open access

Vol 71, No 1 (2020)
Original article
Submitted: 2019-11-18
Accepted: 2020-02-24
Published online: 2020-03-21
Get Citation

Is physical and psychological work stress associated with fatigue in Danish ferry ship employees?

Solveig Boeggild Dohrmann1, Kimmo Herttua1, Anja Leppin2
·
Pubmed: 32212148
·
IMH 2020;71(1):46-55.
Affiliations
  1. Centre of Maritime Health and Society, Institute of Public Health, University of Southern Denmark (SDU Esbjerg), Niels Bohrs Vej 9, 6700 Esbjerg, Denmark
  2. Unit for Health Promotion Research, Institute of Public Health, University of Southern Denmark (SDU Esbjerg), Niels Bohrs Vej 9, 6700 Esbjerg, Denmark

open access

Vol 71, No 1 (2020)
MARITIME/OCCUPATIONAL MEDICINE Original article
Submitted: 2019-11-18
Accepted: 2020-02-24
Published online: 2020-03-21

Abstract

Background: Fatigue is a recognised risk factor for safety in seafaring. While always dangerous, fatigue in ferry shipping is especially hazardous as it may jeopardise passengers’ safety. To counteract fatigue, knowledge on its determinants is important. Little, however, is known on the influence from physical and psychosocial work environment factors within ferry shipping. The aim of the study was to investigate the association between work stress in terms of physical stressors, perceived job demands and job control and different dimensions of fatigue among ferry ship employees and to test whether a potential effect of work stress was mediated by sleep satisfaction.

Materials and methods: The design was cross-sectional. 193 respondents answered to a self-administered questionnaire including standardised scales, i.e. the Swedish Occupational Fatigue Inventory and the Copenhagen Psychosocial Questionnaire for job demands and control. The association of risk factors with fatigue was determined using hierarchical multiple linear regression analyses.

Results: Physical work stressors were positively associated with only one of five fatigue subscales: lack of energy. Higher levels of demands were related to more lack of energy, lack of motivation, physical exertion and sleepiness, while more control was related to lesser lack of energy, lack of motivation and sleepiness. No demand-control interaction was found. Effects of demand and control were partly mediated by sleep satisfaction.

Conclusions: Although limited by its cross-sectional design this study provides support for the independent relevance of demands and control for employee fatigue in ferry shipping and for a mediating role of sleep satisfaction.

Abstract

Background: Fatigue is a recognised risk factor for safety in seafaring. While always dangerous, fatigue in ferry shipping is especially hazardous as it may jeopardise passengers’ safety. To counteract fatigue, knowledge on its determinants is important. Little, however, is known on the influence from physical and psychosocial work environment factors within ferry shipping. The aim of the study was to investigate the association between work stress in terms of physical stressors, perceived job demands and job control and different dimensions of fatigue among ferry ship employees and to test whether a potential effect of work stress was mediated by sleep satisfaction.

Materials and methods: The design was cross-sectional. 193 respondents answered to a self-administered questionnaire including standardised scales, i.e. the Swedish Occupational Fatigue Inventory and the Copenhagen Psychosocial Questionnaire for job demands and control. The association of risk factors with fatigue was determined using hierarchical multiple linear regression analyses.

Results: Physical work stressors were positively associated with only one of five fatigue subscales: lack of energy. Higher levels of demands were related to more lack of energy, lack of motivation, physical exertion and sleepiness, while more control was related to lesser lack of energy, lack of motivation and sleepiness. No demand-control interaction was found. Effects of demand and control were partly mediated by sleep satisfaction.

Conclusions: Although limited by its cross-sectional design this study provides support for the independent relevance of demands and control for employee fatigue in ferry shipping and for a mediating role of sleep satisfaction.

Get Citation

Keywords

fatigue, demand-control model, job demands, job control, psychosocial work environment, sleep satisfaction, seafaring, seafarers

About this article
Title

Is physical and psychological work stress associated with fatigue in Danish ferry ship employees?

Journal

International Maritime Health

Issue

Vol 71, No 1 (2020)

Article type

Original article

Pages

46-55

Published online

2020-03-21

Page views

1799

Article views/downloads

1261

DOI

10.5603/IMH.2020.0011

Pubmed

32212148

Bibliographic record

IMH 2020;71(1):46-55.

Keywords

fatigue
demand-control model
job demands
job control
psychosocial work environment
sleep satisfaction
seafaring
seafarers

Authors

Solveig Boeggild Dohrmann
Kimmo Herttua
Anja Leppin

References (57)
  1. Ahsberg E. Dimensions of fatigue in different working populations. Scand J Psychol. 2000; 41(3): 231–241.
  2. Åhsberg E, Garnberale F, Kjellberg A. Perceived quality of fatigue during different occupational tasks Development of a questionnaire. Int J Industr Ergon. 1997; 20(2): 121–135.
  3. Handcock PA, Desmond PA. Stress, workload and fatigue. CRC Press, Taylor & Francis Group, Boca Raton 2008.
  4. Clauw DJ. Perspectives on fatigue from the study of chronic fatigue syndrome and related conditions. PM R. 2010; 2(5): 414–430.
  5. Janssen N, Kant IJ, Swaen GMH, et al. Fatigue as a predictor of sickness absence: results from the Maastricht cohort study on fatigue at work. Occup Environ Med. 2003; 60 (Suppl 1): i71–i76.
  6. van Amelsvoort LG, Kant IJ, Beurskens AJ, et al. Fatigue as a predictor of work disability. Occup Environ Med. 2002; 59(10): 712–713.
  7. Allen P, Wadsworth E, Smith A. Seafarers' fatigue: a review of the recent literature. Int Marit Health. 2008; 59(1-4): 81–92.
  8. Jepsen J, Zhao Z, Pekcan C, et al. Risk factors for fatigue in shipping, the consequences for seafarers’ health and options for preventive intervention. Maritime Psychology. 2017: 127–150.
  9. Barnett M, Pekcan C, Kecklund G, et al. Project MARTHA. The Final Report. Warsash Maritime Academy: Southampton Solent University; 2017. https://www.su.se/polopoly_fs/1.410319.1542102856!/menu/standard/file/Project%20MARTHA%20the%20final%20report.pdf.
  10. Barnett M, Gatfield D. The use of linked simulators in project “HORIZON”: research into seafarer fatigue. International conference on marine simulation and ship manoeuvrability (MARSIM): Singapore Maritime Academy; 2012. http://ssudl.solent.ac.uk/2302/.
  11. Smith AP. An update on stress, fatigue and wellbeing: implications for naval personnel. Int Marit Health. 2019; 70(2): 132–139.
  12. BBC Home. Hundreds trapped as car ferry capsizes 1987. Available from: . http://news.bbc.co.uk/onthisday/hi/dates/stories/march/6/newsid_2515000/2515923.stm (Accessed 24th September 2019).
  13. Sparks PJ. Questionnaire survey of masters, mates, and pilots of a State Ferries System on health, social, and performance indices relevant to shift work. Am J Ind Med. 1992; 21(4): 507–516.
  14. BBC News. P&O ferry crew fatigue 'poses danger' on Dover-Calais route 2012. Available from. http://www.bbc.com/news/uk-england-kent-19366359 (Accessed 24th September 2019).
  15. Sąlyga J, Kušleikaitė M. Factors influencing psychoemotional strain and fatigue, and relationship of these factors with health complaints at sea among Lithuanian seafarers. Medicina (Kaunas). 2011; 47(12): 675–681.
  16. Chen GX, Sieber WK, Lincoln JE, et al. NIOSH national survey of long-haul truck drivers: Injury and safety. Accid Anal Prev. 2015; 85: 66–72.
  17. Reis C, Mestre C, Canhão H. Prevalence of fatigue in a group of airline pilots. Aviat Space Environ Med. 2013; 84(8): 828–833.
  18. Bültmann U, Kant I, Kasl SV, et al. Fatigue and psychological distress in the working population: psychometrics, prevalence, and correlates. J Psychosom Res. 2002; 52(6): 445–452.
  19. Lewis G, Wessely S. The epidemiology of fatigue: more questions than answers. J Epidemiol Community Health. 1992; 46(2): 92–97.
  20. Ricci JA, Chee E, Lorandeau AL, et al. Fatigue in the U.S. workforce: prevalence and implications for lost productive work time. J Occup Environ Med. 2007; 49(1): 1–10.
  21. Dohrmann SB, Leppin A. Determinants of seafarers' fatigue: a systematic review and quality assessment. Int Arch Occup Environ Health. 2017; 90(1): 13–37.
  22. Oldenburg M, Hogan B, Jensen HJ. Systematic review of maritime field studies about stress and strain in seafaring. Int Arch Occup Environ Health. 2013; 86(1): 1–15.
  23. de Lange AH, Kompier MAJ, Taris TW, et al. A hard day's night: a longitudinal study on the relationships among job demands and job control, sleep quality and fatigue. J Sleep Res. 2009; 18(3): 374–383.
  24. Techera U, Hallowell M, Stambaugh N, et al. Causes and consequences of occupational fatigue: meta-analysis and systems model. J Occup Environ Med. 2016; 58(10): 961–973.
  25. Häusser J, Mojzisch A, Niesel M, et al. Ten years on: A review of recent research on the Job Demand–Control (-Support) model and psychological well-being. Work & Stress. 2010; 24(1): 1–35.
  26. Karasek R. Job Demands, Job Decision Latitude, and Mental Strain: Implications for Job Redesign. Adm Sci Q. 1979; 24(2): 285.
  27. Van der Doef M, Maes S. The job demand-control (-support) model and psychological well-being: a review of 20 years of empirical research. Work Stress. 1999; 13(2): 87–114.
  28. Tedesco LM, Ferrara P, Stromillo L, et al. Seafarers' perceptions of job demand: A cross-sectional study. Arch Environ Occup Health. 2018; 73(5): 278–283.
  29. Hystad SW, Saus ER, Sætrevik B, et al. Fatigue in seafarers working in the offshore oil and gas re-supply industry: effects of safety climate, psychosocial work environment and shift arrangement. Int Marit Health. 2013; 64(2): 72–79.
  30. Pereira D, Elfering A. Social stressors at work, sleep quality and psychosomatic health complaints--a longitudinal ambulatory field study. Stress Health. 2014; 30(1): 43–52.
  31. von El, Altman DG, Egger M, et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Int J Surg. 2014; 12: 1495–1499.
  32. Datatilsynet. Persondataloven. Datatilsynet 2000.
  33. National Videnskabsetisk Komité. Vejledning om anmeldelse, indberetningspligt mv. (sundhedsvidenskabelige forskningsprojekter). Nationale Videnskabsetisk Komité; 2014.31.
  34. Datatilsynet. Samtykke. Datatilsynet 2000.
  35. Brislin RW. Back-Translation for cross-cultural research. J Cross Cult Psychol. 1970; 1(3): 185–216.
  36. Pejtersen JH, Kristensen TS, Borg V, et al. The second version of the Copenhagen Psychosocial Questionnaire. Scand J Public Health. 2010; 38(3 Suppl): 8–24.
  37. Oldenburg M, Jensen HJ, Latza U, et al. Seafaring stressors aboard merchant and passenger ships. Int J Public Health. 2009; 54(2): 96–105.
  38. Kirkwood BR, Sterne JAC. Analysis of clustered data. Essential Medical Statistics. Blackwell Science, Massachusetts 2005.
  39. Streiner DL, Norman GR, Cairney J. Health measurement scales. A practical guide to their development and use. Oxford Univeristy Press, Oxford 2015.
  40. Kant IJ, Bültmann U, Schröer KAP, et al. An epidemiological approach to study fatigue in the working population: the Maastricht Cohort Study. Occup Environ Med. 2003; 60(Suppl 1): i32–i39.
  41. Færge Rederierne. Færge Rederiernes Årsberetning 2018. Færge Rederierne; 2018.
  42. Leung AWS, Chan CCH, Ng JJM, et al. Factors contributing to officers' fatigue in high-speed maritime craft operations. Appl Ergon. 2006; 37(5): 565–576.
  43. de Lange AH, Taris TW, Kompier MAJ, et al. "The very best of the millennium": longitudinal research and the demand-control-(support) model. J Occup Health Psychol. 2003; 8(4): 282–305.
  44. Cohen S, Wills T. Stress, social support, and the buffering hypothesis. Psychological Bulletin. 1985; 98(2): 310–357.
  45. Allen P, Wadsworth E, Smith A, et al. The prevention and management of seafarers' fatigue: a review. Int Marit Health. 2007; 58(1-4): 167–177.
  46. Rugulies R. Invited commentary: Structure and context matters--the need to emphasize "social" in "psychosocial epidemiology". Am J Epidemiol. 2012; 175(7): 620–624.
  47. de Jonge J, Kompier M. A critical examination of the demand-control-support model from a work psychological perspective. Int J Stress Manag. 1997; 4(4): 235–258.
  48. Wadsworth EJK, Allen PH, Wellens BT, et al. Patterns of fatigue among seafarers during a tour of duty. Am J Ind Med. 2006; 49(10): 836–844.
  49. Lazarrus RS. Folkman S. Stress, appraisal, and Coping. Springer, New York 1984.
  50. Doyle N, MacLachlan M, Fraser A, et al. Resilience and well-being amongst seafarers: cross-sectional study of crew across 51 ships. Int Arch Occup Environ Health. 2016; 89(2): 199–209.
  51. McVeigh J, MacLachlan M, Vallières F, et al. Identifying Predictors of Stress and Job Satisfaction in a Sample of Merchant Seafarers Using Structural Equation Modeling. Front Psychol. 2019; 10: 70.
  52. Bambra C, Egan M, Thomas S, et al. The psychosocial and health effects of workplace reorganisation. 2. A systematic review of task restructuring interventions. J Epidemiol Community Health. 2007; 61(12): 1028–1037.
  53. Egan M, Bambra C, Thomas S, et al. The psychosocial and health effects of workplace reorganisation. 1. A systematic review of organisational-level interventions that aim to increase employee control. J Epidemiol Community Health. 2007; 61(11): 945–954.
  54. Joyce S, Modini M, Christensen H, et al. Workplace interventions for common mental disorders: a systematic meta-review. Psychol Med. 2016; 46(4): 683–697.
  55. Joyce K, Pabayo R, Critchley JA, et al. Flexible working conditions and their effects on employee health and wellbeing. Cochrane Database Syst Rev. 2010(2): CD008009.
  56. Hartzler BM. Fatigue on the flight deck: the consequences of sleep loss and the benefits of napping. Accid Anal Prev. 2014; 62: 309–318.
  57. Kogi K. International research needs for improving sleep and health of workers. Ind Health. 2005; 43(1): 71–79.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., Grupa Via Medica, ul. Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.: +48 58 320 94 94, fax:+48 58 320 94 60, e-mail: viamedica@viamedica.pl