral therapy combined with yoga in treating job-related stress among lecturers from two Universities in South-East, Nigeria. Methods Participants included 93 academic staff members from two Federal Universities in Enugu and Ebonyi States in Nigeria. We assigned participants to Y-CBT (N = 46) and waitlist control (N = 47) groups using random sampling techniques. A 2-h Y-CBT program was delivered weekly for a period of 12 weeks. Two instruments were used to collect data for the study. Single Item Stress Questionnaire (SISQ) was employed to identify the potential participants, while the teachers' Stress Inventory (TSI) was served for data collection at baseline, post-intervention, and follow-up tests. Mean, standard deviations, t-test, statistics, and repeated measures Analysis of Variance, were used to analyze data for the study. Results Results revealed that the perception of stressors and stress symptoms reduced significantly at post-test and follow-up assessments following Y-CBT intervention. Discussion and conclusion The outcomes of this study support the prior that Y-CBT is valuable for harmonizing mind and body for a stable psychological state. The conclusion was that Y-CBT can minimize the perception of stressors and stress manifestation among university lecturers.
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Affiliation(s)
- Ntasiobi C. N. Igu
- Department of Educational Administration, Alex Ekwueme Federal University Ndufu-Alike, Abakaliki, Nigeria
| | - Francisca N. Ogba
- Department of Educational Administration, Alex Ekwueme Federal University Ndufu-Alike, Abakaliki, Nigeria
| | - Uchenna N. Eze
- Department of Educational Foundations, Faculty of Education, University of Nigeria Nsukka, Nsukka, Nigeria
| | - Michael O. Binuomote
- Department of Technical and Vocational Education, Alex Ekwueme Federal University Ndufu-Alike, Abakaliki, Nigeria
| | - Chinyere O. Elom
- Department of Educational Administration, Alex Ekwueme Federal University Ndufu-Alike, Abakaliki, Nigeria
| | - Emeka Nwinyinya
- Department of Educational Administration, Alex Ekwueme Federal University Ndufu-Alike, Abakaliki, Nigeria
| | - Joy I. Ugwu
- Department of Psychology, Faculty of Social Sciences, University of Nigeria, Nsukka, Nigeria
| | - David O. Ekeh
- Department of Educational Administration, Alex Ekwueme Federal University Ndufu-Alike, Abakaliki, Nigeria
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Kotera Y, Young H, Maybury S, Aledeh M. Mediation of Self-Compassion on Pathways from Stress to Psychopathologies among Japanese Workers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191912423. [PMID: 36231737 PMCID: PMC9566548 DOI: 10.3390/ijerph191912423] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Revised: 09/26/2022] [Accepted: 09/27/2022] [Indexed: 05/07/2023]
Abstract
As awareness of mental health increases worldwide, how to improve mental health has begun to be discussed in many countries. Stress is known to cause diverse physical and mental health problems, including psychopathologies. On the other hand, our previous studies identified that self-compassion, kindness and understanding towards oneself are key components for good mental health in many populations, including Japanese workers. The government reports that Japanese workers suffer from high rates of mental health problems. However, the mechanism of how self-compassion helps their mental health remains to be evaluated. Accordingly, this study aimed to elucidate how self-compassion intervenes in pathways from stress to psychopathologies, namely depression and anxiety. One hundred and sixty-five Japanese workers completed an online survey regarding self-compassion, depression, anxiety and stress. Correlation and path analyses were conducted. These four variables were significantly inter-related. While self-compassion mediated the pathway from stress to depression, it did not mediate the pathway from stress to anxiety. These exploratory insights assist in understanding the mechanism of how self-compassion improves mental health and inform effective methods to implement self-compassion interventions to the Japanese workforce.
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Affiliation(s)
- Yasuhiro Kotera
- School of Health Sciences, University of Nottingham, Nottingham NG7 2HA, UK
- Correspondence:
| | - Holly Young
- College of Health, Psychology and Social Care, University of Derby, Derby DE22 1GB, UK
| | - Sarah Maybury
- College of Health, Psychology and Social Care, University of Derby, Derby DE22 1GB, UK
| | - Muhammad Aledeh
- College of Health, Psychology and Social Care, University of Derby, Derby DE22 1GB, UK
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Erin R, Bayoğlu Tekin Y. Psychosocial outcomes of COVID-19 pandemic on healthcare workers in maternity services. J Psychosom Obstet Gynaecol 2022; 43:327-333. [PMID: 34184943 DOI: 10.1080/0167482x.2021.1940944] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
Abstract
AIM We investigated the effects of the COVID-19 outbreak on social support and anxiety levels in healthcare professionals working in maternity services situated in Trabzon, Turkey. MATERIALS AND METHODS Our study was designed retrospectively and observationally. Social support to the participants was measured using a scale called the multidimensional scale of perceived social support (MSPSS). State anxiety scale (STAI TX-1) and trait anxiety scale (STAI TX-2) were used to determine the level of anxiety. All scales were measured before and during the pandemic. Independent t-test and one-way ANOVA were used to analyze the data where p < 0.05 was considered significant. RESULTS The participants' demographic data (n = 96) included the mean age of doctors (n = 30), midwives (n = 34), and nurses (n = 32) which were 41.38 ± 4.16/38.58 ± 1.79/37.34 ± 2.19, respectively. Mean gravida was 1.69 ± 2.87/2.23 ± 0.12/2.31 ± 0.14, respectively. Mean BMI was 24.69 ± 2.87/26.04 ± 0.8/25.69 ± 1.98 in the same order (p > 0.05). The total mean values of the MSPSS, STAI TX-1, STAI TX-2 scales before and during the pandemic were found as 66.55 ± 6.63 - 55.25 ± 4.76, 36.71 ± 10.04 - 50.08 ± 11.65, 37.33 ± 8.09 - 53.32 ± 9.94, respectively. A significant difference was found for the mean of all scales amongst the groups (p < 0.05). CONCLUSION During the COVID-19 pandemic, a significant number of healthcare workers were deprived of social support and their anxiety levels increased.
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Affiliation(s)
- Recep Erin
- Department of Obstetrics and Gynecology, University of Health Sciences, Trabzon Kanuni Health Practice and Research Center, Trabzon, Turkey
| | - Yeşim Bayoğlu Tekin
- Department of Obstetrics and Gynecology, University of Health Sciences, Trabzon Kanuni Health Practice and Research Center, Trabzon, Turkey
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15
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Gálvez Escudero D, Reyes-Bossio M. Stress and Anxiety Reduction Effects of a Reiki Program During the COVID-19 Pandemic Among Employees in Lima, Peru. Holist Nurs Pract 2022; 36:E48-E56. [PMID: 35981119 PMCID: PMC9377362 DOI: 10.1097/hnp.0000000000000545] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Evidence has been found of how the coronavirus disease-2019 (COVID-19) pandemic has increased stress and anxiety indicators. Against this background, the present research aims to determine the effect of a distance Reiki intervention program on stress and anxiety during the period of isolation due to COVID-19 among people working in the city of Lima, Peru. The related hypothesis was that distance Reiki would generate a reduction in stress and anxiety levels. It was a quasiexperimental design with pre- and posttests, with nonprobabilistic purposive sampling. In total, 28 employees participated (12 in the experimental group and 16 in the control group). As part of the method, the following instruments were used: the EPGE, IDARE, and Coronavirus Anxiety Scale (CAS). There was a large decrease in the distress parameter (Cohen's d = 1.006), as well as in the state anxiety parameter (d = 1.678) and a large increase in eustress (d = 0.921). Similarly, there was an overall reduction in the trait anxiety parameter (d = 0.373) in all cases as compared with the control group. Coronavirus anxiety showed no major impact. These results provide initial evidence on the effects of distance Reiki among Peruvians and provide the basis for promoting this cost-effective therapy, generating a practical and social contribution.
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Affiliation(s)
| | - Mario Reyes-Bossio
- Faculty of Psychology, Universidad Peruana de Ciencias Aplicadas, Lima, Peru
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16
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Lakiša S, Matisāne L, Gobiņa I, Orru H, Vanadziņš I. Sickness Presenteeism among Employees Having Workplace Conflicts-Results from Pooled Analyses in Latvia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10525. [PMID: 36078240 PMCID: PMC9517808 DOI: 10.3390/ijerph191710525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Revised: 08/18/2022] [Accepted: 08/20/2022] [Indexed: 06/15/2023]
Abstract
The study's objective was to investigate the associations between workplace conflicts and self-reported sickness presenteeism defined as going to work while being ill. Cross-sectional survey data pooled from four national surveys in years 2006, 2010, 2013 and 2018 with a study sample of 6368 employees (mean age 42.9 years and 52.9% females) were used. Respondents were randomly drawn from different regions and industries; therefore, the sample is representative of the working population of Latvia. The computer-assisted personal interviewing (CAPI) method was used to collect data at respondents' places of residence. The associations between conflicts in the workplace and presenteeism were analyzed by using binomial logistic regression and calculated as odds ratios (ORs) with 95% confidence intervals (CIs) adjusted (aOR) for gender, age, education, and survey year. On average, 11% of respondents reported sickness presenteeism during the last year. The odds of presenteeism significantly increased for all types of workplace conflicts, but most for conflicts with managers (OR = 2.84). The odds of presenteeism doubled for those reporting conflicts with other employees (OR = 2.19) and conflicts with customers (OR = 1.85). The odds of sickness presenteeism were significantly higher if the workplace conflicts occurred often (seven times for conflicts between managers and employees, and four times for conflicts with customers) and with other employees. Presenteeism frequency increased more than three times if respondents had more than two types of conflict at work. The results of this study show that having any type of conflict in the workplace significantly increases the frequency of sickness presenteeism, especially when conflicts are frequent or an employee has more types of conflicts in the workplace. The study results justify the need to implement targeted and effective workplace conflict management measures at the organizational level to decrease sickness presenteeism.
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Affiliation(s)
- Svetlana Lakiša
- Institute for Occupational Safety and Environmental Health, Rīga Stradiņš University, Dzirciema 16, LV-1007 Rīga, Latvia
| | - Linda Matisāne
- Institute for Occupational Safety and Environmental Health, Rīga Stradiņš University, Dzirciema 16, LV-1007 Rīga, Latvia
| | - Inese Gobiņa
- Department of Public Health and Epidemiology, Rīga Stradiņš University, Kronvalda Boulevard 9, LV-1010 Rīga, Latvia
| | - Hans Orru
- Institute of Family Medicine and Public Health, University of Tartu, Ravila 19, 50411 Tartu, Estonia
| | - Ivars Vanadziņš
- Institute for Occupational Safety and Environmental Health, Rīga Stradiņš University, Dzirciema 16, LV-1007 Rīga, Latvia
- Department of Occupational and Environmental Medicine, Rīga Stradiņš University, Dzirciema 16, LV-1007 Rīga, Latvia
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17
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Anim-Sampong S, Ashong GG, Quansah ZH, Botwe BO, Sule D, Bamfo-Quaicoe K, Oblitey JN, Antwi WK, Hewlett VK. Assessment of diagnostic radiographers' knowledge of work-related health problems and associated effects: A multicentre study in Ghana. Radiography (Lond) 2022; 28:1050-1057. [PMID: 35981491 DOI: 10.1016/j.radi.2022.07.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 07/18/2022] [Accepted: 07/20/2022] [Indexed: 10/31/2022]
Abstract
INTRODUCTION Work-related health problems (WRHPs) are health conditions peculiar to a group of people or occupations including radiography in a specific work setting. These WRHPs occur as a result of prevailing work conditions which predispose workers to risks of physical or psychological distress. AIM This study assessed the knowledge of WRHPs among practicing radiographers in Ghana and evaluated the sources, causes, effects and preventive measures of WRHPs. METHODS A prospective cross-sectional design incorporating a quantitative data collection approach was used. A questionnaire was used to assess the knowledge and evaluate the effects of WRHPs among two cohorts of 31 practicing radiographers at a regional hospital (RH) and a teaching hospital (TH). RESULTS An average score of 4.2 (SD = 0.4) out of 5 (84.8%) obtained on the knowledge scale indicated very good knowledge of WRHPs among the radiographers. Physical work demands, ergonomic issues, increased workload and stress levels on on-duty radiographers due to sick absence by colleagues, large numbers of daily cases, and extra work without incentives were reported as WRHPs effects mostly experienced by the radiographers. The study also showed no significant difference between gender groups (p = 0.313), years of professional practice experience level (p = 0.319), and academic qualifications (p = 0.287) on knowledge of WRHPs. CONCLUSION Radiographers working in some referral and teaching hospitals in Ghana demonstrated very good knowledge of WRHPs and identified several effects of WRHPs on professional practice. IMPLICATION FOR PRACTICE The study concludes that WRHPs predispose radiographers to adverse health conditions, and administrative protocols are required to prevent or mitigate the burden.
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Affiliation(s)
- S Anim-Sampong
- Department of Radiography, University of Ghana School of Biomedical and Allied Health Sciences, Box KB 143, Korle Bu, Accra, Ghana.
| | - G G Ashong
- HCARE, School of Healthcare Sciences, Cardiff University, Wales, UK
| | - Z H Quansah
- Department of Radiography, University of Ghana School of Biomedical and Allied Health Sciences, Box KB 143, Korle Bu, Accra, Ghana
| | - B O Botwe
- Department of Radiography, University of Ghana School of Biomedical and Allied Health Sciences, Box KB 143, Korle Bu, Accra, Ghana
| | - D Sule
- Department of Radiography, University of Ghana School of Biomedical and Allied Health Sciences, Box KB 143, Korle Bu, Accra, Ghana
| | - K Bamfo-Quaicoe
- Department of Radiography, University of Ghana School of Biomedical and Allied Health Sciences, Box KB 143, Korle Bu, Accra, Ghana
| | - J N Oblitey
- Department of Radiography, University of Ghana School of Biomedical and Allied Health Sciences, Box KB 143, Korle Bu, Accra, Ghana
| | - W K Antwi
- Department of Radiography, University of Ghana School of Biomedical and Allied Health Sciences, Box KB 143, Korle Bu, Accra, Ghana
| | - V K Hewlett
- Department of Radiography, University of Ghana School of Biomedical and Allied Health Sciences, Box KB 143, Korle Bu, Accra, Ghana
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Tashiro S, Kato K, Kitazawa M, Fujihara K, Kodama S, Tashiro M, Matsuda K, Otsuka M, Sato K, Sone H. Differences in occupational stress by smoking intensity and gender in cross-sectional study of 59 355 Japanese employees using the Brief Job Stress Questionnaire (BJSQ): the Niigata Wellness Study. BMJ Open 2022; 12:e055577. [PMID: 35396288 PMCID: PMC8995962 DOI: 10.1136/bmjopen-2021-055577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVES It has been hypothesised that smoking intensity may be related to occupational stress. This study aimed to investigate whether stress, including problems with superiors or co-workers, is a driver of smoking. DESIGN Cross-sectional study. SETTING AND PARTICIPANTS 59 355 employees (34 865 men and 24 490 women) across multiple occupations who completed a self-reported questionnaire-based occupational stress survey between April 2016 and March 2017 in Niigata Prefecture. MAIN OUTCOME MEASURES Stress scores for the Brief Job Stress Questionnaire subscales summed up after assigning high points for high stress and converted to Z-scores based on the mean of all participants. Heavy smokers (HS) smoked ≥15 cigarettes/day and light smokers (LS) smoked <15 cigarettes/day and were compared with non-smokers (NS) by gender. RESULTS The main subscale items that were significantly associated with smoking status in both genders included 'physical burden', 'irritation' and 'physical symptoms'. In the analysis that included smoking intensity, the stress score for 'co-workers' support' was significantly lower for LS men than NS men (NS 0.091±0.98, LS -0.027±1.00, HS 0.033±0.99), and was significantly higher for HS women than NS women (NS -0.091±1.00, LS -0.080±1.05, HS 0.079±1.03). However, the stress score for 'co-workers' support' was low among LS women aged ≤39 years in the manufacturing industry. CONCLUSIONS It was speculated that LS men and some LS women gained 'co-workers' support' using smoking as a communication tool while reducing the degree of smoking. The existence of such 'social smokers' suggested that to promote smoking cessation, measures are essential to improve the communication between workers in addition to implementing smoking restrictions in the workplace.
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Affiliation(s)
- Shigemi Tashiro
- Faculty of Medicine, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
- Niigata Association of Occupational Health, Niigata, Japan
| | - Kiminori Kato
- Department of Prevention of Noncommunicable Diseases and Promotion of Health Checkup, Graduate School of Medical and Dental sciences, Niigata University, Niigata, Japan
| | - Masaru Kitazawa
- Internal Medicine, Faculty of Medicine, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Kazuya Fujihara
- Internal Medicine, Faculty of Medicine, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
| | - Satoru Kodama
- Department of Prevention of Noncommunicable Diseases and Promotion of Health Checkup, Graduate School of Medical and Dental sciences, Niigata University, Niigata, Japan
| | - Minoru Tashiro
- Niigata Association of Occupational Health, Niigata, Japan
| | | | - Masato Otsuka
- Niigata Association of Occupational Health, Niigata, Japan
| | - Koji Sato
- Niigata Association of Occupational Health, Niigata, Japan
| | - Hirohito Sone
- Internal Medicine, Faculty of Medicine, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan
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Neurodoron® for Stress Impairments: A Prospective, Multicenter Non-Interventional Trial. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2022; 2022:2626645. [PMID: 35251205 PMCID: PMC8896925 DOI: 10.1155/2022/2626645] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Accepted: 01/26/2022] [Indexed: 11/30/2022]
Abstract
Introduction Stress is associated with a multitude of physical and psychological health impairments. To tackle these health disorders, over-the-counter (OTC) products like Neurodoron® are popular since they are considered safe and tolerable. Experience reports and first studies indicate that Neurodoron® is efficient in the treatment of stress-associated health symptoms. To confirm this, a non-interventional study (NIS) with pharmacies was conducted. Methods The NIS was planned to enroll female and male patients who suffered from nervous exhaustion with symptoms caused by acute and/or chronic stress. The main outcome measures were characteristic stress symptoms, stress burden, and perceived stress. Further outcome measures included perceived efficacy and tolerability of the product as assessed by the patients and collection of adverse drug reactions (ADRs). A study duration of about 21 days with a recommended daily dose of 3–4 tablets was set. Results 279 patients were enrolled at 74 German pharmacies. The analyzed set (AS) included 272 patients (mean age 44.8 ± 14.4 years, 73.9% female). 175 patients of the AS completed the NIS. During the study, all stress symptoms declined significantly (total score 18.1 vs. 12.1 (of max. 39 points), p < 0.0001). Furthermore, a reduction of stress burden (relative difference in stress burden, VAS = −29.1%, p < 0.0001) was observed. For most patients, perceived stress was reduced at the study end (PSQ total score decreased in 70.9% of the patients). 75.9% of the study population rated the product efficacy as “good” or “very good” and 96.6% rated its tolerability as “good” or “very good.” One uncritical ADR was reported. Discussion/Conclusion. This study adds information on the beneficial effects of Neurodoron® in self-medication. The results from this NIS showed a marked reduction in stress burden and perceived stress, along with an excellent safety profile of the medicinal product (MP) Neurodoron®. Further trials are required to confirm these results.
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Stress Among Surgeons: Sources and Determinants. Indian J Surg 2022. [DOI: 10.1007/s12262-021-02832-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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21
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"Burnout syndrome and association with work stress in nursing staff in public hospital of the northern border of Mexico". Arch Psychiatr Nurs 2021; 35:571-576. [PMID: 34861947 DOI: 10.1016/j.apnu.2021.07.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Revised: 07/02/2021] [Accepted: 07/03/2021] [Indexed: 12/11/2022]
Abstract
Currently in Mexico, there is a lack of published research assessing nursing burnout in a consistent manner. The pressure of having to provide quality care to low income patients can be a serious factor triggering work stress in the nursing professional. The aim of this study was to establish the connection between burnout, work stress and both demographic and labor factors in nursing staff. A sample of 424 nurses participated in the descriptive and cross-sectional study. Each of the participants answered a questionnaire with two validated instruments, the Maslach Burnout Inventory-Human Services Survey and the Nursing Stress Scale, both in their Spanish version, as well as a demographic and labor survey of the authors' own creation. A bivariate logistic regression analysis was used to determine any significant association between the variables. We found a prevalence of 65.09% in mid-level burnout syndrome among the female sex. Men, on the other hand, featured a high level of emotional exhaustion and depersonalization, whereas the female sex showed significantly lower levels of depersonalization. Most of the staff showed acute stress levels. Some factors found in the potential development of burnout were work shift, position, department and gender.
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22
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Shirali GA, Amiri A, Chanani KT, Silavi M, Mohipoor S, Rashnuodi P. Job stress and resilience in Iranian nurses during the COVID-19 pandemic: A case-control study. Work 2021; 70:1011-1020. [PMID: 34842214 DOI: 10.3233/wor-210476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND The COVID-19 pandemic has created a wide range of sociocultural pressures on nurses. Resilience is defined as one's ability to adapt to an unpredictable situation and it can be a factor in accepting an undesirable psychosocial situation. OBJECTIVE The aim of the present study was to examine resilience in nurses in the face of job stress during the COVID-19 pandemic. METHODS The study was carried out as a case-control study with participation of 400 nurses as the target group (nurses exposed to COVID-19 patients) and the control group (nurses not exposed to COVID-19 patients). To examine resilience and job stress, Conor and Davidson's questionnaire and OSIPOW questionnaire were used respectively. RESULTS The mean scores of job stress and resilience were significantly different between the target and control groups (p < 0.05). So that resilience in the target group was less than that in the control group. In addition, job stress in the target group was higher than that of the control group (p < 0.05). There was a significant and negative correlation between resilience and job stress and the correlation was stronger in the target group (p < 0.05). CONCLUSIONS Given the high job stress score in the participants and its negative correlation with resilience, there is need to provide the health personnel with efficient preventive and treatment approaches, improve and educate the principles of resilience, improve mental health services system, and introduce programs to control some of demographical factors in job stress such as physical activity, and employment status of nurses.
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Affiliation(s)
- Gholam-Abbas Shirali
- Department of Occupational Safety and Health Engineering, Faculty of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Arman Amiri
- Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Khalil Taherzadeh Chanani
- Occupational Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Maryam Silavi
- Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Sanaz Mohipoor
- Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Payam Rashnuodi
- Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
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Akanaeme IN, Ekwealor FN, Ifeluni CN, Onyishi CN, Obikwelu CL, Ohia NC, Obayi LN, Nwaoga CT, Okafor AE, Victor-Aigbodion V, Ejiofor TE, Afiaenyi IC, Ekomaru CI, Dike IC. Managing job stress among teachers of children with autism spectrum disorders: A randomized controlled trial of cognitive behavioral therapy with yoga. Medicine (Baltimore) 2021; 100:e27312. [PMID: 34797272 PMCID: PMC8601364 DOI: 10.1097/md.0000000000027312] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2020] [Accepted: 09/04/2021] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND Job-related stress undermines occupational, personal, and organizational outcomes. Stress symptoms are common among teachers of children with autism spectrum disorders and affect the academic progress of the children. This study investigated the effectiveness of yoga-based cognitive behavioral therapy in reducing occupational stress among teachers of children with autism in Lagos states, Nigeria. METHODS The current study adopted a group-randomized waitlist control (WLC) trial design with pre-test, posttest, and follow-up assessments. Participants included 58 teachers of children with autism in public and private special schools in Lagos state. Participants were randomly assigned to combined cognitive behavioral therapy and yoga (Y-CBT) (N = 29) and WLC (N = 29) groups. The Y-CBT group participated in a 2 hours Y-CBT program weekly for 12 weeks. Three instruments - Demographic Questionnaire, Single-Item Stress Questionnaire, and Teachers' Stress Inventory (TSI) were used to collect data. Data were collected at baseline; posttest and follow-up evaluations. Data were analyzed using means, standard deviations, t test statistics, repeated measures analysis of variance, and bar charts. RESULTS Results revealed that all dimensions of job stress (perception of stress sources, stress manifestation, and total TSI scores) reduced significantly at posttest and follow up assessments among the Y-CBT group, compared to the WLC. CONCLUSION It was concluded that Y-CBT modalities could help to minimize the perception of stress sources and stress manifestation as well as total TSI scores among teachers of children with autism spectrum disorders.
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Affiliation(s)
| | | | - Clara N. Ifeluni
- Department of Educational Foundations, University of Nigeria, Nsukka, Nigeria
| | - Charity N. Onyishi
- Department of Educational Foundations, University of Nigeria, Nsukka, Nigeria
| | - Chizoba L. Obikwelu
- Department of Educational Foundations, University of Nigeria, Nsukka, Nigeria
| | | | | | | | - Agnes E. Okafor
- Department of Social Work, University of Nigeria, Nsukka, Nigeria
| | | | | | | | - Chinyere I. Ekomaru
- Department of Home Economics, Alvan Ikoku Federal College of Education, Owerri, Imo State, Nigeria
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Lee YH. The Roles of Different Appraisals in Anxiety and Emotional Exhaustion: A Case of NCAA Division I Head Coaches. AMERICAN JOURNAL OF PSYCHOLOGY 2021. [DOI: 10.5406/amerjpsyc.134.3.0269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Abstract
The complex and unpredictable nature of sport competitions causes athletic coaches to experience a substantial amount of anxiety, which can be detrimental to their well-being and performance. Therefore, it is important to identify the psychological process of how coaches manage their anxiety. The purpose of this study is to examine the relationships between the four different cognitive appraisals, anxiety, and emotional exhaustion among coaches. To accomplish this objective, 203 head coaches in National Collegiate Athletic Association Division I were recruited to complete an online questionnaire. The findings indicate that the goal incongruence appraisal positively predicts reported anxiety, whereas the coping efficacy appraisal negatively predicts it. Furthermore, reported anxiety is positively associated with subjective ratings of emotional exhaustion. The findings of this study contribute to the understanding of the cognitive appraisal process of emotion by demonstrating how different appraisals are associated with anxiety. Additionally, the finding can help coaches use more effective cognitive appraisals to enhance their emotional experience.
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25
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Alkhudary R, Gardiner P. Stages in project managers’ careers: Learning and growth opportunities. INTERNATIONAL JOURNAL OF PROJECT MANAGEMENT 2021. [DOI: 10.1016/j.ijproman.2021.03.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Ye J. Advancing Mental Health and Psychological Support for Health Care Workers Using Digital Technologies and Platforms. JMIR Form Res 2021; 5:e22075. [PMID: 34106874 PMCID: PMC8274671 DOI: 10.2196/22075] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Revised: 02/02/2021] [Accepted: 04/13/2021] [Indexed: 01/14/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic is a global public health crisis that has not only endangered the lives of patients but also resulted in increased psychological issues among medical professionals, especially frontline health care workers. As the crisis caused by the pandemic shifts from acute to protracted, attention should be paid to the devastating impacts on health care workers' mental health and social well-being. Digital technologies are being harnessed to support the responses to the pandemic, which provide opportunities to advance mental health and psychological support for health care workers. OBJECTIVE The aim of this study is to develop a framework to describe and organize the psychological and mental health issues that health care workers are facing during the COVID-19 pandemic. Based on the framework, this study also proposes interventions from digital health perspectives that health care workers can leverage during and after the pandemic. METHODS The psychological problems and mental health issues that health care workers have encountered during the COVID-19 pandemic were reviewed and analyzed based on the proposed MEET (Mental Health, Environment, Event, and Technology) framework, which also demonstrated the interactions among mental health, digital interventions, and social support. RESULTS Health care workers are facing increased risk of experiencing mental health issues due to the COVID-19 pandemic, including burnout, fear, worry, distress, pressure, anxiety, and depression. These negative emotional stressors may cause psychological problems for health care workers and affect their physical and mental health. Digital technologies and platforms are playing pivotal roles in mitigating psychological issues and providing effective support. The proposed framework enabled a better understanding of how to mitigate the psychological effects during the pandemic, recover from associated experiences, and provide comprehensive institutional and societal infrastructures for the well-being of health care workers. CONCLUSIONS The COVID-19 pandemic presents unprecedented challenges due to its prolonged uncertainty, immediate threat to patient safety, and evolving professional demands. It is urgent to protect the mental health and strengthen the psychological resilience of health care workers. Given that the pandemic is expected to exist for a long time, caring for mental health has become a "new normal" that needs a strengthened multisector collaboration to facilitate support and reduce health disparities. The proposed MEET framework could provide structured guidelines for further studies on how technology interacts with mental and psychological health for different populations.
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Affiliation(s)
- Jiancheng Ye
- Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
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27
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García-Reyna B, Castillo-García GD, Barbosa-Camacho FJ, Cervantes-Cardona GA, Cervantes-Pérez E, Esparza-Estrada I, Brancaccio-Pérez IV, Silva-González G, Fuentes-Orozco C, Pintor-Belmontes KJ, Guzmán-Ramírez BG, Navarro DR, Ibarrola-Peña JC, López VAS, Chejfec-Ciociano JM, Sapién-Fernández JH, González-Ojeda A, Cervantes-Guevara G. Anxiety and COVID-19: Coronavirus Anxiety Scale scores in medical and non-medical personnel in urban hospitals in Guadalajara. A cross-sectional survey study. DEATH STUDIES 2021; 46:581-589. [PMID: 34181508 DOI: 10.1080/07481187.2021.1936297] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
The world is facing the worst health crisis in modern history. In addition to general concerns about the effects of COVID-19 on health, hospital personnel are developing numerous mental health conditions. This cross-sectional survey study evaluated the prevalence and severity of anxiety caused by the COVID-19 pandemic using the Coronavirus Anxiety Scale (CAS) in 2136 hospital employees. For the employees who presented scores ranging from 1-20 (n = 1090, 51%), the CAS mean score was 4.22 (SD = 3.95). The mean score was higher in women than men. By work category, non-clinical hospital personnel presented the highest CAS scores.
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Affiliation(s)
| | | | - Francisco José Barbosa-Camacho
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Guillermo Alonso Cervantes-Cardona
- Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, México
| | - Enrique Cervantes-Pérez
- Departamento de Nutrición Clínica, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Ciudad de México, México
| | - Isaac Esparza-Estrada
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Irma Valeria Brancaccio-Pérez
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Gabriela Silva-González
- Departamento de Odontología para la Preservación de la Salud, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, México
| | - Clotilde Fuentes-Orozco
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Kevin Josue Pintor-Belmontes
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Bertha Georgina Guzmán-Ramírez
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Dinorah Rodríguez Navarro
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Juan Carlos Ibarrola-Peña
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Veronica Alexandra Sánchez López
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Jonathan Matias Chejfec-Ciociano
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - José Héctor Sapién-Fernández
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Alejandro González-Ojeda
- Unidad de Investigación Biomédica 02, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México
| | - Gabino Cervantes-Guevara
- Centro Universitario del Norte, Universidad de Guadalajara, Colotlan, Mexico
- Hospital Civil de Guadalajara "Fray Antonio Alcalde", Universidad de Guadalajara, Guadalajara, México
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Dike IC, Onyishi CN, Adimora DE, Ugodulunwa CA, Adama GN, Ugwu GC, Eze UN, Eze A, Ogba FN, Obiwluozo PE, Onu JC, Onu AO, Omenma ZO, Nwaeze VC, Ani C, Ngwu CN, Uzodinma UE, Iremeka FU. Yoga complemented cognitive behavioral therapy on job burnout among teachers of children with autism spectrum disorders. Medicine (Baltimore) 2021; 100:e25801. [PMID: 34087823 PMCID: PMC8183729 DOI: 10.1097/md.0000000000025801] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Revised: 10/26/2020] [Accepted: 04/15/2021] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND/OBJECTIVE Job burnout is a syndrome of reaction to chronic job-related stress which affects overall health, limits occupational efficacy, and personal accomplishments of employees thereby thwarting organizational outcomes. Burnout symptoms are common among teachers of children with autism spectrum disorders (ASD) and affect the academic progress of the children. This study investigated the effectiveness of Yoga-based cognitive behavioral therapy (Y-CBT) in reducing occupational burnout among teachers of children with autism in Lagos States, Nigeria. METHODS A group-randomized control-trial with immediate intervention and waitlist control groups was design was adopted. Participants included 58 teachers of children with autism in public and private special schools in the area. Participants were randomly assigned to Y-CBT (N = 29) and waitlist control (N = 29) groups. The Y-CBT group participated in a 2 hours Y-CBT program weekly for 12 weeks. Three instruments Demographic variable, Single Item Stress Questionnaire (SISQ), and Maslach Burnout Inventory-Educators' Survey (MBI-ES) were used to collect data. Data were collected at baseline; post-test and follow-up evaluations. Data were analyzed using means, standard deviations, t test statistics, repeated measures analysis of variance, and bar charts. RESULTS Results revealed that job-burnout reduced significantly at post-test assessment among the Y-CBT group compared to the waitlisted group. The reduction in the participant was sustained across 3months follow-up evaluation. CONCLUSION It was concluded that Y-CBT modalities could help to reduce the burnout symptoms among teachers of children with ASD.
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Affiliation(s)
- Ibiwari C. Dike
- Department of Educational Foundations, University of Nigeria, Nsukka, Nigeria
| | - Charity N. Onyishi
- Department of Educational Foundations, University of Nigeria, Nsukka, Nigeria
- Department of Educational Psychology, University of Johannesburg, South-Africa
| | - Dorothy E. Adimora
- Department of Educational Foundations, University of Nigeria, Nsukka, Nigeria
| | - Christiana A. Ugodulunwa
- Department of Educational Foundations, Alex Ekwueme Federal University, Ndufu Alike Ikwo Ebonyi State
| | - Grace N. Adama
- Department of Educational Foundations, University of Nigeria, Nsukka, Nigeria
| | - Gloria C. Ugwu
- Department of Educational Foundations, University of Nigeria, Nsukka, Nigeria
| | - Uchenna N. Eze
- Department of Educational Foundations, University of Nigeria, Nsukka, Nigeria
| | - Angela Eze
- Department of Educational Foundations, Alex Ekwueme Federal University, Ndufu Alike Ikwo Ebonyi State
| | - Francisca N. Ogba
- Department of Educational Foundations, Alex Ekwueme Federal University, Ndufu Alike Ikwo Ebonyi State
| | | | | | | | | | | | - Casimir Ani
- Department of Philisophy, University of Nigeria
| | | | - Uchenna E. Uzodinma
- Department of Educational Foundations, University of Nigeria, Nsukka, Nigeria
| | - Felicia U. Iremeka
- Department of Educational Foundations, University of Nigeria, Nsukka, Nigeria
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Demerdash HM, Omar E, Arida E. Evaluation of copeptin and psychological stress among healthcare providers during COVID-19 pandemic. EGYPTIAN JOURNAL OF ANAESTHESIA 2021. [DOI: 10.1080/11101849.2021.1925442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Affiliation(s)
- Hala M Demerdash
- Department of Clinical Pathology, Alexandria University Hospitals, Alexandria University, Alexandria, Egypt
| | - Eman Omar
- Anaesthesia and Intensive Care, Faculty of Medicine, Alexandria University, Alexandria, Egypt
| | - Emad Arida
- Anaesthesia and Intensive Care, Faculty of Medicine, Alexandria University, Alexandria, Egypt
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30
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Obbarius N, Fischer F, Liegl G, Obbarius A, Rose M. A Modified Version of the Transactional Stress Concept According to Lazarus and Folkman Was Confirmed in a Psychosomatic Inpatient Sample. Front Psychol 2021; 12:584333. [PMID: 33746820 PMCID: PMC7973375 DOI: 10.3389/fpsyg.2021.584333] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Accepted: 01/29/2021] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Stress is a major risk factor for the impairment of psychological well-being. The present study aimed to evaluate the empirical evidence of the Transactional Stress Model proposed by Lazarus and Folkman in patients with psychosomatic health conditions. METHODS A structural equation model was applied in two separate subsamples of inpatients from the Department of Psychosomatic Medicine (total n = 2,216) for consecutive model building (sample 1, n = 1,129) and confirmatory analyses (sample 2, n = 1,087) using self-reported health status information about perceived stress, personal resources, coping mechanisms, stress response, and psychological well-being. RESULTS The initial model was created to reflect the theoretical assumptions by Lazarus and Folkman about their transactional stress concept. This model was modified until a sufficient model fit was reached (sample 1: CFI = 0.904, TLI = 0.898, RMSEA = 0.072 [0.071-0.074], SRMR = 0.061). The modified model was confirmed in a second sample (sample 2: CFI = 0.932, TLI = 0.928, RMSEA = 0.066 [0.065-0.068], SRMR = 0.052). Perceived external stressors and personal resources explained 91% of the variance of the stress response, which was closely related to symptoms of depression (63% variance explained). The attenuating effect of resources on stress response was higher (standardized β = -0.73, p < 0.001) than the impact of perceived stressors on stress response (standardized β = 0.34, p < 0.001). CONCLUSION The empirical data largely confirmed the theoretical assumption of the Transactional Stress Model, which was first presented by Lazarus and Folkman, in patients with a wide range of psychosomatic conditions. However, data analyses were solely based on self-reported health status. Thus, proposed inner psychological mechanisms such as the appraisal process could not be included in this empirical validation. The operationalization and understanding of coping processes should be further improved.
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Affiliation(s)
- Nina Obbarius
- Department of Psychosomatic Medicine, Center for Internal Medicine and Dermatology, Charité – Universitätsmedizin Berlin, Berlin, Germany
| | - Felix Fischer
- Department of Psychosomatic Medicine, Center for Internal Medicine and Dermatology, Charité – Universitätsmedizin Berlin, Berlin, Germany
| | - Gregor Liegl
- Department of Psychosomatic Medicine, Center for Internal Medicine and Dermatology, Charité – Universitätsmedizin Berlin, Berlin, Germany
| | - Alexander Obbarius
- Department of Psychosomatic Medicine, Center for Internal Medicine and Dermatology, Charité – Universitätsmedizin Berlin, Berlin, Germany
- Dornsife Center for Self-Report Science, University of Southern California, Los Angeles, CA, United States
| | - Matthias Rose
- Department of Psychosomatic Medicine, Center for Internal Medicine and Dermatology, Charité – Universitätsmedizin Berlin, Berlin, Germany
- Department of Quantitative Health Sciences, Outcomes Measurement Science, University of Massachusetts Medical School, Worcester, MA, United States
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31
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Setiawan HW, Pratiwi IN, Nimah L, Pawanis Z, Bakhtiar A, Fauzinigtyas R, Ramoo V. Challenges for Healthcare Workers Caring for COVID-19 Patients in Indonesia: A Qualitative Study. INQUIRY : A JOURNAL OF MEDICAL CARE ORGANIZATION, PROVISION AND FINANCING 2021; 58:469580211060291. [PMID: 34879719 PMCID: PMC8842306 DOI: 10.1177/00469580211060291] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
COVID-19 pandemic raises various challenges faced by health workers in hospitals. This study explored strategies for overcoming challenges in caring for COVID-19 patients at hospitals in Indonesia based on healthcare workers' experience. In-depth interviews were employed with 28 healthcare workers (physicians and nurses) who were purposively sampled. Data were collected via phone and analysed using the Colaizzi method. Five following challenges were found: difficulties in working with personal protective equipment (PPE), offline training for handling Covid and using PPE not being implemented evenly for all health workers, physical and psychological fatigue, difficulties in carrying out health education and assessment towards patients and families, and limited resources to cope with the COVID-19 pandemic. Meanwhile, some barriers require support from the government, public and hospital managers. The information gained from research on the strategies for caring for COVID-19 patients can contribute to better preparedness for hospitals and health workers facing the COVID-19 pandemic.
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Affiliation(s)
- Herley Windo Setiawan
- Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.,Airlangga University Hospital, Universitas Airlangga, Indonesia
| | - Ika Nur Pratiwi
- Department of Fundamental Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, East Java, Indonesia
| | - Lailatun Nimah
- Department of Fundamental Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, East Java, Indonesia
| | | | - Arief Bakhtiar
- Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.,Airlangga University Hospital, Universitas Airlangga, Indonesia
| | - Rista Fauzinigtyas
- Department of Fundamental Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, East Java, Indonesia
| | - Vimala Ramoo
- Faculty of Medicine, University of Malaya, Kuala Lumpur', Malaysia
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Salari N, Khazaie H, Hosseinian-Far A, Khaledi-Paveh B, Kazeminia M, Mohammadi M, Shohaimi S, Daneshkhah A, Eskandari S. The prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients: a systematic review and meta-regression. HUMAN RESOURCES FOR HEALTH 2020; 18:100. [PMID: 33334335 PMCID: PMC7745176 DOI: 10.1186/s12960-020-00544-1] [Citation(s) in RCA: 245] [Impact Index Per Article: 61.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2020] [Accepted: 12/08/2020] [Indexed: 05/03/2023]
Abstract
BACKGROUND Stress, anxiety, and depression are some of the most important research and practice challenges for psychologists, psychiatrists, and behavioral scientists. Due to the importance of issue and the lack of general statistics on these disorders among the Hospital staff treating the COVID-19 patients, this study aims to systematically review and determine the prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients. METHODS In this research work, the systematic review, meta-analysis and meta-regression approaches are used to approximate the prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients. The keywords of prevalence, anxiety, stress, depression, psychopathy, mental illness, mental disorder, doctor, physician, nurse, hospital staff, 2019-nCoV, COVID-19, SARS-CoV-2 and Coronaviruses were used for searching the SID, MagIran, IranMedex, IranDoc, ScienceDirect, Embase, Scopus, PubMed, Web of Science (ISI) and Google Scholar databases. The search process was conducted in December 2019 to June 2020. In order to amalgamate and analyze the reported results within the collected studies, the random effects model is used. The heterogeneity of the studies is assessed using the I2 index. Lastly, the data analysis is performed within the Comprehensive Meta-Analysis software. RESULTS Of the 29 studies with a total sample size of 22,380, 21 papers have reported the prevalence of depression, 23 have reported the prevalence of anxiety, and 9 studies have reported the prevalence of stress. The prevalence of depression is 24.3% (18% CI 18.2-31.6%), the prevalence of anxiety is 25.8% (95% CI 20.5-31.9%), and the prevalence of stress is 45% (95% CI 24.3-67.5%) among the hospitals' Hospital staff caring for the COVID-19 patients. According to the results of meta-regression analysis, with increasing the sample size, the prevalence of depression and anxiety decreased, and this was statistically significant (P < 0.05), however, the prevalence of stress increased with increasing the sample size, yet this was not statistically significant (P = 0.829). CONCLUSION The results of this study clearly demonstrate that the prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients is high. Therefore, the health policy-makers should take measures to control and prevent mental disorders in the Hospital staff.
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Affiliation(s)
- Nader Salari
- Department of Biostatistics, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
- Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Habibolah Khazaie
- Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Amin Hosseinian-Far
- Department of Business Systems & Operations, University of Northampton, Northampton, UK
| | - Behnam Khaledi-Paveh
- Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mohsen Kazeminia
- Department of Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Masoud Mohammadi
- Department of Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Shamarina Shohaimi
- Department of Biology, Faculty of Science, University Putra Malaysia, Serdang, Selangor Malaysia
| | - Alireza Daneshkhah
- School of Computing, Electronics and Maths, Coventry University, London, UK
| | - Soudabeh Eskandari
- Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
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Huang L, Lei W, Liu H, Hang R, Tao X, Zhan Y. Nurses' Sleep Quality of "Fangcang" Hospital in China during the COVID-19 Pandemic. Int J Ment Health Addict 2020; 20:789-799. [PMID: 33132787 PMCID: PMC7587162 DOI: 10.1007/s11469-020-00404-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/19/2020] [Indexed: 12/22/2022] Open
Affiliation(s)
- Long Huang
- School of Psychology, Jiangxi Normal University, Nanchang, People’s Republic of China
- School of Humanities and Management, Wannan Medical College, Wuhu, People’s Republic of China
| | - Wansheng Lei
- School of Psychology, Jiangxi Normal University, Nanchang, People’s Republic of China
| | - Huan Liu
- Department of Nursing, The First Affiliated Hospital of Wannan Medical College, Wuhu, People’s Republic of China
| | - Ronghua Hang
- School of Humanities and Management, Wannan Medical College, Wuhu, People’s Republic of China
| | - Xiubin Tao
- Department of Nursing, The First Affiliated Hospital of Wannan Medical College, Wuhu, People’s Republic of China
| | - Yuxin Zhan
- Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China
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Cieślak I, Kielan A, Olejniczak D, Panczyk M, Jaworski M, Gałązkowski R, Pękala JR, Iwanow L, Zarzeka A, Gotlib J, Mikos M. Stress at work: The case of municipal police officers. Work 2020; 65:145-152. [PMID: 31868721 PMCID: PMC7029323 DOI: 10.3233/wor-193067] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Abstract
INTRODUCTION AND OBJECTIVE: Occupational stress-related factors among working municipal police officers in Poland have not been examined in the literature. The purpose of the paper was to evaluate the impact of selected work-related factors on occupational stress in active municipal police officers in Warsaw by using configural frequency analysis (CFA). MATERIALS AND METHODS: A cross-sectional study was conducted among 578 participants, which accounted for 55.1% of all municipal police officers in Warsaw. The majority of study participants were men (72%) (mean age 43 years old). Two groups of workplace-related stress factors were analysed in the study: physical conditions and organisational working conditions causing stress. The study was carried out using the PAPI method (Paper-and-Pencil Interviewing), based on a proprietary questionnaire developed for the study. CFA searches for templates and patterns in contingency tables. RESULTS: Municipal police officers who claimed that stress did not affect health, took advantage of psychological/psychiatric advice less often than those who thought so (1.7% vs 10.1%; χ2 = 20.152, df = 2, P = 0.000). Those who declared that they often experienced stress at work were also more prone to claiming that one or two factors affected their level of stress: physical abuse, contact with infectious materials, working at uncomfortable temperatures or working in a noisy environment. In the opinion of the study population, there were some factors which contributed to the occurrence of stress at work, and these factors included: working in a hurry, lack of necessary resources, devices and materials at work, the need to be available at all times and the unpredictability of the work. The municipal police officers from the study population combined two or three methods to cope with stress, such as watching TV, surfing the Internet and talking with their families. CONCLUSION: Due to the specificity of a municipal police officer’s occupation, special attention should be paid to the occupational stress risk factors characteristic for this group of professionals, and measures should be taken to reduce the number of stressors. It is important to organise training events devoted to effective methods of coping with stress. There is need to carry out more in-depth studies of occupational stress among municipal police officers.
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Affiliation(s)
- Ilona Cieślak
- Division of Education and Research in Health Science, Faculty of Health Science, Medical University of Warsaw, Warsaw, Poland
| | - Aleksandra Kielan
- Division of Public Health, Faculty of Health Science, Medical University of Warsaw, Warsaw, Poland
| | - Dominik Olejniczak
- Division of Public Health, Faculty of Health Science, Medical University of Warsaw, Warsaw, Poland
| | - Mariusz Panczyk
- Division of Education and Research in Health Science, Faculty of Health Science, Medical University of Warsaw, Warsaw, Poland
| | - Mariusz Jaworski
- Division of Education and Research in Health Science, Faculty of Health Science, Medical University of Warsaw, Warsaw, Poland
| | - Robert Gałązkowski
- Department of Emergency Medical Services, Faculty of Health Science, Medical University of Warsaw, Warsaw, Poland.,Polish Medical Air Rescue, Warsaw, Poland
| | - Jakub R Pękala
- Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
| | - Lucyna Iwanow
- Division of Education and Research in Health Science, Faculty of Health Science, Medical University of Warsaw, Warsaw, Poland
| | - Aleksander Zarzeka
- Division of Education and Research in Health Science, Faculty of Health Science, Medical University of Warsaw, Warsaw, Poland
| | - Joanna Gotlib
- Division of Education and Research in Health Science, Faculty of Health Science, Medical University of Warsaw, Warsaw, Poland
| | - Marcin Mikos
- Andrzej Frycz Modrzewski Krakow University, Kraków, Poland
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Occupational Stress and Employees Complete Mental Health: A Cross-Cultural Empirical Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17103629. [PMID: 32455763 PMCID: PMC7277686 DOI: 10.3390/ijerph17103629] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/19/2020] [Revised: 05/13/2020] [Accepted: 05/18/2020] [Indexed: 11/17/2022]
Abstract
Given the shortcomings of previous research on occupational stress and mental health (e.g., predominantly in Western, educated, industrialized, rich and democratic (WEIRD) societies, based on the traditional mental health model and a lack of comparative studies), this study aimed to (a) examine the relationship between occupational stress and complete mental health among employees in Cabo Verde and China, and also explored the mediation and moderation roles of burnout and optimism in accounting for the empirical link. Mental health was defined as comprised of two distinguishable factors: positive and negative mental health. The Pearson correlation test, structural equation modeling (SEM) analysis, bootstrap analysis, hierarchical moderated regression and an independent t-test were used to analyze the data. The results indicated that, in both countries, occupational stress showed a negative relation to positive mental health and lower psychopathology symptoms—and job burnout mediated the relation between occupational stress and mental health. Optimism moderated the relation between occupational stress and burnout, but not the relation between occupational stress and complete mental health. The results are interpreted in light of the comparative framework.
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Lin R, Liang Y, Takahashi M, Eguchi H, Tsutsumi A, Lin S. Effect of implementing an overwork-prevention act on working hours and overwork-related disease: A mediation analysis. J Occup Health 2020; 62:e12148. [PMID: 32720335 PMCID: PMC7385245 DOI: 10.1002/1348-9585.12148] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2020] [Revised: 05/21/2020] [Accepted: 06/19/2020] [Indexed: 11/08/2022] Open
Abstract
OBJECTIVES Overwork has been recognized as a risk factor for cerebrovascular and cardiovascular disease (CCVD). To our best knowledge, Japan is the first country in the world to implement an independent act (the 2014 Act) for the prevention of overwork-related disease, which was promoted through application of preventive measures, such as reductions in working hours. We assessed changes in working hours and overwork-related CCVD before and after introduction of the 2014 Act. METHODS We calculated the overwork-related CCVD incidence rate and average monthly working hours for 10 industry groups in Japan with data from 2012 to 2018. We applied a causal mediation analysis to estimate the total effect of implementing the 2014 Act on the overwork-related CCVD and the effect mediated by working hours. RESULTS An average of 271 for every 48 million employees developed overwork-related CCVD per year. After introducing the 2014 Act, the incidence rate ratio of overwork-related CCVD was 0.881-fold lower (95% CI 0.780-0.995) compared with before the policy change. The 2014 Act contributed to a decrease of 26% (78 cases per year; 95% CI 29-173) of the overwork-related CCVD incidence per year. Approximately 41% (32 cases per year) of this effect could be explained by reduced working hours. CONCLUSIONS Our study highlights the impact of the 2014 Act in Japan on the reduction in working hours, which further contributes to the reduction in overwork-related CCVD. Policymakers should consider adopting our innovative approach to assess the mediation effect underlying the implementation of new policies.
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Affiliation(s)
- Ro‐Ting Lin
- Department of Occupational Safety and Health, College of Public HealthChina Medical UniversityTaichungTaiwan
| | - Ying‐Wen Liang
- Institute of StatisticsNational Chiao Tung UniversityHsinchuTaiwan
| | - Masaya Takahashi
- Research Center for Overwork‐Related DisordersNational Institute of Occupational Safety and HealthKawasakiJapan
| | - Hisashi Eguchi
- Department of Public HealthKitasato University School of MedicineSagamiharaJapan
- Department of Mental HealthInstitute of Industrial Ecological SciencesUniversity of Occupational and Environmental SciencesInstitute of Industrial Ecological SciencesKitakyushuJapan
| | - Akizumi Tsutsumi
- Department of Public HealthKitasato University School of MedicineSagamiharaJapan
| | - Sheng‐Hsuan Lin
- Institute of StatisticsNational Chiao Tung UniversityHsinchuTaiwan
- Institute of Data Science and EngineeringNational Chiao Tung UniversityHsinchuTaiwan
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Jiang T, Li X, Ning L, Liu J. Cross-Sectional Survey of Mental Health Risk Factors and Comparison of the Monoamine oxidase A Gene DNA Methylation Level in Different Mental Health Conditions among Oilfield Workers in Xinjiang, China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 17:ijerph17010149. [PMID: 31878203 PMCID: PMC6982168 DOI: 10.3390/ijerph17010149] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/30/2019] [Revised: 12/17/2019] [Accepted: 12/19/2019] [Indexed: 12/23/2022]
Abstract
The incidence of psychological problems among occupational groups is becoming increasingly more serious, and adverse psychological conditions will seriously affect the working ability of occupational groups and harm the health of their bodies. This study adopted a multi-stage stratified cluster sampling method to conduct a cross-sectional survey on the mental health of 3631 oil workers in Karamay, Xinjiang from March 2017 to June 2018. The mental health status of oil workers was evaluated using the Symptom Checklist-90, and mental health risk factors were evaluated. The correlation between the monoamine oxidase A (MAOA) gene and mental health was analyzed, and the DNA methylation level of the MAOA gene was compared between the normal group and the abnormal group. The results show the incidence of mental health problems among oil workers according to differences in age, nationality, type of work, length of service, professional title, shift work, and marital status. The evaluation of mental health risk factors revealed that shift work, occupational stress, and high payment/low return affect mental health. The somatization scores of different genotypes of rs6323 in the MAOA gene were statistically significant (p < 0.05), suggesting that the somatization scores of different genotypes of rs6323 were different. According to the average rank, the TT genotype group had the highest score, followed by the GT genotype group, and the GG genotype group had the lowest score. The level of DNA methylation in the abnormal group was lower than that in the normal group (p < 0.05). The results suggested that occupational mental health can be enhanced by improving shift work, reducing stress, and balancing effort and reward. This preliminary investigation suggests that methylation status can affect mental health, indicating that methylation level may be a predictor of mental health status.
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Affiliation(s)
| | | | | | - Jiwen Liu
- Correspondence: ; Tel.: +86-99-1436-5004; Fax: +86-21-6408-5875
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Li X, Gao X, Liu J. Cross-Sectional Survey on the Relationship Between Occupational Stress, Hormone Levels, and the Sleep Quality of Oilfield Workers in Xinjiang, China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E3316. [PMID: 31505823 PMCID: PMC6765891 DOI: 10.3390/ijerph16183316] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Revised: 09/02/2019] [Accepted: 09/04/2019] [Indexed: 02/02/2023]
Abstract
The impact of psychosocial factors on health has received increased attention. This study employed a multi-stage hierarchical cluster sampling method and a cross-sectional survey was conducted from March to August 2017. By studying 2116 oilfield workers based in Karamay, Xinjiang, the relationship between occupational stress, blood hormone levels, and sleep was analyzed. Occupational stress was measured using the internationally accepted Occupational Stress Inventory Revised Edition (OSI-R) questionnaire and sleep disorders were measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The study found that the sleep quality of respondents was not high and the incidence of sleep disorders was 36.67%. The higher the level of occupational stress, the higher the incidence of sleep disorders. Irregular shifts can affect sleep quality and individuals with high-level professional titles experience a higher incidence of sleep disorders than those with low-level titles. The total score of the PSQI was different among the low, medium, and high stress groups. The higher the level of stress, the higher the scores of subjective sleep quality, sleep disorder, and daytime dysfunction. The scores of the PSQI, subjective sleep quality, sleep time, sleep disturbance, and daytime dysfunction in the high-stress group were higher than those in the low stress group. A case-control study found that the concentration of glucocorticoids in the sleep disorder positive group was lower than that in the sleep disorder negative group. The results of the regression analysis showed that glucocorticoid is a protective factor for sleep disorders (OR = 0.989, 95% CI: 0.983-0.995), suggesting that the higher the level of glycosaminoglycan, the less likely the subject is to have sleep disorders. For example, in the case of high occupational stress, the interaction between low and moderate occupational stress levels and glucocorticoids is a protective factor for sleep disorders.
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Affiliation(s)
- Xue Li
- Department of Public Health, Xinjiang Medical University, Urumqi 830011, China.
| | - Xiaoyan Gao
- Department of Public Health, Xinjiang Medical University, Urumqi 830011, China.
| | - Jiwen Liu
- Department of Public Health, Xinjiang Medical University, Urumqi 830011, China.
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Lin PY, Wang JY, Shih DP, Kuo HW, Liang WM. The Interaction Effects of Burnout and Job Support on Peptic Ulcer Disease (PUD) among Firefighters and Policemen. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16132369. [PMID: 31277352 PMCID: PMC6651132 DOI: 10.3390/ijerph16132369] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/02/2019] [Revised: 06/30/2019] [Accepted: 07/02/2019] [Indexed: 12/24/2022]
Abstract
Policemen and firefighters encounter numerous emergency events that frequently lead to high burnout and low job support, resulting in adverse health effects. A number of studies reported the correlation between job characteristics and the risk of peptic ulcer diseases (PUD) across various industries. However, there is very little research on evaluating the interaction effects of burnout and job support on the prevalence of PUD among firefighters and policemen. The objective of this study was to assess the interactional effects between burnout and job support on the prevalence of PUD among firefighters and policemen. This was a cross-sectional quantitative study. Registered, full-time police officers and firefighters in Taiwan were anonymously interviewed by a mail-delivered questionnaire. All female workers were excluded due to different job characteristics and a limited sample size. A total of 9328 firefighters and 42,798 policemen completed the questionnaire, with a response rate of 78.7%. Overall, prevalence rates of self-reported and self-reports of physician-diagnosed PUD were 8.3% and 6.5% for policemen and 7.1% and 5.5% for firefighters, respectively. There was a 22% reduced odds ratio of PUD as diagnosed by physicians for the group with low burnout and high job support, but an increased odds ratio of 53% for the group with high burnout and low job support, after adjusting for lifestyle and demographic variables. There must be an increase of job support and reduction of burnout through the modification of work structure and setting up of counseling services to reduce workplace stress and the prevalence of PUD among policemen and firefighters.
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Affiliation(s)
- Ping-Yi Lin
- Transplant Medicine and Surgery Research Centre, Changhua Christian Hospital, Changhua 50006, Taiwan
- Department of Medical Research, China Medical University Hospital, Taichung 40402, Taiwan
- Department of Nursing, Da-Yeh University, Changhua 51591, Taiwan
| | - Jong-Yi Wang
- Department of Health Services Administration, China Medical University, Taichung 40402, Taiwan
| | - Dann-Pyng Shih
- International Medical Department, Changhua Christian Hospital, Changhua 50006, Taiwan
- Department of Public Health, China Medical University, Taichung 40402, Taiwan
| | - Hsien-Wen Kuo
- Institute of Environmental and Occupational Health Sciences, National Yang Ming University, Taipei 11221, Taiwan.
- School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan.
| | - Wen-Miin Liang
- Department of Health Services Administration, China Medical University, Taichung 40402, Taiwan.
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Makames RA, Alkoot EM, Al-Mazidi BM, El-Shazly MK, Kamel MI. Sources and expressions of stress among physicians in a general hospital. ALEXANDRIA JOURNAL OF MEDICINE 2019. [DOI: 10.1016/j.ajme.2012.02.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Affiliation(s)
- Reem A. Makames
- Medical Licensing Administration, Ministry of Health , Kuwait
| | | | - Bibi M. Al-Mazidi
- Jassem Al-Wazzan Center, Primary Health Care , Ministry of Health , Kuwait
| | - Medhat K. El-Shazly
- Department of Medical Statistics, Medical Research Institute , Alexandria University , Egypt
- Department of Health Information and Medical Record, Ministry of Health , Kuwait
| | - Mohamed I. Kamel
- Community Medicine Department, Faculty of Medicine , Alexandria University , Egypt
- Department of Occupational Medicine, Ministry of Health , Kuwait
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Useche SA, Cendales B, Montoro L, Esteban C. Work stress and health problems of professional drivers: a hazardous formula for their safety outcomes. PeerJ 2018; 6:e6249. [PMID: 30595994 PMCID: PMC6304262 DOI: 10.7717/peerj.6249] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2018] [Accepted: 12/10/2018] [Indexed: 12/31/2022] Open
Abstract
Background Several empirical studies have shown that professional drivers are a vulnerable occupational group, usually exposed to environmental stressors and adverse work conditions. Furthermore, recent studies have associated work-related stress with negative job performances and adverse health outcomes within this occupational group, including cardiovascular diseases and unsafe vehicle operation. Objective The aim of this study was to describe the working conditions and the health status of this occupational group, and to evaluate the association between the Demand-Control model of job stress and their self-reported health and safety outcomes. Methods A pooled sample of 3,665 Colombian professional drivers was drawn from five different studies. The Job Content Questionnaire and the General Health Questionnaire were used to measure work stress and self-reported mental health, respectively. Additionally, professional drivers self-reported health problems (hypertension, dyslipidemia, diabetes and overweight) and health-related risky behaviors (smoking and sedentary behavior). Results Regarding the Job Demands-Control (JDC) model, it was found that approximately a third part of Colombian professional drivers suffer from high job strain (29.1%). Correlational and multivariate analyses suggest that de JDC model of stress is associated with the professional drivers' mental health, traffic accidents and fines, but not with other physical and behavioral health-related outcomes, which are highly prevalent among this occupational group, such as hypertension, dyslipidemia, diabetes, overweight, smoking and sedentary behavior. Conclusion The results of this study suggest that (a) stressful working conditions are associated with health and lifestyle-related outcomes among professional drivers, and (b) that evidence-based interventions are needed in order to reduce hazardous working conditions, job stress rates and their negative impact on the health of this occupational group.
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Affiliation(s)
- Sergio A Useche
- INTRAS (University Research Institute on Traffic and Road Safety), University of Valencia, Valencia, Spain
| | - Boris Cendales
- Faculty of Economic and Administrative Sciences, El Bosque University, Bogotá, Colombia
| | - Luis Montoro
- INTRAS (University Research Institute on Traffic and Road Safety), University of Valencia, Valencia, Spain
| | - Cristina Esteban
- INTRAS (University Research Institute on Traffic and Road Safety), University of Valencia, Valencia, Spain
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Müller G, Tisch A, Wöhrmann AM. The impact of long working hours on the health of German employees. GERMAN JOURNAL OF HUMAN RESOURCE MANAGEMENT-ZEITSCHRIFT FUR PERSONALFORSCHUNG 2018. [DOI: 10.1177/2397002218786020] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Excessive working hours have negative consequences for employees’ health. Looking deeper into this problem, this article examines how employers’ needs for more intense working or more flexible working hours affect their employees’ psychosomatic health. A German representative survey of 13,452 full-time employees found that long working hours, work intensity (deadline and performance pressure) and flexibility requirements (permanent availability, changes in working hours) were significantly related to psychosomatic health complaints. When considering future work design and practices, these findings show which unfavourable working conditions are to be avoided to maintain the psychosomatic health of employees.
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Affiliation(s)
- Grit Müller
- Federal Institute for Occupational Safety and Health, Germany
| | - Anita Tisch
- Federal Institute for Occupational Safety and Health, Germany
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Giorgi G, Arcangeli G, Perminiene M, Lorini C, Ariza-Montes A, Fiz-Perez J, Di Fabio A, Mucci N. Work-Related Stress in the Banking Sector: A Review of Incidence, Correlated Factors, and Major Consequences. Front Psychol 2017; 8:2166. [PMID: 29312044 PMCID: PMC5733012 DOI: 10.3389/fpsyg.2017.02166] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2017] [Accepted: 11/28/2017] [Indexed: 11/15/2022] Open
Abstract
For a number of years now, banks have been going through enormous changes in organization and structure. New technology and new ways of structuring the operation have left their mark on the working conditions and daily lives of employees. Deregulation of labor markets, emerging technologies and new types of jobs have significantly reshaping working lives by continuous changes on employment and working conditions. Such a scenario has a relevant impact not only on companies' organization but also on working population's health. The banking sector is particularly well-deserved of a specific and thorough analysis, in view of the recent increase in psycho-social disorders of employees. This may be related to the major organizational changes affecting this sector and, in particular, to the restructuring processes resulting from the global economic crisis. Our aim is to assess the scale of the phenomenon and how far it relates specifically to the processes of bank organization. With this in mind, through a review of the literature, we selected the main studies dealing with work-related stress in banking, so that we could reach a better understanding of the phenomenon as it relates specifically to this set of workers. The search took place on the MEDLINE® database; in total 20 articles were chosen. There was uniform agreement among the studies that stress in the banking workplace is now at critical levels, and that it can have deleterious psychological effects on workers, and on their physical health, and that organizations, too, are affected. Most studies showed that mental health problems had increased in the banking sector, and that they were stress-related. Examples began with anxiety and depression, carried on through maladaptive behaviors, and ended in job burnout. The reviewed studies' limitations were then discussed, and possible ways forward considered.
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Affiliation(s)
- Gabriele Giorgi
- Department of Human Sciences, European University of Rome, Rome, Italy
| | - Giulio Arcangeli
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - Milda Perminiene
- School of Psychology, University of East London, London, United Kingdom
| | - Chiara Lorini
- Department of Health Sciences, University of Florence, Florence, Italy
| | - Antonio Ariza-Montes
- Department of Management, Universidad Loyola Andalucía, Córdoba, Spain
- Department of Business Administration, Universidad Autónoma de Chile, Santiago, Chile
| | - Javier Fiz-Perez
- Department of Human Sciences, European University of Rome, Rome, Italy
| | - Annamaria Di Fabio
- Department of Education and Psychology, University of Florence, Florence, Italy
| | - Nicola Mucci
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
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Herr RM, Li J, Loerbroks A, Angerer P, Siegrist J, Fischer JE. Effects and mediators of psychosocial work characteristics on somatic symptoms six years later: Prospective findings from the Mannheim Industrial Cohort Studies (MICS). J Psychosom Res 2017; 98:27-33. [PMID: 28554369 DOI: 10.1016/j.jpsychores.2017.05.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/03/2017] [Revised: 03/29/2017] [Accepted: 05/03/2017] [Indexed: 11/29/2022]
Abstract
OBJECTIVE Ample evidence documented the adverse health effects of work stressors, and recent research has increasingly focused on somatic symptoms which are very common and costly. Prospective evidence is however sparse and yielded mixed findings. Furthermore, there is reason to assume that depression and anxiety might mediate the effects of adverse psychosocial work conditions on somatic symptoms. This study aimed to investigate longitudinal effects of work stressors on somatic symptoms and the potential mediation by anxiety and/or depression. METHODS Six year follow-up data from 352 individuals - free of potentially stress-related chronic disease - were utilized. Somatic symptoms were assessed by 19 items of an established list of complaints at baseline and follow-up. The effort-reward-imbalance (ERI) model measured adverse psychosocial work conditions and over-commitment (OC). Linear regressions adjusted for socio-demographics, social status, lifestyle, and baseline symptoms estimated the effects of the ERI ratio, effort, reward, OC, and the ERI ratio×OC interaction on somatic symptoms six years later. Furthermore, single and multiple mediation by anxiety and/or depression was investigated. RESULTS There was a strong longitudinal effect of the ERI ratio, as well as of its subcomponents, and OC on somatic symptoms (all Bs≥|0.49|; p-values ≤0.004). Moreover, the ERI ratio×OC interaction was significant (p-value=0.047). Multiple mediation analyses revealed especially anxiety to mediate the effect of work stressors on somatic symptoms (Sobel test=0.007). CONCLUSION Adverse psychosocial work conditions seem to longitudinally affect somatic symptoms, potentially moderated by OC, and mediated by anxiety.
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Affiliation(s)
- Raphael M Herr
- Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, Germany; Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, Heinrich-Heine-University of Düsseldorf, Germany.
| | - Jian Li
- Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, Heinrich-Heine-University of Düsseldorf, Germany.
| | - Adrian Loerbroks
- Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, Heinrich-Heine-University of Düsseldorf, Germany.
| | - Peter Angerer
- Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, Heinrich-Heine-University of Düsseldorf, Germany.
| | - Johannes Siegrist
- Senior Professorships on Work Stress Research, Life Science Center, Faculty of Medicine, Heinrich-Heine-University of Düsseldorf, Germany.
| | - Joachim E Fischer
- Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, Germany.
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Wada K, Eguchi H, Prieto-Merino D. Differences in stroke and ischemic heart disease mortality by occupation and industry among Japanese working-aged men. SSM Popul Health 2016; 2:745-749. [PMID: 29349185 PMCID: PMC5757844 DOI: 10.1016/j.ssmph.2016.10.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2015] [Revised: 10/12/2016] [Accepted: 10/12/2016] [Indexed: 12/01/2022] Open
Abstract
Occupation- and industry-based risks for stroke and ischemic heart disease may vary among Japanese working-aged men. We examined the differences in mortality rates between stroke and ischemic heart disease by occupation and industry among employed Japanese men aged 25–59 years. In 2010, we obtained occupation- and industry-specific vital statistics data from the Japanese Ministry of Health, Labour, and Welfare dataset. We analyzed data for Japanese men who were aged 25–59 years in 2010, grouped in 5-year age intervals. We estimated the mortality rates of stroke and ischemic heart disease in each age group for occupation and industry categories as defined in the national census. We did not have detailed individual-level variables. We used the number of employees in 2010 as the denominator and the number of events as the numerator, assuming a Poisson distribution. We conducted separate regression models to estimate the incident relative risk for stroke and ischemic heart disease for each category compared with the reference categories “sales” (occupation) and “wholesale and retail” (industry). When compared with the reference groups, we found that occupations and industries with a relatively higher risk of stroke and ischemic heart disease were: service, administrative and managerial, agriculture and fisheries, construction and mining, electricity and gas, transport, and professional and engineering. This suggests there are occupation- and industry-based mortality risk differences of stroke and ischemic heart disease for Japanese working-aged men. These differences in risk might be explained to factors associated with specific occupations or industries, such as lifestyles or work styles, which should be explored in further research. The mortality risk differences of stroke and ischemic heart disease shown in the present study may reflect an excessive risk of Karoshi (death from overwork). There are mortality risk differences of stroke and ischemic heart disease in Japan. These risk differences may reflect a risk of Karoshi (death from overwork). Occupation and industry correlated with stroke and ischemic heart mortality risk. Service and mining are high-risk for stroke and ischemic heart disease. Further research is necessary to clarify mechanisms of occupation- and industry-related disparity in mortality risk.
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Affiliation(s)
- Koji Wada
- Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan
| | - Hisashi Eguchi
- Department of Public Health, Kitasato University School of Medicine, Sagamihara, Japan
| | - David Prieto-Merino
- Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.,Applied Statistical Methods Research Group, Universidad Católica San Antonio de Murcia (UCAM), Murcia, Spain
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Moloantoa K, Taute F. The effect of garnishee orders on the personnel of the Department of Health, South Africa. JOURNAL OF WORKPLACE BEHAVIORAL HEALTH 2016. [DOI: 10.1080/15555240.2016.1175308] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Nakao M. Key aims of the special series "the meaning of behavioral medicine in the psychosomatic field". Biopsychosoc Med 2016; 10:3. [PMID: 26913060 PMCID: PMC4765062 DOI: 10.1186/s13030-016-0055-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/26/2015] [Accepted: 12/28/2015] [Indexed: 11/10/2022] Open
Affiliation(s)
- Mutsuhiro Nakao
- Teikyo University Graduate School of Public Health & Department of Psychosomatic Medicine, Teikyo University Hospital, 2-11-1, Kaga, Itabashi, Tokyo, 173-8605 Japan
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Navinés R, Martín-Santos R, Olivé V, Valdés M. [Work-related stress: Implications for physical and mental health]. Med Clin (Barc) 2016; 146:359-66. [PMID: 26806767 DOI: 10.1016/j.medcli.2015.11.023] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2015] [Revised: 11/12/2015] [Accepted: 11/23/2015] [Indexed: 10/22/2022]
Affiliation(s)
- Ricard Navinés
- Servei de Psiquiatria i Psicologia, Hospital Clínic, Institut d'Investigació Biomèdica August Pi i Sunyer (IDIBAPS), Universitat de Barcelona (UB), Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, España.
| | - Rocío Martín-Santos
- Servei de Psiquiatria i Psicologia, Hospital Clínic, Institut d'Investigació Biomèdica August Pi i Sunyer (IDIBAPS), Universitat de Barcelona (UB), Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, España
| | - Victòria Olivé
- Servei de Prevenció de Riscos Laborals, Hospital Clínic, Barcelona, España
| | - Manuel Valdés
- Servei de Psiquiatria i Psicologia, Hospital Clínic, Institut d'Investigació Biomèdica August Pi i Sunyer (IDIBAPS), Universitat de Barcelona (UB), Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, España
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Kitronza PL, Mairiaux P. Occupational Stress among Textile Workers in the Democratic Republic of Congo. Trop Med Health 2015; 43:223-31. [PMID: 26865824 PMCID: PMC4689605 DOI: 10.2149/tmh.2015-24] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2015] [Accepted: 08/04/2015] [Indexed: 11/29/2022] Open
Abstract
Context: In the Democratic Republic of Congo (DRC), scientific studies on occupational health are scarce. The present study aims at estimating the level of occupational stress, as well as associated factors, in a textile company. Methods: We performed a cross-sectional survey among textile workers in DRC. Data (N = 192 subjects) were collected through a self-questionnaire validated for the assessment of stress (Karasek and Siegrist’s scale); supplemented by a medical examination. Frequencies and odds ratios (ORs) were estimated for descriptive analyses. Adjusted ORs were calculated through a logistic regression model to investigate associations between socio-demographic and organisational variables and stress. Results: Our study highlighted a high level of stress among individuals: 28% of them were suffering from stress, according to Karasek, and 22%, when applying Siegrist’s model. A 14%-isostrain was calculated when considering all workers. A statistically significant association was observed between stress and age, seniority and perceived non-adaptation to work, considering both approaches. Furthermore, when job strain was determined according to Karasek, it was related to the worker status, the poor perception of organisation and alcohol consumption, while stress estimated by applying Siegrist’s model showed an association with education level and the occurrence of cardiac symptoms. Conclusion: The present study provides of stress among individuals through both models. Several socio-professional factors are associated with stress, which determines populations at risk. The results revealed that both stress models offer complementary information, thus increasing the probability to model workers’ health more exactly and to make recommendations on prevention and management.
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Affiliation(s)
- Panda Lukongo Kitronza
- School of Public Health, Faculty of Medicine, University of Liege; Faculty of Medicine, University of Kisangani, DR Congo
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Lai Y, Saridakis G, Blackburn R. Job Stress in the United Kingdom: Are Small and Medium-Sized Enterprises and Large Enterprises Different? Stress Health 2015; 31:222-35. [PMID: 24302431 DOI: 10.1002/smi.2549] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2013] [Revised: 08/27/2013] [Accepted: 10/04/2013] [Indexed: 11/11/2022]
Abstract
This paper examines the relationships between firm size and employees' experience of work stress. We used a matched employer-employee dataset (Workplace Employment Relations Survey 2011) that comprises of 7182 employees from 1210 private organizations in the United Kingdom. Initially, we find that employees in small and medium-sized enterprises experience lower level of overall job stress than those in large enterprises, although the effect disappears when we control for individual and organizational characteristics in the model. We also find that quantitative work overload, job insecurity and poor promotion opportunities, good work relationships and poor communication are strongly associated with job stress in the small and medium-sized enterprises, whereas qualitative work overload, poor job autonomy and employee engagements are more related with larger enterprises. Hence, our estimates show that the association and magnitude of estimated effects differ significantly by enterprise size.
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Affiliation(s)
- Yanqing Lai
- Small Business Research Centre, Kingston Business School, Kingston University, Surrey, United Kingdom
| | - George Saridakis
- Small Business Research Centre, Kingston Business School, Kingston University, Surrey, United Kingdom
| | - Robert Blackburn
- Small Business Research Centre, Kingston Business School, Kingston University, Surrey, United Kingdom
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