Work stress in radiologists. A pilot study
Ethics, Etica
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Abstract
Purpose. We studied occupational stress and its psychosocial effects in a sample of Italian radiologists and radiotherapists
Materials and methods. Radiologists and radiotherapists attending two medical conferences were invited to complete a questionnaire comprising four sections investigating the risk of occupational stress (organisational discomfort, Karasek’s Job Content Questionnaire, Siegrist’s Effort-Reward Imbalance, Warr’s Job Satisfaction) and four sections investigating the health effects of such stress (Goldberg’s Anxiety and Depression scales, General Health Questionnaire, Lifestyles Questionnaire)
Results. Radiologists and radiotherapists generally expressed high levels of control, reward and satisfaction. However, 38.5% complained of severe organisational discomfort, 24% reported job strain, 28% reported effort/reward imbalance and 25% were dissatisfied. Female radiologists and radiotherapists showed higher levels of organisational discomfort than their male colleagues. Younger and less experienced radiologists and radiotherapists had higher strain scores than their older and more experienced colleagues. A significant correlation was observed between stress predictors and the effects of stress on health, including depression and anxiety, psychological distress and unhealthy lifestyles
Conclusions. Radiologists and radiotherapists are exposed to major occupational stress factors, and a significant percentage of them suffer from workplace stress. A special effort is required to prevent this condition
Keywords
Radiologist Radiotherapists Work stressStress da lavoro nei medici radiologi. Studio pilota
Riassunto
Obiettivo. Abbiamo inteso indagare l’entità dello stress professionale nei radiologi e radioterapisti e le conseguenze psicosociali associate
Materiali e metodi. I partecipanti a due congressi sono stati invitati a compilare un questionario composto da quattro diverse sezioni per misurare il rischio (disagio, contenuto del lavoro secondo il modello di Karasek, discrepanza tra impegno e risultati secondo il modello di Siegrist, e soddisfazione lavorativa secondo Warr) e quattro sezioni per misurare gli effetti dello stress da lavoro (ansia e depressione secondo il questionario di Goldberg, malessere secondo il General Health Questionnaire, stili di vita)
Risultati. Nelle risposte rilevate, i medici del campione analizzato esprimono mediamente elevati livelli di discrezionalità, di ricompensa e di soddisfazione dal lavoro, che tuttavia si associano ad un elevato livello di disagio per le condizioni di lavoro nel 38,5% degli specialisti. Il 24% degli intervistati si trova in condizioni di job strain, il 28% soffre per la discrepanza tra impegno prestato sul lavoro e risultati ottenuti, il 25% è insoddisfatto del lavoro. Il disagio per l’organizzazione del lavoro è maggiore nelle donne. Lo stress da lavoro colpisce soprattutto i medici più giovani e con minore esperienza lavorativa. Tutte le variabili indicative di stress da lavoro risultano significativamente associate con gli effetti: ansia, depressione, malessere psicologico, cattivi stili di vita
Conclusioni. I radiologi e i radioterapisti sono esposti a rilevanti e specifici fattori di stress professionale. Lo stress da lavoro è presente in circa un quarto dei casi. È necessario un impegno specifico per la prevenzione di tale condizione
Parole chiave
Radiologi Radioterapisti Stress da lavoroReferences/Bibliografia
- 1.Tyssen R, Vaglum P, Gronvold NT, Ekeberg O (2001) Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictors. J Affect Disord 64:69–79PubMedCrossRefGoogle Scholar
- 2.Tyssen R, Hem E, Vaglum P et al (2004) The process of suicidal planning among medical doctors: predictors in a longitudinal Norwegian sample. J Affect Disord 80:191–198PubMedCrossRefGoogle Scholar
- 3.Riley GJ (2004) Understanding the stresses and strains of being a doctor. MJA 181:350–353PubMedGoogle Scholar
- 4.Fileni A, Magnavita N, Mammi F et al (2007) Malpractice stress syndrome in radiologists and radiotherapists. Perceived causes and consequences. Radiol Med, 112:1069–1084CrossRefPubMedGoogle Scholar
- 5.Karasek RA (1979) Job demands, job decision latitude, and mental strain. Implication for job redesign. Adm Sci Q 24:285CrossRefGoogle Scholar
- 6.De Bacquer D, Pelfrene E, Clays E et al (2005) Perceived job stress and incidence of coronary events: 3-year follow-up of the Belgian Job Stress Project cohort. Am J Epidemiol 161:434–441PubMedCrossRefGoogle Scholar
- 7.Devereux JJ, Buckle PW, Vlachonikolis IG (1999) Interactions between physical and psychosocial risk factors at work increase the risk of back disorders: an epidemiological approach. Occup Environ Med 56:343–353PubMedGoogle Scholar
- 8.Escribà-Aguir V, Martin-Baena D, Perez-Hoyos S (2006) Psychosocial work environment and burnout among emergency medical and nursing staff. Int Arch Occup Environ Health 80:127–133PubMedCrossRefGoogle Scholar
- 9.Kouvonen A, Kivimaki M, Cox SJ et al (2005) Job strain, effort-reward imbalance, and heavy drinking: a study in 40,851 employees. J Occup Environ Med 47:503–513PubMedCrossRefGoogle Scholar
- 10.Kuorinka I, Jonsson B, Kilbom A et al (1987) Standardised Nordic questionnaire for the analysis of musculoskeletal symptoms. Appl Ergon 18:233–237PubMedCrossRefGoogle Scholar
- 11.Karasek R, Brisson C, Kawakami N et al (1998) The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol 3:322–355PubMedCrossRefGoogle Scholar
- 12.Niedhammer I (2002) Psychometric properties of the French version of the Karasek Job Content Questionnaire: a study of the scales of decision latitude, psychological demands, social support, and physical demands in the GAZEL cohort. Int Arch Occup Environ Health 75:129–144PubMedCrossRefGoogle Scholar
- 13.O’Connor DB, O’Connor RC, White BL, Bundred PE (2000) The effect of job strain on British general practitioners’ mental health. J Mental Health 9:637–654CrossRefGoogle Scholar
- 14.Pickhart H, Bobak M, Siegrist J et al (2001) Psychosocial work characteristics and self-rated health in four post-communist countries. J Epidemiol Comm Health 55:624–630CrossRefGoogle Scholar
- 15.Sale JEM, Kerr MS (2002) The psychometric properties of Karasek’s demand and control scales within a single sector: data from a large teaching hospital. Int Arch Occup Environ Health 75:145–152PubMedCrossRefGoogle Scholar
- 16.Theorell T, Perski A, Akerstedt T et al (1988) Changes in job strain in relation to changes in psychological state: a longitudinal study. Scand J Work Environ Health 14:189–196PubMedGoogle Scholar
- 17.Toomingas A, Theorell T, Michélsen H et al (1997) Association between selfrated psychosocial work conditions and musculoskeletal symptoms and signs. Scand J Work Environ Health 23:130–139PubMedGoogle Scholar
- 18.van den Heuvel SG, van der Beek AJ, Blatter BM et al (2006) Do workrelated physical factors predict neck and upper limb symptoms in office workers? Int Arch Occup Environ Health 79:585–592PubMedCrossRefGoogle Scholar
- 19.Baldasseroni A, Camerino D, Cenni P et al (2002) La valutazione dei fattori psicosociali. Proposta della versione italiana del Job Content Questionnaire di R.A. Karasek. Consultabile su: tp://www.sicurezzaonline.it/primop/pp mob/ppmobdoc/stsocc/fatpsistsocc.htmGoogle Scholar
- 20.Johnson JV, Hall EM, Theorell T (1989) Combined effects of job strain and social isolation on cardiovascular disease morbidity and mortality in a random sample of the Swedish male working population. Scand J Work Environ Health 15:271–284PubMedGoogle Scholar
- 21.Siegrist J (1996) Adverse health effects of high-effort/low-reward conditions. J Occup Health Psychol 1:27–41PubMedCrossRefGoogle Scholar
- 22.Buddeberg B, Klaghofer R, Abel T, Buddeberg C (2005) Junior physicians’ workplace experiences in clinical fields in German-speaking Switzerland. Swiss Med Wkly 135:19–26PubMedGoogle Scholar
- 23.Fahlén G, Knutsson A, Peter R et al (2006) Effort-reward imbalance, sleep disturbances and fatigue. Int Arch Occup Environ Health 79:371–378PubMedCrossRefGoogle Scholar
- 24.Kopec JA, Sayre EC (2004) Workrelated psychosocial factors and chronic pain: a prospective cohort study in Canadian workers. J Occup Environ Med 46:1263–1271PubMedGoogle Scholar
- 25.Kouvonen A, Kivimaki M, Elovainio M et al (2006) Effort/reward imbalance and sedentary lifestyle: an observational study in a large occupational cohort. Occup Environ Med 63:422–427PubMedCrossRefGoogle Scholar
- 26.Kouvonen A, Kivimaki M, Virtanen M et al (2006) Effort-reward imbalance at work and the co-occurrence of lifestyle risk factors: cross-sectional survey in a sample of 36,127 public sector employees. BMC Public Health 6:24PubMedCrossRefGoogle Scholar
- 27.Niedhammer I, Tek ML, Starke D, Siegrist J (2004) Effort-reward imbalance model and self-reported health: cross-sectional and prospective findings from the GAZEL cohort. Soc Sci Med 58:1531–1541PubMedCrossRefGoogle Scholar
- 28.Siegrist J, Starke D, Chandola T et al (2004) The measurement of effortreward imbalance at work: European comparisons. Soc Sci Med 58:1483–1499PubMedCrossRefGoogle Scholar
- 29.Li J, Yang W, Cheng Y et al (2005) Effort-reward imbalance at work and job dissatisfaction in Chinese healthcare workers: a validation study. Int Arch Occup Environ Health 78:198–204PubMedCrossRefGoogle Scholar
- 30.Li J, Yang W, Cho S (2006) Gender differences in job strain, effort-reward imbalance, and health functioning among Chinese physicians. Soc Sci Med 62:1066–1077PubMedCrossRefGoogle Scholar
- 31.van Vegchel N, de Jonge J, Meijer T, Hamers JP (2001) Different effort constructs and effort-reward imbalance: effects on employee well-being in ancillary health care workers. J Adv Nurs 34:128–136PubMedCrossRefGoogle Scholar
- 32.Calnan M, Wadsworth E, May M et al (2004) Job strain, effort-reward imbalance, and stress at work: competing or complementary models? Scand J Public Health 32:84–93PubMedCrossRefGoogle Scholar
- 33.Warr P (1978) A study of psychological well-being. Br J Psychol 69:111–121PubMedGoogle Scholar
- 34.Warr P, Cook J, Wall T (1979) Scales for the measurement of some work attitudes and aspects of psychological well-being J Occup Psychol 52:129–148Google Scholar
- 35.Ulmer B, Harris M (2002) Australian GPs are satisfied with their job: even more so in rural areas. Family Practice 19:300–303PubMedCrossRefGoogle Scholar
- 36.Goldberg D (1972) The detection of psychiatric illness by questionnaire. Oxford University PressGoogle Scholar
- 37.Banks MH (1983) Validation of the General Health Questionnaire in a young community sample. Psychol Med 13:349–353PubMedGoogle Scholar
- 38.Banks MH, Clegg CW, Jackson PR et al (1980) The use of the General Health Questionnaire as an indicator of mental health in occupational studies. J Occup Psychol 53:187–194Google Scholar
- 39.Ferrie JE, Head J, Shipley MJ et al (2006) Injustice at work and incidence of psychiatric morbidity: the Whitehall II study. Occup Environ Med 63:443–450PubMedCrossRefGoogle Scholar
- 40.Dowell AC, Westcott T, McLeod DK, Hamilton S (2001) A survey of job satisfaction, sources of stress and psychological symptoms among New Zealand health professionals. NZ Med J 114:540–543Google Scholar
- 41.Havenaar JM, Poelijoe NW, Kasyanenko AP et al (1996) Screening for psychiatric disorders in an area affected by the Chernobyl disaster: the reliability and validity of three psychiatric screening questionnaires in Belarus. Psychol Med 26:837–844PubMedGoogle Scholar
- 42.Martin CR, Newell RJ (2005) The factor structure of the 12-item General Health Questionnaire in individuals with facial disfigurement. J Psychosom Res 59:193–199PubMedCrossRefGoogle Scholar
- 43.Goldberg D, Bridges K, Duncan-Jones P, Grayson D (1988) Detecting anxiety and depression in general medical settings. BMJ 297:897–899PubMedCrossRefGoogle Scholar
- 44.Gann M, Corpe U, Wilson I (1990) The application of a short anxiety and depression questionnaire to oil industry staff. J Soc Occup Med 40:138–142PubMedCrossRefGoogle Scholar
- 45.Baughman OL 3rd (1994) Rapid diagnosis and treatment of anxiety and depression in primary care: the somatizing patient. J Fam Pract. 39:373–378PubMedGoogle Scholar
- 46.Christensen H, Jorm AF, Mackinnon AJ (1999) Age differences in depression and anxiety symptoms: a structural equation modelling analysis of data from a general population sample. Psychol Med 29:325–339PubMedCrossRefGoogle Scholar
- 47.Mackinnon A, Christensen H, Jorm AF (1994) A latent trait analysis of an inventory designed to detect symptoms of anxiety and depression using an elderly community sample. Psychol Med 24:977–986PubMedGoogle Scholar
- 48.Huber P, Mulligan R, Mackinnon A et al (1999) Detecting anxiety and depression in hospitalised elderly patients using a brief inventory. Eur Psychiatry 14:11–16PubMedCrossRefGoogle Scholar
- 49.Rodgers B, Korten AE, Jorm AF et al (2000) Risk factors for depression and anxiety in abstainers, moderate drinkers and heavy drinkers. Addiction 95:1833–1845PubMedCrossRefGoogle Scholar
- 50.Fileni A, Magnavita N (2006) A 12-year follow-up study of malpractice claims against radiologist in Italy. Radiol Med 111:1009–1022CrossRefPubMedGoogle Scholar
- 51.Magnavita N (2006) Management of the impaired physician in Europe. Med Lav 97:762–773PubMedGoogle Scholar
- 52.Magnavita N (2007) The unhealthy physician. J Med Ethics 33:210–214PubMedCrossRefGoogle Scholar
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