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PSYCHOLOGICAL HAZARDS. Dr. Ardini S Raksanagara,dr.,MPH. Public Health Department Faculty of Medicine. SPECIFIC LEARNING OBJECTIVE. The student will be able : to underline psychological hazards in the workplace environment (C2) . References.
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PSYCHOLOGICAL HAZARDS Dr. Ardini S Raksanagara,dr.,MPH. Public Health Department Faculty of Medicine
SPECIFIC LEARNING OBJECTIVE The student will be able : • to underline psychological hazards in the workplace environment (C2)
References • Suma’mur, Higene Perusahaan dan Kesehatan Kerja, CV Haji Masagung, Jakarta, 1994. page 207-211 • Levy & Wegman, Occupational Health, Recognizing and Preventing Work Related Disease. Third Edition. Little Broan and Company, Boston / NewYork/Toronto/London,2006. Chapter : 19, 20 . page 381-415, 407 • Harrington, Occupational Heath , Pocket Consultant, Blackwell Scientific Publications,1987. page 117-120 • Rosenstock, Textbook of Clinical Occupational and Environmental Medicine, Second Edition, Saunders, 2005. Chapter : 28
Occupational Psychology Definition : the study of man as a worker and the study of working environment in relation to man.
Occupational Psychology deal with ØTraining ØMorale ØWork study technique ØFatigue ØCommunication and consultation ØAttitude ØOpinion surveys
Risk factors for behavioral and psychosomatic disorders • Environmental psychosocial risk factor • Work overload and under load, shift work, low wages, job turnover • Physical stressor • Thermal environment, noise, vibration, radiation, poor lighting • Environmental chemical stressor • Carbon monoxide, carbon disulfide, alcohol,,solvents • Social support system • Support from family, work community, community • Individual psychosocial factors • Age, sex, personality type, • inter individual relationship at work
Stress • Stress is not just another word for anxiety, it also implies a range of behavioral changes
Job Stress • Harmful physical and emotional responses that occur when the requirement of the job do not match the capabilities, resources, or needs of the worker • Occupational stress, job stress, work stress
Stress related symptoms ·unusual or misguide aggression ·day-dreaming ·paranoia ·disinterestedness ·illogicality ·irrational or impulsive behavior ·narrow mindedness ·indecision ·procrastination ·inability to relax
Stress is causes by variety of factors which may be related to : otask orole ointrinsic environmental factors at work osocial factors ophysical factors Stress has multiple causes
Manifestations of stress : 1.Mental illness 2.Disease (Cardiovascular Disease, Gastrointestinal Disease, Diabetes, Headaches, asthma) 3.Accidents 4.Sickness, Absence & Productivity
Work Stress • Effect of work stress • Sources of work stress • Working conditions play a primary role in causing job stress • Exposure to stressful working conditions direct influence on worker and safety and health
Work stressor/job stressor 3 categories : • job/task demand : workload, shift work • Organizational factors : role conflict, role ambiguity, management style, career related concern (job insecurity, under/overpromotion, career development) • Physical conditions : excessive noise, temperature extreme, poor ventilation, inadequate lighting, ergonomic design
Moderating factors Several personal and situational characteristics can modify the way individual workers exposed to work environment perceive and to react it These characteristics known as moderators • Individual factors : personal characteristics, personality style • Non work factors : family, interpersonal, financial, environmental factors (living condition)
Buffer factors Factors that reduce or eliminate the effects of job stressor • Social support an individual worker from work or non work sources • Lifestyle Factors : physical fitness, exercise, nutrition habits, stress management
Manifestation of work stress • Personal well being • Outcomes of organizational productivity
Components of the stress process • Stressor • Time demands, work schedule • Psychosocial task structure • Physical condition • Organization • Extra organizational • Non work sources • Outcomes • Physiologic • Psychological • Behavioral • Modifiers • Individual • Social support
Pathophysiological correlates of job stress • Mechanisms that underlie the relationship between stress and disease • The direct pathway • An indirect pathway
The direct pathway • Role of disregulations of the neurohormonal system (pituitary-adrenocortical axist), autonomic nervous system, immune system • Influenced by genetic factors
An indirect pathway • Job –non job adverse health effect • Rotating shift work directly influences the circadian rhythm , with resulting changes in the autonomic nervous system and the immune system
Health effects of stress • Acute stress • Elevates catecholamine level • Increased heart rate and blood pressure, • Decreased plasma volume, coronary constriction • Increased lipid levels • Platelet activity, coagulation, inflammation • Chronic stress • Autonomic imbalances • Decreased cardiovascular reactivity • Neurohormonal changes • Increased lipid levels
PREVENTION & MANAGEMENT OF STRESS 1.Individual Approaches 2.Organizational Approaches
Individual approach • To educate employee about stress and its effects • To increase awareness of stress in their lives and job • To teach skill for managing or reducing the problem • stress management technique • (relaxation, meditation, physical activity) • The role of social support : spouses, friends,
Mental health issues in the workplace • Mental disorders • Depression • Anxiety, five related disorders generalised anxiety panic disorder phobias obsessive compulsive disorders traumatic stress disorders • Alcohol abuse • Schizophrenis
Psychosomatic problems • Sleep problems • Personality disorders