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Published online before print February 27, 2009
Psychosom Med 2009, doi:10.1097/PSY.0b013e3181960665
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© 2009 by American Psychosomatic Society

Original Article


Received April 23, 2008
Returned for revision October 13, 2008

Organizational Justice and Sleeping Problems: The Whitehall II Study

Marko Elovainio , PhD, Jane E. Ferrie , PhD, David Gimeno , PhD, Roberto De Vogli , PhD, Martin Shipley , Msc, Eric J. Brunner , PhD, Meena Kumari , PhD, Jussi Vahtera , MD, Michael G. Marmot , MBBS, MPH, PhD, Mika Kivimäki , PhD


Address correspondence and reprint requests to: Marko Elovainio, PhD, E-mail: marko.elovainio{at}stakes.fi.


   Abstract

Objectives: To test the hypothesis that organizational injustice contributes to sleeping problems. Poor sleep quality can be a marker of prolonged emotional stress and has been shown to have serious effects on the immune system and metabolism. Methods: Data were from the prospective Whitehall II study of white-collar British civil servants (3143 women and 6895 men, aged 35–55 years at baseline). Age, employment grade, health behaviors, and depressive symptoms were measured at Phase 1 (1985–1988) and baseline sleeping problems were assessed at Phase 2 (1989–1990). Organizational justice was assessed twice, at Phases 1 and 2. The outcome was mean of sleeping problems during Phases 5 (1997–1999) and 7 (2003–2004). Results: In men, low organizational justice at Phase 1 and Phase 2 were associated with overall sleeping problems, sleep maintenance problems, sleep onset problems, and nonrefreshing sleep at Phases 5 and 7. In women, a significant association was observed between low organizational justice and overall sleeping problems and sleep onset problems. These associations were robust to adjustments for age, employment grade, health behaviors, job strain, depressive symptoms, and sleeping problems at baseline. Conclusions: This study shows that perceived unfair treatment at workplace is associated with increased risk of poor sleep quality in men and women, one potential mechanism through which justice at work may affect health.

Key Words: fairness, sleep, psychosocial factors, work organization, public sector







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Copyright © 2009 by the American Psychosomatic Society