Skip to main content
Log in

A longitudinal study of work load and variations in psychological well-being, cortisol, smoking, and alcohol consumption

  • Published:
Annals of Behavioral Medicine

Abstract

The effects of variations in work load (indexed by paid work hours) on psychological well-being, cortisol, smoking, and alcohol consumption were examined in a sample of 71 workers (44 women, 27 men) in the retail industry. Measures were obtained on four occasions over a six-month period, and assessments were ranked individually according to hours of work over the past seven days. Job strain (demand/control) and job social support were evaluated as potential moderators of responses. Paid work hours ranged from a mean of 32.6 to 48.0 hours per week, and ratings of work-home conflict and perceived stress varied across assessments. Salivary cortisol was inversely associated with job strain and did not vary across sessions. Female but not male smokers consumed more cigarettes during periods of long work hours, and self-reported smoking and cotinine concentrations were greater among smokers with higher nicotine dependency scores. Men but not women with poor social supports consumed more alcohol as work hours lengthened. These data indicate that health behaviors are affected only to a limited extent by variations in work load. Results are discussed in the context of adaptation to work and the pathways linking stressful experience with health risk.

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.

Similar content being viewed by others

References

  1. Adler N, Matthews KA: Health psychology: Why do some people get sick and some stay well?Annual Review of Psychology. 1994,45:229–259.

    Article  PubMed  CAS  Google Scholar 

  2. Steptoe A, Wardle J: Psychophysiological processes in disease. In Steptoe A, Wardle J (eds),Psychosocial Processes and Health: A Reader. Cambridge, England: Cambridge University Press, 1994.

    Google Scholar 

  3. Hingson R, Mangione T, Barrett J: Job characteristics and drinking practices in the Boston metropolitan area.Journal of Studies on Alcohol. 1981,42:725–738.

    PubMed  CAS  Google Scholar 

  4. Johansson G, Johnson JV, Hall EM: Smoking and sedentary behavior as related to work organization.Social Science and Medicine. 1991,32:837–846.

    Article  PubMed  CAS  Google Scholar 

  5. Cooper ML, Russell M, Frone MR: Work stress and alcohol effects: A test of stress-induced drinking.Journal of Health and Social Behavior. 1990,31:260–276.

    Article  PubMed  CAS  Google Scholar 

  6. Martin JK, Blum TC, Roman PM: Drinking to cope and self-medication: Characteristics of jobs in relation to workers' drinking behavior.Journal of Organisational Behavior. 1992,13:55–71.

    Article  Google Scholar 

  7. Green KI, Johnson JV: The effects of psychosocial work organization on the prevalence of cigarette smoking among male chemical plant employees.American Journal of Public Health. 1990,80:1368–1371.

    Article  PubMed  CAS  Google Scholar 

  8. Kirkcaldy BD, Cooper CL, Brown JM, Athanasou JA: Job stress and health profiles of smokers, ex-smokers and non-smokers.Stress Medicine. 1994,10:159–166.

    Article  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  10. Steptoe A, Wardle J, Pollard TM, Canaan L, Davies GJ: Stress, social support and health-related behavior: A study of smoking, alcohol consumption and physical exercise.Journal of Psychosomatic Research. 1996,41:171–180.

    Article  PubMed  CAS  Google Scholar 

  11. West R, Russell MAH: Pre-abstinence smoke intake and smoking motivation as predictors of severity of cigarette withdrawal symptoms.Psychopharmacology. 1985,87:334–336.

    Article  PubMed  CAS  Google Scholar 

  12. Cooper ML, Frone MR, Russell M, Mudor P: Drinking to regulate positive and negative emotions: A motivational model of alcohol use.Journal of Personality and Social Psychology. 1995,69:990–1005.

    Article  PubMed  CAS  Google Scholar 

  13. Schnall PL, Landsbergis PA, Baker D: Job strain and cardiovascular disease.Annual Review of Public Health. 1994,15:381–411.

    Article  PubMed  CAS  Google Scholar 

  14. Stansfield SA, North FM, White I, Marmot MG: Work characteristics and psychiatric disorder in civil servants in London.Journal of Epidemiology and Community Health. 1995,49:48–53.

    Google Scholar 

  15. Lerner DJ, Levine S, Malspeis S, D'Agostino RB: Job strain and health-related quality of life in a national sample.American Journal of Public Health. 1994,84:1580–1585.

    PubMed  CAS  Google Scholar 

  16. Romelsjo A, Hasin D, Hilton M, et al: The relationship between stressful working conditions and high alcohol consumption and severe alcohol problems in an urban general population.British Journal of Addiction. 1992,87:1173–1183.

    Article  PubMed  CAS  Google Scholar 

  17. Seeman M, Seeman A, Budro A: Powerlessness, work and community: A longitudinal study of alienation and alcohol use.Journal of Health and Social Behavior. 1988,29:185–198.

    Article  PubMed  CAS  Google Scholar 

  18. Crum RM, Muntaner C, Eaton WW, Anthony JC: Occupational stress and the risk of alcohol abuse and dependence.Alcoholism, Clinical and Experimental Research. 1995,19:647–655.

    Article  PubMed  CAS  Google Scholar 

  19. Johnson JV, Hall EM, Theorell T: Combined effects of job strain and social isolation on cardiovascular disease morbidity and mortality in a random sample of the Swedish male working population.Scandinavian Journal of Work, Environment and Health. 1989,15:271–279

    PubMed  CAS  Google Scholar 

  20. Frankenhaeuser M, Lundberg U, Fredrikson M, et al: Stress on and off the job as related to sex and occupational stress in white-collar workers.Journal of Organizational Behavior. 1989,10:321–346.

    Article  Google Scholar 

  21. Harenstam A, Theorell T: Cortisol elevation and serum g-glutamyl transpeptidase in response to adverse job conditions: How are they interrelated.Biological Psychology. 1990,31:157–171.

    Article  PubMed  CAS  Google Scholar 

  22. Lundberg U, Granqvist M, Hansson T, et al: Psychological and physiological stress responses during repetitive work at an assembly line.Work and Stress. 1989,3:143–153.

    Article  Google Scholar 

  23. Pollard TM, Ungpakorn G, Harrison GA, Parkes KR: Epinephrine and cortisol responses to work: A test of the models of Frankenhaeuser and Karasek.Annals of Behavioral Medicine. 1996,18:229–237.

    PubMed  CAS  Google Scholar 

  24. Brantley PJ, Dietz LS, McKnight GT, Jones GN, Tulley R: Convergence between the Daily Stress Inventory and endocrine measures of stress.Journal of Consulting and Clinical Psychology. 1988,56:549–551.

    Article  PubMed  CAS  Google Scholar 

  25. Van Eck M, Berkhof H, Nicolson N, Sulon J: The effects of perceived stress, traits, mood states, and stressful daily events on salivary cortisol.Psychosomatic Medicine. 1996,58:447–458.

    PubMed  Google Scholar 

  26. Mardberg B, Lundberg U, Frankenhaeuser M: The total workload of parents employed in white-collar jobs: Construction of a questionnaire and a scoring system.Scandinavian Journal of Psychology. 1991,32:233–239.

    Google Scholar 

  27. Karasek RA, Theorell T:Healthy Work, New York: Basic Books, 1990.

    Google Scholar 

  28. Steptoe A, Fieldman G, Evans O: An experimental study of the effects of control over work pace on cardiovascular responsivity.Journal of Psychophysiology. 1993,7:290–300.

    Google Scholar 

  29. Steptoe A, Roy MP, Evans O, Snashall D: Cardiovascular stress reactivity and job strain as determinants of ambulatory blood pressure at work.Journal of Hypertension. 1995,13:201–210.

    Article  PubMed  CAS  Google Scholar 

  30. Wall TB, Jackson PR, Mullarkey S, Parker SK: The demand-control model of job strain: A more specific test.Journal of Occupational and Organizational Psychology. 1996,69:153–166.

    Google Scholar 

  31. Cooper ML, Russell M, Skinner JB, Windle M: Development and validation of a three-dimensional measure of drinking motives.Psychological Assessment. 1992,4:123–132.

    Article  Google Scholar 

  32. Cohen S, Kamarck T, Mermelstein R: A global measure of perceived stress.Journal of Health and Social Behavior. 1983,24:386–396.

    Article  Google Scholar 

  33. Goldberg D:Manual of the General Health Questionnaire. Windsor: NFER-Nelson, 1972.

    Google Scholar 

  34. Dressendörfer RA, Kirschbaum C, Rohde W, Stahl F, Strasburger CJ: Synthesis of a cortisol-biotin conjugate and evaluation as a tracer in an immunoassay for salivary cortisol measurement.Journal of Steroid Biochemistry and Molecular Biology. 1992,43:683–692.

    Article  PubMed  Google Scholar 

  35. Feyerabend C, Russell MAH: A rapid gas-liquid chromatographic method for the determination of cotinine and nicotine in biological fluids.Journal of Pharmacy and Pharmacology. 1990,42:450–452.

    PubMed  CAS  Google Scholar 

  36. Fletcher BC, Jones F: A refutation of Karasek's demand-discretion model of occupational stress with a range of dependent measures.Journal of Organizational Behavior. 1993,14:319–330.

    Article  Google Scholar 

  37. Warr PB: Decision latitude, job demands and employee well-being.Work and Stress. 1990,4:285–294.

    Article  Google Scholar 

  38. Pollard TM: Use of cortisol as a stress marker: Practical and theoretical problems.American Journal of Human Biology. 1995,7:265–274.

    Article  Google Scholar 

  39. Theorell T, Perski A, Akerstedt T, et al: Changes in job strain in relation to changes in physiological state.Scandinavian Journal of Work, Environment & Health. 1988,14:189–196.

    CAS  Google Scholar 

  40. Cooper ML, Russell M, Skinner JB, Frone MR, Mudor P: Stress and alcohol use: Moderating effects of gender, coping and alcohol expectancies.Journal of Abnormal Psychology. 1992,101:139–152.

    Article  PubMed  CAS  Google Scholar 

  41. Schutte KK, Moos RH, Brennan PL: Depression and drinking behavior among women and men: A three-wave longitudinal study of older adults.Journal of Consulting and Clinical Psychology. 1995,63:810–822.

    Article  PubMed  CAS  Google Scholar 

  42. Central Statistical Office:Annual Abstract of Statistics 1996. London: HMSO, 1996.

    Google Scholar 

  43. Office of Population Census and Surveys:Standard Occupational Classification. London: HMSO, 1990.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Preparation of this manuscript was supported in part by the Economic and Social Research Council through its research programme intoThe Nation's Diet and in part by the Biotechnology and Biological Sciences Research Council, UK.

About this article

Cite this article

Steptoe, A., Wardle, J., Lipsey, Z. et al. A longitudinal study of work load and variations in psychological well-being, cortisol, smoking, and alcohol consumption. ann. behav. med. 20, 84–91 (1998). https://doi.org/10.1007/BF02884453

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02884453

Keywords

Navigation