The relationship between job-anxiety and trait-anxiety—A differential diagnostic investigation with the Job-Anxiety-Scale and the State-Trait-Anxiety-Inventory

Muschalla, Beate; Lindén, Michael; Olbrich, Dieter

doi:10.1016/j.janxdis.2010.02.001

Cited by 52 publications

(60 citation statements)

References 27 publications

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“…It contains 13 items. It has been extracted from the Job Anxiety Scale, 33,34 which covers further workplace anxiety dimensions apart from phobia. The WPS is presented to patients as "questionnaire on workplace problems" that examines "behavior, thoughts, and feelings that can occur in relation to the workplace."…”

Section: Instrumentsmentioning

confidence: 99%

“…The scale was validated in previous studies with different non-work-related anxiety and general psychopathology questionnaires. 34,35 The WHO-5 rating was used as an indicator of the amount of mental symptom load present. The WHO-5 well-being rating 22 has 5 items and asks whether the patient felt well, relaxed, active, and full of interest for life during the past 2 weeks.…”

Section: Instrumentsmentioning

confidence: 99%

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Workplace Phobia, Workplace Problems, and Work Ability among Primary Care Patients with Chronic Mental Disorders

Muschalla

Lindén

2014

The Journal of the American Board of Family Medicine

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Purpose: Work-related anxieties are frequent and have a negative effect on the occupational performance of patients and absence due to sickness. Most important is workplace phobia, that is, panic when approaching or even thinking of the workplace. This study is the first to estimate the prevalence of workplace phobia among primary care patients suffering from chronic mental disorders and to describe which illness-related or workplace-specific context factors are associated with workplace phobia.Methods: A convenience sample of 288 primary care patients with chronic mental disorders (70% women) seen by 40 primary care clinicians in Germany were assessed using a standardized diagnostic interview about mental disorders and workplace problems. Workplace phobia was assessed by the Workplace Phobia Scale and a structured Diagnostic and Statical Manual of Mental Disorders-based diagnostic interview. In addition, capacity and participation restrictions, illness severity, and sick leave were assessed.Results: Workplace phobia was found in 10% of patients with chronic mental disorders, that is, approximately about 3% of all general practice patients. Patients with workplace phobia had longer durations of sick leave than patients without workplace phobia and were impaired to a higher degree in work-relevant capacities. They also had a higher degree of restrictions in participation in other areas of life.Conclusions: Workplace phobia seems to be a frequent problem in primary care. It may behoove primary care clinicians to consider workplace-related anxiety, including phobia, particularly when patients ask for a work excuse for nonspecific somatic complaints. (J Am Board Fam Med 2014;27: 486 -494.)

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Section: Instrumentsmentioning

confidence: 99%

Section: Instrumentsmentioning

confidence: 99%

Workplace Phobia, Workplace Problems, and Work Ability among Primary Care Patients with Chronic Mental Disorders

Muschalla

Lindén

2014

The Journal of the American Board of Family Medicine

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“…On the other hand an explanation for workplace-related anxiety is the fact that workplaces usually hold many anxiety-provoking features, like achievement aspirations, evaluation by superiors, rivalries between colleagues, offensive customers or dangers to health from working conditions [12,15,16,17]. It has been shown that work-related anxieties can be differentiated from other conventional forms of anxiety and from other complaints about general psychosomatic symptoms [13,18]. …”

Section: Introductionmentioning

confidence: 99%

Specific Job Anxiety in Comparison to General Psychosomatic Symptoms at Admission, Discharge and Six Months after Psychosomatic Inpatient Treatment

Muschalla¹

2012

Psychopathology

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Objective: Job anxiety is a severe problem in many patients with chronic mental disorders, as it usually results in specific participation problems in the workplace and long-term sick leave. The aim of this study was to explore the development of sick leave in dependence on general psychosomatic complaints and job anxiety from admission to a psychosomatic inpatient treatment until 6 months after discharge. Method: A convenience sample of 91 patients, suffering from multiple mental disorders, filled in self-rating questionnaires on job anxiety (Job Anxiety Scale) and on general psychosomatic symptom load (Symptom Checklist-90-Revised) at the beginning, the end, and 6 months after discharge from an inpatient psychosomatic treatment. Additionally, sick leave status and employment status were assessed before and 6 months after the treatment. Results: 15.4% of 91 patients were on sick leave before inpatient treatment and at follow-up (SS group), 20.9% were fit for work at intake and follow-up (FF group), 6.6% were fit for work initially and on sick leave later (FS group), and 57.1% on sick leave first and working at follow-up (SF group). In regard to general psychosomatic complaints, there were initially high scores on the SCL, a marked reduction during inpatient treatment, and a bouncing back to initial levels at follow-up for all 4 patient groups. SS and FS patients showed the highest scores at intake and follow-up. Concerning job anxiety, SS patients had the highest scores at all three assessments, while FF patients had significantly lower scores, with only low variation between assessments. SF patients started with comparatively high scores of job anxiety, which even increased before reentering work, but decreased in the follow-up period when they were confronted with work again. FS patients started low (like the FF patients) at intake, reduced their job anxiety further till discharge, but increased to higher scores at follow-up. Conclusions: General psychosomatic symptom load and job anxiety show a different course during treatment and are differently related to sick leave. General psychosomatic symptom load can be understood as a measure of the degree of the chronic illness status, whereas job anxiety reflects specific additional context-related problems, i.e. problems with work. A core finding is that job anxiety is related to work avoidance, but work exposure may reduce job anxiety. This has direct consequences for putting patients on sick leave or not.

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“…Lo segundo es que se puede desarrollar una fobia al lugar de trabajo, descrita como una reacción de pánico con arousal psicológico al pensar o aproximarse a este 44 . Es un fenómeno frecuente y además uno de los factores que más obstaculiza un retorno exitoso al trabajo 45,46 . Al igual que en otros trastornos de ansiedad y fobias, los pacientes desarrollan conductas evitativas, lo que lleva a mayor deterioro, ya que perpetúa un círculo vicioso de ansiedad y evitación.…”

Section: A) Efectos Psicológicosunclassified

Licencia médica psiquiátrica: revisión de los efectos positivos y negativos del reposo

Almonte

Muñoz²,

Parrini³

2018

Rev. méd. Chile

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The relationship between job-anxiety and trait-anxiety—A differential diagnostic investigation with the Job-Anxiety-Scale and the State-Trait-Anxiety-Inventory

Cited by 52 publications

References 27 publications

Workplace Phobia, Workplace Problems, and Work Ability among Primary Care Patients with Chronic Mental Disorders

Workplace Phobia, Workplace Problems, and Work Ability among Primary Care Patients with Chronic Mental Disorders

Specific Job Anxiety in Comparison to General Psychosomatic Symptoms at Admission, Discharge and Six Months after Psychosomatic Inpatient Treatment

Licencia médica psiquiátrica: revisión de los efectos positivos y negativos del reposo

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