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Indian Journal of Occupational and Environmental Medicine
Medknow Publications
ISSN: 0973-2284 EISSN: 1998-3670
Vol. 14, Num. 3, 2010, pp. 63-65

Indian Journal of Occupational and Environmental Medicine, Vol. 14, No. 3, September-December, 2010, pp. 63-65

Editorial

Mental well-being at the workplace

Vice President, Medical and Occupational Health, Hindustan Unilever Limited, 165/166, Backbay Reclammation, Hindustan Lever House, Mumbai, India

Correspondence Address: T Rajgopal, Vice President, Medical and Occupational Health, Hindustan Unilever Limited, 165/166, Backbay Reclammation, Hindustan Lever House, Mumbai, India, thirumalai.rajgopal@unilever.com

Code Number: oe10018

DOI: 10.4103/0019-5278.75691

It is increasingly being recognized that the mental health of employees is a crucial determinant in their overall health and that poor mental health and stressors at the workplace can be a contributory factor to a range of physical illnesses like hypertension, diabetes and cardiovascular conditions, amongst others. In addition, poor mental health can also lead to burn-out amongst employees, seriously affecting their ability to contribute meaningfully in both their personal and professional lives. [1]

Data from different countries around the world indicate that mental health problems are a cause of a number of employees dropping out of work. In the Netherlands, around 58% of the work-related disabilities are related to mental health. [2] In the UK, it is estimated that around 30-40% of the sickness absence is attributable to some form of mental illness. [3]

Mental health problems have an impact on employers and businesses directly through increased absenteeism, negative impact on productivity and profits, as well as an increase in costs to deal with the issue. [4] In addition, they impact employee morale adversely.

Work-related stress is a major cause of occupational ill health, poor productivity and human error. This means increased sickness absence, high staff turnover and poor performance in the organization and a possible increase in accidents due to human error. Work-related stress could also manifest as heart disease, back pain, headaches, gastrointestinal disturbances or various minor illnesses; as well as psychological effects such as anxiety and depression, loss of concentration and poor decision making. [5]

Stress is the adverse reaction people have to excessive pressures or other types of demands placed upon them. There is a clear distinction between pressure, which can be a motivating factor, and stress, which can occur when this pressure becomes excessive.

Some occupations are at more risk of mental health problems than others. A study in the Netherlands mapped skill levels against the pace of work to have an idea about the risk for stress levels and mental ill health for different occupations. Higher stress levels correlated with a higher risk for mental ill health. [6]

[Figure - 1] maps the risks for stress and mental ill health for a range of occupations, based on work pace and skills.

Measuring and Controlling Work - Related Stress and Improving Mental Well-Being at the Workplace

A tool to evaluate the level of work-related stress and the measures to be taken thereof to control the same have been extensively used. [7],[8],[9],[10] This tool which is known as the Work Stress Scale (WSS) allows individuals to assess for themselves the degree of stress faced in the following broad domains:

  • relationship problems with superiors;
  • bureaucratic constraints;
  • work family conflict;
  • relationship problems with colleagues;
  • performance pressure and
  • poor job prospects.

Relationship problems with superiors

The most common reason for office stress is dealing with difficult boss. But this may be far easier to solve by improving communication skills. Having a sincere conversation may make a difference. Sometimes, the boss may set unreal targets, where an honest discussion can bring out what deadlines can be met.

Tasks that are not part of an employee role or skill set can also cause stress. Companies often make employees multitask but this could potentially affect their ability to deliver. Communicating with superiors about this matter at the earliest is the best way to resolve this. One area that presents an opportunity for conflict for the personality-disordered individual concerns the hierarchical nature of organizations. [11]

Relationship problems with colleagues

Another reason could be difficult colleagues or co-workers. Dealing with a difficult co-worker can be a bit more difficult as their performance is often pitted against oneself. This again has to be resolved by an amicable discussion, concluded by a mutual agreement. One can explain to the colleague as how a team can have far more benefits than indulging in rivalry. But if things are getting out of hand, it should be brought to the notice of the superior concerned.

Work family conflict

Families are struggling to cope with an increasingly complex world. Individuals are struggling to find the right balance between work and family responsibility. [12] Domestic issues can affect work where balancing work and home by allotting adequate time for both can help reduce stress.

High demand for performance

Unrealistic expectations, especially in the time of corporate reorganizations, which, sometimes, puts unhealthy and unreasonable pressures on the employee, can be a tremendous source of stress and suffering. Increased workload, extremely long work hours and intense pressure to perform at peak levels all the time for the same pay, can actually leave an employee physically and emotionally drained. Excessive travel and too much time away from family also contribute to an employee′s stressors.

Job insecurity

Organized workplaces are going through metamorphic changes under intense economic transformations and consequent pressures. Reorganizations, takeovers, mergers, rightsizing and other changes have become major stressors for employees, as companies try to live up to the competition to survive. These reformations have put demand on everyone, from a CEO to a line manager.

Bureaucratic constraints

Organizational size and bureaucratic systems have certain rules and regulations, which are inherent parts of the system to serve as checks and balancing forces.

However, they are likely to serve as constraints and stress for managers. Other job stressors include uncomfortable working conditions, job overload, lack of control over the work process and sheer monotony. [13] Decreasing work role ambiguity would reduce job strain and work-related psychological disorders including anxiety disorders. [14]

Companies would do well to address mental wellness at the workplace through a clearly articulated workplace policy on mental health. A prototype of such a policy encompassing the vision, the values and principles and the objectives is appended [Table - 1].

The development and implementation of a workplace mental health policy and program will benefit the health of employees, increase the productivity of the company and will contribute to the well-being of the community at large. It has been found that psychosocial intervention courses along with stress management training and health promotion interventions have a positive impact on mental well-being. [15]

A healthy population is an economically productive population and it is in the benefit of companies to safeguard public health. Given the heavy contributions of the private sector to the economy, employee wellness programs are not only a strategic priority for India but also an economic imperative for corporations. [16]

References

1.Mental health policies and programs in the workplace. World Health Organization. 2005.  Back to cited text no. 1    
2.Grundemann RW, Nijboer D, Schellart AJ. The work relatedness of drop out from work for medical reasons. Den Haag: Ministry of Social Affairs and Employment.1991.  Back to cited text no. 2    
3.O′Leary L. Mental Health at work. Occup Health Rev 1993;45:23-6.  Back to cited text no. 3    
4.European Network for Workplace Health Promotion. Newsletter 09/2010/. http://www.enwhp.org/fileadmin/downloads/8th_Initiative/MentalHealth_Broschuere_businesscase.pdf. [Accessed on 2010 November 9].   Back to cited text no. 4    
5.Managing the causes of work-related stress . A step-by-step approach using the Management Standards. Health and Safety Executive, UK; 2007.  Back to cited text no. 5    
6.Houtman IL, Kompier MA. Risk factors and occupational risk groups for work stress in the Netherlands. In: Organizational Risk Factors for Job Stress. Sauter SL, Murphy LR, editors. Washington, DC: APA Press; 1995.   Back to cited text no. 6    
7.Verma M. Cognitive-Behavioural Stress Management for women software professionals. M Phil Thesis, NIMHANS Bangalore. 2001.  Back to cited text no. 7    
8.Thippeswamy. A study on stress and coping patterns amongst business process outsourcing personnel. M Phil Thesis, NIMHANS Bangalore. 2007.  Back to cited text no. 8    
9.Naik NM. A study on stress and coping amongst employees of manufacturing industry. M Phil Thesis, NIMHANS Bangalore. 2008.  Back to cited text no. 9    
10.Shekhar S. Job satisfaction and stress amongst professional social workers. M Phil Thesis, NIMHANS Bangalore. 2010.  Back to cited text no. 10    
11.Wilke HJ. The authority complex and the authoritarian personality. J Anal Psychol 1977;22:243-9.   Back to cited text no. 11  [PUBMED]  
12.Shellenberger S, Hoffman SS, Gerson R. Psychologists and the changing family-work system. Unpublished paper presented at the American Psychological Association, Los Angeles, California; 1994.  Back to cited text no. 12    
13.MacLean AA. High Tech Survival Kit: Managing Your Stress. New York: John Wiley and Sons; 1986.   Back to cited text no. 13    
14.Sauter SL, Murphy LR, Hurrell JJ. Prevention of work-related psychological disorders: A national strategy proposed by the National Institute for Occupational Safety and Health (NIOSH). In: Work and Well-Being: An Agenda for 1990′s. Sauter SL, Keita PG, editors. Washington, DC: APA Press; 1992.   Back to cited text no. 14    
15.Gaveling RA. A review of workplace interventions that promote mental wellbeing in the workplace. Draft report. Institute of Occupational Medicine. Edinburgh; 2008.  Back to cited text no. 15    
16.Employee wellness as a strategic priority in India. Preventing the burden of non-communicable disease through workplace wellness programmes. Report of a joint event of the World Economic Forum and the World Health Organization country office for India. (In co-operation with Public Health Foundation of India). World Economic forum. 2009.  Back to cited text no. 16    

Copyright 2010 - Indian Journal of Occupational and Environmental Medicine


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