Post-traumatic stress symptoms in an Italian cohort of subjects complaining occupational stress

CNS Spectr. 2021 Oct;26(5):513-520. doi: 10.1017/S1092852920001595. Epub 2020 Jul 14.

Abstract

Objective: Work-related stress presents a significant impact on work performance and physical health. It has been associated with the onset of a multitude of symptoms. The main aim of this investigation is to better understand the impact of post-traumatic stress symptomatology, using a specific self-assessment questionnaire, in subjects experiencing occupational stress with the rationale to address the variegated symptoms expressed by this particular population in a post-traumatic dimensional perspective.

Methods: Authors collected socio-demographic, occupational, and clinical data. They utilized Trauma and Loss Spectrum Self Report (TALS-SR), a questionnaire investigating post-traumatic stress symptoms. The population size was 345 subjects who presented at the Occupational Health Department of a university hospital over a 3 years period (2016-2018).

Results: Data analysis revealed 33.9% of subjects who met post-traumatic stress disorder (PTSD) criteria. Gender distribution of this set was (36.4% female, 31% male). A family history or personal history of mental disorders were related to higher scores in almost all TALS-SR domains and were related, respectively, to higher scores of criterion B "intrusion symptoms" (P = .014), criterion D "negative alterations in cognitions and mood" (P = .023), and criterion E "arousal" (P = .033) of PTSD. Differences in TALS-SR scores also emerged based on age and gender.

Conclusions: PTSD symptoms manifest at a significant level in those who experience work-related stress. Personal background of individuals, both in terms of family and personal history for mental disorders, seems to increase their vulnerability to develop post-traumatic stress symptoms. This study suggests the importance of evaluating occupational stress from a post-traumatic stress perspective also at an early stage.

Keywords: Occupational stress; PTSD; TALS-SR; psychosocial risks; work-related stress; workplace harassment.

MeSH terms

  • Adult
  • Female
  • Humans
  • Italy
  • Male
  • Middle Aged
  • Occupational Stress / epidemiology
  • Occupational Stress / psychology*
  • Socioeconomic Factors
  • Stress Disorders, Post-Traumatic / epidemiology*