Psychosocial Work Stress Case Study

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Background Psychosocial work environment can be defined as the interpersonal and social interactions that affect behavior and development in the workplace (1). It is known that work-related stress is very common and it has a high cost on employers’ health. In the longer term, stress can lead to different diseases, such as hypertension ,which is a risk factor of cardiovascular diseases (CVDs) (2). CVDs are a group of disorders of the heart and blood vessels. CVDs are the main cause of death globally. In 2015 , around 17.7 million people died from CVDs worldwide, representing 31% of all deaths (3). In Europe, stress at work is the second most frequently reported health problem; representing 50-60% of all lost working days (2 ). CVD causes…show more content…
However, the mechanisms how work stress leads to CVDS are still unclear. Since the mid-1990s, two theoretical models to asses the work stressors have been developed: The demand–control or job strain model (JDC) by Karasek et al. (1998) and Effort–Reward Imbalance (ERI) model model by Siegrist (1996) (5) The JDC model is focused on the hypothesis that a gap between low control over working circumstances and high demand in terms of workload is particularly risky to health, while high control and low demand give the most health benefits. Four categories are obtained: active jobs (high demands, high control), passive jobs (low demands, low control), high strain (high demands, low control) and low strain (low demands, high control). Social support has been added to the model, to generate “isostrain”: high strain and lack of social support, which has the highest health risk.(5) Moreover, ERI model focuses on the imbalance between effort and reward, as a source of stress at the workplace. Regarding this model, rewards such as wages, esteem and promotions will reduce the negative effects of the spent physical and mental efforts.(5)…show more content…
Table 1. Author(s) Objective Sample/Age group Design Results Conclusion Szerencsi et al. (2014) To analyze the association between work stressors and cardiovascular disease, using (MCS-WSS) 11,489 Netherlands employees, including men and woman. Age group: 18-65 years old. Prospective cohort study. During a median follow-up of 49 months, 309 employees developed incident CVD: 152 MIs, 143 strokes and 14 employees developed both stroke and MI. High exposure to work stressors has no considerable impact on cardiovascular disease. Kivimäki, et al. (2005) To examine justice at work as a predictor of coronary hearts disease (CHD) based on JDC and ERI. 6442 British men, aged 35-55 years Prospective cohort study High level of justice at work has a lower risk of incident CHD. 250 employees had an incident CHD event during the mean follow-up of 8.7 years. Justice at work may have benefits for heart health among employees. Schiöler et all (2015) To investigate psychosocial stressors were associated with increased risks of IS and CHD, based on JDC. 75 236 Swedish male construction

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