At-risk and intervention thresholds of occupational stress using a visual analogue scale
Identifieur interne : 001132 ( Main/Exploration ); précédent : 001131; suivant : 001133At-risk and intervention thresholds of occupational stress using a visual analogue scale
Auteurs : Frédéric Dutheil [France, Australie] ; Bruno Pereira [France] ; Farès Moustafa [France] ; Geraldine Naughton [Australie] ; François-Xavier Lesage [France] ; Céline Lambert [France]Source :
- PLoS ONE [ 1932-6203 ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
- physiopathologie : Stress psychologique.
- psychologie : Emploi, Stress psychologique.
- Adulte, Adulte d'âge moyen, Enquêtes et questionnaires, Facteurs de risque, Femelle, Humains, Mâle, Échelle visuelle analogique.
English descriptors
- KwdEn :
- MESH :
- physiopathology : Stress, Psychological.
- psychology : Employment, Stress, Psychological.
- Adult, Female, Humans, Male, Middle Aged, Risk Factors, Surveys and Questionnaires, Visual Analog Scale.
Abstract
The visual analogue scale (VAS) is widely used in clinical practice by occupational physicians to assess perceived stress in workers. However, a single cut-off (black-or-white decision) inadequately discriminates between workers with and without stress. We explored an innovative statistical approach to distinguish an at-risk population among stressed workers, and to establish a threshold over which an action is urgently required, via the use of two cut-offs.
Participants were recruited during annual work medical examinations by a random sample of workers from five occupational health centres. We previously proposed a single cut-off of VAS stress in comparison with the Perceived Stress Scale (PSS14). Similar methodology was used in the current study, along with a
We included 500 workers (49.6% males), aged 40±11 years, with a PSS14 score of 3.8±1.4 and a VAS score of 4.0±2.4. Using a receiver operating characteristic curve and the PSS cut-off score of 7.2, the optimal VAS threshold was 6.8 (sensitivity = 0.89, specificity = 0.87). The lower and upper thresholds of the
We identified two clinically relevant cut-offs on the VAS of stress: a first cut-off of 5.0 for an at-risk population, and a second cut-off of 8.2 over which an action is urgently required. Future investigations into the relationships between this upper threshold and deleterious events are required.
Url:
DOI: 10.1371/journal.pone.0178948
PubMed: 28586383
PubMed Central: 5460813
Affiliations:
- Australie, France
- Auvergne (région administrative), Auvergne-Rhône-Alpes, Languedoc-Roussillon, Occitanie (région administrative)
- Clermont-Ferrand, Montpellier
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Le document en format XML
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scale</title><author><name sortKey="Dutheil, Frederic" sort="Dutheil, Frederic" uniqKey="Dutheil F" first="Frédéric" last="Dutheil">Frédéric Dutheil</name><affiliation wicri:level="3"><nlm:aff id="aff001"><addr-line>Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Occupational and Preventive Medicine, WittyFit, Clermont-Ferrand, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Université Clermont Auvergne, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Occupational and Preventive Medicine, WittyFit, Clermont-Ferrand</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Auvergne (région administrative)</region><settlement type="city">Clermont-Ferrand</settlement></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Australian Catholic University, Faculty of Health, Melbourne, Victoria, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Australian Catholic University, Faculty of Health, Melbourne, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Pereira, Bruno" sort="Pereira, Bruno" uniqKey="Pereira B" first="Bruno" last="Pereira">Bruno Pereira</name><affiliation wicri:level="3"><nlm:aff id="aff003"><addr-line>CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, the Clinical Research and Innovation Direction, Clermont-Ferrand, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, the Clinical Research and Innovation Direction, Clermont-Ferrand</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Auvergne (région administrative)</region><settlement type="city">Clermont-Ferrand</settlement></placeName></affiliation></author><author><name sortKey="Moustafa, Fares" sort="Moustafa, Fares" uniqKey="Moustafa F" first="Farès" last="Moustafa">Farès Moustafa</name><affiliation wicri:level="3"><nlm:aff id="aff004"><addr-line>CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Emergency department, Clermont-Ferrand, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, Emergency department, Clermont-Ferrand</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Auvergne (région administrative)</region><settlement type="city">Clermont-Ferrand</settlement></placeName></affiliation></author><author><name sortKey="Naughton, Geraldine" sort="Naughton, Geraldine" uniqKey="Naughton G" first="Geraldine" last="Naughton">Geraldine Naughton</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Australian Catholic University, Faculty of Health, Melbourne, Victoria, Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Australian Catholic University, Faculty of Health, Melbourne, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Lesage, Francois Xavier" sort="Lesage, Francois Xavier" uniqKey="Lesage F" first="François-Xavier" last="Lesage">François-Xavier Lesage</name><affiliation wicri:level="3"><nlm:aff id="aff005"><addr-line>University of Montpellier, Laboratory Epsylon EA 4556, Dynamic of Human Abilities & Health Behaviors, CHU Montpellier, University Hospital of Montpellier, Occupational and Preventive Medicine, Montpellier, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>University of Montpellier, Laboratory Epsylon EA 4556, Dynamic of Human Abilities & Health Behaviors, CHU Montpellier, University Hospital of Montpellier, Occupational and Preventive Medicine, Montpellier</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Lambert, Celine" sort="Lambert, Celine" uniqKey="Lambert C" first="Céline" last="Lambert">Céline Lambert</name><affiliation wicri:level="3"><nlm:aff id="aff003"><addr-line>CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, the Clinical Research and Innovation Direction, Clermont-Ferrand, France</addr-line></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>CHU Clermont-Ferrand, University Hospital of Clermont-Ferrand, the Clinical Research and Innovation Direction, Clermont-Ferrand</wicri:regionArea><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Auvergne (région administrative)</region><settlement type="city">Clermont-Ferrand</settlement></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Employment (psychology)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Stress, Psychological (physiopathology)</term><term>Stress, Psychological (psychology)</term><term>Surveys and Questionnaires</term><term>Visual Analog Scale</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Emploi (psychologie)</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Stress psychologique (physiopathologie)</term><term>Stress psychologique (psychologie)</term><term>Échelle visuelle analogique</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Stress psychologique</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Stress, Psychological</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Emploi</term><term>Stress psychologique</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Employment</term><term>Stress, Psychological</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Surveys and Questionnaires</term><term>Visual Analog Scale</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enquêtes et questionnaires</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Échelle visuelle analogique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title><p>The visual analogue scale (VAS) is widely used in clinical practice by occupational physicians to assess perceived stress in workers. However, a single cut-off (black-or-white decision) inadequately discriminates between workers with and without stress. We explored an innovative statistical approach to distinguish an at-risk population among stressed workers, and to establish a threshold over which an action is urgently required, via the use of two cut-offs.</p></sec><sec id="sec002"><title>Methods</title><p>Participants were recruited during annual work medical examinations by a random sample of workers from five occupational health centres. We previously proposed a single cut-off of VAS stress in comparison with the Perceived Stress Scale (PSS14). Similar methodology was used in the current study, along with a <italic>gray zone</italic> approach. The lower limit of the gray zone supports sensitivity (“at-risk” threshold; interpreted as requiring closer surveillance) and the upper limit supports specificity (i.e. “intervention” threshold–emergency action required).</p></sec><sec id="sec003"><title>Results</title><p>We included 500 workers (49.6% males), aged 40±11 years, with a PSS14 score of 3.8±1.4 and a VAS score of 4.0±2.4. Using a receiver operating characteristic curve and the PSS cut-off score of 7.2, the optimal VAS threshold was 6.8 (sensitivity = 0.89, specificity = 0.87). The lower and upper thresholds of the <italic>gray zone</italic> were 5 and 8.2, respectively.</p></sec><sec id="sec004"><title>Conclusions</title><p>We identified two clinically relevant cut-offs on the VAS of stress: a first cut-off of 5.0 for an at-risk population, and a second cut-off of 8.2 over which an action is urgently required. Future investigations into the relationships between this upper threshold and deleterious events are required.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Woo, M" uniqKey="Woo M">M Woo</name></author><author><name sortKey="Yap, Ak" uniqKey="Yap A">AK Yap</name></author><author><name sortKey="Oh, Tg" uniqKey="Oh T">TG Oh</name></author><author><name sortKey="Long, Fy" uniqKey="Long F">FY Long</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nielsen, Ml" uniqKey="Nielsen M">ML Nielsen</name></author><author><name sortKey="Rugulies, R" uniqKey="Rugulies R">R Rugulies</name></author><author><name sortKey="Smith Hansen, L" uniqKey="Smith Hansen L">L Smith-Hansen</name></author><author><name sortKey="Christensen, Kb" uniqKey="Christensen K">KB Christensen</name></author><author><name sortKey="Kristensen, Ts" uniqKey="Kristensen T">TS 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Noether</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Feise, Rj" uniqKey="Feise R">RJ Feise</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mitchell, Aj" uniqKey="Mitchell A">AJ Mitchell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lopez, V" uniqKey="Lopez V">V Lopez</name></author><author><name sortKey="Chamoux, A" uniqKey="Chamoux A">A Chamoux</name></author><author><name sortKey="Tempier, M" uniqKey="Tempier M">M Tempier</name></author><author><name sortKey="Thiel, H" uniqKey="Thiel H">H Thiel</name></author><author><name sortKey="Ughetto, S" uniqKey="Ughetto S">S Ughetto</name></author><author><name sortKey="Trousselard, M" uniqKey="Trousselard M">M Trousselard</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Dutheil, F" uniqKey="Dutheil F">F Dutheil</name></author><author><name sortKey="Chambres, P" uniqKey="Chambres P">P Chambres</name></author><author><name sortKey="Hufnagel, C" uniqKey="Hufnagel C">C Hufnagel</name></author><author><name sortKey="Auxiette, C" uniqKey="Auxiette C">C Auxiette</name></author><author><name sortKey="Chausse, P" uniqKey="Chausse P">P Chausse</name></author><author><name sortKey="Ghozi, R" uniqKey="Ghozi R">R Ghozi</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Australie</li><li>France</li></country><region><li>Auvergne (région administrative)</li><li>Auvergne-Rhône-Alpes</li><li>Languedoc-Roussillon</li><li>Occitanie (région administrative)</li></region><settlement><li>Clermont-Ferrand</li><li>Montpellier</li></settlement></list><tree><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Dutheil, Frederic" sort="Dutheil, Frederic" uniqKey="Dutheil F" first="Frédéric" last="Dutheil">Frédéric Dutheil</name></region><name sortKey="Lambert, Celine" sort="Lambert, Celine" uniqKey="Lambert C" first="Céline" last="Lambert">Céline Lambert</name><name sortKey="Lesage, Francois Xavier" sort="Lesage, Francois Xavier" uniqKey="Lesage F" first="François-Xavier" last="Lesage">François-Xavier Lesage</name><name sortKey="Moustafa, Fares" sort="Moustafa, Fares" uniqKey="Moustafa F" first="Farès" last="Moustafa">Farès Moustafa</name><name sortKey="Pereira, Bruno" sort="Pereira, Bruno" uniqKey="Pereira B" first="Bruno" last="Pereira">Bruno Pereira</name></country><country name="Australie"><noRegion><name sortKey="Dutheil, Frederic" sort="Dutheil, Frederic" uniqKey="Dutheil F" first="Frédéric" last="Dutheil">Frédéric Dutheil</name></noRegion><name sortKey="Naughton, Geraldine" sort="Naughton, Geraldine" uniqKey="Naughton G" first="Geraldine" last="Naughton">Geraldine Naughton</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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