Work-Related Psychosocial Stress as a Risk Factor for Asthma,Allergy,and Respiratory Infections in the Swedish Workforce

Abstract

This study examined the association between work-related psychosocial stress and asthma, atopy, and respiratory infections. 532 randomly selected occupationally active people (272 men, 260 women; M age=41 yr., SD = 13) in Sweden participated. Information on history of asthma, atopy, and respiratory infections was collected by a postal self-report questionnaire. Work stress was assessed based on the demands-control-support model. Current asthma and respiratory infections were associated with work-related psychosocial stress. When stratified for sex, these associations were only found in men. Associations between low control, low support, and current asthma were found among young participants (<40 years), whereas among older participants (>40 years) low supervisor support was associated with frequent respiratory infections.

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References

Aabenhus

Thorsen

Siersma

Brodersen

(2013) The development and validation of a multidimensional sum-scaling questionnaire to measure patient-reported outcomes in acute respiratory tract infections in primary care: The Acute Respiratory Tract Infection Questionnaire. Value in Health, 16, 987–992.

Aich

Potter

A. A.

Griebel

P. J.

(2009) Modern approaches to understanding stress and disease susceptibility: A review with special emphasis on respiratory disease. International Journal of General Medicine, 2, 19–32.

Alderling

Theorell

de la Torre

Lundberg

(2006) The demand control model and circadian saliva Cortisol variations in a Swedish population-based sample (The PART study). BMC Public Health, 6, 288.

Anandan

Nurmatov

van Schayck

O. C. P.

Sheikh

(2010) Is the prevalence of asthma declining? Systematic review of epidemiological studies. Allergy, 65, 152–167.

Axelsson

Emilsson

Brik

Lundgren

Toren

Lötvall

(2009) Personality, adherence, asthma control, and health quality of life in young adult asthmatics. Respiratory Medicine, 103, 1033–1040.

Barrett

Brown

R. L.

Mundt

M. P.

Thomas

G. R.

Barlow

S. K.

Highstrom

A. D.

Bahrainnian

(2009) Validation of a short form Wisconsin Upper Respiratory Symptoms Survey (WURSS-21). Health and Quality of Life Outcomes, 7, 1–20.

Bigos

S. J.

Battié

M. C.

Spengler

D. M.

Fisher

L. D.

Fordyce

W. E.

Hansson

T. H.

Nachemson

A. L.

Wortley

M. D.

(1991) A prospective study of work perceptions and psychosocial factors affecting the report of back injury. Spine, 16, 1–6.

Bongers

P. M.

de Winter

C. R.

Kompier

M. A. J.

Hildebrandt

V. H.

(1993) Psychosocial factors at work and musculoskeletal disease. Scandinavian Journal of Work, Environment & Health, 19, 297–312.

Bongers

P. M.

Ijmker

van den Heuvel

Blatter

B. M.

(2006) Epidemiology of work related neck and upper limb problems: Psychosocial and personal risk factors (Part I) and effective interventions from a bio-behavioural perspective (Part II). Journal of Occupational Rehabilitation, 16, 279–302.

10.

Chittleborough

C. R.

Taylor

A. W.

Dal Grande

Gill

T. K.

Grant

J. F.

Adams

R. J.

Wilson

D. H.

, Ruffin, R. E., & North West Adelaide Health Study Team. (2010) Gender differences in asthma prevalence: Variations with socioeconomic disadventage. Respirology, 15, 107–114.

11.

Cohen

Doyle

W. J.

Skoner

D. P.

(1999) Psychological stress, cytokine production, and severity of upper respiratory illness. Psychosomatic Medicine, 61, 175–180.

12.

Cohen

Line

Manuck

S. B.

Rabin

B. S.

Heise

E. R.

Kaplan

J. Y. R.

(1997) Chronic social stress, social status, and susceptibility to upper respiratory infections in nonhuman primates. Psychosomatic Medicine, 59, 213–221.

13.

Cohen

Tyrrell

D. A. J.

Smith

A. P.

(1991) Psychological stress and susceptibility to the common cold. The New England Journal of Medicine, 325(9), 606–612.

14.

Douwes

Brooks

Pearce

(2011) Asthma nervosa: Old concept, new insights. European Respiratory Journal, 37, 986–990.

15.

Emuzyte

Firantiene

Petraityte

Sasnauskas

(2009) Human rhino viruses, allergy, and asthma: A clinical approach. Medicina (Kaunas), 45, 839–847.

16.

Falagas

M. E.

Karamanidou

Kastoris

A. C.

Karlis

Rafailidis

P. I.

(2010) Psychosocial factors and susceptibility to or outcome of acute respiratory tract infections. International Journal of Tuberculosis and Lung Disease, 14, 141–148.

17.

Goodwin

R. D.

Jacobi

Thefeld

(2003) Mental disorders and asthma in the community. Archives of General Psychiatry, 60, 1125–1130.

18.

Guilbert

T. W.

Denlinger

(2010) Role of infection in the development and exacerbation of asthma. Expert Review of Respiratory Medicine, 4, 71–83.

19.

Jackson

D. J.

Sykes

Mallia

Johnston

S. L.

(2011) Asthma exacerbations: Origin, effect, and prevention. The Journal of Allergy and Clinical Immunology, 128, 1165–1174.

20.

Johnson

J. V.

(1986) The impact of workplace social support, job demands and work control upon cardiovascular disease in Sweden. Ph.D. dissertation, John Hopkins Univer. Report no. 1-86. Stockholm, Sweden: Distributed by Department of Psychology, Univer. of Stockholm.

21.

Karasek

R. A.

Theorell

(1990) Healthy work. New York: Basic Books.

22.

Lakwijk

Van Strien

T. T.

Doekes

Brunekreef

Gerritsen

(1998) Validation of a screening questionnaire for atopy with serum IgE tests in a population of pregnant Dutch women. Clinical and Experimental Allergy, 28, 454–458.

23.

Lange

N. E.

Bunyavanich

Silberg

J. L.

Canino

Rosener

B. A.

Celedon

J. C.

(2010) Parental psychosocial stress and asthma morbidity in Puerto Rican twins. The Journal of Allergy and Clinical Immunology, 127, 734–740.

24.

Lavoie

K. L.

Joseph

Bacon

S. L.

(2009) Psychological distress and occupational asthma. Current Opinion in Allergy and Clinical Immunology, 9, 103–109.

25.

Lietzen

Virtanen

Kivimaki

Silanmäki

Vahtera

Koskenvuo

(2011) Stressful life events and the onset of asthma. European Respiratory Journal, 37,1360–1365.

26.

Linneberg

Nielsen

N. H.

Madsen

Frölund

Dirksen

Jorgensen

(2001) Factors related to allergic sensitization to aeroallergens in a cross-sectional study in adults: The Copenhagen allergy study. Clinical and Experimental Allergy, 31, 1409–1417.

27.

Linton

S. J.

(1990) Risk factors for neck and back pain in a working population in Sweden. Work & Stress, 4, 41–49.

28.

Loerbroks

Gadinger

M. C.

Bosch

J. A.

Sturmer

Amelang

(2010) Work-related stress, inability to relax after work and risk of adult asthma: A population-based cohort study. Allergy, 65, 1298–1305.

29.

Moen

B. E.

Wieslander

Bakke

J. V.

Norbäck

(2013) Subjective health complaints and psychosocial work environment among university personnel. Occupational Medicine, 63, 38–44.

30.

Park

S-G.

Kim

H-C.

Min

J-Y.

Hwang

S-H.

Park

Y-S.

Min

K-B.

(2011) A prospective study of work stressors and the common cold. Occupational Medicine, 61, 53–56.

31.

Peebles

R. S.

(2004) Viral infections, atopy, and asthma: Is there a causal relationship? The Journal of Allergy and Clinical Immunology, 113, 15–18.

32.

Reed

M. G.

Adolf

Werwick

Herrmann

(2010) Knowledge and attitudes of GPs in Saxony-Anhalt concerning the psychological aspects of bronchial asthma: A questionnaire study. BioPsychoSocial Medicine, 4(23), 1–8.

33.

Runeson

Lindgren

Wahlstedt

(2011) Sleep problems and psychosocial work environment among Swedish commercial pilots. American Journal of Industrial Medicine, 54, 545–551.

34.

Runeson

Wahlsteadt

Norbäck

(2011) Pilot study of personality traits assessed by the Karolinska Scales of Personality (KSP) in asthma, atopy, and rhinitis. Perceptual & Motor Skills, 113, 909–920.

35.

Sharma

Nandkumar

V. K.

(1980) Personality structure and adjustment pattern in bronchial asthma. Acta Psychiatrica Scandinavica, 61, 81–88.

36.

Steptoe

Cropley

Griffith

Kirschbaum

(2000) Job strain and anger expression predict early morning elevations in salivary Cortisol. Psychosomatic Medicine, 62, 286–292.

37.

Takkouche

Regueira

Gestal-Otero

J. J.

(2001) A cohort study of stress and the common cold. Epidemiology, 12, 345–349.

38.

Theoharides

T. C.

Enakuaa

Sismanopoulos

Asadi

Papadimas

E. C.

Angelidou

Alysandratos

K-D.

(2012) Contribution of stress to asthma worsening through mast cell activation. Annals of Allergy, Asthma & Immunology, 109, 14–19.

39.

Theorell

(2000) Psychosocial factors at work in relation to musculoskeletal conditions: Implications for job redesign and rehabilitation. In Violante

Armstrong

Kilbom

Å.

(Eds.), Occupational ergonomics: Work-related musculoskeletal disorders of the upper limb and back. London, UK: Taylor & Francis. Pp. 29–50.

40.

Theorell

Nordemar

, Michaelsen, H., & Stockholm Music I Study Group. (1993) Pain thresholds during standardised psychological stress in relation to perceived psychosocial work situation. Journal of Psychosomatic Research, 37, 299–305.

41.

Theorell

Perski

Åkerstedt

Sigala

Ahlberg-Hulten

Svensson

Eneroth

(1988) Changes in job strain in relation to changes in physiological state. Scandinavian Journal of Work, Environment & Health, 14, 189–196.

42.

Thoren

C. T.

Petermann

(2000) Reviewing asthma and anxiety. Respiratory Medicine, 94, 409–415.

43.

Toren

Brisman

Järvholm

(1993) Asthma and asthma-like symptoms in adults assessed by questionnaires: A literature review. Chest, 104, 600–608.

44.

Cobb

Turner J. M.

Steptoe

(1996) Psychosocial stress and susceptibility to upper respiratory tract illness in an adult population sample. Psychosomatic Medicine, 58, 404–412.

45.

Wahlstedt

K. G. I.

Edling

(1994) Psychosocial factors and psychosomatic complaints among postal workers. European Journal of Public Health, 4, 60–64.

46.

Wahlstedt

K. G. I.

Edling

(1997) Organizational changes at a postal sorting terminal—their effects upon work satisfaction, psychosomatic complaints and sick leave. Work & Stress, 11, 279–291.

47.

Wieslander

Norbäck

Janson

Edling

(1997) Validation of a self-administrated questionnaire on asthmatic symptoms and atopy in house painters. Journal of Occupational Health, 39, 332–338.

48.

Wright

R. J.

(2011) Epidemiology of stress and asthma: From constricting communities and fragile families to epigenetics. Immunology and Allergy Clinics of North America, 31, 19–39.