Occupational exposure to work-related stress, a proposal of a pilot study to detect psychological distress in collarworkers
Keywords:
Occupational medicine, work-related stress, white-collar workers, depression, anxietyAbstract
Introduction. Work-related psychosocial risks have been identified as significant occupational health and safety risks; the occupational physicians must assess and monitor the health status of workers in order to verify that work is not a source of harm to exposed operators. The aim of the study was to investigate the outcomes related to anxiety and depression traits in workers exposed to stress-related work.
Methods. A questionnaire was administered to a large population of Italian public administration workers; the Centre for Epidemiologic Studies - Depression Scale questionnaire was used to measure depression, the Self rating Anxiety Scale was used to measure anxiety, the UK Management Standards Indicator tool questionnaire was used to assess work adjustment. A descriptive analysis, a multivariate analysis, as well as logistic regression models were used to assess the health outcomes related to stress.
Results. A total of 292 workers participated in the study; 100% of participants had a Centre for Epidemiologic Studies - Depression Scale score over the cut-off; 41.78% had a Self rating Anxiety Scale score over the cut-off; the results support a correlation between the Centre for Epidemiologic Studies - Depression Scale results and the UK Management Standards Indicator tool results; and a correlation between Self-rating Anxiety Scale results and the UK Management Standards Indicator tool results.
Conclusions. The Demand, Management, Support and Relationship results were associated with mental health outcomes, and it could be a useful tool in occupational medicine, to identify workers at risk for negative mental health outcomes, becoming an essential tool in workers’ health assessment and for prevention of mental health disorders.
References
1. Schreibauer EC, Hippler M, Burgess S, Rieger MA, Rind E. Work-Related Psychosocial Stress in Small and Medium-Sized Enterprises: An Integrative Review. Int J Environ Res Public Health. 2020 Oct; 17(20): 7446. doi: 10.3390/ ijerph17207446.
2. European opinion polls on safety and health at work | Safety and health at work EU-OSHA [Internet]. [cited 2022 Jun 13]. Available on: https://osha.europa.eu/en/facts-and-figures/ european-opinion-polls-safety-and-health-work [Last accessed: 2023 January 21].
3. INAIL, Luciani A, Medei L, Fornaroli M. Indagine nazionale sulla salute e sicurezza sul lavoro.[Internet]. [cited 2023 March 20]. Available on: https://www.inail.it/cs/internet/ docs/progetto_insula_report_rls-pdf.pdf [Last accessed: 2023 March 20]
4. Persechino B, Valenti A, Ronchetti M, et al. Work-Related Stress Risk Assessment in Italy: A Methodological Proposal Adapted to Regulatory Guidelines. Saf Health Work. 2013 Jun; 4(2): 95-9. doi: 10.1016/j.shaw.2013.05.002. Epub 2013 May 16.
5. Rondinone B, Persechino B, Castaldi T. Workrelated stress risk assessment in Italy: the validation study of the health safety and executive indicator tool. G Ital Med Lav Ergon. 2012 Oct-Dec; 34(4): 392-9.
6. Di Tecco C, Ronchetti M, Ghelli M, Russo S, Persechino B, Iavicoli S. Do Italian Companies Manage Work-Related Stress Effectively? A Process Evaluation in Implementing the INAIL Methodology. BioMed Res Int. 2015; 2015: 197156.
doi: 10.1155/2015/197156. Epub 2015 Oct 4.
7. Borrelli I, Santoro PE, Fiorilli C, et al. A new tool to evaluate burnout: the Italian version of the BAT for Italian healthcare workers. BMC Public Health. 2022 Mar 9; 22(1): 474. doi: 10.1186/ s12889-022-12881-y.
8. Buonomo I, Santoro PE, Benevene P, et al. Buffering the Effects of Burnout on Healthcare Professionals’ Health-The Mediating Role of Compassionate Relationships at Work in the COVID Era. Int J Environ Res Public Health. 2022 Jul 23; 19(15): 8966. doi: 10.3390/ijerph19158966.
9. Fiorilli C, Buonomo I, Romano L, et al. Teacher Confidence in Professional Training: The Predictive Roles of Engagement and Burnout. Sustainability. 2020 Jan; 12(16): 6345. doi: 10.3390/su12166345.
10. Kalmbach DA, Anderson JR, Drake CL. The impact of stress on sleep: Pathogenic sleep reactivity as a vulnerability to insomnia and circadian disorders. J Sleep Res. 2018 Dec; 27(6): e12710.
doi: 10.1111/jsr.12710. Epub 2018 May 24.
11. Bonde JPE. Psychosocial factors at work and risk of depression: a systematic review of the epidemiological evidence. Occup Environ Med. 2008 Jul; 65(7): 438-45. doi: 10.1136/ oem.2007.038430. Epub 2008 Apr 16.
12. Harvey SB, Modini M, Joyce S, et al. Can work make you mentally ill? A systematic metareview of work-related risk factors for common mental health problems. Occup Environ Med. 2017 Mar; 74(4): 301-10. doi: 10.1136/oemed2016-104015. Epub 2017 Jan 20.
13. Madsen IEH, Nyberg ST, Magnusson Hanson
LL,et al. Job strain as a risk factor for clinical depression: systematic review and meta-analysis with additional individual participant data. Psychol Med. 2017 Jun; 47(8): 1342-56. doi: 10.1017/S003329171600355X. Epub 2017 Jan 26.
14. Sara JD, Prasad M, Eleid MF, Zhang M, Widmer
RJ, Lerman A. Association Between WorkRelated Stress and Coronary Heart Disease:
A Review of Prospective Studies Through the Job Strain, Effort‐Reward Balance, and Organizational Justice Models. J Am Heart Assoc Cardiovasc Cerebrovasc Dis. 2018 Apr 27; 7(9):
e008073. doi: 10.1161/JAHA.117.008073.
15. Giorgi G, Arcangeli G, Perminiene M,et al. Work-Related Stress in the Banking Sector: A Review of Incidence, Correlated Factors, and Major Consequences. Front Psychol. 2017; 8: 2166. doi: 10.3389/fpsyg.2017.02166.
16. Borrelli I, Benevene P, Fiorilli C, D’Amelio F, Pozzi G. Working conditions and mental health in teachers: a preliminary study. Occup Med (Lond). 2014 Oct; 64(7): 530-2. doi: 10.1093/ occmed/kqu108. Epub 2014 Aug 21.
17. Cousins R, Mackay CJ, Clarke SD, Kelly C, Kelly PJ, McCaig RH. ‘Management Standards’ and work-related stress in the UK: Practical development. Work Stress. 2004; 18(2): 113-36.
doi: 10.1080/02678370410001734322.
18. Kerr R, McHugh M, McCrory M. HSE management standards and stress-related work outcomes. Occup Med (London). 2009 Dec; 59(8): 574-9. doi: 10.1093/occmed/kqp146. Epub 2009 Oct 7.
19. Hackett A, Palmer S, Farrants J. Phase 1 of an investigation into the levels of stress in United Kingdom hospice services. Int J Palliat Nurs. 2009 Feb; 15(2): 66-72. doi: 10.12968/ ijpn.2009.15.2.39802.
20. Marcatto F, Colautti L, Larese Filon F, et al. Work-related stress risk factors and health outcomes in public sector employees. Saf Sci. 2016 Nov 1; 89: 274-8. doi: 10.1016/j. ssci.2016.07.003.
21. Roberts RE, Vernon SW. The Center for Epidemiologic Studies Depression Scale: its use in a community sample. Am J Psychiatry. 1983 Jan; 140(1): 41-6. doi: 10.1176/ajp.140.1.41.
22. Radloff LS. The CES-D Scale: A self-report depression scale for research in the general population. Appl Psychol Meas. 1977; 1(3): 385-401.
https://doi.org/10.1177/014662167700100306.
23. Kato R, Haruyama Y, Endo M, Tsutsumi A, Muto T. Heavy overtime work and depressive disorder among male workers. Occup Med (Lond). 2014 Dec 1; 64(8): 622-8. doi: 10.1093/occmed/ kqu120. Epub 2014 Sep 25.
24. Zung WW. The measurement of affects: depression and anxiety. Mod Probl Pharmacopsychiatry. 1974; 7(0): 170-88. doi: 10.1159/000395075.
25. Mc Dowell CP, Carlin A, Capranica L, et al. Associations of self-reported physical activity and depression in 10,000 Irish adults across harmonised datasets: a DEDIPAC-study. BMC Public Health. 2018 Jul 1; 18(1): 779. doi: 10.1186/s12889-018-5702-4.
26. Luppa M, Sikorski C, Luck T, et al. Age- and gender-specific prevalence of depression in latest-life--systematic review and meta-analysis. J Affect Disord. 2012 Feb; 136(3): 212-21. doi: 10.1016/j.jad.2010.11.033. Epub 2010 Dec 30.
27. Brookes K, Limbert C, Deacy C, O’Reilly A, Scott S, Thirlaway K. Systematic review: workrelated stress and the HSE management standards. Occup Med (Lond). 2013 Oct; 63(7): 463-72. doi: 10.1093/occmed/kqt078. Epub 2013 Jul 11.
28. Melchior M, Caspi A, Milne BJ, Danese A, Poulton R, Moffitt TE. Work stress precipitates depression and anxiety in young, working women and men. Psychol Med. 2007 Aug; 37(8): 1119-29. doi: 10.1017/S0033291707000414.
Epub 2007 Apr 4.
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