Bakgrund Callcenter- verksamhet har vuxit fram snabbt och utvecklats mycket under de senaste årtionden, både internationellt och i Sverige. Det är en verksamhet som innebär många utmaningar i en ofta komplex arbetsmiljö med höga krav på samverkan inom systemperspektivet Människa - Teknik - Organisation. Arbetsförmedlingen tillhandahåller handläggning per telefon via kundtjänster på sju olika orter i Sverige. Korttidssjukfrånvaron ansågs högre i denna verksamhet än i övriga organisationen och målet var att minska den.   Syfte Huvudsyftet med denna uppsats var att undersöka om det fanns arbetsmiljöfaktorer på Arbetsförmedlingen Kundtjänst som förklarade korttidssjukfrånvaron. Detta genom att tillämpa ett MTO- perspektiv (Människa - Teknik - Organisation).   Metod För att få svar på vår frågeställning tillämpades metodtriangulering genom kvalitativ och kvantitativ datainsamling. En halvdags observation och 16 semistrukturerade intervjuer utfördes på Arbetsförmedlingens kundtjänst i Södertälje och 76 enkäter utfördes på kundtjänsterna i Södertälje och Söderhamn.   Resultat Utifrån resultaten i vår studie gick det inte att se samband mellan fysisk arbetsmiljö, höga krav eller låg kontroll och korttidssjukfrånvaro på grund av arbetet. Det fanns dock en statistiskt signifikant skillnad beträffande vissa frågor om arbetsförhållanden och korttidssjukfrånvaro på grund av arbetet.   Slutsats På de flesta frågor kunde sambandet mellan korttidssjukfrånvaro och fysisk och psykosocial arbetsmiljö inte påvisas. Däremot fanns en statistisk signifikans i några frågor gällande arbetsförhållanden i denna studie. Det fanns således flera faktorer i arbetsmiljön som skulle kunna förbättras och därmed individens upplevelse av arbetsmiljön. Detta kanske kunde bidra till minskad korttidssjukfrånvaro. Trots att det fanns vissa frågor som påvisade en signifikant skillnad mellan arbetsförhållanden och korttidssjukfrånvaro var det svårt att dra slutsatser på grund av studiens design samt att underlaget var litet. Interventioner i systemkomponenterna Människa – Teknik - Organisation kan vara av värde för att minska korttidssjukfrånvaron.

Sammanfattning   Bakgrund Callcenter- verksamhet har vuxit fram snabbt och utvecklats mycket under de senaste årtionden, både internationellt och i Sverige. Det är en verksamhet som innebär många utmaningar i en ofta komplex arbetsmiljö med höga krav på samverkan inom systemperspektivet Människa - Teknik - Organisation. Arbetsförmedlingen tillhandahåller handläggning per telefon via kundtjänster på sju olika orter i Sverige. Korttidssjukfrånvaron ansågs högre i denna verksamhet än i övriga organisationen och målet var att minska den.   Syfte Huvudsyftet med denna uppsats var att undersöka om det fanns arbetsmiljöfaktorer på Arbetsförmedlingen Kundtjänst som förklarade korttidssjukfrånvaron. Detta genom att tillämpa ett MTO- perspektiv (Människa - Teknik - Organisation).   Metod För att få svar på vår frågeställning tillämpades metodtriangulering genom kvalitativ och kvantitativ datainsamling. En halvdags observation och 16 semistrukturerade intervjuer utfördes på Arbetsförmedlingens kundtjänst i Södertälje och 76 enkäter utfördes på kundtjänsterna i Södertälje och Söderhamn.   Resultat Utifrån resultaten i vår studie gick det inte att se samband mellan fysisk arbetsmiljö, höga krav eller låg kontroll och korttidssjukfrånvaro på grund av arbetet. Det fanns dock en statistiskt signifikant skillnad beträffande vissa frågor om arbetsförhållanden och korttidssjukfrånvaro på grund av arbetet.   Slutsats På de flesta frågor kunde sambandet mellan korttidssjukfrånvaro och fysisk och psykosocial arbetsmiljö inte påvisas. Däremot fanns en statistisk signifikans i några frågor gällande arbetsförhållanden i denna studie. Det fanns således flera faktorer i arbetsmiljön som skulle kunna förbättras och därmed individens upplevelse av arbetsmiljön. Detta kanske kunde bidra till minskad korttidssjukfrånvaro. Trots att det fanns vissa frågor som påvisade en signifikant skillnad mellan arbetsförhållanden och korttidssjukfrånvaro var det svårt att dra slutsatser på grund av studiens design samt att underlaget var litet. Interventioner i systemkomponenterna Människa – Teknik - Organisation kan vara av värde för att minska korttidssjukfrånvaron.

Syftet med studien var att undersöka hur arbetsmiljö och arbetsrelaterad stress påverkar välmående hos personer som är anställda inom serviceyrken. Detta gjordes genom en kvantitativ metod, en webbaserad enkätundersökning där delar av skalan QPS-Nordic (rollförväntningar, kontroll i arbetet, social interaktion, organisationskultur och samband mellan arbete och privatliv) användes. Välmående mättes med hjälp av välmåendeskalan, som mäter välmåendet under den senaste veckan. Det deltog 122 personer. Hypoteserna som testades var om det fanns ett signifikant samband mellan psykosociala faktorer i arbetet, ålder, utbildningsnivå, anställningstyp och kön, och välmående hos personer som är anställda inom serviceyrken. Datan analyserades med hjälp av multipel regressionsanalys och resultaten visade att psykosociala faktorer på arbetet, högre utbildning jämfört med gymnasial utbildning samt kön var signifikanta prediktorer för en högre nivå av välmående hos personer som är anställda inom serviceyrken. Från den här studien kunde vi dra slutsatsen att psykosociala faktorer i arbetet och en högre utbildning är viktiga för att främja välmående hos personer som arbetar inom serviceyrken. / The purpose of this study was to investigate how the work environment and work-related stress can affect well-being in people employed in service occupations. This was done using a quantitative method, a web-based survey using parts of the QPS-Nordic scale (Role expectations, job control, social interaction, organizational culture, and work-life balance). Well-being was measured using the Well-Being Scale, which assesses well-being over the past week. There were 122 participants. The hypotheses tested were whether there was a significant association between psychosocial factors at work, age, educational level, employment type, and/or gender and well-being in service occupations. The data was analyzed using multiple regression analysis and the results showed that psychosocial factors at work, higher level of education compared to a high school education and gender were significant predictors of better well-being in service occupations. Based on this study we can conclude that psychosocial factors at work and a higher level of education are important for promoting well-being among people working in service occupations.

Utbildning är en grundläggande rättighet och alla har rätt till en hälsofrämjande studietid. Högskolor och universitet kan arbeta hälsofrämjande genom att stärka studenters välbefinnande och tilltro till sin egen förmåga, men detta kräver både fysiska och psykosociala förutsättningar i studiemiljön. Med hjälp av två teoretiska perspektiv, KASAM och krav-kontroll-stödmodellen, förklaras i denna studie vikten av gemenskap och det sociala samspelet i studielivet, samt hur inre och yttre krav påverkar känslan av stress.  Syftet med studien är att undersöka studenters upplevelser om studiemiljöns betydelse för hälsa och studiemotivation. Med en kvalitativ ansats har sju semistrukturerade intervjuer utförts. Valet av intervjupersoner grundades i ett målstyrt urval. Insamlad data analyserades med en kvalitativ innehållsanalys. Under arbetets gång har hänsyn tagits till etiska krav och riktlinjer.  Resultatet belyser att studiemiljön påverkar hälsa och motivation på varierande sätt. En betydande faktor i resultatet är gemenskap, då känslan av tillhörighet och sammanhang kan minska studierelaterad stress. Socialt stöd, samhörighet, engagemang från omgivningen och att studera tillsammans med andra kan öka studiemotivationen. Balans mellan studier och fritid är av vikt för en hälsosam studietid och vikten av kravlös återhämtning presenteras i resultatet. Genom att slippa tänka på studier och istället samla energi på andra meningsfulla sätt kan en balans uppkomma. Motivationsfaktorer skiljer mellan individer, men gemensamt för samtliga medverkande studenter är att mål, delmål och belöningar är drivande komponenter. Sammanfattningsvis utifrån denna studie är de psykosociala faktorerna av stor betydelse för hälsa och studiemotivation. / Education is a basic right, and everyone has a right to health promoting studies. Colleges and universities can work to promote health by strengthening students’ well-being and self- efficacy, but this requires both physical and psychosocial conditions in the study environment. With the help of two theoretical perspectives, KASAM and the demand-control- support-model, the importance of community and the social interplay are explained in this study, as well as how inner and outer demands influences the feeling of stress.  The purpose of the study is to examine students’ experiences of the study environments meaning for health and study motivation. With a qualitative approach, seven semi-structured interviews have been performed, and the choice of interviewees was founded in a goal- directed selection. Collected data was analyzed with a qualitive content analysis. During the work process ethical demands and guidelines has been taken into account.  The result illuminates that the study environment has an affect on health and motivation in varying ways. One considerable factor in the result is community, since the feeling of participation and coherence can lower study-related stress. Social support, solidarity, commitment from the people around you and to study together can increase the study motivation. The balance between studies and free time is of importance for a healthy study time and the importance of undemanding recovery is presented in the results. By not thinking about studies and instead gather energy in other meaningful ways, a balance can arise. Motivational factors distinguish between individuals but mutually for all participating students is that goals, milestones, and rewards are driving components. In summary based on this study, the psychosocial factors are of great importance for health and study motivation.

<p>Background: The objective of this thesis was to examine the role of psychosocial factors in weight loss success after bariatric surgery. It was proposed that a higher pre-operative body mass index (BMI), greater weight, depression, low self-esteem, and a childhood history of sexual abuse (CSA) would predict poor outcomes one year after Roux-en-y gastric bypass as evidenced by a BMI > 35 kg/m²and a lower percent total weight loss (%TWL). Methods: We administered a battery of psychological screening tools, including the Beck Depression Inventory-II, the Rosenberg Self-Esteem Scale and a self-report measure assessing CSA, to 262 patients seeking bariatric surgery at St. Joseph's Healthcare Hamilton. Patients completed the questionnaires prior to surgery and again one year post-surgery. Results: On average patients (n = 79) achieved good weight loss outcomes (BMI = 32.8 kg/m²) at one-year follow-up. Through multiple regression analysis we found that pre-operative BMI accounted for a significant proportion of variance in postoperative BMI [<em>R²</em> = .60, <em>F</em>(1, 77) = 114.4, <em>p</em> < .001]. Weight before surgery, however, did not predict %TWL after surgery. None of the psychosocial variables significantly predicted post-operative BMI or weight loss. These results are preliminary and are limited by the fact that participants did not present with clinically significant symptomatology and those with active psychopathology were excluded as suitable surgical candidates. Conclusion: These findings indicate that pre-operative BMI is a significant predictor of BMI one year after bariatric surgery, suggesting that more attention should be directed toward managing pre-operative BMI for heavier patients.</p> / Master of Science (MSc)

Les améliorations dans les protocoles de traitement pour la majorité des cancers pédiatriques ont augmenté de façon marquée les taux de survie. Cependant, des risques élevés de multiples problèmes de santé chez les survivants sont bien documentés. En ce qui concerne spécifiquement les problèmes neuropsychologiques, les principaux facteurs de risque individuels connus à ce jour (l’âge au diagnostic, le genre du patient, l’exposition aux radiations) demeurent insuffisants pour cibler efficacement et prévenir les séquelles à long terme. Les objectifs généraux de cette thèse étaient : 1) la caractérisation des trajectoires individuelles de problèmes de comportement chez une population de patients pédiatriques atteints de leucémie lymphoblastique aiguë; 2) l’identification des principaux déterminants génétiques, médicaux et psychosociaux associés aux problèmes de comportements. Les hypothèses étaient : 1) Il existe une association entre les trajectoires individuelles de problèmes de comportement et a - des facteurs psychosociaux liés au fonctionnement familial, b - des polymorphismes dans les gènes modérateurs des effets thérapeutiques du méthotrexate et des glucocorticoïdes, c - des variables liées aux traitements oncologiques. 2) L'utilisation de modèles statistiques multi-niveaux peut permettre d’effectuer cette caractérisation des trajectoires individuelles et l’identification des facteurs de risque associés. 138 patients pédiatriques (0-18 ans) ayant reçu un diagnostic de leucémie lymphoblastique aiguë entre 1993 et 1999 au CHU Ste-Justine ont participé à une étude longitudinale d’une durée de 4 ans. Un instrument validé et standardisés, le Child Behavior Checklist, a été utilisé pour obtenir un indice de problèmes de comportement, tel que rapporté par la mère, au moment du diagnostic, puis 1, 2, 3 et 4 ans post-diagnostic. Des données génétiques, psychosociales et médicales ont aussi été collectées au cours de cette même étude longitudinale, puis ont été exploitées dans les modélisations statistiques effectuées. Les résultats obtenus suggèrent que les problèmes de comportement de type internalisés et externalisés possèdent des trajectoires et des facteurs de risque distincts. Les problèmes internalisés sont des manifestations de troubles affectifs chez le patient, tels que des symptômes dépressifs ou anxieux, par exemple. Ceux-ci sont très prévalents tôt après le diagnostic et se normalisent par la suite, indiquant des difficultés significatives, mais temporaires. Des facteurs médicaux exacerbant l'expérience de stress, soit le risque de rechute associé au diagnostic et les complications médicales affectant la durée de l'hospitalisation, ralentissent cette normalisation. Les problèmes externalisés se manifestent dans le contact avec autrui; des démonstrations d’agression ou de violence font partie des symptômes. Les problèmes externalisés sont plus stables dans le temps relativement aux problèmes internalisés. Des variables pharmacologiques et génétiques contribuent aux différences individuelles : l'administration d’un glucocorticoïde plus puissant du point de vue des effets pharmacologiques et toxicologiques, ainsi que l’homozygotie pour l’haplotype -786C844T du gène NOS3 sont liés à la modulation des scores de problèmes externalisés au fil du temps. Finalement, le niveau de stress familial perçu au diagnostic est positivement corrélé avec le niveau initial de problèmes externalisés chez le patient, tandis que peu après la fin de la période d’induction, le niveau de stress familial est en lien avec le niveau initial de problèmes internalisés. Ces résultats supportent l'idée qu'une approche holistique est essentielle pour espérer mettre en place des interventions préventives efficaces dans cette population. À long terme, ces connaissances pourraient contribuer significativement à l'amélioration de la qualité de vie des patients. Ces travaux enrichissent les connaissances actuelles en soulignant les bénéfices des suivis longitudinaux et multidisciplinaires pour comprendre la dynamique de changement opérant chez les patients. Le décloisonnement des savoirs semble devenir incontournable pour aspirer dépasser le cadre descriptif et atteindre un certain niveau de compréhension des phénomènes observés. Malgré des défis méthodologiques et logistiques évidents, ce type d’approche est non seulement souhaitable pour étudier des processus dynamiques, mais les travaux présentés dans cette thèse indiquent que cela est possible avec les moyens analytiques actuels. / Recent improvements in pediatric cancers treatment have led to marked increases in patient survival rate. However, it has been well documented that pediatric cancer survivors are at elevated risk for various other health problems. With respect specifically to neuropsychological side effects, known predictors (mainly: age at diagnosis, patient gender, exposure to radiation therapy) remain insufficient so far to target, and prevent efficiently, long term sequelae in this population. General objectives related to this thesis were: 1) characterization of individual trajectories of behavioral problems in pediatric patients with acute lymphoblastic leukemia; 2) the identification of genetic, medical and psychosocial determinants of behavioral problems in this population. This research program was based on the following hypotheses: 1) there is an association between the trajectories of individual behavioral problems and a – familial well-being-related psychosocial factors, b – gene polymorphisms involved in the therapeutic responses to methotrexate and glucocorticoids, c – anti-cancer treatments-related variables. 2) Multilevel statistical modeling can be used to characterize patient groups according to their individual behavioral problem trajectories, and can also identify predictive factors. 138 pediatric patients (0-18 years old) who received an acute lymphoblastic leukemia diagnosis between 1993 and 1999 at CHU Ste-Justine participated in this 4 years-long longitudinal study. A standardized and validated instrument, the Child Behavior Checklist, was used to measure behavior problems, as reported by the mother, at diagnosis, and then 1, 2, 3 and 4 years post-diagnosis. Genetic, psychosocial and medical data were also collected during this longitudinal study; these data were exploited in the context of the statistical modeling performed. Results obtained suggest that internalized and externalized behavioral problems have distinct trajectories and have different predictive factors. Internalized problems are affective issues presented by the patient, such as depressive or anxious symptoms. They are highly prevalent post-diagnosis and normalize over the following years, suggestive of temporary yet significant problems. Stress-enhancing medical variables such as a higher relapse risk at diagnosis and medical complications requiring a longer hospitalization slow down the normalization process. Externalized problems need interpersonal contact to occur; violence or aggressiveness manifestations are some examples. Compared to internalized problems, externalized problems are much more stable across time. However, pharmacological and genetic variables do contribute to individual differences in trajectories. In particular, administration of a more potent glucocorticoid (from pharmacological and toxicological perspectives) and being homozygous for NOS3 gene -786C844T haplotype are linked to modulation of externalized problems in time. Finally, the level of perceived family stress at time of diagnosis is positively correlated with initial externalized problems, while shortly after the induction period, the level of familial stress is linked with the initial internalized problems. Together, these results support the idea that a holistic care strategy is essential to develop efficient, preventive interventions in this population, due to the multifactorial nature of these behavioral problems. The knowledge generated in the present studies could contribute to better quality of life for these patients. This thesis also brings a more holistic contribution to our current knowledge of behavioral problems in this population, by highlighting the need for individual, multidisciplinary follow-ups, with particular emphasis on repeated measurements and appropriate statistical analyses. More than ever, knowledge de-compartmentalization appears essential in reaching a certain comprehension level of observed phenomena, rather than adhering to descriptive settings. It indicates that, despite obvious methodological and logistic challenges, this type of research is not only desirable in studying dynamic processes, but is certainly achievable with current analytical tools.

A obesidade mórbida é uma doença crônica, de causas multifatoriais e de tratamento difícil, que apresenta alto risco para a saúde. A cirurgia bariátrica tem se mostrado a opção mais eficaz de tratamento para a redução das comorbidades, mas pode ser seguida de problemas físicos que causam dificuldades nos relacionamentos interpessoais, dificultando a adaptação psicossocial do indivíduo ao meio ambiente social. Em longo prazo o sucesso depende da mudança de comportamento, principalmente em relação aos hábitos alimentares, da complementação necessária de vitamina e sal mineral e da prática regular de exercícios físicos de forma contínua. Ao longo do tempo, fatores psicológicos exercem influência sobre a capacidade de o paciente adaptar-se às condições de vida para a necessária manutenção da redução do peso corpóreo. O período de tempo decorrido após a cirurgia, entre 4 e 12 anos, foi investigado em uma amostra composta por 75 pessoas; todos os pacientes foram operados com a utilização da mesma técnica cirúrgica e pelo mesmo cirurgião, também coordenador da equipe multidisciplinar. A idade mínima foi de 26 e máxima de 76 anos. Foram utilizados três instrumentos de avaliação psicológica com a seguinte finalidade: medir o Nível de Coping e Habilidade Social; pesquisar a opinião dos sujeitos de forma categorizada pelo método do Discurso do Sujeito Coletivo, mediante a aplicação de instrumento desenvolvido especificamente para a presente investigação; e avaliar a insatisfação com a imagem corporal pela aplicação da Escala de Silhuetas de Stunkard (SMT). Os resultados, tratados estatisticamente, revelaram pessoas com médio e alto nível de coping e habilidade social, que demonstram condições adequadas de enfrentamento e de formação de vínculos sociais; contudo encontram-se acima do peso esperado, cujo Índice de Massa Corporal indica situação de obesidade grau 1, de acordo com a OMS. Estão insatisfeitos com a silhueta atual, conscientes de que se encontram acima do peso desejado, mas valorizam altamente a opção que fizeram pela realização da cirurgia bariátrica, que lhes proporcionou autonomia, elevação da autoestima e os livrou da discriminação social. A discussão se fez com o aporte teórico de conceitos extraídos da psicologia cognitiva, da psicologia positiva, da psicanálise, da sociologia e da antropologia. Concluiu-se que a gastroplastia produz efeitos colaterais fisiológicos perenes, como engasgos, vômitos e mal-estar, que dificultam, mas não impedem, a adaptação psicossocial; que os entrevistados têm consciência de que o peso e a imagem não correspondem ao padrão esperado por eles, contudo apresentam adequado sentido de adaptação social; e para eles a cirurgia bariátrica ocupa um lugar que envolve representações mentais de rito de passagem, como transposição metafórica para um novo status da condição social / Morbid obesity is a chronic condition, of multi-factor causes, difficult to treat and which carries a high risk of health problems. Bariatric surgery has been shown to be the most effective treatment for reducing comorbidities, but it may be followed by physical problems that cause difficulties in interpersonal relationships, hindering the individual\'s psychosocial adaptation to the social environment. Long-term success depends on changing behavior especially in relation to food habits, use of vitamin supplements and mineral salt, as appropriate, and regular practice of physical activity. Over time, psychological factors may influence the ability of patients to adapt to their living conditions and maintain the weight loss. A period of time after surgery between 4 and 12 years was investigated in a sample of 75 people. All patients underwent the procedure using the same surgical technique, performed by the same surgeon and coordinator of the multidisciplinary team. The patients were aged between 26 years and 76 years. Three psychometric measures were used to investigate the level of coping and the participants\' opinion through an interview conducted in a categorized manner: the method of Discourse of the Collective Subject, including a questionnaire developed specifically for this research, and the assessment of body image dissatisfaction according to the Stunkard Silhouette Matching Task (SMT). The results, analyzed in statistical terms, revealed individuals with medium and high levels of coping and social skills, who demonstrate appropriate coping conditions and ability to establish social bonds. Nevertheless, they are still above the expected weight and present body mass indexes that indicate a status of grade 1 obesity, according to the WHO. These individuals are dissatisfied with their current silhouettes, aware that they are above the desired weight, but strongly value the choice they made for bariatric surgery that gave them autonomy and increased selfesteem, protecting them against social prejudice. The discussion was based on theoretical concepts drawn from cognitive psychology, positive psychology, psychoanalysis, sociology and anthropology. Conclusions: gastroplasty produces continuing physiological side effects that make psychological and social adaptation difficult, although it does not prevent them from occurring; the respondents are aware that their weight and body image do not match the pattern of their expectations, nevertheless they do present an adequate sense of social adaptation and, for them, bariatric surgery occupies a place that involves mental representations of rite of passage, as a metaphorical transposition to a new social status

Este estudo pretendeu colaborar com a análise das relações entre satisfação com aspectos psicossociais no trabalho e saúde do trabalhador. Método: Realizou-se estudo transversal junto aos empregados de uma empresa de auto-gestão em saúde e previdência privada em São Paulo. O estudo incluiu três etapas: (a) 42 entrevistas exploratórias para verificar a semelhança entre referências da literatura com percepções dos empregados quanto ao conceito e às fontes de satisfação no trabalho; (b) questionários auto-aplicados respondidos por 224 empregados para análise das associações entre satisfação no trabalho e saúde: a escala Satisfação no Trabalho do Occupational Stress Indicator, o SF-36, e o Índice de Capacidade para o Trabalho; e (c) análise ergonômica de 43 postos de trabalho por meio da técnica AET - Análise Ergonômica do Trabalho de Rohmert e Landau, visando identificar aspectos da organização do trabalho interferindo na satisfação no trabalho. Resultados: As percepções dos empregados quanto ao conceito e fontes de satisfação no trabalho foram semelhantes aos conhecimentos da literatura adotada como referencial teórico. Satisfação no trabalho esteve associada com aspectos da saúde mental e com capacidade para o trabalho e estas associações ocorrem independentes de aspectos sócio-demográficos e funcionais. As condições e a organização do trabalho apresentaram características que podem configurar elevada carga mental no trabalho. Conclusões: Foram discutidas as relações entre satisfação no trabalho e saúde do trabalhdor e feitas considerações referentes a mudanças visando melhorias quanto aos aspectos psicossociais no trabalho, favorecendo a satisfação no trabalho e a saúde do trabalhador. / This study intends to collaborate with the analysis of the relationships among satisfaction with psychosocial factors at work and the worker's health. Methods: It took place a cross-sectional study close to the employees of a self-administration company in health and providence private. The study included three stages: (a) 42 exploratory interviews to verify the similarity among references of the literature with the employees' perceptions about the concept and sources of job satisfaction; (b) self-applied questionnaires answered by 224 employees for analysis of the associations among job satisfaction and health: the Job Satisfaction scale of the Occupational Stress Indicator – OSI, the SF-36, and the Work Ability Index; and (c) ergonomic analysis of 43 workstations by AET technique - Job Ergonomics Analysis of Rohmert and Landau, looking for identify spectos of work organization interfering on the job satisfaction. Results: The employees’ perceptions about the concept and sources of job satisfaction are similar to the knowledge of the literature adopted as theoretical framework. Job satisfaction was associated with aspects of the workers' mental health, and with work ability, and this associations happens independent of social-demographic and functional aspects. The job conditions and organization presented characteristics that can configure high mental load at the work. Conclusions: the relationships among job satisfaction and worker’s health were discussed, and made considerations regarding changes seeking improvements of the psychosical aspects at work, favoring job satisfaction and worker’s health.

Introdução – A capacidade para o trabalho é influenciada por vários fatores, incluindo a condição de saúde, características sócio-demográficas, estilo de vida e fatores relacionados ao trabalho. Objetivo – Analisar os fatores associados à capacidade para o trabalho em uma população de eletricitários. Métodos – Estudo transversal onde foram analisados 475 trabalhadores, voluntários, de uma empresa privada no setor eletricitário do Estado de São Paulo, Brasil. Os dados foram coletados por meio de questionários auto-preenchidos (Índice de Capacidade para o Trabalho - ICT, Escala Estresse no Trabalho - EET, Medical Outcomes Study 36 – Item short form health survey – SF-36, Questionário de Baecke, Questionário de tolerância de Fagerström e Questionário AUDIT). A relação entre as variáveis foi analisada por meio do coeficiente de correlação de Spearman, e para comparação das médias foram utilizados os testes Mann-Whitney e Kruskal-Wallis. A análise conjunta das variáveis foi feita por meio de regressão linear múltipla. Resultados – Foi identificada uma diminuição progressiva do valor do ICT significativamente associada aos aumentos da idade (r=-0,16, p<0,001), do índice de massa corporal (r=-0,17, p<0,001), do consumo de álcool (r=-0,11, p=0,019), do tempo na empresa (r=-0,17, p<0,001) e da intensidade do estresse no trabalho (r=-0,37, p<0,001). O valor do ICT apresentou elevação associada ao incremento da prática de atividade física (r=0,19, p<0,001). A média do valor do ICT esteve associada à unidade de trabalho (p=0,043). O ICT esteve associado significativamente com as diversas dimensões do estado de saúde físico e mental (p<0,001 em todas as dimensões). A análise múltipla, ajustada por sexo e tempo na empresa, evidenciou que os fatores que melhor explicaram a variação do ICT foram o estresse no trabalho e as dimensões da saúde física. Uma segunda análise, excluídas as dimensões da saúde, mostrou que o estresse no trabalho, a unidade de trabalho e características do estilo de vida foram os fatores que melhor explicaram a variação do ICT. Conclusões – A pesquisa evidenciou que o estresse decorrente de fatores psicossociais do trabalho, a elevação do índice de massa corporal, o consumo de bebida alcoólica e o local de trabalho podem contribuir para a diminuição da capacidade para o trabalho, e que uma boa qualidade do estado da saúde física e a prática de atividade física podem contribuir para a manutenção da capacidade para o trabalho dos eletricitários. / Introduction – The work ability receives influence of several factors, including the health state, social and demographic characteristics, the lifestyle, and factors related to work. Aim – To analyze the factors associated with work ability in a population of electric sector workers. Methods – This is a cross-sectional study. There have been analyzed 475 volunteers workers of a private company of the electric sector of São Paulo, Brazil. They answered the questionnaires: Work Ability Index - WAI, Work Stress Scale – WSS, Medical Outcomes Study 36 – Item short form health survey – SF-36, Baecke Questionnaire, Fagerström Tolerance Questionnaire and AUDIT test. These questionnaires got information regarding work ability, stress related to psychosocial factors at work, health state, smoking, alcohol intake and practice of physical activities. The statistical analyses were done using Spearman correlation coefficient, Mann-Whitney test, Kruskal-Wallis test, and multiple linear regression models. Results – There was a significant progressive decrease of the WAI value associated to the increase of the age (r=-0,16, p<0,001), body mass index (r=-0,17, p<0,001), alcohol intake (r=-0,11, p=0,019), time at company (r=-0,17, p<0,001) and intensity of work stress (r=-0,37, p<0,001). The WAI value presented elevation associated to the increment of the practice of physical activities (r=0,19, p<0,001). The mean of WAI was associated to workplace (p=0,043). The WAI had significant association with the several dimensions of the physical and mental health state (p<0,001 in all dimensions). The multiple analyses, adjusted for sex and time at company, showed that the factors that better explained the variability of WAI were work stress and the physical health dimensions. Another analysis, excluded the health dimensions, showed that work stress, local of work and lifestyle characteristics were those that better explained the variability of WAI. Conclusions – The stress related to psychosocial factors of the work, the body mass increase, the alcohol intake and the workplace can contribute to the decrease of work ability, and a good physical health state and the practice of physical activity can contribute to the maintenance of the work ability of the electric sector workers.

Este estudo pretendeu colaborar com a análise das relações entre satisfação com aspectos psicossociais no trabalho e saúde do trabalhador. Método: Realizou-se estudo transversal junto aos empregados de uma empresa de auto-gestão em saúde e previdência privada em São Paulo. O estudo incluiu três etapas: (a) 42 entrevistas exploratórias para verificar a semelhança entre referências da literatura com percepções dos empregados quanto ao conceito e às fontes de satisfação no trabalho; (b) questionários auto-aplicados respondidos por 224 empregados para análise das associações entre satisfação no trabalho e saúde: a escala Satisfação no Trabalho do Occupational Stress Indicator, o SF-36, e o Índice de Capacidade para o Trabalho; e (c) análise ergonômica de 43 postos de trabalho por meio da técnica AET - Análise Ergonômica do Trabalho de Rohmert e Landau, visando identificar aspectos da organização do trabalho interferindo na satisfação no trabalho. Resultados: As percepções dos empregados quanto ao conceito e fontes de satisfação no trabalho foram semelhantes aos conhecimentos da literatura adotada como referencial teórico. Satisfação no trabalho esteve associada com aspectos da saúde mental e com capacidade para o trabalho e estas associações ocorrem independentes de aspectos sócio-demográficos e funcionais. As condições e a organização do trabalho apresentaram características que podem configurar elevada carga mental no trabalho. Conclusões: Foram discutidas as relações entre satisfação no trabalho e saúde do trabalhdor e feitas considerações referentes a mudanças visando melhorias quanto aos aspectos psicossociais no trabalho, favorecendo a satisfação no trabalho e a saúde do trabalhador. / This study intends to collaborate with the analysis of the relationships among satisfaction with psychosocial factors at work and the worker's health. Methods: It took place a cross-sectional study close to the employees of a self-administration company in health and providence private. The study included three stages: (a) 42 exploratory interviews to verify the similarity among references of the literature with the employees' perceptions about the concept and sources of job satisfaction; (b) self-applied questionnaires answered by 224 employees for analysis of the associations among job satisfaction and health: the Job Satisfaction scale of the Occupational Stress Indicator – OSI, the SF-36, and the Work Ability Index; and (c) ergonomic analysis of 43 workstations by AET technique - Job Ergonomics Analysis of Rohmert and Landau, looking for identify spectos of work organization interfering on the job satisfaction. Results: The employees’ perceptions about the concept and sources of job satisfaction are similar to the knowledge of the literature adopted as theoretical framework. Job satisfaction was associated with aspects of the workers' mental health, and with work ability, and this associations happens independent of social-demographic and functional aspects. The job conditions and organization presented characteristics that can configure high mental load at the work. Conclusions: the relationships among job satisfaction and worker’s health were discussed, and made considerations regarding changes seeking improvements of the psychosical aspects at work, favoring job satisfaction and worker’s health.