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An overview of work-related stress assessment

dc.contributor.authorLavreysen, Olivia
dc.contributor.authorBakusic, Jelena
dc.contributor.authorAbatzi, Thalia-Anthi
dc.contributor.authorGeerts, Annelien
dc.contributor.authorMateusen, Mies
dc.contributor.authorBashkin, Osnat
dc.contributor.authorKoscec Bjelajac, Adrijana
dc.contributor.authorDopelt, Keren
dc.contributor.authordu Prel, Jean-Baptist
dc.contributor.authorFranic, Zrinka
dc.contributor.authorGuseva Canu, Irina
dc.contributor.authorKiran, Sibel
dc.contributor.authorMerisalu, Eda
dc.contributor.authorPereira, Cristiana Costa
dc.contributor.authorRoquelaure, Yves
dc.contributor.authorGodderis, Lode
dc.date.accessioned2026-02-23T11:55:25Z
dc.date.available2026-02-23T11:55:25Z
dc.date.issued2025-04-23
dc.description.abstractObjective: Work-related stress (WRS) is associated with the development of various health issues and long-term absence from the workplace. Adequate measurement of WRS is essential to assess its prevalence, risks, and effectiveness of preventive interventions. The aim of this review was to provide an overview of different categories of WRS assessment: 1) self-assessment, 2) external assessment, and 3) biomarkers. Methods: The databases MEDLINE, PsycINFO, EMBASE, CINAHL, and Web of Science have been searched until July 2024 for studies comprising self-assessment or external assessment of WRS, and WRS biomarkers. The self-assessment studies were further evaluated following the COSMIN guidelines. Results: In this review, a total of 15,749 articles were screened. The final analysis included 53 studies on self-assessment of WRS, 33 articles on external assessment of WRS and 167 articles on stress biomarkers. Within self-assessment studies, four instruments were included in the analysis: Job Content Questionnaire, Effort Reward Imbalance Questionnaire, Copenhagen Psychosocial Questionnaire II and the Demand-Control-Support Questionnaire. The studies applying external assessment used job-exposure matrices, work register data, ethnography, digital tools, and external observation. The identified WRS biomarkers were associated with the sympathetic adrenal medullary axis, the hypothalamic pituitary adrenal axis, immune response and inflammation, and haemostatic, metabolic and (epi)genetic biomarkers. Conclusion: The available evidence does not support the claim that there is a singular golden standard for assessing WRS. Inclusion of objective parameters and the interaction with subjective parameters and biological markers has to be studied to receive a broader view of WRS.eng
dc.description.abstractHighlights: - Currently, there is no golden standard for assessing work-related stress (WRS). - Self-assessment measures of WRS need additional validation studies. - JEMs can offer valuable insights into WRS but the validity needs careful evaluation. - The link between biomarkers and WRS was inconsistent, with high study heterogeneity. - Combining objective, subjective and biological tools may improve understanding of WRS.eng
dc.description.sponsorshipThis publication is based upon work from COST Action CA16216 (OMEGA-NET), supported by COST (European Cooperation in Science and Technology). COST is a funding agency for research and innovation networks.
dc.identifier.citationJ Affect Disord. 2025 Aug 15:383:240-259. doi: 10.1016/j.jad.2025.04.076. Epub 2025 Apr 23
dc.identifier.doi10.1016/j.jad.2025.04.076
dc.identifier.issn0165-0327
dc.identifier.pmid40280433
dc.identifier.urihttp://hdl.handle.net/10400.18/10984
dc.language.isoen
dc.peerreviewedyes
dc.publisherElsevier
dc.relation.hasversionhttps://www.sciencedirect.com/science/article/pii/S0165032725006482?via%3Dihub
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectBiomarkers
dc.subjectExternal Assessment
dc.subjectJob-exposure Matrix
dc.subjectQuestionnaires
dc.subjectSelf-assessment
dc.subjectWork-related Stress
dc.subjectAr e Saúde Ocupacional
dc.subjectAvaliação do Risco
dc.titleAn overview of work-related stress assessmentpor
dc.typejournal article
dcterms.referenceshttps://ars.els-cdn.com/content/image/1-s2.0-S0165032725006482-mmc1.pdf
dspace.entity.typePublication
oaire.citation.endPage259
oaire.citation.startPage240
oaire.citation.titleJournal of Affective Disorders
oaire.citation.volume383
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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