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      Assessment of work intensification by managers and psychological distressed and non-distressed employees: a multilevel comparison

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          Abstract

          Work intensification is a popular management strategy to increase productivity, but at the possible expense of employee mental stress. This study examines associations between ratings of work intensification and psychological distress, and the level of agreement between compared employee-rated and manager-rated work intensification. Multi-source survey data were collected from 3,064 employees and 573 company managers from the private sector in 2010. Multilevel regression models were used to compare different work intensification ratings across psychological distress strata. Distressed employees rated higher degree of total work intensification compared to non-distressed employees, and on three out of five sub ratings there were an increased prevalence of work intensification in the case group. In general, there was poor agreement between employee and company work intensification rating. Neither manager-rated work intensification nor employee/manager discrepancy in work intensification ratings was associated with psychological distress. Distressed employees had a higher total score of employee/manager agreed work intensification, and a higher prevalence of increased demands of labour productivity. This study demonstrates higher ratings of employee/manager agreed work intensification in distressed employees compared to non-distressed employees, challenging previous findings of reporting bias in distressed employees’ assessment of work environment.

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          Stress hormones in health and illness: the roles of work and gender.

          Two neuroendocrine systems are of specific interest in the study of stress and health; the sympathetic adrenomedullary system with the secretion of epinephrine and norepinephrine, and the hypothalamic pituitary adrenocortical (HPA) system with the secretion of cortisol. These hormones have often been used as objective indicators of stress in the individual. However, through their bodily effects, they are also a link between the psychosocial environment and various health outcomes. From a series of studies of women and men, it was concluded that gender roles and psychological factors are more important than biological factors for the sex differences in stress responses. The stress responses have been important for human and animal survival and for protection of the body. However, in modern society, some of these bodily responses may cause harm rather than protection. The catecholamines have been linked to cardiovascular disorders such as hypertension, myocardial infarction and stroke, cortisol to cardiovascular disease, Type 2 diabetes, reduced immune function and cognitive impairment. An adequate balance between catabolic (mobilization of energy) and anabolic processes (growth, healing) is considered necessary for long term health and survival. In modern society, which is characterized by a rapid pace of life, high demands, efficiency and competitiveness in a global economy, it is likely that lack of rest, recovery and restitution is a greater health problem than the absolute level of stress.
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            Relation of job stressors to affective, health, and performance outcomes: a comparison of multiple data sources.

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              Psychosocial work environment and sickness absence among British civil servants: the Whitehall II study.

              This study sought to examine the association between the psychosocial work environment and subsequent rates of sickness absence. The analyses were based on a cohort of male and female British civil servants (n=9072). Rates of short spells ( 7 days) of sickness absence were calculated for different aspects of the psychosocial work environment, as measured by self-reports and personnel managers' ratings (external assessments). Low levels of work demands, control, and support were associated with higher rates of short and long spells of absence in men and, to a lesser extent, in women. The differences were similar for the self-reports and external assessments. After adjustment for grade of employment, the differences were diminished but generally remained significant for short spells. The combination of high demands and low control was only associated with higher rates of short spells in the lower grades. The psychosocial work environment predicts rates of sickness absence. Increased levels of control and support at work could have beneficial effects in terms of both improving the health and well-being of employees and increasing productivity.
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                Author and article information

                Journal
                Ind Health
                Ind Health
                INDHEALTH
                Industrial Health
                National Institute of Occupational Safety and Health, Japan
                0019-8366
                1880-8026
                06 March 2015
                July 2015
                : 53
                : 4
                : 322-331
                Affiliations
                [1 ]Department of Occupational Medicine, Danish Ramazzini Centre, Aalborg University Hospital, Denmark
                [2 ]Outpatient Department, Aalborg Psychiatric Hospital, Denmark
                [3 ]Department of Quality, North Denmark Region, Denmark
                [4 ]Department of Political Science, Aalborg University, Denmark
                [5 ]Department of Social Medicine, Aalborg University Hospital, Denmark
                [6 ]Department of Business and Management, Aalborg University, Denmark
                [7 ]Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Denmark
                Author notes
                *To whom correspondence should be addressed. >E-mail: sigb@ 123456rn.dk
                Article
                2014-0176
                10.2486/indhealth.2014-0176
                4551062
                25752252
                ff4c98f7-ddec-48d0-a2ac-6b3bf1d065b1
                ©2015 National Institute of Occupational Safety and Health

                This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License.

                History
                : 25 August 2014
                : 23 February 2015
                Categories
                Original Article

                stress,workload,multilevel study,psychosocial work environment

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