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Open Access 01-12-2024 | Research

Prevalence and nature of workplace bullying and harassment and associations with mental health conditions in England: a cross-sectional probability sample survey

Authors: Annie Bunce, Ladan Hashemi, Charlotte Clark, Stephen Stansfeld, Carrie-Anne Myers, Sally McManus

Published in: BMC Public Health | Issue 1/2024

Abstract

Background

Evidence on workplace bullying and harassment (WBH) in the UK has not used probability-sample surveys with robust mental health assessments. This study aimed to profile the prevalence and nature of WBH in England, identify inequalities in exposure, and quantify adjusted associations with mental health.

Methods

Data were from the 2014 Adult Psychiatric Morbidity Survey, a cross-sectional probability-sample survey of the household population in England. Criteria for inclusion in the secondary analysis were being aged 16–70 years and in paid work in the past month (n = 3838). Common mental disorders (CMDs) were assessed using the Clinical Interview Schedule-Revised and mental wellbeing using the Warwick-Edinburgh Mental Wellbeing Scale. Analyses were weighted. We examined associations between past-year WBH and current CMD using multivariable regression modelling, adjusting for sociodemographic factors. Interaction terms tested for gender differences in associations. The study received ethical approval (ETH21220–299).

Results

One in ten employees (10.6%, n = 444/3838) reported past-year experience of WBH, with rates higher in women (12.2%, n = 284/2189), those of mixed, multiple, and other ethnicity (21.0%, n = 15/92), and people in debt (15.2%, n = 50/281) or living in cold homes (14.6%, n = 42/234). Most commonly identified perpetrators of WBH were line managers (53.6%, n = 244/444) or colleagues (42.8%, n = 194/444). Excessive criticism (49.3%, n = 212/444), verbal abuse (42.6%, n = 187/444), and humiliation (31.4%, n = 142/444) were the most common types. WBH was associated with all indicators of poor mental health, including CMD (adjusted odds ratio [aOR] 2.65, 95% CI 2.02–3.49), and 11 of 14 mental wellbeing indicators, including lower levels of confidence (aOR 0.57, 0.46–0.72) and closeness to others (aOR 0.57, 0.46–0.72). Patterns of association between WBH and mental health were similar in men and women.

Conclusions

These findings reinforce a need for more cohesive UK legislation against WBH; guidance on recognition of bullying behaviours for employees, managers, and human resources, focusing on prevention and early intervention, and increased awareness of the impact of WBH on mental health among health service practitioners. Limitations include reliance on cross-sectional data collected before pandemic-related and other changes in workplace practices. Longitudinal data are needed to improve evidence on causality and the longevity of mental health impacts.

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León-Pérez JM, Escartín J, Giorgi G. The Presence of Workplace Bullying and Harassment Worldwide. In: D’Cruz P, Noronha E, Notelaers G, Rayner C, editors. Concepts, Approaches and Methods [Internet]. Singapore: Springer; 2021 [cited 2024 Mar 27]. pp. 55–86. https://doi.org/10.1007/978-981-13-0134-6_3.

Cowie H, Myers CA, editors. School bullying and mental health: risks, intervention and prevention. London: Routledge; 2019.

Matthiesen SB, Einarsen S. Bullying in the workplace: definition, prevalence, antecedents and consequences. Int J Organ Theory Behav. 2010;13(2):202–48.CrossRef

De Cieri H, Sheehan C, Donohue R, Shea T, Cooper B. Workplace bullying: an examination of power and perpetrators. Pers Rev. 2019;48(2):324–41.CrossRef

Chartered Institute of Personnel and Development. Managing conflict in the modern workplace [Internet]. Chartered Institute of Personnel and Development. 2020. https://www.cipd.co.uk/Images/managing-conflict-in-the-workplace-2_tcm18-70655.pdf.

NHS. Bullying at work [Internet]. 2019. https://www.nhs.uk/mental-health/advice-for-life-situations-and-events/support-for-workplace-bullying/.

Nielsen MB, Matthiesen SB, Einarsen S. The impact of methodological moderators on prevalence rates of workplace bullying. A meta-analysis. J Occup Organ Psychol. 2010;83(4):955–79.CrossRef

Nielsen MB, Einarsen S. Outcomes of exposure to workplace bullying: a meta-analytic review. Work Stress. 2012;26(4):309–32.CrossRef

Picakciefe M, Acar G, Colak Z, Kilic I. The relationship between sociodemographic characteristics, work conditions, and level of ‘mobbing’ of health workers in primary health care. J Interpers Violence. 2017;32(3):373–98.PubMedCrossRef

10.

Keashly L. Workplace bullying, mobbing and harassment in academe: Faculty experience. In: D’Cruz P, Noronha E, Keashly L, Tye-Williams S, editors. Special topics and particular occupations, professions and sectors [Internet]. Singapore: Springer Singapore; 2019 [cited 2022 Nov 9]. pp. 1–77. (Handbooks of Workplace Bullying, Emotional Abuse and Harassment; vol. 4). https://doi.org/10.1007/978-981-10-5154-8_13-1.

11.

Verdasca A, Baillien E. Workplace bullying in the Portuguese banking sector: Incidence levels and risk groups. J Interpers Violence [Internet]. 2021 Nov 1 [cited 2022 Nov 9];36(21–22). https://doi.org/10.1177/0886260519889929.

12.

Maydon DH, Celik D, Bayraktar F. Predictors of bullying perpetration and bullying victimization among semi-professional team sport players in North Cyprus. J Interpers Violence [Internet]. 2022 May 24 [cited 2022 Nov 9]; https://doi.org/10.1177/08862605221104535.

13.

Einarsen S, Hoel H, Zapf D, Cooper CL. The concept of bullying and harassment at work: the European tradition. In: Einarsen S, Hoel H, Zapf D, Cooper CL, editors. Bullying and harassment in the workplace. 3rd ed. Abingdon, Oxon: CRC; 2020.CrossRef

14.

Cowie H, Naylor P, Rivers I, Smith PK, Pereira B. Measuring workplace bullying. Aggress Violent Behav. 2002;7(1):33–51.CrossRef

15.

Fevre R, Nichols T, Prior G, Rutherford I. Fair Treatment at Work report: Findings from the 2008 survey [Internet]. London: Department for Business, Innovation and Skills; 2009 [cited 2022 Jun 27]. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/192191/09-P85-fair-treatment-at-work-report-2008-survey-errs-103.pdf.

16.

Coyne I. Continuities into the workplace: what can we learn from research into workplace bullying? In: Cowie H, Myers CA, editors. School bullying and mental health: risks, intervention and prevention. London: Routledge; 2019. pp. 216–23.

17.

Di Martino V, Hoel H, Cooper CL, European, Union, European Foundation for the Improvement of Living and Working Conditions. Preventing violence and harassment in the workplace [Internet]. Dublin, Ireland: European Foundation for the Improvement of Living and Working Conditions; 2003. https://www.eurofound.europa.eu/sites/default/files/ef_publication/field_ef_document/ef02109en.pdf.

18.

Hoel H, Workplace Bullying in United Kingdom. 2013; https://www.jil.go.jp/english/reports/documents/jilpt-reports/no.12_u.k.pdf.

19.

Hoel H, Cooper C. Destructive conflict and bullying at work [Internet]. University of Manchester Institute Science and Technology; 2000. https://www.bollettinoadapt.it/old/files/document/19764Destructiveconfl.pdf.

20.

UNISON. Workplace bullying and harassment in 2009: report to UNISON. London: UNISON; 2010.

21.

Grainger H, Fitzner G, Great, Britain, Department of Trade and Industry. The fair treatment at work survey 2005: executive summary [Internet]. London: Dept. of Trade and Industry; 2006. https://www.academia.edu/17515974/The_Fair_Treatment_at_Work_Survey_2005_Executive_Summary.

22.

Hallberg LRM, Strandmark MK. Health consequences of workplace bullying: experiences from the perspective of employees in the public service sector. Int J Qual Stud Health Well-Being. 2006;1(2):109–19.

23.

Bonde JP, Gullander M, Hansen ÅM, Grynderup M, Persson R, Hogh A, et al. Health correlates of workplace bullying: a 3-wave prospective follow-up study. Scand J Work Environ Health. 2016;42(1):17–25.PubMedCrossRef

24.

Verkuil B, Atasayi S, Molendijk ML. Workplace bullying and mental health: A meta-analysis on cross-sectional and longitudinal data. PLOS ONE [Internet]. 2015 [cited 2022 Jun 27];10(8). https://doi.org/10.1371/journal.pone.0135225.

25.

Matthiesen SB, Einarsen S. Psychiatric distress and symptoms of PTSD among victims of bullying at work. Br J Guid Couns. 2004;32(3):335–56.CrossRef

26.

Lahelma E, Lallukka T, Laaksonen M, Saastamoinen P, Rahkonen O. Workplace bullying and common mental disorders: a follow-up study. J Epidemiol Community Health [Internet]. 2012 [cited 2022 Jun 27];66. https://doi.org/10.1136/jech.2010.115212.

27.

Rugulies R, Aust B, Greiner BA, Arensman E, Kawakami N, LaMontagne AD, et al. Work-related causes of mental health conditions and interventions for their improvement in workplaces. Lancet. 2023;402(10410):1368–81.PubMedCrossRef

28.

Leach LS, Too LS, Batterham PJ, Kiely KM, Christensen H, Butterworth P. Workplace bullying and suicidal ideation: Findings from an Australian longitudinal cohort study of mid-aged workers. Int J Environ Res Public Health [Internet]. 2020 Feb 24 [cited 2022 Jun 27];17. https://www.mdpi.com/1660-4601/17/4/1448.

29.

Hanson LLM, Pentti J, Nordentoft M, Xu T, Rugulies R, Madsen IEH, et al. Association of workplace violence and bullying with later suicide risk: a multicohort study and meta-analysis of published data. Lancet Public Health. 2023;8(7):e494–503.CrossRef

30.

Conway P, Høgh A, Nabe-Nielsen K, Grynderup M, Mikkelsen EG, Persson R, et al. Optimal cut-off points for the short-negative Act Questionnaire and their association with depressive symptoms and diagnosis of depression. Ann Work Expo Health. 2018;62(3):281–94.PubMedCrossRef

31.

Carter M, Thompson N, Crampton P, Morrow G, Burford B, Gray C, et al. Workplace bullying in the UK NHS: a questionnaire and interview study on prevalence, impact and barriers to reporting. BMJ Open. 2013;3(6):e002628.PubMedCentralCrossRef

32.

Lippel K, Vézina M, Bourbonnais R, Funes A. Workplace psychological harassment: gendered exposures and implications for policy. Int J Law Psychiatry. 2016;46:74–87.PubMedCrossRef

33.

Butterworth P, Leach LS, Kiely KM. Why it’s important for it to stop: examining the mental health correlates of bullying and ill-treatment at work in a cohort study. Aust N Z J Psychiatry. 2016;50(11):1085–95.PubMedCrossRef

34.

Tsuno K, Kawachi I, Kawakami N, Miyashita K. Workplace bullying and psychological distress: a longitudinal multilevel analysis among Japanese employees. J Occup Environ Med. 2018;60(12):1067–72.PubMedCrossRef

35.

Ko YY, Liu Y, Wang CJ, Liao HY, Liao YM, Chen HM. Determinants of workplace bullying types and their relationship with depression among female nurses. J Nurs Res. 2020;28(3):e92.PubMedCrossRef

36.

Hodgins M, MacCurtain S, Mannix-McNamara P. Power and inaction: why organizations fail to address workplace bullying. Int J Workplace Health Manag. 2020;13(3):265–90.CrossRef

37.

Goldberg D. The detection of psychiatric illness by questionnaire [Internet]. London: Oxford University Press; 1972 [cited 2022 Jul 7]. https://www.semanticscholar.org/paper/The-detection-of-psychiatric-illness-by-%3A-a-for-the-Goldberg/bed45311a2599b4e64c20ebc35ba95133e3c1d78.

38.

Lewis G, Pelosi AJ, Araya R, Dunn G. Measuring psychiatric disorder in the community: a standardized assessment for use by lay interviewers. Psychol Med. 1992;22(2):465–86.PubMedCrossRef

39.

Conybeare D, Behar E, Solomon A, Newman MG, Borkovec TD. The PTSD Checklist—Civilian Version: reliability, validity, and factor structure in a nonclinical sample. J Clin Psychol. 2012;68(6):699–713.PubMedCrossRef

40.

Tennant R, Hiller L, Fishwick R, Platt S, Joseph S, Weich S, et al. The Warwick-Edinburgh Mental Well-being scale (WEMWBS): development and UK validation. Health Qual Life Outcomes. 2007;5:63.PubMedPubMedCentralCrossRef

41.

Mental health and wellbeing in England: Adult Psychiatric Morbidity Survey 2014 [Internet]. Leeds: NHS digital. 2016. https://files.digital.nhs.uk/pdf/q/3/mental_health_and_wellbeing_in_england_full_report.pdf.

42.

McManus S, Bebbington PE, Jenkins R, Morgan Z, Brown L, Collinson D, et al. Data resource profile: Adult Psychiatric Morbidity Survey (APMS). Int J Epidemiol. 2020;49(2):361–e362.PubMedCrossRef

43.

StataCorp. Stata Statistical Software: Release 17. College Station. TX: StataCorp LLC; 2021.

44.

Conway HA, Balducci C, Ebbesen DK et al. Workplace bullying and mental health. In: D’Cruz P, Noronha E, Baillien E, Catley B, Harlos K, Hogh A, editors. Pathways of job-related negative behaviour [Internet]. Singapore: Springer Singapore; 2018 [cited 2022 Jun 27]. pp. 1–27. (Handbooks of Workplace Bullying, Emotional Abuse and Harassment; vol. 2). http://link.springer.com/https://doi.org/10.1007/978-981-10-6173-8_5-1.

45.

Bowling NA, Beehr TA. Workplace harassment from the victim’s perspective: a theoretical model and meta-analysis. J Appl Psychol. 2006;91(5):998–1012.PubMedCrossRef

46.

Cassidy T, McLaughlin M, McDowell E. Bullying and health at work: the mediating roles of psychological capital and social support. Work Stress. 2014;28(3):255–69.CrossRef

47.

Fan JK, Mustard C, Smith PM. Psychosocial work conditions and Mental Health: examining differences across Mental Illness and Well-being outcomes. Ann Work Expo Health. 2019;63(5):546–59.

48.

LaMontagne AD, Milner A, Krnjacki L, Schlichthorst M, Kavanagh A, Page K, et al. Psychosocial job quality, mental health, and subjective wellbeing: a cross-sectional analysis of the baseline wave of the Australian longitudinal study on Male Health. BMC Public Health. 2016;16(3):1049.

49.

Salin D. Workplace bullying and gender: an overview of empirical findings. In: D’Cruz P, Noronha E, Caponecchio C, Escartin J, Salin D, Tuckey M, editors. Workplace bullying: dignity and inclusion at work. Singapore: Springer; 2021. pp. 331–61.CrossRef

50.

Ortega A, Høgh A, Pejtersen JH, Olsen O. Prevalence of workplace bullying and risk groups: a representative population study. Int Arch Occup Environ Health. 2009;82(3):417–26.PubMedCrossRef

51.

Giga SI, Hoel H, Lewis D. A review of Black and minority ethnic (BME) employee experiences of workplace bullying [Internet]. London: Dignity at Work Partnership; 2008 [cited 2022 Sep 23]. https://www.researchgate.net/publication/260246604_A_Review_of_Black_and_Minority_Ethnic_BME_Employee_Experiences_of_Workplace_Bullying.

52.

Rospenda KM, Richman JA, Shannon CA. Prevalence and mental health correlates of harassment and discrimination in the workplace: results from a national study. J Interpers Violence. 2009;24(5):819–43.PubMedCrossRef

53.

Tsuno K, Kawakami N, Tsutsumi A, Shimazu A, Inoue A, Odagiri Y et al. H Zhang editor 2015 Socioeconomic determinants of bullying in the workplace: a national representative sample in Japan. PLoS ONE 10 3 e0119435.

54.

Feijó FR, Gräf DD, Pearce N, Fassa AG. Risk factors for workplace bullying: a systematic review. Int J Environ Res Public Health. 2019;16(11):1945.PubMedPubMedCentralCrossRef

55.

Jenkins MF, Zapf D, Winefield H, Sarris A. Bullying allegations from the Accused Bully’s perspective. Br J Manag. 2012;23(4):489–501.CrossRef

56.

Harrington S, Warren S, Rayner C. Human resource management practitioners’ responses to workplace bullying: cycles of symbolic violence. Organization. 2015;22(3):368–89.CrossRef

57.

Maran DA, Cortese CG, Pavanelli P, Fornero G, Gianino MM. Gender differences in reporting workplace violence: a qualitative analysis of administrative records of violent episodes experienced by healthcare workers in a large public Italian hospital. BMJ Open. 2019;9(11):e031546.CrossRef

58.

Misawa M, Andrews JL, Jenkins KM. Women’s experiences of workplace bullying: a content analysis of peer-reviewed journal articles between 2000 and 2017. New Horiz Adult Educ Hum Resour Dev. 2019;31(4):36–50.CrossRef

59.

Klinefelter Z, Sinclair RR, Britt TW, Sawhney G, Black KJ, Munc A. Psychosocial safety climate and stigma: reporting stress-related concerns at work. Stress Health. 2021;37(3):488–503.PubMedCrossRef

60.

Rayner C, Keashly L. Bullying at work: A perspective from Britain and North America. In: Fox S, Spector PE, editors. Counterproductive work behavior: Investigations of actors and targets [Internet]. Washington: American Psychological Association; 2005 [cited 2022 Jul 8]. pp. 271–96. http://content.apa.org/books/10893-011.

61.

Djurkovic N, McCormack D, Casimir G. Workplace bullying and intention to leave: the moderating effect of perceived organisational support. Hum Resour Manag J. 2008;18(4):405–22.CrossRef

62.

Hogh A, Hoel H, Carneiro IG. Bullying and employee turnover among healthcare workers: a three-wave prospective study. J Nurs Manag. 2011;19(6):742–51.

63.

Salin D. Ways of explaining workplace bullying: a review of enabling, motivating and precipitating structures and processes in the work environment. Hum Relat. 2003;56(10):1213–32.CrossRef

64.

Hoel H, Cooper CL, Faragher B. The experience of bullying in Great Britain: the impact of organizational status. Eur J Work Organ Psychol. 2001;10(4):443–65.CrossRef

65.

Pheko MM, Monteiro NM, Segopolo MT. When work hurts: a conceptual framework explaining how organizational culture may perpetuate workplace bullying. J Hum Behav Soc Environ. 2017;27(6):571–88.CrossRef

66.

Lassiter BJ, Bostain NS, Lentz C. Best practices for early bystander intervention training on workplace intimate partner violence and workplace bullying. J Interpers Violence. 2021;36(11–12):5813–37.PubMedCrossRef

67.

Woodrow C, Guest DE. When good HR gets bad results: exploring the challenge of HR implementation in the case of workplace bullying. Hum Resour Manag J. 2014;24(1):38–56.CrossRef

68.

Harrington S, Rayner C, Warren S. Too hot to handle? Trust and human resource practitioners’ implementation of anti-bullying policy: the role of trust in anti-bullying policy. Hum Resour Manag J. 2012;22(4):392–408.CrossRef

69.

Boudrias V, Trépanier SG, Salin D. A systematic review of research on the longitudinal consequences of workplace bullying and the mechanisms involved. Aggress Violent Behav [Internet]. 2021 Jan [cited 2022 Jul 8];56. https://linkinghub.elsevier.com/retrieve/pii/S1359178920302123.

Title: Prevalence and nature of workplace bullying and harassment and associations with mental health conditions in England: a cross-sectional probability sample survey
Authors: Annie Bunce
Ladan Hashemi
Charlotte Clark
Stephen Stansfeld
Carrie-Anne Myers
Sally McManus
Publication date: 01-12-2024
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-024-18614-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Prevalence and nature of workplace bullying and harassment and associations with mental health conditions in England: a cross-sectional probability sample survey

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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