Psychological well-being among hospital personnel: the role of family demands and psychosocial work environment

Int Arch Occup Environ Health. 2004 Aug;77(6):401-8. doi: 10.1007/s00420-004-0525-2. Epub 2004 Jul 23.


Background: This study investigates the effect of gender role and the psychosocial work environment on the psychological well-being of hospital staff in two general hospitals in the province of Valencia (Spain).

Method: A cross-sectional survey was carried out among 313 workers by means of a self-answered questionnaire. The outcome variable (psychological well-being) was evaluated with four dimensions of the "SF-36 Health Survey" (mental health, vitality, limitations in the emotional role and limitations in the social function). The explanatory variables were: characteristics related to gender role, professional characteristics and the psychosocial working environment evaluated according to Karasek and Johnson's demand-control-support model. The adjusted odds ratios (ORs) and their 95% confidence intervals were calculated by logistical regression.

Results: Those who have very good marital relationship have less risk of presenting bad mental health, OR 0.43 (0.24-0.78), and limitation in the social function, OR 0.43 (0.24-0.77), and in the emotional role, OR 0.35 (0.16-0.74). Those who dedicate more than 30 h a week to domestic chores have a higher risk of limitation of social function, OR 2.48 (1.16-5.31). Those exposed to high psychological demands present a higher probability of having bad mental health, OR 1.77 (1.04-3.00). Those exposed to low job social support have a higher risk of bad mental health, OR 1.86 (1.09-3.19), low vitality, OR 2.21 (1.30-3.77), and limitation in the social function, OR 1.88 (1.10-3.22).

Conclusion: Gender role and psychosocial work environment have a negative influence on the psychological well-being of hospital staff.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Family Relations*
  • Female
  • Gender Identity*
  • Health Status Indicators
  • Hospitals, General
  • Humans
  • Job Satisfaction
  • Logistic Models
  • Male
  • Marital Status
  • Mental Health*
  • Middle Aged
  • Personnel, Hospital / classification
  • Personnel, Hospital / psychology*
  • Quality of Life / psychology*
  • Social Support*
  • Spain
  • Surveys and Questionnaires
  • Workforce
  • Workplace / psychology*