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Workplace bullying as an antecedent of mental health problems: a five-year prospective and representative study

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Abstract

Purpose

The present study investigates the proposed long-term relationship between exposure to workplace bullying and subsequent mental health in the form of anxiety and depression with a time lag of 5 years, exploring potential gender differences in these relationships.

Methods

The study employs a prospective design with a 5-year time lag in a representative sample of the Norwegian workforce. A cohort of 1,613 employees reported on their exposure to workplace bullying and their symptoms of anxiety and depression at both measurement times.

Results

The results showed exposure to workplace bullying to be a significant predictor of mental health problems 5 years on, even after controlling for baseline mental health status, gender, age, job-change, job demands and job control, yet for men only. Baseline levels of mental health problems in terms of symptoms of anxiety and depression did not predict subsequent exposure to bullying at follow-up among women, but anxiety did in the case of men.

Conclusion

Workplace bullying poses a serious long-term threat to the health and well-being of workers, at least for men. The results of the study pinpoint the need for mental health treatment as well as for preventive measures in relation to workplace bullying, and pinpoint the need for a gender perspective in these studies.

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References

  • Baillien E, Rodriguez-Munoz A, de Witte H, Notelaers G, Moreno-Jimenez B (2011) The demand-control model and target’s reports of bullying at work: a test within Spanish and Belgian blue-collar workers. Eur J Work Org Psychol 20(2):157–177

    Article  Google Scholar 

  • Baruch Y, Holtom BC (2008) Survey response rate levels and trends in organizational research. Hum Relat 61(8):1139–1160

    Article  Google Scholar 

  • Berthelsen M, Skogstad A, Lau B, Einarsen S (2011) Do they stay or do they go? A longitudinal study of intentions to leave and exclusion from working life among targets of workplace bullying. Int J Manpower 32(2):178–193. doi:10.1108/01437721111130198

    Article  Google Scholar 

  • Bowling NA, Beehr TA (2006) Workplace harassment from the victim’s perspective: a theoretical model and meta analysis. J Appl Psychol 91(5):998–1012

    Article  Google Scholar 

  • de Lange AH, Taris TW, Kompier MAJ, Houtman ILD, Bongers PM (2005) Different mechanisms to explain the reversed effects of mental health on work characteristics. Scand J Work Environ Health 31(1):3–14

    Article  Google Scholar 

  • Derogatis LR, Lipman RS, Rickels K, Uhlenhuth EH, Covi L (1974) The Hopkins Symptom Checklist (HSCL): a self report symptom inventory. Behav Sci 19(1):1–15

    Article  CAS  Google Scholar 

  • Einarsen S, Mikkelsen EG (2003) Individual effects of exposure to bullying at work. In: Einarsen S, Hoel H, Zapf D, Cooper CL (eds) Bullying and emotional abuse in the workplace: international perspectives in research and practice. Taylor & Francis, London, pp 127–144

    Google Scholar 

  • Einarsen S, Skogstad A (1996) Bullying at work: epidemiological findings in public and private organizations. Eur J Work Org Psychol 5:185–201

    Article  Google Scholar 

  • Einarsen S, Hoel H, Notelaers G (2009) Measuring bullying and harassment at work: validity, factor structure, and psychometric properties of the Negative Acts Questionnaire—revised. Work Stress 23(1):24–44

    Article  Google Scholar 

  • Einarsen S, Hoel H, Zapf D, Cooper CL (2011) The concept of bullying and harassment at work: the European tradition. In: Einarsen S, Hoel H, Zapf D, Cooper CL (eds) Bullying and harassment in the workplace: developments in theory, research, and practice, 2nd edn. CRC Press, Boca Raton, pp 3–40

    Google Scholar 

  • Eisenberger NI, Lieberman MD, Williams KD (2003) Does rejection hurt? An fMRI study of social exclusion. Science 302:290–292

    Article  CAS  Google Scholar 

  • Finne LB, Knardahl S, Lau B (2011) Workplace bullying and mental distress—a prospective study of Norwegian employees. Scand J Work Environ Health 37(4):276–286

    Article  Google Scholar 

  • Glasø L, Nielsen MB, Einarsen S (2009) Interpersonal problems among targets and perpetrators of workplace bullying. J Appl Soc Psychol 39(6):1316–1333

    Article  Google Scholar 

  • Hauge LJ, Skogstad A, Einarsen S (2007) Relationships between stressful work environments and bullying: results of a large representative study. Work Stress 21(3):220–242

    Article  Google Scholar 

  • Hauge LJ, Skogstad A, Einarsen S (2010) The relative impact of workplace bullying as a social stressor at work. Scand J Psychol 51(5):426–433

    Google Scholar 

  • Hesbacher PT, Rickels K, Morris R, Newman H, Rosenfield H (1980) Psychiatric illness in family practice. J Clin Psychiatry 41:6–10

    CAS  Google Scholar 

  • Høgh A, Henriksson ME, Burr H (2005) A 5-year follow-up study of aggression at work and psychological health. Int J Behav Med 12(4):256–265

    Article  Google Scholar 

  • Høgh A, Hoel H, Carneiro IG (2011a) Bullying and employee turnover among healthcare workers: a three-wave prospective study. J Nurs Manag 19:742–751

    Article  Google Scholar 

  • Høgh A, Mikkelsen EG, Hansen ÅM (2011b) Individual consequences of workplace bullying/mobbing. In: Einarsen S, Hoel H, Zapf D, Cooper CL (eds) Bullying and harassment in the workplace: developments in theory, research, and practice, 2nd edn. CRC Press, Boca Raton, pp 107–128

    Google Scholar 

  • Hoobler JM, Rospenda KM, Lemmon G, Rosa JA (2010) A within-subject longitudinal study of the effects of positive job experiences and generalized workplace harassment on well-being. J Occup Health Psychol 15(4):434–451. doi:10.1037/A0021000

    Article  Google Scholar 

  • Høstmark M, Lagerstrøm BO (2006) Undersøkelse om arbeidsmiljø: Destruktiv atferd i arbeidslivet. Dokumentasjonsrapport (A study of work environments: destructive behaviours in working life. Documentation report). Statistisk Sentralbyrå/Statistic Norway, Oslo, p 42

  • Janoff-Bulman R (1989) Assumptive worlds and the stress of traumatic events: applications of the schema construct. Soc Cogn 4:113–136

    Article  Google Scholar 

  • Janoff-Bulman R (1992) Shattered assumptions. Towards a new psychology of trauma. The Free Press, New York

    Google Scholar 

  • Kivimäki M, Elovainio M, Vathera J (2000) Workplace bullying and sickness absence in hospital staff. Occup Environ Med 57:656–660

    Article  Google Scholar 

  • Kivimäki M, Virtanen M, Vartia M, Elovainio M, Vathera J, Keltikangas-Järvinen L (2003) Workplace bullying and the risk of cardiovascular disease and depression. Occup Environ Med 60:779–783

    Article  Google Scholar 

  • Kompier MAJ, Taris TW (2011) Understanding the causal relations between psychosocial factors at work and health—a circular process. Scand J Work Environ Health 37(4):259–261. doi:10.5271/Sjweh.3172

    Article  Google Scholar 

  • Lahelma E, Lallukka T, Laaksonen M, Saastamoinen P, Rahkonen O (2012) Workplace bullying and common mental disorders: a follow-up study. J Epidemiol Community Health 66(6):e3. doi:10.1136/jech.2010.115212

    Article  Google Scholar 

  • Leymann H (1990) Mobbing and psychological terror at workplaces. Violence Vict 5(2):119–126

    CAS  Google Scholar 

  • Lind K, Glasø L, Pallesen S, Einarsen S (2009) Personality profiles among targets and nontargets of workplace bullying. Eur Psychol 14(3):231–237. doi:10.1027/1016-9040.14.3.231

    Article  Google Scholar 

  • Mikkelsen EG, Einarsen S (2001) Bullying in Danish worklife: prevalence and health correlates. Eur J Work Org Psychol 10:393–414

    Article  Google Scholar 

  • Mikkelsen EG, Einarsen S (2002) Basic assumptions and symptoms of post-traumatic stress among victims of bullying at work. Eur J Work Org Psychol 11:87–111

    Article  Google Scholar 

  • Nettelbladt P, Hansson L, Stefansson C-G, Borgquist L, Nordström G (1993) Test characteristics of the Hopkins Symptom Check List-25 (HSCL-25) in Sweden, using the Present State Examination (PSE-9) as a caseness criterion. Soc Psychiatry Psychiatr Epidemiol 28:130–133

    Article  CAS  Google Scholar 

  • Nielsen MB, Einarsen S (2012a) Outcomes of workplace bullying: a meta-analytic review. Work Stress 26(4):309–332

    Article  Google Scholar 

  • Nielsen MB, Einarsen S (2012b) Prospective relationships between workplace sexual harassment and psychological distress. Occup Med (Lond) 62(3):226–228. doi:10.1093/occmed/kqs010

    Article  CAS  Google Scholar 

  • Nielsen MB, Matthiesen SB, Einarsen S (2010) The impact of methodological moderators on prevalence rates of workplace bullying. A meta-analysis. J Occup Org Psychol 83(4):955–979. doi:10.1348/096317909X481256

    Article  Google Scholar 

  • Nielsen MB, Notelaers G, Einarsen S (2011) Measuring exposure to workplace bullying. In: Einarsen S, Hoel H, Zapf D, Cooper CL (eds) Bullying and emotional abuse in the workplace developments in theory, research and practice. CRC Press, Boca Raton

    Google Scholar 

  • Nielsen MB, Hetland J, Matthiesen SB, Einarsen S (2012) Longitudinal relationships between workplace bullying and psychological distress. Scand J Work Environ Health 38(1):38–46. doi:10.5271/sjweh.3178

    Article  Google Scholar 

  • Notelaers G, Einarsen S (2012) The world turns at 33 and 45: defining simple cutoff scores for the Negative Acts Questionnaire-Revised in a representative sample. Eur J Work Org Psychol (IFirst article)

  • Olweus D (1991) Bullying/victim problem among school children. In: Rubin I, Pepler D (eds) The development and treatment of childhood aggression. Erlbaum, Hillsdale

    Google Scholar 

  • Ortega A, Christensen KB, Høgh A, Rugulies R, Borg V (2011) One-year prospective study on the effect of workplace bullying on long-term sickness absence. J Nurs Manag 19(6):752–759. doi:10.1111/j.1365-2834.2010.01179.x

    Article  Google Scholar 

  • Podsakoff PM, MacKenzie SB, Lee JY, Podsakoff NP (2003) Common method biases in behavioral research: a critical review of the literature and recommended remedies. J Appl Psychol 88(5):879–903. doi:10.1037/0021-9101.88.5.879

    Article  Google Scholar 

  • Rodriguez-Munoz A, Baillien E, De Witte H, Moreno-Jimenez B, Pastor JC (2009) Cross-lagged relationships between workplace bullying, job satisfaction and engagement: two longitudinal studies. Work Stress 23(3):225–243. doi:10.1080/02678370903227357

    Article  Google Scholar 

  • Rugulies R et al (2012) Bullying at work and onset of a major depressive episode among Danish female eldercare workers. Scand J Work Environ Health 38(3):218–227. doi:10.5271/Sjweh.3278

    Article  Google Scholar 

  • Salin D (2003) Workplace bullying among business professionals. Prevalence, organisational antecedents and gender differences. Swedish School of Economics and Business Administration

  • Segrin C (1998) Interpersonal communication problems associated with depression and loneliness. In: Andersen PA, Guerrero LK (eds) Handbook of communication and emotion: research, theory, applications, and contexts. Academic Press, San Diego, CA, pp 215–242

  • Spector PE (2006) Method variance in organizational research—truth or urban legend? Organ Res Methods 9(2):221–232. doi:10.1177/1094428105284955

    Article  Google Scholar 

  • Stammel N, Neuner F, Bottche M, Knaevelsrud C (2012) Construction of a questionnaire for readiness to reconcile in victims of human rights violations. Eur J Psychotraumatol 3. doi:10.3402/ejpt.v3i0.15785

  • Stansfeld S, Candy B (2006) Psychosocial work environment and mental health—a meta-analytic review. Scand J Work Environ Health 32(6):443–462

    Article  Google Scholar 

  • Stoetzer U et al (2009) Problematic interpersonal relationships at work and depression: a Swedish prospective cohort study. J Occup Health 51(2):144–151

    Article  Google Scholar 

  • Strand BH, Dalgard OS, Tambs K, Rognerud M (2003) Measuring the mental health status of the Norwegian population: a comparison of the instruments SCL-25, SCL-10. SCL-5 and MHI-5 (SF-36). Nordic J Psychiatry 57:113–118

    Article  Google Scholar 

  • Taylor SE (1991) Asymmetrical effects of positive and negative events—the mobilization minimization hypothesis. Psychol Bull 110(1):67–85. doi:10.1037//0033-2909.110.1.67

    Article  CAS  Google Scholar 

  • Ursin H, Eriksen HR (2004) The cognitive activation theory of stress. Psychoneuroendocrinology 29(5):567–592. doi:10.1016/S0306-4530(03)00091-X

    Article  Google Scholar 

  • Van Veldhoven M, Broesen JPJ, Fortuin RJ (1999) Werkstress in beeld. Psychososiale arbeidsbelasting en werkstress in Nederland (Focus on stress. Psychososial workload and work stress in the Netherlands). Stichting Kwaliteitsbevordering Bedriftsgezondheidszorg, Amsterdam

  • Vie TL, Glasø L, Einarsen S (2011) Health outcomes and self-labeling as a victim of workplace bullying. J Psychosom Res 70(1):37–43. doi:10.1016/j.jpsychores.2010.06.007

    Article  Google Scholar 

  • Vie TL, Glaso L, Einarsen S (2012) How does it feel? Workplace bullying, emotions and musculoskeletal complaints. Scand J Psychol 53(2):165–173. doi:10.1111/j.1467-9450.2011.00932.x

    Article  Google Scholar 

  • Weiss HM, Cropanzano R (1996) Affective events theory: a theoretical discussion of the structure, causes and consequences of affective experiences at work. In: Staw BM, Cummings LL (eds) Research in organizational behavior: an annual series of analytical essays and critical reviews, vol 18. Elsevier Science/JAI Press, US, pp 1–74

    Google Scholar 

  • Williams KD (1997) Social ostracism. In: Kowalski RM (ed) Aversive interpersonal behaviors. Plenum, New York, pp 133–170

    Chapter  Google Scholar 

  • Wilson CB (1991) US business suffer from workplace trauma. Pers J(July):47–50

  • Zapf D, Einarsen S (2011) Individual antecedents of bullying: victims and perpetrators. In: Einarsen S, Hoel H, Zapf D, Cooper CL (eds) Bullying and harassment in the workplace. CRC Press, Boca Raton, pp 177–200

    Google Scholar 

  • Zapf D, Einarsen S, Hoel H, Vartia M (2011) Empirical findings on prevalence and risk groups of bullying in the workplace. In: Einarsen S, Hoel H, Zapf D, Cooper C (eds) Bullying and emotional abuse in the workplace developments in theory, research and practice. CRC Press, Boca Raton, pp 75–105

    Google Scholar 

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Acknowledgments

The present study was based on data from a collaborative project between the University of Bergen and Statistics Norway (Statistisk Sentralbyrå), where the latter institution drew the sample and collected the data. The project was made possible by grants from two Norwegian Employer Associations (Næringslivets Hovedorganisasjon and Kommunenes Sentralforbud) and the Norwegian Government (Rikstrygdeverket/NAV Farve). Thanks to Bengt Oscar Lagerstrøm, Maria Høstmark and Aina Holmøy in Statistics Norway, and Stig Berge Matthiesen and Anders Skogstad at the Department of Psychosocial Science at the University of Bergen for their contribution. We thank the anonymous reviewers for their valuable comments on earlier drafts of this article.

Conflict of interest

Ståle Einarsen runs a part-time business delivering anti-bullying training for managers and health and safety personnel. Morten B. Nielsen declares no conflict of interest.

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Einarsen, S., Nielsen, M.B. Workplace bullying as an antecedent of mental health problems: a five-year prospective and representative study. Int Arch Occup Environ Health 88, 131–142 (2015). https://doi.org/10.1007/s00420-014-0944-7

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  • DOI: https://doi.org/10.1007/s00420-014-0944-7

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