Occupational stress

Occupational stress is psychological stress related to one's job. Occupational stress often stems from pressures that do not align with a person's knowledge, skills, or expectations. Job stress can increase when workloads are excessive. Occupational stress can occur when workers do not feel supported by supervisors or coworkers, feel as if they have little control over work processes, or find that their efforts on the job are incommensurate with the job's rewards.[1] Occupational stress is a concern for both employees and employers because stressful job conditions are related to employees' emotional well-being, physical health, and job performance.[2]

A number of disciplines within psychology are concerned with occupational stress including clinical psychology, occupational health psychology, [3] human factors and ergonomics, and industrial and organizational psychology [4][5][6].

Psychological theories of worker stress

A number of psychological theories[7][8][9] at least partly explain the occurrence of occupational stress. The theories include the demand-control-support model, the effort-reward imbalance model, the person-environment fit model, job characteristics model, the diathesis stress model, and the job-demands resources model.

Demand-control-support model

The demand-control-support (DCS) model is the most influential psychological theory in occupational stress research.[9] The DCS model advances the idea that the combination of low levels of work-related decision latitude (i.e., autonomy and control over the job) and high psychological workloads is harmful to workers. High workloads and low levels of decision latitude either in combination or singly can lead to job strain, the term often used in the field of occupational health psychology to reflect poorer mental or physical health.[10][11] The model has been extended to include work-related social isolation or lack of support from coworkers and supervisors, which also leads to poorer health[12]

Effort-reward imbalance model

The effort-reward imbalance (ERI) model focuses on the relationship between the worker's efforts and the work-related rewards the employee receives. The ERI model suggests that work marked by high levels of effort and low rewards leads to strain (e.g., psychological symptoms, physical health problems). The rewards of the job can be tangible like pay or intangible like appreciation and fair treatment. Another facet of the model is that overcommitment to the job can fuel imbalance.[13][9]

Person-environment fit model

The person-environment fit model underlines the match between a person and his/her work environment. The closeness of the match influences the individual's health. For healthy working conditions, it is necessary that employees’ attitudes, skills, abilities, and resources match the demands of their job. The greater the gap or misfit (either subjective or objective) between the person and his/her work environment, the greater the strain.[9] Strains can include mental and physical health problems. Misfit can also lead to lower productivity and other work problems.[8] The P–E fit model was popular in the 1970s and the early 1980s; however, since the late 1980s interest in the model has waned because of difficulties representing P–E discrepancies mathematically and statistical models linking P-E fit to strain have been problematic.[14]

Job characteristics model

The job characteristics model focuses on factors such as skill variety, task identity, task significance, autonomy, and feedback. These job factors are thought to psychological states such as a sense of meaningfulness and knowledge acquisition. The theory holds that positive or negative job characteristics give rise to a number of cognitive and behavioral outcomes such as extent of worker motivation, satisfaction, and absenteeism. Hackman and Oldham (1980) developed the Job Diagnostic Survey to assess these job characteristics and help organizational leaders make decisions regarding job redesign.[8]

Diathesis-stress model

The diathesis–stress model looks the individual's susceptibility to stressful life experiences, i.e., the diathesis.[15][16] Individuals differ on that diathesis or vulnerability. The model suggests that the individual's diathesis is part of the context in which he or she encounters job stressors at various levels of intensity.[17][18] If the individual has a very high tolerance (is relatively invulnerable), an intense stressor may not lead to a mental or physical problem. However, if the stressor (e.g., high workload, difficult coworker relationship) outstrips the individual's diathesis, then health problems may ensue.[19]

Job demands-resources model

In the job demands-resources model model derives from both conservation of resources theory and the DCS model. Demands refer to the size of the workload, as in the DCS model. Resources refer to the physical (e.g., equipment), psychological (e.g., the incumbent's job-related skills and knowledge), social (e.g., supportiveness of supervisors), and organizational resources (e.g., how much task-related discretion is given the worker) that are available to satisfactorily perform the job.[20] High workloads and low levels of resources are related job strain.[20]

  • Role conflict involves the worker facing incompatible demands.[21][22] Workers are pulled in conflicting directions in trying to respond to those demands.[23]
  • Role ambiguity refers to a lack of informational clarity with regard to the duties a worker's role in an organization requires.[21] Like role conflict, role ambiguity is a source of strain.
  • Coping refers to the individual's efforts to either prevent the occurrence of a stressor or mitigate the distress the impact of the stressor is likely to cause.[24] Research on the ability of the employees to cope with the specific workplace stressors is equivocal; coping in the workplace may even be counterproductive.[25][9] Pearlin and Schooler[26] advanced the view that because work roles, unlike such personally organized roles as parent and spouse, tend to be impersonally organized, work roles are not a context conducive to successful coping. Pearlin and Schooler suggested that the impersonality of workplaces may even result in occupational coping efforts making conditions worse for the employee.
  • Organizational climate refers to employees' collective or consensus appraisal of the organizational work environment.[27] Organizational climate takes into account many dimensions of the work environment (e.g., safety climate; mistreatment climate; work-family climate). The communication, management style, and extent of worker participation in decision-making are factors that contribute to one or another type of organizational climate.

Negative health and other effects
Frustrated man at a desk

Occupational stress can lead to three types of strains: behavioral (e.g., absenteeism), physical (e.g., headaches), and psychological (e.g., depressed mood).[28][29] Job stress has been linked to a broad array of conditions, including psychological disorders (e.g., depression, anxiety, post-traumatic stress disorder), job dissatisfaction, maladaptive behaviors (e.g., substance abuse), cardiovascular disease, and musculoskeletal disorders.[30][31][9] Stressful job conditions can also lead to poor work performance, counterproductive work behavior,[32] higher absenteeism, and injury.[19][30] Chronically high levels of job stress diminish a worker's quality of life and increase the cost of the health benefits the employer provides. A study of short haul truckers found that high levels of job stress were related to increased risk of occupational injury.[33] Research conducted in Japan showed a more than two-fold increase in the risk of stroke among men with job strain (combination of high job demand and low job control).[34] The Japanese use the term karoshi to reflect death from overwork.

Occupational stress accounts for more than 10% of work-related health claims.[35] Many studies suggest that psychologically demanding jobs that allow employees little control over the work process increase the risk of cardiovascular disease.[9] Research indicates that job stress increases the risk for development of back and upper-extremity musculoskeletal disorders.[36] Stress at work can also increase the risk of acquiring an infection and the risk of accidents at work.[37]

High levels of stress are associated with substantial increases in health service utilization.[17] For example, workers who report experiencing stress at work also show excessive health care utilization. In a 1998 study of 46,000 workers, health care costs were nearly 50% greater for workers reporting high levels of stress in comparison to “low risk” workers. The increment rose to nearly 150%, an increase of more than $1,700 per person annually, for workers reporting high levels of both stress and depression.[38] Health care costs increase by 200% in those with depression and high occupational stress.[37] Additionally, periods of disability due to job stress tend to be much longer than disability periods for other occupational injuries and illnesses.[39] Occupational stress has negative effects for organizations and employers. Occupational stress contributes to turnover[40] and absenteeism.[41]

Physiological reactions to stress can have consequences for health over time. Researchers have been studying how stress affects the cardiovascular system, as well as how work stress can lead to hypertension and coronary artery disease. These diseases, along with other stress-induced illnesses tend to be quite common in American work-places.[42] There are a number of physiological reactions to stress including the following:[43]

  • Blood is shunted to the brain and large muscle groups, and away from extremities and skin.
  • Activity in an area near the brain stem known as the reticular activating system increases, causing a state of keen alertness as well as sharpening of hearing and vision.
  • Epinephrine is released into the blood.
  • The HPA axis is activated.
  • There is increased activity in the sympathetic nervous system.
  • Cortisol levels are elevated.
  • Energy-providing compounds of glucose and fatty acids are released into the bloodstream.
  • The action immune and digestive systems are temporarily reduced.


Studies have shown an association between occupational stress and "health risk behaviors." Occupational stress has shown to be linked with an increase in alcohol consumption among men and an increase in body weight.[44]

Gender

Men and women are exposed to many of the same stressors.[45] Although men and women might not differ in overall strains, women are more likely to experience psychological distress, whereas men experience more physical strain. Desmarais and Alksnis suggest two explanations for the greater psychological distress of women. First, the genders may differ in their awareness of negative feelings, leading women to be more likely to express and report strains, whereas men more likely to deny and inhibit such feelings. Second, the demands to balance work and family result in more overall stress for women that leads to increased strain.[45] Women are also more vulnerable to sexual harassment and assault than men.[46] These authors are referring to the very real "double burden" hypothesis.[47] In addition, women, on average, earn less than their male counterparts.[48]

According to a recent report by the European Union (EU),[49] in the EU and affiliated countries the skills gap between men and women has narrowed in the ten years preceding 2015. However, EU men earn substantially more than EU women, which is partly due to differences in working hours.

Causes of occupational stress

Job stress results from the interaction of the worker and the conditions of work. Causes include workload (quantitative workload, qualitative workload, and underload), reduced autonomy and low levels of support (see the demand-control-support model above), pay and recognition incommensurate with effort (see the effort-reward imbalance model above), number of hours worked, occupational status, bullying, sexual harassment, workplace conflict, lack of work-life balance, and status.

General working conditions

Although the importance of individual differences cannot be ignored, scientific evidence suggests that certain working conditions are stressful to most people. Such evidence argues for a greater emphasis on working conditions as the key source of job stress, and for job redesign as a primary prevention strategy.[17] In the ten years leading up to 2015,[49] workers in the EU and affiliated countries have seen improvement in noise exposure but worsening in exposure to chemicals. Approximately, one-third of EU workers experience tight deadlines and must work quickly. Those in the health sector are exposed to the highest levels of work intensity. In order to meet job demands, a little more than 20% of EU workers must work during their free time. Approximately one-third of EU workers in lower-level jobs have some decision latitude. By contrast, about 80% of managers have significant levels of latitude.

General working conditions that induce occupational stress may also be aspects of the physical environment of one's job. For example, the noise level, lighting, and temperature are all components of one's working environment. If these factors are not adequate for a successful working environment, one can experience changes in mood and arousal, which in turn creates more difficulty to successfully do the job right.[50]

Workload
Main article: Workload

In an occupational setting, dealing with workload can be stressful and serve as a stressor for employees. There are three aspects of workload that can be stressful.

  • Quantitative workload or overload: Having more work to do than can be accomplished comfortably.
  • Qualitative workload: Having work that is too difficult.
  • Underload: Having work that fails to use a worker's skills and abilities.[51]

Workload as a work demand is a major component of the demand-control model of stress.[52] This model suggests that jobs with high demands can be stressful, especially when the individual has low control over the job. In other words, control serves as a buffer or protective factor when demands or workload is high. This model was expanded into the demand-control-support model that suggests that the combination of high control and high social support at work buffers the effects of high demands.[53]

As a work demand, workload is also relevant to the job demands-resources model of stress that suggests that jobs are stressful when demands (e.g., workload) exceed the individual's resources to deal with them.[54]

Long hours

According to the U.S. Bureau of Labor Statistics in 2018, approximately 13,060,000 Americans or 8.7% of the labor force worked 41–48 hours per week. Approximately 14,734,000 Americans or 9.8% of the labor force worked 49–59 hours per week. And approximately 9,877,000 Americans or 6.7% of the labor force worked 60 or more hours per week.[55] A meta-analysis[56] involving more than 600,000 individuals and 25 studies indicated that, controlling for confounding factors, working long hours is related to a small but significantly higher risk of cardiovascular disease and slightly higher risk of stroke.

Evidence of occupational stress due to an individual's status in the workplace

Status

A person's status in the workplace is related to occupational stress because jobs associated with lower socioeconomic status (SES) typically provide workers less control and greater insecurity than higher-SES jobs.[9] Lower levels of job control and greater job insecurity are related to reduced mental and physical health.

Salary

The types of jobs that pay workers higher salaries tend to provide them with greater job-related autonomy. As indicated above, job-related autonomy is associated with better health. A problem in research on occupational stress is how to "unconfound" the relationship between stressful working conditions, such as low levels of autonomy, and salary.[57] Because higher levels of income buy resources (e.g., better insurance, higher quality food) that help to improve or maintain health, researchers need to better specify the extent to which differences in working conditions and differences in pay affect health.

Workplace bullying
Main article: Workplace bullying

Workplace bullying involves the chronic mistreatment of a worker by one or more other workers or managers. Bullying involves a power imbalance in which the target has less power in the unit or the organization than the bully or bullies.[58] Bullying is not a one-off episode. Nor is it a conflict between two workers who are equals in terms of power. There has to be a power imbalance for there to be bullying. Bullying tactics include verbal abuse, psychological abuse, and even physical abuse. The adverse effects of workplace bullying include depression for the worker and lost productivity for the organization.[59]

Narcissism and psychopathy
Main articles: Narcissism in the workplace and Psychopathy in the workplace

Thomas suggests that there tends to be a higher level of stress with people who work or interact with a narcissist, which in turn increases absenteeism and staff turnover.[60] Boddy finds the same dynamic where there is a corporate psychopath in the organisation.[61]

Workplace conflict

Interpersonal conflict among people at work has been shown to be one of the most frequently noted stressors for employees.[62][63] Conflict can be precipitated by workplace harassment.[64] Workplace conflict is also associated with other stressors, such as role conflict, role ambiguity, and heavy workload. Conflict has also been linked to strains such as anxiety, depression, physical symptoms, and low levels of job satisfaction.[64]

Sexual harassment
Main article: Sexual harassment

A review of the literature indicates that sexual harassment, which principally affects women, negatively affects workers' psychological well-being.[65] Other findings suggest that women who experience higher levels of harassment are more likely to perform poorly at work.[65]

Work-life balance
Main article: Work–life balance

Work–life balance refers to the extent to which there is equilibrium between work demands and one's personal life outside of work. Workers face increasing challenges to meeting workplace demands and fulfilling their family roles as well as other roles outside of work.[66]

Occupational group

Lower status occupational groups are at higher risk of work-related ill health than higher occupational groups. This is in part due to adverse work and employment conditions. Furthermore, such conditions have greater effects on ill-health to those in lower socio-economic positions.[67]

Prevention/Intervention

A combination of organizational change and stress management is often the most useful approach for preventing stress at work.[17][30] Both organizations and employees can employ strategies at organizational and individual levels.[30] Generally, organizational level strategies include job procedure modification and employee assistance programs (EAP). A meta-analysis[68] of experimental studies found that cognitive-behavioral interventions, in comparison to relaxation and organizational interventions, provided the largest effect with regard to improving workers’ symptoms of psychological distress. A systematic review[69] of stress-reduction techniques among healthcare workers found that cognitive behavioral training lowered emotional exhaustion and feelings of lack of personal accomplishment.

An occupational stressor that needs to be addressed is the problem of an imbalance between work and life outside of work. The Work, Family, and Health Study[70] was a large-scale intervention study, the purpose of which was to help insure that employees achieve a measure of work–life balance. The intervention strategies included training supervisors to engage in more family-supportive behaviors. Another study component provided employees with increased control over when and where they work. The intervention led to improved home life, better sleep quality, and better safety compliance, mainly for the lowest paid employees.

Many organizations manage occupational stressors associated with health and safety in a fragmented way; for example, one department may house an employee assistance program and another department manages exposures to toxic chemicals.[71] The Total Worker Health (TWH) idea, which was initiated by NIOSH, provides a strategy in which different levels of worker health promotion activity are programmatically integrated[72] TWH-type interventions programmatically integrate health protection (occupational safety/health; e.g., reducing exposures to aerosols) and health promotion (wellness and/or well-being; e.g., smoking cessation program) components. A review[72] of 17 TWH-type interventions, i.e., interventions that integrate organizational-level occupational safety/heath components and individual employee health promotion components, indicated that integrated programs can improve worker health and safety.

Experts from NIOSH[73] recommended a number of practical ways to reduce occupational stress. These include the following:

  • Ensure that the workload is in line with workers' capabilities and resources.
  • Design jobs to provide meaning, stimulation, and opportunities for workers to use their skills.
  • Clearly define workers' roles and responsibilities.
  • To reduce workplace stress, managers may monitor the workload given out to the employees. Also while they are being trained they should let employees understand and be notified of stress awareness.[74]
  • Give workers opportunities to participate in decisions and actions affecting their jobs.
  • Improve communications-reduce uncertainty about career development and future employment prospects.
  • Provide opportunities for social interaction among workers.
  • Establish work schedules that are compatible with demands and responsibilities outside the job.
  • Combat workplace discrimination (based on race, gender, national origin, religion or language).
  • Bringing in an objective outsider such as a consultant to suggest a fresh approach to persistent problems.[75]
  • Introducing a participative leadership style to involve as many subordinates as possible to resolve stress-producing problems.[75]
  • Encourage work-life balance through family-friendly benefits and policies

An insurance company conducted several studies on the effects of stress prevention programs in hospital settings. Program activities included (1) employee and management education on job stress, (2) changes in hospital policies and procedures to reduce organizational sources of stress, and (3) the establishment of employee assistance programs. In one study, the frequency of medication errors declined by 50% after prevention activities were implemented in a 700-bed hospital. In a second study, there was a 70% reduction in malpractice claims in 22 hospitals that implemented stress prevention activities. In contrast, there was no reduction in claims in a matched group of 22 hospitals that did not implement stress prevention activities.[76]

There is evidence that telecommuting could reduce job stress.[77] One reason why telecommuting gets high marks is that it provides employees more control over how they complete their work. Telecommuters reported more job satisfaction and less desire to find a new job. Employees that worked from home also had less stress, improved work/life balance and higher performance rating by their managers.

Signs and symptoms of excessive job and workplace stress

Signs and symptoms of excessive job and workplace stress include:[78]

  • Anxiety
  • Depressed mood
  • Irritability
  • Apathy, loss of interest in work
  • Problems sleeping
  • Fatigue
  • Trouble concentrating
  • Muscle tension
  • Headaches
  • Stomach problems
  • Social withdrawal
  • Loss of sex drive
  • Excessive use alcohol or drugs

Occupations

Industrial and organizational psychologists have a broad skill set to address occupational stress and workplace safety, due to their expertise in organizational development, job design, occupational safety, training, and employee assessment, according to Professor of industrial and organizational psychology Paul E. Spector.[79] They diagnose, treat, and research occupational stress.[80][81] According to the Centers for Disease Control and Prevention, occupational health psychology (OHP) has made occupational stress a major research focus.[3] Occupational health psychologists seek to reduce occupational stress by working with individuals and changing the workplace to make it less stressful.[82]

The CDC states that "many psychologists have argued that the psychology field needs to take a more active role in research and practice to prevent occupational stress, illness, and injury," which is what the relatively new field of occupational health psychology is "all about."[3][83] According to Spector, other subdisciplines within psychology had been relatively absent from research on occupational stress.[84][85] Professor of organizational psychology Sir Cary Cooper's 1986 model of occupational health suggests that for the development of programs to benefit workers' well-being, collaboration is needed between occupational psychologists and clinical psychologists, and perhaps other professionals.[86] Clinical psychologists and health psychologists have a history of providing expertise on health, mental health, and stress.[79] Another tangential field is counseling psychology, where in addition to expertise to perform assessment, address normal development issues, and implement therapeutic interventions—counseling psychologists also have expertise in career development and vocational psychology.[79]

See also

References
  1. "WHO | Stress at the workplace". www.who.int. Retrieved 2015-10-27.
  2. Sulsky, L. & Smith, C. (2005). Work Stress. Belmont, CA: Thomson Wadsworth.
  3. Centers for Disease Control and Prevention. (Accessed December, 2019). Occupational Health Psychology (OHP). Atlanta: Author.
  4. Vinchur, A.J, & Koppes, L.L. (2010). A historical survey of research and practice in industrial and organizational psychology. In S. Zedeck (Ed.), APA handbook of industrial and organizational psychology. Washington, DC: American Psychological Association.
  5. Griffin, M.A, & Clarke, S. (2010). Stress and well-being at work. In S. Zedeck (Ed.), APA handbook of industrial and organizational psychology. Washington, DC: American Psychological Association.
  6. Hart, P.M & Cooper, C.L. (2002). Occupational stress: Toward a more integrated framework, In D.S. Anderson, N. Ones, and H.K. Sinangil, (Eds.), Handbook of industrial, work and organizational psychology, Vol. 2, Organizational Psychology (pp.93–115). Thousand Oaks, CA, Sage.
  7. Cooper, C. L. (1998). Theories of organizational stress. Oxford, UK: Oxford University Press.
  8. Mark, G.M, and Smith, Andrew Paul. 2008. Stress models: a review and suggested new direction. Occupational Health Psychology, European Perspectives On Research, Education and Practice, vol. 3. Nottingham: Nottingham University Press, pp. 111–144.
  9. Schonfeld, I.S., & Chang, C.-H. (2017). Occupational health psychology: Work, stress, and health. New York: Springer Publishing Company.
  10. Karasek, Robert A. (1979). "Job Demands, Job Decision Latitude, and Mental Strain: Implications for Job Redesign". Administrative Science Quarterly. 24 (2): 285–308. doi:10.2307/2392498. JSTOR 2392498.
  11. Karasek, R.; Baker, D.; Marxer, F.; Ahlbom, A.; Theorell, T. (1981). "Job decision latitude, job demands, and cardiovascular disease: A prospective study of Swedish men". American Journal of Public Health. 71 (7): 694–705. doi:10.2105/ajph.71.7.694. PMC 1619770. PMID 7246835.
  12. Johnson, Jeffrey V.; Hall, E. M.; Theorell, Töres (1989). "Combined effects of job strain and social isolation on cardiovascular disease morbidity and mortality in a random sample of the Swedish male working population". Scandinavian Journal of Work, Environment & Health. 15 (4): 271–279. doi:10.5271/sjweh.1852. PMID 2772582.
  13. Siegrist, Johannes; Starke, Dagmar; Chandola, Tarani; Godin, Isabelle; Marmot, Michael; Niedhammer, Isabelle; Peter, Richard (2004). "The measurement of effort–reward imbalance at work: European comparisons". Social Science & Medicine. 58 (8): 1483–1499. doi:10.1016/S0277-9536(03)00351-4. PMID 14759692.
  14. Ganster, Daniel C.; Schaubroeck, John (1991). "Work Stress and Employee Health". Journal of Management. 17 (2): 235–271. doi:10.1177/014920639101700202.
  15. Turk, Dennis C. (2002). "A Diathesis-Stress Model of Chronic Pain and Disability following Traumatic Injury". Pain Research and Management. 7 (1): 9–19. doi:10.1155/2002/252904. PMID 16231063.
  16. Hart, P.M. & Cooper, C.L. (2001). Occupational Stress: Toward a More Integrated Framework. In N. Anderson, D.S. Ones, H.K. Sinangil, & C. Viswesvaran (Eds), Handbook of Industrial, Work and Organizational Psychology (vol 2: Personnel Psychology). London: Sage.
  17. NIOSH (1999). Stress at Work. U.S. National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication Number 99-101.
  18. Henry, O. & Evans, A.J. (2008). "Occupational Stress in Organizations". Journal of Management Research. 8 (3): 123–135.
  19. Colligan, Thomas W; Colligan MSW; Higgins M. (2006). "Workplace Stress – Etiology and Consequences" (PDF). Journal of Workplace Behavioral Health. 21 (2): 89–97. doi:10.1300/J490v21n02_07. Archived from the original (PDF) on 2013-10-13.
  20. Demerouti, Evangelia; Bakker, Arnold B.; Nachreiner, Friedhelm; Schaufeli, Wilmar B. (2001). "The job demands-resources model of burnout". Journal of Applied Psychology. 86 (3): 499–512. doi:10.1037/0021-9010.86.3.499.
  21. Beehr, T. A. (1995). Psychological stress in the workplace. New York, NY: Routledge.
  22. Katz, D., & Kahn, R. L. (1978). The social psychology of organizations 2ed. New York: Wiley.
  23. Gerber, Linda M.; Macionis, John J. (2010). Sociology (7th Canadian ed.). Pearson Canada. p. 129. ISBN 978-0-13-800270-1.
  24. Carver, Charles S.; Connor-Smith, Jennifer (2010). "Personality and Coping". Annual Review of Psychology. 61: 679–704. doi:10.1146/annurev.psych.093008.100352. PMID 19572784.
  25. Menaghan, Elizabeth G.; Merves, Esther S. (1984). "Coping with Occupational Problems: The Limits of Individual Efforts". Journal of Health and Social Behavior. 25 (4): 406–23. doi:10.2307/2136379. JSTOR 2136379. PMID 6520361.
  26. Pearlin, Leonard I.; Schooler, Carmi (1978). "The Structure of Coping". Journal of Health and Social Behavior. 19 (1): 2–21. doi:10.2307/2136319. JSTOR 2136319. PMID 649936.
  27. James, Lawrence R.; Jones, Allan P. (1974). "Organizational climate: A review of theory and research". Psychological Bulletin. 81 (12): 1096–1112. doi:10.1037/h0037511.
  28. Jex, S. M. (1998). Stress and job performance: Theory, research, and implications for managerial practice. Thousand Oaks, CA: Sage.
  29. Burns, Richard A.; Butterworth, Peter; Anstey, Kaarin J. (2016-05-01). "An examination of the long-term impact of job strain on mental health and wellbeing over a 12-year period". Social Psychiatry and Psychiatric Epidemiology. 51 (5): 725–733. doi:10.1007/s00127-016-1192-9. ISSN 1433-9285. PMID 26875152.
  30. Naghieh, Ali; Montgomery, Paul; Bonell, Christopher P; Thompson, Marc; Aber, J Lawrence; Naghieh, Ali (2015). "Organisational interventions for improving wellbeing and reducing work-related stress in teachers" (PDF). The Cochrane Database of Systematic Reviews. 4 (4): CD010306. doi:10.1002/14651858.CD010306.pub2. PMID 25851427.
  31. "NIOSH Work Organization and Stress Related Disorders". United States National Institute for Occupational Safety and Health. Retrieved 2007-12-01.
  32. Meier, L.L.; Spector, P.E. (2013). "Reciprocal effects of work stressors and counterproductive work behavior: A five-wave longitudinal study". Journal of Applied Psychology. 98 (3): 529–539. doi:10.1037/a0031732. PMID 23379915.
  33. Dopkeen, Jonathan, Dubois, Renee (2014). "Stress in the Workplace: A Policy Synthesis on Its Dimensions and Prevalence" (PDF).
  34. Tsutsumi, Akizumi; Kayaba, Kazunori; Kario, Kazuomi; Ishikawa, Shizukiyo (2009). "Prospective Study on Occupational Stress and Risk of Stroke". Archives of Internal Medicine. 169 (1): 56–61. doi:10.1001/archinternmed.2008.503. PMID 19139324.
  35. Ruotsalainen, Jani H.; Verbeek, Jos H.; Mariné, Albert; Serra, Consol (2015-04-07). "Preventing occupational stress in healthcare workers". The Cochrane Database of Systematic Reviews (4): CD002892. doi:10.1002/14651858.CD002892.pub5. ISSN 1469-493X. PMC 6718215. PMID 25847433.
  36. Sauter S, Hurrell J, Murphy L, Levi L [1997]. Psychosocial and organizational factors. In: Stellman J, ed. Encyclopaedia of Occupational Health and Safety. Vol. 1. Geneva, Switzerland: International Labour Office, pp. 34.1–34.77.
  37. Roberts, Rashaun; Grubb, Paula L.; Grosch, James W. (June 25, 2012). "Alleviating Job Stress in Nurses". NIOSH: Workplace Safety and Health. Medscape and NIOSH.
  38. Goetzel, RZ; Anderson, DR; Whitmer, RW; Ozminkowski, RJ; Dunn, RL; Wasserman, J (1998). "The relationship between modifiable health risks and health care expenditure: An analysis of the multi-employer HERO health risk and cost database". J Occup Environ Med. 40: 843–854. doi:10.1097/00043764-199810000-00003. PMID 9800168.
  39. NIOSH [2001]. NIOSH Worker Health Chartbook. National Institute for Occupational Safety and Health, Pub. No. 2004-146.
  40. Barthauer, L.; Kaucher, P.; Spurk, D.; Kauffeld, S. (2020). "Burnout and career (un)sustainability: Looking into the Blackbox of burnout triggered career turnover intentions". Journal of Vocational Behavior. 117: 103334. doi:10.1016/j.jvb.2019.103334.
  41. Schouteten, R (2017). "Predicting absenteeism: Screening for work ability or burnout". Occupational Medicine. 67 (1): 52–57. doi:10.1093/occmed/kqw161. PMID 27834229.
  42. Primm, Dave (2005). "What workplace stress research is telling technical communicators". Technical Communication. 52 (4): 449–55.
  43. Harvard Medical School. (2018). Understanding the stress response: Chronic activation of this survival mechanism impairs health.
  44. Siegrist, Johannes; Rödel, Andreas (2006). "Work stress and health risk behavior". Scandinavian Journal of Work, Environment & Health. 32 (6): 473–481. doi:10.5271/sjweh.1052. ISSN 0355-3140. JSTOR 40967599. PMID 17173203.
  45. Desmarais, S. & Alksnis, C. (2005). Gender issues. In J. Barling, E. K. Kelloway, & M. R. Frone (Eds). Handbook of work stress. (pp. 455–485). Thousand Oaks, CA: Sage
  46. Elyse, S., Hegewisch, A., & Hess, C. (2018). Sexual harassment and assault at work: Understanding the costs. Institute for Women's Policy Research. Washington: DC.
  47. Nilsen, W.; Skipstein, A.; Østby, K. A.; Mykletun, A. (2017). "Examination of the double burden hypothesis—A systematic review of work–family conflict and sickness absence". European Journal of Public Health. 27 (3): 465–471. doi:10.1093/eurpub/ckx054. PMC 5445721. PMID 28486653.
  48. Lacarte, V., & Hayes, J. (2018). Women’s median earnings as a percent of men’s, 1985-2018 (full-time, year-round workers) with projections for pay equity, by race/ethnicity. Institute for Women's Policy Research. Washington: DC.
  49. Parent-Thirion, A., Biletta, I., Cabrita, J., Vargas Llave, O., Vermeylen, G., Wilczyńska, A., & Wilkens, M. (2017). Sixth European Working Conditions Survey – Overview report (2017 update). Luxembourg: Publications Office of the European Union; Eurofund.
  50. Rout, Usha R.; Rout, Jaya K., eds. (2002), "Occupational Stress", Stress Management for Primary Health Care Professionals, Springer US, pp. 25–39, doi:10.1007/0-306-47649-5_3, ISBN 978-0-306-47649-5
  51. Katz, D., & Kahn, R. L. (1978). The social psychology of organizations 2ed. New York City: John Wiley.
  52. Karasek, R. A. (1979). "Job demands, job decision latitude, and mental strain-implications for job redesign". Administrative Science Quarterly. 24 (2): 285–308. doi:10.2307/2392498. JSTOR 2392498.
  53. Johnson, J. V.; Hall, E. M. (1988). "Job strain, work place social support, and cardiovascular disease: A cross-sectional study of a random sample of the Swedish working population". American Journal of Public Health. 78 (10): 1336–1342. doi:10.2105/ajph.78.10.1336. PMC 1349434. PMID 3421392.
  54. Demerouti, E.; Bakker, A. B.; Nachreiner, F.; Schaufeli, W. B. (2001). "The job demands-resources model of burnout". Journal of Applied Psychology. 86 (3): 499–512. doi:10.1037/0021-9010.86.3.499.
  55. U.S. Bureau of Labor Statistics. (2019). Current Population Survey. Table 25b. Washington, DC: Author. Unpublished (obtained upon request from the BLS).
  56. Kivimäki, Mika; Jokela, Markus; Nyberg, Solja T.; Singh-Manoux, Archana; Fransson, Eleonor I.; Alfredsson, Lars; Bjorner, Jakob B.; Borritz, Marianne; Burr, Hermann; Casini, Annalisa; Clays, Els; De Bacquer, Dirk; Dragano, Nico; Erbel, Raimund; Geuskens, Goedele A.; Hamer, Mark; Hooftman, Wendela E.; Houtman, Irene L.; Jöckel, Karl-Heinz; Kittel, France; Knutsson, Anders; Koskenvuo, Markku; Lunau, Thorsten; Madsen, Ida E H.; Nielsen, Martin L.; Nordin, Maria; Oksanen, Tuula; Pejtersen, Jan H.; Pentti, Jaana; et al. (2015). "Long working hours and risk of coronary heart disease and stroke: A systematic review and meta-analysis of published and unpublished data for 603 838 individuals". The Lancet. 386 (10005): 1739–1746. doi:10.1016/S0140-6736(15)60295-1. PMID 26298822.
  57. Sinclair, Robert R.; Cheung, Janelle H. (2016). "Money Matters: Recommendations for Financial Stress Research in Occupational Health Psychology". Stress and Health. 32 (3): 181–193. doi:10.1002/smi.2688. PMID 27400815.
  58. Rayner, C., & Cooper, C. L. (2006). Workplace Bullying. In Kelloway, E., Barling, J. & Hurrell Jr., J. (eds.), Handbook of workplace violence (pp. 47-90). Thousand Oaks, CA: Sage.
  59. McTernan, Wesley P.; Dollard, Maureen F.; Lamontagne, Anthony D. (2013). "Depression in the workplace: An economic cost analysis of depression-related productivity loss attributable to job strain and bullying". Work & Stress. 27 (4): 321–338. doi:10.1080/02678373.2013.846948.
  60. Thomas D Narcissism: Behind the Mask (2010)
  61. Boddy, C. R. Corporate Psychopaths: Organizational Destroyers (2011)
  62. Keenan, A.; Newton, T. (1985). "Stressful events, stressors and psychological strains in young professional engineers". Journal of Occupational Behavior. 6 (2): 151–156. doi:10.1002/job.4030060206.
  63. Liu, C.; Spector, P. E.; Shi, L. (2007). "Cross-National Job Stress: A Quantitative and Qualitative Study". Journal of Organizational Behavior. 28 (2): 209–239. doi:10.1002/job.435.
  64. Bowling, N. A.; Beehr, T. A. (2006). "Workplace harassment from the victim's perspective: A theoretical model and meta-analysis". Journal of Applied Psychology. 91 (5): 998–1012. doi:10.1037/0021-9010.91.5.998. PMID 16953764.
  65. Gyllensten, K. (2005). "The role of gender in workplace stress: A critical literature review". Health Education Journal. 64 (3): 271–288. doi:10.1177/001789690506400307.
  66. Kossek, Ellen Ernst; Pichler, Shaun; Bodner, Todd; Hammer, Leslie B. (2011). "Workplace Social Support and Work-Family Conflict: A Meta-Analysis Clarifying the Influence of General and Work-Family-Specific Supervisor and Organizational Support". Personnel Psychology. 64 (2): 289–313. doi:10.1111/j.1744-6570.2011.01211.x. PMC 3116443. PMID 21691415.
  67. Siegrist, J., Montano, D., & Hoven, H. (2014). DRIVERS final scientific report: Working conditions and health inequalities, evidence and policy implications. Report produced as part of the ‘DRIVERS for Health Equity’ project. Düsseldorf: Centre for Health and Society, Faculty of Medicine, Heinrich Heine-Universität.
  68. Richardson, Katherine M.; Rothstein, Hannah R. (2008). "Effects of occupational stress management intervention programs: A meta-analysis". Journal of Occupational Health Psychology. 13 (1): 69–93. doi:10.1037/1076-8998.13.1.69. PMID 18211170.
  69. Ruotsalainen J, Serra C, Marine A, Verbeek J (June 2008). "Systematic review of interventions for reducing occupational stress in health care workers". Scand J Work Environ Health. 34 (3): 169–78. doi:10.5271/sjweh.1240. PMID 18728906.
  70. Hammer, Leslie B.; Johnson, Ryan C.; Crain, Tori L.; Bodner, Todd; Kossek, Ellen Ernst; Davis, Kelly D.; Kelly, Erin L.; Buxton, Orfeu M.; Karuntzos, Georgia; Chosewood, L. Casey; Berkman, Lisa (2016). "Intervention effects on safety compliance and citizenship behaviors: Evidence from the work, family, and health study". Journal of Applied Psychology. 101 (2): 190–208. doi:10.1037/apl0000047. PMC 4564872. PMID 26348479.
  71. Schill, Anita L.; Chosewood, Lewis Casey (2013). "The NIOSH Total Worker Health™ Program". Journal of Occupational and Environmental Medicine. 55 (12 Suppl): S8–S11. doi:10.1097/JOM.0000000000000037. PMID 24284752.
  72. Anger, W. Kent; Elliot, Diane L.; Bodner, Todd; Olson, Ryan; Rohlman, Diane S.; Truxillo, Donald M.; Kuehl, Kerry S.; Hammer, Leslie B.; Montgomery, Dede (2015). "Effectiveness of Total Worker Health interventions". Journal of Occupational Health Psychology. 20 (2): 226–247. doi:10.1037/a0038340. PMID 25528687.
  73. Sauter, Steven L.; Murphy, Lawrence R.; Hurrell, Joseph J. (1990). "Prevention of work-related psychological disorders: A national strategy proposed by the National Institute for Occupational Safety and Health (NIOSH)". American Psychologist. 45 (10): 1146–58. doi:10.1037/0003-066X.45.10.1146. PMID 2252233.
  74. WORKPLACE STRESS: Show your commitment. (2008). Employee Benefits, (13668722), S.13-S.13. http://search.proquest.com/docview/224697345
  75. Bittel, Lester R. Management Skills for Success. Alexander Hamilton Institute Incorporated, 1984. Print.
  76. Jones, John W.; Barge, Bruce N.; Steffy, Brian D.; Fay, Lisa M.; Kunz, Lisa K.; Wuebker, Lisa J. (1988). "Stress and medical malpractice: Organizational risk assessment and intervention". Journal of Applied Psychology. 73 (4): 727–35. doi:10.1037/0021-9010.73.4.727. PMID 3209582.
  77. Gajendran, Ravi; Harrison, David (2008). "Telecommuting Win-Win For Employees And Employers". Journal of Applied Psychology. 92 (6): 1524–41. CiteSeerX 10.1.1.335.257. doi:10.1037/0021-9010.92.6.1524. PMID 18020794.
  78. "Stress at Work: Tips to Reduce and Manage Job and Workplace Stress". www.helpguide.org. Retrieved 2015-10-29.
  79. Spector, Paul E. (April 2002). "Occupational Health Psychology: I-O Psychologists Meet with Interdisciplinary Colleagues to Discuss This Emerging Field" (PDF). The Industrial-Organizational Psychologist. 39 (4): 139–142.
  80. Hayes, Nicky (2010-06-25). Understand Applied Psychology: Teach Yourself. John Murray Press. ISBN 978-1-4441-3104-8.
  81. Hayes, Nicky (2010-06-25). Understand Applied Psychology: Teach Yourself. John Murray Press. ISBN 978-1-4441-3104-8.
  82. Beehr, Terry A. (2019). "Interventions in occupational health psychology". Journal of Occupational Health Psychology. 24 (1): 1–3. doi:10.1037/ocp0000140. PMID 30714810.
  83. Quick, James; Henderson, Demetria (2016). "Occupational Stress: Preventing Suffering, Enhancing Wellbeing". International Journal of Environmental Research and Public Health. 13 (5): 459. doi:10.3390/ijerph13050459. PMC 4881084. PMID 27136575.
  84. Spector, P. (2019). What is occupational health psychology?
  85. Hayes, Nicky (2010-06-25). Understand Applied Psychology: Teach Yourself. John Murray Press. ISBN 978-1-4441-3104-8.
  86. Hardy, Sally; Carson, Jerome; Thomas, Ben L. (1998). Occupational Stress: Personal and Professional Approaches. Nelson Thornes. p. 170. ISBN 978-0-7487-3302-6.

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