Factors Associated with Employee Stress in Psychiatric Rehabilitation: Identifying Vulnerability and Resilience

Abstract

ABSTRACTUse of sick days related to mental stress and burnout is a growing problem in Germany. Since stress is related to work demands, there is a substantial need for suitable workplace health promotion programs. This study identifies several organizational and personal stress predictors and presents a predictive model for workers in the field of psychiatric rehabilitation. A cross-sectional design was utilized to collect the self-ratings of employees (n = 243) who typically work with patients. Univariate analyses show, overall, above average stress scores, below average scores in occupational self-efficacy, and a much higher proportion of a gratification crisis (that is, insufficient reward for work performance) compared to other people employed in health care. A multivariate model for predicting the heightened stress indicates the supposed pathogenetic and salutogenetic main effects for organizational variables, such as gratification crisis, and personal variables, such as occupational self-efficacy as well as an interaction of both types of variables. High occupational self-efficacy can attenuate the effect of an existing gratification crisis. Workplace health promotion programs in this field should address organizational and personal variables, in particular occupational self-efficacy and gratification crisis. Future research should focus on interaction effects based on a person-environment-interaction model.