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1.
BMJ Case Rep ; 13(10)2020 Oct 31.
Artigo em Inglês | MEDLINE | ID: mdl-33130587

RESUMO

A previously fit and well 37-year-old male healthcare worker presented with confusion, psychotic symptoms and a suicide attempt in the context of a new COVID-19 diagnosis. Following surgical interventions and an extended admission to the intensive care unit, he made a good recovery in terms of both his physical and mental health. A number of factors likely contributed to his presentation, including SARS-CoV-2 infection, severe insomnia, worry, healthcare worker-related stress, and the unique social and psychological stressors associated with the COVID-19 pandemic. This case highlights the need to further characterise the specific psychiatric sequelae of COVID-19 in community settings, and should remind general medical clinicians to be mindful of comorbid psychiatric symptoms when assessing patients with newly diagnosed COVID-19.


Assuntos
Infecções por Coronavirus/complicações , Infecções por Coronavirus/diagnóstico , Pneumonia Viral/complicações , Pneumonia Viral/diagnóstico , Transtornos Psicóticos/complicações , Transtornos Psicóticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Tentativa de Suicídio/prevenção & controle , Adulto , Infecções por Coronavirus/psicologia , Humanos , Masculino , Enfermeiros/psicologia , Estresse Ocupacional/complicações , Estresse Ocupacional/diagnóstico , Pandemias/prevenção & controle , Pandemias/estatística & dados numéricos , Pneumonia Viral/psicologia , Prognóstico , Transtornos Psicóticos/tratamento farmacológico , Transtornos Psicóticos/fisiopatologia , Medição de Risco , Transtornos de Estresse Pós-Traumáticos/complicações , Estresse Psicológico , Resultado do Tratamento , Reino Unido
2.
PLoS One ; 15(7): e0236526, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32722703

RESUMO

Metabolic syndrome (MetS) is a worldwide health concern related to cardiovascular disease. Stress at work increases the risk for MetS, whereas physical activity and cardiorespiratory fitness (CF) have been shown to be potential buffers against stress. The aim of this study was to test the stress-buffering effects of physical activity and CF on the relationship between work stress and MetS. In a prospective study, we followed 97 police officers (mean age = 39.7 years; mean body mass index = 25.74 kg/m2) over one year and assessed MetS, as defined by the National Cholesterol Education Program Adult Treatment Panel III. Stress at work was measured with the Job Content Questionnaire, as well as the Effort-Reward Imbalance Questionnaire. Physical activity was assessed objectively via 7-day accelerometry. CF was assessed with the Åstrand bicycle ergometer test. Hierarchical linear regression models were carried out to predict MetS at follow-up (mean overall MetS score = 1.22), after controlling for baseline levels and sociodemographic background (mean overall MetS score = 1.19). Higher CF levels were significantly associated with lower MetS risk at follow-up (ß = -.38). By contrast, no main effects were found for physical activity and work stress. However, high effort and demand were significantly correlated with increased blood pressure (effort: r = .23 for systolic blood pressure; r = .21 for diastolic blood pressure) and waist circumference (effort: r = .26; demand: r = .23). Moreover, no significant interaction effects occurred between work stress and CF/physical activity. The results emphasize the importance of high levels of CF in the prevention of MetS in police officers. Accordingly, provision of regular training opportunities and repeated CF testing should be considered as a strategy in overall corporate health promotion.


Assuntos
Aptidão Cardiorrespiratória/psicologia , Exercício Físico , Síndrome Metabólica/fisiopatologia , Síndrome Metabólica/psicologia , Estresse Ocupacional/complicações , Polícia/psicologia , Adulto , Feminino , Humanos , Masculino , Síndrome Metabólica/complicações , Estresse Ocupacional/fisiopatologia , Estresse Ocupacional/psicologia , Fatores de Risco
3.
BMC Public Health ; 20(1): 895, 2020 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-32517747

RESUMO

BACKGROUND: Our study aimed to explore the associations between psychosocial work exposures, as well as other occupational exposures, and suicide ideation in the French national working population. An additional objective was to study the cumulative role of occupational exposures in this outcome. METHODS: The study was based on a nationally representative sample of the French working population of 20,430 employees, 8579 men and 11,851 women (2016 French national Working Conditions survey). Occupational exposures included 21 psychosocial work factors, 4 factors related to working time/hours and 4 factors related to the physical work environment. Suicide ideation within the last 12 months was the outcome. The associations between exposures and outcome were studied using weighted logistic regression models adjusted for covariates. RESULTS: The 12-month prevalence of suicide ideation was 5.2% among men and 5.7% among women. Among the occupational exposures, psychosocial work factors were found to be associated with suicide ideation: quantitative and cognitive demands, low influence and possibilities for development, low meaning at work, low sense of community, role conflict, job insecurity, temporary employment, changes at work, and internal violence. Some rare differences in these associations were observed between genders. Linear associations were observed between the number of psychosocial work exposures and suicide ideation. CONCLUSIONS: Psychosocial work factors were found to play a major role in suicide ideation, and their effects were cumulative on this outcome. More research on multiple and cumulative exposures and suicide ideation and more prevention towards the psychosocial work environment are needed.


Assuntos
Exposição Ocupacional/efeitos adversos , Estresse Ocupacional/complicações , Ideação Suicida , Local de Trabalho/psicologia , Adolescente , Adulto , Idoso , Emprego/psicologia , Feminino , França , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Exposição Ocupacional/estatística & dados numéricos , Meio Social , Inquéritos e Questionários , Adulto Jovem
4.
Occup Environ Med ; 77(10): 681-690, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32576646

RESUMO

OBJECTIVES: Psychological stress may influence both susceptibility and severity of infections. Although work-related stress is a widespread concern among many employees, few studies have been conducted with the focus on work stressors and infections. We therefore aimed to investigate this association in a prospective cohort study. METHODS: Our study included 25 029 employed individuals who filled-out a questionnaire in September 1997 and were followed through record linkages until retirement or December 2016. Work stress was assessed at baseline using a Swedish version of the Demand-Control Questionnaire, whereas hospital contacts related to infections were identified from the National Patient Register. We fitted extensions of the standard Cox model to account for recurrent infections. RESULTS: In total, we observed 8257 infections. Individuals in the third tertile of job demand had a 13% higher hazard of infections (HR=1.13; 95% CI=1.03 to 1.24) compared with individuals in the first tertile, specifically an increased incidence of upper respiratory tract infections (HR=1.15; 95% CI=1.00 to 1.33) and urinary tract infections (HR=1.31; 95% CI=1.09 to 1.57) was found. Employees with the highest job control (third tertile) had no lower risk of infections than individuals in the lowest tertile (HR=1.02; 95% CI=0.92 to 1.13). When combining the demand and control dimensions into job strain scale, no association between high job strain and infections was observed (HR=1.08; 95% CI=0.97 to 1.21). CONCLUSION: High job demand, but not low job control, is associated with an increased occurrence of infections. No difference was observed in workers with high strain jobs compared with those with low strain jobs.


Assuntos
Infecções/psicologia , Estresse Ocupacional/complicações , Adulto , Feminino , Humanos , Incidência , Infecções/epidemiologia , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/psicologia , Estudos Prospectivos , Fatores de Risco , Inquéritos e Questionários , Suécia/epidemiologia , Local de Trabalho/psicologia , Local de Trabalho/normas , Local de Trabalho/estatística & dados numéricos
5.
PLoS One ; 15(5): e0233472, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32453793

RESUMO

PURPOSE: The study estimates the prevalence of probable psychiatric disorder in the working population, determines the proportion of people presenting a probable psychiatric disorder among people exposed to work-related psychosocial risk factors (PSRFs), and identifies which PSRF has the strongest association with having a probable psychiatric disorder. METHODS: A cross-sectional study conducted in March 2018 involved a representative sample of the French working population. The General Health Questionnaire 28 (GHQ-28) was used to estimate the prevalence of probable psychiatric disorder and 44 items were gathered from theoretical models of PSRFs. We used multiple logistic regression to estimate the association of each PSRF with having a probable psychiatric disorder, adjusted on individual, health, and job confounders. RESULTS: This study involved 3200 French participants. The proportion of probable psychiatric disorder was 22.2% [20.6; 24.0]. Ten PSRFs were significantly associated with it. The strongest association was for having problems handling professional and personal responsibilities (reported by 15% of the study population) (OR = 1.97 [1.52; 2.54]), with 45% pathological GHQ-28 scores (potential psychiatric cases) for people exposed to this PSRF versus 18% non-exposed. The next strongest association was lack of support of colleagues (reported by 28%) (OR = 1.63 [1.29; 2.06]). The third strongest association was feeling sometimes afraid when doing the job (reported by 63%) (OR = 1.53, [1.21; 1.93]). CONCLUSIONS: Our study identified 10 PSRFs associated with psychiatric disorder, with substantial exposure rate among the population. The results of our research could help develop recommendations to improve work environment.


Assuntos
Transtornos Mentais/epidemiologia , Estresse Ocupacional/epidemiologia , Adulto , Estudos Transversais , Feminino , França/epidemiologia , Humanos , Estilo de Vida , Masculino , Transtornos Mentais/etiologia , Pessoa de Meia-Idade , Estresse Ocupacional/complicações , Medição de Risco , Autorrelato
8.
Mayo Clin Proc ; 95(4): 719-726, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32247345

RESUMO

OBJECTIVE: To study the relationship between occupational distress and sleep-related impairment in physicians and unsolicited patient complaints. PARTICIPANTS AND METHODS: We used deidentified data from an academic medical center's physician survey administered in April and May of 2013 to perform a retrospective cohort study. Third-party stewards of the identifiable information regarding unsolicited patient complaints from January 1, 2013, through December 31, 2016, matched these data with corresponding physicians' occupational distress data. Unsolicited patient complaints were used to calculate the Patient Advocacy Reporting System (PARS) score, a validated predictor of malpractice litigation risk and clinical outcomes. Physicians were grouped into 1 of 3 PARS risk categories based on previously defined thresholds: low risk (score of 0), intermediate risk (score of 1-12), or high risk (score ≥13). RESULTS: Each 1-point increase in burnout and sleep-related impairment, on a 5-point scale, was associated with a 69% (odds ratio [OR], 1.69; 95% CI, 1.12-2.54) and 49% (OR, 1.49; 95% CI, 1.08-2.05) increased odds of being in the next higher PARS risk category, respectively, averaged across all 4 years. Professional fulfillment was a protective factor, associated with fewer unsolicited patient complaints. Each 1-point decrease in professional fulfillment was associated with a 68% (OR, 1.68; 95% CI, 1.16-2.44) increased odds of being in the next higher PARS risk category. The effect of depression on PARS risk category was not significant (OR, 1.33; 95% CI, 0.84-2.10). CONCLUSION: Findings from this research suggest that occupational distress and sleep-related impairment in physicians are associated with unsolicited patient complaints.


Assuntos
Estresse Ocupacional/epidemiologia , Inabilitação do Médico/psicologia , Médicos/psicologia , Transtornos do Sono-Vigília/epidemiologia , Esgotamento Profissional/complicações , Esgotamento Profissional/epidemiologia , Depressão/epidemiologia , Feminino , Humanos , Masculino , Imperícia/estatística & dados numéricos , Estresse Ocupacional/complicações , Inabilitação do Médico/estatística & dados numéricos , Médicos/estatística & dados numéricos , Estudos Retrospectivos , Fatores de Risco , Transtornos do Sono-Vigília/etiologia , Inquéritos e Questionários
9.
Public Health ; 181: 158-167, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32059156

RESUMO

OBJECTIVE: Given that job strain can be a risk factor for health, the researchers looked at the meta-analysis in which consequences of musculoskeletal pain in job strain is reviewed. STUDY DESIGN: Systematic review and meta-analysis. METHODS: After searching in databases based on keywords, studies were retrieved until January 2019. The extracted studies were combined altogether and the risk ratio was calculated. In addition, additional analysis was conducted at the end. RESULTS: The results showed that job strain as a risk factor for musculoskeletal pain was 1.62. The risk ratio is equal to 1.38 in men and 1.28 in women. Begg (P = 0.629) and Egger (P = 0.251) tests were not significant but trim-and-fill method imputed 9 missing studies. CONCLUSIONS: Job strain was a risk factor for physical health and increased the risk of musculoskeletal pain. Therefore, it seems psychologically healthy work environment is essential for the prevention of health problems.


Assuntos
Dor Musculoesquelética/etiologia , Doenças Profissionais/etiologia , Estresse Ocupacional/complicações , Adulto , Humanos , Fatores de Risco , Local de Trabalho
10.
Postgrad Med ; 132(1): 7-16, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31570072

RESUMO

Primary care physicians (general practitioners (GPs)) are burdened for various reasons and are particularly affected by stress-related complaints and an increasing prevalence of burnout. Thus, the prevention of physician burnout has become a major interest for health care services. Although many studies have addressed this issue in recent years, little seems to be known about the work strain and burnout rates in GP trainees. Therefore the objective of this article is to review the psychosocial burden and relevant prevention strategies for GPs with a special emphasis on GP trainees. Regardless of the specialty, burnout is more prevalent among medical trainees and so-called 'early career' physicians than among the age-matched population. Accordingly, burnout seems to be frequent among GP trainees, although there is some evidence that there are fewer doctors working in general medicine who were already heavily burdened at the time of choosing their career. The sudden assumption of responsibility in patient care as well as the fear of showing imperfection in front of their supervisors, or lack of recognition from senior doctors, the medical team, or patients might be stressors typical to this career stage. GP trainees might also feel burdened by the new level of personal involvement and thus have to develop or increase their individual level of professionality to deal with the patients' medical and personal problems. In conclusion, interventions to promote physical and mental health of GP trainees are a necessity to ensure passionate GPs in the future and should therefore be integrated into any postgraduate training curriculum in general practice.


Assuntos
Esgotamento Profissional/etiologia , Estresse Ocupacional/etiologia , Médicos de Atenção Primária/psicologia , Esgotamento Profissional/epidemiologia , Humanos , Estresse Ocupacional/complicações , Estresse Ocupacional/epidemiologia , Médicos de Atenção Primária/educação , Médicos de Atenção Primária/estatística & dados numéricos , Prevalência , Fatores de Risco
11.
J Nurs Res ; 28(2): e79, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31633639

RESUMO

BACKGROUND: Nurses may experience different levels of occupational burnout in different unit and hospital settings. However, pooling multilevel data in an analysis ignores independent, environmental, and sociocultural contexts of ecological validity. PURPOSE: This study aimed to explore a hierarchical model of occupational burnout that is associated with job-induced stress, nurse self-concept, and practice environment in nurses working in different units and hospitals. METHODS: A cross-sectional study was conducted, and 2,605 nurses were recruited from seven hospitals. The outcomes were measured using the Maslach Occupational Burnout Inventory-Human Services Survey, Nurses' Self-Concept Instrument, Nurse Stress Checklist, and Nursing Work Index-Revised. Hierarchical Linear Modeling 6.0 software was used to conduct hierarchical analysis on the study data. RESULTS: On the nurse level, job-induced stress was a significant factor affecting emotional exhaustion (ß = 0.608, p < .001) and depersonalization (ß = 2.439, p < .001), whereas nurse self-concept was a significant factor affecting emotional exhaustion (ß = -0.250, p < .001), depersonalization (ß = -1.587, p < .001), and personal accomplishment (ß = 4.126, p < .001). Furthermore, emotional exhaustion and depersonalization were significantly related to level of education (ß = 0.111, p < .01; ß = 0.583, p < .05). No significant unit-level associations were identified between occupational burnout and the factors of job-induced stress, nurse self-concept, and practice environment (p > .05). The intragroup correlation coefficient for emotional exhaustion was 2.86 (p < .001). CONCLUSIONS/IMPLICATIONS FOR PRACTICE: The findings of this study confirm that individual nurse characteristics are strong predictors of emotional exhaustion, depersonalization, and personal accomplishment as these relate to occupational burnout. In addition, nurse self-concept was identified as the most important predictor of all three aspects. In clinical practice, self-concepts about nursing may reduce occupational burnout. Nursing managers formulating new policies should consider nursing background and offer autonomous control over practice.


Assuntos
Esgotamento Profissional/classificação , Enfermeiras e Enfermeiros/psicologia , Local de Trabalho/psicologia , Esgotamento Profissional/psicologia , Estudos Transversais , Feminino , Humanos , Satisfação no Emprego , Masculino , Enfermeiras e Enfermeiros/estatística & dados numéricos , Estresse Ocupacional/complicações , Estresse Ocupacional/psicologia , Psicometria/instrumentação , Psicometria/métodos , Autoimagem , Inquéritos e Questionários , Local de Trabalho/normas , Local de Trabalho/estatística & dados numéricos
12.
Ergonomics ; 63(1): 13-30, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31594485

RESUMO

This actigraphy study tests whether daily work stressors (time pressure, social stressors), work resources (control, social support) and mental detachment from work predict sleep quality, when controlling for demands and control after work. Fifty-two railway employees participated during five consecutive workdays by completing diary questionnaires and wearing an actigraphy device. The results confirmed that social stressors from supervisors predicted more frequent sleep fragmentation and lower sleep efficiency the following night. Higher levels of daily time control at work predicted shorter sleep-onset latency and better self-reported sleep quality. Leisure time control as a covariate turned out to be a private resource, followed by fewer awakenings the following night. Detachment after work related negatively to social stressors and time pressure at work but was unrelated to indicators of sleep quality; detachment after work neither mediated nor moderated the relationship between social stressors from supervisors and sleep quality. Work redesign to increase time control and reduce social stressors is recommended to preserve daily recovery in railway employees. Practitioner summary: Sleep is important to renew health- and safety-related resources in railway employees. This diary and actigraphy study shows that higher daily work stressors were antecedents of lower sleep quality the following night, while more time control was followed by better sleep quality. Work redesign could promote health and safety by improving sleep quality.


Assuntos
Actigrafia , Estresse Ocupacional/complicações , Ferrovias , Transtornos do Sono-Vigília/psicologia , Apoio Social , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
13.
Community Ment Health J ; 56(1): 126-134, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31583619

RESUMO

Agriculture has been identified as a stressful industry and there is evidence that chronic stress may contribute to the development or progression of mental health disorders, specifically anxiety and depression. Young adult farmers and ranchers may be at increased risk of mental health disorders when compared to more experienced counterparts due to additional stressors. The objectives of this study were to identify the occupational stressors of young adult farmers and ranchers in the Midwest and estimate the prevalence of anxiety and depression among this population. An online survey consisting of reliable and valid instruments was used to identify the sources of stress and prevalence of anxiety and depression among the young farming and ranching population. The survey included items related to stress, anxiety, depression, general health, and farm/personal demographics. A total of 170 young farmers and ranchers responded to the survey. The mean age of the sample was 28.9 (SD 4.4) years. Approximately 71% of respondents met the criteria for Generalized Anxiety Disorder (GAD-7 score ≥ 5) and 53% met the criteria for Major Depressive Disorder (PHQ-9 score ≥ 5). Of seven presented stress domains, personal finances and time pressures were the sources of greatest concern. Personal finances, time pressures, economic conditions, and employee relations were associated with anxiety and depression. The burden of depression and anxiety is high among young adult farmers and ranchers. Stressors commonly affiliated with farming and ranching are associated with anxiety and depression. Additional research should further explore the burden of mental health disorders among the population and examine protective factors for mental illness and opportunities for interventions.


Assuntos
Agricultura , Ansiedade/epidemiologia , Depressão/epidemiologia , Fazendeiros/psicologia , Doenças Profissionais/epidemiologia , Estresse Ocupacional/epidemiologia , Adolescente , Adulto , Ansiedade/psicologia , Estudos Transversais , Depressão/psicologia , Feminino , Humanos , Masculino , Saúde Mental , Meio-Oeste dos Estados Unidos/epidemiologia , América do Norte/epidemiologia , Estresse Ocupacional/complicações , Estresse Ocupacional/psicologia , Projetos Piloto , Prevalência , Qualidade de Vida , Estresse Psicológico/epidemiologia , Inquéritos e Questionários , Wisconsin/epidemiologia , Adulto Jovem
14.
Soc Psychiatry Psychiatr Epidemiol ; 55(1): 45-56, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30859237

RESUMO

PURPOSE: Psychosocial stress is associated with obesity in some populations, but it is unclear whether the association is related to migration. This study explored associations between psychosocial stress and obesity among Ghanaian migrants in Europe and non-migrant Ghanaians in Ghana. METHODS: Cross-sectional data from the RODAM study were used, including 5898 Ghanaians residing in Germany, the UK, the Netherlands, rural Ghana, and urban Ghana. Perceived discrimination, negative life events and stress at work or at home were examined in relation to body mass index (BMI) and waist circumference (WC). Linear regression analyses were performed separately for migrants and non-migrants stratified by sex. RESULTS: Perceived discrimination was not associated with BMI and WC in both migrants and non-migrants. However, negative life events were positively associated with BMI (ß = 0.78, 95% CI 0.34-1.22) and WC (ß = 1.96, 95% CI 0.79-3.12) among male Ghanaian migrants. Similarly, stress at work or at home was positively associated with BMI (ß = 0.28, 95% CI 0.00-0.56) and WC (ß = 0.84, 95% CI 0.05-1.63) among male Ghanaian migrants. Among non-migrant Ghanaians, in contrast, stress at work or at home was inversely associated with BMI and WC in both males (ß = - 0.66, 95% CI - 1.03 to - 0.28; ß = - 1.71 95% CI - 2.69 to - 0.73, respectively) and females (ß = - 0.81, 95% CI - 1.20 to - 0.42; ß = - 1.46, 95% CI - 2.30 to - 0.61, respectively). CONCLUSIONS: Negative life events and stress at work or at home are associated with increased body weight among male Ghanaians in European settings, whereas stress at work or at home is associated with reduced body weight among Ghanaians in Ghana. More work is needed to understand the underlying factors driving these differential associations to assist prevention efforts.


Assuntos
Peso Corporal/etnologia , Obesidade/psicologia , Estresse Ocupacional/etnologia , Estresse Psicológico/etnologia , Migrantes/psicologia , Adulto , Índice de Massa Corporal , Estudos Transversais , Feminino , Alemanha , Gana/etnologia , Humanos , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Países Baixos , Obesidade/etnologia , Estresse Ocupacional/complicações , População Rural , Estresse Psicológico/complicações , Reino Unido , População Urbana
15.
Clin Exp Rheumatol ; 38 Suppl 123(1): 25-30, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31694749

RESUMO

OBJECTIVES: Stress has extensively been shown to trigger fibromyalgia syndrome (FM). Nursing is associated with high levels of stress. Our hypothesis was that nurses suffer from an increased prevalence of FM symptoms, and that these symptoms correlate with the levels of stress to which they are exposed in the course of their occupation. METHODS: The study was conducted as a targeted survey distributed to nursing staff in Soroka University Medical Centre, Beer-Sheva, Israel. Participants were asked to answer a questionnaire evaluating symptoms of FM, based on the current diagnostic criteria, which include the widespread pain index (WPI) and the symptom severity scale (SSS). Participants were further questioned regarding stressful experiences during their work and about post-traumatic symptoms as well as regarding work performance and motivation. RESULTS: 206 participants completed the study questionnaire (84.5% females and 15.5% males). Twenty (9.7%) participants of the sample fulfilled criteria for diagnosis of FM reaching rates among females and males of 10.9% and 3.1% respectively. The prevalence of FM in our study was related to age with the highest prevalence in the older age groups (p=0.012). FM symptoms were strongly correlated with work related stress and were strongly correlated with Post Traumatic Stress Disorder (PTSD)-related symptoms. Work-performance parameters did not show a significant correlation with FM parameters. CONCLUSIONS: FM is highly prevalent among nursing staff. Our findings point towards the possibility that work-related stress and traumatic events may play a major role in the development of FM symptoms among nurses. With aging this association is more significant.


Assuntos
Fibromialgia/epidemiologia , Enfermeiras e Enfermeiros , Fatores Etários , Feminino , Humanos , Israel/epidemiologia , Masculino , Estresse Ocupacional/complicações , Prevalência , Índice de Gravidade de Doença , Transtornos de Estresse Pós-Traumáticos/complicações , Inquéritos e Questionários
16.
J Adv Nurs ; 76(3): 803-813, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31773753

RESUMO

AIM: To examine the prevalence of work stress and prediabetes in computer technology company employees; to analyse the relationships among stress, work stress, and prediabetes; and to explore the potential mediating effects sleep on the relationship between work stress and prediabetes. DESIGN: A descriptive, cross-sectional design was used. A convenience sample included employees from a large computer technology company in central Texas. METHODS: Data collection during March-October 2015 included: retrospective electronic medical record review and online surveys. Electronic medical record review data included: height, weight, waist circumference, blood pressure, high-density lipids, triglycerides, and fasting glucose. Online surveys collected demographic, global stress, diet, exercise, coping, sleep and work stress data from participants. Spearman rho calculations analyzed associations between demographic, socio-cultural factors, health behaviours, work stress, and prediabetes variables. Logistic regression analyses identified probability variables. A structural equation model examined mediating variables. RESULTS: Prediabetes prevalence was lower and prevalence of work stress was higher in the participant sample than in the USA population. Findings suggested that low job imbalance increases the probability for prediabetes. Job imbalance was inversely related to prediabetes. Three variables increased the probability prediabetes: alcohol, job imbalance, and sleep. Sleep potentially modified the relationship between job imbalance and prediabetes. Participants were college-educated males working in white-collar, technical jobs. Participants had high rates of work stress. Job imbalance was inversely related to prediabetes, which challenges previous empirical data. Future research should continue to explore the relationship between work stress and prediabetes in this population. CONCLUSIONS: This study explored the relationship between work stress and prediabetes in a white-collar worker population in technical industry. Findings suggested that workers in industry have a unique type of stress. Nurses who learn to recognize the non-traditional risk factors for prediabetes can improve screening for prediabetes by including work stress and poor sleep questions.


Assuntos
Estresse Ocupacional/complicações , Estado Pré-Diabético/epidemiologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estado Pré-Diabético/complicações , Prevalência , Adulto Jovem
17.
J Sleep Res ; 29(2): e12949, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-31793085

RESUMO

Work stress and poor sleep are closely related in cross-sectional data, but evidence from prospective data is limited. We analysed how perceived stress and work stressors (work demands, decision authority and workplace social support) are related to key dimensions of insomnia over time, using structural equation modelling. Biennial measurements from a large sample of the working population in Sweden enabled us to analyse both the relationship from stress to sleep as well as that from sleep to stress. Overall, we found reciprocal relations between insomnia and all four stress measures. However, looking at the relation between each dimension of insomnia and each stress measure, there were some differences in direction of effects. In the direction from stress to sleep, all work stressors as well as perceived stress predicted both difficulties initiating sleep and difficulties maintaining sleep. The same was found for non-restorative sleep, with the exception for decision authority. In the opposite direction, difficulties maintaining sleep predicted increased levels of work demands and perceived stress. Difficulties initiating sleep stood out among the insomnia symptoms as not predicting any of the stress measures, while non-restorative sleep was the only symptom predicting all stress measures. The results advance the understanding of the stress-sleep relationship and indicate a potential vicious circle between insomnia and perceived stress as well as work stressors, suggesting that the workplace could be an arena for interventions to alleviate insomnia.


Assuntos
Estresse Ocupacional/complicações , Distúrbios do Início e da Manutenção do Sono/psicologia , Adulto , Idoso , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Adulto Jovem
18.
Behav Sleep Med ; 18(4): 488-499, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31307230

RESUMO

OBJECTIVE/BACKGROUND: To examine the prospective association between work-related mental fatigue and risk of insomnia symptoms, and if leisure time physical activity modifies this association. PARTICIPANTS: A total of 8,464 women and 7,480 men who participated in two consecutive surveys of the Norwegian HUNT study. METHODS: The study comprises longitudinal data on persons who were vocationally active and without insomnia symptoms at baseline in 1995-1997. We used a modified Poisson regression model to calculate adjusted risk ratios (RRs) with a 95% confidence interval (CI) for insomnia symptoms at follow-up in 2006-2008 associated with work-related mental fatigue and leisure time physical activity at baseline. RESULTS: Women and men who always experienced mental fatigue after a workday had RRs of insomnia symptoms of 2.55 (95% CI 1.91-3.40) and 2.61 (95% CI 1.80-3.78), respectively, compared to workers who never or seldom had this experience. There was no strong modifying effect of leisure time physical activity on this association, but workers who always experienced mental fatigue had a RR of insomnia symptoms of 3.17 (95% CI 2.28-4.40) if they reported low physical activity and a RR of 2.52 (95% 1.89-3.39) if they reported high physical activity. CONCLUSION: This study shows that work-related mental fatigue, caused by high cognitive workload, is a strong risk factor for insomnia symptoms. There was no clear modifying effect of leisure time physical activity but workers who experienced excessive work-related fatigue accompanied by low physical activity had the highest risk of insomnia symptoms.


Assuntos
Exercício Físico/psicologia , Fadiga Mental/psicologia , Estresse Ocupacional/complicações , Distúrbios do Início e da Manutenção do Sono/etiologia , Idoso , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Noruega , Estudos Prospectivos , Fatores de Risco , Distúrbios do Início e da Manutenção do Sono/psicologia , Inquéritos e Questionários
19.
Am J Surg ; 219(6): 907-912, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-31307660

RESUMO

BACKGROUND: Burnout affects surgical residents' well-being. OBJECTIVE: We sought to identify factors associated with burnout among surgery residents. METHODS: An electronic/anonymous survey was sent to surgical residents at 18 programs, consisting of demographic/programmatic questions and validated scales for burnout, depression, perceived stress, self-efficacy, and social support. Residents were grouped into quartiles based off burnout, and predictors were assessed using univariate and multivariate analyses. RESULTS: 42% of residents surveyed completed it. Burnout was associated with depression, higher perceived stress/debt, fewer weekends off, less programmatic social events, and residents were less likely to reconsider surgery if given the chance. Low burnout was associated with lower depression/stress, higher social support/self-efficacy, more weekends off per month, program mentorship, lower debt, and residents being more likely to choose surgery again if given the chance. On multivariate analysis, higher depression/perceived stress were associated with burnout, and lower burnout scores were associated with lower stress/higher self-efficacy. CONCLUSIONS: Burnout in surgery residents is associated with higher levels of depression and perceived stress. The addition of programmatic social events, limiting weekend work, and formal mentoring programs may decrease burnout.


Assuntos
Atitude Frente a Saúde , Esgotamento Profissional/complicações , Esgotamento Profissional/psicologia , Depressão/complicações , Cirurgia Geral/educação , Internato e Residência , Estresse Ocupacional/complicações , Estresse Ocupacional/psicologia , Autoeficácia , Apoio Social , Adulto , Feminino , Humanos , Masculino
20.
Ann Agric Environ Med ; 26(4): 579-584, 2019 Dec 19.
Artigo em Inglês | MEDLINE | ID: mdl-31885231

RESUMO

INTRODUCTION: Emergency medical system (EMS) workers are exposed to traumatic events that may lead to posttraumatic stress disorder (PTSD). OBJECTIVES: The purpose of this study was to explore and discuss the relationship between peritraumatic distress (PD) and elevated posttraumatic stress symptoms (PTSS) in EMS employees. MATERIAL AND METHODS: A cross-sectional study including 100 EMS employees was conducted. Demographic and occupational data were collected for each subject. The Polish version of the Impact of Event Scale-Revised (IES-R) was used to evaluate PTSS and the Polish version of the Peritraumatic Distress Inventory (PDI) was used to determine the level of PD experienced during and immediately after a traumatic event. RESULTS: The highest scores indicative of distress were obtained on the negative emotions subscale, and the lowest on the loss of control and arousal (LCA) subscales. A strong positive correlation was found between the severity of PD and PTSS. Among the PDI subscales, the severity of PTSS was most strongly correlated with LCA, and had the weakest correlation with sense of threat. The optimal PDI cut-off score for predicting elevated PTSS was 19. CONCLUSIONS: PD is strongly related to elevated PTSS and serves as a useful tool for screening EMS workers at risk of developing PTSD. Individuals with PDI scores of 19 or higher are good candidates for specialist consultations aimed at detecting and treating elevated PTSS.


Assuntos
Pessoal de Saúde/psicologia , Estresse Ocupacional/complicações , Transtornos de Estresse Pós-Traumáticos/etiologia , Adulto , Estudos Transversais , Serviço Hospitalar de Emergência , Feminino , Humanos , Masculino , Polônia , Transtornos de Estresse Pós-Traumáticos/psicologia , Estresse Psicológico , Adulto Jovem
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