Showing papers in "International Journal of Stress Management in 1996"

Managing occupational stress: A national and international perspective

Abstract: Theoretical models of occupational stress are important because they suggest a focus for intervention, and inform practice. The gap between research and practice was exposed most recently by Burke (1993) claiming “little awareness of research findings by practitioners (managers, consultants, clinicians), little intervention activity being undertaken at the organizational level, little research being undertaken to determine the effectiveness of individual level interventions, and only modest use of work research findings for intervention and policy development” (p. 85). This paper discusses the issue of intervention, and examines values, assumptions and the politics of applied research. A critical review of the evaluation studies of individual vs. organizational level interventions is undertaken and finally the problem of occupational stress as a national and international issue is considered.

Work and nonwork stressors, negative affective states, and pain complaints among firefighters and paramedics

Abstract: Prior research has suggested that occupational stressors may contribute to the etiology, progression, and chronicity of pain problems in workers. This study used anonymous survey methods to assess the prevalence and frequency of self-reported pain symptoms and their relationships to demographic variables, sources of occupational stressors, nonwork stressors and affective distress in a large sample (N≈2000) of employed career public sector firefighters and paramedics. The findings were consistent with those of previous studies of high strain workers. More than 95% of the firefighter/paramedic sample reported at least one pain complaint (using a 1 week assessment time frame). A hierarchical multiple regression analysis entering demographic, occupational, and nonwork stressors, as well as measures of negative affective states targeting total pain scores, yielded significant relationships. Five occupational stressors were associated with respondent pain complaints. The results also suggest that negative affective states mediated the relationships between work and nonwork variables, and pain complaint outcomes. The implications of these findings for the development of preventive interventions for firefighters and paramedics as well as other emergency service workers are considered.

Social support as a buffer in the stress–burnout relationship.

Abstract: Since the burnout syndrome has a negative impact both on the individual affected and the institution in which he/she is employed, it is important to identify the factors which may alleviate the level of burnout. Social support is said to be one of such factors. Our study was undertaken to investigate the influence of social support in the workplace and general social support on relationships between global stress and stress related to role conflict, ambiguity, and overload and burnout components (emotional exhaustion, depersonalization, and personal accomplishment). The subjects were 1,023 hospital nurses. The results indicate that burnout level correlates highly with organizational and global stress. The role of social support in determining the level of particular burnout components varied according to the type and scope of support. No reliable correlation was found between emotional exhaustion and social support of any type. The level of depersonalization was related only to general support whereas a personal accomplishment factor was related to both types of support. The study did not reveal a buffering effect of both types of social support on the relationships between stress and components of burnout.

Attendance pressure during organizational change

Abstract: The present study examines the relationships between aspects of the concept “attendance pressure” and sickness absenteeism. The study was carried out in a large public company in Norway during a major reorganization. It was hypothesized that employees with sickness absenteeism during this period would experience a high degree of attendance pressure in the form of reactions from managers, fellow workers, and job insecurity. Two surveys were carried out with the same sample (N=401). Attendance pressure in the form of censure pressure explained significant parts of the variance in sickness absenteeism. Employees with sickness absenteeism during the reorganization were a vulnerable group with low job satisfaction, significant health problems and low personal work ethics. Implications for preventive work on organizational level are discussed.

Varieties of relaxation methods and their unique effects

Abstract: This paper reviews literature on specific effects of various relaxation methods, and of differences between varieties of two widely-used (and widely modified) methods: progressive relaxation and autogenic training. There is considerable evidence for modality-specific effects. Muscularly-oriented methods have the greatest effects on the musculoskeletal system, autonomically-oriented methods on the autonomic nervous system, etc. Modified methods of Jacobson's progressive relaxation technique have a greater cognitive and less muscular focus than Jacobson's original method, and Norris and Fahrion's autogenic feedback training de-emphasizes hypnotic components of autogenic training compared with Schultz and Luthe's original method. Hypotheses are presented regarding differential effects of these modifications on clinical outcome, on their appeal and usefulness to individuals with various personality profiles, and on possible negative side effects.

Cross-cultural investigations of stress: Conceptual and methodological considerations

Abstract: Cross-cultural studios on stress are confounded by conceptual, methodological and applied problems. Although several comprehensive definitions of stress have been offered, the conceptual schema from which the definitions emerge reflect a Western perspective and are not always relevant when transposed into other cultures. The word “stress” itself is not easily translated into other languages which creates a problem for research workers in non-Western cultures. While studies in India of Westernized executives in organizations using Western models have offered valuable insights into problems related to organizational structures, executive stress, etc., they do not tell us a great deal about the nature and experience of stress in the rest of the population. A brief history of stress research is offered with a concentration on stress research in India. Conceptual and methodological issues are discussed leading to an assessment of the difficulties of stress research in India.

Fired managers: Experiences from their own unemployment

Abstract: This paper purports to enhance the understanding of stress and its effects on unemployed executives. The idea that unemployed managers perceive and confront stress differently from their employed colleagues is addressed. A sampling of 32 unemployed executives and managers was taken using The Stress Profile, to survey reasons for stress, coping ability, and response to stress. The profiled samples were then compared to a comparison group of 367 employed managers. The results showed that unemployed managers, when compared to their employed associates, tended to have less desireable family situations, more worries about finances, decreased perception of self and self-coherence, decreased coping ability, and heightened emotional and behavioral reaction to stress. The conclusion was that when dealing with stressors, unemployed managers experienced a decreased sense of psychological well-being and coping abilities as compared to employed managers.

Stress, coping resources, and injury risk

Abstract: Over the last two and a half decades, researchers have tried to determine if psychological variables predispose or buffer athletes from injury. They have found that sport participants who experience many recent stressors, and who do not have the resources and skills to cope with the stress, seem most at risk for injury. This article reviews that research as well as efforts to identify mechanisms that might explain why the stress-injury relationship occurs and interventions that will hopefully reduce the injury risk. Because the multicomponent stress-injury model of Andersen and Williams (1988) helped provide the impetus and theoretical base for much of that research, it serves as the foundation for organizing and summarizing the findings. Although the research has focused largely on sport injuries, the findings have relevance for understanding and potentially preventing many accidents and injuries that occur outside the realm of sport participation.

Development of a scale to assess occupational stress in Rural General Practitioners

Abstract: One hundred and eighty-four physicians or General Practitioners (GPs) in the five Divisions of General Practice in Rural New South Wales, Australia, completed scales designed to assess Workplace Stressors, Negative Affect caused by stressors, General Work Stress, Other Stress, and General Health. GP Stress was positively correlated with Negative Affect, General Work Stress, poor Psychological Health, poor Somatic Health, Anxiety, Social Dysfunction, and Depression. Results showed that the Rural GP Stress Scale (scale that assessed the presence of stressors in the GPs' work environment) possessed concurrent or criterion validity. Factor analysis of GP Stress scores revealed Workload, Family and Leisure Considerations, Bureaucratic Interference, Education and Training Considerations, and Professional Isolation as five of the nine major stressors in the GPs' work environment. Re-testing, 4–6 weeks later, revealed that the Rural GP Stress Scale was highly reliable.

The influence of brief episodes of aerobic exercise activity, soothing music-nature scenes condition, and suggestion on coping with test-taking anxiety

Abstract: This study examines the influence of aerobic exercise activity, soothing musicnature scenes condition, and suggestion on coping with test-taking anxiety. Sixty test anxious subjects were randomly assigned to four treatment groups consisting of 15-min episodes of exercise or soothing music-nature scenes condition with or without verbal suggestion that the treatment task in which they were engaged would be helpful to them. A videotaped “intelligence test” used to stimulate test-taking anxiety was given to the subjects after the soothing music-nature scenes condition or exercise tasks. The Multiple Affect Adjective Checklist (MAACL) was used to appraise anxiety during the laboratory procedures. Results indicate that exercise, soothing music-nature scenes condition, and suggestion play a role in reducing anxiety. While relaxation activity proved to be superior to exercise in reducing anxiety immediately following the “treatment” episode, these differences disappear following exposure to a stressful “IQ test” and exercise (as well as suggestion) had a better stress inoculation effect than soothing music-nature scenes condition or no suggestion.

Relationship Between Psychological Stress and Lymphocytic 5'-Ectonucleotidase

Abstract: The relationship between psychological stress and lymphocytic 5′-ectonucleotidase, an enzyme marker for lymphocyte differentiation, was studied. Lymphocytic 5′-ectonucleotidase was decreased significantly by about twofold in persons experiencing psychological stress, with a corresponding change in Total Mood Disturbance scores of the Profile of Mood States. Enzyme values were reversible in that they returned to normal once the stress had been reduced. Administration of high doses of ascorbate to severely depressed patients also normalized 5′-ectonucleotidase activities, and implied that low enzyme values in stressed persons may be mediated by oxygen radical damage. This finding was consistent with previous reports of heightened inflammatory responses occurring in depressed patients. The primary cause of lowered 5′-ectonucleotidase during stress may be the breakdown in the homeostatic mechanisms of the hypothalamic-pituitary-adrenal axis and immune system resulting in lymphoid tissue resistance to corticosteroids. It is suggested that this lowering of lymphocyte 5′-ectonucleotidase may contribute to stress-mediated immune suppression by inhibiting lymphocyte maturation.

How Much Woe When We Go: A Quantitative Method for Predicting Culture Shock

Abstract: Culture shock is defined as the confusion and discomfort caused by the conflict in perceived motives and expected behaviors between the home culture and the foreign culture. Several quantitative and graphical methods employing techniques of cluster analysis and similarity mapping are offered for predicting the magnitude of culture shock between pairs of countries using data extracted from Hofstede's 1980–83 studies of national cultural values. Implications for business, politics, and personal stress management are discussed.

The Integral Criterion of Emotional Stress

Abstract: The purpose was to establish an integral criterion of degree of stress Single components of measurement of degree of stress were measured as heart rate (HR), arterial pressure (AP), and respiration rate (RR). In two separate studies, one employing 117 Wistar rats in which there was an experimental vs. three control group conditions. The second study involved 36 women and 12 schoolboys on whom the three criteria of stress were measured. By means of correlational analyses, it was concluded that a decrease of AP, HR, and RR crosscorrectional coefficients were the most informative integral characteristics of degree of stress. These conclusions are applicable for scientific evaluations of human stress conditions and for human emotional conditions in practical conditions. Proceeding from these results, a method for the objective evaluation of human emotional stress in everyday and professional activity was developed and is available from the authors.

How foreign exchange dealers in the City of London cope with occupational stress

Abstract: Two hundred and twenty-five foreign exchange dealers working in the City of London completed the Coping Inventory of the Occupational Stress Indicator as part of an investigation of the mental health, job satisfaction, alcohol intake, and occupational stress of this employment group. Results indicate that dealers make less use of the coping strategies examined than the normative population, and that dealers appear to be a very homogeneous group in their use of coping techniques. The coping strategies adopted by various subgroups of dealers were also examined. Problems with the reliability of the Coping Inventory are highlighted.

Personality factors of individuals who survive traumatic experiences without professional help

Abstract: This is a study of the personality resources that enable certain individuals to cope successfully with traumatic experiences without planned psychotherapeutic intervention. A survey of 40 trauma-surviving respondents reveals some common positive developmental and psychosocial factors. Also, five cases are described who experienced serious trauma, three of them living successful lives and two remaining disabled. The biological predisposition and the specific interaction of ones “nature and nurture” leading toward resolution of traumatic experiences are discussed. Individuals who have survived Posttraumatic Stress Disorder should be studied further within a psychobiological framework.

The functional state of the central nervous system in chemical stress

Abstract: The psychosocial and physical factors, including chemical ones, which affect the human organism are considered by some authors to be stress factors which affect the functional state (FS) of the central nervous system (CNS). We calculated correlations among the clinical, psychological/psychometric, and quantitative electropsychological (QEEG) variables of the functional changes of the CNS in chemical stress. These data were based on occupational contact with lead as experienced by 402 workers, with styrene by 96, with shale-oil products by 252, with organic solvents by 77 workers, and a control group of 145 workers in different age groups. The QEEG data of 77 patients were analyzed to determine the chronic neurotoxic effects of industrial chemical substances by diagnosing the functional changes at the syndrome level. We concluded that occupational chemical factors impact the functional state of the CNS. During chemical stress α-activity and total cerebral bioelectrical activity (BA) decreases. The use of psychometric/ psychological and QEEG methods makes it possible to diagnose the changes of the CNS as hypersthenic, hyposthenic, and organic psychosyndromes.

How controllable is occupational violence

Abstract: Occupational violence may be an issue in a number of workplaces, and be of two main sources—those sites where cash is handled, and sites with aggressive clients. Legal requirements make it mandatory for an employer to provide a safe workplace, but just how controllable is occupational violence? A risk management equation is developed to assist the manager to ascertain the level of risk for violence in the workplace.

A biopsychosocial therapeutic approach in a private outpatient clinic in Portugal

Abstract: Patients with chronic stress and ambiguous symptoms are likely to be more frequent in primary care. “Somatizers” represent 75.8% of the patients in this study and executives 56% of the sample. Job stressors were present in 78.3% of executive men. This scenario suggests that the primary care physician has to be academically better prepared to fully understand and deal with stress problems in daily clinical practice. The physician must have skills to deal with stress at a curative and preventive level, extending those skills to the workplace.

Psychotherapy among children and teenagers in the republic of Georgia

Abstract: Psychotherapy was conducted with 103 children and teenagers. Medical checkups and physiological evaluations were performed along with analyses of family relations and social environments. Problems discovered were multifarious and can be classified as those owing to age, those resulting from the Georgian lifestyle (the traditional Georgian family consists of several generations living together and provides the basic structure for the development and maturation of youth), and those that had emerged in the previous 3 years as a result of a hostile social environment. Perinatal pathology (pathological pregnancy, complicated delivery, asphyxia, and prematurity) was revealed in 30% of the cases. Psychotherapy resulted in stable psychological balance in 42% of the cases.

The role of disbalance between “natural school” and informational overloading in genesis of stress reactions

Abstract: Data obtained during 15 years supervision over teenagers indicate the influence of the socialeconomic deformations of the former Soviet society. We use the term “natural school” to denote the whole ontogenesis of human beings including the first 3- to 5-year period of a child's life when children perceive a surrounding microcosm, their bodies and abilities, and acquire a basic fund of native language skills and habits. “Natural school” balances a person's mental and physical activities and through the trials and mistakes provides every person with a sphere of friends, important for coping with stress by sharing sorrows and joys. The twentieth century brought informational overloading, the triad, consisting of: (1) enormous mass of information; (2) deficit of time for using it; and (3) high motivation of activity. These conditions restrict the physical activity (hypodynamy) and contact with children of the same age (social deprivation). The influence over a person's development takes place mainly in ones youth, when one seeks his/her place in society. Subsequent stress situations cause the following psychopathological reactions: anxiety, anxiety and frustration, vegeto-dystonic reactions and somatic discomfort, panic attacks, neurosis. Later, disorders of autonomic regulations and somatic discomfort leads to psychosomatic diseases. Preventive measures, like skills minimizing hypodynamy and tools to improve “soul's confession” seem to be a way of minimizing disbalance and decreasing psychosomatic disorders.