Table of Contents
Preface ix
Foreword Sir Michael Marmot xi
Acknowledgements xiii
1 Introduction: History of Work and Health 1
General background and aim 1
Work and health from an evolutionary perspective 4
About this book 10
2 The New Workplace in a Rapidly Changing World 11
Global economy and global competition 11
Flexible organisations - flexible workers 13
Health consequences of 'sickness presenteeism' 15
Rationalisation 16
Sources of stress at work 17
3 The New World of Work 22
Lean manufacturing and just-in-time production 22
Frequent restructuring 24
Lifelong learning, work and family-life balance 25
Long working hours and overtime 27
The role of modern communication technology and telecommuting: work without boundaries, or endless work 29
Diffuse distinction between work and other parts of life 32
The challenge for health and well-being in organisations in the future 33
A flexible workforce 34
4 Work as a Source of Stimulation and Health or a Cause of Distress and Illness 41
Work-related stress models 41
Justice 45
Positive and negative work 45
Job satisfaction 47
Workaholism 48
Type A behaviour 49
Job strain and heart disorder 50
Conclusion 52
5 Responses to Stress 53
Mind-body interaction 53
The neuroendocrine stress systems 55
The cardiovascular system 57
Coping with stress 58
Acute stress 60
Chronic stress 66
Short-term versus long-term stress 68
Importance of sleep 68
Allostatic load 69
Catabolic and anabolic processes 73
6 Stress-related Health Problems 75
Chronic fatigue, depression, burnout 76
Cardiovascular disorders 78
Immune function 79
Cognitive function 81
Obesity, diabetes - the metabolic syndrome 82
Musculoskeletal disorders 84
Ulcers 89
HIV, AIDS and cancer 89
When should I be worried? 90
How can any treatment be efficient? 91
7 Stress Hormones at Work 92
8 Socioeconomic Status and Health 96
9 Health Promotion 102
Health intervention, stress reduction 102
Managing stress in a changing workforce 103
Individual interventions 104
Healthy work 106
Mental capital and well-being 109
Interventions and policies 111
Physically risky jobs 112
Positive psychology 112
Restorative environments and recreation 115
Sleep 117
Physical activity 118
10 Gender Differences 120
Symptoms, health and life expectancy 120
Work tasks 122
Unpaid work and total workload 126
Children, women and stress 128
11 Preventive Strategies 129
Occupational hazards 129
Health promotion 129
Occupational conditions in Europe 130
Healthy work 130
SES and health 131
Work-life balance 132
What can we do to reduce stress? 133
Comments on preventive strategies 134
12 The Future Workplace from a Stress-Health Perspective 135
A changing world 135
Work and health 136
Stress, well-being and productivity 138
Demographic changes in Europe and Japan 140
Global issues 141
References 145
Index 163