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Psychological Demands (psychological + demand)
Selected AbstractsThe clinical psychologist's role in the OOKP clinic.ACTA OPHTHALMOLOGICA, Issue 2009A one year review OOKP Surgery places complex Physical and Psychological demands on patients. Attention to Psychological factors is likely to facilitate good outcome and improve Quality of Life. This presentation outlines an innovative addition to the OOKP service at Sussex Eye Hospital, Brighton UK, incorporating a Clinical Psychologist as a member of the OOKP medical team. It will describe the first year's work including a study which has identified four subgroups of patients presenting for OOKP and the psychological needs of each group. The presentation describes how the service aims to address the particular psychological needs of these patient groups from assessment to psychological follow up. The presentation will also include a summary of a second Qualitative Interview study looking at patients' reports of their experiences of undergoing OOKP from a bio-psychosocial perspective. The National Health Service, UK seeks to use patient experience and feedback to shape clinical services and the implications of the outcomes of the research for the service will be discussed. [source] Monitoring working conditions and health of older workers in Dutch construction industryAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 6 2010Peter Hoonakker PhD Abstract Background Accurate reporting of work-related conditions is necessary to monitor workplace health and safety and to identify the interventions that are most needed. In the Netherlands, working conditions and health are monitored on an aggregated level in the construction industry. One of the purposes of monitoring is to identify specific risk factors and risk groups. The objectives of this study was to examine (1) whether older workers (,55 years) in the construction industry are a special group at risk and (2) whether there are specific risk factors for older workers in the construction industry. Methods Every 2 years, more than 70,000 construction workers in the Netherlands fill out a questionnaire as part of their periodic health checkup. In a repeated cross-sectional (trend) design, we compared working conditions (physical and psychological demands), musculoskeletal disorders (symptoms and conditions), and injuries of older workers with other age categories. Results Older construction workers have fewer complaints about physically demanding work and psychosocial workload, but have more complaints about working in awkward postures. Older workers have more complaints about their health than workers in other age categories. Older construction workers have fewer injuries than younger workers. Conclusions Older construction workers are a risk group for musculoskeletal disorders. Working in awkward postures can be considered a risk factor for older workers in construction industry. Am. J. Ind. Med. 53: 641,653, 2010. © 2010 Wiley-Liss, Inc. [source] Risks associated with tendinitis: effects from demographic, socioeconomic, and psychological status among Brazilian workersAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 1 2010Paulo Frazão PhD Abstract Background Self-reported tendinitis/tenosynovitis was evaluated by gender, age group, skin color, family income, and educational and psychological status. Methods !The study was carried out in a representative sample of formally contracted Brazilian workers from a household survey. A total of 54,660 participants were included. Occupations were stratified according to estimated prevalences of self-reported injuries. Non-conditional logistic regression was performed, and all variables were analyzed in two occupational groups. Results The overall prevalence rate of tendinitis/tenosynovitis was 3.1%: 5.5% in high-prevalence occupations (n = 10,726); and 2.5% in low-prevalence occupations (n = 43,934). White female workers between the ages of 45 and 64 years and at a higher socioeconomic level were more likely to report tendinitis/tenosynovitis regardless of their occupational category. An adjusted OR = 3.59 [95% CI: 3.15--4.09] was found between tendinitis/tenosynovitis and psychological status. Conclusion Among formally contracted Brazilian workers, higher income can imply greater physical and psychological demands that, regardless of occupational stratum, increase the risk of tendinitis/tenosynovitis. Am. J. Ind. Med. 53:72,79, 2010. © 2009 Wiley-Liss, Inc. [source] Ergonomic and socioeconomic risk factors for hospital workers' compensation injury claimsAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 7 2009Jon Boyer ScD Abstract Background Hospital workers are a diverse population with high rates of musculoskeletal disorders (MSDs). The risk of MSD leading to workers' compensation (WC) claims is likely to show a gradient by socioeconomic status (SES) that may be partly explained by working conditions. Methods A single community hospital provided workforce demographics and WC claim records for 2003,2005. An ergonomic job exposure matrix (JEM) was developed for these healthcare jobs from direct observation of physical workload and extraction of physical and psychosocial job requirements from the O*NET online database. Occupational exposures and SES categories were assigned to workers through their O*NET job titles. Univariate and multivariate Poisson regression analyses were performed to estimate the propensity to file an injury claim in relation to individual factors, occupational exposures, and SES. Results The jobs with the highest injury rates were nurses, semi-professionals, and semi-skilled. Increased physical work and psychological demands along with low job tenure were associated with an increase in risk, while risk decreased with psychosocial rewards and supervisor support. Both occupational and individual factors mediated the relationship between SES and rate of injury claims. Conclusions Physical and organizational features of these hospital jobs along with low job tenure predicted WC injury claim risk and explained a substantial proportion of the effects of SES. Further studies that include lifestyle risk factors and control for prior injuries and co-morbidities are warranted to strengthen the current study findings. Am. J. Ind. Med. 52:551,562, 2009. © 2009 Wiley-Liss, Inc. [source] Job control, substantive complexity, and risk for low birth weight and preterm delivery: An analysis from a state birth registryAMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 9 2007John D. Meyer MD Abstract Background Indices of job strain have demonstrated a variable relationship to low birth weight (LBW) and prematurity, with conflicting study results. This study sought to examine the associations of psychosocial work environment characteristics with adverse pregnancy outcomes using and comparing the demand-control model and job attributes derived from the O*NET. Methods Job characteristics were imputed to maternal occupation recorded in the 2000 Connecticut state birth registry for 26,408 singleton births, using scores for psychological job demands, control, and physical demands derived from the Job Content Questionnaire, and for substantive complexity of work and physical demands using variables derived from O*NET job attributes. Odds ratios for LBW and preterm delivery were estimated while controlling for relevant covariates. Results High psychological demands were not associated with pregnancy outcomes, while high physical demand scores from the O*NET were associated with LBW. Associations of term- and all-LBW with both low control and low substantive complexity were attenuated by adjustment for educational and demographic covariates. A gradient with lower scores was seen for term LBW and substantive complexity, and for prematurity and control. Both constructs were correlated with maternal education. Conclusions These results suggest that low maternal job control and substantive complexity may be modestly associated with LBW and, to a lesser extent, prematurity. A greater association with control may explain why a weak link of birth outcomes to high-strain work has been noted in past studies. Observed associations with occupational are reduced after adjustment for relevant confounding variables, in particular educational level and race/ethnicity. Am. J. Ind. Med. 50:664,675, 2007. © 2007 Wiley-Liss, Inc. [source] | ||||||||||