Banner 5

 

Individual Factors

Friday, 14 January 2011 17:44

Type A/B Behaviour Pattern

Definition

The Type A behaviour pattern is an observable set of behaviours or style of living characterized by extremes of hostility, competitiveness, hurry, impatience, restlessness, aggressiveness (sometimes stringently suppressed), explosiveness of speech, and a high state of alertness accompanied by muscular tension. People with strong Type A behaviour struggle against the pressure of time and the challenge of responsibility (Jenkins 1979). Type A is neither an external stressor nor a response of strain or discomfort. It is more like a style of coping. At the other end of this bipolar continuum, Type B persons are more relaxed, cooperative, steady in their pace of activity, and appear more satisfied with their daily lives and the people around them.

The Type A/B behavioural continuum was first conceptualized and labelled in 1959 by the cardiologists Dr. Meyer Friedman and Dr. Ray H. Rosenman. They identified Type A as being typical of their younger male patients with ischaemic heart disease (IHD).

The intensity and frequency of Type A behaviour increases as societies become more industrialized, competitive and hurried. Type A behaviour is more frequent in urban than rural areas, in managerial and sales occupations than among technical workers, skilled craftsmen or artists, and in businesswomen than in housewives.

Areas of Research

Type A behaviour has been studied as part of the fields of personality and social psychology, organizational and industrial psychology, psychophysiology, cardiovascular disease and occupational health.

Research relating to personality and social psychology has yielded considerable understanding of the Type A pattern as an important psychological construct. Persons scoring high on Type A measures behave in ways predicted by Type A theory. They are more impatient and aggressive in social situations and spend more time working and less in leisure. They react more strongly to frustration.

Research that incorporates the Type A concept into organizational and industrial psychology includes comparisons of different occupations as well as employees’ responses to job stress. Under conditions of equivalent external stress, Type A employees tend to report more physical and emotional strain than Type B employees. They also tend to move into high-demand jobs (Type A behavior 1990).

Pronounced increases in blood pressure, serum cholesterol and catecholamines in Type A persons were first reported by Rosenman and al. (1975) and have since been confirmed by many other investigators. The tenor of these findings is that Type A and Type B persons are usually quite similar in chronic or baseline levels of these physiological variables, but that environmental demands, challenges or frustrations create far larger reactions in Type A than Type B persons. The literature has been somewhat inconsistent, partly because the same challenge may not physiologically activitate men or women of different backgrounds. A preponderance of positive findings continues to be published (Contrada and Krantz 1988).

The history of Type A/B behaviour as a risk factor for ischeamic heart disease has followed a common historical trajectory: a trickle then a flow of positive findings, a trickle then a flow of negative findings, and now intense controversy (Review Panel on Coronary-Prone Behavior and Coronary Heart Disease 1981). Broad-scope literature searches now reveal a continuing mixture of positive associations and non-associations between Type A behaviour and IHD. The general trend of the findings is that Type A behaviour is more likely to be positively associated with a risk of IHD:

  1. in cross-sectional and case-control studies rather than prospective studies
  2. in studies of general populations and occupational groups rather than studies limited to persons with cardiovascular disease or who score high on other IHD risk factors
  3. in younger study groups (under age 60) rather than older populations
  4. in countries still in the process of industrialization or still at the peak of their economic development.

 

The Type A pattern is not “dead” as an IHD risk factor, but in the future must be studied with the expectation that it may convey greater IHD risk only in certain sub-populations and in selected social settings. Some studies suggest that hostility may be the most damaging component of Type A.

A newer development has been the study of Type A behaviour as a risk factor for injuries and mild and moderate illnesses both in occupational and student groups. It is rational to hypothesize that people who are hurried and aggressive will incur the most accidents at work, in sports and on the highway. This has been found to be empirically true (Elander, West and French 1993). It is less clear theoretically why mild acute illnesses in a full array of physiologic systems should occur more often to Type A than Type B persons, but this has been found in a few studies (e. g. Suls and Sanders 1988). At least in some groups, Type A was found to be associated with a higher risk of future mild episodes of emotional distress. Future research needs to address both the validity of these associations and the physical and psychological reasons behind them.

Methods of Measurement

The Type A/B behaviour pattern was first measured in research settings by the Structured Interview (SI). The SI is a carefully administered clinical interview in which about 25 questions are asked at different rates of speed and with different degrees of challenge or intrusiveness. Special training is necessary for an interviewer to be certified as competent both to administer and interpret the SI. Typically, interviews are tape-recorded to permit subsequent study by other judges to ensure reliability. In comparative studies among several measures of Type A behaviour, the SI seems to have greater validity for cardiovascular and psychophysiological studies than is found for self-report questionnaires, but little is known about its comparative validity in psychological and occupational studies because the SI is used much less frequently in these settings.

Self-Report Measures

The most common self-report instrument is the Jenkins Activity Survey (JAS), a self-report, computer-scored, multiple-choice questionnaire. It has been validated against the SI and against the criteria of current and future IHD, and has accumulated construct validity. Form C, a 52-item version of the JAS published in 1979 by the Psychological Corporation, is the most widely used. It has been translated into most of the languages of Europe and Asia. The JAS contains four scales: a general Type A scale, and factor-analytically derived scales for speed and impatience, job involvement and hard-driving competitiveness. A short form of the Type A scale (13 items) has been used in epidemiological studies by the World Health Organization.

The Framingham Type A Scale (FTAS) is a ten-item questionnaire shown to be a valid predictor of future IHD for both men and women in the Framingham Heart Study (USA). It has also been used internationally both in cardiovascular and psychological research. Factor analysis divides the FTAS into two factors, one of which correlates with other measures of Type A behaviour while the second correlates with measures of neuroticism and irritability.

The Bortner Rating Scale (BRS) is composed of fourteen items, each in the form of an analogue scale. Subsequent studies have performed item-analysis on the BRS and have achieved greater internal consistency or greater predictability by shortening the scale to 7 or 12 items. The BRS has been widely used in international translations. Additional Type A scales have been developed internationally, but these have mostly been used only for specific nationalities in whose language they were written.

Practical Interventions

Systematic efforts have been under way for at least two decades to help persons with intense Type A behaviour patterns to change them to more of a Type B style. Perhaps the largest of these efforts was in the Recurrent Coronary Prevention Project conducted in the San Francisco Bay area in the 1980s. Repeated follow-up over several years documented that changes were achieved in many people and also that the rate of recurrent myocardial infarction was reduced in persons receiving the Type A behaviour reduction efforts as opposed to those receiving only cardiovascular counselling (Thoreson and Powell 1992).

Intervention in the Type A behaviour pattern is difficult to accomplish successfully because this behavioural style has so many rewarding features, particularly in terms of career advancement and material gain. The programme itself must be carefully crafted according to effective psychological principles, and a group process approach appears to be more effective than individual counselling.

 

Back

Friday, 14 January 2011 17:49

Hardiness

The characteristic of hardiness is based in an existential theory of personality and is defined as a person’s basic stance towards his or his place in the world that simultaneously expresses commitment, control and readiness to respond to challenge (Kobasa 1979; Kobasa, Maddi and Kahn 1982). Commitment is the tendency to involve oneself in, rather than experience alienation from, whatever one is doing or encounters in life. Committed persons have a generalized sense of purpose that allows them to identify with and find meaningful the persons, events and things of their environment. Control is the tendency to think, feel and act as if one is influential, rather than helpless, in the face of the varied contingencies of life. Persons with control do not naïvely expect to determine all events and outcomes but rather perceive themselves as being able to make a difference in the world through their exercise of imagination, knowledge, skill and choice. Challenge is the tendency to believe that change rather than stability is normal in life and that changes are interesting incentives to growth rather than threats to security. So far from being reckless adventurers, persons with challenge are rather individuals with an openness to new experiences and a tolerance of ambiguity that enables them to be flexible in the face of change.

Conceived of as a reaction and corrective to a pessimistic bias in early stress research that emphasized persons’ vulnerability to stress, the basic hardiness hypothesis is that individuals characterized by high levels of the three interrelated orientations of commitment, control and challenge are more likely to remain healthy under stress than those individuals who are low in hardiness. The personality possessing hardiness is marked by a way of perceiving and responding to stressful life events that prevents or minimizes the strain that can follow stress and that, in turn, can lead to mental and physical illness.

The initial evidence for the hardiness construct was provided by retrospective and longitudinal studies of a large group of middle- and upper-level male executives employed by a Midwestern telephone company in the United States during the time of the divestiture of American Telephone and Telegraph (ATT). Executives were monitored through yearly questionnaires over a five-year period for stressful life experiences at work and at home, physical health changes, personality characteristics, a variety of other work factors, social support and health habits. The primary finding was that under conditions of highly stressful life events, executives scoring high on hardiness are significantly less likely to become physically ill than are executives scoring low on hardiness, an outcome that was documented through self-reports of physical symptoms and illnesses and validated by medical records based on yearly physical examinations. The initial work also demonstrated: (a) the effectiveness of hardiness combined with social support and exercise to protect mental as well as physical health; and (b) the independence of hardiness with respect to the frequency and severity of stressful life events, age, education, marital status and job level. Finally, the body of hardiness research initially assembled as a result of the study led to further research that showed the generalizability of the hardiness effect across a number of occupational groups, including non-executive telephone personnel, lawyers and US Army officers (Kobasa 1982).

Since those basic studies, the hardiness construct has been employed by many investigators working in a variety of occupational and other contexts and with a variety of research strategies ranging from controlled experiments to more qualitative field investigations (for reviews, see Maddi 1990; Orr and Westman 1990; Ouellette 1993). The majority of these studies have basically supported and expanded the original hardiness formulation, but there have also been disconfirmations of the moderating effect of hardiness and criticisms of the strategies selected for the measurement of hardiness (Funk and Houston 1987; Hull, Van Treuren and Virnelli 1987).

Emphasizing individuals’ ability to do well in the face of serious stressors, researchers have confirmed the positive role of hardiness among many groups including, in samples studied in the United States, bus drivers, military air-disaster workers, nurses working in a variety of settings, teachers, candidates in training for a number of different occupations, persons with chronic illness and Asian immigrants. Elsewhere, studies have been carried out among businessmen in Japan and trainees in the Israeli defence forces. Across these groups, one finds an association between hardiness and lower levels of either physical or mental symptoms, and, less frequently, a significant interaction between stress levels and hardiness that provides support for the buffering role of personality. In addition, results establish the effects of hardiness on non-health outcomes such as work performance and job satisfaction as well as on burnout. Another large body of work, most of it conducted with college-student samples, confirms the hypothesized mechanisms through which hardiness has its health-protective effects. These studies demonstrated the influence of hardiness upon the subjects’ appraisal of stress (Wiebe and Williams 1992). Also relevant to construct validity, a smaller number of studies have provided some evidence for the psychophysiological arousal correlates of hardiness and the relationship between hardiness and various preventive health behaviours.

Essentially all of the empirical support for a link between hardiness and health has relied upon data obtained through self-report questionnaires. Appearing most often in publications is the composite questionnaire used in the original prospective test of hardiness and abridged derivatives of that measure. Fitting the broad-based definition of hardiness as defined in the opening words of this article, the composite questionnaire contains items from a number of established personality instruments that include Rotter’s Internal-External Locus of Control Scale (Rotter, Seeman and Liverant 1962), Hahn’s California Life Goals Evaluation Schedules (Hahn 1966), Maddi’s Alienation versus Commitment Test (Maddi, Kobasa and Hoover 1979) and Jackson’s Personality Research Form (Jackson 1974). More recent efforts at questionnaire development have led to the development of the Personal Views Survey, or what Maddi (1990) calls the “Third Generation Hardiness Test”. This new questionnaire addresses many of the criticisms raised with respect to the original measure, such as the preponderance of negative items and the instability of hardiness factor structures. Furthermore, studies of working adults in both the United States and the United Kingdom have yielded promising reports as to the reliability and validity of the hardiness measure. Nonetheless, not all of the problems have been resolved. For example, some reports show low internal reliability for the challenge component of hardiness. Another pushes beyond the measurement issue to raise a conceptual concern about whether hardiness should always be seen as a unitary phenomenon rather than a multidimensional construct made up of separate components that may have relationships with health independently of each other in certain stressful situations. The challenge to future on researchers hardiness is to retain both the conceptual and human richness of the hardiness notion while increasing its empirical precision.

Although Maddi and Kobasa (1984) describe the childhood and family experiences that support the development of personality hardiness, they and many other hardiness researchers are committed to defining interventions to increase adults’ stress- resistance. From an existential perspective, personality is seen as something that one is constantly constructing, and a person’s social context, including his or her work environment, is seen as either supportive or debilitating as regards the maintenance of hardiness. Maddi (1987, 1990) has provided the most thorough depiction and rationale for hardiness intervention strategies. He outlines a combination of focusing, situational reconstruction, and compensatory self-improvement strategies that he has used successfully in small group sessions to enhance hardiness and decrease the negative physical and mental effects of stress in the workplace.

 

Back

Friday, 14 January 2011 17:58

Self-Esteem

Low self-esteem (SE) has long been studied as a determinant of psychological and physiological disorders (Beck 1967; Rosenberg 1965; Scherwitz, Berton and Leventhal 1978). Beginning in the 1980s, organizational researchers have investigated self-esteem’s moderating role in relationships between work stressors and individual outcomes. This reflects researchers’ growing interest in dispositions that seem either to protect or make a person more vulnerable to stressors.

Self-esteem can be defined as “the favorability of individuals’ characteristic self-evaluations” (Brockner 1988). Brockner (1983, 1988) has advanced the hypothesis that persons with low SE (low SEs) are generally more susceptible to environmental events than are high SEs. Brockner (1988) reviewed extensive evidence that this “plasticity hypothesis” explains a number of organizational processes. The most prominent research into this hypothesis has tested self-esteem’s moderating role in the relationship between role stressors (role conflict and role ambiguity) and health and affect. Role conflict (disagreement among one’s received roles) and role ambiguity (lack of clarity concerning the content of one’s role) are generated largely by events that are external to the individual, and therefore, according to the plasticity hypothesis, high SEs would be less vulnerable to them.

In a study of 206 nurses in a large southwestern US hospital, Mossholder, Bedeian and Armenakis (1981) found that self-reports of role ambiguity were negatively related to job satisfaction for low SEs but not for high SEs. Pierce et al. (1993) used an organization-based measure of self-esteem to test the plasticity hypothesis on 186 workers in a US utility company. Role ambiguity and role conflict were negatively related to satisfaction only among low SEs. Similar interactions with organization-based self-esteem were found for role overload, environmental support and supervisory support.

In the studies reviewed above, self-esteem was viewed as a proxy (or alternative measure) for self-appraisals of competence on the job. Ganster and Schaubroeck (1991a) speculated that the moderating role of self-esteem on role stressors’ effects was instead caused by low SEs’ lack of confidence in influencing their social environment, the result being weaker attempts at coping with these stressors. In a study of 157 US fire-fighters, they found that role conflict was positively related to somatic health complaints only among low SEs. There was no such interaction with role ambiguity.

In a separate analysis of the data on nurses’ reported in their earlier study (Mossholder, Bedeian and Armenakis 1981), these authors (1982) found that peer group interaction had a significantly more negative relationship to self-reported tension among low SEs than among high SEs. Likewise, low SEs reporting high peer-group interaction were less likely to wish to leave the organization than were high SEs reporting high peer-group interaction.

Several measures of self-esteem exist in the literature. Possibly the most often used of these is the ten-item instrument developed by Rosenberg (1965). This instrument was used in the Ganster and Schaubroeck (1991a) study. Mossholder and his colleagues (1981, 1982) used the self-confidence scale from Gough and Heilbrun’s (1965) Adjective Check List. The organization-based measure of self-esteem used by Pierce et al. (1993) was a ten-item instrument developed by Pierce et al. (1989).

The research findings suggest that health reports and satisfaction among low SEs can be improved either by reducing their role stressors or increasing their self-esteem. The organization development intervention of role clarification (dyadic supervisor-subordinate exchanges directed at clarifying the subordinate’s role and reconciling incompatible expectations), when combined with responsibility charting (clarifying and negotiating the roles of different departments), proved successful in a randomized field experiment at reducing role conflict and role ambiguity (Schaubroeck et al. 1993). It seems unlikely, however, that many organizations will be able and willing to undertake this rather extensive practice unless role stress is seen as particularly acute.

Brockner (1988) suggested a number of ways organizations can enhance employee self-esteem. Supervision practices are a major area in which organizations can improve. Performance appraisal feedback which focuses on behaviours rather than on traits, providing descriptive information with evaluative summations, and participatively developing plans for continuous improvement, is likely to have fewer adverse effects on employee self-esteem, and it may even enhance the self-esteem of some workers as they discover ways to improve their performance. Positive reinforcement of effective performance events is also critical. Training approaches such as mastery modelling (Wood and Bandura 1989) also ensure that positive efficacy perceptions are developed for each new task; these perceptions are the basis of organization-based self-esteem.

 

Back

Friday, 14 January 2011 18:01

Locus of Control

Locus of control (LOC) refers to a personality trait reflecting the generalized belief that either events in life are controlled by one’s own actions (an internal LOC) or by outside influences (an external LOC). Those with an internal LOC believe that they can exert control over life events and circumstances, including the associated reinforcements, that is, those outcomes which are perceived to reward one’s behaviours and attitudes. In contrast, those with an external LOC believe they have little control over life events and circumstances, and attribute reinforcements to powerful others or to luck.

The construct of locus of control emerged from Rotter’s (1954) social learning theory. To measure LOC, Rotter (1966) developed the Internal-External (I-E) scale, which has been the instrument of choice in most research studies. However, research has questioned the unidimensionality of the I-E scale, with some authors suggesting that LOC has two dimensions (e.g., personal control and social system control), and others suggesting that LOC has three dimensions (personal efficacy, control ideology and political control). More recently developed scales to measure LOC are multidimensional, or assess LOC for specific domains, such as health or work (Hurrell and Murphy 1992).

One of the most consistent and widespread findings in the general research literature is the association between an external LOC and poor physical and mental health (Ganster and Fusilier 1989). A number of studies in occupational settings report similar findings: workers with an external LOC tended to report more burnout, job dissatisfaction, stress and lower self-esteem than those with an internal LOC (Kasl 1989). Recent evidence suggests that LOC moderates the relationship between role stressors (role ambiguity and role conflict) and symptoms of distress (Cvetanovski and Jex 1994; Spector and O’Connell 1994).

However, research linking LOC beliefs and ill health is difficult to interpret for several reasons (Kasl 1989). First, there may be conceptual overlap between the measures of health and locus of control scales. Secondly, a dispositional factor, like negative affectivity, may be present which is responsible for the relationship. For example, in the study by Spector and O’Connell (1994), LOC beliefs correlated more strongly with negative affectivity than with perceived autonomy at work, and did not correlate with physical health symptoms. Thirdly, the direction of causality is ambiguous; it is possible that the work experience may alter LOC beliefs. Finally, other studies have not found moderating effects of LOC on job stressors or health outcomes (Hurrell and Murphy 1992).

The question of how LOC moderates job stressor-health relationships has not been well researched. One proposed mechanism involves the use of more effective, problem-focused coping behaviour by those with an internal LOC. Those with an external LOC might use fewer problem-solving coping strategies because they believe that events in their lives are outside their control. There is evidence that people with an internal LOC utilize more task-centred coping behaviours and fewer emotion-centred coping behaviours than those with an external LOC (Hurrell and Murphy 1992). Other evidence indicates that in situations viewed as changeable, those with an internal LOC reported high levels of problem-solving coping and low levels of emotional suppression, whereas those with an external LOC showed the reverse pattern. It is important to bear in mind that many workplace stressors are not under the direct control of the worker, and that attempts to change uncontrollable stressors might actually increase stress symptoms (Hurrell and Murphy 1992).

A second mechanism whereby LOC could influence stressor-health relationships is via social support, another moderating factor of stress and health relationships. Fusilier, Ganster and Mays (1987) found that locus of control and social support jointly determined how workers responded to job stressors and Cummins (1989) found that social support buffered the effects of job stress, but only for those with an internal LOC and only when the support was work-related.

Although the topic of LOC is intriguing and has stimulated a great deal of research, there are serious methodological problems attaching to investigations in this area which need to be addressed. For example, the trait-like (unchanging) nature of LOC beliefs has been questioned by research which showed that people adopt a more external orientation with advancing age and after certain life experiences such as unemployment. Furthermore, LOC may be measuring worker perceptions of job control, instead of an enduring trait of the worker. Still other studies have suggested that LOC scales may not only measure beliefs about control, but also the tendency to use defensive manoeuvres, and to display anxiety or proneness to Type A behaviour (Hurrell and Murphy 1992).

Finally, there has been little research on the influence of LOC on vocational choice, and the reciprocal effects of LOC and job perceptions. Regarding the former, occupational differences in the proportion of “internals” and “externals” may be evidence that LOC influences vocational choice (Hurrell and Murphy 1992). On the other hand, such differences might reflect exposure to the job environment, just as the work environment is thought to be instrumental in the development of the Type A behaviour pattern. A final alternative is that occupational differences in LOC are be due to “drift”, that is the movement of workers into or out of certain occupations as a result of job dissatisfaction, health concerns or desire for advancement.

In summary, the research literature does not present a clear picture of the influence of LOC beliefs on job stressor or health relationships. Even where research has produced more or less consistent findings, the meaning of the relationship is obscured by confounding influences (Kasl 1989). Additional research is needed to determine the stability of the LOC construct and to identify the mechanisms or pathways through which LOC influences worker perceptions and mental and physical health. Components of the path should reflect the interaction of LOC with other traits of the worker, and the interaction of LOC beliefs with work environment factors, including reciprocal effects of the work environment and LOC beliefs. Future research should produce less ambiguous results if it incorporates measures of related individual traits (e.g., Type A behaviour or anxiety) and utilizes domain-specific measures of locus of control (e.g., work).

Back

Friday, 14 January 2011 18:11

Coping Styles

Coping has been defined as “efforts to reduce the negative impacts of stress on individual well-being” (Edwards 1988). Coping, like the experience of work stress itself, is a complex, dynamic process. Coping efforts are triggered by the appraisal of situations as threatening, harmful or anxiety producing (i.e., by the experience of stress). Coping is an individual difference variable that moderates the stress-outcome relationship.

Coping styles encompass trait-like combinations of thoughts, beliefs and behaviours that result from the experience of stress and may be expressed independently of the type of stressor. A coping style is a dispositional variable. Coping styles are fairly stable over time and situations and are influenced by personality traits, but are different from them. The distinction between the two is one of generality or level of abstraction. Examples of such styles, expressed in broad terms, include: monitor-blunter (Miller 1979) and repressor-sensitizer (Houston and Hodges 1970). Individual differences in personality, age, experience, gender, intellectual ability and cognitive style affect the way an individual copes with stress. Coping styles are the result of both prior experience and previous learning.

Shanan (1967) offered an early perspective on what he termed an adaptive coping style. This “response set” was characterized by four ingredients: the availability of energy directly focused on potential sources of the difficulty; a clear distinction between events internal and external to the person; confronting rather than avoiding external difficulties; and balancing external demands with needs of the self. Antonovsky (1987) similarly suggests that, to be effective, the individual person must be motivated to cope, have clarified the nature and dimensions of the problem and the reality in which it exists, and then selected the most appropriate resources for the problem at hand.

The most common typology of coping style (Lazarus and Folkman 1984) includes problem-focused coping (which includes information seeking and problem solving) and emotion-focused coping (which involves expressing emotion and regulating emotions). These two factors are sometimes complemented by a third factor, appraisal-focused coping (whose components include denial, acceptance, social comparison, redefinition and logical analysis).

Moos and Billings (1982) distinguish among the following coping styles:

  • Active-cognitive. The person tries to manage their appraisal of the stressful situation.
  • Active-behavioural. This style involves behaviour dealing directly with the stressful situations.
  • Avoidance. The person avoids confronting the problem.

 

Greenglass (1993) has recently proposed a coping style termed social coping, which integrates social and interpersonal factors with cognitive factors. Her research showed significant relationships between various kinds of social support and coping forms (e.g., problem-focused and emotion-focused). Women, generally possessing relatively greater interpersonal competence, were found to make greater use of social coping.

In addition, it may be possible to link another approach to coping, termed preventive coping, with a large body of previously separate writing dealing with healthy lifestyles (Roskies 1991). Wong and Reker (1984) suggest that a preventive coping style is aimed at promoting one’s well-being and reducing the likelihood of future problems. Preventive coping includes such activities as physical exercise and relaxation, as well as the development of appropriate sleeping and eating habits, and planning, time management and social support skills.

Another coping style, which has been described as a broad aspect of personality (Watson and Clark 1984), involves the concepts of negative affectivity (NA) and positive affectivity (PA). People with high NA accentuate the negative in evaluating themselves, other people and their environment in general and reflect higher levels of distress. Those with high PA focus on the positives in evaluating themselves, other people and their world in general. People with high PA report lower levels of distress.

These two dispositions can affect a person’s perceptions of the number and magnitude of potential stressors as well as his or her coping responses (i.e., one’s perceptions of the resources that one has available, as well as the actual coping strategies that are used). Thus, those with high NA will report fewer resources available and are more likely to use ineffective (defeatist) strategies (such as releasing emotions, avoidance and disengagement in coping) and less likely to use more effective strategies (such as direct action and cognitive reframing). Individuals with high PA would be more confident in their coping resources and use more productive coping strategies.

Antonovsky’s (1979; 1987) sense of coherence (SOC) concept overlaps considerably with PA. He defines SOC as a generalized view of the world as meaningful and comprehensible. This orientation allows the person to first focus on the specific situation and then to act on the problem and the emotions associated with the problem. High SOC individuals have the motivation and the cognitive resources to engage in these sorts of behaviours likely to resolve the problem. In addition, high SOC individuals are more likely to realize the importance of emotions, more likely to experience particular emotions and to regulate them, and more likely to take responsibility for their circumstances instead of blaming others or projecting their perceptions upon them. Considerable research has since supplied support for Antonovsky’s thesis.

Coping styles can be described with reference to dimensions of complexity and flexibility (Lazarus and Folkman 1984). People using a variety of strategies exhibit a complex style; those preferring a single strategy exhibit a single style. Those who use the same strategy in all situations exhibit a rigid style; those who use different strategies in the same, or different, situations exhibit a flexible style. A flexible style has been shown to be more effective than a rigid style.

Coping styles are typically measured by using self-reported questionnaires or by asking individuals, in an open-ended way, how they coped with a particular stressor. The questionnaire developed by Lazarus and Folkman (1984), the “Ways of Coping Checklist”, is the most widely used measure of problem-focused and emotion-focused coping. Dewe (1989), on the other hand, has frequently used individuals’ descriptions of their own coping initiatives in his research on coping styles.

There are a variety of practical interventions that may be implemented with regard to coping styles. Most often, intervention consists of education and training in which individuals are presented with information, sometimes coupled with self-assessment exercises that enable them to examine their own preferred coping style as well as other varieties of coping styles and their potential usefulness. Such information is typically well received by the persons to whom the intervention is directed, but the demonstrated usefulness of such information in helping them cope with real life stressors is lacking. In fact, the few studies that considered individual coping (Shinn et al. 1984; Ganster et al. 1982) have reported limited practical value in such education, particularly when a follow-up has been undertaken (Murphy 1988).

Matteson and Ivancevich (1987) outline a study dealing with coping styles as part of a longer programme of stress management training. Improvements in three coping skills are addressed: cognitive, interpersonal and problem solving. Coping skills are classified as problem-focused or emotion-focused. Problem-focused skills include problem solving, time management, communication and social skills, assertiveness, lifestyle changes and direct actions to change environmental demands. Emotion-focused skills are designed to relieve distress and foster emotion regulation. These include denial, expressing feelings and relaxation.

The preparation of this article was supported in part by the Faculty of Administrative Studies, York University.


Back

Friday, 14 January 2011 18:13

Social Support

During the mid-1970s public health practitioners, and in particular, epidemiologists “discovered” the concept of social support in their studies of causal relationships between stress, mortality and morbidity (Cassel 1974; Cobb 1976). In the past decade there has been an explosion in the literature relating the concept of social support to work-related stressors. By contrast, in psychology, social support as a concept had already been well integrated into clinical practice. Rogers’ (1942) client-centred therapy of unconditional positive regard is fundamentally a social support approach. Lindeman’s (1944) pioneering work on grief management identified the critical role of support in moderating the crisis of death loss. Caplin’s (1964) model of preventive community psychiatry (1964) elaborated on the importance of community and support groups.

Cassel (1976) adapted the concept of social support into public health theory as a way of explaining the differences in diseases that were thought to be stress-related. He was interested in understanding why some individuals appeared to be more resistant to stress than others. The idea of social support as a factor in disease causation was reasonable since, he noted, both people and animals who experienced stress in the company of “significant others” seemed to suffer fewer adverse consequences than those who were isolated. Cassel proposed that social support could act as a protective factor buffering an individual from the effects of stress.

Cobb (1976) expanded on the concept by noting that the mere presence of another person is not social support. He suggested that an exchange of “information” was needed. He established three categories for this exchange:

  • information leading the person to the belief that one is loved or cared for (emotional support)
  • information leading to the belief that one is esteemed and valued (esteem support)
  • information leading to the belief that one belongs to a network of mutual obligations and communication.

 

Cobb reported that those experiencing severe events without such social support were ten times more likely to come to be depressed and concluded that somehow intimate relations, or social support, was protective of the effects of stress reactions. He also proposed that social support operates throughout one’s life span, encompassing various life events such as unemployment, severe illness and bereavement. Cobb pointed out the great diversity of studies, samples, methods and outcomes as convincing evidence that social support is a common factor in modifying stress, but is, in itself, not a panacea for avoiding its effects.

According to Cobb, social support increases coping ability (environmental manipulation) and facilitates adaptation (self-change to improve the person-environment fit). He cautioned, however, that most research was focused on acute stressors and did not permit generalizations of the protective nature of social support for coping with the effects of chronic stressors or traumatic stress.

Over the intervening years since the publication of these seminal works, investigators have moved away from considering social support as a unitary concept, and have attempted to understand the components of social stress and social support.

Hirsh (1980) describes five possible elements of social support:

  • emotional support: care, comfort, love, affection, sympathy
  • encouragement: praise, compliments; the extent to which one feels inspired by the supporter to feel courage, hope or to prevail
  • advice: useful information to solve problems; the extent to which one feels informed
  • companionship: time spent with supporter; the extent to which one does not feel alone
  • tangible aid: practical resources, such as money or aid with chores; the extent to which one feels relieved of burdens. Another framework is used by House (1981), to discuss social support in the context of work-related stress:
  • emotional: empathy, caring, love, trust, esteem or demonstrations of concern
  • appraisal: information relevant to self-evaluation, feedback from others useful in self-affirmation
  • informational: suggestions, advice or information useful in problem-solving
  • instrumental: direct aid in the form of money, time or labour.

 

House felt that emotional support was the most important form of social support. In the workplace, the supportiveness of the supervisor was the most important element, followed by co-worker support. The structure and organization of the enterprise, as well as the specific jobs within it, could either enhance or inhibit potential for support. House found that greater task specialization and fragmentation of work leads to more isolated work roles and to decreased opportunities for support.

Pines’ (1983) study of burnout, which is a phenomenon discussed separately in this chapter, found that the availability of social support at work is negatively correlated with burnout. He identifies six different relevant aspects of social support which modify the burnout response. These include listening, encouragement, giving advice and, providing companionship and tangible aid.

As one may gather from the foregoing discussion in which the models proposed by several researchers have been described, while the field has attempted to specify the concept of social support, there is no clear consensus on the precise elements of the concept, although considerable overlap between models is evident.

Interaction between Stress and Social Support

Although the literature on stress and social support is quite extensive, there is still considerable debate as to the mechanisms by which stress and social support interact. A long-standing question is whether social support has a direct or indirect effect on health.

Main effect/Direct effect

Social support can have a direct or main effect by serving as a barrier to the effects of the stressor. A social support network may provide needed information or needed feedback in order to overcome the stressor. It may provide a person with the resources he or she needs to minimize the stress. An individual’s self-perception may also be influenced by group membership so as to provide self-confidence, a sense of mastery and skill and hence thereby a sense of control over the environment. This is relevant to Bandura’s (1986) theories of personal control as the mediator of stress effects. There appears to be a minimum threshold level of social contact required for good health, and increases in social support above the minimum are less important. If one considers social support as having a direct—or main—effect, then one can create an index by which to measure it (Cohen and Syme 1985; Gottlieb 1983).

Cohen and Syme (1985), however, also suggest that an alternative explanation to social support acting as a main effect is that it is the isolation, or lack of social support, which causes the ill health rather than the social support itself promoting better health. This is an unresolved issue. Gottlieb also raises the issue of what happens when the stress results in the loss of the social network itself, such as might occur during disasters, major accidents or loss of work. This effect has not yet been quantified.

Buffering/Indirect effect

The buffering hypothesis is that social support intervenes between the stressor and the stress response to reduce its effects. Buffering could change one’s perception of the stressor, thus diminishing its potency, or it could increases one’s coping skills. Social support from others may provide tangible aid in a crisis, or it may lead to suggestions that facilitate adaptive responses. Finally, social support may be the stress-modifying effect which calms the neuroendocrine system so that the person may be less reactive to the stressor.

Pines (1983) notes that the relevant aspect of social support may be in the sharing of a social reality. Gottlieb proposes that social support could offset self-recrimination and dispel notions that the individual is him or herself responsible for the problems. Interaction with a social support system can encourage the venting of fears and can assist re-establishing a meaningful social identity.

Additional Theoretical Issues

Research thus far has tended to treat social support as a static, given factor. While the issue of its change over time has been raised, little data exist on the time course of social support (Gottlieb 1983; Cohen and Syme 1985). Social support is, of course, fluid, just as the stressors that it affects. It varies as the individual passes through the stages of life. It can also change over the short-term experience of a particular stressful event (Wilcox 1981).

Such variability probably means that social support fulfils different functions during different developmental stages or during different phases of a crisis. For example at the onset of a crisis, informational support may be more essential than tangible aid. The source of support, its density and the length of time it is operative will also be in flux. The reciprocal relationship between stress and social support must be recognized. Some stressors themselves have a direct impact on available support. Death of a spouse, for example, usually reduces the extent of the network and may have serious consequences for the survivor (Goldberg et al. 1985).

Social support is not a magic bullet that reduces the impact of stress. Under certain conditions it may exacerbate or be the cause of stress. Wilcox (1981) noted that those with a denser kin network had more difficulties adjusting to divorce because their families were less likely to accept divorce as a solution to marital problems. The literature on addiction and family violence also shows possible severe negative effects of social networks. Indeed, as Pines and Aronson (1981) point out, much of professional mental health interventions are devoted to undoing destructive relationships, and to teaching interpersonal skills and to assisting people to recover from social rejection.

There are a large number of studies employing a variety of measures of the functional content of social support. These measures have a wide range of reliability and construct validity. Another methodological problem is that these analyses depend largely on the self-reports of those being studied. The responses will therefore of necessity be subjective and will cause one to wonder whether it is the actual event or level of social support that is important or whether it is the individual’s perception of support and outcomes that is more critical. If it is the perception that is critical, then it may be that some other, third variable, such as personality type, is affecting both stress and social support (Turner 1983). For example, a third factor, such as age or socio-economic status, may influence change in both social support and outcome, according to Dooley (1985). Solomon (1986) provides some evidence for this idea with a study of women who have been forced by financial constraints into involuntary interdependence on friends and kin. She found that such women opt out of these relationships as quickly as they are financially able to do so.

Thoits (1982) raises concerns about reverse causation. It may be, she points out, that certain disorders chase away friends and lead to loss of support. Studies by Peters-Golden (1982) and Maher (1982) on cancer victims and social support appear to be consistent with this proposition.

Social Support and Work Stress

Studies on the relationship between social support and work stress indicate that successful coping is related to the effective use of support systems (Cohen and Ahearn 1980). Successful coping activities have emphasized the use of both formal and informal social support in dealing with work stress. Laid-off workers, for example, are advised to actively seek support to provide informational, emotional and tangible support. There have been relatively few evaluations of the effectiveness of such interventions. It appears, however, that formal support is only effective in the short term and informal systems are necessary for longer-term coping. Attempts to provide institutional formal social support can create negative outcomes, since the anger and rage about layoff or bankruptcy, for example, may be displaced to those who provide the social support. Prolonged reliance on social support may create a sense of dependency and lowered self- esteem.

In some occupations, such as seafarers, fire-fighters or staff in remote locations such as on oil rigs, there is a consistent, long-term, highly defined social network which can be compared to a family or kin system. Given the necessity for small work groups and joint efforts, it is natural that a strong sense of social cohesion and support develops among workers. The sometimes hazardous nature of the work requires that workers develop mutual respect, trust and confidence. Strong bonds and interdependence are created when people are dependent on each other for their survival and well-being.

Further research on the nature of social support during routine periods, as well as downsizing or major organizational change, is necessary to further define this factor. For example, when an employee is promoted to a supervisory position, he or she normally must distance him or herself from the other members of the work group. Does this make a difference in the day-to-day levels of social support he or she receives or requires? Does the source of support shift to other supervisors or to the family or somewhere else? Do those in positions of responsibility or authority experience different work stressors? Do these individuals require different types, sources or functions of social support?

If the target of the group-based interventions is also changing the functions of social support or the nature of the network, does this provide a preventive effect in future stressful events?

What will be the effect of growing numbers of women in these occupations? Does their presence change the nature and functions of support for all or does each sex require different levels or types of support?

The workplace presents a unique opportunity to study the intricate web of social support. As a closed subculture, it provides a natural experimental setting for research into the role of social support, social networks and their interrelationships with acute, cumulative and traumatic stress.


Back

Friday, 14 January 2011 18:27

Gender, Job Stress and Illness

Do job stressors affect men and women differently? This question has only recently been addressed in the job stress–illness literature. In fact, the word gender does not even appear in the index of the first edition of the Handbook of Stress (Goldberger and Breznitz 1982) nor does it appear in the indices of such major reference books as Job Stress and Blue Collar Work (Cooper and Smith 1985) and Job Control and Worker Health (Sauter, Hurrell and Cooper 1989). Moreover, in a 1992 review of moderator variables and interaction effects in the occupational stress literature, gender effects were not even mentioned (Holt 1992). One reason for this state of affairs lies in the history of occupational health and safety psychology, which in turn reflects the pervasive gender stereotyping in our culture. With the exception of reproductive health, when researchers have looked at physical health outcomes and physical injuries, they have generally studied men and variations in their work. When researchers have studied mental health outcomes, they have generally studied women and variations in their social roles.

As a result, the “available evidence” on the physical health impact of work has until recently been almost completely limited to men (Hall 1992). For example, attempts to identify correlates of coronary heart disease have been focused exclusively on men and on aspects of their work; researchers did not even inquire into their male subjects’ marital or parental roles (Rosenman et al. 1975). Indeed, few studies of the job stress–illness relationship in men include assessments of their marital and parental relationships (Caplan et al. 1975).

In contrast, concern about reproductive health, fertility and pregnancy focused primarily on women. Not surprisingly, “the research on reproductive effects of occupational exposures is far more extensive on females than on males” (Walsh and Kelleher 1987). With respect to psychological distress, attempts to specify the psychosocial correlates, in particular the stressors associated with balancing work and family demands, have centred heavily on women.

By reinforcing the notion of “separate spheres” for men and women, these conceptualizations and the research paradigms they generated prevented any examination of gender effects, thereby effectively controlling for the influence of gender. Extensive sex segregation in the workplace (Bergman 1986; Reskin and Hartman 1986) also acts as a control, precluding the study of gender as a moderator. If all men are employed in “men’s jobs” and all women are employed in “women’s jobs”, it would not be reasonable to ask about the moderating effect of gender on the job stress–illness relationship: job conditions and gender would be confounded. It is only when some women are employed in jobs that men occupy and when some men are employed in jobs that women occupy that the question is meaningful.

Controlling is one of three strategies for treating the effects of gender. The other two are ignoring these effects or analysing them (Hall 1991). Most investigations of health have either ignored or controlled for gender, thereby accounting for the dearth of references to gender as discussed above and for a body of research that reinforces stereotyped views about the role of gender in the job stress–illness relationship. These views portray women as essentially different from men in ways that render them less robust in the workplace, and portray men as comparatively unaffected by non-workplace experiences.

In spite of this beginning, the situation is already changing. Witness the publication in 1987 of Gender and Stress (Barnett, Biener and Baruch 1987), the first edited volume focusing specifically on the impact of gender at all points in the stress reaction. And the second edition of the Handbook of Stress (Barnett 1992) includes a chapter on gender effects. Indeed, current studies increasingly reflect the third strategy: analysing gender effects. This strategy holds great promise, but also has pitfalls. Operationally, it involves analysing data relating to males and females and estimating both the main and the interaction effects of gender. A significant main effect tells us that after controlling for the other predictors in the model, men and women differ with respect to the level of the outcome variable. Interaction-effects analyses concern differential reactivity, that is, does the relationship between a given stressor and a health outcome differ for women and men?

The main promise of this line of inquiry is to challenge stereotyped views of women and men. The main pitfall is that conclusions about gender difference can still be drawn erroneously. Because gender is confounded with many other variables in our society, these variables have to be taken into account before conclusions about gender can be inferred. For example, samples of employed men and women will undoubtedly differ with respect to a host of work and non-work variables that could reasonably affect health outcomes. Most important among these contextual variables are occupational prestige, salary, part-time versus full-time employment, marital status, education, employment status of spouse, overall work burdens and responsibility for care of younger and older dependants. In addition, evidence suggests the existence of gender differences in several personality, cognitive, behavioural and social system variables that are related to health outcomes. These include: sensation seeking; self-efficacy (feelings of competence); external locus of control; emotion-focused versus problem-focused coping strategies; use of social resources and social support; harmful acquired risks, such as smoking and alcohol abuse; protective behaviours, such as exercise, balanced diets and preventive health regimens; early medical intervention; and social power (Walsh, Sorensen and Leonard, in press). The better one can control these contextual variables, the closer one can get to understanding the effect of gender per se on the relationships of interest, and thereby to understanding whether it is gender or other, gender-related variables that are the effective moderators.

To illustrate, in one study (Karasek 1990) job changes among white-collar workers were less likely to be associated with negative health outcomes if the changes resulted in increased job control. This finding was true for men, not women. Further analyses indicated that job control and gender were confounded. For women, one of “the less aggressive [or powerful] groups in the labour market” (Karasek 1990), white-collar job changes often involved reduced control, whereas for men, such job changes often involved increased control. Thus, power, not gender, accounted for this interaction effect. Such analyses lead us to refine the question about moderator effects. Do men and women react differentially to workplace stressors because of their inherent (i.e., biological) nature or because of their different experiences?

Although only a few studies have examined gender interaction effects, most report that when appropriate controls are utilized, the relationship between job conditions and physical or mental health outcomes is not affected by gender. (Lowe and Northcott 1988 describe one such study). In other words, there is no evidence of an inherent difference in reactivity.

Findings from a random sample of full-time employed men and women in dual-earner couples illustrates this conclusion with respect to psychological distress. In a series of cross-sectional and longitudinal analyses, a matched pairs design was used that controlled for such individual-level variables as age, education, occupational prestige and marital-role quality, and for such couple-level variables as parental status, years married and household income (Barnett et al. 1993; Barnett et al. 1995; Barnett, Brennan and Marshall 1994). Positive experiences on the job were associated with low distress; insufficient skill discretion and overload were associated with high distress; experiences in the roles of partner and parent moderated the relationship between job experiences and distress; and change over time in skill discretion and overload were each associated with change over time in psychological distress. In no case was the effect of gender significant. In other words, the magnitude of these relationships was not affected by gender.

One important exception is tokenism (see, for example, Yoder 1991). Whereas “it is clear and undeniable that there is a considerable advantage in being a member of the male minority in any female profession” (Kadushin 1976), the opposite is not true. Women who are in minority in a male work situation experience a considerable disadvantage. Such a difference is readily understandable in the context of men’s and women’s relative power and status in our culture.

Overall, studies of physical health outcomes also fail to reveal significant gender interaction effects. It appears, for example, that characteristics of work activity are stronger determinants of safety than are attributes of workers, and that women in traditionally male occupations suffer the same types of injury with approximately the same frequency as their male counterparts. Moreover, poorly designed protective equipment, not any inherent incapacity on the part of women in relation to the work, is often to blame when women in male-dominated jobs experience more injuries (Walsh, Sorensen and Leonard, 1995).

Two caveats are in order. First, no one study controls for all the gender-related covariates. Therefore, any conclusions about “gender” effects must be tentative. Secondly, because controls vary from study to study, comparisons between studies are difficult.

As increasing numbers of women enter the labour force and occupy jobs similar to those occupied by men, both the opportunity and the need for analysing the effect of gender on the job stress–illness relationship also increase. In addition, future research needs to refine the conceptualization and measurement of the stress construct to include job stressors important to women; extend interaction effects analyses to studies previously restricted to male or female samples, for example, studies of reproductive health and of stresses due to non-workplace variables; and examine the interaction effects of race and class as well as the joint interaction effects of gender x race and gender x class.


Back

Friday, 14 January 2011 18:39

Ethnicity

Major changes are taking place within the workforces of many of the world’s leading industrial nations, with members of ethnic minority groups making up increasingly larger proportions. However, little of the occupational stress research has focused on ethnic minority populations. The changing demographics of the world’s workforce give clear notice that these populations can no longer be ignored. This article briefly addresses some of the major issues of occupational stress in ethnic minority populations with a focus on the United States. However, much of the discussion should be generalizable to other nations of the world.

Much of the occupational stress research either excludes ethnic minorities, includes too few to allow meaningful comparisons or generalizations to be made, or does not report enough information about the sample to determine racial or ethnic participation. Many studies fail to make distinctions among ethnic minorities, treating them as one homogeneous group, thus minimizing the differences in demographic characteristics, culture, language and socio-economic status which have been documented both between and within ethnic minority groups (Olmedo and Parron 1981).

In addition to the failure to address issues of ethnicity, by far the greater part of research does not examine class or gender differences, or class by race and gender interactions. Moreover, little is known about the cross-cultural utility of many of the assessment procedures. Documentation used in such procedures is not adequately translated nor is there demonstrated equivalency between the standardized English and other language versions. Even when the reliabilities appear to indicate equivalence across ethnic or cultural groups, there is uncertainty about which symptoms in the scale are elicited in a reliable fashion, that is, whether the phenomenology of a disorder is similar across groups (Roberts, Vernon and Rhoades 1989).

Many assessment instruments inadequately assess conditions within ethnic minority populations; consequently results are often suspect. For example, many stress scales are based on models of stress as a function of undesirable change or readjustment. However, many minority individuals experience stress in large part as a function of ongoing undesirable situations such as poverty, economic marginality, inadequate housing, unemployment, crime and discrimination. These chronic stressors are not usually reflected in many of the stress scales. Models which conceptualize stress as resulting from the interplay between both chronic and acute stressors, and various internal and external mediating factors, are more appropriate for assessing stress in ethnic minority and poor populations (Watts-Jones 1990).

A major stressor affecting ethnic minorities is the prejudice and discrimination they encounter as a result of their minority status in a given society (Martin 1987; James 1994). It is a well- established fact that minority individuals experience more prejudice and discrimination as a result of their ethnic status than do members of the majority. They also perceive greater discrimination and fewer opportunities for advancement as compared with whites (Galinsky, Bond and Friedman 1993). Workers who feel discriminated against or who feel that there are fewer chances for advancement for people of their ethnic group are more likely to feel “burned out” in their jobs, care less about working hard and doing their jobs well, feel less loyal to their employers, are less satisfied with their jobs, take less initiative, feel less committed to helping their employers succeed and plan to leave their current employers sooner (Galinsky, Bond and Friedman 1993). Moreover, perceived prejudice and discrimination are positively correlated with self-reported health problems and higher blood pressure levels (James 1994).

An important focus of occupational stress research has been the relationship between social support and stress. However, there has been little attention paid to this variable with respect to ethnic minority populations. The available research tends to show conflicting results. For example, Hispanic workers who reported higher levels of social support had less job-related tension and fewer reported health problems (Gutierres, Saenz and Green 1994); ethnic minority workers with lower levels of emotional support were more likely to experience job burn-out, health symptoms, episodic job stress, chronic job stress and frustration; this relationship was strongest for women and for management as opposed to non-management personnel (Ford 1985). James (1994), however, did not find a significant relationship between social support and health outcomes in a sample of African-American workers.

Most models of job satisfaction have been derived and tested using samples of white workers. When ethnic minority groups have been included, they have tended to be African-Americans, and potential effects due to ethnicity were often masked (Tuch and Martin 1991). Research that is available on African-American employees tends to yield significantly lower scores on overall job satisfaction in comparison to whites (Weaver 1978, 1980; Staines and Quinn 1979; Tuch and Martin 1991). Examining this difference, Tuch and Martin (1991) noted that the factors determining job satisfaction were basically the same but that African-Americans were less likely to have the situations that led to job satisfaction. More specifically, extrinsic rewards increase African-Americans’ job satisfaction, but African-Americans are disadvantaged relatively to whites on these variables. On the other hand, blue-collar incumbency and urban residence decrease job satisfaction for African-Americans but African-Americans are overrepresented in these areas. Wright, King and Berg (1985) found that organizational variables (i.e., job authority, qualifications for the position and a sense that advancement within the organization is possible) were the best predictors of job satisfaction in their sample of black female managers in keeping with previous research on primarily white samples.

Ethnic minority workers are more likely than their white counterparts to be in jobs with hazardous work conditions. Bullard and Wright (1986/1987) noted this propensity and indicated that the population differences in injuries are likely to be the result of racial and ethnic disparities in income, education, type of employment and other socio-economic factors correlated with exposure to hazards. One of the most likely reasons, they noted, was that occupational injuries are highly dependent on the job and industry category of the workers and ethnic minorities tend to work in more hazardous occupations.

Foreign workers who have entered the country illegally often experience special work stress and maltreatment. They often endure substandard and unsafe working conditions and accept less than minimum wages because of fear of being reported to the immigration authorities and they have few options for better employment. Most health and safety regulations, guidelines for use, and warnings are in English and many immigrants, illegal or otherwise, may not have a good understanding of written or spoken English (Sanchez 1990).

Some areas of research have almost totally ignored ethnic minority populations. For example, hundreds of studies have examined the relationship between Type A behaviour and occupational stress. White males constitute the most frequently studied groups with ethnic minority men and women almost totally excluded. Available research—e.g., a study by Adams et al. (1986), using a sample of college freshmen, and e.g., Gamble and Matteson (1992), investigating black workers—indicates the same positive relationship between Type A behaviour and self-reported stress as that found for white samples.

Similarly, little research on issues such as job control and work demands is available for ethnic minority workers, although these are central constructs in occupational stress theory. Available research tends to show that these are important constructs for ethnic minority workers as well. For example, African-American licensed practical nurses (LPNs) report significantly less decision authority and more dead-end jobs (and hazard exposures) than do white LPNs and this difference is not a function of educational differences (Marshall and Barnett 1991); the presence of low decision latitude in the face of high demands tends to be the pattern most characteristic of jobs with low socio-economic status, which are more likely to be held by ethnic minority workers (Waitzman and Smith 1994); and middle- and upper-level white men rate their jobs consistently higher than their ethnic minority (and female) peers on six work design factors (Fernandez 1981).

Thus, it appears that many research questions remain regarding ethnic minority populations in the occupational stress and health arena as regards ethnic minority populations. These questions will not be answered until ethnic minority workers are included in study samples and in the development and validation of investigatory instruments.


Back

" DISCLAIMER: The ILO does not take responsibility for content presented on this web portal that is presented in any language other than English, which is the language used for the initial production and peer-review of original content. Certain statistics have not been updated since the production of the 4th edition of the Encyclopaedia (1998)."

Contents

Psychosocial and Organizational Factors References

Adams, LL, RE LaPorte, KA Matthews, TJ Orchard, and LH Kuller. 1986. Blood pressure determinants in a middle-class black population: The University of Pittsburgh experience. Prevent Med 15:232-242.

Adriaanse, H, J vanReek, L Zanbelt, and G Evers. 1991. Nurses’ smoking worldwide. A review of 73 surveys of nurses’ tobacco consuption in 21 countries in the period of 1959-1988. Journal of Nursing Studies 28:361-375.

Agren, G and A Romelsjo. 1992. Mortality and alcohol-related diseases in Sweden during 1971-80 in relation of occupation, marital status and citizenship in 1970. Scand J Soc Med 20:134-142.

Aiello, JR and Y Shao. 1993. Electronic performance monitoring and stress: The role of feedback and goal setting. In Proceedings of the Fifth International Conference On Human-Computer Interaction, edited by MJ Smith and G Salvendy. New York: Elsevier.

Akselrod, S, D Gordon, JB Madwed, NC Snidman, BC Shannon, and RJ Cohen. 1985. Hemodynamic regulation: Investigation by spectral analysis. Am J Physiol 241:H867-H875.

Alexander, F. 1950. Psychosomatic Medicine: Its Principles and Applications. New York: WW Norton.

Allan, EA and DJ Steffensmeier. 1989. Youth, underemployment, and property crime: Differential effects of job availability and job quality on juvenile and young arrest rates. Am Soc Rev 54:107-123.

Allen, T. 1977. Managing the Flow of Technology. Cambridge, Mass: MIT Press.

Amick, BC, III and MJ Smith. 1992. Stress, computer-based work monitoring and measurement systems: A conceptual overview. Appl Ergon 23:6-16.

Anderson, EA and AL Mark. 1989. Microneurographic measurement of sympathetic nerve activity in humans. In Handbook of Cardiovascular Behavioral Medicine, edited by N Schneiderman, SM Weiss, and PG Kaufmann. New York: Plenum.

Aneshensel, CS, CM Rutter, and PA Lachenbruch. 1991. Social structure, stress and mental health: Competing conceptual and analytic models. Am Soc Rev 56:166-178.

Anfuso, D. 1994. Workplace violence. Pers J :66-77.

Anthony, JC et al. 1992. Psychoactive drug dependence and abuse: More common in some occupations than others? J Employ Assist Res 1:148-186.

Antonovsky, A. 1979. Health, Stress and Coping: New Perspectives On Mental and Physical Well-Being. San Francisco: Jossey-Bass.

—. 1987. Unravelling the Mystery of Health: How People Manage Stress and Stay Well. San Francisco: Jossey-Bass.

Appels, A. 1990. Mental precursors of myocardial infarction. Brit J Psychiat 156:465-471.

Archea, J and BR Connell. 1986. Architecture as an instrument of public health: Mandating practice prior to the conduct of systematic inquiry. In Proceedings of the Seventeenth Annual Conference of the Environmental Design Research Association, edited by J Wineman, R Barnes, and C Zimring. Washington, DC: Environmental Design Research Association.

Aschoff, J. 1981. Handbook of Behavioral Neurobiology. Vol. 4. New York: Plenum.

Axelrod, J and JD Reisine. 1984. Stress hormones: Their interaction and regulation. Science 224:452-459.

Azrin, NH and VB Beasalel. 1982. Finding a Job. Berkeley, Calif: Ten Speed Press.

Baba, VV and MJ Harris. 1989. Stress and absence: A cross-cultural perspective. Research in Personnel and Human Resource Management Suppl. 1:317-337.

Baker, D, P Schnall, and PA Landsbergis. 1992. Epidemiologic research on the association between occupational stress and cardiovascular disease. In Behavioral Medicine: An Integrated Approach to Health and Illness, edited by S Araki. New York: Elsevier Science.

Bandura, A. 1977. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev 84:191-215.

—. 1986. Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs: Prentice Hall.

Barnett, BC. 1992. . In Handbook of Stress, edited by L Goldberger and S Breznitz. New York: Free Press.

Barnett, RC, L Biener, and GK Baruch. 1987. Gender and Stress. New York: Free Press.

Barnett, RC, RT Brennan, and NL Marshall. 1994. Forthcoming. Gender and the relationship between parent-role quality and psychological distress: A study of men and women in dual-earner couples. J Fam Issues.

Barnett, RC, NL Marshall, SW Raudenbush, and R Brennan. 1993. Gender and the relationship between job experiences and psychological distress: A study of dual-earner couples. J Personal Soc Psychol 65(5):794-806.

Barnett, RC, RT Brennan, SW Raudenbush, and NL Marshall. 1994. Gender, and the relationship between marital role-quality and psychological distress: A study of dual-earner couples. Psychol Women Q 18:105-127.

Barnett, RC, SW Raudenbush, RT Brennan, JH Pleck, and NL Marshall. 1995. Change in job and marital experiences and change in psychological distress: A longitudinal study of dual-earner couples. J Personal Soc Psychol 69:839-850.

Bartrop, RW, E Luckhurst, L Lazarus, LG Kiloh, and R Penny. 1977. Depressed lymphocyte function after bereavement. Lancet 1:834-836.

Bass, BM. 1992. Stress and leadership. In Decision Making and Leadership, edited by F Heller. Cambridge: Cambridge Univ. Press.

Bass, C. 1986. Life events and gastrointestinal symptoms. Gut 27:123-126.

Baum, A, NE Grunberg, and JE Singer. 1982. The use of psychological and neuroendocrinological measurements in the study of stress. Health Pyschology (Summer):217-236.

Beck, AT. 1967. Depression: Clinical, Experimental, and Theoretical Aspects. New York: Hoeber.

Becker, FD. 1990. The Total Workplace: Facilities Management and the Elastic Organization. New York: Van Nostrand Reinhold.

Beehr, TA. 1995. Psychological Stress in the Workplace. London, U.K.: Routledge.

Beehr, TA and JE Newman. 1978. Job stress, employee health and organizational effectiveness: A facet analysis, model and literature review. Pers Psychol 31:665-669.

Bennis, WG. 1969. Organizational developments and the fate of bureaucracy. In Readings in Organizational Behavior and Human Performance, edited by LL Cummings and WEJ Scott. Homewood, Il:Richard D. Irwin, Inc. and The Dorsey Press.

Benowitz, NL. 1990. Clinical pharmacology of caffeine. Ann Rev Med 41:277-288.

Bergman, BR. 1986. The Economic Emergence of Women. New York: Basic.

Bernstein, A. 1994. Law, culture and harassment. Univ Penn Law Rev 142(4):1227-1311.

Berntson, GG, JT Cacioppo, and KS Quigley. 1993. Respiratory sinus arrhythmia: Autonomic origins, physiological mechanisms, and psychophysiological implications. Psychophysiol 30:183-196.

Berridge, J, CL Cooper and C Highley. 1997. Employee Assistance Programs and Workplace Counselling. Chisester and New York: Wiley.

Billings, AG and RH Moos. 1981. The role of coping responses and social resources in attenuating the stress of life events. J Behav Med 4(2):139-157.

Blanchard, EB, SP Schwarz, J Suls, MA Gerardi, L Scharff, B Green, AE Taylor, C Berreman, and HS Malamood. 1992. Two controlled evaluations of multicomponent psychological treatment of irritable bowel syndrome. Behav Res Ther 30:175-189.

Blinder, AS. 1987. Hard Heads and Soft Hearts: Tough Minded Economics for a Just Society. Reading, Mass: Addison-Wesley.

Bongers, PM, CR de Winter, MAJ Kompier, and VH Hildebrandt. 1993. Psychosocial factors at work and musculoskeletal disease. Scand J Work Environ Health 19:297-312.

Booth-Kewley, S and HS Friedman. 1987. Psychological predictors of heart disease: A quantitative review. Psychol Bull 101:343-362.

Brady, JV, RW Porter, DG Conrad, and JW Mason. 1958. Avoidance behavior and the development of gastrointestinal ulcers. J Exp Anal Behav 1:69-73.

Brandt, LPA and CV Nielsen. 1992. Job stress and adverse outcome of pregnancy: A causal link or recall bias? Am J Epidemiol 135(3).

Breaugh, JA and JP Colihan. 1994. Measuring facets of job ambiguity: Construct validity evidence. J Appl Psychol 79:191-202.

Brenner, M. 1976. Estimating the social costs of economic policy: implications for mental and physical health and criminal aggression. Report to the Congressional Research Service of the Library of Congress and Joint Economic Committee of Congress. Washington, DC: US GPO.

Brenner, MH. March 1987. Relations of economic change to Swedish health and social well-being, 1950-1980. Soc Sci Med :183-195.

Brief, AP, MJ Burke, JM George, BS Robinson, and J Webster. 1988. Should negative affectivity render an unmeasured variable in the study of job stress? J Appl Psychol 73:193-198.

Brill, M, S Margulis, and E Konar. 1984. Using Office Design to Increase Productivity. Buffalo, NY: Workplace Design and Productivity.

Brisson, C, M Vezina, and A Vinet. 1992. Health problems of women employed in jobs involving psychological and ergonomic stressors: The case of garment workers in Quebec. Women Health 18:49-65.

Brockner, J. 1983. Low self-esteem and behavioral plasticity: Some implications. In Review of Personality and Social Psychology, edited by L Wheeler and PR Shaver. Beverly Hills, Calif.: Sage.

—. 1988. Self-Esteem At Work. Lexington, Mass: Heath.

Bromet, EJ. 1988. Predictive effects of occupational and marital stress on the mental health of a male workforce. J Organ Behav 9:1-13.

Bromet, EJ, DK Parkinson, EC Curtis, HC Schulberg, H Blane, LO Dunn, J Phelan, MA Dew, and JE Schwartz. 1990. Epidemiology of depression and alcohol abuse/dependence in a managerial and professional workforce. J Occup Med 32(10):989-995.

Buck, V. 1972. Working Under Pressure. London: Staples.

Bullard, RD and BH Wright. 1986/1987. Blacks and the environment. Humboldt J Soc Rel 14:165-184.

Bureau of National Affairs (BNA). 1991. Work and Family Today: 100 Key Statistics. Washington, DC: BNA.

Burge, S, A Hedge, S Wilson, JH Bass, and A Robertson. 1987. Sick building syndrome: A study of 4373 office workers. Ann Occup Hyg 31:493-504.

Burke, W and G Salvendy. 1981. Human Aspects of Working On Repetitive Machine-Paced and Self-Paced Work: A Review and Reappraisal. West Lafayette, Ind: School of Industrial Engineering, Purdue Univ.

Burns, JM. 1978. Leadership. New York: Harper & Row.

Bustelo, C. 1992. The “international sickness” of sexual harassment. World Press Rev 39:24.

Cacioppo, JT and LG Tassinary. 1990. Principles of Psychophysiology. Cambridge: Cambridge Univ. Press.

Cain, PS and DJ Treiman. 1981. The dictionary of occupational titles as a source of occupational data. Am Soc Rev 46:253-278.

Caldwell, DF and CA O’Reilly. 1990. Measuring person-job fit with a profile-comparison process. J Appl Psychol 75:648-657.

Caplan, RD, S Cobb, JRPJ French, RV Harrison, and SRJ Pinneau. 1980. Job Demands and Worker Health. Ann Arbor, Mich: Institute for Social Research.

Caplan, RD. 1983. Person-environment fit: Past, present, and future. In Stress Research: Issues for the Eighties, edited by CL Cooper. New York: Wiley.

Caplan, RD, S Cobb, JRPJ French, R Van Harrison, and R Pinneau. 1975. Job Demands and Worker Health: Main Effects and Occupational Differences. Washington, DC: US Department of Health, Education, and Welfare.

Caplan, RD, AD Vinokur, RH Price, and M van Ryn. 1989. Job seeking, reemployment and mental health: A randomized field experiment in coping with job loss. J Appl Psychol 74(5):759-769.

Caplin, G. 1969. Principles of Preventive Psychiatry. New York: Basic Books.

Cannon, WB. 1914. The emergency function of the adrenal medulla in pain and other emotions. Am J Physiol 33:356-372.

—. 1935. Stresses and strains of homeostasis. Am J Med Sci 189:1-14.
Canter, D. 1983. The physical context of work. In The Physical Environment At Work, edited by DJ Osborne and MM Grunberg. Chichester: Wiley.

Carayon, P. 1993. Effect of electronic performance monitoring on job design and worker stress: A review of the literature and conceptual model. Hum Factors 35(3):385-396.

—. 1994. Effects of electronic performance monitoring on job design and worker stress: Results of two studies. Int J Hum Comput Interact 6:177-190.

Cassel, JP. 1974. The contribution of the social environment to host resistance. American Journal of Epidemiology 104:161-166.

Cassel, J. 1976. The contribution of the social environment to host resistance. Am J Epidemiol 104:107-123.

Catalano, R. 1991. The health effects of economic insecurity. Am J Public Health 81:1148-1152.

Catalano, R, D Dooley, R Novaco, G Wilson, and R Hough. 1993a-a. Using ECA survey data to examine the effect of job layoffs on violent behavior. Hosp Community Psychiat 44:874-879.

Catalano, R, D Dooley, G Wilson, and R Hough. 1993b. Job loss and alcohol abuse: A test using data from the Epidemiologic Catchment Area project. J Health Soc Behav 34:215-225.

Chatman, JA. 1991. Matching people and organizations: Selection and socialization in public accounting firms. Adm Sci Q 36:459-484.

Christensen, K. 1992. Managing invisible employees: How to meet the telecommuting challenge. Employ Relat Today :133-143.

Cobb, S. 1976. Social support as a mediator of life stress. Psychosocial Medicine 38:300-314.

Cobb, S and RM Rose. 1973. Hypertension, peptic ulcer, and diabetes in air traffic controllers. J Am Med Assoc 224(4):489-492.

Cohen, A. 1991. Career stage as a moderator of the relationships between organizational commitment and its outcomes: A meta-analysis. J Occup Psychol 64:253-268.

Cohen, RL and FL Ahearn. 1980. Handbook for Mental Health Care of Disaster Victims. Baltimore: The Johns Hopkins University Press.
Cohen, S and SL Syme. 1985. Social Support and Health. New York: Academic Books.

Cohen, N, R Ader, N Green, and D Bovbjerg. 1979. Conditioned suppression of thymus-independent antibody response. Psychosom Med 41:487-491.

Cohen, S and S Spacapan. 1983. The after effects of anticipating noise exposure. In Noise As a Public Health Problem, edited by G Rossi. Milan: Centro Ricerche e Studi Amplifon.

Cole, RJ, RT Loving, and DF Kripke. 1990. Psychiatric aspects of shiftwork. Occup Med 5:301-314.

Colligan, MJ. 1985. An apparent case of mass psychogenic illness in an aluminium furniture assembly plant. In Job Stress and Blue Collar Work, edited by C Cooper and MJ Smith. London: John Wiley & Sons.

Colligan, MJ, JW Pennebaker, and LR Murphy. 1982. Mass Psychogenic Illness: A Social Psychological Analysis. Hillsdale, NJ: Erlbaum.

Colligan, MJ and RR Rosa. 1990. Shiftwork effects on social and family life. Occup Med 5:315-322.

Contrada, RJ and DS Krantz. 1988. Stress, reactivity and type A behavior: Current status and future directions. Ann Behav Med 10:64-70.

Conway, TL, RR Vickers, HW Ward, and RH Rahe. 1981. Occupational stress and variation in cigarette, coffee and alcohol consumption. Journal of Health & Social Behaviour 22:155-165.

Cooper, C. 1996. Handbook of Stress, Medicine and Health. Boca Raton, FL: CRC Press.

Cooper, CL and RS Bramwell. 1992. Predictive validity of the strain component of the occupational stress indicator. Stress Medicine 8:57-60.

Cooper, C and J Marshall. 1976. Occupational sources of stress: A review of the literature relating to coronary heart disease and mental ill health. J Occup Psychol 49:11-28.

Cooper, CL and S Cartwright. 1994. Mental Health and Stress in the Workplace: A Guide to Employers. London: HMSO.

Cooper, CL, P Liukkonen, and S Cartwright. 1996. Stress Prevention in the Workplace: Assessing the Costs and Benefits to Organisations. Dublin: European Foundation.

Cooper, CL and R Payne. 1988. Causes, Coping, and Consequences of Stress At Work. New York: Wiley.

—. 1991. Personality and Stress: Individual Differences in the Stress Process. Chichester: Wiley.

Cooper, CL and MJ Smith. 1985. Job Stress and Blue Collar Work. New York: Wiley.

Cox, S, T Cox, M Thirlaway, and C MacKay. 1982. Effects of simulated repetitive work on urinary catecholamine excretion. Ergonomics 25:1129-1141.

Cox, T and P Leather. 1994. The prevention of violence at work: Application of a cognitive behavioral theory. In International Review of Industrial and Organizational Psychology, edited by CL Cooper and IT Robertson. London: Wiley.

Crum, RM, C Mutaner, WW Eaton, and JC Anthony. 1995. Occupational stress and the risk of alcohol abuse and dependence. Alcohol, Clin Exp Res 19(3):647-655.

Cummins, R. 1989. Locus of control and social support: Clarifiers of the relationship between job stress and job satisfaction. J Appl Soc Psychol 19:772-788.

Cvetanovski, J and SM Jex. 1994. Locus of control of unemployed people and its relationship to psychological and physical health. Work Stress 8:60-67.

Csikszentmihalyi, M. 1975. Beyond Boredom and Anxiety. San Francisco: Jossey-Bass.

Dainoff, MJ and MH Dainoff. 1986. People and Productivity. Toronto: Holt, Reinhart, & Winston of Canada.

Damasio, A. 1994. Descartes’ Error: Emotion, Reason and the Human Brain. New York: Grosset/Putnam.

Danko, S, P Eshelman, and A Hedge. 1990. A taxonomy of health, safety, and welfare, implications of interior design decisions. J Interior Des Educ Res 16:19-30.

Dawis, RV and LH Lofquist. 1984. A Psychological Theory of Work Adjustment. Minneapolis, Minnesota: University of Minnesota Press.
The death of corporate loyalty. 1993. Economist 3 April, 63-64.

Dement, W. 1969. The biological role of REM sleep. In Sleep Physiology and Pathology: A Symposium, edited by A Kales. Philadelphia: JB Lippincott.

Deming, WE. 1993. The New Economics for Industry, Government, Education. Cambridge, Mass: MIT Center for Advance Engineering Study.

Dewe, PJ. 1989. Examining the nature of work stress: Individual evaluations of stressful experiences and coping. Hum Relat 42:993-1013.

Ditecco, D, G Cwitco, A Arsenault, and M Andre. 1992. Operator stress and monitoring practices. Appl Ergon 23(1):29-34.

Dohrenwend, BS and BP Dohrenwend. 1974. Stressful Life Events: Their Nature and Effects. New York: Wiley.

Dohrenwend, BS, L Krasnoff, AR Askenasy, and BP Dohrenwend. 1978. Exemplification of a method for scaling life events: The PERI life events scale. J Health Soc Behav 19:205-229.

Dooley, D. 1985. Causal inference in the study of social support. In Social Support and Health, edited by S Cohen and SL Syme. New York:Academic Books.

Dooley, D, R Catalano, and R Hough. 1992. Unemployment and alcohol disorder in 1910 and 1990: Drift versus social causation. J Occup Organ Psychol 65:277-290.

Dooley, D, R Catalano, and G Wilson. 1994. Depression and unemployment: Panel findings from the Epidemiologic Catchment Area study. Am J Community Psychol 22:745-765.

Douglas, RB, R Blanks, A Crowther, and G Scott. 1988. A study of stress in West Midlands firemen, using ambulatory electrocardiograms. Work Stress: 247-250.

Eaton, WW, JC Anthony, W Mandel, and R Garrison. 1990. Occupations and the prevalence of major depressive disorder. J Occup Med 32(11):1079-1087.
Edwards, JR. 1988. The determinants and consequences of coping with stress. In Causes, Coping and Consequences of Stress At Work, edited by CL Cooper and R Payne. New York: Wiley.

Edwards, JR and RV Harrison. 1993. Job demands and worker health: A three dimensional reexamination of the relationship between person-environment fit and strain. J Appl Psychol 78:628-648.

Elander, J, R West, and D French. 1993. Behavioral correlates of individual differences in road-traffic crash risk: An examination of methods and findings. Psychol Bull 113:279-294.

Emmett, EA. 1991. Physical and chemical agents at the workplace. In Work, Health and Productivity, edited by GM Green and F Baker. New York:Oxford University Press.

Endresen, IM, B Ellersten, C Endresen, AM Hjelmen, R Matre, and H Ursin. 1991. Stress at work and psychological and immunological parameters in a group of Norwegian female bank employees. Work Stress 5:217-227.

Esler, M, G Jennings, and G Lambert. 1989. Measurement of overall and cardiac norepinephrine release into plasma during cognitive challenge. Psychoneuroendocrinol 14:477-481.

European Foundation for the Improvement of Living and Working Conditions. 1992. First European Suvey On the Work Environment 1991-1992. Luxembourg: Office of the Official Publications of the European Community.

Everly, GS, Jr and RH Feldman. 1985. Occupational Health Promotion: Health Behavior in the Workplace. New York: John Wiley & Sons.

Faucett, J and D Rempel. 1994. VDT-related musculoskeletal symptoms: Interactions between work and posture and psychosocial factors. Am J Ind Med 26:597-612.

Feigenbaum, AV. 1991. Total quality: An international imperative. In Maintaining the Total Quality Advantage, edited by BH Peters and JL Peters. New York: The Conference Board.

Feldman, DC. l976. A contingency theory of socialization. Adm Sci Q 21:433-452.

Fenster, L, C Schaefer, A Mathur, RA Hiatt, C Pieper, AE Hubbard, J Von Behren, and S Swan. 1995. Psychological stress in the workplace and spontaneous abortion. Am J Epidemiol 142(11).

Ferber, MA, B O’Farrell, and L Allen. 1991. Work and Family: Policies for a Changing Workforce. Washington, DC: National Academy Press.

Fernandez, JP. 1981. Racism and Sexism in Corporate Life. Lexington, Mass.: Lexington Books.

—. 1990. The Politics and Reality of Family Care in Corporate America. Lexington, Mass: Lexington Books.

Fiedler, FE. 1967. A Theory of Leadership Effectiveness. New York: McGraw-Hill.

Fielding, JE and KJ Phenow. 1988. Health effects of involuntary smoking. New Engl J Med 319:1452-1460.

Fisher, C. l985. Social support and adjustment to work: A longitudinal study. J Manage 11:39-53.

Fith-Cozens, J. 1987. Emotional distress in junior house officers. Brit Med J 295:533-536.

Fitzgerald, LF and AJ Ormerod. 1993. Breaking silence: The sexual harassment of women in academia and the workplace. In Psychology of Women, edited by FL Denmark and MA Paludi. London: Greenwood Press.

Flechter, B. 1988. Occupation, marriage and disease specific mortality concordance. Soc Sci Med 27:615-622.

Ford, DL. 1985. Facets of work support and employee work outcomes: An exploratory analysis. J Manage 11:5-20.

Fox, AJ and J Levin. 1994. Firing back: The growing threat of workplace homicide. Ann Am Acad Polit SS 536:16-30.

Fox, BH. 1995. The role of psychological factors in cancer incidence and prognosis. Oncology 9(3):245-253.

—. 1989. Depressive symptoms and risk of cancer. J Am Med Assoc 262(9): 1231.

—. 1981. Psychosocial factors and the immune system in human cancer. In Psychoneuroimmunology, edited by R Ader. New York: Academic Press.

Frankenhaeuser, M. 1986. A psychobiological framework for research on human stress and coping. In Dynamics of Stress, edited by MH Appley and R Trumbull. New York: Plenum.

—. 1989. A biopsychosocial approach to work life issues. Int J Health Serv 19:747-758.

—. 1991. The psychophysiology of workload, stress and health: Comparison between the sexes. Ann Behav Med 13:197-204.

—. 1993a. Current issues in psychobiological stress research. In European Views in Psychology - Keynote Lectures, edited by M Vartiainen. Helsinki: Acta Psychologica Fennica XIII.

—. 1993b. The measurement of the total workload of men and women. In A Healthier Work Environment - Basic Concepts and Methods of Measurements, edited by L Levi. Geneva: WHO.

—. 1996. Stress and gender. Eur Rev, Interdis J Acad Eur 4.

Frankenhaeuser, M and G Johansson. 1986. Stress at work: Psychobiological and psychosocial aspects. Int Rev Appl Psychol 35:287-299.

Frankenhaeuser, M, C Lundberg, and L Forsman. 1980. Dissociation between sympathetic-adrenal and pituitary-adrenal responses to an achievement situation characterized by high controllability: Comparison between Type A and Type B males and females. Biol Psychol 10:79-91.

Frankenhaeuser, M, U Lundberg, and MA Chesney. 1991. Women, Work and Health. Stress and Opportunities. New York: Plenum.

Frankenhaeuser, M, U Lundberg, M Fredrikson, B Melin, M Tuomisto, A-L Myrsten, M Hedman, B Bergman-Losman, and L Wallin. 1989. Stress on and off the job as related to sex and occupational status in white-collar workers. J Organ Behav 10:321-346.

Frankenhaeuser, M and B Gardell. 1976. Underload and overload in working life: Outline of a multidisciplinary approach. Journal of Human Stress 2:35-46.

French, JRP and RD Caplan. 1973. Organizational stress and individual strain. In The Failure of Success, edited by AJ Marrow. New York: Amacon.

French, JRP, W Rodgers, and S Cobb. 1974. Adjustment as person-environment fit. In Coping and Adaption, edited by GV Coelho, DA Hamburg, and JE Adams. New York:Basic Books.

French, WL and CH Bell. 1990. Organizational Development. Englewood Cliffs, NJ: Prentice Hall.

French, JRP, RD Caplan, and R van Harrison. 1982. The Mechanisms of Job Stress and Strain. New York: Wiley.

Frese, M and D Zapf. 1988. Methodological issues in the study of work stress: Objective vs. subjective measurement of work stress and the question of longitudinal studies. In Causes, Coping and Consequences of Stress At Work, edited by CL Cooper and R Payne. New York: Wiley.

Friedman, M, CE Thoresen, JJ Gill, D Ulmer, LII Powell, VA Prince, et al. 1986. Alteration of type A behavior and its effect on cardiac recurrences in post myocardial infarction patients; summary results of the Recurrent Coronary Prevention Project. Am Heart J 112:653-665.

Fryer, D and R Payne. 1986. Being unemployed: A review of the literature on the psychological experience of unemployment. In International Review of Industrial Organizational Psychology, edited by CL Cooper and I Robertson. Chichester: Wiley.

Funk, SC and BK Houston. 1987. A critical analysis of the hardiness scales’ validity and utility. J Personal Soc Psychol 53:572-578.

Fusilier, MR, DC Ganster, and BT Mays. 1987. Effects of social support, role stress, and locus of control on health. J Manage 13:517-528.

Galinsky, E, JT Bond, and DE Friedman. 1993. Highlights: The National Study of the Changing Workforce. New York: Families and Work Institute.

Gamble, GO and MT Matteson. 1992. Type A behavior, job satisfaction, and stress among Black professionals. Psychol Rep 70:43-50.

Ganster, DC and MR Fusilier. 1989. Control in the workplace. In International Review of Industrial and Organizational Psychology, edited by
C Cooper and I Robertson. Chichester, U.K.:Wiley.

Ganster, DC. 1989. Worker control and well-being: A review of research in the workplace. In Job Control and Worker Health, edited by SL Sauter, JJ Hurrell, and CL Cooper. New York: Wiley.

Ganster, DC and J Schaubroeck. 1991a. Role stress and worker health: An extension of the plasticity hypothesis of self-esteem. J Soc Behav Personal 6:349-360.

—. 1991b. Work stress and employee health. J Manage 17:235-271.

Ganster, DC, BT Mayes, WE Sime, and GD Tharp. 1982. Managing occupational stress: A field experiment. J Appl Psychol 67:533-542.

Gardell, B. 1981. Psychosocial aspects of industrial production methods. In Society, Stress and Disease, edited by L Levi. Oxford: OUP.

Garrison, R and WW Eaton. 1992. Secretaries, depression and absenteeism. Women Health 18:53-76.

Gillin, JC and WF Byerley. 1990. The diagnosis and management of insomnia. New England Journal of Medicine 322:239-248.

Glaser, R, JK Kiecolt-Glaser, RH Bonneau, W Malarkey, S Kennedy, and J Hughes. 1992. Stress induced modulation of the immune response to recombinant hepatitits B vaccine. Psychosom Med 54:22-29.

Goldberg, E et al. 1985. Depressive symptoms, social networks and social support of elderly women. American Journal of Epidemiology :448-456.

Goldberger, L and S Breznitz. 1982. Handbook of Stress. New York: Free Press.

Goldstein, I, LD Jamner, and D Shapiro. 1992. Ambulatory blood pressure and heart rate in healthy male paramedics during a work day and a non-work day. Health Psychol 11:48-54.

Golemblewski, RT. 1982. Organizational development (OD) interventions: Changing interaction, structures, and policies. In Job Stress and Burnout Research, Theory, and Intervention Perspectives, edited by WE Paine. Beverly Hills:Sage Publications.

Goleman, D. 1995. Emotional Intelligence. New York: Bantam Books.

Goodrich, R. 1986. The perceived office: The office environment as experienced by its users. In Behavioral Issues in Office Design, edited by JD Wineman. New York: Van Nostrand Reinhold.

Gorman, DM. 1994. Alcohol misuse and the predisposing environment. British Medical Bulletin :36-49.

Gottlieb, BH. 1983. Social Support Strategies. Beverly Hills: Sage.

Gough, H and A Heilbrun. 1965. The Adjective Check List Manual. Palo Alto, Calif: Consulting Psychologists Press.

Gowler, D and K Legge. 1975. Stress and external relationships: The ‘hidden’ contract. In Managerial Stress, edited by D Gowler and K Legge. London: Gower.

Grandjean, E. 1968. Fatigue: Its physiological and psychological significance. Ergonomics 11(5):427-436.

—. 1986. Fitting the Task to the Man: An Ergonomic Approach. : Taylor and Francis.

—. 1987. Ergonomics in Computerized Offices. London: Taylor & Francis.

Greenglass, ER. 1993. The contribution of social support to coping strategies. Appl Psychol Intern Rev 42:323-340.

Greenhalgh, L and Z Rosenblatt. 1984. Job insecurity: Toward conceptual clarity. Acad Manage Rev (July):438-448.

Guendelman, S and MJ Silberg. 1993. The health consequences of maquiladora work: Women on the US-Mexican border. Am J Public Health 83:37-44.

Guidotti, TL. 1992. Human factors in firefighting: Ergonomic-, cardiopulmonary-, and psychogenic stress- related issues. Int Arch Occup Environ Health 64:1-12.

Gutek, B. 1985. Sex and the Workplace. San Francisco: Jossey-Bass.

Gutierres, SE, D Saenz, and BL Green. 1994. Job stress and health outcomes among Anglo and Hispanic employees: A test of the person-environment fit model. In Job Stress in a Changing Workforce, edited by GP Keita and JJ Hurrell. Washington, DC: American Psychological Association.

Hackman, JR. 1992. Group influences on individuals in organizations. In Handbook of Industrial and Organizational Psychology, edited by MD Dunnette and LM Hough. Palo Alto, Calif: Consulting Psychologists’ Press.

Hackman, JR and EE Lawler. 1971. Employee reactions to job characteristics. J Appl Psychol 55:259-286.

Hackman, JR and GR Oldham. 1975. The job diagnostic survey. J Appl Psychol 60:159-170.

—. 1980. Work Redesign. Reading, Mass: Addison-Wesley.

Hales, TR, SL Sauter, MR Peterson, LJ Fine, V Putz-Anderson, LR Schleifer, TT Ochs, and BP Bernard. 1994. Musculoskeletal disorders among visual display terminal users in a telecommunication company. Ergonomics 37(10):1603-1621.

Hahn, ME. 1966. California Life Goals Evaluation Schedule. Palo Alto, CA: Western Psychological Services.

Hall, DT. 1990. Telecommuting and the Management of Work-Home Boundaries. Working Paper No. 90-05. Boston: Boston Univ. School of Management.

Hall, E. 1991. Gender, work control and stress: A theoretical discussion and an empirical test. In The Psychosocial Work Environment: Work Organization; Democratization and Health, edited by JV Johnson and G Johansson. Amityville, NY: Baywook.

—. 1992. Double exposure: The combined impact of the home and work environments on psychosomatic strain in Swedish men and women. Int J Health Serv 22:239-260.

Hall, RB. 1969. Intraorganizational structural variation: Application of the bureaucratic model. In Readings in Organizational Behavior and Human Performance, edited by LL Cummings and WEJ Scott. Homewood, Il:Richard D. Irwin, Inc. and the Dorsey Press.

Hamilton, LV, CL Broman, WS Hoffman, and D Brenner. 1990. Hard times and vulnerable people: Initial effects of plant closing on autoworkers’ mental health. J Health Soc Behav 31:123-140.

Harford, TC, DA Parker, BF Grant, and DA Dawson. 1992. Alcohol use and dependence among employed men and women in the United States in 1988. Alcohol, Clin Exp Res 16:146-148.

Harrison, RV. 1978. Person-environment fit and job stress. In Stress At Work, edited by CL Cooper and R Payne. New York: Wiley.
Hedge, A. 1986. Open vs. enclosed workspaces: The impact of design on employees’ reactions to their offices. In Behavioral Issues in Office Design, edited by JD Wineman. New York: Van Nostrand Reinhold.

—. 1991. Design innovations in office environments. In Design Intervention: Toward a More Humane Architecture, edited by WFE Presiser, JC Vischer, and ET White. New York: Van Nostrand Reinhold.

Heilpern, J. 1989. Are American companies ‘hostile’ to quality improvement? Quality Exec (November).

Henderson, S, P Duncan-Jones, and G Byrne. 1980. Measuring social relationships. The interview schedule for social interaction. Psychol Med 10:723-734.

Henry, JP and PM Stephens. 1977. Stress, Health, and the Social Environment. A Sociobiologic Approach to Medicine. New York: Springer-Verlag.

Herzberg, F, B Mausner, and BB Snyderman. 1959. The Motivation to Work. New York: Wiley.

Hill, S. 1991. Why quality circles failed but total quality management might succeed. Br J Ind Relat (4 December):551-568.

Hirsh, BJ. 1980. Natural support systems and coping with major life changes. Am J Comm Psych 8:159-171.

Hirsch, PM. 1987. Pack Your Own Parachute. Reading, Mass: Addison-Wesley.

Hirschhorn, L. 1991. Stresses and patterns of adjustment in the postindustrial factory. In Work, Health and Productivity, edited by GM Green and F Baker. New York:Oxford University Press.

Hirshhorn, L. 1990. Leaders and followers in the postindustrial age: A psychodynamic view. J Appl Behav Sci 26:529-542.

—. 1984. Beyond Mechanization. Cambridge, Mass: MIT Press.

Holmes, TH and HR Richard. 1967. The social readjustment rating scale. J Psychosomat Res 11:213-218.

Holt, RR. 1992. Occupational stress. In Handbook of Stress, edited by L Goldberger and S Breznitz. New York: Free Press.

Holtmann, G, R Kreibel, and MV Singer. 1990. Mental stress and gastric acid secretion: Do personality traits influence the response? Digest Dis Sci 35:998-1007.

House, J. 1981. Work Stress and Social Support. Reading, Mass.: Addison-Wesley.

Houtman, I and M Kompler. 1995. Risk factors and occupational risk groups for work stress in the Netherlands. In Organizational Risk Factors for Job Stress, edited by S Sauter and L Murphy. Washington:American psychological Association.

Houston, B and W Hodges. 1970. Situational denial and performance under stress. J Personal Soc Psychol 16:726-730.

Howard, R. 1990. Values make the company. Harvard Business Rev (September-October):133-144.

Hudiberg, JJ. 1991. Winning With Quality -The FPL Story. White Plains, NY: Quality Resources.

Hull, JG, RR Van Treuren, and S Virnelli. 1987. Hardiness and health: A critique and alternative approach. J Personal Soc Psychol 53:518-530.

Hurrell, JJ Jr, MA McLaney, and LR Murphy. 1990. The middle years: Career stage differences. Prev Hum Serv 8:179-203.

Hurrell, JJ Jr and LR Murphy. 1992. Locus of control, job demands, and worker health. In Individual Differences, Personality, and Stress, edited by CL Cooper and R Payne. Chichester: John Wiley & Sons.

Hurrell JJ Jr and K Lindström. 1992. Comparison of job demands, control and psychosomatic complaints at different career stages of managers in Finland and the United States. Scand J Work Environ Health 18 Suppl. 2:11-13.

Ihman, A and G Bohlin. 1989. The role of controllability in cardiovascular activation and cardiovascular disease: Help or hindrance? In Stress, Personal Control and Health, edited by A Steptoe and A Appels. Chichester: Wiley.

Ilgen, DR. 1990. Health issues at work. American Psychologist 45:273-283.
Imai, M. 1986. Kaizen: The Key to Japan’s Competitive Success. New York: McGraw-Hill.

International Labour Organization (ILO). 1975. Making Work More Human. Report of the Director General to the International Labour Conference. Geneva: ILO.

—. 1986. Introduction to Work Study. Geneva: ILO.

Ishikawa, K. 1985. What Is Total Quality Control? The Japanese Way. Englewood Cliffs, NJ: Prentice Hall.

Israel, BA and TC Antonucci. 1987. Social network characteristics and psychological well-being: A replication and extension. Health Educ Q 14(4):461-481.

Jackson, DN. 1974. Personality Research Form Manual. New York: Research Psychologists Press.

Jackson, SE and RS Schuler. 1985. A meta-analysis and conceptual critique of research on role ambiguity and role conflict in work settings. Organ Behav Hum Decision Proc 36:16-78.

James, CR and CM Ames. 1993. Recent developments in alcoholism: The workplace. Recent Develop Alcohol 11:123-146.

James, K. 1994. Social identity, work stress and minority worker’s health. In Job Stress in a Changing Workforce, edited by GP Keita and JJ Hurrell. Washington, DC: APA.

Jenkins, CD. 1979. The coronary-prone personality. In Psychological Aspects of Myocardial Infarction and Coronary Care, edited by WD Gentry and RB Williams. St.Louis: Mosby.

Jenkins, R and N Coney. 1992. Prevention of Mental Ill Health At Work. A Conference. London: HMSO.

Jennings, R, C Cox, and CL Cooper. 1994. Business Elites: The Psychology of Entrepreneurs and Intrapreneurs. London: Routledge.

Johansson, G and G Aronsson. 1984. Stress reactions in computerized administrative work. J Occup Behav 15:159-181.

Johnson, JV. 1986. The impact of workplace social support, job demands and work control upon cardiovascular disease in sweden. PhD Dissertation, Johns Hopkins University.

Johnson, JV and EM Hall. 1988. Job strain, workplace social support and cardiovascular disease: A cross-sectional study of a random sample of Swedish working population. Am J Public Health 78:1336-1342.

—. 1994. Social support in the work environment and cardiovascular disease. In Social Support and Cardiovascular Disease, edited by S Shumaker and S Czajkowski. New York: Plenum Press.

Johnson, JV and G Johansson. 1991. The Psychosocial Work Environment: Work Organization, Democratization and Health. Amityville, NY: Baywood.

Johnson, JV, W Stewart, EM Hall, P Fredlund, and T Theorell. 1996. Long-term psychosocial work environment and cardiovascular mortality among Swedish men. Am J Public Health 86(3):324-331.

Juran, JM. 1988. Juran On Planning for Quality. New York: Free Press.

Justice, A. 1985. Review of the effects of stress on cancer in laboratory animals: The importance of time of stress application and type of tumor. Psychol Bull 98(1):108-138.

Kadushin, A. 1976. Men in a woman’s profession. Social Work 21:440-447.

Kagan, A and L Levi. 1971. Adaptation of the psychosocial environment to man’s abilities and needs. In Society, Stress and Disease, edited by L Levi. New York:Oxford University Press.

Kahn, RL. 1991. The forms of women’s work. In Women, Work and Health. Stress and Opportunities, edited by M Frankenhaeuser, U Lundberg, and MA Chesney. New York: Plenum.

Kahn, RL and P Byosiere. 1992. Stress in organizations. In Handbook of Industrial and Organizational Psychology, edited by MD Dunnette and LM Hough. Palo Alto, CA:Consulting Psychology Press.

Kahn, RL, DM Wolfe, RP Quinn, JD Snoek, and RA Rosenthal. 1964. Organisational Stress: Studies in Role Conflict and Ambiguity. Chichester: Wiley.

Kaplan, GA et al. 1991. Psychosocial factors and the natural history of physical activity. Am J Prev Medicine 7:12-17.

Kaplan, R and S Kaplan. 1989. The Experience of Nature: A Psychological Perspective. New York: Cambridge Univ. Press.

Karasek, RA. 1976. The impact of the work environment on life outside the job. Doctoral Dissertation, Massachusetts Institute of Technology, Cambridge, Mass.

—. 1979. Job demands, job decision latitude, and mental strain: Implications for job redesign. Adm Sci Q 24:285-308.

—. 1985. The Job Content Questionnaire (JCQ) and User’s Guide. Lowell, Mass: JCQ Center, Department of Work Environment, Univ. of Massachusetts Lowell.

—. 1990. Lower health risk with increased job control among white collar workers. J Organ Behav 11:171-185.

Karasek, R and T Theorell. 1990. Healthy Work, Stress, Productivity and the Reconstruction of Working Life. New York: Basic Books.

Kasl, SV. 1989. An epidemiological perspective on the role of control in health. In Job Control and Worker Health, edited by SL Sauter, JJ Hurrell Jr, and CL Cooper. Chichester: Wiley.

Kauppinen-Toropainen, K and JE Gruber. 1993. Antecedants and outcomes of woman-unfriendly experiences: A study of Scandanavian, former Soviet and American women. Psychol Women Q 17(4):431-456.

Kawakami, N, T Haratani, T Hemmi, and S Araki. 1992. Prevalence and demographic correlates of alcohol-related problems in Japanese employees. Social Psych Psychiatric Epidemiol 27:198-202.

—. 1993. Relations of work stress to alcohol use and drinking problems in male and female employees of a computer factory in Japan. Environ Res 62:314-324.

Keita, GP and SL Sauter. 1992. Work and Well Being: An Agenda for the 1990s. Washington, DC: APA.

Kelly, M and CL Cooper. 1981. Stress among blue collar workers: A case study of the steel industry. Employee Relations 3:6-9.

Kerckhoff, A and K Back. 1968. The June Bug. New York: Appelton-Century Croft.

Kessler, RC, JS House, and JB Turner. 1987. Unemployment and health in a community sample. J Health Soc Behav 28:51-59.

Kessler, RC, JB Turner, and JS House. 1988. The effects of unemployment on health in a community survey: Main, modifying and mediating effects. J Soc Issues 44(4):69-86.

—. 1989. Unemployment, reemployment, and emotional functioning in a community sample. Am Soc Rev 54:648-657.

Kleiber, D and D Enzmann. 1990. Burnout: 15 Years of Research: An International Bibliography. Gottingen: Hogrefe.

Klitzman, S and JM Stellman. 1989. The impact of physical environment on the psychological well-being of office workers. Soc Sci Med 29:733-742.

Knauth, P and J Rutenfranz. 1976. Experimental shift work studies of permanent night, and rapidly rotating, shift systems. I. Circadian rhythm of body temperature and re-entrainment at shift change. Int Arch Occup Environ Health 37:125-137.

—. 1982. Development of criteria for the design of shiftwork systems. J Hum Ergol 11 Shiftwork: Its Practice and Improvement: 337-367.

Knauth, P, E Kiesswetter, W Ottmann, MJ Karvonen, and J Rutenfranz. 1983. Time-budget studies of policemen in weekly or swiftly rotating shift systems. Appl Ergon 14(4):247-252.

Kobasa, SC. 1979. Stressful life events, personality and health: An inquiry into hardiness. J Personal Soc Psychol 37:1-11.

—. 1982. The hardy personality: Toward a social psychology of stress and health. In Social Psychology of Health and Illness, edited by G Sanders and J Suls. Hillsdale, NJ: Erlbaum.

Kobasa, SC, SR Maddi, and S Kahn. 1982. Hardines and health: A prospective study. J Personal Soc Psychol 42:168-177.

Kofoed, L, MJ Friedman, and P Peck. 1993. Alcoholism and drug abuse in patients with PTSD. Psychiatry 64:151-171.

Kogi, K. 1991. Job content and working time: The scope for joint change. Ergonomics 34(6):757-773.

Kohn, M and C Schooler. 1973. Occupational experience and psychological functioning: An assessment of reciprocal effects. Am Soc Rev 38:97-118.

Kohn, ML, A Naoi, V Schoenbach, C Schooler, et al. 1990. Position in the class structure and psychological functioning in the United States, Japan, and Poland. Am J Sociol 95(4):964-1008.

Kompier, M and L Levi. 1994. Stress At Work: Causes, Effects, and Prevention. A Guide for Small and Medium Sized Enterprises. Dublin: European Foundation.

Kornhauser, A. 1965. The Mental Health of the Industrial Worker. New York: Wiley.

Komitzer, M, F Kittel, M Dramaix, and G de Backer. 1982. Job stress and coronary heart disease. Adv Cardiol 19:56-61.

Koss, MP, LA Goodman, A Browne, LF Fitzgerald, GP Keita, and NF Russo. 1994. No Safe Haven. Washington, DC: APA Press.

Koulack, D and M Nesca. 1992. Sleep parameters of Type A and B scoring college students. Perceptual and Motor Skills 74:723-726.

Kozlowski, SWJ, GT Chao, EM Smith, and J Hedlund. 1993. Organizational downsizing: Strategies, interventions, and research implications. In International Review of Industrial and Organizational Psychology, edited by CL Cooper and I Robertson. Chichester: Wiley.

Kristensen, TS. 1989. Cardiovascular diseases and the work environment. A critical review of the epidemiologic literature on nonchemical factors. Scand J Work Environ Health 15:165-179.

—. 1991. Sickness absence and work strain among Danish slaughterhouse workers. An analysis of absence from work regarded as coping behaviour. Social Science and Medicine 32:15-27.

—. 1995. The Demand-Control-Support model: Methodological challenges for future research. Stress Medicine 11:17-26.

Krueger, GP. 1989. Sustained work, fatigue, sleep loss and performance: A review of the issues. Work and Stress 3:129-141.

Kuhnert, KW. 1991. Job security, health, and the intrinsic and extrinsic characteristics of work. Group Organ Stud :178-192.

Kuhnert, KW, RR Sims, and MA Lahey. 1989. The relationship between job security and employee health. Group Organ Stud (August):399-410.

Kumar, D and DL Wingate. 1985. The irritable bowel syndrome. Lancet ii:973-977.

Lamb, ME, KJ Sternberg, CP Hwang, and AG Broberg. 1992. Child Care in Context: Cross-Cultural Perspectives. Hillsdale, NJ: Earlbaum.

Landsbergis, PA, PL Schnall, D Deitz, R Friedman, and T Pickering. 1992. The patterning of psychological attributes and distress by “job strain” and social support in a sample of working men. J Behav Med 15(4):379-405.

Landsbergis, PA, SJ Schurman, BA Israel, PL Schnall, MK Hugentobler, J Cahill, and D Baker. 1993. Job stress and heart disease: Evidence and strategies for prevention. New Solutions (Summer):42-58.

Larson, JRJ and C Callahan. 1990. Performance monitoring: How does it affect work productivity. J Appl Psychol 75:530-538.

Last, LR, RWE Peterson, J Rappaport, and CA Webb. 1995. Creating opportunities for displaced workers: Center for Commercial Competitiveness. In Employees, Careers, and Job Creation: Developing Growth-Oriented Human Resource Strategies and Programs, edited by M London. San Francisco: Jossey-Bass.

Laviana, JE. 1985. Assessing the Impact of Plants in the Simulated Office Environment: A Human Factors Approach. Manhattan, Kans: Department of Horticulture, Kansas State Univ.

Lazarus, RS. 1966. Psychological Stress and Coping Process. New York: McGraw-Hill.

Lazarus, RS and S Folkman. 1984. Stress, Appraisal, and Coping. New York: Springer.

Lee, P. 1983. The Complete Guide to Job Sharing. New York: Walker & Co.

Leibson, B. 1990. Corporate child care: “Junior Execs” on the job. Faculty Design Manage :32-37.

Leigh, JP and HM Waldon. 1991. Unemployment and highway fatalities. J Health Policy 16:135-156.

Leino, PI and V Hänninen. 1995. Psychosocial factors at work in relation to back and limb disorders. Scand J Work Environ Health 21:134-142.

Levi, L. 1972. Stress and Distress in Response to Psychosocial Stimuli. New York: Pergamon Press.

—. 1981. Society, Stress and Disease. Vol. 4: Working Life. Oxford: Oxford Univ Press.

—. 1992. Psychosocial, occupational, environmental, and health concepts: Research results and applications. In Work and Well-Being: An Agenda for the 1990s, edited by GP Keita and SL Sauter. Washington, DC: APA.
Levi, L, M Frankenhaeuser, and B Gardell. 1986. The characteristics of the workplace and the nature of its social demands. In Occupational Stress and Performance At Work, edited by S Wolf and AJ Finestone. Littleton, Mass: PSG.

Levi, L and P Lunde-Jensen. 1996. Socio-Economic Costs of Work Stress in Two EU Member States. A Model for Assessing the Costs of Stressors At National Level. Dublin: European Foundation.

Levine, EL. 1983. Everything You Always Wanted to Know About Job Analysis. Tampa: Mariner.

Levinson, DJ. 1986. A conception of adult development. American Psychologist 41:3-13.

Levinson, H. 1978. The abrasive personality. Harvard Bus Rev 56:86-94.

Levy, BS and DH Wegman. 1988. Occupational Health: Recognizing and Preventing Work-Related Disease. Boston: Little, Brown & Co.

Lewin, K, R Lippitt, and RK White. 1939. Patterns of aggressive behaviour in experimentally created social climates. J Soc Psychol 10:271-299.

Lewis, S, DN Izraeli, and H Hootsmans. 1992. Dual-Earner Families: International Perspectives. London: Sage.

Liberatos, P, BG Link, and J Kelsey. 1988. The measurement of social class in epidemiology. Epidemiol Rev 10:87-121.

Liem, R and JH Liem. 1988. The psychological effects of unemployment on workers and their families. J Soc Issues 44:87-105.

Light, KC, JR Turner, and AL Hinderliter. 1992. Job strain and ambulatory work blood pressure in healthy young men and women. Hypertension 20:214-218.

Lim, SY. 1994. An integrated approach to upper extremity musculoskeletal discomfort in the office work environment: The role of psychosocial work factors, psychological stress, and ergonomic risk factors. Ph.D. Dissertation, University of Wisconsin-Madison.

Lim, SY and P Carayon. 1994. Relationship between physical and psychosocial work factors and upper extremity symptoms in a group of office workers. Proceedings of the 12th Triennial Congress of the International Ergonomic Association. 6:132-134.

Lindeman, E. 1944. Symptomatology and management of acute grief. American Journal of Psychiatry 101:141-148.

Lindenberg, CS, HK Reiskin, and SC Gendrop. 1994. The social system model of substance abuse among childbearing age women: A review of the literature. Journal of Drug Education 24:253-268.

Lindström, K and JJ Hurrell Jr. 1992. Coping with job stress by managers at different career stages in Finland and the United States. Scand J Work Environ Health 18 Suppl. 2:14-17.

Lindström, K, J Kaihilahti and I Torstila. 1988. Ikäkausittaiset Terveystarkastukset Ja Työn Muutos Vakuutus- Ja Pankkialalla (in Finnish With English Summary). Espoo: The Finnish Work Environment Fund.
Link, B et al. 1986. Socio-economic status and schizophrenia: Noisome occupational characteristics as a risk factor. Am Soc Rev 51:242-258.

—. 1993. Socioeconomic status and depression: The role of occupations involving direction, control and planning. Am J Sociol 6:1351-1387.
Locke, EA and DM Schweiger. 1979. Participation in decision-making: One more look. Res Organ Behav 1:265-339.
London, M. 1995. Employees, Careers, and Job Creation: Developing Growth-Oriented Human Resource Strategies and Programs. San Francisco: Jossey-Bass.

Louis, MR. l980. Surprise and sense-making: What newcomers experience in entering unfamiliar organizational settings. Adm Sci Q 25:226-251.
Lowe, GS and HC Northcott. 1988. The impact of working conditions, social roles, and personal characteristics on gender differences in distress. Work Occup 15:55-77.

Lundberg, O. 1991. Causal explanations for class inequality in health-an empirical analysis. Soc Sci Med 32:385-393.

Lundberg, U, M Granqvist, T Hansson, M Magnusson, and L Wallin. 1989. Psychological and phsiological stress responses during repetitive work at an assembly line. Work Stress 3:143-153.

Maher, EL. 1982. Anomic aspects of recovery from cancer. Social Science and Medicine 16:907-912.

MacKinnon, CA. 1978. Sexual Harassment of Working Women: A Case of Sex Discrimination. New Haven, Conn: Yale Univ. Press.

Maddi, SR, SC Kobasa, and MC Hoover. 1979. An alienation test. Journal of Humanistic Psychology 19:73-76.

Maddi, SR and SC Kobasa. 1984. The Hardy Executive: Health Under Stress. Homewood, Il: Dow-Jones Irwin.

Maddi, SR. 1987. Hardiness training at Illinois Bell Telephone. In Health Promotion Evaluation, edited by JP Opatz. Stevens Point, Wisc: National Wellness Insitutue.

—. 1990. Issues and interventions in stress mastery. In Personality and Disease, edited by HS Friedman. New York: Wiley.

Mandell, W et al. 1992. Alcoholism and occupations: A review and analysis of 104 occupations. Alcohol, Clin Exp Res 16:734-746.

Mangione, TW and RP Quinn. 1975. Job satisfaction, counterproductive behavior, and drug use at work. Journal of Applied Psychology 60:114-116.

Mann, N. 1989. The Keys to Excellence. The Story of Deming Philosophy. Los Angeles: Prestwick.

Mantell, M and S Albrecht. 1994. Ticking Bombs: Defusing Violence in the Workplace. New York: Irwin Professional.

Marans, RW and X Yan. 1989. Lighting quality and environmental satisfaction in open and enclosed offices. J Architect Plan Res 6:118-131.

Margolis, B, W Kroes, and R Quinn. 1974. Job stress and unlisted occupational hazard. J Occup Med 16:659-661.

Marino, KE and SE White. 1985. Departmental structure, locus of control, and job stress: The effect of a moderator. Journal of Applied Psychology 70:782-784.

Marmot, M. 1976. Acculturation and coronary heart disease in Japanese Americans. In The Contribution of the Social Environment to Host Resistance, edited by JP Cassel.

Marmot, M and T Theorell. 1988. Social class and cardiovascular disease: The contribution of work. Int J Health Serv 18:659-674.

Marshall, NL and RC Barnett. 1991. Race, class and multiple roles strains and gains among women employed in the service sector. Women Health 17:1-19.

Martin, DD and RL Shell. 1986. Management of Professionals. New York: Marcel Dekker.

Martin, EV. 1987. Worker stress: A practitioner’s perspective. In Stress Management in Work Setting, edited by LR Murphy and TF Schoenborn. Cincinnati, Ohio: NIOSH.

Maslach, C. 1993. Burnout: A multidimentional perspective. In Professional Burnout, edited by WB Schaufeli, C Maslach and T Marek. Washington, DC: Taylor and Francis.

Maslach, C and SE Jackson. 1981/1986. The Maslach Burnout Inventory. Palo Alto, Calif: Consulting Psychologists.

Maslow, AH. 1954. Motivation and Personality. New York: Harper.

Matteson, MT and JM Ivancevich. 1987. Controlling Work Stress. San Francisco: Jossey-Bass.

Mattiason, I, F Lindgarden, JA Nilsson, and T Theorell. 1990. Threat of unemployment and cardiovascular risk factors: Longitudinal study of quality of sleep and serum cholesterol concentrations in men threatened with redundancy. British Medical Journal 301:461-466.

Mattis, MC. 1990. New forms of flexible work arrangements for managers and professionals: Myths and realities. Hum Resour Plan 13(2):133-146.

McGrath, A, N Reid, and J Boore. 1989. Occupational stress in nursing. Int J Nursing Stud 26(4):343-358.

McGrath, JE. 1976. Stress and behavior in organizations. In Handbook of Industrial and Organizational Pyschology, edited by MD Dunnette. Chicago: Rand McNally.

McKee, GH, SE Markham, and DK Scott. 1992. Job stress and employee withdrawal from work. In Stress & Well-Being At Work, edited by JC Quick, LR Murphy, and JJ Hurrel. Washington, D.C.: APA.

McLaney, MA and JJ Hurrell Jr. 1988. Control, stress and job satisfaction. Work Stress 2:217-224.

McLean, LA. 1979. Work Stress. Boston: Addison-Wesley.

Meisner, M. 1971. The long arm of the job. Industrial Relations :239-260.

Meyer, BD. 1995. Lessons from the US unemployment insurance experiments. J Econ Lit 33:91-131.

Meyerson, D. 1990. Uncovering socially undesirable emotions: Experience of ambiguity in organizations. Am Behav Sci 33:296-307.
Michaels, D and SR Zoloth. 1991. Mortality among urban bus drivers. Int J Epidemiol 20(2):399-404.

Michelson, W. 1985. From Sun to Sun: Maternal Obligations and Community Structure in the Lives of Employed Women and Their Families. Totowa, NJ: Rowman & Allanheld.

Miller, KI and PR Monge. 1986. Participation, satisfaction, and productivity: A meta-analytic review. Acad Manage J 29:727-753.

Miller, LS and S Kelman. 1992. Estimates of the loss of individual productivity from alcohol and drug abuse and from mental illness. In Economics and Mental Health, edited by RG Frank and MG Manning. Baltimore: Johns Hopkins Univ. Press.

Miller, S. 1979. Controllability and human stress: Method, evidence and theory. Behav Res Ther 17:287-304.

Ministry of Labour. 1987. The Swedish Work Environment Act (With Amendments) and the Swedish Work Environment Ordinance (With Amendments). Stockholm: Ministry of Labour.

Mino, Y, T Tsuda, A Babazona, H Aoyama, S Inoue, H Sato, and H Ohara. 1993. Depressive states in workers using computers. Environmental Research 63(1):54-59.

Misumi, J. 1985. The Behavioural Science of Leadership Concept: Third Leadership Symposium. Carbondale, Ill: Souther Illinois Univ.

Moleski, WH and JT Lang. 1986. Organizational goals and human needs in office planning. In Behavioral Issues in Office Design, edited by J Wineman. New York: Van Nostrand Rinehold.

Monk, TH and S Folkard. 1992. Making Shift Work Tolerable. London: Taylor & Francis.

Monk, T and D Tepas. 1985. Shift work. In Job Stress and Blue Collar Work, edited by C Cooper and MJ Smith. London: John Wiley & Sons.

Moon, S and SL Sauter. 1996. Psychosocial Factors and Musculoskeletal Disorders in Office Work. : Taylor and Francis,Ltd.

Moos, RH. 1986. Work as a human context. In Psychology and Work: Productivity, Change, and Employment, edited by MS Pallak and R Perloff. Washington, DC: APA.

Moos, R and A Billings. 1982. Conceptualizing and measuring coping resources and process. In Handbook of Stress: Theoretical and Clinical Aspects, edited by L Goldberger and S Breznitz. New York: Free Press.

Morrison, EW. l993. Longitudinal study of the effects of information seeking on newcomer socialization. J Appl Psychol 78:173-183.

Morrow, PC and JC McElroy. 1987. Work commitment and job satisfaction over three career stages. J Vocationl Behav 30:330-346.

Mossholder, KW, AG Bedeian, and AA Armenakis. 1981. Role perceptions, satisfaction, and perfor-mance: Moderating effects of self-esteem and orga-nizational level. Organ Behav Hum Perform 28:224-234.

—. 1982. Group process-work outcome relationships: A note on the moderating impact of self-esteem. Acad Manage J 25:575-585.

Muntaner, C and P O’Campo. 1993. A critical appraisal of the Demand/Control model of the psychosocial work environment: Epistemological, social, behavioral and class considerations. Soc Sci Med 36:1509-1517.

Muntaner, C, A Tien, WW Eaton, and R Garrison. 1991. Occupational characteristics and the occurence of psychotic disorders. Social Psych Psychiatric Epidemiol 26:273-280.

Muntaner, C et al. 1993. Dimensions of the psychosocial work environment in five US metropolitan areas. Work Stress 7:351-363.

Muntaner, C, P Wolyniec, J McGrath, and A Palver. 1993. Work environment and schizophrenia: An extension of the arousal hypothesis to occupational self-selection. Social Psych Psychiatric Epidemiol 28:231-238.

—. 1994. Psychotic inpatients’ social class and their first admission to state or private psychiatric hospitals in Baltimore. Am J Public Health 84:287-289.

Muntaner, C, JC Anthony, RM Crum, and WW Eaton. 1995. Psychosocial dimensions of work and the risk of drug dependence among adults. Am J Epidemiol 142(2):183-190.

Murphy, LR. 1988. Workplace interventions for stress reduction and prevention. In Causes, Coping and Consequences of Stress At Work, edited by CL Cooper and R Payne. New York: Wiley.

Murrell, KFH. 1965. A classification of pacing. Int J Prod Res 4:69-74.

National Council on Compensation Insurance. 1985. Emotional Stress in the Workplace. New Legal Rights in the Eighties. New York: National Council on Compensation Insurance.

Nehling, A and G Debry. 1994. Caffeine and sport activity: A review. International Journal of Sports Medicine 15:215-223.

Nelson, DL. l987. Organizational socialization: A stress perspective. J Occup Behav 8:3ll-324.

Nelson, DL and JC Quick. 1991. Social support and newcomer adjustment in organization: Attachment theory at work? J Organ Behav 12:543-554.

Nelson, DL and CD Sutton. 1991. The relationship between newcomer expectations of job stressors and adjustment to the new job. Work Stress 5:241-251.

Newman, JE and TA Beehr. 1979. Personal and organizational strategies for handling job stress: A review of research and opinion. Personnel Psychology 32:1-43.

Niaura, R, CM Stoney, and PN Herbst. 1992. Biol Psychol 34:1-43.

National Institute for Occupational Safety and Health (NIOSH). 1988. Prevention of Work-Related Psychological Disorders in Proposed National Strategies for the Prevention of Leading Work-Related Diseases and Injuries.: NIOSH.

North, FM, SL Syme, A Feeney, M Shipley, and M Marmot. 1996. Psychosocial work environment and sickness absence among British civil servants: The Whitehall II study. Am J Public Health 86(3):332.

Northwestern National Life. 1991. Employee burnout: America’s newest epidemic. Minneapolis, Mn. Northern National Life.

Nuckolls, KB et al. 1972. Psychosocial assets, life crisis and the prognosis of pregnancy. American Journal of Epidemiology 95:431-441.

O’Donnell, MP and JS Harris. 1994. Health Promotion in the Workplace. New York: Delmar.

Oetting, ER, RW Edwards, and F Beauvais. 1988. Drugs and native-American youth. Drugs and Society 3:1-34.

Öhman, A and G Bohlin. 1989. The role of controllability in cardiovascular activation and cardiovascular disease: Help or hindrance? In Stress, Personal Control and Health, edited by A Steptoe and A Appels. Chichester: Wiley.

Ojesjo, L. 1980. The relationship to alcoholism of occupation, class and employment. J Occup Med 22:657-666.

Oldham, GR. 1988. Effects of change in workspace partitions and spatial density on employee reactions: A quasi-experiment. J Appl Psychol 73:253-258.

Oldham, GR and Y Fried. 1987. Employee reactions to workspace characteristics. J Appl Psychol 72:75-80.

Oldham, GR and NL Rotchford. 1983. Relationships between office characteristics and employee reactions: A study of the physical environment. Adm Sci Q 28:542-556.

Olff, M, JF Brosschot, RJ Benschop, RE Ballieux, GLR Godaert, CJ Heijnen, and H Ursin. 1995. Modulatory effects of defense and coping on stress-induced changes in endocrine and immune parameters. Int J Behav Med 2:85-103.

Olff, M, JF Brosschot, RJ Benchop, RE Ballieux, GLR Godaert, CJ Heijnen, and H Eursin. 1993. Defence and coping in relation to subjective health and immunology.

Olmedo, EL and DL Parron. 1981. Mental health of minority women: Some special issues. J Prof Psychol 12:103-111.

O’Reilly, CA and JA Chatman. 1991. People and organizational culture: A profile comparison approach to assessing person-organization fit. Acad Manage J 34:487-516.

Organization for Economic Cooperation and Development (OECD). 1995. OECD Economic Outlook 57. Paris: OECD.

Ornstein, S. 1990. Linking environmental and industrial/organizational psychology. In International Review of Industrial and Organizational Psychology, edited by CL Cooper and IT Robertson. Chichester: Wiley.

Ornstein, S,