Abstract
Objectives
A casual relationship between temperament, job stress and depressive symptoms has not been established yet. The purpose of this study was to assess the relationships between job stress, temperament and depressive symptoms in female nurses at a Japanese general hospital.
Material and Methods
A self-report survey was conducted among 706 nurses. We measured job stress, temperament, and depressive symptoms using the Brief-Job Stress Questionnaire, the TEMPS-A and a screening scale of items from the Ministry of Health, Labour and Welfare of Japan. In order to examine the causal relationship between the measures the stepwise multiple regression and path analyses were used. Results: Depressive symptoms were modestly correlated with job stress (γ = −0.23–0.30). Except for hyperthymic temperament measures, the correlations between depressive symptoms and temperament types were significant and moderate (γ = 0.36–0.50). Overtime, job control as well as depressive and cyclothymic types of temperament were significantly correlated with depressive symptoms (β = 0.15, p < 0.05; β = 0.19, p < 0.01; β = 0.26, p < 0.001; β = 0.32, p < 0.001, respectively). Path-analysis revealed that depressive and cyclothymic types of temperament influenced depressive symptoms both directly (β = 0.67, p < 0.001) and indirectly via job stress (β = 0.35, p < 0.001 from temperament to job stress; β = 0.20, p < 0.05 from job stress to depressive symptoms). Irritable and anxious types of temperament and quantitative job overload did not contribute to the path-analytic model.
Conclusions
Health care professionals should consider temperament, especially depressive and cyclothymic types, in order to help employees cope better with job stress factors. We need further research about the effective intervention to help employees better cope with their job stress.
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References
Bagaajav A, Myagmarjav S, Nanjid K, Otgon S, Chae Y. Burnout and job stress among Mongolian doctors and nurses. Ind Health. 2011;49(5):582–588. http://dx.doi.org/10.2486/indhealth.MS1256.
Bonneterre V, Liaudy S, Chatellier G, Larg T, de Gandemaris R. Reliability, validity, and health issues arising from questionnaires used to measure Psychosocial and Organizational Work Factors (POWFs) among hospital nurses: A critical review. J Nurs Meas. 2008;16(3):207–230. http://dx.doi.org/10.1891/1061-3749.16.3.207.
Griep RH, Rotenberg L, Vasconcellos AG, Landsbergis P, Comana CM, Alves MG. The psychometric properties of demand-control and effort-reward imbalance scales among Brazilian nurses. Int Arch Occup Environ Health. 2009;82(10):1163–1172. http://dx.doi.org/10.1007/s00420-009-0460-3.
Joivet A, Caroly S, Ehlinger V, Kelly-lrving M, Delpierre C, Balducci F, et al. Linking hospital workers’ organizational work environment to depressive symptoms: A mediating effect of effort-reward imbalance? The ORSOSA study. Soc Sci Med. 2010;71(3):534–540. http://dx.doi.org/10.1016/j.socscimed.2010.04.003.
Kikuchi Y, Nakaya M, Ikeda M, Narita K, Takeda M, Nishi M. Effort-reward imbalance and depressive state in nurses. Occup Med. 2010;60:231–233. http://dx.doi.org/10.1093/occmed/kqp167.
Pratt M, Kerr M, Wong C. The impact of ERI, burnout, and caring for SARS patients on hospital nurses’ self-reported compliance with infection control. Can J Infect Control. 2009;24(3):167–172.
Schulz M, Damkroger A, Heins C, Wehlitz L, Lohr M, Driessen M, et al. Effort-reward imbalance and burnout among German nurses in medical compared with psychiatric hospital settings. J Psychiatr Ment Health Nurs. 2009;16(3):225–233. http://dx.doi.org/10.1111/j.1365-2850.2008.01355.x.
Schulz M, Damkronger A, Voltmer E, Lowe B, Driessen M, Ward M, et al. Work-related behaviour and experience pattern in nurses: Impact on physical and mental health. J Psychiatr Ment Health Nurs. 2011;18(5):411–417. http://dx.doi.org/10.1111/j.1365-2850.2011.01691.x.
Kraepelin E. [Psychiatry — A textbook for students and physicians]. Leipzig: Johann Ambrosius Barth; 1913. German.
Kretschmer E. [Body type and character]. Berlin: Springer; 1955. p. 21–22. German.
Tellenbach H. [Melancholy]. Berlin: Springer; 1961. http://dx.doi.org/10.1007/978-3-662-12458-1. German.
Shimoda K. On manic depressive illness. Yonago Med Mag. 1949;2:1–2.
Akiskal H, Placidi G, Signoretta S, Liguori A, Gervasi R, Maremmami I, et al. TEMPS-I: delineating the most discriminant traits of the cyclothymic, depressive, irritable, and hyperthymic temperaments in a nonpatient population. J Affect Disord. 1998;51:7–19. http://dx.doi.org/10.1016/S0165-0327(98)00152-9.
Akiskal H, Akiskal K, Hayakal R, Manning J, Connor P. TEMPS-A: Progress towards validation of a self-rated clinical version of the temperament evaluation of the Memphis, Pisa, Paris, and San Diego autoquestionnaire. J Affect Disord. 2005;85:3–16. http://dx.doi.org/10.1016/j.jad.2004.12.001.
Matsumoto S, Akiyama T, Tsuda H, Miyake Y, Kawamura Y, Noda T, et al. Reliability and validity of TEMPS-A in a Japanese non-clinical population: Application to unipolar and bipolar depressives. J Affect Disord. 2005;85:85–92. http://dx.doi.org/10.1016/j.jad.2003.10.001.
Sakai Y, Akiyama T, Miyake Y, Kawamura Y, Tsuda H, Kurabayashi L, et al. Temperament and job stress in Japanese company employees. J Affect Disord. 2005;85:101–112. http://dx.doi.org/10.1016/j.jad.2004.03.012.
Tei-Tominaga M, Akiyama T, Miyake Y, Sakai Y. The relationship between temperament, job stress and overcommitment: A cross-sectional study using the TEMPS-A and a scale of ERI. Ind Health. 2009;47:509–517. http://dx.doi.org/10.2486/indhealth.47.509.
Kikuchi Y, Nakaya M, Ikeda M, Takeda M, Nishi M. Temperaments and job stress in female nurses. Occup Med. 2013;63:123–128.
Jurado D, Gurpegui M, Moreno O, Fernandez MC, Luna JD, Galvez R. Association of personality and work conditions with depressive symptoms. Eur Psychiatry. 2005;20:213–222. http://dx.doi.org/10.1016/j.eurpsy.2004.12.009.
Paterniti S, Niedhammer I, Lang T, Consoli SM. Psychosocial factors at work, personality traits and depressive symptoms; longitudinal results from the GAZEL Study. Br J Psychiatry. 2002;181:111–117.
Tei-Tominaga M, Akiyama T, Sakai Y. Effect of affective temperaments assessed by the TEMPS-A on the relationship between work-related stressors and depressive symptoms among workers in their twenties to forties in Japan. Depression Res Treat. 2012;2012. http://dx.doi.org/10.1155/2012/469384.
Shimomitsu T, Yokoyama K, Ohno H, Maruta T, Tanigawa T. [Manual of the brief job stress questionnaire. Reports on the study of job stress and its effects on health in the workplace: The research grant for the prevention of work-related diseases from the Japan Ministry of Labor]. Tokyo: The Ministry of Labor; 2000, p. 17–27. Japanese.
Fujisawa D, Tanaka E, Sakamoto S, Neichi K, Nakagawa A, Ono Y. The development of a brief screening instrument for depression and suicidal ideation for elderly: The depression and suicide screen. Psychiatry Clin Neurosci. 2005;59;634–638. http://dx.doi.org/10.1111/j.1440-1819.2005.01429.x.
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Kikuchi, Y., Nakaya, M., Ikeda, M. et al. Relationship between job stress, temperament and depressive symptoms in female nurses. IJOMEH 27, 426–434 (2014). https://doi.org/10.2478/s13382-014-0270-z
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DOI: https://doi.org/10.2478/s13382-014-0270-z