Workplace related anxieties and workplace phobia [Elektronische Ressource] : a concept of domain specific mental disorders / Beate Muschalla

Beate Muschalla

Sujets

• Psychologie
• Gesundheit

Informations

• Publié par: universitat_potsdam
• Publié le: 01 janvier 2008
• Nombre de lectures: 16
• Langue: English
• Poids de l'ouvrage: 1 Mo

Extrait

Workplace-related anxieties and workplace phobia
A concept of domain-specific mental disorders
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Online published at the
Institutional Repository of the Potsdam University:
http://opus.kobv.de/ubp/volltexte/2008/2004/
urn:nbn:de:kobv:517-opus-20048
[http://nbn-resolving.de/urn:nbn:de:kobv:517-opus-20048]

UNIVERSITY OF POTSDAM
Faculty of Human Sciences, Department of Psychology




DOCTORAL THESIS


WORKPLACE-RELATED ANXIETIES AND WORKPLACE PHOBIA
A CONCEPT OF DOMAIN-SPECIFIC MENTAL DISORDERS

for achieving the academic degree of
Doctor of Philosophy
(Dr. Phil.)


Dipl.-Psych.
Beate Muschalla




January 2008
First Consultant: Prof. Dr. Uwe Schaarschmidt
Second Consultant: Prof. Dr. Michael Linden

Date of oral examination: 12.08.2008













ACKNOWLEDGEMENTS

I am very grateful to Prof. Dr. Uwe Schaarschmidt for continuously supervising my thesis in
uncomplicated communication and for helpful advice.
I also want to thank Prof. Dr. Michael Linden for the opportunity to carry out this research
study in the Rehabilitation Center Seehof, and more over for the exciting debates he patiently
fought out with me about this work and issues beyond.



2 TABLE OF CONTENTS

List of Tables.............................................................................................................................. 6
List of Figures ............................................................................................................................ 8
Abstract ...................................................................................................................................... 9
1 Introduction ........................................................................................................................... 11
2 Theoretical Background: Workplace and Anxiety................................................................ 14
2.1 State of Research......................................................................................................................... 14
2.2 Workplace-related Anxieties: A Complex and Heterogeneous Phenomenon............................. 18
2.2.1 Different Qualities of Workplace-related Anxieties ........................................................................... 20
2.2.2 Workplace Phobia............................................................................................................................... 24
Excursus A: Workplace-related Adjustment Disorders with Other Affects................................................. 28
2.3 Etiologic Perspective................................................................................................................... 30
2.4 Situational Factors: Why do Workplaces provoke Anxiety?................................................. . 37
2.5 Nosologic Status of Workplace Phobia................................................................................. 41
2.6 Workplace-related Anxieties and Work Participation Disorders …….……............... 43
2.7 Therapy Interventions ............................................................................................................ ….49
2.8 Concept of Domain-specific Mental Disorders..................................................................... …. 50
2.9 Summary of Theoretical Background and Questions of Research ..............................................52
2.9.1 Summary............................................................................................................................................. 52
2.9.2 Questions of Research ........................................................................................................................ 53

3 Methods................................................................................................................................. 55
3.1 Sample.......... 55
3.2 Clinical Setting............................................................................................................................ 57
3.3 Study Design and Data Collection .............................................................................................. 58
3.3.1 Socio-demographic and additional Data from the Routine Diagnostic and Medical Report.............. 60
3.4 Instruments... 62
3.4.1 Mini International Neuropsychiatric Interview (MINI)...................................................................... 63
3.4.2 Mini-Work-Anxiety-Interview (Mini-WAI)....................................................................................... 64
3.4.3 Carrying out the Diagnostic Interview (Mini-WAI and MINI) .......................................................... 70
3.4.4 Job-Anxiety-Scale (JAS) .................................................................................................................... 75
3 3.4.5 Short Questionnaire for Job Analysis (KFZA) ................................................................................... 77
3.4.6 Symptom Checklist (SCL-90-R) ........................................................................................................ 78
3.4.7 Intelligence Structure Analysis (ISA)................................................................................................. 78
3.5 Data Analysis .............................................................................................................................. 79
4 Results ................................................................................................................................... 81
4.1 Workplace-related Anxieties and Conventional Anxiety or other Mental Disorders ................. 82
4.2 Conventional Mental Disorders and their Comorbidities ........................................................... 84
4.3 Different Qualities of Workplace-related Anxieties and their Comorbidities ............................ 88
4.4 Comorbidities between Workplace-related Anxieties and Conventional Mental Disorders....... 93
4.5 Workplace-related Anxieties and Work Participation Disorders ............................................... 98
4.6 Correlates of Workplace-related Anxieties............................................................................... 105
4.6.1 Clustering Participants into Homogeneous Groups.......................................................................... 115
Excursus A: Workplace-related Anxieties and Workplace-related
Adjustment Disorders with Other Affects................................................................... 120

4.7 Etiologic Perspective................................................................................................................. 126
4.8 Work-specific Therapy Interventions ....................................................................................... 130
4.9 Workplace Phobia..................................................................................................................... 137
4.10 Summary of Results: Answering Questions of Research........................................................ 142

5 Discussion ........................................................................................................................... 145
5.1 Workplace-related Anxieties: Different from Conventional Anxiety Disorders?..................... 145
5.2 Conventional Mental Disorders: Their Interrelations and Comorbidities................................. 147
5.3 Different Qualities of Workplace-related Anxieties: Their Interrelations and Comorbidities.. 149
5.4 Comorbidities between Workplace-related Anxieties and Conventional Mental Disorders..... 154
5.5 Workplace-related Anxieties and Work Participation Disorders.............................................. 160
5.6 Correlates of Workplace-related Anxieties................................................................................164
5.6.1 Situational Factors: Why do Workplaces provoke Anxiety?............................................................ 164
5.6.2 Other Correlates of Workplace-related Anxieties............................................................................. 170
5.6.3 Risk Factors for Job-Anxiety and Work Participation Disorders:
Interpreting Homogeneous Groups of Participants........................................................................... 174


4 Excursus A: Workplace-related Anxieties and Workplace-related
Adjustment Disorders with Other Affects................................................................... 177

Excursus B: Case Vignettes of Workplace Phobia and Treatment Trials -
The Clinical Perspective .......................