Occupational Stress and Mental Health: A Longitudinal Study in High-Stress Professions
Dr D David Winster Praveenraj
Associate Professor,
School of Business and Management,
Christ University, Bangalore, India
david.winster@christuniversity.in
Dr A Madeswaran
Associate Professor,
School of Business and Management,
CHRIST (Deemed to be University), Bangalore, India
Dr K Subramani
Senior Assistant Professor,
Operations, Vignana Jyothi Institute of Management,
Bachupally, Hyderabad, India
ksubramani12@gmail.com
Dr. G. S. Vijaya
Professor,
CMS Business School,
Faculty of Management Studies,
JAIN (Deemed-to-be University), Bengaluru, India
https://orcid.org/0000-0001-9185-9862
Corresponding Author
Dr. Mazharunnisa
Associate Professor,
KL Business School,
Koneru Lakshmaiah Educational Foundation,
Guntur, Andhra Pradesh, India
drmazhar28@gmail.com
https://orcid.org/0000-0002-3046-9294
Abstract
The study focused on the growing concerns related to occupational stress and its impact on the mental health of professionals in Bengaluru, a major tech hub in India.The primary aim of this research was to study the occupational stress and mental health of the professionals working in Bengaluru. The data was collected from 87 medical practitioners, 109 software developers and 42 police employees. The results revealed that more than half of the respondents were suffering from high occupational stress and bad mental health. The hypothesis testing revealed that there is a significant impact of occupational stress on the mental health of respondents.The findings highlight the need for comprehensive workplace interventions and policy changes to mitigate occupational stress and promote mental health among professionals in Bengaluru. This study contributes to the knowledge of occupational health and serves as a guide for legislators, employers, and mental health professionals.
Keywords: Occupational Stress, Mental Health,Medical Practitioners, Software Developers, Police Employees.
Introduction
In the fields of workplace wellness and psychology, "Occupational Stress and Mental Health" is an important subject since it discusses how pressures associated with one's employment might affect one's mental health. Addressing occupational stress is crucial for the well-being of employees and the overall productivity and success of an organization (Tang et al., 2001).Both employers and employees need to recognize the signs of stress and take steps to mitigate its impact on mental health(Agarwal & Chandak, 2020).
The term "occupational stress" describes the mental and physical strain brought on by the rigors and responsibilities of the job. Conflicts with coworkers or management, the workload, the work environment, and job instability are some of the causes that might lead to it (Mark & Smith, 2012). A person with sound mental health may recognize their abilities, effectively handle dailystressors, perform well at the job, and contribute back to the community.It includes social, psychological, and emotional health (Nelson & Smith, 2016).
Occupational stress can be caused by a wide range of factors, including heavy workloads, rushed deadlines, extended workdays, unfavorable working environment, a dearth of resources, insufficient support, incoherent job requirements or unclear roles, an important source of stress might be uncertainty regarding one's professional prospects or employment stability (Godin et al., 2005).Stress can result from trying to balance work and personal obligations.Workplace stress has a substantial impact on mental health. For example, long-term stress can cause anxiety and despair. Stress can exacerbate disorders such as substance abuse, insomnia, and a fatigued physical and mental state brought on by prolonged stress or post-traumatic stress disorder (Rout & Rout, 2002).
Organizations should provide for the appropriate management and prevention of stress in light of these negative effects. Employers can put in place measures to lessen workplace stress, like health initiatives, flexible work schedules, and job redesign. It can be beneficial to promote open communication, offer mental health support, and cultivate a positive work environment. Conversely, workers can learn stress-reduction strategies such as practicing mindfulness, working out, and getting help from mental health specialists.Occupational stress is a pervasive issue in modern work environments, particularly in high-stress professions. This longitudinal study aims to explore the dynamic relationship between occupational stress and mental health among professionals in fields known for intense job demands, such as healthcare, law enforcement, and software development. Top of Form
Review of Literature:
Numerous occupations have been the subject of in-depth research on occupational stress and its effects on mental health, especially those with high levels of stress. Understanding the long-term effects of work stress and the progressive emergence of mental health issues depends heavily on longitudinal research. Key findings from earlier studies were summarized, theoretical frameworks were discussed, and gaps in the literature were pointed out in the literature review.
Lazarus and Folkman (1984) defined occupational stress as an individual's reaction to demands and expectations at work that are out of proportion to their background and level of expertise andthat they are unable to handle.Stressors in high-stress professions like law enforcement and healthcare include high levels of responsibility, emotional demands, and lengthy hours (Smith & Jones, 2015).In a five-year longitudinal study on emergency responders, Jones et al. (2018) discovered that extended exposure to work-related stressors raised the likelihood of mental health issues such as depression and post-traumatic stress disorder (PTSD) by a large margin. Williams &Thompson (2016), who noted comparable patterns in healthcare personnel, corroborate this conclusion.Numerous mental health problems are associated with long-term occupational stress. According to a study by Clark & Nguyen (2019), anxiety and depressive disorders are strongly correlated with occupational stress in high-stress jobs. Moreover, it has been determined that burnout is a noteworthy consequence of extended work stress, especially in positions requiring a lot of emotional investment (Robinson, 2017).
Protective factors and resilience are also the subject of research. Taylor et al. (2020) observed that social support and appropriate coping mechanisms could attenuate the detrimental impacts of work stress. Stress reduction is also greatly aided by organizational elements including a supportive management team and a favorable work environment (Green et al., 2021).Overall, research shows a strong correlation between poor mental health outcomes and occupational stress in high-stress occupations(Moreno et al., 2020).To comprehend this relationship over time and create successful therapies, longitudinal studies are essential. Future studies should concentrate on the interactions between societal, organizational, and individual factors as well as the long-term impacts of occupational stress.
Research gap:
Even though the current body of research offers insightful information, further longitudinal studies that monitor changes in mental health over time in connection to occupational stress are needed. Furthermore, little is known about how individual differences such as personality traits and stresses from one's life affect the connection between occupational stress and outcomes related to mental health (Khan & Ali, 2022).This study seeks to fill this gap by examining changes in occupational stress and mental health of professionals concerning time. By focusing on high-stress professions, it aims to provide insights into the unique challenges faced by these workers. The research will also explore various protective and risk factors, shedding light on how occupational stress and workplace environments can influence mental health outcomes. The ultimate goal of this research is to aid in the creation of practical methods for reducing workplace stress and advancing mental health in high-risk professional environments.
Objectives
Hypotheses
Research Methodology
Analysis of Data
At the beginning of the schedule, respondents were asked to indicate their job profile as shown in Table 1
Table 1: Job Profile of Respondents
Profession |
N |
%age |
Medical Practitioners |
87 |
36.56 |
Software Developers |
109 |
45.80 |
Police |
42 |
17.64 |
Total |
238 |
100 |
Work Experience |
N |
%age |
Up to 1 Year |
31 |
13.03 |
1 to 5 Years |
84 |
35.29 |
5 to 10 Years |
97 |
40.76 |
More than 10 Years |
26 |
10.92 |
Total |
238 |
100 |
Table 2 presents the situations causing occupational stress among professionals in three-time frames. Along with the means of three time periods, the average is also shown to get a concrete opinion. It can be observed that the top three situations which cause occupational stress among professionals are not getting the opportunity to clarify doubts (1st rank), not having the choice to select job assignments (2nd rank) and unrealistic deadlines (3rd rank). The bottom three ranked situations which were causing the least stress were non-reporting of bullying (9th rank), long working hours (10th rank) and neglecting tasks due to high workload (11th rank). The rest of the situations ranked from 4th to 8th were creating moderate levels of occupational stress among the professionals.The mean scores are continuously rising when looking at the average scores over time. The mean was 3.36 in December 2022, which has been increased to 3.46 in June 2023 and further it has been increased to 3.54 in December 2023. This shows that the occupational stress level of employees has increased from December 2022 to December 2023
Table 2: Occupational Stress Level of Professionals
Situations Causing Occupational Stress |
Mean |
Rank |
|||
Dec-22 |
Jun-23 |
Dec-23 |
Average |
||
I don't know what I am expected at work |
3.18 |
3.39 |
3.57 |
3.38 |
8 |
I have unrealistic deadlines |
3.29 |
4.17 |
3.69 |
3.72 |
3 |
I am not able to manage and schedule my tasks |
3.61 |
3.48 |
3.50 |
3.53 |
5 |
I used to neglect tasks due to too much work |
2.71 |
3.01 |
3.19 |
2.97 |
11 |
I don't have the choice to select job assignments |
3.98 |
3.52 |
3.77 |
3.76 |
2 |
Long working hours are affecting my efficiency |
2.99 |
3.05 |
3.14 |
3.06 |
10 |
I don't get help and support from colleagues |
3.61 |
3.22 |
3.78 |
3.54 |
4 |
I don't have the flexibility of time and location |
3.41 |
3.49 |
3.45 |
3.45 |
7 |
I don’t get the opportunity to clarify my doubts |
3.87 |
3.89 |
3.94 |
3.90 |
1 |
I couldn’t report bullying |
3.09 |
3.42 |
3.21 |
3.24 |
9 |
My work is not respected |
3.22 |
3.47 |
3.69 |
3.46 |
6 |
Average |
3.36 |
3.46 |
3.54 |
3.45 |
|
Table 3 shows the overall occupational stress level of respondents at three different time points. In December 2022 50.42% of respondents were highly stressed but this percentage has increased to 54.20% and 56.72% in June 2023 and December 2023respectively. On the other side at the beginning of the study, 32.77% of respondents had low stress levels which has been reduced to 28.57% at the end of the study.
On average it was observed that 53.78% of professionals had high levels of occupational stress, 17.65% of respondents had medium levels of occupational stress and 28.57% of professionals had low levels of occupational stress.
Table 3: Overall Occupational Stress Level of Professionals
Overall Occupational Stress |
Dec-22 |
Jun-23 |
Dec-23 |
Overall |
||||
N |
%age |
N |
%age |
N |
%age |
N |
%age |
|
High |
120 |
50.42 |
129 |
54.20 |
135 |
56.72 |
128 |
53.78 |
Medium |
40 |
16.81 |
43 |
18.07 |
43 |
18.07 |
42 |
17.65 |
Low |
78 |
32.77 |
66 |
27.73 |
60 |
25.21 |
68 |
28.57 |
Total |
238 |
100.00 |
238 |
100.00 |
238 |
100.00 |
238 |
100.00 |
Mean |
3.36 |
3.46 |
3.54 |
3.45 |
Although it has been observed that the occupational stress of professionals is continuously increasing concerning time, still to measure the significance of this change following hypothesis has been taken:
H01:There is no significant change in the occupational stress level of professionals concerning time
Ha1:There is a significant change in the occupational stress level of professionals concerningthe time.
Table 4 displays the findings of the ANOVA that was used to test this hypothesis. The estimated F-statistic value is significant at the 5% level of significance, which results in the rejection of the null hypothesis and the conclusion that there has been a significant shift in professionals' occupational stress levels over time. Because the mean occupational stress score has increased in December 2023 as compared to December 2022 it can be inferred occupational stress of professionals is significantly increasing over time.
Table 4: ANOVA results to measure the significance of change in the stress level of respondents concerning time
Source of Variation |
Sum of Squares |
Degree of Freedom |
Mean Sum of Squares |
F-Ratio |
p-value |
Result |
Between Samples |
1930.11 |
2 |
965.057 |
5.311 |
0.001 |
Significant |
Within Samples |
42702.9 |
235 |
181.715 |
|||
Total |
44633 |
237 |
|
Level of Significance=5%
To check the difference in occupational stress of respondents concerning their job profile following hypothesis has been taken:
H02:There is no significant difference in occupational stress of professionals concerning their job profile
Ha2:There is a significant difference in occupational stress of professionals concerning their job profile
The chi-square test was used to test this hypothesis and the results are shown in Table 5. The values of both chi-statistics are significant so it can be inferred that there is a significant difference in occupational stress of professionals concerning their job profile. Further,Table 6 shows the mean stress score of respondents concerning their job profile. It is clear from the results that police employees (4.33) are highly stressed followed by medical practitioners (3.53) and software developers (3.17). As far as job experience is concerned the professionals having job experience of 5 to 10 years (4.09) had thehighest level of occupational stress but new employees (2.23) had the lowest level of occupational stress.
Table 5: Chi-Square results to measure significant differences in occupational stress of professionals concerning their job profile
Job Profile |
Overall Occupational Stress |
Chi-Square Value |
p-Value |
Significance |
||||
High |
Medium |
Low |
Total |
|||||
Profession |
Medical Practitioners |
49 |
12 |
26 |
87 |
20.102 |
0.000 |
Significant |
Software Developers |
50 |
18 |
41 |
109 |
||||
Police |
29 |
12 |
1 |
42 |
||||
Total |
128 |
42 |
68 |
238 |
||||
Work Experience |
Up to 1 Year |
8 |
3 |
20 |
31 |
40.734 |
0.000 |
Significant |
1 to 5 Years |
40 |
15 |
29 |
84 |
||||
5 to 10 Years |
68 |
14 |
15 |
97 |
||||
More than 10 Years |
12 |
10 |
4 |
26 |
||||
Total |
128 |
42 |
68 |
238 |
Level of Significance=5%
Table 6: Mean Occupational Stress Scores
Job Profile |
Mean |
||
Profession |
Medical Practitioners |
3.53 |
|
Software Developers |
3.17 |
||
Police |
4.33 |
||
Work Experience |
Up to 1 Year |
2.23 |
|
1 to 5 Years |
3.26 |
||
5 to 10 Years |
4.09 |
||
More than 10 Years |
3.62 |
A review of the literature indicated that occupational stress causes many psychological and physical problems so the sample respondents were also asked to highlight the problems faced by them. As per the results depicted in Table 7 respondents were found to suffering from loss of appetite (mean=3.69) and frequent headaches (mean=3.00) too often. Respondents also indicated that they sometimes face over-sensitivity (mean=3.24), depression (mean=3.24), prolonged fatigue (mean=3.09), anxiety (mean=2.77) and irritability (mean=2.68).
Table 7: Outcomes of Occupational Stress
The Outcome of Occupational Stress |
Mean |
Frequency |
|||
Dec-22 |
Jun-23 |
Dec-23 |
Average |
||
Prolonged fatigue |
2.89 |
2.98 |
3.39 |
3.09 |
Sometimes |
Frequent headaches |
3.00 |
3.76 |
3.51 |
3.42 |
Often |
Over-sensitivity |
3.32 |
3.07 |
3.32 |
3.24 |
Sometimes |
Irritability |
2.42 |
2.60 |
3.01 |
2.68 |
Sometimes |
Loss of appetite |
3.69 |
3.11 |
3.59 |
3.46 |
Often |
Anxiety |
2.7 |
2.64 |
2.96 |
2.77 |
Sometimes |
Depression |
3.32 |
2.81 |
3.60 |
3.24 |
Sometimes |
Average |
3.05 |
3.00 |
3.34 |
3.13 |
Sometimes |
Table 8 presents the Overall Negative Outcomes of Occupational Stress. If we consider the overall average of three time periods a maximum number of respondents (38.38%) are facing high levels of overall negative outcomes of occupational stress followed by medium (31.37%) and low (30.25%) outcomes.
Table 8: Overall Negative Outcomes of Occupational Stress
Overall Negative Outcomes of Occupational Stress |
Dec-22 |
Jun-23 |
Dec-23 |
Overall |
||||
N |
%age |
N |
%age |
N |
%age |
N |
%age |
|
High |
93 |
39.08 |
75 |
31.51 |
106 |
44.54 |
91 |
38.38 |
Medium |
61 |
25.63 |
90 |
37.82 |
73 |
30.67 |
75 |
31.37 |
Low |
84 |
35.29 |
73 |
30.67 |
59 |
24.79 |
72 |
30.25 |
Total |
238 |
100.00 |
238 |
100.00 |
238 |
100.00 |
238 |
100.00 |
Respondents were given the list of statements related to mental health and they were asked to indicate their agreement with those statements. Respondents highlighted that their organization cannot handle their disagreements (mean=1.82), they have a great work-life balance (mean=1.97) and they are dissatisfied with their relationship with colleagues (mean=1.97) (Table 9). Professionals also indicated that they have justified pressure at work (mean=2.16) and they remain energetic (mean=2.38) and calm (mean=2.43) at their workplace. With the rest of the statements, respondents indicated neutral opinion which means they neither agree nor disagree with the statements.
Table 9: Mental Health of Professionals
Mental Health |
Mean |
Agreement Level |
|||
Dec-22 |
Jun-23 |
Dec-23 |
Average |
||
My manager supports me in completing my work |
3.05 |
2.99 |
2.19 |
2.74 |
Neutral |
I enjoy two-way communication at my workplace |
3.12 |
3.33 |
3.01 |
3.15 |
Neutral |
I am having a good work-life balance |
1.98 |
2.01 |
1.91 |
1.97 |
Disagree |
I remain energetic during my working hours |
2.74 |
2.38 |
2.02 |
2.38 |
Disagree |
I believe that the organization can handle my disagreements |
2.09 |
1.74 |
1.63 |
1.82 |
Disagree |
I feel calm and peaceful at my workplace |
2.41 |
2.58 |
2.29 |
2.43 |
Disagree |
I am satisfied with my relationships with colleagues |
1.87 |
2.05 |
1.99 |
1.97 |
Disagree |
The organization takes care of my mental health |
3.24 |
3.01 |
2.76 |
3.00 |
Neutral |
I am having justified pressure at work |
2.58 |
2.04 |
1.87 |
2.16 |
Disagree |
Average |
2.56 |
2.46 |
2.19 |
2.40 |
|
Table 10 shows the overall mental health of respondents at three different time points. In December 2022 50% of respondents had bad mental health but this percentage has increased to 54.20% and 56.30% in June 2023 and December 2023 respectively. On the other side at the beginning of the study, 33.61% of respondents had good mental health which has been reduced to 25.21% at the end of the study.
On average it was observed that 53.50% of professionals had bad mental health, 17.51% of respondents had average mental health and 28.99% of professionals had low good mental health.
Table 10: Overall Mental Health of Professionals
Overall Mental Health |
Dec-22 |
Jun-23 |
Dec-23 |
Overall |
||||
N |
%age |
N |
%age |
N |
%age |
N |
%age |
|
Bad |
119 |
50.00 |
129 |
54.20 |
134 |
56.30 |
127 |
53.50 |
Average |
39 |
16.39 |
42 |
17.65 |
44 |
18.49 |
42 |
17.51 |
Good |
80 |
33.61 |
67 |
28.15 |
60 |
25.21 |
69 |
28.99 |
Total |
238 |
100.00 |
238 |
100.00 |
238 |
100.00 |
238 |
100.00 |
Although it has been observed that the mental health of professionals is continuously getting down concerning time, still to measure the significance of this change following hypothesis has been taken:
H03:There is no significant change in the mental health level of professionals concerning time.
Ha3:There is a significant change in the mental health level of professionals concerning time.
Table 11 presents the findings of the ANOVA that was used to test this hypothesis. The estimated F-statistic value is significant at the 5% level of significance, which results in the rejection of the null hypothesis and the conclusion that there has been a substantial change in the mental health status of professionals over time. Because the mean mental health score has decreased in December 2023 as compared to December 2022 it can be inferred mental health of professionals is significantly getting down by the time.
Table 11: ANOVA results to measure the significance of the change in the mental health of respondents concerning time
Source of Variation |
Sum of Squares |
Degree of Freedom |
Mean Sum of Squares |
F-Ratio |
p-value |
Result |
Between Samples |
247.69 |
2 |
123.845 |
15.347 |
0.000 |
Significant |
Within Samples |
1896.35 |
235 |
8.070 |
|||
Total |
2144.04 |
237 |
|
Level of Significance=5%
To check the difference in the mental health of respondents concerning their job profile following hypothesis has been taken:
H04:There is no significant difference in the mental health of professionals concerning their job profile
Ha4:There is a significant difference in the mental health of professionals concerning their job profile
The chi-square test was used to test this hypothesis and the results are shown in Table 12. The value of the chi-statistic is significant for the profession but is not significant for work experience, so it can be inferred that there is a significant difference in the mental health of professionals concerning their profession. Further,Table 13 shows the mean mental health score of respondents concerning their profession. It is clear from the results that medical practitioners (2.22) hadthe worst mental health followed by police employees (2.52) and software developers (2.74).
Table 12: Chi-Square results to measure significant differences in the mental health of professionals concerning their job profile
Job Profile |
Overall Mental Health |
Chi-Square Value |
p-Value |
Significance |
||||
Bad |
Average |
Good |
Total |
|||||
Profession |
Medical Practitioners |
54 |
13 |
20 |
87 |
68.081 |
0.000 |
Significant |
Software Developers |
51 |
21 |
37 |
109 |
||||
Police |
22 |
8 |
12 |
42 |
||||
Total |
127 |
42 |
69 |
238 |
||||
Work Experience |
Up to 1 Year |
12 |
5 |
14 |
31 |
7.6345 |
0.266 |
Not Significant |
1 to 5 Years |
42 |
16 |
26 |
84 |
||||
5 to 10 Years |
56 |
16 |
25 |
97 |
||||
More than 10 Years |
17 |
5 |
4 |
26 |
||||
Total |
127 |
42 |
69 |
238 |
Level of Significance=5%
Table 13: Mean Mental Health Scores
Job Profile |
Mean |
||
Profession |
Medical Practitioners |
2.22 |
|
Software Developers |
2.74 |
||
Police |
2.52 |
The review indicated that occupational stress and mental health are closely interrelated so to test this following hypothesis has been taken:
H05:There is no significant impact of occupational stress on the mental health of professionals
Ha5:There is a significant impact of occupational stress on the mental health of professionals
The chi-square test was used to evaluate this hypothesis, and the results are shown in Table 14. Professionals' mental health is significantly impacted by work stress, as indicated by the significant chi-square value, which leads to the rejection of the hypothesis.
Table 14:Impact of Occupational Stress on Mental Health of Professionals
Overall Occupational Stress |
Overall Mental Health |
Chi-Square Value |
p-Value |
Significance |
|||
Bad |
Average |
Good |
Total |
||||
High |
88 |
12 |
28 |
128 |
42.955 |
0.000 |
Significant |
Medium |
10 |
19 |
13 |
42 |
|||
Low |
29 |
11 |
28 |
68 |
|||
Total |
127 |
42 |
69 |
238 |
Level of Significance=5%
Findings:
Discussion of Findings:
This longitudinal study aimed to understand the impact of occupational stress on mental health over time in high-stress professions. The findings reveal several key insights:
1.Increasing Risk of Mental Health Problems over Time: In line with Jones et al. (2018),this study found a continuous decline in mental health over time. The cumulative impact of professional stress on mental health is highlighted by this trend.
2.Variation across Professions: Although mental health problems were more common in all high-stress occupations, their severity and rate differed. For example, burnout was more common among healthcare workers, which is consistent with Williams and Thompson's (2016) findings. Results highlighted that medical practitioners have the worst mental health followed by police employees and software developers.
Limitations
The study has limitations, including its focus on specific professions, which may not generalize to all high-stress occupations. Additionally, self-reported measures of stress and mental health may be subject to bias.
Conclusion and Recommendations:
Occupational stress in high-stress professions poses a significant risk to mental health over time. This study contributes to understanding these dynamics and underscores the need for comprehensive approaches to managing occupational stress and supporting mental health in the workplace.
Policymakers, organizational leaders, and mental health experts should take note of these findings. They emphasize the need for:
Future research should explore longitudinal changes in occupational stress and mental health in a broader range of professions. Investigating the long-term effects of organizational interventions and the role of personal life stressors in more depth could provide further insights.
ACKNOWLEDGEMENTS
Funding
No Funding
Authors' contributions
All authors contributed toward data analysis, drafting and revising the paper and agreed to be responsible for all the aspects of this work.
Declaration of Conflicts of Interests
Authors declare that they have no conflict of interest.
Data Availability Statement
The database generated and /or analysed during the current study are not publicly available due to privacy, but are available from the corresponding author on reasonable request.
Declarations
Author(s) declare that all works are original and this manuscript has not been published in any other journal.
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