The role of perseverative cognition in the job strain-health outcome relationship

Objective: Job strain has been implicated in a variety of adverse health outcomes, particularly cardiometabolic and inflammatory diseases. However, the mechanisms underlying these effects remain largely unknown. One possibility is that the maladaptive coping response to stress, (perseverative cognit...

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Published in:Psychology & health Vol. 39; no. 10; pp. 1388 - 1410
Main Authors: McCarrick, Dane, Prestwich, Andrew, O'Connor, Daryl B.
Format: Journal Article
Language:English
Published: England Routledge 02.10.2024
Taylor & Francis Ltd
Subjects:
Cognition & reasoning
health outcomes
job strain
mediation
Occupational stress
rumination
Sleep
worry
worry
health outcomes
mediation
job strain
rumination
ISSN:0887-0446, 1476-8321, 1476-8321
Online Access:Get full text
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Summary:Objective: Job strain has been implicated in a variety of adverse health outcomes, particularly cardiometabolic and inflammatory diseases. However, the mechanisms underlying these effects remain largely unknown. One possibility is that the maladaptive coping response to stress, (perseverative cognition (PC); the cognitive representation of past stressful events (rumination) or feared future events (worry)), either in work or more generally, mediates the relationship between job strain and physical disease. The aim of this study was thus to test the potential role of both general, and work- related PC as a mediating, or potentially moderating, mechanism between job strain and ill- health outcomes. Design & Measures: Using an online cross- sectional design, 650 full- time employees completed measures of job strain, general and work- related PC (rumination & worry) and health outcomes (burnout, somatization, health behaviours & sleep quality). Results: General and work- related worry and rumination significantly mediated, often independently, the relationship between job strain and burnout, somatization, and sleep quality. No significant mediation effects were observed for health behaviours and no type of PC (general or work- related) moderated job strain- health outcome relations. Conclusion: Both general and work- related worry and rumination are likely to play important, and partly independent, roles in understanding the adverse relationships between job strain and various health outcomes.
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ISSN:0887-0446
1476-8321
1476-8321
DOI:10.1080/08870446.2022.2154353