Occup. Health, Volume 1, Issue 2 (June 2026) – 11 articles

The main aim of this study was to investigate the association between areas of worklife and work engagement in the development of burnout syndrome among self-employed and institutionally employed psychologists. Using a cross-sectional quantitative design, three scales validated for the Brazilian population were applied: the Burnout Assessment Tool (BAT), the Areas of Worklife Survey (AWS), and the Utrecht Work Engagement Scale (UWES). A total of 180 psychology professionals participated, with a predominance of women participants (88.3%); the majority were aged between 24 and 29 years. The hypothesized relationships among variables were tested using Structural Equation Modeling (SEM). The results revealed a strong negative correlation between BAT domains and dimensions assessed by the UWES, confirming the inverse association between engagement and burnout. A positive association between areas of worklife and engagement was also confirmed. However, no negative association between areas of worklife and burnout was found, and no evidence supported a mediating role of these areas in the relationship between engagement and burnout. Although areas of worklife independently influenced both engagement and burnout, their mediating role in this relationship was not supported by the data. These findings point to the complexity of the interactions among these variables and indicate relevant directions for future research. Full article

Purpose: This study aims at the modification and psychometric evaluation of the “revised Illness Perception Questionnaire” (IPQ-R) for occupational dermatological rehabilitation. Methods: First, the questionnaire was modified for application in occupational dermatology. Subsequently, 254 patients of an inpatient rehabilitation programme participated in a cross-sectional survey. Afterwards, the dimensional analysis of the IPQ-R was conducted using principal component analysis. Separate analyses were conducted for the illness representations and the causal attribution scale. Results: A total of 228 participants were included in the analysis (age: M = 48.2 years; SD = 12.0; 53.9% female). The patient acceptance of the questionnaire was high (response rate 87.3%; rate of completion between 92.5% and 98.4%, N = 254). The IPQ-R for occupational dermatology consists of 29 items in the domain of illness representations, which include seven factors (illness coherence, emotional representations, consequences: implications for the structuring of own life, consequences: financial and social impacts, treatment control, personal control, and timeline acute/chronic). Six of these scales have acceptable-to-good internal consistency (Cronbach’s α 0.72–0.84); for one scale, the internal consistency is Cronbach’s α = 0.66. A separate analysis of the causes resulted in eight factors (psychological causes at work and during leisure time, attributions outside the workplace, skin cleansing and skin protection measures, behaviour-related risk factors, causes at work, other risk factors, external factors that cannot be influenced by the person, and climatic influences) with a total of 30 items. Five of the eight scales have an acceptable-to-good internal consistency (Cronbach’s α 0.71–0.83), and three scales are just below the acceptable range (Cronbach’s α 0.63–0.66). Conclusion: Overall, the initial psychometric results of the IPQ-R for occupational dermatology were satisfactory. However, additional validation steps are still required. The following differences to the original model should be considered when interpreting the available results: the factor “timeline cyclical” could not be replicated in this field of application. Additionally, two factors with different thematic emphases in the “consequences” section, besides effects on the personal way of life, social and financial consequences, became visible as well. Full article

The COVID-19 pandemic intensified concerns about burnout in healthcare leadership, yet evidence specific to nurse managers remains fragmented. This integrative review synthesized recent research, organized burnout-associated factors using the Job Demands–Resources (JD–R) model, and examined pre-pandemic and pandemic-era shifts in research focus. Following Whittemore and Knafl’s methodology, four databases (Ichushi-Web, PubMed, CINAHL, and MEDLINE) were searched for peer-reviewed quantitative, qualitative, and mixed-methods studies published from 1 April 2019 to 31 August 2025 that examined burnout levels, prevalence, or related factors among nurse managers. Extracted findings were mapped to Job demands, Job resources, and Personal resources and compared according to the data-collection period. Twenty-five studies were included, with substantial heterogeneity in burnout instruments and cutoff values. Core job demands related to managerial responsibility, workload, and resource management were identified throughout the literature, while pandemic-era studies additionally highlighted frequent protocol changes, heightened uncertainty, and fear of infection. Key resources included organizational support, positive team communication, peer support, and adequate workload and material resources, and resilience was more frequently reported in pandemic-era studies. Overall, the findings demonstrate how crisis-related shifts in demands and resources shape burnout risk among nurse managers and support the application of JD–R–informed, context-adaptive prevention strategies. They also underscore the need for standardized burnout assessment and more robust interventional and longitudinal research. Full article

The objective of this research was to examine the effects of sexual and generalized harassment in the workplace on risk for all-cause mortality in a sample (n = 1745) originally drawn from a university workplace and followed over a 24-year period after baseline. Eleven timepoints of data on self-reported workplace harassment were collected between October 1996 and February 2021, at time intervals ranging from one year to 13 years, and linked to mortality data (n = 249 deaths) from the National Death Index through December 2021. We used proportional hazards modeling to examine the risk for all-cause mortality associated with workplace harassment (as measured by a modified version of the Sexual Experiences Questionnaire and the Generalized Workplace Harassment Questionnaire) occurring in the previous time period. We also examined differential risk by gender for White and Black study participants. In fully adjusted models, experiencing generalized harassment (GH) was associated with significantly increased hazard of mortality at the next time point for White women (HR = 1.03, p < 0.01). Experiencing sexual harassment (SH) was associated with a trend-level increase in the hazard of next-time-point mortality for Black women (HR = 1.05, p = 0.09). Neither SH nor GH was associated with increased hazard of mortality for men. Workplace interventions to address harassment, stronger enforcement of sexual harassment policy and law, and enactment of policy and law to prevent generalized harassment and bullying may contribute to the reduction of all-cause mortality among working women. Full article

(1) Background: The global expansion of teleworking has increased concern regarding musculoskeletal pain associated with home-based working conditions. This study quantified the prevalence of musculoskeletal pain among Brazilian teleworkers and explored ergonomic and environmental factors associated with the distribution of physical symptoms and the multisite pain burden. (2) Methods: A cross-sectional survey was conducted between June and August 2024, analyzing 184 valid responses from teleworkers across various professional sectors. Data were collected via an online questionnaire assessing sociodemographic characteristics, workstation ergonomics, and musculoskeletal symptoms using the Nordic Musculoskeletal Questionnaire (NMQ). Statistical analyses included Pearson’s chi-square tests, logistic regression, and exploratory Random Forest modeling to prioritize predictors. (3) Results: Musculoskeletal pain was reported by 74% of participants, with the lower back (40.8%), neck (36.4%), and upper back (30.4%) being the most frequently affected anatomical regions. The primary ergonomic and environmental factors associated with pain reports included discomfort with the desk and mouse, suboptimal thermal comfort, and prolonged sitting. Odds ratios demonstrated strong statistical co-occurrence between recent and 12-month pain reports, particularly for the shoulders, reflecting overlapping recall indicators rather than temporal symptom progression. (4) Conclusions: Musculoskeletal pain is highly prevalent among Brazilian teleworkers, showing clear links to localized workstation inadequacies and overlapping short- and long-term symptom reporting. These findings highlight the need for targeted institutional occupational health policies, such as ergonomics training and adjustable furniture provision, while future longitudinal research remains essential to confirm causal pathways. Full article

In architecture and construction, it is common practice to use acrylic products with a high flammable content, ranging from lacquers designed to improve the curing of concrete and mortar to resins that provide protection, sealing, flexibility, and elasticity. The drying process of the treated surface involves the formation of vapours of volatile organic compounds (VOCs); to prevent these from creating a potentially hazardous flammable atmosphere, a procedure is presented that establishes the maximum application rate for solvent-based products, providing equations that relate the maximum application area and the minimum drying time to the available air velocity in the work area. The results are provided for both indoor and outdoor applications. A maximum application rate is established to prevent the creation of areas classified as fire or explosion hazards: 1.5 m²/h indoors and 1 m²/h outdoors. When this is carried out at an ambient temperature of 20 °C, and from 40 °C upwards, it is not possible to apply the varnishes in practice without creating a flammable atmosphere. Full article

Background: This study synthesizes findings on precariously employed workers’ self-reported feelings of severe or extreme anxiety and depression, along with their experiences accessing mental health services. Methods: This mixed-methods research included surveys (N = 259) and interviews (N = 40) with precariously employed workers in Ontario, Canada, conducted from November 2020 to July 2021. Inclusion criteria included: (i) not being directly employed, being self-employed, or a gig worker; (ii) not working full-time; (iii) not holding a permanent or open-ended contract; (iv) performing informal work; or (v) being recently unemployed. Results: The adjusted, statistically significant odds of reporting severe or extreme anxiety or depression were higher among workers with greater precarity (2.28), self-employed workers with no employees (3.61), gig or platform workers (3.08), workers earning less than 60% of the median income (2.75), and those unsure whether their hours would vary in the next three months (2.59). The odds were lower (0.22) for workers with some or little income variation in the previous three months. Interview participants described chronic stress, worry, anxiety, depression, and overall negative wellbeing linked to their precarious employment. Despite an increased need for mental health services, participants reported similar difficulties accessing them. Interpretation: To improve access to mental health services, sustainable intersectoral solutions with demonstrated potential are required, including increasing social and health expenditures, revising labor market legislation, and reorganizing the delivery of employer-dependent health services. Recommendations are made for solutions at various levels, including those that could be adopted by medical practitioners. Full article

Firefighters are regularly exposed to occupational stress and potentially traumatic events. However, few evidence-based, fire service-specific interventions exist. Brief, mindfulness-based interventions may help address these challenges by improving regulation skills and reducing psychological distress. This pilot randomized controlled trial primarily evaluated the feasibility and acceptability of a one-session, group-based, virtual mindful attention training workshop developed specifically for firefighters, with secondary evaluation of preliminary efficacy. Firefighters (N = 82) were recruited from multiple fire departments across a large U.S. Southwestern metropolitan area and randomized to the mindful attention workshop (n = 45) or a waitlist control condition (n = 37). Feasibility outcomes were mixed, with strong enrollment among eligible participants (74.5%) but relatively low workshop attendance among those randomized to the intervention (53.3%). A total of 24 firefighters completed the workshop and found it to be helpful, informative, and relevant to the challenges faced in the fire service, with group processes characterized by high comfort, understanding, and low conflict. However, no significant between-group differences were observed in reductions in symptom severity or increases in mindfulness-based outcomes. Post hoc descriptive analyses revealed that most firefighters expressed strong interest in digitally delivered mental health content and the vast majority perceived online or app-based firefighter-specific mental health resources as helpful. Findings indicate mixed feasibility, strong acceptability among attendees, and a lack of preliminary efficacy, and highlight directions for refining intervention delivery of this pilot workshop and evaluating clinical impact in future trials. Full article

Same-level falls are the most frequent occupational accidents, yet traditional manual analysis of accident reports is labor-intensive and limits large-scale prevention strategies. In this pilot study, we aimed to evaluate the accuracy of using large language models (LLMs) to automate the classification of occupational accident text data without task-specific pretraining. We analyzed data from 2619 same-level-fall-related injury cases, using expert manual classification as the reference standard. Four models—GPT-4o mini, GPT-4.1 mini, GPT-4.1, and o4-mini—were compared using accuracy and Cohen’s kappa. The o4-mini model demonstrated the highest performance, showing statistical superiority in the complex “causal agent” category with 72.8% accuracy. For other classification tasks, the top models achieved accuracies of 82–92%, with Cohen’s kappa coefficients > 0.7, indicating substantial agreement with expert judgments. These findings suggest that LLMs can classify occupational accident text with substantial agreement with the expert-derived reference standard in this dataset. This automated approach enables efficient, high-frequency analysis of large datasets, offering a promising tool for large-scale occupational accident surveillance and screening. Full article

Objectives: Occupational stress, resilience and 5-hydroxytryptamine receptor 2A gene (HTR2A) polymorphisms potentially influence sleep quality. However, evidence of their effects and relationships remains ambivalent and insufficient. Therefore, this study investigated the association of occupational stress, resilience, HTR2A polymorphisms, and their interactions with sleep quality. Methods: Using a cross-sectional design, 809 Chinese Han subjects (47% female and 53% male; age: 33.1 ± 6.3 years) were genotyped for HTR2A rs6313 polymorphism. Occupational stress, resilience and sleep quality were measured using Work Stress Scale, Connor-Davidson Resilience Scale, and Pittsburgh Sleep Quality Index, respectively. Results: Higher occupational stress was significantly correlated with poorer sleep quality (odds ratio (OR) = 2.020, 95% confidence interval (CI): [1.736, 2.394], p = 0.00031), while higher resilience was significantly correlated with better sleep quality (OR = 0.610, 95% CI: [0.522, 0.697], p = 0.00047). Occupational stress played a mediating role in the association between resilience and sleep quality (indirect: β₁β₂ = −0.067, 95% CI: [−0.101, −0.041], p = 0.00045; direct: β₃ = −0.119, 95% CI: [−0.205, −0.032], p = 0.008). The rs6313 polymorphism moderated the association between resilience and sleep quality (β₆ = 0.786, 95% CI: [0.092, 1.422], p = 0.027), but not the indirect effect. Conclusions: Resilience is associated with better sleep quality both directly and by attenuating the negative correlation between occupational stress and sleep quality, and the rs6313 polymorphism is associated with modifying the relationship between resilience and sleep quality (but not occupational stress and sleep quality), which suggests potential distinct biological association patterns for resilience and stress. Subjects with TT and TC/CC genotypes had different sleep quality response to resilience, implying potential molecular mechanisms of resilience. Our findings provide implications for the prevention and intervention of stress-related sleep problems in occupational populations by targeting modifiable factors including occupational stress and individual resilience. Full article

Farming is recognized as one of the most stressful occupations worldwide, with farmers experiencing heightened prevalences of chronic stress, depression, anxiety, and suicidality. However, there is limited research that has qualitatively examined gendered experiences of farmers’ mental health in Canada. This study explored Canadian farmers’ perspectives on mental health through a gendered lens to address this gap in knowledge. Seventy-five farmers and agricultural community members participated in semi-structured interviews centred on stress, mental health challenges, and help-seeking, conducted between 2017 and 2018. Data were analyzed thematically using a Gender-Based Analysis Plus (GBA+) approach. Three major themes were identified: identity, workload, and mental health support. Women farmers described persistent struggles to be recognized as “farmers,” highlighting how gender-assumptive language and agricultural norms undermined their identity and contributed to their mental distress. They also reported disproportionate workloads, often resulting in overwhelm, exhaustion, and diminished wellbeing. Finally, while men often positioned women as the preferred recipients of mental health education, women expressed that this expectation intensified their already heavy burden. Findings underscore that gendered roles and expectations in Canadian agriculture profoundly shape farmers’ mental health in that women’s contributions remain undervalued, and their mental health is further strained by both visible and invisible workloads and by expectations to safeguard family and community wellbeing. Full article