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Wie stark sind Führungskräfte psychisch gefährdet?

Eine Literaturübersicht zu Gesundheitsrisiken und arbeitsbezogenen Risiko- und Schutzfaktoren

Published Online:https://doi.org/10.1026/0943-8149/a000143

Zusammenfassung. Der Forschungsstand zur psychischen Gesundheit der Führungskräfte wurde bisher nicht systematisch ausgewertet. Die folgende Literaturübersicht fasst Ergebnisse aus 34 klinisch-epidemiologischen sowie arbeitspsychologischen Studien qualitativ und quantitativ zusammen. Ausgewertet wurden Ergebnisse zur Verbreitung psychischer Beeinträchtigungen (Fragestellung 1) sowie zu arbeitsbezogenen Risiko- und Schutzfaktoren (Fragestellung 2). Es liegen Ergebnisse zu fünf unterschiedlichen Gesundheitsrisiken vor: psychische Gesundheit und Wohlbefinden, depressive und psychosomatische Symptome, Burnout, Irritation und psychischer Stress. Die bisherige Befundlage zu Fragestellung 1 ist zu heterogen, um hieraus Trends ableiten zu können. Eindeutiger zu interpretieren sind Ergebnisse zu den Risiko- und Schutzfaktoren: Die quantitative Arbeitsbelastung und Konflikte durch die Führungsrolle wiesen jeweils in mehreren Studien signifikante Zusammenhänge mit den psychischen Risiken auf. Arbeitsplatzsicherheit, soziale Unterstützung und Handlungsspielraum erwiesen sich als protektive Faktoren. Aus den Ergebnissen des Reviews werden der weitere Forschungsbedarf sowie spezifische Präventionsstrategien abgeleitet.


Mental Health Risks Among Managers: A Review

Abstract. Research on mental health among managers has not been systematically evaluated to date. The present review summarizes the results of 34 epidemiological and work psychology studies focusing on the prevalence of mental health problems (Research Question 1) as well as on job demands and job resources (Research Question 2) among managers. Results concerning five different health outcomes are presented, in particular: mental health and well-being, depressive and psychosomatic symptoms, burnout, irritation, and stress. Findings regarding Research Question 1 are heterogeneous, and therefore no obvious trends were detected. The results regarding job demands and job resources among managers were clearer to interpret: Both quantitative workload as well as conflicts due to the manager role were significantly associated with an increased mental health risk. By contrast, job security, social support, and decision latitude appeared to buffer negative strain reactions. The findings of this review indicate the need for further research and specific prevention strategies.

* Studie wurde in dieser Literaturübersicht berücksichtigt

Literatur

  • Antonovsky, A. (1987). Unraveling the mystery of health. How people manage stress and stay well. San Francisco: Jossey-Bass. First citation in articleGoogle Scholar

  • *Axelrod, W. & Gavin, J. (1980). Stress and strain in blue-collar and white-collar management staff. Journal of Vocational Behavior, 17, 41 – 49. First citation in articleCrossrefGoogle Scholar

  • *Badura, B., Ducki, A., Schröder, H., Klose, J. & Meyer, M. (Hrsg.) (2013). Fehlzeitenreport 2013. Zahlen, Daten, Analysen aus allen Branchen der Wirtschaft. Berlin: Springer. First citation in articleGoogle Scholar

  • *Bakker, A. B., van Veldhoven, M. & Xanthopoulou, D. (2010). Beyond the demand-control model. Thriving on high job demands and resources. Journal of Personnel Psychology, 9 (1), 3 – 16. First citation in articleGoogle Scholar

  • *Bamberg, E., Ducki, A. & Metz, A.-M. (2011). Gesundheitsförderung und Gesundheitsmanagement in der Arbeitswelt: Ein Handbuch. Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • *Bernin, P. (2002). Managers working conditions–stress and health. Stockholm: Karolinska Institutet. First citation in articleGoogle Scholar

  • *Bernin, P. & Theorell, T. (2001). Demand-control-support among female and male managers in eight Swedish companies. Stress and Health, 17, 231 – 243. First citation in articleCrossrefGoogle Scholar

  • *Borenstein, M., Hedges, L. V., Higgins, J. P. T. & Rothstein, H. R. (2009). Introduction to Meta-Analysis, Chapter 7: Converting Among Effect Sizes (pp. 45 – 49). Chichester, West Sussex, UK: Wiley. First citation in articleCrossrefGoogle Scholar

  • *Burk, R.J. (1988). Sources of managerial and professional stress in large organizations. In C.L. CooperR. PayneEds., Causes, coping and consequences of stress at work (pp. 77 – 114). Chichester: Wiley. First citation in articleGoogle Scholar

  • *Burke, R. & Fiksenbaum, L. (2009). Work motivations, satisfactions and health among managers–passion vs. addiction. Cross-Cultural Research, 43, 349 – 365. First citation in articleCrossrefGoogle Scholar

  • *Busch, C. & Steinmetz, B. (2002), Stressmanagement und Führungskräfte. Gruppendynamik und Organisationsberatung, 33, 385 – 401. First citation in articleCrossrefGoogle Scholar

  • *Cassidy, T. & Dhillon, R. (1997). Type A behaviour, problem-solving style and health in male and female managers. British Journal of Health Psychology, 2, 217 – 227. First citation in articleCrossrefGoogle Scholar

  • *Cavanaugh, M. A., Boswell, W. R., Roehling, M. V. & Boudreau, J. W. (2000). An empirical examination of self-reported work stress among U.S. managers. Journal of Applied Psychology, 85, 65 – 74. First citation in articleCrossrefGoogle Scholar

  • *Cohidon, C., Santin, G., Imbernon, E. & Goldberg, M. (2010). Working conditions and depressive symptoms in the 2003 decennial health survey: the role of the occupational category. Social Psychiatry and Epidemiology, 45, 1135 – 1147. First citation in articleCrossrefGoogle Scholar

  • *Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum. First citation in articleGoogle Scholar

  • *Cooper, C. L., Kirkcaldy, B. & Brown, J. (1994). A model of job stress and physical health. The role of individual differences. Personality and Individual Differences, 16, 653 – 655. First citation in articleCrossrefGoogle Scholar

  • *Cooper, C. L., Kirkcaldy, B. & Furnham, A. (1995). Psychische Belastung von Führungskräften. In A. KieserG. ReberR. WundererHrsg., Handwörterbuch der Führung (S. 1794 – 1808). Stuttgart: Schäffer-Poeschel. First citation in articleGoogle Scholar

  • *Cumming, G. & Finch, S. (2005). Inference by eye: confidence intervals and how to read pictures of data. American Psychologist, 60, 170 – 180. First citation in articleCrossrefGoogle Scholar

  • *Deutsche Rentenversicherung Bund (2013). Rentenversicherungen in Zeitreihen: Oktober 2013. DRV-Schriften-Online, Band 22. Zugriff am 18. 08. 2014 unter: http://www.deutsche-rentenversicherung.de/cae/servlet/contentblob/238700/publicationFile/62588/03_rv_in_zeitreihen.pdf. First citation in articleGoogle Scholar

  • *Doef, M. v. d. & Maes, S. (1999). The Job Demand-Control-(Support) Model and psychological well-being. A review of 20 years of empirical research. Work & Stress, 13 (2), 87 – 114. First citation in articleGoogle Scholar

  • *Ducki, A. & Greiner, B. (1992). Gesundheit als Entwicklung von Handlungsfähigkeit. Ein „arbeitspsychologischer Baustein“ zu einem allgemeinen Gesundheitsmodell. Zeitschrift für Arbeits- und Organisationspsychologie, 36, 184 – 189. First citation in articleGoogle Scholar

  • *Frankenhaeuser, M., Lundberg, U., Frederikson, M., Melin, B., Tuomisto, M., Myrsten, A. L., Hedman, M., Bergman-Losman, B. & Wallin, L. (1989). Stress on and off the job as related to sex and occupational status in white-collar workers. Journal of Organizational Behavior, 10, 321 – 334. First citation in articleCrossrefGoogle Scholar

  • *Goldberg, P., David, S., Landre, M. F., Goldberg, M., Dassa, S. & Fuhrer, R. (1996). Work conditions and mental health among prison staff in France. Scandinavian Journal of Work and Environment Health, 22, 45 – 54. First citation in articleCrossrefGoogle Scholar

  • *Gregersen, S., Kuhnert, S., Zimber, A. & Nienhaus, A. (2011). Führungsverhalten und Gesundheit–zum Stand der Forschung. Gesundheitswesen, 73, 3 – 12. First citation in articleCrossrefGoogle Scholar

  • * *Grunberg, L., Moore, S. & Greenberg, E. (2006.) Managers’ reactions to implementing layoffs: relationship to health problems and withdrawal behaviors. Human Resource Management, 45, 159 – 178. First citation in articleCrossrefGoogle Scholar

  • *Hacker, W. (2005). Allgemeine Arbeitspsychologie. Psychische Regulation von Wissens-, Denk- und körperlicher Arbeit. Bern: Hans Huber. First citation in articleGoogle Scholar

  • *Hobfoll, S. E. (2001). The influence of culture, community, and the nested-self in the stress process: Advancing conservation of resources theory. Applied Psychology: An International Review, 50, 337 – 421. First citation in articleCrossrefGoogle Scholar

  • *Hossiep, R., Paschen, M. & Mühlhaus, O. (2003). Bochumer Inventar zur berufsbezogenen Persönlichkeitsbeschreibung (BIP). Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • *Howard, J., Cunningham, D. & Rechnitzer, P. (1977). Work patterns associated with Type A Behaviour: A Managerial Population. Human Relations, 30, 825 – 836. First citation in articleCrossrefGoogle Scholar

  • *Hunter, J. & Schmidt, F. (1990). Methods of meta-analysis: Correcting error and bias in research findings. Beverly Hills CA: Sage. First citation in articleGoogle Scholar

  • *Hurrell, J. & Lindstrom, K. (1992). Comparison of job demands, control and psychosomatic complaints at different career stages of managers in Finland and the United States. Work, Environment & Health, 18, 11 – 13. First citation in articleCrossrefGoogle Scholar

  • *Ivancevich, J., Matteson, M. & Preston, C. (1982). Occupational Stress, Type A Behavior, and Physical Well Being. The Academy of Management Journal, 25, 373 – 391. First citation in articleGoogle Scholar

  • *Jacobshagen, N., Amstad, F., Semmer, N. & Kuster, M. (2005). Work-Life-Balance im Topmanagement. Konflikt zwischen Arbeit und Familie als Mediator der Beziehung zwischen Stressoren und Befinden. Zeitschrift für Arbeits- und Organisationspsychologie, 49, 208 – 219. First citation in articleLinkGoogle Scholar

  • *Jamal, M. (1985). Relationship of job stress to job performance: A study of managers and blue collar workers. Human Relations, 38, 409 – 424. First citation in articleCrossrefGoogle Scholar

  • *Jamal, M. & Baba, V. (2000). Job stress and burnout among Canadian managers and nurses: An empirical examination. Canadian Journal of Public Health, 91, 454 – 458. First citation in articleCrossrefGoogle Scholar

  • *Karasek, R. A. (1979). Job demands, job decision latitude and mental strain: Implications for job redesign. Administrative Science Quarterly, 24, 285 – 308. First citation in articleCrossrefGoogle Scholar

  • *Karasek, R. A. & Theorell, T. (1990). Healthy work, stress, productivity, and the reconstruction of working life. New York: Basic Books. First citation in articleGoogle Scholar

  • *Kirkcaldy, B. D., Shephard, R. J. & Furnham, A. F. (2002a). The influence of type A behaviour and locus of control upon job satisfaction and occupational health. Personality and Individual Differences, 33, 1361 – 1371. First citation in articleCrossrefGoogle Scholar

  • *Kirkcaldy, B. D. Trimpop, R. M. & Williams, S. (2002b). Occupational stress and health outcome among British and German managers. Journal of Managerial Psychology, 17, 491 – 505. First citation in articleCrossrefGoogle Scholar

  • *Knudsen, H., Ducharme, L. & Roman, P. (2009). Turnover intention and emotional exhaustion „at the top“: Adapting the job demands-resources model to leaders of addiction treatment organizations. Journal of Occupupational Health Psychology, 14, 84 – 95. First citation in articleCrossrefGoogle Scholar

  • *Kuhnke-Wagner, I., Heidenreich, J. & Brauchle, G. (2010). Psychosoziale Arbeitsbelastungen und depressive Symptome bei Führungskräften. Ansatz für präventive Strategien. Psychotherapeut, 56, 26 – 32. First citation in articleCrossrefGoogle Scholar

  • *Kuper, H., Singh-Manoux, A., Siegrist, J. & Marmot, M. (2002). When reciprocity fails: effort–reward imbalance in relation to coronary heart disease and health functioning within the Whitehall II study. Occupational and Environmental Medicine, 59, 777 – 784. First citation in articleCrossrefGoogle Scholar

  • *Lahelma, E., Martikainen, P., Rahkonen, O., Roos, E. & Saastamoinen, P. (2005). Occupational class inequalities across key domains of health: Results from the Helsinki Health Study. European Journal of Public Health, 15, 504 – 510. First citation in articleCrossrefGoogle Scholar

  • *Lakens, D. (2013). Calculating and reporting effect sizes to facilitate cumulative science: A practical primer for t-tests and ANOVAs. Frontiers in Psychology, 4 (863), 1 – 12. First citation in articleGoogle Scholar

  • *Langan-Fox, J. & Poole, M. E. (1995). Occupational stress in Australian business and professional women. Stress & Health, 11, 113 – 122. First citation in articleGoogle Scholar

  • *de Lange, A. H., Taris, T. W., Kompier, M. A. J., Houtman, I. L. D. & Bongers, P. M. (2003). „The very best of Millenium“: Longitudinal research and the Demand-Control-(Support)-Model. Journal of Occupational Health Psychology, 8, 282 – 305. First citation in articleCrossrefGoogle Scholar

  • *Limm, H., Angerer, P., Heinmüller, M., Marten-Mittag, B., Nater, U. & Gündel, H. (2010). Self-perceived stress reactivity is an indicator of psychosocial impairment at the workplace. BMC Public Health, 10, Art. 252. First citation in articleCrossrefGoogle Scholar

  • *Lindorff, M. (2000). Is it better to perceive than receive? Social support, stress and strain for managers. Psychology, Health & Medicine, 5, 271 – 286. First citation in articleCrossrefGoogle Scholar

  • *Lundberg, U. & Frankenhaeuser, M. (1999). Stress and workload of men and women in high ranking positions. Journal of Occupational Health Psychology, 4, 142 – 151. First citation in articleCrossrefGoogle Scholar

  • *Maslach, C., Schaufeli, W. B. & Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 52, 397 – 422. First citation in articleCrossrefGoogle Scholar

  • *Melzer, D., Fryers, T. Jenkins, R, Brugha, T. & McWilliams, B. (2003). Social position and the common mental disorders with disability: Estimates from the National Psychiatric Survey of Great Britain. Social Psychiatry and Psychiatric Epidemiology, 38, 238 – 243. First citation in articleCrossrefGoogle Scholar

  • *Mohr, G. & Wolfram, H. (2010). Stress among managers: The importance of dynamic tasks, predictability, and social support in unpredictable times. Journal of Occupational Health Psychology, 15, 167 – 179. First citation in articleCrossrefGoogle Scholar

  • *Mohr, G., Rigotti, T. & Müller, A. (2003). Irritation–ein Instrument zur Erfassung psychischer Beanspruchung im Arbeitskontext. Skalen- und Itemparameter aus 15 Studien. Zeitschrift für Arbeits- und Organisationspsychologie, 49, 44 – 48. First citation in articleLinkGoogle Scholar

  • *Myrtek, M. (2001). Meta-analyses of prospective studies on coronary heart disease, type A, and hostility. International Journal of Cardiology, 79, 245 – 251. First citation in articleCrossrefGoogle Scholar

  • *Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y. & Podsakoff, N. P. (2003). Common method biases in behavioral research: a critical review of the literature and recommended remedies. Journal of Applied Psychology, 88, 879 – 903. First citation in articleCrossrefGoogle Scholar

  • *Pangert, B. & Schüpbach, H. (2011). Arbeitsbedingungen und Gesundheit von Führungskräften auf mittlerer und unterer Hierarchiebene. In B. BaduraA. DuckiH. SchröderJ. KloseK. MaccoHrsg., Fehlzeitenreport 2011. Themenschwerpunkt „Führung und Gesundheit“ (S. 71 – 79). Berlin: Springer. First citation in articleGoogle Scholar

  • *Parasuraman, S. & Cleek, M. (1984). Coping behaviors and managers’ affective reactions to role stress. Journal of Vocational Behavior, 24, 179 – 193. First citation in articleCrossrefGoogle Scholar

  • *Peter, R. & Siegrist, J. (1997). Chronic work stress, sickness absence, and hypertension in middle managers: General or specific sociological explanations? Social Science & Medicine, 45, 1111 – 1120. First citation in articleCrossrefGoogle Scholar

  • *Rau, R., Morling, K. & Rösler, U. (2010). Is there a relationship between major depression and both objectively assessed and perceived demands and control? Work & Stress, 24, 88 – 106. First citation in articleCrossrefGoogle Scholar

  • *Rixgens, P. & Badura, B. (2011). Arbeitsbedingungen, Sozialkapital und gesundheitliches Wohlbefinden–Differenzen in den Einschätzungen von Führungskräften und Mitarbeitern. In B. BaduraA. DuckiH. SchröderJ. KloseK. MaccoHrsg., Fehlzeitenreport 2011. Themenschwerpunkt „Führung und Gesundheit“ (S. 61 – 70). Berlin: Springer. First citation in articleGoogle Scholar

  • *Rosenthal, R. (1991). Meta-analytic Procedures for Social Research. Newbury Park, CA: Sage. First citation in articleCrossrefGoogle Scholar

  • *Semmer, N. K. (2003). Individual differences, work stress and health. In M. J. SchabracqJ. A. M. WinnubstC. L. CooperEds., The Handbook of Work and Health Psychology (pp. 51 – 86). Chichester: John Wiley. First citation in articleGoogle Scholar

  • *Shanfa, Y., Sparks, K. & Cooper, C. (1998). Occupational stress in workers and managers in steelworks in China. International Journal of Stress Management, 5, 237 – 245. First citation in articleCrossrefGoogle Scholar

  • *Siegrist, J. (1996). Soziale Krisen und Gesundheit. Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • *Siu, O., Lu, L. & Cooper, C. (1999). Managerial stress in Hong Kong and Taiwan: a comparative study. Journal of Managerial Psychology, 14, 6 – 25. First citation in articleCrossrefGoogle Scholar

  • *Skagert, K., Dellve, L. & Ahlborg, G. (2011). A prospective study of managers’ turnover and health in healthcare organizations. Journal of Nursuring Management, 20, 889 – 899. First citation in articleCrossrefGoogle Scholar

  • *Skakon, J., Kristensen, T., Christensen, K., Lund, T. & Labriola, M. (2011). Do managers experience more stress than employees? Results from the Intervention Project on Absence and Wellbeing (IPAW) study among Danish managers and their employees. Work, 38, 103 – 10. First citation in articleGoogle Scholar

  • *Slaski, M. & Cartwright, S. (2002). Health, performance and emotional intelligence: an exploratory study of retail managers. Stress and Health, 18, 63 – 68. First citation in articleCrossrefGoogle Scholar

  • *Sparks, K., Cooper, C., Frid, Y. & Shirom, A. (1997). The effects of hours of work on health: A meta-analytic review. Journal of Occupational and Organizational Psychology, 70, 391 – 408. First citation in articleCrossrefGoogle Scholar

  • *Stansfeld, V., Rasul, F., Head, J. & Singleton, N. (2011). Occupation and mental health in a national UK survey. Social Psychiatry and Psychatric Epidemiology, 46, 101 – 110. First citation in articleCrossrefGoogle Scholar

  • *Sutherland, V. & Davidson, M. (2007). Using a stress audit: The construction site manager experience in the UK. Work & Stress, 7, 273 – 286. First citation in articleCrossrefGoogle Scholar

  • *Udris, I., Kraft, U., Mussmann, C. & Rimann, M. (1992). Arbeiten, gesund sein und gesund bleiben: Theoretische Überlegungen zu einem Ressourcenkonzept. Psychosozial, 15, 9 – 22. First citation in articleGoogle Scholar

  • *Ulich, E. (2005). Arbeitspsychologie (6. Aufl.). Zürich und Stuttgart: vdf/Schäffer-Poeschel. First citation in articleGoogle Scholar

  • *Wegge, J. & Rosenstiel, L. v. (2004). Führung. In H. SchulerHrsg., Lehrbuch Organisationspsychologie (3. Aufl., S. 475 – 512). Bern: Huber. First citation in articleGoogle Scholar

  • *Wieland, R. (2010). Gestaltung gesundheitsförderlicher Arbeitsbedingungen. In U. KleinbeckK.-H. SchmidtHrsg., Arbeitspsychologie (Enzyklopädie der Psychologie, Serie Wirtschafts-, Organisations- und Arbeitspsychologie, Bd. 1, S. 869 – 919). Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • *Wilkes, B., Stammerjohn, L. & Lalich, N. (1981). Job demands and worker health in machine-paced poultry inspection. Scandinavian Journal of Work and Environment Health, 7, 12 – 19. First citation in articleGoogle Scholar

  • *Wittchen, H.-U. & Jacobi, F. (2005). Size and burden of mental disorders in Europe: A critical review and appraisal of 27 studies. European Neuropsychopharmacology, 15, 357 – 376. First citation in articleCrossrefGoogle Scholar

  • *Zapf, D. & Semmer, N. K. (2004). Stress und Gesundheit in Organisationen. In H. SchulerHrsg., Enzyklopädie der Psychologie, Themenbereich D, Serie III, Band 3: Organisationspsychologie–Grundlagen und Personalpsychologie (S. 1007 – 1112). Göttingen: Hogrefe. First citation in articleGoogle Scholar