Perception Of Work Stress Research Articles

The Correlation Between Systemic Factors, Citizenship Behaviors, Misbehaviors, and Work Stress in Female Arab Teachers in Israel

The study investigates the correlation among systemic factors including educational system reforms and managerial leadership style, stress levels, and their effects on job performance, work-family balance, and workplace functionality of Arab mothers who are teachers in Israel. However, the study involved 546 Israeli-Arab mothers working as secondary education teachers, who completed questionnaires focusing on conflict expressions, systemic factors, and their effects on work performance indicators. The examination of the results - among others, suggests that the perception of work stress among participants was related to a high level of the two types of conflict as well as to the high prevalence of withdrawal behavior. The second result showed that actively managing was associated with a lower occurrence of withdrawal behavior at all three levels, while also being associated with a higher prevalence of citizenship behavior. On the other hand, workload related to work or family was not a predictor of a higher prevalence of withdrawal behaviors and a low prevalence of citizenship behavior. In an understudied field, the current research presents the multi-factorial complexity of the systemic factors in Arab schools in Israel and their impact on work functioning. The practical outcomes are both organizational and social and they concern both the managers and the family environment of the teachers. The study shows that the manager’s support is a crucial factor in mitigating the Work-family conflict. Thus, it is suggested to encourage school managers’ willingness to give teachers support and a more lenient work environment to help mitigate their work-related stress.

Preliminary Study of the Perception of Work Stress and Cardiovascular Diseases in Administrative Personnel of the Faculty of Medicine and Surgery, URSE

Cardiovascular diseases (CVD) include coronary heart disease, cerebrovascular disease, heart failure, peripheral artery disease, and are the leading causes of morbidity and mortality among adults worldwide. The objective of the present study was to determine the relationship between work stress and risk factors for cardiovascular disease in the group of administrative workers of the Faculty of Medicine and Surgery of the Universidad Regional del Sureste (URSE), Oaxaca, Mexico. This was a descriptive cross-sectional study. The target population of the study was the total number of administrative workers assigned to the Faculty of Medicine and Surgery, URSE. The Perceived Stress Scale Questionnaire (PSS-14) was used and the database was exported to SPSS statistical software for statistical analysis. The reliability level for the test as a whole presented a Cronbach alpha of 0.8809. To determine cardiovascular risk in study subjects, the risk calculator provided by the Mexican Social Security Institute (IMSS) was used. The mean age of the heart was 37.29 years, which implies a risk percentage of 2.44%, therefore, we can indicate that our study population is out of risk with respect to this element. In conclusion, we can say that most of the administrative staff of the School of Medicine and Surgery have a low level of work stress and only 17.64% are considered to have an intermediate level of stress; among the main stressors or related stimuli are the feeling of overpressure, as well as the lack of collaborative work.

Driving Cognitive Alertness Detecting Using Evoked Multimodal Physiological Signals Based on Uncertain Self-Supervised Learning.

Multimodal physiological signals play a pivotal role in drivers' perception of work stress. However, the scarcity of labels and the multitude of modalities render the utilization of physiological signals for driving cognitive alertness detection challenging. We thus propose a multimodal physiological signal detection model based on self-supervised learning. First, in order to mine the intrinsic information of data and enable data to highlight effective information, we introduce a multiscale entropy (MSE) evoked attention mechanism. Secondly, the multimodal patches undergo processing through a novel cascaded attention mechanism. This attention mechanism is rooted in patch-level interactions within each modality, progressively integrating and interacting with other modalities in a cascading manner, thereby mitigating computational complexity. Moreover, a multimodal uncertainty-aware module is devised to effectively cope with intricate variations in the data. This module enhances its generalization ability through the incorporation of uncertain resampling. Experiments were conducted on the DriveDB dataset and the CogPilot dataset with both the linear probing and the fine-tuning evaluation protocols. Experimental results in subject-dependent setting show that our model significantly outperforms previous competitive baselines. In the linear probing evaluation, our model achieves on average 6.26%, 6.64%, and 7.75% improvements in Accuracy (Acc), Recall (Rec), and F1 Score. It also outperforms other models by 7.96% in Acc, 9.13% in Rec, and 9.2% in F1 using the fine-tuning evaluation. Furthermore, our model also demonstrates robust performance in subject-independent setting.

Perceived Work Stress and Quality of Life Among Bankers in Southwest Nigeria.

Work-related stress is the response people may have when presented with work demands and pressures that are not matched to their knowledge and abilities and challenge their ability to cope. The World Health Organization (WHO) defines quality of life (QOL) as individuals' perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards, and concerns. This study aimed to determine the pattern of perceived work stress and its impact on the QOL of bankers in Ado-Ekiti, Southwest Nigeria. This was a cross-sectional study conducted among three hundred and two bankers in Ado-Ekiti, Ekiti State. The single-stage study obtained data on the socio-demographics, work history, and medical history of respondents with the socio-demographic questionnaire. The perception of work stress by the respondents was assessed with the Perceived Stress Scale (PSS-10), and the QOL was assessed with the WHO QOL Brief Version (WHOQOL-BREF). Fifty-seven (18.9%) had a low perception of stress, 233 (77.1%) had a moderate perception of stress, and 12 (4.0%) had a high perception of stress. In this study, an association was found between perceived work stress and social relationship domain of QOL. This study showed that there is a high prevalence of moderately perceived work stress among bankers. It also showed a significant association between perceived work stress and QOL.

ANALISISIS PERSEPSI STRES KERJA TENAGA KESEHATAN DI MASA PANDEMI COVID-19 DI RUMAH SAKIT “X” DI SUMATERA SELATAN TAHUN 2021

The COVID-19 pandemic has had a profound effect on all aspects of society, including mental health and physical health. WHO and public health authorities around the world are acting to control the COVID-19 outbreak. However, this time of crisis creates stress throughout the population. Fear and anxiety about this new disease, plus other factors can influence job stress (WHO, 2021). "The high risk of suffering from burnout syndrome due to exposure to unusually severe stress in health facilities during this pandemic can have long-term effects on the quality of medical services because these health workers can feel depressed, extreme fatigue and even feel less competent in carrying out their duties, and this is certainly have an unfavorable impact on our efforts to combat COVID-19," (FKUI, 2020). This research is about the perception of work stress of health workers at Hospital 'X' in South Sumatra. The purpose of this study was to analyze the perception of work stress for Health Workers at Hospital 'X' in South Sumatra during the Covid-19 pandemic. The type of research used is correlation research. The results of the study show that the company's regulation (X1) has a significance value of 0.743 > 0.05 which means that the company's regulation (X1) has no effect on symptoms of stress (Y) Anxiety (X2) has a significance value of 0.461 > 0.05 which means that Worries (X2) do not affect the symptoms of stress (Y) Workload (X3) a significance value of 0.007 <0.05, it means that there is an effect of workload (X3) on symptoms of stress. Workload and working conditions affect the symptoms of stress in health workers because excessive workload causes pressure and can cause stress.   Keywords        : Work Stress, Health Workers, Covid-19 Pandemic

A study of work stress and coping among primary school teachers in the Wellington region

This research examines the perception of work stress among primary school teachers in the Wellington region. Specifically, it focuses on the way teachers perceive work stress, the contributing factors and the coping strategies employed. Interpretative phenomenological analysis is the qualitative approach and methodology chosen to examine the way teachers make sense of their stress experiences. The educational sector in New Zealand has undergone enormous legislative and organisational change and in the recent past there have been nationwide primary school teacher strikes. While research on teacher stress in New Zealand in relation to the 1989 major reforms has been published, there has been little recent qualitative research on work stress in primary school teachers.
 This study shows that these teachers experience moderate to high levels of stress because of work overload, the multiplicity of sources of stress, the emotional demands of the role and the frustration and constraints they face in role performance. Even so, these teachers derive satisfaction from the core job of teaching and utilise positive coping strategies to manage their stress and work demands, with most of them intending to stay in the role. However, the sustainability of the role of teaching is a concern, as societal misperceptions about teaching and lack of respect for them pose challenges for those continuing in the profession long term. This study contributes to the base literature on teacher stress in the New Zealand context and offers recommendations for supporting the well-being of primary school teachers.

Investigation of the Relationship between Organizational Democracy and Job Stress Level Perceptions of Administrators and Teachers

This study aims to determine the relationship between the levels of work stress and the democratic perceptions of principals and teachers. The research was conducted in public schools located in Isparta. Correlational research design is followed.Interestingly, participants’ perceptions of accountability for their superiors significantly predict the job stress levels of administrators and teachers positively. This can be interpreted as the perception of accountability increases, job stress increases. The fact that principals and teachers are supervised frequently by their managers, who gives importance to accountability, may cause pressure them. Additionally, it was observed that the perception of justice and equality significantly predicted the stress levels of teachers and administrators negatively. This finding can be interpreted that the increase in the fair attitude of the managers towards the employees and demonstrating equal behaviors cause a lower level of work stress.Moreover, the gender of principals and teachers predicted work stress significantly. It was determined that male participants’ perception of job stress was higher than female participants. However, the seniority of administrators and teachers did not significantly predict the perception of work stress. Finally, the transparency and participation dimension of the organizational democracy did not significantly predict the job stress levels of administrators and teachers. This may be a result of a centralized organizational structure.Based on the research findings, recommendations were given to reduce the work stress experienced by principals and teachers and develop a culture of democracy in educational organizations.

Gestão diretiva e estresse laboral do profissional docente: um olhar a partir da pandemia COVID-19

O artigo tem como objetivo descrever a gestão diretiva com o estresse laboral dos professores desde a pandemia Covid-19 na Escola San Ignacio de Viña del Mar, Região de Valparaíso, Chile. Para tanto, utilizou-se uma abordagem quantitativa, descritiva e exploratória. Os participantes foram atendidos por 87 educadores da referida instituição, submetidos a exame de censura em função da intensificação da investigação. Os resultados indicam que os professores estabelecem relações de colaboração com seus colegas de trabalho por meio da conectividade e ainda há necessidade de considerar competências e habilidades na realização da práxis educacional. Os achados constataram que o diretor da escola não articula os recursos necessários ao bom funcionamento do corpo docente. A situação de pandemia não tem impacto significativo sobre os resultados do estresse no trabalho percebido. Isso pode ser explicado pelo esforço que implica para o educador realizar seu trabalho pedagógico.

The Effect of Workload Perception and Occupational Stress on Medical Error Attitudes of Nurses Working in Surgical Clinics

Objectives: The study was conducted to determine workload perception and effects of occupational stress on medical error attitudes of nurses working in surgical clinics.Method: This descriptive study was connducted with 100 nurses employed at surgery clinics, Ordu State Hospital and Training and Research Hospital of Ordu University, Turkey. The data were collected using Descriptive Questionnaire Form, Occupational Stress Scale, Individual Workload Perception Scale and Medical Error Attitudes Scale between September and December 2015.Results: There is not any significant relationship between the average scores of all three scales when they are compared with each other (p>0.05). The surgical nurses’ average score on the individual workload perception scale is 73.37±9.06, their average score on the occupational stress scale is 42.21±4.99, and their average score on the medical error attitude scale is 40.86 ±5.40. It was determined that workload perception and occupational stress in the nurses employed in surgical clinics did not have effect on the medical error attitudes. (r=0.712).Conclusion: In this study, it was observed that nurses’ perception of work stress and work overload did not affect medical error attitudes. The overall average scores of surgical nurses on the scales of individual workload perception, occupational stress, and medical error attitude are directly proportional.

Changes in work stress among doctors in Norway from 2010 to 2019: a study based on repeated surveys

Abstract Background Changes in the organization of health care can influence the doctors` working conditions, which may in turn impact on doctors` perception of work stress. Since high levels of work stress can affect both the doctors’ own health and the quality of patient care, it is of importance for public health. We studied changes in work stress among Norwegian doctors from 2010 to 2018-19, and the associations of high work stress with job positions, self-rated health and sickness absence in 2018-19. Methods The study populations consisted of representative samples of 1,500 to 2,200 doctors working as hospital doctors, general practitioners (GPs), private practice specialists and doctors in academia. Data were drawn from nationwide repeated postal surveys in 2010, 2016 and 2018-19 in Norway. Response rates were between 67%-73%. The main outcome measure was perception of work stress as measured by the validated short form of the Effort-Reward Imbalance Questionnaire (ERI). Linear mixed models, proportions with 95% confidence intervals and logistic regression model were used in the analyses. Results From 2010 to 2018-19, the scores on the effort items (time pressure, responsibility, demands) increased significantly and the scores on the reward items (recognition, job stability, promotion prospects, prestige) decreased significantly for GPs, but remained stable for doctors in other positions. The proportion of doctors with high levels of work stress increased significantly for GPs. In 2018-19, high levels of work stress were associated with being a GP as compared with other job positions, younger age groups, average or poor health vs. very good or good health, but not with sickness absence or gender. Conclusions During a nine-year-period, work stress increased significantly for GPs, but remained stable for other job positions. This may be partly due to several health care reforms. Less work stress may improve both the doctors` own health and the quality of health care. Key messages From 2010 to 2018-19 in Norway, the proportion of GPs with high levels of work stress increased, while it remained stable for doctors in other job positions. This study supports previous findings on the association between high levels of work stress and health.

Employee perception of work stress in a large construction company in Australia

Managing stress effectively is touted to be a key determinant of increased performance. It is however believed that individuals perceive and cope with stress differently. This thus makes stress management more complicated in construction. The aim of this research is to investigate the perceived work stress of construction employees by examining how perceived stress vary across employees and the perceived stress correlate with employee performance. In addressing these, an online questionnaire survey of 187 construction employees was undertaken, and data were analysed using the relative prevalence indexing method, ANOVA and Pearson correlation tests. The overall results show that poor work-life balance and work overloads are the major negative perceived stressors for construction professionals. Furthermore, there were differences in the perceived stress among cadets, operational staff, middle and top management. Lastly, the findings reveal the interpersonal and organisational climate have strong association with employee performance. In conclusion, the findings shed lights on the spectrum of work stress underling employee performance and how different cohorts of employees perceive and experience work stress.

Condiciones de trabajo, estrés laboral, dependencia universitaria y bienestar psicológico en docentes universitarios

<p>En la presente investigación se planteó identificar el efecto de la dependencia universitaria (oficial o privada), sobre la percepción de las fuentes de estrés laboral, la valoración de las condiciones de trabajo y el bienestar psicológico, a través de la comparación del grado de ajuste de dos modelos diferenciados de acuerdo al orden de la influencia causal de las variables mediadoras. Para ello se aplicó la Escala de Bienestar Psicológico (Sánchez-Cánovas, 2007), el Cuestionario de Condiciones de Trabajo (Blanch et al., 2010) y el Inventario de Percepción de Estresores en Docentes Universitarios (Álvarez et al., 2011), a 903 docentes adscritos a 32 instituciones universitarias en Venezuela. Se llevó a cabo un análisis de ruta que arrojó 42 relaciones causales significativas sobre el bienestar psicológico, donde se evidenció que trabajar en una universidad oficial, aumenta la percepción estrés laboral proveniente de aspectos económicos, lo materiales y lo políticos, quienes a su vez impactan en la evaluación negativa de ciertas condiciones de trabajo y con ello impactando negativamente sobre el bienestar psicológico. Se destaca también en los resultados obtenidos que la preocupación de los docentes por el nivel académico de los estudiantes, amortigua el impacto negativo sobre el bienestar. El aporte fundamental de este trabajo fue esclarecer el efecto que tienen como factores de riesgo para el bienestar psicológico de los docentes universitarios algunas variables propias de la organización universitaria, lo cual podría ayudar a diseñar o priorizar estrategias de intervención específicas para cada dependencia.</p>

How does auditors’ work stress affect audit quality? Empirical evidence from the Chinese stock market

With reference to the Job Demands–Control Model, we empirically examine the effect of auditors’ work stress on audit quality using a sample of Chinese A-share listed companies and their signature auditors from 2009 to 2013. The results show that (1) there is generally no pervasive deterioration in audit quality resulting from auditors’ work stress; (2) there is a significant negative association between work stress and audit quality in the initial audits of new clients; and (3) the perception of work stress depends on auditors’ individual characteristics. Auditors from international audit firms and those in the role of partner respond more strongly to work stress than industry experts. Auditors tend to react more intensively when dealing with state-owned companies. We suggest that audit firms attach more importance to auditors’ work stress and rationalize their allocation of audit resources to ensure high audit quality.

Nivel de estrés del personal de enfermería de la Unidad de Cuidados Intensivos de un hospital clínico universitario

The objective was to determine the work stress level among nursing staff in the Intensive Care Unit of a university hospital and to analyse its relationship with the various sociodemographic and working variables of the studied sample.A study was designed using a quantitative, descriptive and cross-sectional approach. The target population of the study was the nursing staff selected by non-random sampling. The instrument used was the Job Content Questionnaire. Data analysis was performed using SPSS 20. The mean, ranges and standard deviation for each of the variables were calculated. A bivariate analysis was also performed on the social and occupational variables of the sample.The participation rate was 80.90% (N=89). The mean of the Social support dimension was 3.13±0.397, for the Psychological demands at work dimension it was 3.10±0.384, with a mean of 2.96±0.436 being obtained for the Control over the work dimension. In the analysis of sociodemographic and work variables of the sample, only the professional category was significant, with nurses recording higher values in perception of job demands and control over their work compared to nursing assistants.In conclusion, there is a moderate perception of work stress in the analysed group of professionals. Among the sources of stress in the workplace was the low control in decision-making by practitioners, as well as the need to continually learn new things. On the other hand, the support received from colleagues is valued positively by the sample.

Patient satisfaction, stress and burnout in nursing personnel in emergency departments: A cross-sectional study

BackgroundPatient satisfaction is considered a measure of the status of the interaction between health- care professionals and service users. The level of this measure indicates the quality of the care received. Burnout is a common phenomenon in nursing professionals and it is a response to the chronic occupational stress. Different studies have shown a link between patient satisfaction and stress and burnout syndrome experienced by nursing personnel in various hospital units. ObjectivesThe main objective of this study was to analyze the associations between patients’ satisfaction with emergency services and perception of work stress and burnout by the nursing professionals who looked after these patients at a group level. DesignThe study followed a descriptive and cross-sectional design; the data were collected by means of questionnaires. SettingEmergency services at two general hospitals in Murcia (Spain). ParticipantsTwo samples, one formed of emergency service nursing professionals (n=148) and the other formed by patients (n=390), who were grouped in 48 units of analysis. MethodsTo evaluate perception of stress and burnout of the nursing personnel, we used the Spanish adaptation of the Nursing Stress Scale for hospital emergency nursing personnel, and the Spanish adaptation of the Maslach Burnout Inventory, respectively. A Spanish adaptation of the La Mónica-Obsert Patient Satisfaction Scale was used to define the patients’ feelings about their nursing care. Moreover, some socio-demographic variables and the length of stay in the emergency unit were included in the protocol. Before statistical analysis, the data were collated at a group level. The intraclass correlation coefficients and the Average Deviation Index support the aggregation of these data at a unit level. ResultsNeither perception of stress nor the various elements of burnout experienced by nursing staff were related to patients’ levels of satisfaction. We observed a significant and positive association between stress perception among the nurses and two of the burnout dimensions, namely emotional exhaustion and cynicism. The length of stay of the patients in the emergency department was negatively related to the frequency of nurses experiencing perceived stress as well as the burnout dimension of cynicism. ConclusionsNo significant association was observed between experiences of stress and burnout dimensions by nursing professionals and the satisfaction with care received reported by their patients. These findings could be explained by the professional and organizational characteristics of the unit. Finally, the limitations and implications of the study are discussed, as well as future research questions related to research of the associations between occupational stress, burnout and patient satisfaction.

Remedy for Work Stress: the Impact and Mechanism of Ethical Leadership.

Ethical leadership was characterized by integrity, honesty and trustworthiness. The purpose of this study was to investigate whether and how ethical leadership relates to employees' work stress, specifically the mediating role of leader-member exchange (LMX), which referred to the dyadic exchange relationships between supervisors and subordinates within the workplace. Cross-sectional data for ethical leadership, LMX, perception of work stress, and control variables were collected through the questionnaire that included 47 multiple-choice questions and 3 open-ended questions. Double-blind design was adopted in this study. Hypotheses were tested by hierarchical regression analysis. 203 first-line technical support employees from a communications enterprise participated in this study (return ratio 98.5%). Of the respondents, 58.6% were male, average age was 35.24 years, average years in the company and in current position were 13.67 years and 11.12 years, respectively. Results revealed that the subjective evaluation of supervisors' ethical leadership was negatively related to employees' perception of work stress (β=-0.24, p<0.001), and this relationship was completely mediated by LMX. Through establishing high-quality LMX, ethical leadership played an important role in relieving employees' perception of work stress.

Nurses’ working motivation sources and related factors: A questionnaire survey

Background : Motivation is an important issue for personnel management in health care settings, as it is related to both performance and intention to quit. Objectives : The study was aimed to determine nurses’ working motivation sources and related factors in hospitals. Design : Descriptive study. Settings : A state university hospital and a public hospital in Turkey. Participants : Two hundred and two nurses were randomly selected from each department in a university and in a public hospital. Methods : Data were collected using a socio-demographic questionnaire and the Motivation Sources Inventory and were analyzed using descriptive and inferential statistics. Results : Among five motivation sources, internal self-concept-based motivation was the highest and intrinsic process motivation was the lowest in nurses. There was a significant relation between scores of some motivation sources and managerial experience, income level, satisfaction from the unit, staff roles, and perception of work stress. Conclusions : Intrinsic process motivation, instrumental motivation, and external self-concept-based motivation sources may be improved to increase nurses’ total motivation.

Public sector managers and work stress

Purpose– The purpose of this paper is to identify the determinants of perceived work-related stress among public sector managers.Design/methodology/approach– A general questionnaire-based survey of managers at all managerial levels in Danish organizations concerning the content of their job and the way it is practiced (n=1,500, response rate 72 per cent) are applied. For the purpose of this paper only specific information related to the perception of work stress among public sector managers is analyzed (n=400).Findings– The perception of stress are influenced by factors like gender, managerial level, work load, the influence on own job situation, if they have children living at home as well as the percentage of work-at-home.Research limitations/implications– In a general survey work stress is one among a larger number of issues. This fact may influence the validity of the information – in a positive as well as a negative way. However, the findings point to issues which call for more in-depth analyses.Practical implications– The identified significant determinants influencing the perception of stress point to issues where preventive initiatives can be taken.Social implications– Since work-related stress may cause absence from work it may influence production and the health system. If preventive measures can be taken a positive impact on the economy may be the result.Originality/value– Work-related stress has been studied before. But little focus has been given to the public sector and especially managers. Furthermore, including a variety of potential explanatory determinants such a work-life balance, psycho-social work characteristics, gender and managerial level – as well as the potential interaction between them – give a detailed platform for the analyses.

Vagal tone mediates the association between work stress and glycemic status: results from the Mannheim Industrial Cohort Study (MICS)

Introduction: The WHO has declared work related stress as one of the primary challenges in the 21st century. More important, work stress is recognized as a significant determinant for health. We previously showed that work stress is associated with an increased risk of pre-diabetes and diabetes in apparently healthy workers. Likewise, an increased perception of work stress is negatively associated with autonomic nervous system (ANS) function as indicated by heart rate variability (HRV). We investigate to what extend the association between work stress and glycemic status is mediated through HRV. Methods: We utilized a large secondary data set from the Mannheim Industrial Cohort Study, conducted by Health Vision Ltd.. A total of 13 study sites (Companies from the secondary sectors) from all over Germany with a total of 9924 participants collected between 2010 – 2012 were available. The root mean squared successive differences (RMSSD) were averaged from long-term heart rate monitoring (beat to beat) for work time and nighttime as indicators of vagal tone. Due to skewed data HRV measures were log-transformed. Glycemic status was indexed by fasting plasma glucose (FPG) and glycosylated hemoglobin (HbA1c). Work stress was indexed by Effort-Reward Imbalance (ERI) to quantify the degree of failed reciprocity of social interaction in the work context. Stress is apparent if an imbalance between high ''cost'‘ and low ''gain'‘ exists (ratio > 1). We used structural equation modeling (SEM), with maximum likelihood with missing values as well as the clustered sandwich estimator relaxing the assumption of independence of observations between study sites. Through all models ERI served as independent, RMSSD as mediator and FPG or HbA1c as dependent variable. All models were additionally adjusted for age and sex. Results: The final sample consists of 9924 individuals (mean age 41.9 ± 10.9, 19% females). In all four models, ERI is significantly negatively associated with log(RMSSD) (path A) at day and nighttime for both FPG and HbA1c. ERI is significantly positively associated with HbA1c if log(RMSSD) is not in the model (path C). The path C‘ is no longer significant when log(RMSSD) is introduced as mediator in the FPG but not in the HbA1c models. Log(RMSSD) at day and nighttime is significantly negatively associated with FPG and HbA1c. SEM results indicate that 9.5% (HbA1c) or 24% (FPG) of the total effect appears to be mediated in the daytime models and in the nighttime models 6.7% (HbA1c) or 14.1% (FPG). Discussion: In our study we investigate to what extend the association between work stress as indicated by the Effort Reward Imbalance and glycemic status is mediated through vagal tone as indicated by RMSSD. Our results suggest that glycemic status is partly mediated through vagally mediated HRV. On the basis of this data we conclude that work stress may be an additional factor promoting a diabetic metabolic state. If supported by prospective evidence, results point to a new approach towards primary prevention of diabetes.

Coping with work-related stress in health care professionals – strategies for prevention of burnout and depression

The prevalence of depression and burnout among health care professionals is high in Hungary. However, there is limited empirical data on disease prevention among these populations. This study aims at evaluating the mediating role of coping mechanisms in preventing depression and burnout. Cross-sectional survey among 1333 health care professionals. Participants completed self-administered questionnaires about their perception of work stress, burnout and depressive symptoms, as well as their preferred coping strategies. Analyses were performed using structural equation modelling. The prevalence of severe depression and lack of personal accomplishment was 5.6% and nearly 50%, respectively. Work stress predicted symptoms of burnout and depression both directly and indirectly through the mediation by coping strategies. Of the coping strategies, cognitive restructuring, which accentuates the realistic assessment of challenging situations, was found to reduce the probability of the development of burnout and depression symptoms. This study provides further data for the development of cognitive interventional strategies and highlights the significance of these strategies in the prevention of depression and burnout among Hungarian health care professionals.