Skip to main content
Log in

Analysis of occupational stress in a high fashion clothing factory with upper limb biomechanical overload

  • Original Article
  • Published:
International Archives of Occupational and Environmental Health Aims and scope Submit manuscript

Abstract

Purpose

To study job stress and upper limb biomechanical overload due to repetitive and forceful manual activities in a factory producing high fashion clothing.

Methods

A total of 518 workers (433 women and 85 men) were investigated to determine anxiety, occupational stress (using the Italian version of the Karasek Job Content Questionnaire) and perception of symptoms (using the Italian version of the Somatization scale of Symptom Checklist SCL-90). Biomechanical overload was analyzed using the OCRA Check list.

Results

Biomechanical assessment did not reveal high-risk jobs, except for cutting. Although the perception of anxiety and job insecurity was within the normal range, all the workers showed a high level of job strain (correlated with the perception of symptoms) due to very low decision latitude.

Conclusion

Occupational stress resulted partially in line with biomechanical risk factors; however, the perception of low decision latitude seems to play a major role in determining job strain. Interactions between physical and psychological factors cannot be demonstrated. Anyway, simultaneous long-term monitoring of occupational stress features and biomechanical overload could guide workplace interventions aimed at reducing the risk of adverse health effects.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • Apostoli P, Bovenzi M, Occhipinti E, Romano C, Violante F, Cortesi I, Baracco A, Draicchio E, Mattioli S (2003, updated 2006) Guidelines for the prevention of Upper Extremity Work-related Musculoskeletal Disorders [Linee Guida per la prevenzione dei disturbi e delle patologie muscolo scheletriche dell’arto superiore correlati con il lavoro (Upper Extremity Work-related Musculoskeletal Disorders—UE WMSDs)]. Tipografia PIME Editrice, Pavia

  • Armstrong TJ, Buckle P, Fine LJ, Hagberg M, Jonsson B, Kilbom Å et al (1993) A conceptual model for work-related neck and upper-limb musculoskeletal disorders. Scand J Work Environ Health 19:73–84

    Article  CAS  Google Scholar 

  • Baldasseroni A, Camerino D, Cenni P, Cesana GC, Fattorini E, Ferrario M, Mariani M, Tartaglia R (2001) La valutazione dei fattori psicosociali—Il Job Content Questionnaire. Fogli d’Informazione 3:20–32

    Google Scholar 

  • Bernard BP (1997) Musculoskeletal disorders (MSDs) and workplace factors. A Critical Review of Epidemiologic Evidence for Work-Related Musculoskeletal Disorders of the Neck, Upper Extremity, and Low Back. DHHS (NIOSH) Publication No. 97-141. http://www.cdc.gov/niosh/docs/97-141/. Accessed 25 Oct 2010

  • Bongers PM, de Winter CR, Kompier MA, Hildebrandt VH (1993) Psychosocial factors at work and musculoskeletal disease. Scand J Work Environ Health 19(5):297–312

    Article  CAS  Google Scholar 

  • Bongers PM, Kremer AM, ter Laak J (2002) Are psychosocial factors, risk factors for symptoms and signs of the shoulder, elbow, or hand/wrist?: a review of the epidemiological literature. Am J Ind Med 41(5):315–342

    Article  Google Scholar 

  • Boscolo P, Di Donato A, Di Giampaolo L, Forcella L, Reale M, Dadorante V, Alparone F, Pagliaro S, Kouri M, Magrini A, Fattorini E (2009) Blood natural killer activity is reduced in men with occupational stress and job insecurity working in a university. Int Arch Occup Environ Health 82(6):787–794

    Article  Google Scholar 

  • Colombini D, Occhipinti E, Cairoli S, Baracco A (2000) Proposal and preliminary validation of a check list for the assessment of occupational exposure to repetitive movements of the upper limbs. Med Lav 91(5):470–485 [in Italian]

    CAS  Google Scholar 

  • Colombini D, Occhipinti E, Fanti M (2005) Il metodo OC.R.A. per l’analisi e la prevenzione del rischio da movimenti ripetuti. Collana Salute e lavoro. Franco Angeli Editore, Milano

    Google Scholar 

  • Devereux JJ, Vlachonikolis IG, Buckle PW (2002) Epidemiological study to investigate potential interaction between physical and psychosocial factors at work that may increase the risk of symptoms of musculoskeletal disorder of the neck and upper limb. Occup Environ Med 59(4):269–277

    Article  CAS  Google Scholar 

  • Di Donato A, Di Giampaolo L, Reale M, Dadorante V, Alparone F, Stocchi M, Fattorini E, Di Gioacchino M, Magrini A, Boscolo P (2006) Effect of occupational stress and anxiety on natural killer lymphocyte activity of men and women employed in a university. Int J Immunopathol Pharmacol 19(4 Suppl):79–84

    CAS  Google Scholar 

  • European Agency for Safety and Health at Work (2005) Priorities for occupational safety and health research in EU-25. Working Environment information—Working Paper. http://www.osha.europa.eu/en/publications/reports/6805648. Accessed 11 Oct 2010

  • European Foundation for the Improvement of Living and Working Conditions (2005) Fourth European working conditions survey. http://www.eurofound.europa.eu/publications/htmlfiles/ef0698.htm. Accessed 11 Oct 2010

  • Ferrario M, Cecchino C, Chiodini P, Ragno G, Merluzzi F, Borchini R, Taborelli S, Cesana G (2003) Reliability of the Karasek scale in the assessment of perceived occupational stress and gender-related differences in scores The SEMM study. G Ital Med Lav Ergon 25(Suppl3):204–205 [in Italian]

    Google Scholar 

  • Forcella L, Di Donato A, Reversi S, Fattorini E, Boscolo P (2009) Occupational stress, job insecurity and perception of the health status in Italian teachers with stable or temporary employment. J Biol Regul Homeost Agents 23(2):85–93

    CAS  Google Scholar 

  • Griffiths KL, Mackey MG, Adamson BJ (2011) Behavioral and psychophysiological responses to job demands and association with musculoskeletal symptoms in computer work. J Occup Rehabil Feb 16 [Epub ahead of print]

  • Hagberg M, Silverstein B, Wells R, Smith MJ, Hendrick HW, Carayon P, Pérusse M (1995) Work related musculoskeletal disorders (WMSDs): a reference book for prevention. Taylor and Francis, London

    Google Scholar 

  • Karasek RA, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B (1998) The Job Content Questionnaire (JCQ). An instrument for internationally comparative assessment of psychosocial job characteristics. J Occup Health Psychol 3:322–355

    Article  CAS  Google Scholar 

  • Kouri S, Di Giampaolo L, Toto E, Cerrone T, Boscolo P (2001) Anxiety, life style and obstetric history of women working in a high-fashion clothing industry. G Ital Med Lav Ergon 23(4):438–441 [in Italian]

    CAS  Google Scholar 

  • Lundberg U (1999) Stress responses in low-status jobs and their relationship to health risks: musculoskeletal disorders. Ann NY Acad Sci 896:162–172

    Article  CAS  Google Scholar 

  • Macfarlane GJ, Pallewatte N, Paudyal P, Blyth FM, Coggon D, Crombez G, Linton S, Leino-Arjas P, Silman AJ, Smeets RJ, van der Windt D (2009) Evaluation of work-related psychosocial factors and regional musculoskeletal pain: results from a EULAR Task Force. Ann Rheum Dis 68(6):885–891

    Article  CAS  Google Scholar 

  • National Research Council (NRC) and the Institute of Medicine (2001) Musculoskeletal Disorders and the Workplace: Low Back and Upper Extremities. Panel on Musculoskeletal Disorders and the Workplace. Commission on Behavioral and Social Sciences and Education. National Academy Press, Washington

    Google Scholar 

  • Occhipinti E, Colombini D (2004a) The occupational repetitive action (OCRA) methods: OCRA index and OCRA checklist. In: Stanton N (ed) Handbook of human factors and ergonomics methods. CRC Press, Boca Raton, chapter 15(a)

  • Occhipinti E, Colombini D (2004b) The OCRA method: updating of reference values and prediction models of occurrence of work-related musculo-skeletal diseases of the upper limbs (UL-WMSDs) in working populations exposed to repetitive movements and exertions of the upper limbs. Med Lav 95(4):305–319 [in Italian] (b)

    CAS  Google Scholar 

  • Occhipinti E, Colombini D (2007) Updating reference values and predictive models of the OCRA method in the risk assessment of work-related musculoskeletal disorders of the upper limbs. Ergonomics 50(11):1727–1739

    Article  CAS  Google Scholar 

  • Occhipinti E, Colombini D, Occhipinti M (2008) Ocra method: development of a new procedure for analysis of multiple tasks subject to infrequent rotation. Med Lav 99(3):234–241 [in Italian]

    CAS  Google Scholar 

  • Spielberger CD (1983) Manual for the state-trait anxiety inventory STAI Form Y. Mind Garden, Palo Alto, CA (tr. it., Inventario per l’ansia di ‘stato’ e di ‘tratto’ forma Y. Manuale, Organizzazioni Speciali, Firenze, 1989)

  • Spielberger CD, Gorsuch RL, Lushene RE (1970) Manual for the state-trait anxiety inventory (“Self-Evaluation Questionnaire”). Consulting Psychologists Press, Palo Alto

    Google Scholar 

  • Takala EP, Pehkonen I, Forsman M, Hansson GA, Mathiassen SE, Neumann WP, Sjøgaard G, Veiersted KB, Westgaard RH, Winkel J (2010) Systematic evaluation of observational methods assessing biomechanical exposures at work. Scand J Work Environ Health 36(1):3–24

    Article  Google Scholar 

  • Violani C, Cariani D, Floresta A (1993) Uno strumento per l’autovalutazione del disagio psicologico. In: Mamone P (ed) Atti del I congresso Italiano di Psicologia della Salute. Edizioni Kappa, SCL-90 Roma

Download references

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Roberta Bonfiglioli.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Forcella, L., Bonfiglioli, R., Cutilli, P. et al. Analysis of occupational stress in a high fashion clothing factory with upper limb biomechanical overload. Int Arch Occup Environ Health 85, 527–535 (2012). https://doi.org/10.1007/s00420-011-0702-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00420-011-0702-z

Keywords

Navigation