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 Work place stress in one of the major
sources of stress for people and may
cause:
• Poor work performance.
• Absenteeism
• Burnout
• Alcohol and drug abuse.
• https://www.youtube.com/watch?v=tvw2VbymKY
s&list=PL6cNh2ygSTqxnDXSdmECveJdiT35W
GSr5&index=2
EXAMPLES OF
WORK
PLACE
STRESSORS
DEADLINES
TOO LITTLE/
TOO MUCH
•LIGHTING
•HEATING
•DECORATION
KARASEK (1979) MARMOT ET AL (1997)
He produced a outline theory of
the relationship between job
demand (workload) and levels of
control.
HIGH
DEMAND
LOW
DEMAND
LOW
CONTROL
STRESSFUL
JOB
(more
demand is
on you but
no control)
PASSIVE
JOB
(sit down)
HIGH
CONTROL
ACTIVE
JOB
(always
something
to do)
NOT
STRESSFUL
L JOB
(low levels of
stress)
There were 7,000 participants in the
Whitehall 2 study. These participants
were followed up for 5 years, all these
participants were free of heart
problems when the study began.
CONCLUSION:-
•Significant factor- Degree of Control.
•CHD 1.5x greater in lower pay
grade.
ISSUES:-
•Biased Sample.
•Social Desirability Bias.
•Inaccuracies.
•All factors?
•Informed Consent
•Protection from harm
•Debrief
Cooper et al.
(1998) -
The occupational
stress indicator
 Findings used to devise
strategies – reduce
negative effects on
individual &
organisation...
 Self-report
questionnaires at
workplace.
 Stress is a major factor of everyday life that
can be minor or long lasting.
Every day stress examples include:
• Work
• Exams
• Moving houses
Major life events include:
• Marriage
• Death
• Becoming a parent
• Holidays
Holmes and Rahe (1967) : Life changes
Conclusion of findings:
• Death of spouse was rated as the event
that requires most adjustment
therefore most stressful.
• This was followed by divorce and marital
separation
• Last was holidays was seen as the least
stressful
•They constructed a SRRS.
• Examined 5,000 patients
records making a list of 43 life
events that seemed to come
before an illness.
•Asked 4000 participant to rate
each item in terms of the amount
of stress produced .
•Upon this they compared each
event to marriage and averaged
everyone's results divided by 10
to get a measure of individual
events in terms of LCU’s.
•Methodological
issues
•Ethical issues
•Culture biased/specific – study based
in US & can not be generalized for
everyone
•Wide range of participants – age,
gender, ethnicity
•Representative data – large sample
size
•Quantitative Data – easy to
analyse/compare/illustrate
• Privacy and confidentiality
• Informed consent
• Debrief
• Protection from harm
•Strengths •Weaknesses
• Based on correlations which can
identify the relationship between two
variables
• Representative data as there is a
large sample size so results can be
generalized
• Questionnaire – common way of
measure –used for many studies
• Quantitative data – operationalized so
easy to compare results
• Scale does not consider individual
differences – eg; divorce perceived
differently via primary/ secondary
appraisal
• Results in correlation form – only
shows association between variables
& not cause of stress related illness
• Retrospective/prospective studies –
unreliable and cannot be generalized
•Sarason et al. (1978) – Life
events scale
•Kanner et al. (1981)– The
hassles scale
• Allowed rate of 57 life events –
severity of impact – positive
/negative impact
•Allowed individual differences
•Specialized sections for certain
groups –eg; students
•3 scores produced – negative
change, positive change, total change
•Generally, negative life change
scores correlate highest with illness
outcomes
•Original scale – 117 items covering
daily life
•Could be modified for groups eg;
students – study problems/unfriendly
tutors
•Argued life has positive events
(uplifts) – could counteract negative
effects of daily hassles
•Scale correlate with stress-related
problems – especially depression &
anxiety
•Uplifts – unrelated to health
outcomes
Researchers have been interested in whether certain
personality characteristics or behaviors may make an
individual more prone to suffering from stress.
TYPE A BEHAVIOUR (TAB)
• A behaviour pattern that has long been
linked to stress related illnesses.
Friedman and Rosenman
BEHAVIOUR
PATTERNS OF
TYPE A
EXAMPLES
TIME PRESSURED • WORKING TO DEADLINES
• MULTI-TASKING
• UNHAPPY DOING NOTHING
COMPETITIVE • FOCUSES ON ACHIEVMENT
• PLAYS TO WIN
• WORK AND LIFESTYLE
HOSTILITY • EASILY IRRITATED
• IMPATIENT AND ANGERED
• PERFECTIONIST
• SELF PROJECTED ANGER
TYPE B BEHAVIOUR
• Opposite of Type A Behaviour
• Relaxed(Not competitive & hostile)
• Not driven to succeed and impress
• Easy going
• Patient
• 3454 middle aged men in the
US
• They were characterized as
Type A or B using structured
interviews.
• As Participants answered
questions, trained
interviewers analysed
behaviour to detect signs of
Type A personality (e.g.) fast
paced, finger tapping,
restlessness.
• Participants were followed up
for 8.5 yrs.
• During this time there were
257 heart attacks and 69%
were Type A.
CONCLUSION:
• High TAB individuals were
vulnerable to heart disease
even when lifestyle factors
such as obesity and smoking
were controlled.
•Methodological
issues
•Ethical issues •Criticisms
• Culture & gender
specific – study based
on men only in US
• Not all variables
accounted – lifestyle
factors – major events;
eg: moving house
• TAB is based on
western societies;
definition of TAB may
vary in other countries
• Informed Consent
• Debrief
• People with TAB can
prevent heart disease
- by engaging in
sports & having social
support networks
• Likely to be high
achievers – can afford
to reduce negative
effects of stress in life
EYSENCK(1988) DENOLLET(2000) TEMSHOK(1987)
He proposed 2 types of
personality:
TYPE C
• Vulnerable to cancer
• Characterized with
difficulties in expressing
emotions and with
social relationships
TYPE D
• Vulnerable to heart
disease
• Characterized with high
levels of anger and
hostility
TYPE D
• More prone to heart
disease
• People with this type of
personality experienced
high levels of negative
emotion and avoid
interacting with others
e.g. shyness
TYPE C
• Linked to cancer
• Describes people who
have difficulty in
expressing emotions
ELEMENTS OF
HARDINESS
DESCRIPTION
CONTROL Able to influence life events including
stressors
COMMITMENT Sense of involvement and purpose in life
CHALLENGE Life changes are seen as opportunity
rather than sources of stress
KOBASA(1979)
The concept of hardiness was introduced by Kobasa who was interested in factors
that might protect people against the effects of stress.
WIEBE & SMITH(1992)
ALSO SUPPORTS THIS.
Psychological Physiological
Informal
Problem Focused
Coping
CBT
HT
DRUGS
Beta-
Blockers
Alternative Methods
Progressive
Muscle
Relaxation
and
Meditation
Physical
Exercise
 Emotion-focussed coping:-
 Targets the emotional impact of
stressors, strategies include:
 Denial
 Seeking support from friends
(moaning to friends)
 Cinema / Drinking/ Smoking.
 Usually used when stressor is
uncontrollable, for example a
bereavement.
 CARVER ET AL. (1993)- THIS
STRATEGY OF DENIAL LED
TO BETTER ADJUSTMENT IN
WOMEN WITH BREAST
CANCER + SOCIAL SUPPORT
HELPS IN COPING WITH
CANCER.
 Problem-focussed coping:-
 Directly reduce the impact of a
stressor in a practical and
systematical manner:
 Revision Timetable
 Work through notes regularly.
 Used when the stressor is
controllable… work-based
problems (The light is irritating
you… change the light bulb?)
 Have a good chance of
removing the stressor through
this strategy.
 Problem-focused is limited as
we can’t control all the stressors
in our lives, for example a
chronic illness.
 Cognitive restructuring
 Prepare individuals for future stressors,
promote resilience, consequently reduce the
negative effects of stress.
 Easy as 1,2,3:
1. Conceptualisation
2. Skills Training and Rehearsal
3. Application and Follow Through.
https://www.youtube.com/watch?v=iCH8qR-
7OTg
1. Focussing- Think about sources of stress + How to deal
with it.
2. Reliving/Reconstructing- Coping strategies.
3. Self-Improvement- Take on challenges, commit and
control...
=STRESS
MANAGMENT.
 SIT requires time, commitment, money – not
suitable for everyone
 Training in relaxation techniques gives clients
some control over stressful situations –can be
emotion focused
1. Meichenbaum’s SIT
2. Kobasa’s Hardiness
Training
 Hardiness Training provides more confidence
within clients – can deal with future stressful
situations
 Studies shown effectiveness of HT – improves
health & performance in adults and children
 Beta-Blockers
 https://www.youtube.c
om/watch?v=CyJlGXw
jRQY
 Benzodiazepines
(BZ’s)
 Act on the brain
increasing the action
of GABA inhibitory
neurotransmitter.
G
 Relatively safe in overdose compared to barbiturates
 Do not target source of stress but can be effective coping
strategy if combined with psychological methods
 Side effects – tiredness, impaired motor coordination,
memory impairment if used long-term
 Physical dependence – withdrawal symptoms include:
sleeping patters, increased heart rate, tremors (shaking)
Benzodiazepines
(BZs)
Beta-Blockers  No major side effects – do not penetrate brain easily
 Act rapidly/directly on heart & blood pressure (lifesaving
function)
 Target physiological stress response by lowering bodily
arousal
 Do not target sources of stress – psychological methods
needed
 Biofeedback- connected to machines,
combining physiological with psychological.
 Progressive Muscle Relaxation and Meditation-
common component of CBT, reduces arousal,
Jacobson (1938)
 Physical Exercise- Lowers stress, positive
mood says Biddle (2000) or is it enkephalins?
 Social Support- Emotional, practical,
informational and general network support,
Constable and Russell (1996).
Biofeedback Progressive Muscle
Relaxation
Physical Exercise
 No side effects –
harmless
 Requires motivation
& commitment for
training programme
to be successful
 Biofeedback can
hold same
effectiveness as
relaxation
techniques
 Muscle Relaxation &
Meditation can
reduce arousal
associated with
stress
 Increased sense of
control over
stressful situations
 Can be extremely
useful when
combined with more
focused/systematic
methods
 Lowers resting heart
rate & blood
pressure
 Positive effects of
raising mood
 Can reduce reported
levels of stress &
depression
 Risk of injury –
vigorous exercise/
starting exercise
programme
Evidence Evaluation
 Research – social support
reduces vulnerability to stress-
related arousal
 Vogt et al. – mortality from
heart disease shows as closely
related to social support
 Constable & Russell – social
support within workplace
reduces job-related stress
 Social support reduces
physical effects of stress
 Social networks can provide –
emotional, practical,
informational & self-esteem
support
 Allen et al. – presence of a pet
lowered heart rates during
performance of stressful tests
Social Support...
1. Death
2. Farting
3. Lighting
1. Yes
2. No
1. Stress inoculation therapy.
2. Sometimes ingesting things.
1. Marmot et al.
2. Karasek et al.
3. My dad.
1. Speed
2. Wealth
3. Stress
Stress in everyday life  part 2
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Stress in everyday life part 2

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  • 3.  Work place stress in one of the major sources of stress for people and may cause: • Poor work performance. • Absenteeism • Burnout • Alcohol and drug abuse. • https://www.youtube.com/watch?v=tvw2VbymKY s&list=PL6cNh2ygSTqxnDXSdmECveJdiT35W GSr5&index=2
  • 4. EXAMPLES OF WORK PLACE STRESSORS DEADLINES TOO LITTLE/ TOO MUCH •LIGHTING •HEATING •DECORATION
  • 5. KARASEK (1979) MARMOT ET AL (1997) He produced a outline theory of the relationship between job demand (workload) and levels of control. HIGH DEMAND LOW DEMAND LOW CONTROL STRESSFUL JOB (more demand is on you but no control) PASSIVE JOB (sit down) HIGH CONTROL ACTIVE JOB (always something to do) NOT STRESSFUL L JOB (low levels of stress) There were 7,000 participants in the Whitehall 2 study. These participants were followed up for 5 years, all these participants were free of heart problems when the study began. CONCLUSION:- •Significant factor- Degree of Control. •CHD 1.5x greater in lower pay grade. ISSUES:- •Biased Sample. •Social Desirability Bias. •Inaccuracies. •All factors? •Informed Consent •Protection from harm •Debrief
  • 6. Cooper et al. (1998) - The occupational stress indicator  Findings used to devise strategies – reduce negative effects on individual & organisation...  Self-report questionnaires at workplace.
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  • 8.  Stress is a major factor of everyday life that can be minor or long lasting. Every day stress examples include: • Work • Exams • Moving houses Major life events include: • Marriage • Death • Becoming a parent • Holidays
  • 9. Holmes and Rahe (1967) : Life changes Conclusion of findings: • Death of spouse was rated as the event that requires most adjustment therefore most stressful. • This was followed by divorce and marital separation • Last was holidays was seen as the least stressful •They constructed a SRRS. • Examined 5,000 patients records making a list of 43 life events that seemed to come before an illness. •Asked 4000 participant to rate each item in terms of the amount of stress produced . •Upon this they compared each event to marriage and averaged everyone's results divided by 10 to get a measure of individual events in terms of LCU’s.
  • 10. •Methodological issues •Ethical issues •Culture biased/specific – study based in US & can not be generalized for everyone •Wide range of participants – age, gender, ethnicity •Representative data – large sample size •Quantitative Data – easy to analyse/compare/illustrate • Privacy and confidentiality • Informed consent • Debrief • Protection from harm
  • 11. •Strengths •Weaknesses • Based on correlations which can identify the relationship between two variables • Representative data as there is a large sample size so results can be generalized • Questionnaire – common way of measure –used for many studies • Quantitative data – operationalized so easy to compare results • Scale does not consider individual differences – eg; divorce perceived differently via primary/ secondary appraisal • Results in correlation form – only shows association between variables & not cause of stress related illness • Retrospective/prospective studies – unreliable and cannot be generalized
  • 12. •Sarason et al. (1978) – Life events scale •Kanner et al. (1981)– The hassles scale • Allowed rate of 57 life events – severity of impact – positive /negative impact •Allowed individual differences •Specialized sections for certain groups –eg; students •3 scores produced – negative change, positive change, total change •Generally, negative life change scores correlate highest with illness outcomes •Original scale – 117 items covering daily life •Could be modified for groups eg; students – study problems/unfriendly tutors •Argued life has positive events (uplifts) – could counteract negative effects of daily hassles •Scale correlate with stress-related problems – especially depression & anxiety •Uplifts – unrelated to health outcomes
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  • 14. Researchers have been interested in whether certain personality characteristics or behaviors may make an individual more prone to suffering from stress. TYPE A BEHAVIOUR (TAB) • A behaviour pattern that has long been linked to stress related illnesses. Friedman and Rosenman BEHAVIOUR PATTERNS OF TYPE A EXAMPLES TIME PRESSURED • WORKING TO DEADLINES • MULTI-TASKING • UNHAPPY DOING NOTHING COMPETITIVE • FOCUSES ON ACHIEVMENT • PLAYS TO WIN • WORK AND LIFESTYLE HOSTILITY • EASILY IRRITATED • IMPATIENT AND ANGERED • PERFECTIONIST • SELF PROJECTED ANGER TYPE B BEHAVIOUR • Opposite of Type A Behaviour • Relaxed(Not competitive & hostile) • Not driven to succeed and impress • Easy going • Patient
  • 15. • 3454 middle aged men in the US • They were characterized as Type A or B using structured interviews. • As Participants answered questions, trained interviewers analysed behaviour to detect signs of Type A personality (e.g.) fast paced, finger tapping, restlessness. • Participants were followed up for 8.5 yrs. • During this time there were 257 heart attacks and 69% were Type A. CONCLUSION: • High TAB individuals were vulnerable to heart disease even when lifestyle factors such as obesity and smoking were controlled.
  • 16. •Methodological issues •Ethical issues •Criticisms • Culture & gender specific – study based on men only in US • Not all variables accounted – lifestyle factors – major events; eg: moving house • TAB is based on western societies; definition of TAB may vary in other countries • Informed Consent • Debrief • People with TAB can prevent heart disease - by engaging in sports & having social support networks • Likely to be high achievers – can afford to reduce negative effects of stress in life
  • 17. EYSENCK(1988) DENOLLET(2000) TEMSHOK(1987) He proposed 2 types of personality: TYPE C • Vulnerable to cancer • Characterized with difficulties in expressing emotions and with social relationships TYPE D • Vulnerable to heart disease • Characterized with high levels of anger and hostility TYPE D • More prone to heart disease • People with this type of personality experienced high levels of negative emotion and avoid interacting with others e.g. shyness TYPE C • Linked to cancer • Describes people who have difficulty in expressing emotions
  • 18. ELEMENTS OF HARDINESS DESCRIPTION CONTROL Able to influence life events including stressors COMMITMENT Sense of involvement and purpose in life CHALLENGE Life changes are seen as opportunity rather than sources of stress KOBASA(1979) The concept of hardiness was introduced by Kobasa who was interested in factors that might protect people against the effects of stress. WIEBE & SMITH(1992) ALSO SUPPORTS THIS.
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  • 20. Psychological Physiological Informal Problem Focused Coping CBT HT DRUGS Beta- Blockers Alternative Methods Progressive Muscle Relaxation and Meditation Physical Exercise
  • 21.  Emotion-focussed coping:-  Targets the emotional impact of stressors, strategies include:  Denial  Seeking support from friends (moaning to friends)  Cinema / Drinking/ Smoking.  Usually used when stressor is uncontrollable, for example a bereavement.  CARVER ET AL. (1993)- THIS STRATEGY OF DENIAL LED TO BETTER ADJUSTMENT IN WOMEN WITH BREAST CANCER + SOCIAL SUPPORT HELPS IN COPING WITH CANCER.  Problem-focussed coping:-  Directly reduce the impact of a stressor in a practical and systematical manner:  Revision Timetable  Work through notes regularly.  Used when the stressor is controllable… work-based problems (The light is irritating you… change the light bulb?)  Have a good chance of removing the stressor through this strategy.  Problem-focused is limited as we can’t control all the stressors in our lives, for example a chronic illness.
  • 22.  Cognitive restructuring  Prepare individuals for future stressors, promote resilience, consequently reduce the negative effects of stress.  Easy as 1,2,3: 1. Conceptualisation 2. Skills Training and Rehearsal 3. Application and Follow Through. https://www.youtube.com/watch?v=iCH8qR- 7OTg
  • 23. 1. Focussing- Think about sources of stress + How to deal with it. 2. Reliving/Reconstructing- Coping strategies. 3. Self-Improvement- Take on challenges, commit and control... =STRESS MANAGMENT.
  • 24.  SIT requires time, commitment, money – not suitable for everyone  Training in relaxation techniques gives clients some control over stressful situations –can be emotion focused 1. Meichenbaum’s SIT 2. Kobasa’s Hardiness Training  Hardiness Training provides more confidence within clients – can deal with future stressful situations  Studies shown effectiveness of HT – improves health & performance in adults and children
  • 25.  Beta-Blockers  https://www.youtube.c om/watch?v=CyJlGXw jRQY  Benzodiazepines (BZ’s)  Act on the brain increasing the action of GABA inhibitory neurotransmitter. G
  • 26.  Relatively safe in overdose compared to barbiturates  Do not target source of stress but can be effective coping strategy if combined with psychological methods  Side effects – tiredness, impaired motor coordination, memory impairment if used long-term  Physical dependence – withdrawal symptoms include: sleeping patters, increased heart rate, tremors (shaking) Benzodiazepines (BZs) Beta-Blockers  No major side effects – do not penetrate brain easily  Act rapidly/directly on heart & blood pressure (lifesaving function)  Target physiological stress response by lowering bodily arousal  Do not target sources of stress – psychological methods needed
  • 27.  Biofeedback- connected to machines, combining physiological with psychological.  Progressive Muscle Relaxation and Meditation- common component of CBT, reduces arousal, Jacobson (1938)  Physical Exercise- Lowers stress, positive mood says Biddle (2000) or is it enkephalins?  Social Support- Emotional, practical, informational and general network support, Constable and Russell (1996).
  • 28. Biofeedback Progressive Muscle Relaxation Physical Exercise  No side effects – harmless  Requires motivation & commitment for training programme to be successful  Biofeedback can hold same effectiveness as relaxation techniques  Muscle Relaxation & Meditation can reduce arousal associated with stress  Increased sense of control over stressful situations  Can be extremely useful when combined with more focused/systematic methods  Lowers resting heart rate & blood pressure  Positive effects of raising mood  Can reduce reported levels of stress & depression  Risk of injury – vigorous exercise/ starting exercise programme
  • 29. Evidence Evaluation  Research – social support reduces vulnerability to stress- related arousal  Vogt et al. – mortality from heart disease shows as closely related to social support  Constable & Russell – social support within workplace reduces job-related stress  Social support reduces physical effects of stress  Social networks can provide – emotional, practical, informational & self-esteem support  Allen et al. – presence of a pet lowered heart rates during performance of stressful tests Social Support...
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  • 35. 1. Stress inoculation therapy. 2. Sometimes ingesting things.
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  • 37. 1. Marmot et al. 2. Karasek et al. 3. My dad.
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Editor's Notes

  1. MJ
  2. Cooper et al. (1998) – The occupational stress indicator Self-report questionnaires – used to measure sources of stress [perceived by employee Questionnaires also account for characteristics – social support, personality type, coping strategies Findings used to devise strategies – reduce negative effects on individual & organisation