Peer Reviewed Articles on Stressors for Social Workers

  • Journal Listing
  • Ind Health
  • v.59(4); 2021 Sep
  • PMC8426540

Ind Health. 2021 Sep; 59(four): 220–228.

Brusque-term effects of social stressors at work on rumination and physical symptoms in social workers

Andrea EGGLI

1Departement Soziale Arbeit, Berner Fachhochschule BFH, Switzerland

Diana ROMANO-PEREIRA

aneDepartement Soziale Arbeit, Berner Fachhochschule BFH, Switzerland

Achim ELFERING

2Institut für Psychologie, Universität Bern, Switzerland

Received 2020 Sep eleven; Accepted 2021 Mar 2.

Abstract

The present written report focuses on social stressors at work and the development of physical symptoms in social workers on a daily basis. In a vii-24-hour interval diary study it was anticipated that daily rumination functions as a mediator, linked to boosted daily physical symptoms in individuals. Before and after work, 81 social workers completed daily questions on social stressors, rumination, and concrete symptoms. Multilevel analyses of up to 391 daily measurements revealed that more than intense social stressors predicted more rumination, every bit well as physical symptoms. Rumination anteceded higher physical symptoms. A exam of the indirect furnishings showed a significant indirect path from social stressors at work via rumination to physical symptoms. Hence, it was found that social stressors and rumination contribute to the ongoing health crisis in the social work profession. These findings advance our agreement of the stress mechanisms in social piece of work, besides as point to individual and organizational aspects that occupational wellness prevention programs should consider.

Keywords: Social piece of work, Social stressors, Rumination, Concrete symptoms, Occupational health

Introduction

Social collaboration is the unifying method and principle of social work, meaning that the maximum social service potential cannot be accomplished individually but only if stakeholders (i.e. social workers, clients, agencies, colleagues) unite their resources 1). Yet, social workers often face a high prevalence of difficult interpersonal interactions with clients, supervisors and co-workers ii). Especially the interdisciplinary collaborations are challenging, equally values, roles and professional statuses frequently differ between social workers and individuals from other disciplines (e.thou., teachers) iii). As a result, social stressors are likely to arise.

Social stressors are defined equally social characteristics, situations, episodes, or behaviors that are associated to psychological and physical strain, and are of social nature 4) (due east.g., social animosities, conflicts with co-workers and supervisors, unfair behaviours, and negative grouping climate) 5). For instance, the European working conditions survey 6) reported that within one calendar month prior to the survey 12% of employees experienced verbal abuse, 6% humilation behaviour and iv% threats. In certain instances, socially tense situations tin can have enhancing furnishings (e.g., opportunity to bear witness competence) 7). However, the majority of empirical evidence suggests that social stressors are mainly linked to strainful consequences iv, 5, 8, ix). This strain can be explained forth the "Stress-as-Offense-to-Self" theory (SOS) x), postulating that individuals are motivated to constitute and maintain a positive personal and social cocky-image. If this need for a positive self-view is not met (due east.thousand., due to social stressors), and then stress reactions every bit well as health problems may ascend 10, xi). Furthermore, when considering stress and work-related social interactions, Dormann and Zapf 4) have drawn on the theory of "Conservation of Resource" (COR) 12). This theory highlights how individuals are driven to reach and protect personal and social resources; thus, if these resources are threatened, lost or unable to be regained due to specific work-related events (eastward.thou., social stressors) then stress is experienced 12). Indeed, various resource accept been identified (i.east., self-esteem, cocky-efficacy, goal persuit) that come under threat in the face up of social stressors 4, 5, 10) and thus a hazard for stress experiences occurs. This hazard is heightened farther, co-ordinate to the "Job Need Resource" model (JD-R) 13), when threats to or lack of resources (e.chiliad., self-esteem) stand in combination with heighted job demands (east.g., social stressors), and may fifty-fifty foster concrete symptoms (eastward.thousand., exhaustion). The question arises how these social stressors are specifically linked to social workers' wellness.

Negative wellness outcomes of social stressors have been identified in several professions and include depression 5), poor sleep fragmentation, psychosomatic health complaints 8), inhibition of recovery processes 14), burnout four), attention failure and rumination 15). Yet, these studies applied longitudinal and cross-sectional designs four, 5, 8, 15), thus did not investigate social stressors' relation to health consequences on a daily basis. Another topic not covered by prior social work research is the consideration of physical symptoms (e.yard., headaches) equally an culling marking to the commonly practical well-beingness indicators (e.g., burnout) 16). Considering physical problems is vital, equally such health issues are closely linked to job stressors 8, 17) and often remain clinically undiagnosed, while producing immense organizational costs due to sick leaves and productivity loss 18).

It is already established that the social work sector has a college prevalence for musculoskeletal disorders, work-related stress and mental illnesses than other occupational domains 1921). Thus, physical symptoms are to be expected, particularly since the high plough-over intentions and sick leaves 22) in this occupation hint towards such symptoms. The SOS, COR and JD-R models theoretically underpin the link between social stressors and wellness complaints: Information technology is the combination of a) facing the daily job demand of social stressors and b) experiencing an firsthand threat or loss to the vital resource of personal and social self-esteem due to these social stressors that straight evoke physical symptoms 12, xiii). Cantankerous-exclusive and longitudinal studies from other disciplines institute social stressors positively linked to psychosomatic/concrete symptoms 8, 23, 24). Nonetheless, brusque-term daily associations remain empirically undetermined, although laboratory studies accept establish social-evaluative threats, equally experienced during social stressor incidences, to evoke immediate harmful physiological reactions (i.e., high cortisol levels) 25). Thus, an anylsis of whether social stressors are related to physical complaints on a brusk-term basis is needed.

At this betoken, however, another arising question is whether social stressors at piece of work from the previous day directly affect concrete wellness the side by side day, or if there is a mediator involved. Scholars fence that stressors' effects on health is predominantly adamant by mechanisms of inadequate recovery, such as being able to psychophysiologically unwind and replenish depleted resource 26). I mechanism, known for impairing such disconnecting, is rumination 26), a fashion of responding to distress that involves repetitively and passively fixating on a problem, and the associated feelings, without taking activeness 27). Such after-work rumination is considered a maladaptive coping response, because emotional and physiological reactions associated with the stressor are prolonged and reactivated, impairing the employee'southward successful recovery process and eliciting negative wellness effects 17, 26). This notion is supported by the qualitative research of Beer et al. 28) that social workers facing stressors out of their control (e.g., social stressors with supervisors or co-workers) are probable to conform rumination as a negative coping response. The health consequences of such rumination is extensive, and even includes physical symptoms 17, 26). Although cross-sectional and qualitative studies indicate that ruminative thoughts potentially affect social workers' wellness 17, 26), the question is whether daily rumination goes as far every bit to mediate the path between social stressors and concrete symptoms.

Purpose of this study

To our knowledge, understanding is missing on how social stressors are related to agin wellness consequences on a daily ground, as a big portion of studies practical cross-sectional and longitudinal methods 4, v, eight, 15, 23, 24). The present study is capable to redeem this limitation by means of its diary study blueprint.

It is thus hypothesized that social stressors at piece of work on the previous mean solar day will positively affect daily physical symptoms (H1) likewise every bit daily rumination (H2). Furthermore, rumination is expected to be positively related to physical symptoms on a daily basis (H3). Lastly, it is predictable that daily rumination will positively mediate the relationship between social stressors on the previous twenty-four hours and daily physical symptoms (H4).

Subjects and Methods

Sample

Participants were recruited by advertisements (convenience sampling) in journals and websites of Swiss Social Piece of work Unions, as well as on university platforms. Due to convenience sampling, the participation rate could non exist derived. All study participants provided informed consent, and the study design was approved by the ideals committee of the Academy of Bern, Switzerland (Nr. 2010-08-00003).

Data collection took identify between May and July 2019 by means of online questionnaires. Once participants completed the general online questionnaire, they entered the online diary study and filled in daily questionnaires from Monday till Sunday. To exist included in the study, participants had to be employed as social workers in Switzerland and had to be employed at a minimum of 40%, calculated based on Swiss full-time employment. A total of 81 participants agreed to take part in the study, of which 63 (77.8%) were female and 18 (22.ii%) male. On average, participants were 39.7 years former, with an age range of 23–62 years (SD=10.03). Participants were employed in various social work fields, including educational and psychiatric social piece of work, inability services, state social services and immigration assistance. The sample size on Level 2 was between 74 and 81, exceeding the recommended minimum sample size of 50 29). The sample size of Level one ranged from 234 to 391. Owing to missing values (i.e., autocorrelations or participants did not work on a particular day), the size on level 1 varies for the different variables (e.chiliad., social stressors, rumination, physical symptoms); for most analyses, N is 74. No dropouts of participants were reported.

Instrument

Questionnaire

Prior to collecting diary measures, participants filled in a general questionnaire that assessed the demographic and occupational groundwork (Level 2 variables). The completion of the general questionnaire was mandatory earlier continuing with the diary report.

Diary Study

For the information collection of Level 1 variables, two singled-out cocky-report questionnaires were used: A morning time questionnaire to measure out changes in rumination and an evening questionnaire to assess social stressors and concrete symptoms. Both questionnaires had to exist completed on all working days, the morning questionnaire before starting piece of work, and the evening questionnaire after ending work (see Fig. 1 for the diary written report pattern).

An external file that holds a picture, illustration, etc.  Object name is indhealth-59-220-g001.jpg

Diary study design overview

Figure Legend:

MQ = Morning Questionnaire

AWQ = After-Work Questionnaire

R = Rumination on the previous evening

SS = Social Stressors on that day

PS = Physical Symptoms

Social Stressors at work

To measure out social stressors at work, a German scale, developed by Frese and Zapf 30), was used. This calibration included 10 items that measure interpersonal tensions (e.g., conflicts, personal animosities, and unfair behavior) with co-workers and supervisors/managers after workdays. Items were introduced in the following way "to what extent do the post-obit statements utilize to you? Today…," and examples are "I had to pay for the mistakes of my colleagues" or "when a mistake occurred, my supervisor ever pushed it on me never on himself." Scoring of all items resulted on a 5-bespeak scale, ranging from 1 (not at all) to v (absolutely). The mean social stressor score was 1.05 (SD=0.26) and Cronbach's alpha was α=0.84. The scale has been used past prior studies and shown validity in regard to job characteristics and health variables v, 9).

Rumination

Ratings on daily rumination were made on a two-particular scale based on the one provided by Mohr et al. 31). The scale was rated on a 5-signal Likert calibration, ranging from i (rarely/none) to 5 (oft/constantly). With the following judgement, the items were introduced: "To what extent do the following statements use to you lot? Yesterday evening…". An particular example is "it was difficult for me to mentally switch off after work". The mean score of the scale was 2.03 (SD=1.26). Similar to past inquiry 15), the nowadays report found a satisfactory internal consistency for the rumination scale (α=0.92). Syrek and Antoni 32) besides institute the calibration to have practiced item-intercorrelations (0.76–0.95; Thou=0.86, SD=0.07) and retest-reliability of 0.58.

Physical Symptoms

To mensurate physical symptoms, a 9-detail calibration developed by Mohr 33) was used. Participants were instructed the following way: "To what extent do the following statements apply to you? Yesterday after work I had…," and detail examples are "restlessness/nervousness," "difficulties in concentrating," and "headaches." The answer category was a five-point Likert scale, ranging from 1 (rarely/none) to v (oftentimes/constantly). The scale has been practical in a diverseness of occupational stress studies viii), which, similarly to our study (α=0.79) found the internal consistency to be satisfactory. The scale's mean score was 1.37 (SD=0.67).

Control Variables

Since physical symptoms accept been suggested to differ depending on age and gender 8), these Level 2 variables were controlled for.

Daily hassles at home accept been plant to be linked to poor psychological distress 34). To make sure that the relationship between social stressors at piece of work and physical symptoms are not influenced by daily hassles at home, nosotros controlled for this variable. Daily hassles at home were measured daily (Level 1) every morning, by ways of one-item, asking participants "Take you had any conflicts/disputes yesterday with the following people?" The five answer categories were "spouse," "children," "a friend," "family member," or "other person."

To ensure that social back up at home, which is known for reducing strain/stress 35), did not diminish social stressors' relation to physical symptoms, we controlled for social support at home. This command variable was assessed daily (Level one), every morn with one-item: "Did the post-obit people help you yesterday with bug or concerns?". Five reply categories ("spouse," "children," "a friend," "family member," or "other person") were given.

Finally, participants' scores for each working 24-hour interval may vary drastically, depending on what he/she experienced on each twenty-four hours. Since we were interested in exactly these differences, we, in essence, compared the individual with him/herself on the previous day; hence, controlled the Level i variables for the previous day score (i.e., social stressors, physical symptoms, rumination). To do so, the stability of the prior twenty-four hours scores were calculated for every day, except for the start day of the diary report, by means of autocorrelations.

Procedure and Analysis

To compensate participants for their time and encourage participation, a raffle to win vouchers was advertised. Willing participants received an email with research information and a link to the general online questionnaire. They were asked to consummate the general questionnaire, and and then continue with the diary data collection. During the seven-day diary study, participants completed a cocky-report questionnaire every morning and evening of their working days, from Monday until Sunday. Participants were specifically instructed to not respond questionnaires on their work-free days.

For the statistical analysis of the multilevel regression models, "The R Project for Statistical Computing 36)" was used, as the daily data (Level ane) were nested within participants (Level two). Fixed effects models were calculated to estimate within effects that were not biased by between effects that are unlike from them 37). The present written report focused on the inside-persons relationships betwixt social stressors at work on the previous 24-hour interval, rumination, as well as physical symptoms. The Level 1 predictor variable (i.e., social stressors) was group-mean centered. This immune for the variable'south upshot to be interpreted in relation to the individual's own mean across all days. The historic period variable on Level two was grand-mean centered. Gender every bit well as the mediator (i.e., rumination) and outcome variable (i.e., concrete symptoms) remained uncentered. The sample size on Level one ranged from 234 to 391 and for Level two it ranged between 74 and 81. Depending on missing values, the Level 1 sample size varied for different variables (i.e., social stressors, rumination, physical symptoms, daily hassles at dwelling, social support at domicile); information technology was thus advantageous that multilevel analysis allows for a irresolute number of observations (i.east., missing data). Notation that unstandardized coefficients were reported.

For multilevel mediation testing the Monte Carlo method (MCMAM) was used, which assumes that the 'a' and 'b' parameters take a normal sampling distribution 38). By using the parameter estimates and their associated asymptotic variances and covariances, ane can simulate random draws from the joint distribution of 'a' and 'b' and compute the product of these values 38). This process is and so repeated numerously (i.e., twenty,000 times) and the resulting distribution of the 'a'*'b' values is practical to estimate a confidence interval around the observed value of 'a'*'b' 38). The Monte Carlo method is suitable for the present report, as information technology allows multilevel indirect issue analyses, parametric bootstrapping, and is known for producing more accurate results for small sample sizes 39).

Results

Means, standard deviations and correlations of the measures are presented in Table 1. Earlier testing our hypotheses, we calculated a Null Model to judge the proportion of variance in physical symptoms that is accounted for the twenty-four hours (Level 1) and person (Level 2) levels 40) (encounter Model i in Table 2). The obtained intraclass correlation (ICC) estimates of 0.22 for Level 2 and 0.23 for Level i variance indicate that 49% of the variance is inside-person variance, implying the utilize of multilevel modeling to be adequate xl).

Table 1.

Descriptive statistics and correlations for the report variables

Variable M SD North 1 2 3 four 5 six vii
i. Sex a 0.20 0.40 493 0.37** -0.09 0.09 -0.11* 0.07 0.01
2. Age 39.66 10.03 493 0.37*** 0.01 0.02 -0.19** 0.20** 0.05
3. Physical Symptoms 1.37 0.67 391 -0.07 0.02 0.19** 0.34** 0.xi* 0.38**
4. Social Stressors at work b ane.05 0.26 258 0.05 0.02 0.21*** 0.20** 0.09 0.14**
5. Rumination two.03 1.26 393 -0.08 -0.13** 0.30*** 0.14* 0.thirteen** 0.15**
6. Daily hassles at home 0.17 0.37 393 0.05 0.11* 0.11* 0.11 0.04 0.34**
seven. Social support at home 0.55 0.50 393 0.01 0.03 0.27*** 0.06 0.14** 0.17***

Table ii.

Fixed furnishings estimates and standard errors for the predictor models

Model 1 Model 2 Model iii Model 4 Model 5
Fixed Effects

Predictors of Physical Symptoms Predictor of
Rumination
Variables Coeff. SE Coeff. SE Coeff. SE Coeff. SE Coeff. SE
Intercept ane.38*** 0.06 1.11*** 0.24 0.67** 0.25 0.82*** 0.24 2.58*** 0.53
Level 1
 Daily hassles at habitation -0.01 0.10 0.05 0.09 -0.02 0.x 0.01 0.20
 Social back up at home 0.18* 0.07 0.17* 0.07 0.15* 0.07 0.24 0.fifteen
 Physical Symptoms b 0.21*** 0.06 0.10 0.05 0.17** 0.06
 Social Stressors at piece of work b 0.54*** 0.14 0.44** 0.fourteen 0.71** 0.27
 Rumination 0.16*** 0.03 0.thirteen*** 0.03
Level ii
 Sex a -0.10 0.14 -0.16 0.14 -0.07 0.thirteen -0.xx 0.32
 Age -0.00 0.01 0.00 0.01 -0.00 0.01 -0.01 0.01

To examination if social stressors at piece of work are negatively related to physical symptoms, we regressed this relation in 4 separate analyses. Each hypothesis was tested with a model: Model 1 was the null model, to which we then successively added predictors, namely social stressors at work (Model 2) and rumination (Model 3). We additionally analyzed whether social stressors at work are positively linked to rumination (Model 5). In line with our assumptions, social stressors at work on the previous twenty-four hours had a positive outcome on physical symptoms (γ=0.54, p<0.001; see Model two in Table ii) and rumination (γ=0.71, p<0.01; encounter Model v in Table 2). As predictable, information technology was further institute that rumination positively predicted physical symptoms (γ=0.sixteen, p<0.001; come across Model 3 in Table 2). The multilevel mediation regression analysis, including all involved variables, revealed that all paths remained meaning (γ=0.13, p<0.001; see Model 4 in Table 2; Fig. two). Thus, all of our hypotheses were supported (Tabular array 2).

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Arbitration model: rumination mediating the effects of social stressors at work on physical symptoms

Notation. Standardized Coefficients are reported.

Included command variables: Daily hassles at home, Social back up at abode, physical symptomsa, age, sex activity.

a on the previous day.

*p<0.05, **p<0.01, ***p<0.001, two-tailed.

By means of a Monte Carlo Simulation 38), the multilevel mediation analysis was additionally conducted with 20'000 bootstrap samples. The procedure obtained 95% conviction interval lower and upper limits of 0.03 and 0.22, respectively. Since the distribution of estimated 95% CI (LL=0.03, UL=0.22) does not include zero, the indirect path tin can be considered significant 38).

Discussion

The present diary study aimed to investigate the within-person daily relationships between social stressors and concrete health in the social work population. Additionally, the goal was to understand if rumination mediated the link betwixt social stressors and physical symptoms on a daily basis. Supportive of all hypotheses, multilevel analyses revealed that social stressors had a brusk-term positive consequence on concrete symptoms; and that this relation was indeed mediated past rumination.

To our knowledge, this is ane of the first studies to disclose intra-individual brusque-term relations between social stressors and physical symptoms of social workers. While this finding is already a valuable add-on to the existing knowledge base on the impact of social stressors on health 4, five, 15, 24), the present study took its investigation one stride farther. Past means of a multilevel mediation analyses, the authors were able to establish that daily rumination has a short-term disruptive role on social workers' recovery process from social stressors, and thus mediates the path to poor health (i.e., physical symptoms) on a 24-hour interval-to-day basis. These findings are vital, as currently little understanding exists on short-term relations betwixt social stressors, physical symptoms, and rumination in the social piece of work context. Strategically, the nowadays study aimed to redeem these gaps and ultimately contribute to the understanding of the social piece of work wellness crisis.

In line with our expectations, social stressors with colleagues and supervisors were found to accept a positive short-term relationship with social worker'due south physical health. This finding reflects the theoretical propositions of the SOS model 10), according to which if individuals are unable to fulfill their need for a positive personal and social cocky-epitome, then signs of strain and poor health sally. Also the premise of the COR model 12) gives an explanation for the current results: A work-related social stressor incidence triggers the employee to perceive or experience an instant loss in resources (e.g., self-esteem) and this threat to resources directly brings about physical symptoms 4). This firsthand threat of resources in combination with continuing heightened job demands (e.grand., ongoing social stressors) is probable to ignite even more strain and physical symtoms, co-ordinate to the JD-R model 13). Although many previous studies have revealed adverse health outcomes of social stressors 4, v, 14, xv), but a few have investigated the association to physical symptoms viii, 23, 24), just not short-term. The present results thus revealed that physical symptoms may correspond short-term detection markers for the presence of social stressors in the work surround.

Equally predictable, results also found within-person daily social stressors at piece of work to antecede social workers' daily rumination habits. That is, if social stressors were experienced during day, then it led to rumination the same evening. A recent qualitative report by Beer et al. 28) revealed that social workers use rumination every bit a maladaptive coping machinery in response to uncontrollable job stressors. This stands in line with studies finding rumination to arise after having faced a stressor at piece of work 26, 41). Based on Kinman et al. 42) argumentation, findings such equally these are of loftier importance, as they indicate potential disruptions to social worker'due south recovery processes before long after post stress incidences.

Hinting toward a disrupted recovery procedure was the finding that ruminative thoughts were positively linked to social workers' physical symptoms on a daily basis. Theoretically speaking, social worker'southward rumination reactivates and prolongs the stress responses, due to which recovery is made difficult and thus concrete symptoms arise 26, 41). Although prior studies revealed diverse negative wellness effects from rumination 26), physical symptoms were seldom mentioned 17), especially not in the social work context; thus, the current research filled a research gap. This outcome is also crucial in that it shows that a mutual coping response of social workers, namely daily rumination 28), may be a driver of the health crisis in this profession.

In reference to stress, an important mechanism has been identified in the present investigation. Consistent with predictions, rumination was found as an intra-individual brusk-term mediator betwixt social stressors at piece of work and physical symptoms from day-to-twenty-four hour period. The theoretical process behind this mediation model is expected to exist every bit follows: When faced with the heightened job demand of social stressors at work, it is likely that in combination with the threat and actual loss of valuable resource, a sensitive nerve is struck within social workers (e.k., threat to 1's personal and social self-image) 10, 12, 13), which ignites ruminative thinking about the stressor mail work 4, 41). This rumination re-activates the emotional and physiological stress response, originally experienced during the socially stressful incident, which ultimately keeps the stressor live and prevents recovery from setting in 26, 41). As a result of the inability to recover from the stressor, the social worker experiences adverse health furnishings shortly after 26, 41), in this example physical symptoms. Demsky et al. 43) identified rumination as a primal mechanism between work stressors and strain outcomes. With the current findings back up was found for Kinman et al. 42) supposition that rumination may exist a determinant for recovery processes of social workers, particularly on a daily footing.

Considering that successful recovery is vital for stress relief 41) and given the loftier presence of stress in social work practice 28), it is surprising that brusque-term intra-individual recovery mechanisms of social workers have not gained more empirical focus. The nowadays report strengthened the foundation, on which time to come researchers can be built to identify more potential disrupters of recovery.

Study Advantages and Limitations

Our study has a main advantage, namely its practical diary design. Many psychological constructs (e.g., physiological responses) are strongly dependent on situational conditions (e.g., social stressor incidences) and thus bound to daily fluctuations 44). By applying a diary design nosotros were able to analyze these interindividual daily variations 44).

However, there are limitations to the present written report that should be noted. For 1, studies that merely apply cocky-study measures are greatly criticized for two reasons: 1) self-reports are prone to diverse types of response biases, and ii) if all variable in an organizational behavior study are based on one measurement method, significant results may likely be tainted by shared method variance 45). A further limitation is that the participation inclusion criteria did not specify a social work field (east.1000., clinical social work or school social work). The field pre-determines, to some extent, the social interactions that social workers face; for instance, outreach social workers predominantly approach young people, with who specific social stressors emerge. In our study information technology can thus exist expected that the social workers from various disciplines were confronted with unlike social stressors, as the characteristics of their clients differed (e.m., age or ethnicity). Lastly, a longer timeframe of rumination would have been benign (i.due east., "forenoon," "after work," "earlier bedtime"), equally rumination levels vary drastically from the fourth dimension "later on workhours" to "before bed-time" 41).

Applied Implications and Conclusion

Our results advise that daily social stressors at work are antecedents of daily rumination and increase curt-term concrete symptoms in social workers. Furthermore, the driving force behind the relationship between daily social stressors and daily physical health was uncovered, namely rumination as a daily inside-person mediator. Since concrete symptoms often remain undiagnosed 18), social work practice needs to be sensitized for these complaints and be able to identify their sources. As for prevention measures, social workers should be given culling coping mechanisms, profitable recovery processes immediately later stressful incidences, rather than fostering ill-wellness through daily rumination. Studies as the present one, volition ultimately assist the resolution of the current wellness crunch in social work.

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Articles from Industrial Health are provided hither courtesy of National Establish of Occupational Safety and Health, Japan


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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8426540/

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