Stress Management in Work Settings: A Critical Review of the Health Effects

American Journal of Health Promotion - Tập 11 Số 2 - Trang 112-135 - 1996
Lawrence R. Murphy1
1National Institute for Occupational Safety and Health (NIOSH), Cincinnati, Ohio 45226, USA.

Tóm tắt

Purpose. To review critically the research literature on the health effects of worksite stress-management interventions. Search Methods. Stress-management interventions were defined as techniques that are designed to help employees modify their appraisal of stressful situations or deal more effectively with the symptoms of stress. Stress-management studies that were worksite based, assessed a health outcome, and were published in the peer-reviewed literature were included in this review. The main search method was the one described in the lead article to this special issue of the JOURNAL, but supplementary sources included prior reviews of the research literature and expert contacts. Sixty-four studies met the criteria for inclusion in this review. Summary of Findings. A variety of stress-management techniques was used in worksite studies, including muscle relaxation, meditation, biofeedback, cognitive-behavioral skills, and combinations of these techniques. The most common techniques used were muscle relaxation, cognitive-behavioral skills, and combinations of two or more techniques. Outcome measures to evaluate the success of stress interventions included physiologic and psychologic measurements, somatic complaints, and job-related measures. Nearly three-fourths of the studies offered the training to all workers and did not specifically recruit high-stress employees. Over half the studies were randomized control trials, but only 30 % conducted posttraining follow-up evaluations. The effectiveness of stress interventions varied according to the health-outcome measure used; some techniques were more effective for psychologic outcomes (e.g., cognitive-behavioral skills), whereas others were more effective for physiologic outcomes (e.g., muscle relaxation). Biofeedback was the least frequent technique used in work settings and also seemed to be the least effective technique. Meditation produced the most consistent results across outcome measures but was used in only six studies. In general, studies using a combination of techniques (e.g., muscle relaxation plus cognitive-behavioral skills) seemed to be more effective across outcome measures than single techniques. Conclusions. The large number of different stress-management techniques coupled with the wide range of health outcome measures used in stress intervention studies makes it difficult to draw firm conclusions about the efficacy of each technique and each outcome. Also, the quality of the methodology varied substantially among studies. Nevertheless, the most positive results across the various health outcomes were obtained with a combination of two or more techniques. None of the stress interventions was consistently effective in producing effects on job/organization-relevant outcomes, such as absenteeism or job satisfaction. To produce changes on these types of measures, stress interventions will need to alter or modify the sources of stress in the work environment. It can be said that stress management in work settings can be effective in enhancing worker physical and psychologic health, but the choice of which stress-management technique to use should be based on the specific health outcomes that are targeted for change.

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Tài liệu tham khảo

Shilling S, 1987, Public Health Rep, 102, 36

1991, Employee burnout: America's newest epidemic

Warshaw LJ, 1989, Stress, anxiety and depression in the workplace: report of the New York Business Group on Health/Gallup Survey

Kohler S, 1992, American workers under pressure. Technical report

1985, Emotional stress in the workplace: new legal rights in the eighties

Fischbach TJ, 1986, Occupational characteristics of disabled workers, 1975–1976. (DHHS NIOSH Publication No. 86–106)

Social Security Bulletin, 1989, Annual statistical supplement, 1989 (DHHS Publication No. 13-11700

10.1037/0003-066X.45.10.1146

Murphy LR, 1996, Job stress interventions

10.1210/jcem-6-2-117

10.1097/00007611-192909000-00037

Lazarus RS, 1966, Psychological stress and the coping process

Kahn RL, 1964, Organizational stress: studies in role conflict and ambiguity

Hurrell JJ, 1992, Environmental and occupational medicine, 2

10.1111/j.2044-8325.1976.tb00325.x

Quick JC, 1984, Organizational stress and preventive management

Caplan RD, 1975, Job demands and worker health: main effects and occupational differences. (DHEW NIOSH Pub. No. 75–160)

Holt RR, 1982, Handbook of stress

10.1177/109019818401100401

10.1111/j.2044-8325.1984.tb00143.x

10.2307/254990

10.1016/0005-7967(75)90049-2

10.2105/AJPH.67.10.946

10.2105/AJPH.67.10.954

10.1007/BF00891964

Carrington P, 1980, J Occup Environ Med, 22, 221

10.1037/0022-0167.27.4.346

10.1016/0022-4405(80)90044-8

Manuso, 1980, Public Health Reports, 95, 99

10.1136/bmj.282.6281.2005

10.1016/0022-4405(81)90042-X

Drazen M, 1982, J Occup Environ Med, 24, 511

10.1016/0022-4405(82)90047-4

10.1037/0021-9010.67.5.533

10.1097/00043764-198205000-00011

Steinmetz JI, 1982, J Occup Environ Med, 24, 923

10.1080/00223980.1983.9915434

Bowers PA. The effects of a stress management program on the knowledge, attitudes, symptomatology, and behavior of workers employed by an urban electronics industrial plant: a demonstration project. Occupational Health Nursing 1983; March:13–17.

10.3102/00028312020004563

10.1016/0091-7435(83)90222-0

10.1177/001872088302500409

Seamonds BC, 1983, J Occup Environ Med, 25, 821

10.2190/WPV9-0Y55-55TX-FMX1

10.1097/00006842-198409000-00001

McNulty S, 1984, Journal of Police Science and Administration, 12, 130

10.1097/00043764-198406000-00016

10.1037/0022-0167.31.2.209

10.1016/S0005-7894(85)80004-6

10.1111/j.2044-8325.1986.tb00218.x

10.1016/0001-8791(86)90030-8

10.1002/job.4030090208

10.1016/0022-4405(86)90004-X

10.1097/00006842-198705000-00005

10.1037/0021-9010.72.4.515

10.1097/00006842-198705000-00004

10.1037/0021-9010.72.1.88

10.1080/08870448708400328

10.1016/0738-3991(88)90034-1

Keyes JB, 1988, Behavioral Residential Treatment, 3, 315

10.1002/1520-6807(198807)25:3<314::AID-PITS2310250313>3.0.CO;2-S

10.1080/00220973.1989.10806500

10.1097/00043764-198907000-00010

Vaughn M, 1989, American Association of Occupational Health Nursing, 37, 302

10.1080/09515079008254242

10.1016/0022-4405(90)90002-O

10.4278/0890-1171-4.5.333

10.1093/heapro/5.4.269

10.4278/0890-1171-5.1.24

10.1111/j.1365-2648.1991.tb01621.x

10.1001/archinte.1991.00400110117023

10.1111/j.2044-8325.1992.tb00486.x

10.4278/0890-1171-6.4.280

10.1080/08870449208520016

10.1111/j.1365-2648.1992.tb02020.x

10.1080/10615809308248383

10.1111/j.2044-8325.1993.tb00520.x

10.1002/casp.2450030409

10.1002/jts.2490060307

10.1097/00043764-199311000-00015

10.5271/sjweh.1468

10.3109/01612849309006890

10.1002/smi.2460100304

10.1080/10615809408248805

Vines SW, 1994, American Association of Occupational Health Nursing Journal, 42, 206

Murphy LR, 1995, Trends in organizational behavior, 2

Jacobson E, 1938, Progressive relaxation

Bernstein DA, 1973, Progressive relaxation training: a manual for the helping professions

Birk L, 1973, Biofeedback: behavioral medicine

Benson H, 1976, The relaxation response

10.1007/978-1-4757-9739-8

Spielberger CD, 1970, Manual for the State-Trait Anxiety Inventory

Derogatis LR, 1977, SCL90, administration and scoring procedures manual-I for the revised version

Murphy LR, 1988, Causes, coping, and consequences of stress at work

Pierce JL, 1983, Journal of Occupational Behavior, 4, 247

10.1037/0021-9010.68.1.3

10.1002/job.4030020104

10.1108/eb043387

10.1108/00483489510079075

10.1177/001872679104400705

10.1111/j.1744-6570.1979.tb00467.x

10.1037/0003-066X.45.2.252

Stoner CR, Fry FL. Developing a corporate policy for managing stress. Personnel 1983; May/June:66–76.

10.4278/0890-1171-4.6.413

10.1002/job.4030130505

10.4278/0890-1171-1.2.25

10.1037/0021-9010.73.4.727

Murphy LR, 1989, Stress management in work settings

O'Donnell MP, 1995, Design of workplace health promotion programs, 4

10.1108/00483489510079075

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American Journal of Health Promotion

Tập 11 Số 2

112-135

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