An exploration of job stress and health in the Norwegian police service: a cross sectional study
Tóm tắt
Police work is regarded as a high-stress occupation, but so far, no nationwide study has explored the associations between work stress and health. To explore physical and mental health among Norwegian police and associations to job stress. Comparisons were made with a nationwide sample of Norwegian physicians and the general Norwegian population. Comprehensive nationwide questionnaire survey of 3,272 Norwegian police at all hierarchical levels, including the Norwegian Police Stress Survey with two factors (serious operational tasks and work injuries), the Job Stress Survey with two factors (job pressure and lack of support), the Basic Character Inventory, the Subjective Health Complaint questionnaire, the Hospital Anxiety and Depression Scale, the Maslach Burnout Inventory, and Paykel's Suicidal Feelings in the General Population. The frequency of job pressure and lack of support was mainly associated to physical and mental health problems. Females showed higher means on anxiety symptoms than males (4.2, SD 2.9 and 3.7, SD 2.9, respectively; p < 0.01), while males showed higher means on depressive symptoms (3.1, SD 2.9 and 2.4, SD 2.5, respectively; p < 0.001). Police reported more subjective health complaints, depersonalization and higher scores on three of four personality traits than physicians, but lower scores on anxiety and depressive symptoms than the general population. This is the first nationwide study to explore job stress and physical and mental health in police. The results indicate that Norwegian police have high levels of musculoskeletal health problems mainly associated to the frequency of job pressure and lack of support. However, also frequent exposure to work injuries was associated to health problems. This may indicate that daily routine work as well as police operational duties must be taken into consideration in assessing job stress and police health.
Tài liệu tham khảo
Anshel MH: A conceptual model and implications for coping with stressful events in police work. Criminal Justice and Behavior 2000, 27: 375–400. [http://cjb.sagepub.com/cgi/content/abstract/27/3/375]
Hart PM, Wearing AJ, Headey B: Police stress and well-being: integrating personality, coping and daily work experiences. Journal of Occupational and Organizational Psychology 1995, 68: 133–156.
Biggam FH, Power KG, MacDonald RR, Carcary WB, Moodie E: Self-perceived occupational stress and distress in a Scottish police force. Work Stress 1997, 11: 118–133.
Kirkcaldy B, Shephard RJ: Occupational stress, work satisfaction and health among the helping professions. European Review of Applied Psychology 2001, 51: 243–253.
Liberman AM, Best SR, Meltzer TJ, Fagan JA, Weiss DS, Marmar CR: Routine occupational distress in police. Policing: An International Journal of Police Strategies and Management 2002, 25: 421–441. [http://www.emeraldinsight.com/Insight/viewContentItem.do?contentType=Article&contentId=872371] 10.1108/13639510210429446
Kop N, Euwema M, Schaufeli W: Burnout, job stress and violent behaviour among Dutch police officers. Work & Stress 1999, 4: 326–340. [http://journalsonline.tandf.co.uk/(ons2on55wprhftri0ls5rn55)/app/home/contribution.asp?referrer=parent&backto=issue,4,6;journal,29,32;linkingpublicationresults,1:102497,1]
Brown JM, Campbell EA: Sources of occupational stress in the police. Work Stress 1990, 4: 305–318.
Kop N, Euwema M: Occupational stress and the use of force by Dutch police. Criminal Justice and Behavior 2001, 28: 631–652. [http://cjb.sagepub.com/cgi/content/abstract/28/5/631]
Brown J, Fielding J, Grover J: Distinguishing traumatic, vicarious and routine operational stressor exposure and attendant adverse consequences in a sample of police officers. Work Stress 1999, 13: 312–325. 10.1080/02678379950019770
Hills H, Norvell N: An examination of hardiness and neuroticism as potential moderators of stress outcomes. Behav Med 1991, 17: 31–38.
Anderson GS, Litzenberger R, Plecas D: Physical evidence of police officer stress. Policing: An International Journal of Police Strategies and Management 2002, 25: 399–420. [http://www.emeraldinsight.com/Insight/viewContentItem.do?contentType=Article&contentId=872370] 10.1108/13639510210429437
Payne R: Stress at work: a conceptual framework. In Stress in health professionals: psychological and organisational causes and interventions. Edited by: Payne R, Firth-Cozens J. Chichester: Wiley; 1999:3–16.
Golembiewski RT, Kim BS: Burnout in police work: stressors, strain, and the phase model. Police Studies 1990, 13: 74–80.
Hurrell JJ Jr, Nelson DL, Simmons BL: Measuring job stressors and strains: where we have been, where we are, and where we need to go. J Occup Health Psychol 1998, 3: 368–389. 10.1037/1076-8998.3.4.368
Hem E: Suicidal behaviour in some human services occupations with special emphasis on physicians and police. PhD thesis. University of Oslo, Department of Behavioural Sciences in Medicine; 2004. (accessed July 10, 2006) [http://www.legeforeningen.no/?id=46822]
Berg AM, Hem E, Lau B, Loeb M, Ekeberg Ø: Suicidal ideation and attempts in Norwegian police. Suicide Life Threat Behav 2003, 33: 302–312. 10.1521/suli.33.3.302.23215
Berg AM, Hem E, Lau B, Ekeberg Ø: Stress in the Norwegian police service. Occup Med (Lond) 2005, 55: 113–120. 10.1093/occmed/kqi023
Berg AM, Hem E, Lau B, Ekeberg Ø: Help-seeking in the Norwegian police service. J Occup Health 2006, 48: 145–53. 10.1539/joh.48.145
Aasland OG, Olff M, Falkum E, Schweder T, Ursin H: Health complaints and job stress in Norwegian physicians: the use of an overlapping questionnaire design. Soc Sci Med 1997, 45: 1615–1629. 10.1016/S0277-9536(97)00093-2
Stordal E, Krüger MB, Dahl NH, Krüger Ø, Mykletun A, Dahl AA: Depression in relation to age and gender in the general population: the Nord-Trøndelag Health Study (HUNT). Acta Psychiatr Scand 2001, 104: 210–216. 10.1034/j.1600-0447.2001.00130.x
Bjelland I: Anxiety and depression in the general population: issues related to assessment, comorbidity, and risk factors. PhD thesis. University of Bergen, Section for Epidemiology and Medical Statistics; 2004.
Spielberger CD, Vagg PR: Professional Manual for the Job Stress Survey (JSS). In Research edition. Odessa, FL: Psychological Assessment Resources; 1999.
Spielberger CD, Westberry LG, Grier K, Greenfield G: The Police Stress Survey: sources of stress in law enforcement. Tampa, FL: Human Resources Institute; 1981.
Lazare A, Klerman GL, Armor DJ: Oral, obsessive, and hysterical personality patterns. An investigation of psychoanalytic concepts by means of factor analysis. Arch Gen Psychiatry 1966, 14: 624–630.
Torgersen S: Hereditary-environmental differentiation of general neurotic, obsessive, and impulsive hysterical personality traits. Acta Genet Med Gemellol (Roma) 1980, 29: 193–207.
Ursin H, Endresen IM, Ursin G: Psychological factors and self-reports of muscle pain. Eur J Appl Physiol Occup Physiol 1988, 57: 282–290. 10.1007/BF00635986
Eriksen HR, Ihlebæk C, Ursin H: A scoring system for subjective health complaints (SHC). Scand J Public Health 1999, 27: 63–72. 10.1080/14034949950153931
Zigmond AS, Snaith RP: The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 1983, 67: 361–370.
Bjelland I, Dahl AA, Haug TT, Neckelmann D: The validity of the Hospital Anxiety and Depression Scale: an updated literature review. J Psychosom Res 2002, 52: 69–77. 10.1016/S0022-3999(01)00296-3
Maslach C, Schaufeli WB, Leiter MP: Job burnout. Annu Rev Psychol 2001, 52: 397–422. 10.1146/annurev.psych.52.1.397
Paykel ES, Myers JK, Lindenthal JJ, Tanner J: Suicidal feelings in the general population: a prevalence study. Br J Psychiatry 1974, 124: 460–469.
Statistics Norway. Levekårsundersøkelsen 2002 (Survey of living conditions 2002) [http://www.ssb.no/emner/03/01/helseforhold/arkiv]
Schaufeli W: Burnout. In Stress in health professionals: psychological and organisational causes and interventions. Edited by: Payne R, Firth-Cozens J. Chichester: Wiley; 1999:17–32.
Li CY, Sung FC: A review of the healthy worker effect in occupational epidemiology. Occup Med (Lond) 1999, 49: 225–229.