Occupational stress and strain in the Royal Navy 2007
|
|
- Reynard Cobb
- 5 years ago
- Views:
Transcription
1 Occupational Medicine 2008;58: Published online 28 October 2008 doi: /occmed/kqn136 Occupational stress and strain in the Royal Navy 2007 R. S. Bridger, K. Brasher, A. Dew and S. Kilminster Background Previous surveys of psychological strain in the Naval Service (NS) have shown higher than expected levels of strain when compared to the general population. Aim To repeat the survey last carried out in 2004 and to obtain further information on the nature of the occupational stressors associated with strain. Methods General Health Questionnaire-12 strain rates and job/life stressors were measured using a Work and Well-Being Questionnaire. Models of strain were developed for male and female personnel in the Royal Navy (RN) and males in the Royal Marines (RM). Results The response rate was 57%. The psychological strain rate was 31.5% overall. Personnel suffering from strain tended to be overcommitted to work, had low levels of commitment to the NS and had suffered stressful life events (SLEs) in the previous 12 months. Strain rates declined with age and rank in males, but not in females. Strain was significantly positively correlated with levels of overcommitment, effort reward imbalance (ERI), role conflict, work family conflict, organizational commitment and exposure to SLEs. Models of strain in the males and females in the RN and in the RM accounted for between 37 and 44% of the variance in strain. Conclusions The survey provides evidence for both the demand control and ERI models components of these models contribute independently to strain. High levels of commitment to the organization were associated with lower strain and exposure to SLEs to higher strain. Key words Occupational stress; overcommitment; Royal Navy; stressfull life events. Introduction The Naval Service (NS), consisting of the Royal Navy (RN) and Royal Marines (RM), had a psychological strain prevalence rate of 32% in 1999 and 33.5% in 2004 [1] higher than the rate in the general UK population (18% [2]) and comparable to that in the UK Police [3]. Strain, measured by the General Health Questionnaire (GHQ) [4], is a response to external stress, characterized by symptoms of anxiety and depression. The rate was highest in females and in younger personnel serving at sea. Lower levels of commitment to the organization were associated with strain in males and females. Dissatisfaction with the physical work environment was associated with strain in RN females and RM. Role conflict was associated with strain in all groups. Work family conflict was associated with strain in males, but not in females. Statistical models accounted for 20 30% of the variance in strain. Institute of Naval Medicine, Crescent Road, Alverstoke PO12 2DL, UK. Correspondence to: R. S. Bridger, Institute of Naval Medicine, Crescent Road, Alverstoke PO12 2DL, UK. Tel/fax: 144(0) /504823; hhfd@inm.mod.uk Although these findings were of use in the formulation of stress management policy, it was considered that the nature of the strain was not well understood. In the NS, deployments and work patterns change both ashore and afloat. Periods of high workload may be interspersed with periods of low workload. A longitudinal study over a 6-month deployment on a warship at sea [5] found a statistically significant drop in the strain rate of males over the course of the deployment. It is conceivable that strain is a transient problem for many and that there is a significant amount of churn (e.g. those reporting high strain in 1999 are unlikely to be the same as those reporting it in 2004). The link between chronic psychological strain and health is well established. For example, Salonen et al. [6] found that prolonged strain predicted musculoskeletal disorders, nervous system, eye, ear and metabolic diseases and mental disorders in Finnish factory workers studied over a 20-year period. The Whitehall II study showed that an individual s position within the organizational hierarchy was a better predictor of heart attack than obesity, smoking or high blood pressure [7]. Employees in low-grade jobs were almost four times as likely to suffer a heart attack as a permanent secretary at the top of the Ó The Author Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please journals.permissions@oxfordjournals.org
2 R. S. BRIDGER ET AL.: OCCUPATIONAL STRESS AND STRAIN IN THE ROYAL NAVY hierarchy. Schei [8] found that strain was associated with physical inactivity and the consumption of alcohol, tobacco, cannabis and junk food in Norwegian conscripts. The existence of similar associations in the NS would shed light on the processes by which mental and physical disability develop over time. Stansfield et al. [9] measured job characteristics and psychiatric disorder in civil servants in the Whitehall II study. Decision latitude (decision authority and skill discretion), job demands and social support were measured in three successive phases , 1989 and Effort reward imbalance (ERI) was also measured. Psychiatric disorder was measured using the GHQ-30. At Phase III, 21% of men and 25% of women were GHQ cases. High efforts combined with low rewards were associated with a high risk of psychiatric disorder. The two well-researched models of the link between external job demands (occupational stress) and psychological strain are Karasek s [10] Demand Control Support (DCS) model and Siegrist s [11] ERI model. Karasek s model predicts strain when demands are high and when employees have little control over their work. Social support from management and/or co-workers acts as a buffer to mitigate the effects. The ERI model focuses on the relation between the extrinsic effort required to do a job and the rewards. Strain occurs when employees perceive an imbalance between effort and reward. This paper reports the first phase of a cohort study to determine the prevalence of chronic versus acute strain in the NS and to investigate links between strain and adverse health outcomes. The scope of the study was expanded to include a wider range of stressors than in 1999 and 2004, including exposure to stressful life events (SLEs). It was not designed to capture data on operational stress, bullying or sexual harassment because these are managed differently. Methods This cross-sectional study comprised Phase I of a 5-year cohort study of strain in NS personnel. The Work and Well-Being Questionnaire (WWBQ) used in the 1999 and 2004 surveys [1] was modified to include scales from the ERI Questionnaire (with permission) [11]. Nine items on satisfaction with living conditions were included after consultation with subject matter experts. Six items on coping technique were included on an empirical basis to distinguish between those who habitually utilize strategies based on avoidance and those who take a more active approach towards work problems. The Positive and Negative Affect Scale (PANAS) is a valid, reliable scale that is used to measure mood [12]. It was included to control for the confounding effects of mood on stressor strain relationships. A modified version of the Holmes and Rahe [13] Social Readjustment Scale was included to measure exposure to SLEs. Thirty copies of the modified WWBQ were circulated to a convenience sample of volunteer NS personnel on a Monday morning and re-administered to the same individuals on the following Friday to determine test retest reliability and factor structure. In the case of the ERI scales and PANAS, Cronbach s alpha and item-remainder correlations were calculated enabling the scales to be reduced while retaining their psychometric properties. Factor analysis of the modified WWBQ revealed a very similar factor structure to that of the previous WWBQ regarding physical work environment, autonomy and control, provision of resources, role conflict, organizational commitment, leader support, peer support, work family conflict, domestic support and intention to leave. The original ERI scale had 17 items and was successfully reduced to four. Cronbach s alpha for the new reduced scale was maintained from to and the test retest reliability improved from 0.82 to The original overcommitment Scale (OCS) had six items, successfully reduced to three (Cronbach s alpha for the reduced scale was improved from 0.56 to 0.83 and the test retest reliability increased from 0.86 to 0.87). The SLE scale had good test retest reliability (0.93 for major events scoring.50 and 0.89 minor events scoring,50). Ethical approval was obtained from the Ministry of Defence independent ethics committee. The sampling procedure and contact methods were as used in the original survey [1] in which the sampling rate was 4.2% for males and 20% for females (the latter to ensure adequate subsample size for analysis). The sample was stratified by branch. The sample sizes were chosen such that the maximum errors on unknown percentages indicating X (e.g. strain case ) were 1.5% for males and 2.5% for females. Because the 2007 survey was the first phase of a 5-year cohort study, the sample sizes were increased substantially to account for attrition over the 5- year period (to 10% of males and 60% of females). Questionnaires were posted in January Nonrespondents were targeted in two subsequent mail-outs in February and April. The survey was closed in July 2007 to allow for returns from distant locations. All data were initially entered into Microsoft Excel and validated by double data entry cross validation in addition to outlier and range checks. Subsequently, all data were analysed by Statistica v6 (Tulsa, OK, USA). In addition, oblique and orthogonal varimax factor analyses were carried out, confirming the factor structure previously given by the main author of the WWBQ [14]. Strain was presented as prevalence rates and 95% confidence intervals (CIs) broken down into relevant subsamples e.g. RN versus RM. Forward stepwise regression procedures were carried out by regressing GHQ score as either a continuous variable on the WWBQ predictors
3 536 OCCUPATIONAL MEDICINE or as a strain case by dichotomous discriminant function analyses and confirmatory logistic regression. Residual plots were examined. Only models with significant predictors are reported. Means and 95% CIs for the WWBQ scale scores were calculated and compared to these previous surveys in order to identify any trends between response rate and scale means. Results The sample size was 4949 NS personnel, 407 of whom could not be contacted, resulting in a total of 4542 questionnaires which were sent to personnel. The response rate was 57% (2596 returns). The mean age of the respondents was 34.7 years (compared to 27.9 years for non-respondents, which was significantly lower). Table 1 shows the response rates. Table 1 suggests that males,25 had the poorest response rate. Overall, the response rates were lower than previous surveys conducted in 2004 (68%) and 1999 (78%) [1]. Table 2 shows that, although some of the 2007 scale scores do differ from previous surveys, there was no systematic trend with declining response rate. The male ratings data are presented separately to demonstrate that although this group had a particularly low response rate, this did not bias their scores. The 2007 male strain rate was 27.8% (95% CI of 26 30%), which did not differ from the combined strain rate for males in 1999 and 2004 (30.9%, 95% CI of 29 33%). For females, the strain rate was 37.3% (95% CI of 34 40), which also did not differ from the combined 1999/ 2004 strain rate (42.7%, 95% CI of 39 46%). As in previous surveys, the strain rate in females was significantly higher than the strain rate in males. Exposure to stressors was measured using a five-point Likert scale a score of 5 indicated a negative affective response to the item and a score of 1 the opposite. A score of 3 indicated neutral. The WWBQ scale scores were summed and the means and standard deviations were calculated (Table 3). Overall, the mood of Naval personnel was positive, with commitment to the service, support from leaders and peers and a degree of autonomy and control in their work. Work family conflict and lack of resources were rated negatively, as was the balance between effort and reward. There was a high level of overcommitment to task or role. Table 4 presents the results of multiple regression analyses of strain in RN males and females and in the RM. These analyses yielded additive models that identify the variables associated with strain and the percentage of variability in strain accounted for. The right hand column, percentage of variance in strain, shows the increase in variance explained as each stressor is included in the model. In total, the models explain 44% of the variance in strain Table 1. Total sample, number of respondents and response rates by gender, rank and age for the 2007 survey All in RN females, 41% of the variance in strain in RN males and 37% of the variance in strain in the RM. Discussion Original full sample (n) Response numbers (n) Male Rank RN officer RN rating RM officer RM other ranks Age (years), $ Female Rank RN officer RN rating RM other ranks a Age (years), $ a RM bandswomen. Response rate (%) The main predictors of psychological strain were overcommitment to work role and under-commitment to the NS. The strain rate was unchanged since A small percentage of the explained variance in strain was due to exposure to SLEs. The main weakness of the present study was the response rate of 57% and the particularly low response rate for younger males. Response rates to the NS surveys have declined markedly since However, comparing the present data with that of previous surveys with much higher response rates, there appears to be no systematic bias due to low response. A plausible explanation for the declining response rate is increased operational tempo. The rapid rotation of personnel through different deployments may render contact addresses obsolete. The study has major strengths. The WWBQ is psychometrically robust and grounded on well-validated theories of occupational strain. The sample size is large and previous surveys with high response rates have enabled norms to be established for many of the variables. The models for RN males, RN females and for the RM accounted for 41, 44 and 37% of the variance in strain in these groups. This is a considerably larger proportion of the variance than was accounted for in the analysis of
4 R. S. BRIDGER ET AL.: OCCUPATIONAL STRESS AND STRAIN IN THE ROYAL NAVY Table 2. Mean stressor Likert scale scores and 95% CIs for the total sample compared with male ratings, in 1999, 2004 and 2007 (high scores indicate greater negativity) 1999 Mean (CI) 2004 Mean (CI) 2007 Mean (CI) All Physical work environment 1.95 ( ) 1.94 ( ) 2.68 ( ) a Autonomy and control 3.00 ( ) 2.89 ( ) 2.88 ( ) Role conflict 3.08 ( ) 3.03 ( ) 3.05 ( ) Lack of resources 3.42 ( ) 3.41 ( ) 3.55 ( ) a Organizational commitment 2.83 ( ) 2.70 ( ) 2.45 ( ) a Leader support 2.24 ( ) 2.25 ( ) 2.25 ( ) Peer support 2.52 ( ) 2.51 ( ) 2.56 ( ) Work family conflict 3.50 ( ) 3.45 ( ) 3.46 ( ) Male ratings Physical work environment 2.14 ( ) 2.10 ( ) 2.87 ( ) a Autonomy and control 3.10 ( ) 2.94 ( ) 2.93 ( ) Role conflict 3.22 ( ) 3.10 ( ) 3.16 ( ) Lack of resources 3.54 ( ) 3.52 ( ) 3.71 ( ) Organizational commitment 2.98 ( ) 2.85 ( ) 2.63 ( ) a Leader support 2.27 ( ) 2.26 ( ) 2.28 ( ) Peer support 2.62 ( ) 2.60 ( ) 2.59 ( ) Work family conflict 3.67 ( ) 3.58 ( ) 3.56 ( ) a % CIs do not overlap with one or more previous surveys. Table 3. Mean stressor Likert scale scores and SDs listed in terms of positive, neutral and negative affective responses Mean Positive ratings Leader support Organizational commitment Peer support Physical work environment Physical living environment Autonomy and control Positive mood Negative mood a Neutral ratings Approachability of leader Role-conflict Financial reward Negative ratings Work family conflict Lack of resources ERI b Overcommitment SD, standard deviation. a The negative mood mean score is positive because it indicates an absence of negative mood. b Scores.1 on the ERI scale indicate dissatisfaction. the combined 1999 and 2004 data [1] and is due to the inclusion in the WWBQ of scales from the ERI model, the control of the confounding effects of dispositional mood and the measurement of exposure to SLEs. Whereas the previous surveys [1] found some support for the DCS model with role conflict, a lack of autonomy and control and leader and peer support accounting for a significant proportion of the variance in strain, the present findings present a different perspective. Personnel suffering from strain is likely to be overcommitted to their work role, while lacking commitment to the RN, and, independently, to have been exposed to SLEs outside of work. The OCS accounted for a considerable proportion of the explained variance in strain (18, 14 and 9% of the variance in RN males, females and the RM, respectively). The only strain-related factor from the previous surveys, best conceptualized as a strain buffer, which remained in the 2007 models was organizational commitment. Again, organizational commitment, as a component of the psychosocial work environment, is separate from the DCS model and the findings strongly suggest that attempts to engender commitment to the NS as an organization should be central to future stress management. Overcommitment is regarded as intrinsic effort in the ERI model. Overcommitted people have difficulty disengaging from work. The survey findings suggest that it is very common in the naval population. Some 54% showed signs of overcommitment, while.9% were classified as strongly overcommitted. Overcommitment may share trait-like features with strain that are derived from neuroticism. People with high levels of neuroticism may have a predisposition to both overcommitment (excessive striving, inability to disengage from work outside of working hours) and strain. This argument is similar to the suggestion that the correlation coefficients were inflated by common method variance due, for example, to response bias such as social desirability or stoicism [15]. A similar SD
5 538 OCCUPATIONAL MEDICINE Table 4. Percentage of variance in strain explained by predictor variables in the multiple linear regression models a Regression coefficient Multiple correlation coefficient RN females Overcommitment Negative mood Organizational commitment SLE a Positive mood ERI Work family conflict RN males Overcommitment Negative mood Organizational commitment SLE a ERI Positive mood Leader support Role conflict Autonomy and control Work family conflict RM Negative mood Organizational commitment Overcommitment Positive mood SLE a All models statistically significant, P, Cumulative percentage of variance in strain (%) argument can be made about the mood data. Several authors have investigated the possibility that the presence of employees with a negative disposition may inflate the relationships between work stressors and strain [16]. This is because such people tend to view everything in a negative light and would be more likely to find work stressors distressing. The mood scores do indeed account for a significant proportion of the explained variance in these models and this may offer a partial explanation of why work stressors such as role conflict that were found to account for significant variance in strain in the prior NS surveys [1] no longer appear in the models. The present findings indicate that the DCS model offers an incomplete description of stress in the NS. Stress will be managed more effectively by focusing on commitment and intrinsic effort. Those most susceptible to strain would be relatively uncommitted to the NS as an organization while having a high level of commitment to their work and low mood. Given the large impact of low organizational commitment, it may be advantageous to explore ways of fostering commitment to the NS and to the peer group. Overcommitment to role should be managed by giving positive feedback, reducing long hours and ensuring appropriate disengagement by, for example, ensuring that annual leave allowances are taken. Recent research in the Dutch Police Force [17] has indicated that work home interference is a precursor of burnout and depression. Previous NS surveys have shown work family conflict to be an important stressor in RN males and in RM. The present version of the WWBQ contained sections on both SLEs and work family conflict. SLEs were found to be a generic stressor with strain increasing according to the number and severity of events experienced in the last 12 months (events ranged in severity from change in personal habits to death of a family member). Thus, it would seem that for NS personnel, it is not separation from families that is stressful but separation when things go wrong. Recent research on stress in university academics [18] found that ERI was associated with physical ill-health and low job satisfaction (high efforts associated with ill-health and low rewards with low satisfaction). Overcommitment was strongly related to physical symptoms. The NS cohort is currently being followed until 2012 and a subsequent paper will report on the 6-month prevalence of strain and strain, psychosocial stressors and physical health. Key points The ERI model provides a better description of acute strain in Naval personnel than the DCS model. Neither model provides a complete explanation commitment to the organization and exposure to stressful events outside of work are also important. Generic models of job strain may be of limited applicability to specialized occupations, which may require their own explanatory models if psychological strain at work is to be managed effectively. Conflicts of interest None declared. References 1. Bridger RS, Kilminster S, Slaven G. Occupational stress and strain in the naval service: 1999 and Occup Med (Lond) 2007;57: Dollard MF, Winefield MA, Winefield HR. Occupational Stress in the Service Professions. London: Taylor and Francis, 2003.
6 R. S. BRIDGER ET AL.: OCCUPATIONAL STRESS AND STRAIN IN THE ROYAL NAVY CollinsPA, Gibbs ACC. Stress in police officers: a studyof the origins, prevalence and severity of stress-related symptoms within a county police force. Occup Med (Lond) 2003;4: Goldberg D, Williams P. A Users Guide to the General Health Questionnaire. London: NFER Nelson, 1998; Slaven G. Work-related Strain in the Naval Service. London: University of East London, 2002 Dissertation. 6. Salonen PH, Arola H, Nygard CH, Huhtala H. Long-term associations of stress and chronic diseases in ageing and retired employees. Psychol Health Med 2008;13: MarmottMG, DaveySmithG, Stansfield S, PatelC, NorthF, Head J. Health inequalities among British civil servants: the Whitehall II study. Lancet 1991;337: Schei E. A strengthening experience? Mental distress during military service. Soc Psychiatry Psychiatr Epidemiol 1994;29: Stansfield SA, Fuhrer R, Shipley MJ, Marmot MG. Work characteristics predict psychiatric disorder: prospective results from the Whitehall II Study. Occup Environ Med 1999; 56: Karasek RA. Job demands, job decision latitude, and mental strain: implications for job redesign. Adm Sci Q 1979;24: Siegrist J. Adverse health effects of high effort/low reward conditions. J Occup Health Psychol 1996;1: Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol 1988;54: Holmes D, Rahe J. The social readjustment scale. J Psychosom Res 1967;11: Slaven G, Shariff A, Pethybridge R. Stress in the Naval Service: Stage 1 Identification of Workplace Stressors, 1999 Unpublished MoD Report. 15. Burton-Jones A, Straub DW. Minimizing method variance in measures of system usage. In: Papp R, ed. Proceedings of the Southern Association for Information Systems (SAIS). Savannah, GA: Southern Association for Information Systems, 2004; Jex SM, Spector PE. The impact of negative affectivity on stressor-strain relations: a replication and extension. Work Stress 1996;1: van Hooff MLM, Geurts SAE, Taris TW et al. Disentangling the causal relationships between work-home interference and employee health. Scand J Work Environ Health 2005;3: Kinman G, Jones F. Effort-reward imbalance and overcommitment: predicting health and job satisfaction in UK academic employees. The British Psychological Society Division of Occupational Psychology Conference, January 9 11, Stratford upon Avon BPS publications, 2008.
Occupational stress and strain in the naval service: 1999 and 2004
Occupational Medicine 2007;57:92 97 Published online 2 November 2006 doi:10.1093/occmed/kql124 Occupational stress and strain in the naval service: 1999 and 2004 R. S. Bridger 1, S. Kilminster 1 and G.
More informationWork characteristics predict psychiatric disorder: prospective results from the Whitehall II study
302 International Centre for Health and Society, Department of Epidemiology and Public Health, and Department of Psychiatry and Behavioural Sciences, Royal Free and University College Medical School, University
More informationA case-control study of Naval rehabilitation patients assessing levels of psychological strain, susceptibility factors and workplace stressors.
A case-control study of Naval rehabilitation patients assessing levels of psychological strain, susceptibility factors and workplace stressors. Dr Lachlan Mackay Brown Rehabilitation in HM Forces 3 tier
More informationA lcohol dependence is a major public health issue in
219 ORIGINAL ARTICLE The psychosocial work environment and alcohol dependence: a prospective study J Head, S A Stansfeld, J Siegrist... See end of article for authors affiliations... Correspondence to:
More informationProcedia - Social and Behavioral Sciences 159 ( 2014 ) WCPCG 2014
Available online at www.sciencedirect.com ScienceDirect Procedia - Social and Behavioral Sciences 159 ( 2014 ) 365 369 WCPCG 2014 The Full Mediator Role of Job Satisfaction in Relationship between Job
More informationA Cross-Cultural Study of Psychological Well-being Among British and Malaysian Fire Fighters
A Cross-Cultural Study of Psychological Well-being Among British and Malaysian Fire Fighters Mohd. Dahlan Hj. A. Malek, Ida Shafinaz Mohd Universiti Malaysia Sabah Abstract Psychological consideration
More informationAbstract. Background: Research findings are equivocal on relations between the psychosocial
Houdmont, J., Clemes, S., Munir, F., Wilson, K., Kerr, R., & Addley, K. (205). Psychosocial work environment and leisure- time physical activity: The Stormont Study. Occupational Medicine, 65, 25-29. doi:0.093/occmed/kqu208
More informationHow accurately does the Brief Job Stress Questionnaire identify workers with or without potential psychological distress?
J Occup Health 2017; 59: 356-360 Brief Report How accurately does the Brief Job Stress Questionnaire identify workers with or without potential psychological distress? Akizumi Tsutsumi 1, Akiomi Inoue
More informationTHE ROLE OF PERSONAL AND SOCIAL RESOURCES IN PREVENTING ADVERSE HEALTH OUTCOMES IN EMPLOYEES OF UNIFORMED PROFESSIONS
International Journal of Occupational Medicine and Environmental Health, 2005; 18(3): 233 240 THE ROLE OF PERSONAL AND SOCIAL RESOURCES IN PREVENTING ADVERSE HEALTH OUTCOMES IN EMPLOYEES OF UNIFORMED PROFESSIONS
More informationeappendix S1. Studies and participants
eappendix S1. Studies and participants Eligible population from 11 cohort studies N = 96,211 Excluded: Missing data on exposure or outcome N = 6047 Analytic sample for study of minimally adjusted ERI-
More informationOriginal article Scand J Work Environ Health 2008;34(2):96-106
Downloaded from www.sjweh.fi on October 14, 2011 Original article Scand J Work Environ Health 2008;34(2):96-106 Risk factors for interpersonal conflicts at work by De Raeve L, Jansen NWH, van den Brandt
More informationThe psychosocial work environment:
The psychosocial work environment: How much do we know to optimize sustainable employability? Els Clays Department of Public Health, Ghent University Brussels, 15/09/16 Presentation outline Background
More informationBi-directional Relationship Between Poor Sleep and Work-related Stress: Management through transformational leadership and work organization
Bi-directional Relationship Between Poor Sleep and Work-related Stress: Management through transformational leadership and work organization Sleep & its Importance Most vital episode of human life! Psychological
More informationFactorial Validity and Consistency of the MBI-GS Across Occupational Groups in Norway
Brief Report Factorial Validity and Consistency of the MBI-GS Across Occupational Groups in Norway Astrid M. Richardsen Norwegian School of Management Monica Martinussen University of Tromsø The present
More informationInfluence of social relationships on obesity prevalence and management
Pacific University CommonKnowledge Physical Function CATs OT Critically Appraised Topics 2011 Influence of social relationships on obesity prevalence and management Alyssa Finn Pacific University Follow
More informationMeasurement issues in the assessment of psychosocial stressors at work
Measurement issues in the assessment of psychosocial stressors at work Dr. Peter Schnall And Dr. Paul Landsbergis Session 3 2 nd Hour April 18 2012 Reliability* The degree of stability exhibited when a
More informationBy Lora A. Connor B.A., 2008, California State University, Long Beach
By Lora A. Connor B.A., 2008, California State University, Long Beach A Thesis Proposal December 2014 Committee Members: James Amirkhan, Ph.D. (Chair) Courtney Ahrens, Ph.D. Young-Hee Cho, Ph.D. Agenda
More informationW ork stress has repeatedly predicted increased health
RESEARCH REPORT Work stress, smoking status, and smoking intensity: an observational study of 46 190 employees Anne Kouvonen, Mika Kivimäki, Marianna Virtanen, Jaana Pentti, Jussi Vahtera... See end of
More informationTHEORETICAL ASSUMPTIONS AND PSYCHOMETRIC CHARACTERISTICS OF THE SENSE OF PERSONAL CONTROL AT WORK QUESTIONNAIRE
International Journal of Occupational Medicine and Environmental Health, Vol. 5, No., 29 36, 2002 THEORETICAL ASSUMPTIONS AND PSYCHOMETRIC CHARACTERISTICS OF THE SENSE OF PERSONAL CONTROL AT WORK QUESTIONNAIRE
More informationI n one of the first studies of sex segregation and health,
1of6 ELECTRONIC PAPER The association between sex segregation, working conditions, and sickness absence among employed women G Hensing, K Alexanderson... See end of article for authors affiliations...
More informationThe HSE indicator tool, psychological distress and work ability
Occupational Medicine 2012;62:203 209 Advance Access publication on 6 March 2012 doi:10.1093/occmed/kqs021 The HSE indicator tool, psychological distress and work ability S. Guidi 1, S. Bagnara 2 and G.
More informationRELIABILITY AND CONSTRUCT VALIDITY OF THE MALAY VERSION OF THE JOB CONTENT QUESTIONNAIRE (JCQ)
RELIABILITY AND CONSTRUCT VALIDITY OF THE MALAY VERSION OF THE JOB CONTENT QUESTIONNAIRE (JCQ) BA Edimansyah, BN Rusli, L Naing and M Mazalisah Division of Occupational Medicine, Department of Community
More informationWork and home stress: associations with anxiety and depression symptoms
Occupational Medicine 2015;65:110 116 Advance Access publication 14 January 2015 doi:10.1093/occmed/kqu181 Work and home stress: associations with anxiety and depression symptoms L.-B. Fan 1,2, J. A. Blumenthal
More informationACSPRI Paper in progress. Confirmatory factor analysis of the Occupational Stress Inventory-Revised among Australian teachers
ACSPRI Paper in progress. Confirmatory factor analysis of the Occupational Stress Inventory-Revised among Australian teachers Hicks, R.E., Fujiwara, D., & Bahr, M. Bond University Abstract Assessing teacher
More informationBeyond Burnout: Understanding Social Workers' Sense of Effectiveness in Psychiatric Rehabilitation
T III I Beyond Burnout: Understanding Social Workers' Sense of Effectiveness in Psychiatric Rehabilitation Marjorie L. Frazier, Ph.D. Ohio Department of Mental Health Statement of the Research Problem
More informationPhysician you can heal yourself! Cognitive behavioural training reduces stress in GPs
Family Practice Vol. 21, No. 5 Oxford University Press 04, all rights reserved. Doi: 10.1093/fampra/cmh511, available online at www.fampra.oupjournals.org Printed in Great Britain Physician you can heal
More informationCombined effects of work-related stress in Her Majesty s Coastguard (HMCG)
ORIGINAL PAPER Int Marit Health 2012; 63, 1: 63 70 Copyright 2012 Via Medica ISSN 1641 9251 Combined effects of work-related stress in Her Majesty s Coastguard (HMCG) S.E. Kingdom, A.P. Smith School of
More informationRelationships between work environments, psychological environments and psychological well-being
Occup. Med. Vol. 50, No. 5, pp. 299-303, 2000 Copyright 2000 Lippincott Williams & Wilkins for SOM Printed in Great Britain. All rights reserved 0962-7480/00 IN-DEPTH REVIEW Relationships between work
More informationE vidence has accumulated linking psychosocial factors,
ORIGINAL ARTICLE When reciprocity fails: effort reward imbalance in relation to coronary heart disease and health functioning within the Whitehall II study H Kuper, A Singh-Manoux, J Siegrist, M Marmot...
More informationA Longitudinal Study of the Well-being of Students Using the Student Wellbeing Process Questionnaire (Student WPQ)
Journal of Education, Society and Behavioural Science 24(4): 1-6, 2018; Article no.jesbs.40105 ISSN: 2456-981X (Past name: British Journal of Education, Society & Behavioural Science, Past ISSN: 2278-0998)
More informationGeneral practitioners psychosocial resources, distress, and sickness absence: a study comparing the UK and Finland
Family Practice, 2014, Vol. 31, No. 3, 319 324 doi:10.1093/fampra/cmt086 Advance Access publication 30 January 2014 General practitioners psychosocial resources, distress, and sickness absence: a study
More informationJob characteristics and mental health for older workers
Occupational Medicine 2017;67:394 400 Advance Access publication 1 June 2017 doi:10.1093/occmed/kqx066 Job characteristics and mental health for older workers V. J. C. Mc Carthy 1, J. Cronly 1 and I. J.
More informationFrom Confounders to Suspected Risk: The Role of Psychosocial Factors Michael Feuerstein, Ph.D., MPH
From Confounders to Suspected Risk: The Role of Psychosocial Factors Michael Feuerstein, Ph.D., MPH Uniformed Services University of the Health Sciences Bethesda, Maryland McGorry et al., 2002 2003 STAR
More informationResearch Article Sense of Coherence and Personality Traits Related to Depressive State
Psychiatry Journal, Article ID 738923, 6 pages http://dx.doi.org/10.1155/2014/738923 Research Article Sense of Coherence and Personality Traits Related to Depressive State Yoko Kikuchi, 1 Makoto Nakaya,
More informationSummary & Conclusion. Lecture 10 Survey Research & Design in Psychology James Neill, 2016 Creative Commons Attribution 4.0
Summary & Conclusion Lecture 10 Survey Research & Design in Psychology James Neill, 2016 Creative Commons Attribution 4.0 Overview 1. Survey research and design 1. Survey research 2. Survey design 2. Univariate
More informationSelf-determined work motivation predicts job outcomes, but what predicts self-determined work motivation?
Available online at www.sciencedirect.com Journal of Research in Personality 42 (2008) 1109 1115 Brief Report Self-determined work motivation predicts job outcomes, but what predicts self-determined work
More informationWork characteristics and psychiatric disorder in civil servants in London
4848ournal of Epidemiology and Community Health 1995;49:48-53 Academic Department of Psychiatry, University College London Medical School, Wolfson Building, Riding House Street, London W1N8AA S A Stansfeld
More information962 Biomed Environ Sci, 2013; 26(12):
962 Biomed Environ Sci, 2013; 26(12): 962-971 Original Article Co-effect of Demand-control-support Model and Effort-reward Imbalance Model on Depression Risk Estimation in Humans: Findings from Henan Province
More informationJournal of Management Info 4(1), (2014)
Effects of Perceived Stressors and Psychiatric Morbidity on Academic Performance of University Students Aftab Alam Khan a,*, Abid Sultan b, Farzand Ali Jan b a,* Ayub Medical College, Abbotabad, Pakistan
More informationT here is considerable evidence of a social gradient in
223 ORIGINAL ARTICLE Do changes in effort-reward at work contribute to an explanation of the social gradient in angina? T Chandola, J Siegrist, M Marmot... See end of article for authors affiliations...
More informationCite this article as: BMJ, doi: /bmj (published 20 January 2006)
Cite this article as: BMJ, doi:10.1136/bmj.38693.435301.80 (published 20 January 2006) Chronic stress at work and the metabolic syndrome: prospective study Tarani Chandola, Eric Brunner, Michael Marmot
More informationMika Kivimäki, Päivi Leino-Arjas, Ritva Luukkonen, Hilkka Riihimäki, Jussi Vahtera, Juhani Kirjonen
Work stress and risk of cardiovascular mortality: prospective cohort study of industrial employees Mika Kivimäki, Päivi Leino-Arjas, Ritva Luukkonen, Hilkka Riihimäki, Jussi Vahtera, Juhani Kirjonen Abstract
More informationHealth Behavioral Patterns Associated with Psychologic Distress Among Middle-Aged Korean Women
ORIGINAL ARTICLE Health Behavioral Patterns Associated with Psychologic Distress Among Middle-Aged Korean Women Hye-Sook Shin 1, PhD, RN, Jia Lee 2 *, PhD, RN, Kyung-Hee Lee 3, PhD, RN, Young-A Song 4,
More informationRegression Modelling of Occupational Stress among Security Guards Nisha Yadav 1, U.V. Kiran 2
Regression Modelling of Occupational Stress among Security Guards Nisha Yadav 1, U.V. Kiran 2 Student 1 & Assistant Professor 2 Department of Human Development and Family Studies, School for Home Sciences
More informationHPS301 Exam Notes- Contents
HPS301 Exam Notes- Contents Week 1 Research Design: What characterises different approaches 1 Experimental Design 1 Key Features 1 Criteria for establishing causality 2 Validity Internal Validity 2 Threats
More informationChapter 2.6 Effects of work on health: psychosocial risk factors
Chapter 2.6 Effects of work on health: psychosocial risk factors Dr. K Nieuwenhuijsen, Coronel Institute of Occupational Health, Academic Medical Center/University of Amsterdam, The Netherlands, last updated
More informationThinking Like a Researcher
3-1 Thinking Like a Researcher 3-3 Learning Objectives Understand... The terminology used by professional researchers employing scientific thinking. What you need to formulate a solid research hypothesis.
More informationEffect of job characteristics on satisfaction and performance: A test in Egyptian agricultural extension system
Vol. 8(48), pp. 6126-6130, 12 December, 2013 DOI: 10.5897/AJAR09.698 ISSN 1991-637X 2013 Academic Journals http://www.academicjournals.org/ajar African Journal of Agricultural Research Full Length Research
More informationF or over two decades, have investigated the
EVIDENCE BASED PUBLIC HEALTH POLICY AND PRACTICE Work and health in a contemporary society: demands, control, and insecurity R M D Souza, L Strazdins, L L-Y Lim, D H Broom, B Rodgers... See end of article
More informationHUMAN FACTORS, SHIFT WORK, AND ALERTNESS IN THE OFFSHORE OIL INDUSTRY
OTH 92 389 HUMAN FACTORS, SHIFT WORK, AND ALERTNESS IN THE OFFSHORE OIL INDUSTRY Author Katharine R Parkes Department of Experimental Psychology University of Oxford South Parks Road Oxford OX1 3UD London:
More informationChapter 9 Motivation. Motivation. Motivation. Motivation. Need-Motive-Value Theories. Need-Motive-Value Theories. Trivia Question
Trivia Question Where did win one for the gipper come from? Chapter 9 What are the 3 components of motivation? 3 major categories of motivation. Major theories of motivation. How the theories are applied
More informationTHE ASSOCIATION BETWEEN SBS SYMPTOMS AND THE PHYSICAL AND PSYCHOSOCIAL ENVIRONMENT OF SCHOOL PERSONNEL
THE ASSOCIATION BETWEEN SBS SYMPTOMS AND THE PHYSICAL AND PSYCHOSOCIAL ENVIRONMENT OF SCHOOL PERSONNEL K. Andersson 1, I. Fagerlund 1, U. Norlén 2, M. Nygren 3 1 Department of Occupation and Environmental
More informationAn Empirical Study of the Roles of Affective Variables in User Adoption of Search Engines
An Empirical Study of the Roles of Affective Variables in User Adoption of Search Engines ABSTRACT Heshan Sun Syracuse University hesun@syr.edu The current study is built upon prior research and is an
More informationAntecedents of Workplace Aggression for Hospital Nurses. Defne Demir
Page 1 of 14 ANZAM 2012 Antecedents of Workplace Aggression for Hospital Nurses Defne Demir Faculty of Business Australian Catholic University, Melbourne, Australia Email: Defne.Demir@acu.edu.au Prof.
More informationA proactive, systems-based approach to preventing and managing work-related stress Closing the Loop Conference Adelaide 2010
A proactive, systems-based approach to preventing and managing work-related stress Closing the Loop Conference Adelaide 2010 Associate Professor Andrew Noblet Deakin University Victoria What is stress?
More informationPerlita Torres, PhD. September 17, 2016
Perlita Torres, PhD September 17, 2016 Introduction Conceptual Framework Problems and Significance Research Questions and Hypotheses Literature Methodology Findings and Conclusions Practical Implications
More informationTesting the Vitamin Model of Job stress in Dutch Health Care Workers Jeurissen, T.; Nyklicek, Ivan
Tilburg University Testing the Vitamin Model of Job stress in Dutch Health Care Workers Jeurissen, T.; Nyklicek, Ivan Published in: Work & Stress Document version: Publisher's PDF, also known as Version
More informationMental Health in Workplaces in Taipei
26 Taiwanese Journal of Psychiatry (Taipei) Vol. 25 No. 1 2011 Original Article Mental Health in Workplaces in Taipei Mei-Ju Chen, M.D. MPH 1,2, Tony Szu-Hsien Lee, Ph.D. 3, Huey-Mei Jeng, Ph.D. 3, Wen-Hsiang
More informationT he importance of work for health goes beyond traditional
27 ORIGINAL ARTICLE Organisational justice and health of employees: prospective cohort study M Kivimäki, M Elovainio, J Vahtera, J E Ferrie... See end of article for authors affiliations... Correspondence
More informationD uring the past decades two theoretical models measuring
294 THEORY AND METHODS Psychosocial work environment and myocardial infarction: improving risk estimation by combining two complementary job stress models in the SHEEP Study R Peter, J Siegrist, J Hallqvist,
More informationAnecdotally, disturbances in psychological well-being are a. Psychological well-being of Australian veterinarians
EDUCATION, ETHICS & WELFARE Blackwell Publishing Asia Psychological well-being of Australian veterinarians L Fritschi, a * D Morrison, b A Shirangi c and L Day d Objective To use established psychological
More informationJob satisfaction and intention to quit the job
Occupational Medicine 2013;63:96 102 Advance Access publication 30 January 2013 doi:10.1093/occmed/kqs233 Job satisfaction and intention to quit the job P. Suadicani, J. P. Bonde, K. Olesen and F. Gyntelberg
More informationCannabis use and adverse outcomes in young people: Summary Report
Cannabis use and adverse outcomes in young people: Summary Report CAYT Impact Study: Report No. 7 Sally Bridges, Julia Hall and Chris Lord with Hashim Ahmed and Linda Maynard 1 The Centre for Analysis
More informationEVALUATION OF CHALLENGE STRESSORS: EVIDENCE FROM ISLAMIC AZAD UNIVERSITY
EVALUATIO OF CHALLEGE STRESSORS: EVIDECE FROM ISLAMIC AZAD UIVERSITY DaryoushQorbani Department of Management, Germi Branch, Islamic Azad Unversity, Germi, Iran Mohammad Feizi 12 Department of Management,
More informationPublic Child Welfare Workers Safety Experiences: Predictors and Impact on Job Withdrawal Using Mixed-Methods Approach
Public Child Welfare Workers Safety Experiences: Predictors and Impact on Job Withdrawal Using Mixed-Methods Approach HaeJung Kim, PhD University of Maryland, School of Social Work Baltimore, MD Statement
More informationTilburg University. Past and familial depression as predictors of burnout in a working population sample Nyklicek, Ivan; Pop, Victor
Tilburg University Past and familial depression as predictors of burnout in a working population sample Nyklicek, Ivan; Pop, Victor Published in: Journal of Affective Disorders Document version: Publisher's
More informationSocioeconomic Factors, Work and Chronic Diseases
Winnie, a -years old British women Socioeconomic Factors, Work and Chronic Diseases Jussi Vahtera Professor of Public Health University of Turku Finnish Institute of Occupational Health Finland Davey-Smith
More informationResearch on sickness absence in different countries
Workshop of the EUPHA Section on Social Security and Health 2002: Research on sickness absence in different countries Introduction: Sickness absence is in many countries both a large and increasing public
More informationC ommon trends in modern work life include global
154 RESEARCH REPORT Organisational downsizing and increased use of psychotropic drugs among employees who remain in employment Mika Kivimäki, Teija Honkonen, Kristian Wahlbeck, Marko Elovainio, Jaana Pentti,
More informationMental distress and modeled traffic noise exposure as determinants of self-reported sleep problems
Mental distress and modeled traffic noise exposure as determinants of self-reported sleep problems Jesper Kristiansen 1*, Roger Persson 1, Jonas Björk 2, Maria Albin 3, Kristina Jakobsson 3, Per-Olof Östergren
More informationSurvey research (Lecture 1) Summary & Conclusion. Lecture 10 Survey Research & Design in Psychology James Neill, 2015 Creative Commons Attribution 4.
Summary & Conclusion Lecture 10 Survey Research & Design in Psychology James Neill, 2015 Creative Commons Attribution 4.0 Overview 1. Survey research 2. Survey design 3. Descriptives & graphing 4. Correlation
More informationSurvey research (Lecture 1)
Summary & Conclusion Lecture 10 Survey Research & Design in Psychology James Neill, 2015 Creative Commons Attribution 4.0 Overview 1. Survey research 2. Survey design 3. Descriptives & graphing 4. Correlation
More informationThe Copenhagen Psychosocial Questionnaire a tool for the assessment and improvement of the psychosocial work environment
Original article Scand J Work Environ Health 2005;31(6):438 449 The Copenhagen Psychosocial Questionnaire a tool for the assessment and improvement of the psychosocial work environment by Tage S Kristensen,
More informationWellbeing of professionals at entry into the labour market: a follow up survey of medicine and architecture students
J Epidemiol Community Health 2001;55:831 835 831 Medical School, 33014 University of Tampere, Finland P Virtanen Tampere School of Public Health, University of Tampere A-M Koivisto Correspondence to: Dr
More informationStress, Burnout, and Health. William P. McCarty, Amie Schuck, Wesley Skogan and Dennis Rosenbaum
Stress, Burnout, and Health William P. McCarty, Amie Schuck, Wesley Skogan and Dennis Rosenbaum Purpose of the Project Prior research suggests that policing is one of the most stressful occupations. This
More informationBEHAVIORAL ASSESSMENT OF PAIN MEDICAL STABILITY QUICK SCREEN. Test Manual
BEHAVIORAL ASSESSMENT OF PAIN MEDICAL STABILITY QUICK SCREEN Test Manual Michael J. Lewandowski, Ph.D. The Behavioral Assessment of Pain Medical Stability Quick Screen is intended for use by health care
More informationAvoidant Coping Moderates the Association between Anxiety and Physical Functioning in Patients with Chronic Heart Failure
Avoidant Coping Moderates the Association between Anxiety and Physical Functioning in Patients with Chronic Heart Failure Eisenberg SA 1, Shen BJ 1, Singh K 1, Schwarz ER 2, Mallon SM 3 1 University of
More informationA Good Safety Culture Correlates with Increased Positive and Decreased Negative Outcomes: A Questionnaire Based Study at Finnish Defense Forces
Proceedings of the Human Factors and Ergonomics Society 2016 Annual Meeting 1627 A Good Safety Culture Correlates with Increased Positive and Decreased Negative Outcomes: A Questionnaire Based Study at
More informationTHE MODERATING ROLE OF EQUITY SENSITIVITY ON THE OPTIMISM AND STRESS RELATIONSHIP. James William Dalluge
THE MODERATING ROLE OF EQUITY SENSITIVITY ON THE OPTIMISM AND STRESS RELATIONSHIP By James William Dalluge Approved: Bart L. Weathington UC Foundation Associate Professor (Thesis Chair) Brian J. O Leary
More informationSTRESS, COPING, ADAPTATION AND CULTURAL DIVERSITY OF HEALTHCARE PERSONNEL
STRESS, COPING, ADAPTATION AND CULTURAL DIVERSITY OF HEALTHCARE PERSONNEL Solveiga Blumberga Aleksandra Safonova Riga International School of Economics and Business Administration, Latvia Abstract. The
More informationT he effects of job insecurity on health have attracted only
450 RESEARCH REPORT Effects of chronic job insecurity and change in job security on self reported health, minor psychiatric morbidity, physiological measures, and health related behaviours in British civil
More informationThe effect of job demands and social support on peacekeepers stress and sense of coherence after deployment
Finnish Defence Research Agency The effect of job demands and social support on peacekeepers stress and sense of coherence after deployment ISMS Annual Conference 2015, Finnish National Defence University
More informationPersonality and Individual Differences
Personality and Individual Differences 45 (2008) 655 660 Contents lists available at ScienceDirect Personality and Individual Differences journal homepage: www.elsevier.com/locate/paid Beliefs around luck:
More informationCOPSOQ WORKSHOP 2015 PARIS
COPSOQ WORKSHOP 2015 PARIS DEFINITION OF REFERENCE VALUES BASED ON A LARGE NATIONAL SURVEY. PROPOSAL FOR RISK CATEGORIES IN WORKPLACE SURVEYS ADRIENNE STAUDER MD, PHD WORK STRESS AND STRESS MANAGEMENT
More informationThriving in College: The Role of Spirituality. Laurie A. Schreiner, Ph.D. Azusa Pacific University
Thriving in College: The Role of Spirituality Laurie A. Schreiner, Ph.D. Azusa Pacific University WHAT DESCRIBES COLLEGE STUDENTS ON EACH END OF THIS CONTINUUM? What are they FEELING, DOING, and THINKING?
More informationEduardo Costa Sa, Mario Ferreira Junior, Lys Esther Rocha
Eduardo Costa Sa, Mario Ferreira Junior, Lys Esther Rocha eduardocs@usp.br Faculdade de Medicina e Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brazil. The visual fatigue associated
More informationStress research over a ten year period what have we learned, trends and future?
Stress research over a ten year period what have we learned, trends and future? Professor Mika Kivimaki Department of Epidemiology & Public Health University College London, UK Session Outline Stress,
More informationValidity and Reliability of Sport Satisfaction
International Research Journal of Applied and Basic Sciences 2014 Available online at www.irjabs.com ISSN 2251-838X / Vol, 8 (10): 1782-1786 Science Explorer Publications Validity and Reliability of Sport
More informationJournal of Occupational Health
Advance Publication Journal of Occupational Health Accepted for Publication: May 8, 2015 J-STAGE Advance Published Date: Jun 17, 2015 Title Psychometric Properties of the Thai Version of the Work Ability
More informationFactors Influencing Undergraduate Students Motivation to Study Science
Factors Influencing Undergraduate Students Motivation to Study Science Ghali Hassan Faculty of Education, Queensland University of Technology, Australia Abstract The purpose of this exploratory study was
More informationUnit outcomes. Summary & Conclusion. Lecture 10 Survey Research & Design in Psychology James Neill, 2018 Creative Commons Attribution 4.0.
Summary & Conclusion Image source: http://commons.wikimedia.org/wiki/file:pair_of_merops_apiaster_feeding_cropped.jpg Lecture 10 Survey Research & Design in Psychology James Neill, 2018 Creative Commons
More informationUnit outcomes. Summary & Conclusion. Lecture 10 Survey Research & Design in Psychology James Neill, 2018 Creative Commons Attribution 4.0.
Summary & Conclusion Image source: http://commons.wikimedia.org/wiki/file:pair_of_merops_apiaster_feeding_cropped.jpg Lecture 10 Survey Research & Design in Psychology James Neill, 2018 Creative Commons
More informationSex Differences and Promotion Prospects in Clinical Psychology in Scotland
This is the peer reviewed version of the following article: McKenzie, K., Murray, G.C., & Rae, H. (2007) Changes made to the Wechsler Intelligence Scale for Children Third Edition by Psychologists working
More informationSmoking among shift workers: more than a confounding factor
Smoking among shift workers: more an a confounding factor Ludovic van Amelsvoort Nicole Jansen IJmert Kant Occupational Heal Epidemiology Maastricht University The Neerlands. Background Shift work: Associated
More informationHoudmont, J., Cox, T., & Griffiths, A. (2010). Work-related stress case definitions and ABSTRACT
Houdmont, J., Cox, T., & Griffiths, A. (2010). Work-related stress case definitions and prevalence rates in national surveys. Occupational Medicine, 60, 658-661. ABSTRACT Background: There is concern about
More informationThe SALVEO Study Improving mental health in the workplace
The SALVEO Study Improving mental health in the workplace SALVEO is one of the largest studies on mental health conducted to date in Canada. It considers individual and organizational factors that contribute
More informationWork Characteristics and Personal Social Support as Determinants of Subjective Well-Being
Work Characteristics and Personal Social Support as Determinants of Subjective Well-Being Stephen A. Stansfeld 1 *, Martin J. Shipley 2, Jenny Head 2, Rebecca Fuhrer 3, Mika Kivimaki 2 1 Centre for Psychiatry,
More informationOne-off assessments within a community mental health team
Primary Care Mental Health 2007;4:00 00 # 2007 Radcliffe Publishing International research One-off assessments within a community mental health team Linda Heaney Consultant Psychiatrist, Avon and Wiltshire
More information