scholarly journals Organizational climate and work commitment as predictor of 10-year registered sickness absence

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Knapstad ◽  
L Lissner ◽  
C Bjorkelund ◽  
K Holmgren
Keyword(s):  
General Population ◽  
Organizational Climate ◽  
Sickness Absence ◽  
Perceived Stress ◽  
Elevated Risk ◽  
Work Commitment ◽  
Work Related ◽  
Influence At Work ◽  
Related Stress

Abstract Background Early identification of persons at risk for sickness absence offers an opportunity to put in place preventive measures in the future. The Work Stress Questionnaire (WSQ) is specifically designed to identify people at risk for sickness absence due to work-related stress. In this study we examine prospective associations between work-related stress as measured by the WSQ and registered sickness absence up till 10 years later among employed and self-employed women in the general population in Gothenburg. Methods This is a survey-linkage study based on the 2004-05 wave of the Swedish “Population Study of Women in Gothenburg (PSWG)” and 10-year follow-up in the MiDAS sickness absence register. Participants registered as employed or self-employed were included (n = 396). Outcomes were number of sickness absence episodes during follow-up and sickness absence during each two-year time band of follow-up. Results High perceived stress due to poor organizational climate, compared to low stress, gave an adjusted Incidence Risk Rate (IRR) of 1.99 [95% CI 1.19-3.34] for sickness absence episodes. Combining high perceived stress due to poor organizational climate with high perceived stress due to work commitment gave an IRR of 2.32 [95% CI 1.26-4.26]. Examining separate time periods, similar associations were found during years 5-6 and 7-8. Perceived low influence at work also gave increased odds for sickness absence, at both in the shorter term (1st-2nd year) and longer term (7th-8th year). Conclusions The findings align with previous studies that WSQ may successfully identify women with elevated risk for future sickness absence, and adds that this is even true in a general population context and using a very long follow-up period. Nevertheless, the findings should preferably be confirmed using a larger sample to improve precision of the observed associations. Key messages The present study contribute with knowledge about screening instruments that may identify women in the general working population with elevated risk for sickness absence. The findings suggest that high perceived stress due to organizational climate, alone and in combination with high work commitment, as well as low influence at work, increase risk of sickness absence.

scholarly journals Expected Labor Market Affiliation: A New Method Illustrated by Estimating the Impact of Perceived Stress on Time in Work, Sickness Absence and Unemployment of 37,605 Danish Employees

2021 ◽  
Vol 18 (9) ◽  
pp. 4980
Author(s):  
Jacob Pedersen ◽  
Svetlana Solovieva ◽  
Sannie Vester Thorsen ◽  
Malene Friis Andersen ◽  
Ute Bültmann
Keyword(s):  
Labor Market ◽  
Sickness Absence ◽  
Perceived Stress ◽  
Proportional Hazards ◽  
Proportional Hazards Model ◽  
Middle Aged ◽  
Policy And Practice ◽  
Work Related ◽  
Related Stress ◽  
The Impact

As detailed data on labor market affiliation become more accessible, new approaches are needed to address the complex patterns of labor market affiliation. We introduce the expected labor market affiliation (ELMA) method by estimating the time-restricted impact of perceived stress on labor market affiliation in a large sample of Danish employees. Data from two national surveys were linked with a national register. A multi-state proportional hazards model was used to calculate ELMA estimates, i.e., the number of days in work, sickness absence, and unemployment during a 4-year follow-up period, stratified by gender and age. Among employees reporting frequent work-related stress, the expected number of working days decreased with age, ranging from 103 days lost among older women to 37 days lost among younger and middle-aged men. Young and middle-aged women reporting frequent work- and personal life-related stress lost 62 and 81 working days, respectively, and had more days of sickness absence (34 days and 42 days). In conclusion, we showed that perceived stress affects the labor market affiliation. The ELMA estimates provide a detailed understanding of the impact of perceived stress on labor market affiliation over time, and may inform policy and practice towards a more healthy and sustainable working life.

scholarly journals Metacognitive Therapy for Work-Related Stress: A Feasibility Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Stefano De Dominicis ◽  
Maiken Lykke Troen ◽  
Pia Callesen
Keyword(s):  
Mental Health ◽  
Blood Pressure ◽  
Feasibility Study ◽  
Perceived Stress ◽  
Metacognitive Therapy ◽  
Work Related Stress ◽  
General Mental Health ◽  
Work Related ◽  
Related Stress

About 25% of EU workers experience work-related stress for all or most of their working time, showing that work-related stress is a major cause of health problems for the EU population. This situation has been worsened even more by the COVID-19 restrictions embraced by employers worldwide. However, a timely and sustainable intervention protocol for treating such issues has not been developed yet. Thus, the present research shows a first effective attempt based on Metacognitive therapy (MCT) to solve this issue. MCT was practiced on four individuals suffering from chronic work-related stress. Primary outcome variables were general mental health, perceived stress, and blood pressure. Participants were assessed at multiple baselines before the start of therapy and then attended a 3- and 6-months follow-up after treatment termination. Results showed significant improvements in general mental health, perceived stress, and blood pressure in each client. Secondary outcome variables improved too—maladaptive coping strategies, avoidance behaviors, and depression symptoms—corroborating the main findings. At 3- and 6-month follow-up, results were maintained. The findings suggest that MCT might be a promising and sustainable intervention for work-related stress, although a metacognitive model for stress and large-scale RCTs need to be developed and carried out to further explore the effect of MCT on stress. Our results represent one of the first attempts to treat work-related stress via Metacognitive Therapy and support the feasibility of the treatment, both in terms of its efficacy and sustainability, in a historical moment in which work-related stress is increased worldwide because of the COVID-19 pandemic. Within such a realm, our feasibility study should be followed by larger and controlled studies that, if successful, would provide various stakeholders—including organizational and institutional decision-makers—with a solid, timely and cost-effective method to help the workforce coping with work-related stress.

scholarly journals Promoting recovery in daily life: study protocol for a randomized controlled trial

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Dorota Reis ◽  
Alexander Hart ◽  
Dirk Lehr ◽  
Malte Friese
Keyword(s):  
Training Programs ◽  
Controlled Trial ◽  
Online Training ◽  
Cognitive Behavioral ◽  
Main Mechanism ◽  
Work Related Stress ◽  
Work Related ◽  
Related Stress ◽  
Underlying Mechanisms

Abstract Background Work-related stress shows steadily increasing prevalence rates and has tangible consequences for individual workers, their organizations, and society as a whole. One mechanism that may help offset the negative outcomes of work-related stress on employees’ well-being is recovery. Recovery refers to the experience of unwinding from one's job when not at work. However, employees who experience high levels of work-related stress and are thus particularly in need of recovery tend to struggle to switch-off. Due to the detrimental effects of this prolonged and sustained mental representation of job stressors, interventions promoting recovery may contribute to improvements in employees' mental health. Methods In this randomized, waitlist controlled trial, we will investigate the effectiveness of two 6-week online training programs (cognitive behavioral and mindfulness-based). The sample will include employees working at least part-time during regular work hours. Besides the pre-post-follow-up assessments, the trial will include measurement bursts with the goal of examining the underlying mechanisms. We expect that both interventions will reduce work-related perseverative thinking (PT) compared with the waitlist control groups (primary outcome). Also, we expect that both interventions will result in similar improvements, but the underlying mechanisms will differ (process outcomes). In the cognitive-behavioral intervention group, we expect that the main mechanism responsible for lower PT levels will be an increase in recovery experiences across time. In the mindfulness-based group, we expect that the main mechanism responsible for lower PT levels will be an increase in facets of mindfulness across time. Discussion In the present study, we will investigate mechanisms underlying assumed changes in work-related PT in great detail. Besides evaluating the overall effectiveness of the two interventions in terms of pre-post-follow-up changes, we will look at the underlying processes at different levels—that is, within days, within weeks, across weeks, and between individuals. Accordingly, our study will offer a fine-grained approach to investigating potential determinants, mediators, and moderators of the processes that may, in the end, be responsible for work-related strain. From a public health perspective, if effective, the online training programs may offer valuable, low-threshold, and low-intensity interventions for a broad range of occupations. Trial registration German Clinical Trials Registration: DRKS00024933. Registered prospectively 7 April 2021. https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00024933

Age Differences in Types and Perceptions of Daily Stress

2021 ◽  
pp. 009141502110015
Author(s):  
Alexis R. Stefaniak ◽  
Jessica M. Blaxton ◽  
C. S. Bergeman
Keyword(s):  
Young Adults ◽  
Perceived Stress ◽  
Later Life ◽  
Well Being ◽  
Preventative Care ◽  
Stress Exposure ◽  
Daily Stress ◽  
Work Related ◽  
Related Stress

The present study explores differences in daily stress across individuals of varying ages. Specifically, we explore whether age group (young adult, midlife, late midlife, later life) relates to differences in types of stress (family, friends, partner, health, finances, work), total stress exposure, and perceptions of daily stress intensity. Participants from the Notre Dame Study of Health & Well-being (NDHWB; N = 891) completed daily questionnaires assessing negative small life events and perceived stress for 8 weeks. Findings indicated that young adults reported a higher average number of family, spouse, finance, and work-related stress. Additionally, total daily stress was highest among young adults, and perceived stress was lowest among later life adults. Because daily stress relates to long-term mental and physical stress, gaining a better understanding of how individuals at different points in the life span uniquely experience stress can inform intervention and preventative care techniques aimed at promoting optimal well-being.

scholarly journals Work-Related Exposures and Sickness Absence Trajectories: A Nationally Representative Follow-up Study among Finnish Working-Aged People

2019 ◽  
Vol 16 (12) ◽  
pp. 2099 ◽  
Author(s):  
Tea Lallukka ◽  
Leena Kaila-Kangas ◽  
Minna Mänty ◽  
Seppo Koskinen ◽  
Eija Haukka ◽  
...  
Keyword(s):  
Sickness Absence ◽  
Developmental Trajectories ◽  
Physical Workload ◽  
Physical Work ◽  
Annual Number ◽  
Related Factors ◽  
Aged People ◽  
Work Related ◽  
Nationally Representative

The contribution of physically demanding work to the developmental trajectories of sickness absence (SA) has seldom been examined. We analyzed the associations of 12 physical work exposures, individually and in combination, with SA trajectories among the occupationally active in the Finnish nationally representative Health 2000 survey. We included 3814 participants aged 30–59 years at baseline, when exposure history to work-related factors was reported. The survey and interview responses were linked with the annual number of medically confirmed SA spells through 2002–2008 from national registries. Trajectory analyses identified three SA subgroups: 1 = low (54.6%), 2 = slowly increasing (33.7%), and 3 = high (11.7%). After adjustments, sitting or use of keyboard >1 year was inversely associated with the high SA trajectory (odds ratio, OR, 0.57; 95% 95% confidence interval, CI, 0.43–0.77). The odds of belonging to the trajectory of high SA increased with an increasing number of risk factors, and was highest for those with ≥4 physical workload factors (OR 2.71; 95% CI 1.99–3.69). In conclusion, these findings highlight the need to find ways to better maintain the work ability of those in physically loading work, particularly when there occurs exposure to several workload factors.

Joint association of physical and psychosocial working conditions with risk of long-term sickness absence: Prospective cohort study with register follow-up

2020 ◽  
pp. 140349482093642
Author(s):  
Emil Sundstrup ◽  
Lars Louis Andersen
Keyword(s):  
Cohort Study ◽  
Sickness Absence ◽  
Working Conditions ◽  
Physical Work ◽  
Trend Test ◽  
Psychosocial Working Conditions ◽  
Influence At Work ◽  
Emotional Demands

Aims: The interplay between physical and psychosocial working conditions for the risk of developing poor health is not well understood. This study aimed to determine the joint association of physical and psychosocial working conditions with risk of long-term sickness absence (LTSA) in the general working population. Methods: Based on questionnaire responses about physical working conditions and psychosocial working conditions (influence at work, emotional demands, support from colleagues and support from managers) and two-year prospective follow-up in a national register on social transfer payments, we estimated the risk of incident LTSA of >30 days among 9544 employees without previous LTSA from the Danish Work Environment Cohort Study. The analyses were censored for all events of permanent labour market drop-out (retirement, disability pension, immigration or death) and controlled for potential confounders. Results: In the total cohort, more demanding physical working conditions were associated with risk of LTSA in a dose–response fashion (trend test, p<0.0001). The combination of poor overall psychosocial working conditions (index measure of influence at work, emotional demands, support from managers and support from colleagues) and hard physical working conditions showed the highest risk of LTSA. However, poor overall psychosocial working conditions did not interact with physical working conditions in the risk of LTSA ( p=0.9677). Conclusions: The results of this study suggest that workplaces should strive to improve both psychosocial and physical work factors in order to ensure the health of workers.

Work related stress, burnout, job satisfaction and general health of nurses: A follow-up study

2016 ◽  
Vol 22 (6) ◽  
pp. 538-545 ◽  
Author(s):  
Natasha Khamisa ◽  
Karl Peltzer ◽  
Dragan Ilic ◽  
Brian Oldenburg
Keyword(s):  
Job Satisfaction ◽  
General Health ◽  
Work Related Stress ◽  
Work Related ◽  
Follow Up Study ◽  
Related Stress

Secondary leukemia following high cumulative doses of etoposide in patients treated for advanced germ cell tumors.

1998 ◽  
Vol 16 (10) ◽  
pp. 3386-3391 ◽  
Author(s):  
C Kollmannsberger ◽  
J Beyer ◽  
J P Droz ◽  
A Harstrick ◽  
J T Hartmann ◽  
...  
Keyword(s):  
General Population ◽  
Germ Cell ◽  
Germ Cell Tumors ◽  
High Dose Chemotherapy ◽  
Elevated Risk ◽  
High Dose ◽  
Secondary Acute Myeloid Leukemia ◽  
Low Incidence ◽  
Cell Support

PURPOSE High cumulative epipodophyllotoxin dosages are reported to be associated with an elevated risk for secondary acute myeloid leukemia (s-AML). This study examined the risk of s-AML following cumulative etoposide doses greater than 2 g/m2 in patients with metastatic germ cell tumors (GCT). PATIENTS AND METHODS The incidence of s-AML was retrospectively assessed in patients treated within clinical trials between January 1986 and February 1996 at four university centers. All patients received high-dose chemotherapy (HDCT) plus autologous stem-cell support for metastatic GCT, including high cumulative etoposide doses (> 2 g/m2). Minimum patient follow-up was 12 months. Standardized morbidity ratio (SMR) was calculated to estimate the risk associated with high cumulative etoposide doses, as compared with the general population. RESULTS A total of 302 patients with a median age of 29 years (range, 15 to 55) received a median cumulative etoposide dose of 5 g/m2 (range, 2.4 to 14 g/m2). Four cases of s-AML were observed, which resulted in a cumulative incidence of 1.3% (95% confidence interval [CI], 0.38% to 3.59%) at 52 months of median follow-up (range, 12 to 198). Two cases of secondary myelodysplasia (s-MDS) developed in patients with primary mediastinal GCT. Based on the observed four cases of AML, which are most likely etoposide-related, the risk for developing s-AML (SMR, 160 [95% CI, 43.7 to 411.2]) is significantly increased in comparison to the age-matched general population. CONCLUSION Due to the low incidence of AML in the general population, the significantly elevated risk for developing s-AML affects only 1.3% of all patients who receive etoposide doses greater than 2 g/m2. HDCT, including etoposide doses greater than 2 g/m2, is associated with an acceptably low incidence of s-AML in patients with advanced GCT.

scholarly journals Self-Efficacy as a Moderator between Stress and Professional Burnout in Firefighters

2019 ◽  
Vol 16 (2) ◽  
pp. 183 ◽  
Author(s):  
Marta Makara-Studzińska ◽  
Krystyna Golonka ◽  
Bernadetta Izydorczyk
Keyword(s):  
Perceived Stress ◽  
Self Efficacy ◽  
Personal Resource ◽  
Work Related ◽  
Related Stress ◽  
Stress At Work ◽  
The Impact ◽  
The Relationship ◽  
General Self Efficacy ◽  
Separate Regression

The purpose of the study is to analyze the importance of individual resources in firefighting, one of the highest risk professions. Firefighters from 12 different Polish provinces (N = 580; men; M (mean age) = 35.26 year, SD = 6.74) were analyzed regarding the perceived stress at work, burnout, self-efficacy, and a broad range of sociodemographic variables. The Perceived Stress Scale (PSS), the Link Burnout Questionnaire (LBQ), and the General Self-Efficacy Scale (GSES) were used in the study. To explore the relationships between work-related stress, burnout, and self-efficacy, separate regression models for each burnout dimension were analyzed. The results revealed that self-efficacy is a significant moderator that changes the direction and strength of the relationships between perceived stress and psychophysical exhaustion, sense of professional inefficacy, and disillusion. However, self-efficacy did not moderate the relationship between stress and lack of engagement in relationships (relationship deterioration). The results indicate that self-efficacy in firefighters is a crucial personal resource that buffers the impact of perceived stress on most burnout symptoms. It may be concluded that in high risk professions, special attention should be paid to developing self-efficacy as an important part of burnout prevention programs, pro-health activities, and psychoeducation.

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