scholarly journals Recovery from work: testing the effects of chronic internal and external workload on health and well-being

2020 ◽  
pp. jech-2019-213367
Author(s):  
Mark Cropley ◽  
Leif W Rydstedt ◽  
David Andersen
Keyword(s):  
Sleep Problems ◽  
Occupational Status ◽  
Well Being ◽  
Physical Fatigue ◽  
Work Related ◽  
Increased Risk ◽  
Gender Education ◽  
High Workload ◽  
Recovery From Work ◽  
Anxiety Depression

BackgroundThe aim of this study was to examine the effects of reduced recovery opportunities on health, associated with chronic internal workload (ie, during work) and external workload (ie, following work).MethodsData from two consecutive surveys (2013 and 2016) from the Norwegian Living Conditions Survey on Work Environment were used. To assess a dose–response association between workload and health, self-reported ratings of internal workload (ie, having too much to do and skipping lunch breaks during work) and external workload (ie, using mobile technology for work-related issues during leisure time) over the two time periods were divided into tertile groups representing low, medium and high workload. Anxiety, depression, physiological and psychological fatigue and sleep were assessed as outcome symptoms.ResultsChronic medium levels of internal workload were associated with psychological fatigue (OR=2.84, 95% CI 1.75 to 4.62) and physical fatigue (OR=1.85, 95% CI 1.31 to 2.63), and high internal workload was associated with psychological fatigue (OR=7.24, 95% CI 4.59 to 11.40), physical fatigue (OR=4.23, 95% CI 3.06 to 5.83) and sleep problems (OR=1.81, 95% CI 1.07 to 3.05). Chronic external high workload was only associated with psychological fatigue (OR=1.67, 95% CI 1.26 to 2.22) and with physical fatigue problems (OR=1.47, 95% CI,1.09–1.98) when the data were adjusted for age, gender, education level, job autonomy and occupational status.ConclusionsThis study emphasises that individuals who chronically experience high workload are at an increased risk for reporting psychological and physical fatigue, and sleep problems.

scholarly journals The Social and Health Impact of Accidents at Work: The Analysis of the Italian Case

2021 ◽  
Author(s):  
Di Romano Benini
Keyword(s):  
Risk Factors ◽  
Negative Impact ◽  
Well Being ◽  
Health Impact ◽  
Work Culture ◽  
Organizational Models ◽  
Work Related ◽  
Italian Case ◽  
Increased Risk ◽  
Related Stress

The months of a gradual exit from the pandemic show some significant data and phenomena regarding the phenomenon of accidents at work and occupational diseases. The Italian figure highlights a recovery in injuries and illnesses, but also in the impact of new risk factors deriving from the digitalization of work, which grew with smart working during the pandemic. At the same time, the new organizational models highlight the increased risk of work-related stress diseases. The Italian situation makes clear the need to intervene on the issue of organizational well-being and welfare, to limit the negative impact of risk factors associated with this economic system on society and the health system through a new work culture.

scholarly journals COVID-19 pandemic- knowledge, perception, anxiety and depression among frontline doctors of Pakistan

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Faridah Amin ◽  
Salman Sharif ◽  
Rabeeya Saeed ◽  
Noureen Durrani ◽  
Daniyal Jilani
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Well Being ◽  
World Health ◽  
Public Health Burden ◽  
Factors Associated ◽  
Increased Risk ◽  
Modifiable Factors ◽  
Anxiety Depression ◽  
Self Reporting Questionnaire

Abstract Background COVID-19 is a global pandemic and has become a major public health burden worldwide. With already fragile healthcare systems it can have long lasting effects in developing countries. Outbreaks especially a pandemic situation evokes fear related behaviors among healthcare professionals and there is always an increased risk of mental health disorders. Therefore, this study aims to determine knowledge and perception about this pandemic, prevalence and factors associated with anxiety/depression among frontline physicians of Pakistan. Methods Data were collected through an online survey released in the last week of March-2020. 389 frontline physicians from all four provinces and 65 cities of Pakistan participated. Survey questionnaire consisted of 4 parts including informed consent section, demographic section, knowledge and perception about COVID-19 pandemic and assessment of depression through World Health Organization Self-reporting questionnaire (SRQ-20). A score of 8 or above on SRQ-20 was used as cut-off to label the participant as depressed. Data was analyzed using SPSS version22. Results A 43% prevalence of anxiety/depression among frontline physicians of Pakistan was reported. Almost all the doctors had moderate to high knowledge score. Majority of participants marked N-95 mask as “essential” during aerosol generating procedures, assessing patients with respiratory symptoms, in COVID patient-care area, ER triage and direct care of COVID-19 patient. Only 12% of the doctors were fully satisfied with the provision of PPEs and almost 94% felt unprotected. In multivariable model, assessing more than five COVID suspects/day (aOR = 2.73, 95% CI: 1.65–4.52), working 20 h/week or less (aOR = 2.11, 1.27–3.49), having children among household members (aOR = 1.58, 95% CI: 1.00–2.50) and moderate to low knowledge of the infection (aOR = 2.69, 95% CI: 1.68–4.31) were found to be independent predictors of anxiety/depression among physicians. Conclusion Anxiety/depression among more than a third of frontline doctors of Pakistan warrants the need to address mental health of doctors caring for patients during this pandemic; control modifiable factors associated with it and explore the effectiveness of interventions to promote psychological well-being of physicians.

scholarly journals Prevalence and Risk Factors of Anxiety, Depression, and Sleep Problems Among Caregivers of People Living With Neurocognitive Disorders During the COVID-19 Pandemic

2021 ◽  
Vol 11 ◽  
Author(s):  
Qiuxuan Li ◽  
Haifeng Zhang ◽  
Ming Zhang ◽  
Tao Li ◽  
Wanxin Ma ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Prevalence Rate ◽  
Mental Health Problems ◽  
Sleep Problems ◽  
Health Problems ◽  
Neurocognitive Disorders ◽  
Anxiety Symptoms ◽  
Increased Risk ◽  
Anxiety Depression

Objectives: To estimate the prevalence of anxiety, depression, and sleep problems among caregivers of persons living with neurocognitive disorders (PLWND) during the COVID-19 pandemic in China and investigate whether the COVID-19-related experiences were associated with the presence of anxiety, depression, and sleep problems.Methods: From March 1 to 31, 2020, 160 caregivers of PLWND participated in an online cross-sectional survey on the prevalence of anxiety, depression, and sleep problems. The 7-item Generalized Anxiety Disorder Scale (GAD-7) was administered to measure anxiety symptoms, and the 2-item Patient Health Questionnaire (PHQ-2) was used to assess depressive symptoms. Questions on sleep duration and sleep quality enquired about sleep problems. Six items were used to explore the COVID-19-related experiences, including community-level infection contact and the level of exposure to media information. We computed the prevalence rate of anxiety, depressive symptoms, and sleep problems. Univariate and multivariate logistic regression analyses were performed to investigate factors associated with these mental health problems.Results: The prevalence rate of anxiety, depression, and sleep problems were 46.9%, 36.3%, and 9.4%. Approximately 55 participants (34.4%) presented with two or more mental health problems. Women had a higher risk of developing anxiety symptoms (OR, 5.284; 95% CI, 2.068–13.503; p = 0.001). Having a mental disorder (OR, 5.104; 95% CI, 1.522–17.114; p = 0.008) was associated with an increased risk of depressive symptoms. Caregivers who preferred to access positive information (OR, 0.215; 95% CI, 0.058–0.793; p = 0.021) was associated with decreased risk of sleep problems.Conclusion: Anxiety and depressive symptoms were common among caregivers of older adults with dementia or mild cognitive impairment during the COVID-19 pandemic. Being female was an independent risk factor for experiencing anxiety symptoms. Preexisting mental disorders increased the risk of depressive symptoms among caregivers, while caregivers who prefer to access positive media information decreased sleep problems.

Work-Related Musculoskeletal Discomfort and Injury in Microsurgeons

2018 ◽  
Vol 35 (05) ◽  
pp. 322-328 ◽  
Author(s):  
Ashley Howarth ◽  
Susan Hallbeck ◽  
Raman Mahabir ◽  
Valerie Lemaine ◽  
Gregory Evans ◽  
...  
Keyword(s):  
Well Being ◽  
Musculoskeletal Discomfort ◽  
Surgical Performance ◽  
Work Related ◽  
Increased Risk ◽  
Surgical Ergonomics ◽  
Reconstructive Microsurgery ◽  
American Society ◽  
Loupe Magnification ◽  
Question Survey

Background Long surgical procedures with loupe magnification and microscopes may put microsurgeons at an increased risk of musculoskeletal discomfort. Identifying the prevalence and impact of work-related musculoskeletal discomfort may guide preventive strategies to prolong well-being, job satisfaction, and career duration. Methods An online 29-question survey was designed to evaluate work-related musculoskeletal discomfort. The survey was created and distributed electronically through a private survey research center and was sent to the members of the American Society for Reconstructive Microsurgery. Results There were 117 respondents (16.7% response rate): 80% were men; 69% were aged 31 to 50 years; and 68% were in academic practice. On a scale of 0 to 10 (0, no pain and 10, worst pain), the median for work-related musculoskeletal discomfort for surgery without loupes or microscope was 2; with loupes, 4; and with a microscope, 5. Pain was most common in the neck. Half of the surgeons reported pain within 4 hours of surgery, and 57% feared that pain would influence future surgical performance. Surgeon discomfort affected posture (72%), stamina (36%), sleep (29%), relationships (25%), concentration (22%), and surgical speed (19%). Tremor caused by the discomfort occurred in 8%. Medical treatment for discomfort was sought by 29%. Time off work for treatment occurred for 8%. Conclusion Work-related musculoskeletal discomfort can affect many aspects of a microsurgeon's life and has the potential to limit a surgeon's ability to operate. Therefore, more emphasis is needed in the surgical community on the important issues of occupational health and surgical ergonomics for microsurgeons.

scholarly journals My Mind is Working Overtime – Towards an Integrative Perspective of Psychological Detachment, Work-Related Rumination and Work Reflection

2019 ◽  
Author(s):  
Oliver Weigelt ◽  
Petra Gierer ◽  
Christine J. Syrek
Keyword(s):  
Structural Equation ◽  
Satisfaction With Life ◽  
Well Being ◽  
Equation Modeling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Work Related ◽  
Psychological Detachment ◽  
Recovery From Work ◽  
Positive Work

In the literature on occupational stress and recovery from work several facets of thinking about work in off-job time have been conceptualized. However, research on the focal concepts is currently rather disintegrated. In this study we take a closer look at the five most established concepts, namely (1) psychological detachment, (2) affective rumination, (3) problem-solving pondering, (4) positive work reflection, and (5) negative work reflection. More specifically, we scrutinized (1) whether the five facets of work-related rumination are empirically distinct, (2) whether they yield differential associations with different facets of employee well-being (burnout, work engagement, thriving, satisfaction with life, and flourishing), and (3) to what extent the five facets can be distinguished from and relate to conceptually similar constructs, such as irritation, worry, and neuroticism. We applied structural equation modeling techniques to cross-sectional survey data from 474 employees. Our results provide evidence that (1) the five facets of work-related rumination are highly related, yet empirically distinct, (2) that each facet contributes uniquely to explain variance in certain aspects of employee well-being, and (3) that they are distinct from related concepts, albeit there is a high overlap between (lower levels of) psychological detachment and cognitive irritation. Our study contributes to clarify the structure of work-related rumination and extends the nomological network around different types of thinking about work in off-job time and employee well-being.

scholarly journals Correction: Work-Related and Personal Factors Associated With Mental Well-Being During the COVID-19 Response: Survey of Health Care and Other Workers (Preprint)

2021 ◽  
Author(s):  
Bradley A Evanoff ◽  
Jaime R Strickland ◽  
Ann Marie Dale ◽  
Lisa Hayibor ◽  
Emily Page ◽  
...  
Keyword(s):  
Mental Health ◽  
Prevalence Ratio ◽  
Well Being ◽  
Clinical Settings ◽  
Personal Factors ◽  
Clinical Exposure ◽  
Factors Associated ◽  
Work Related ◽  
Anxiety Depression ◽  
Health And Well Being

BACKGROUND The response to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has created an unprecedented disruption in work conditions. This study describes the mental health and well-being of workers both with and without clinical exposure to patients with coronavirus disease (COVID-19). Objective: The aim of this study is to measure the prevalence of stress, anxiety, depression, work exhaustion, burnout, and decreased well-being among faculty and staff at a university and academic medical center during the SARS-CoV-2 pandemic and describe work-related and personal factors associated with their mental health and well-being. Methods: All faculty, staff, and postdoctoral fellows of a university, including its medical school, were invited in April 2020 to complete an online questionnaire measuring stress, anxiety, depression, work exhaustion, burnout, and decreased well-being. We examined associations between these outcomes and factors including work in high-risk clinical settings and family/home stressors. Results: There were 5550 respondents (overall response rate of 34.3%). Overall, 38% of faculty and 14% of staff (n=915) were providing clinical care, while 57% of faculty and 77% of staff were working from home. Among all workers, anxiety (prevalence ratio 1.37, 95% CI 1.09-1.73), depression (prevalence ratio 1.28, 95% CI 1.03-1.59), and high work exhaustion (prevalence ratio 1.24, 95% CI 1.13-1.36) were independently associated with community or clinical exposure to COVID-19. Poor family-supportive behaviors by supervisors were also associated with these outcomes (prevalence ratio 1.40, 95% CI 1.21-1.62; prevalence ratio 1.69, 95% CI 1.48-1.92; and prevalence ratio 1.54, 95% CI 1.44-1.64, respectively). Age <40 years and a greater number of family/home stressors were also associated with these poorer outcomes. Among the subset of clinicians, caring for patients with COVID-19 and working in high-risk clinical settings were additional risk factors. Conclusions: Our findings suggest that the pandemic has had negative effects on the mental health and well-being of both clinical and nonclinical employees. Mitigating exposure to COVID-19 and increasing supervisor support are modifiable risk factors that may protect mental health and well-being for all workers.

scholarly journals ‘It’s like juggling fire daily’: Well-being, workload and burnout in the British NHS - A survey of 721 physicians

Work ◽  
2021 ◽  
pp. 1-9
Author(s):  
Catherine Dominic ◽  
Dipesh P Gopal ◽  
Amandip Sidhu
Keyword(s):  
Care Delivery ◽  
National Level ◽  
Physical Space ◽  
Well Being ◽  
Research Literature ◽  
System Level ◽  
Work Related ◽  
High Workload ◽  
The Individual ◽  
Almost All

BACKGROUND: Physicians are at higher risk for burnout than workers in other fields. Burnout negatively impacts physician health, care delivery and healthcare cost. Existing studies quantify the workforce affected by burnout whilst qualitative studies use specific specialty groups limiting generalisability of solutions. This is important given increased stress during the COVID-19 pandemic. OBJECTIVE: The study aimed to understand the causes of work-related burnout, identify what supportive resources physicians utilise, and to propose solutions. METHODS: A questionnaire was circulated between March and May 2019 via the ‘Doctors’ Association UK’ website and social media. RESULTS: 721 responses were received. 94%of respondents worked in the NHS, with over half being either general practitioners (GPs) or consultants. One in two (53%) respondents felt unable to raise workplace concerns regarding wellbeing, stress or workload. Almost all respondents (97%) felt the NHS has a culture of viewing excessive stress and workload as the norm. Three themes emerged from qualitative analysis: negative workplace culture; high workload and lack of resources; and generational change. CONCLUSIONS: Respondents described system-level factors which negatively impacted their wellbeing whilst organisations focused on physician-level factors. The research literature supports multi-level change beyond the individual tackling work unit and organisational factors. These include providing infrastructure to allow delegation of administrative work and physical space for relaxation and flexible work with time for leave. At a national level, there is greater urgency for an increase in healthcare funding and resourcing especially during increased clinician workloads during a pandemic where burnout rates will increase.

scholarly journals Sleep as a mediator in the context of emotional problems in adolescents with IBD: A pilot study

2021 ◽  
Vol 3 (1) ◽  
pp. 71-82
Author(s):  
Ann-Kristin Manhart ◽  
◽  
Angelika A. Schlarb ◽  
Keyword(s):  
Sleep Disturbances ◽  
Sleep Problems ◽  
Emotional Problems ◽  
Well Being ◽  
Emotional Behavior ◽  
Mediation Effect ◽  
Depression Symptoms ◽  
Parental Ratings ◽  
Anxiety Depression

Background: Sleep has an impact on daily life. Particularly among adolescents with IBD, adequate sleep seems to be important, as the disease itself and the associated symptoms can cause distress and impair daytime functioning. However, often parental and youth reports differ regarding perceived sleep problems of adolescents. Besides sleep problems, depression and anxiety are often prominent in young IBD patients. To date, the interplay between sleep, anxiety/depression symptoms and IBD is not fully understood. Therefore, the aim of this study was to (1) evaluate sleep problems in adolescents suffering from IBD, (2) compare adolescents’ sleep quality and impairments according to self- and parental reports, and (3) investigate the interaction between IBD symptomatology, emotional problems and sleep disturbances. Methods: 29 adolescents (age 10 - 22; M = 14.44 , SD = 1.78 ) with IBD and their parents took part in the study. Adolescents and parents completed questionnaires concerning sleep, emotional problems, and IBD symptomatology. Results: Especially overtiredness, insomnia symptoms, and nightmares play a prominent role regarding sleep problems in youths. Self-rated sleep problems and parental ratings were inconsistent, particularly for nightmares (Z = -2.12; p = .034). However, other ratings concerning emotional problems and sleep, especially anxiety and nightmares, were significantly related(r = .426, p = .034), even though we found no mediation effect for the association between IBD, nightmares and anxiety. Discussion: The present study revealed the importance of sleep and emotional well-being for adolescents suffering from IBD. Moreover, it became clear that the role of anxiety in youths suffering from IBD and sleep problems is not sufficiently answered yet. Not only emotional behavior but also sleep should be addressed when diagnosing IBD or during treatment of IBD. In addition, these results show the need for further investigation regarding the differences between parental and self-reports concerning sleep problems in young IBD patients.

The impact of work engagement and workaholism on well-being

2014 ◽  
Vol 19 (7) ◽  
pp. 813-835 ◽  
Author(s):  
Gaëtane Caesens ◽  
Florence Stinglhamber ◽  
Gaylord Luypaert
Keyword(s):  
Social Support ◽  
Job Satisfaction ◽  
Perceived Stress ◽  
Work Engagement ◽  
Organizational Support ◽  
Sleep Problems ◽  
Well Being ◽  
Coworker Support ◽  
Content Type ◽  
Work Related

Purpose – The purpose of this paper are twofold. First, the authors examined the effects of two types of working hard (i.e. work engagement, workaholism) on employees’ well-being (i.e. job satisfaction, perceived stress, and sleep problems). Second, the authors tested the extent to which both types of working hard mediate the relationship between three types of work-related social support (i.e. perceived organizational support, perceived supervisor support, and perceived coworker support) and employees’ well-being. Design/methodology/approach – An online questionnaire was administered to 343 PhD students. Findings – Results revealed that work engagement mediates the relationships between perceived organizational support and job satisfaction and perceived stress. Perceived organizational support has also a direct positive impact on job satisfaction and a direct negative impact on perceived stress and sleep problems. Furthermore, work engagement mediates the influence of perceived supervisor support on job satisfaction and perceived stress. Finally, workaholism was found to mediate the relationships between perceived coworker support, and job satisfaction, perceived stress, and sleep problems. Practical implications – The findings suggest that managers should promote practices in order to foster work engagement and prevent workaholism. In line with this, the findings indicated that the most powerful source of support that fosters work engagement is perceived supervisor support. Organizations should, therefore, train their supervisors to be supportive in their role of directing, evaluating and coaching subordinates or encourage supervisors to have regular meetings with their subordinates. Additionally, the results showed that perceived coworker support is the only source of work-related social support that has a negative influence on workaholism. Managers should foster coworker support, for instance by encouraging informal mentoring among employees in order to build a strong social network. Originality/value – Because scholars argued that each type of work-related social support might have different consequences and might vary in terms of strength of associations with their outcomes, the study aimed to examine the concomitant effects of three forms of work-related social support on two types of working hard which, in turn, influence employees’ well-being.

scholarly journals Factors associated with maternal postpartum fatigue: an observationalstudy

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e025927 ◽  
Author(s):  
Jane Henderson ◽  
Fiona Alderdice ◽  
Maggie Redshaw
Keyword(s):  
Response Rate ◽  
Sleep Problems ◽  
Post Partum ◽  
Secondary Analysis ◽  
Well Being ◽  
Postnatal Period ◽  
Infant Attachment ◽  
Increased Risk ◽  
Experienced Fatigue ◽  
Postpartum Fatigue

ObjectivesTo assess the prevalence of postpartum fatigue at 10 days, 1 month and 3 months, and to describe the sociodemographic and clinical characteristics of women with fatigue and the associations with infant characteristics, maternal–infant attachment, and partner and midwifery support.SettingMaternity care in England. Secondary analysis of 2014 National Maternity Survey.ParticipantsParticipants were a random sample of 10 000 women selected by the Office for National Statistics using birth registration records. Women aged less than 16 years or if their baby had died were excluded. Questionnaires were sent to women at 3 months post partum and asked about well-being and care during pregnancy, labour, birth and post partum. Specifically, women were asked whether they experienced fatigue/severe tiredness at 10 days, 1 month or 3 months post partum. Responses were received from 4578 women (47% response rate).ResultsDecreasing but substantial proportions of women, 38.8%, 27.1% and 11.4%, experienced fatigue/severe tiredness at 10 days, 1 month and 3 months, respectively. These figures varied significantly by maternal age, level of deprivation, education and parity. Women reporting depression, anxiety, sleep problems and those breast feeding were at significantly increased risk (eg, OR for depression in women with fatigue at 3 months: 2.99 (95% CI 2.13 to 4.21)). Significantly more negative language was used by these women to describe their babies, and they perceived their baby as more difficult than average (eg, two or more negative adjectives used by women with fatigue at 3 months: OR 1.86 (95% CI 1.36 to 2.54)). Women with postpartum fatigue had greater partner support but were significantly less likely to report seeing the midwife as much as they wanted.ConclusionsPostpartum fatigue is not inevitable or universal, although early in the postnatal period it affects a substantial proportion of women. Predictors include age and parity, but practical help and support from partners and midwives may be protective factors.

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