Impact of stress during adolescence on general and work-related stress in early adulthood: A prospective cohort study
High-stress levels during youth can negatively impact an individual’s long-term physical and psychological health and overall well-being, potentially extending into adulthood and affecting their work life. Further investigation is required to deepen our understanding of how the stress experienced during adolescence correlates with stress in early adult work life. Furthermore, exploring how factors within the psychosocial work environment and temporary employment contribute to stressful experiences is crucial. This study followed a cohort of 1275 Danish working adults born in 1989, tracking them from age 15 – 28. Participants reported perceived stress levels at ages 15, 18, and 21, and the outcomes included perceived stress and work-related stress at age 28. Additional information on the psychosocial work environment and temporary employment was collected at age 28. The study consistently identified associations between perceived stress during adolescence and perceived stress or work-related stress in adulthood. The psychosocial work environment variables significantly contributed to work-related stress and partially explained general perceived stress, particularly among those with more work experience. Occupational health professionals should be aware that stress during adolescence can result in stress in future work life. It is important to understand that perceived stress and work-related stress are distinct facets, requiring different prevention approaches.
Baadsgaard, M., & Quitzau, J. (2011). Danish registers on personal income and transfer payments. Scandinavian Journal of Public Health, 39(7 Suppl):103-105. https://doi.org/10.1177/1403494811405098
Benach, J., Vives, A., Tarafa, G., Delclos, C., & Muntaner, C. (2016). What should we know about precarious employment and health in 2025? Framing the agenda for the next decade of research. International Journal of Epidemiology, 45(1):232- 238. https://doi.org/10.1093/ije/dyv342
Caroline Holt Udesen, C.H., Skaarup, C., Petersen M.N.S., & Ersbøll, A.K. (2020). Social Inequality in Health and Disease. Danish Health Authority.
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4):385-396. https://doi.org/10.2307/2136404
Cohen, S., Kessler, R.C., & Gorden, L.U. (1997). Measuring Stress. A Guide for Health and Social Scientist. Oxford: Oxford University Press.
DST. (2020). The Labor Force Survey. Available from: ht t p s : / / www. d s t . d k / d a / S t at i s t i k / emner/arbejde-indkomst-og-formue/tilknytning-til-arbejdsmarkedet/arbejdskraftundersoegelsen-arbejdsmarkedstilknytning [Last accessed on 2023 Apr 24].
Due, P., Diderichsen, F., Meilstrup, C., Nordentoft, M., Obel, C., & Sandbæk, A. (2014). Mental health of children and young people (Børn og unges mentale helbred).
Eskildsen, A., Dalgaard, V.L., Nielsen, K.J., Andersen, J.H., Zachariae, R., Olsen, L.R., et al. (2015). Cross-cultural adaptation and validation of the Danish consensus version of the 10-item Perceived Stress Scale. Scandinavian Journal of Work, Environment and Health, 41(5):486-490. https://doi.org/10.5271/sjweh.3510
Farrugia, D. (2020). Youth, Work and “Career” as a way of talking about the self. Work, Employment and Society, 35(5):856- 871. https://doi.org/10.1177/0950017020947576
Glasscock, D.J., Andersen, J.H., Labriola, M., Rasmussen, K., & Hansen, C.D. (2013). Can negative life events and coping style help explain socioeconomic differences in perceived stress among adolescents? A cross-sectional study based on the West Jutland cohort study. BMC Public Health, 13(1):532-545. https://doi.org/10.1186/1471-2458-13-532
Haahr, J., & Andersen, J.H. (2006). Prevention of Exclusion of people with musculoskeletal symptoms using early intervention (Forebyggelse Af Udstødning af personer med bevægeapparats-Symptomer ved hjælp af Tidlig indsats).
Hanson, J.L., Albert, D., Iselin, A.M., Carre, J.M., Dodge, K.A., & Hariri, A.R. (2016). Cumulative stress in childhood is associated with blunted reward-related brain activity in adulthood. Social Cognitive and Affective Neuroscience, 11(3):405-412. https://doi.org/10.1093/scan/nsv124 https://doi.org/10.1371/journal.pone.0247036
Jensen, V.M., & Rasmussen, A.W. (2011). Danish education registers. Scandinavian Journal of Public Health, 39(7 Suppl):91-94. https://doi.org/10.1177/1403494810394715
Jeppesen, P., Obel, C., Lund, L., Bang Madsen, K., Nielsen, L., & Nordentoft, M. (2020). Mental Sundhed Og Sygdom Hos Børn Og Unge I Alderen 10-24 år: Forekomst, Udvikling Og ForebyggelsesMuligheder. Available from: http://www. vidensraad.dk/sites/default/files/boern_unge_mentale_ digi_01_0.pdf [Last accessed on 2023].
Johnson, D., Dupuis, G., Piche, J., Clayborne, Z., & Colman, I. (2018). Adult mental health outcomes of adolescent depression: A systematic review. Depression and Anxiety, 35(8):700-716. https://doi.org/10.1002/da.22777
Kaasbøll, J., Sigurdson, J.F., Skokauskas, N., & Sund, A.M. (2021). Cohort profile: The Youth and Mental Health Study (YAMHS) - a longitudinal study of the period from adolescence to adulthood. PLoS One, 16(2):e0247036.
Klinger, D.A., Freeman, J.G., Bilz, L., Liiv, K., Ramelow, D., Sebok, S.S., et al. (2015). Cross-national trends in perceived school pressure by gender and age from 1994 to 2010. European Journal of Public Health, 25(Suppl 2):51-56. https://doi.org/10.1093/eurpub/ckv027
Laberge, M., & Ledoux, E. (2011). Occupational health and safety issues affecting young workers: A literature review. Work, 39(3):215-232. https://doi.org/10.3233/WOR-2011-1170
Lazarus, R.S., & Folkman, S. (1984). Stress, Appraisal, and Coping. Berlin: Springer.
Löfstedt, P., Torsheim, T., Rasmussen, M., Suominen, S., Damsgaard, M.T., Due, P., et al. (2019). Trends in perceived school stress among adolescents in five Nordic countries 2002-2014. Nordisk Välfärdsforskning/Nordic Welfare Research, 4(2):101-112. https://doi.org/10.18261/issn.2464-4161-2019-02-07
Madsen, O.J. (2018). Generational Achievement - what’s wrong with us? (Generasjon Prestasjon - Hva Er Det Som Feiler Oss?). Norway: Universitetsforlaget.
NFA. (2017). Analyzes on Mental Health Challenges (MSU) and Preventive Initiatives for the Economically Active in Denmark: Work Report (Analyser om Mentale Sundhedsudfordringer (MSU) og Forebyggende Initiativer for Erhvervsaktive i Danmark: Arbejdsrapport).
NFA. (2020). Danish Occupational Cohort with Exposure Data. Available from: https://amff.dk/media/12716/doc-x-afslutningsrapport-amff-januar-2020.pdf [Last accessed on 2023 Apr 24].
NFA. (2021). Psychological Work Environment and Well-being. A Research Questionnaire. National Research Centre for the Working Environment. Available from: ht tps : / /nf a . dk/da/Vaerktoejer/Sporgeskemaer/Dansk-psykosocialt-sporgeskema/DPQ-Forskningsskema [Last accessed on 2024 Jan 08].
Nielsen, J.C., Sørensen, N.U., & Osmec, M.N. (2010). When it is difficult to be young in Denmark (Når det er svært at være ung i DK -unges trivsel og mistrivsel i tal). Cefu.
Nielsen, M., Görlich, A., Grytnes, R., & Dyreborg, J. (2017). Without a safety net: precarization among young danish employees. Nordic Journal of Working Life Studies, 7(3). https://doi.org/10.18291/njwls.v7i3.97094
Nielsen, M.L., Dyreborg, J., & Lipscomb, H. (2018). Precarious work among young Danish employees - a permanent or transitory condition? Journal of Youth Studies, 22:7-28. https://doi.org/10.1080/13676261.2018.1469739
NVK. (2021). Danish National Committee on Biomedical Research Ethics. Act on Research Ethics Review of Health Research Projects. Available from: https://www.nvk.dk/ english/act-on-research [Last accessed on 2023 Dec 21].
Oshio, T., Inoue, A., & Tsutsumi, A. (2014). The mediating and moderating effects of workplace social capital on the associations between adverse work characteristics and psychological distress among Japanese workers. Industrial Health, 52:313-323. https://doi.org/10.2486/indhealth.2013-0071
Pedersen, C.B. (2011). The Danish civil registration system. Scandinavian Journal of Public Health, 39(7 Suppl):22-25. https://doi.org/10.1177/1403494810387965
Petersen, A. (2016). The Performance Society (Præstationssamfundet). Denmark: Hans Reitzels Forlag.
Podsakoff, P.M., MacKenzie, S.B., Lee, J.Y., & Podsakoff, N.P. (2003). Common method biases in behavioral research: A Critical review of the literature and recommended remedies. The Journal of Applied Psychology, 88(5):879-903. https://doi.org/10.1037/0021-9010.88.5.879
Robins, T.G., Roberts, R.M., & Sarris, A. (2018). The role of student burnout in predicting future burnout: Exploring the transition from university to the workplace. Higher Education Research and Development. 37(1):15. https://doi.org/10.1080/07294360.2017.1344827
Ruben, D. (1987). Multiple Imputation for Nonresponse in Surveys. United States: Wiley.
Rugulies, R., Aust, B., Burr, H., & Bultmann, U. (2008). Job insecurity, chances on the labour market and decline in self-rated health in a representative sample of the Danish workforce. Journal of Epidemiology and Community Health, 62(3):245-250. https://doi.org/10.1136/jech.2006.059113
Semmer, N.K., Jacobshagen, N., Meier, L.L., & Elfering, A. (2007). Occupational stress research: The “stress-as-offense-to-self ” perspective. In: Houdmont, J., & Leka, S., (Eds.), Occupational Health Psychology: European Perspectives on Research, Education and Practice. Vol. 2. England: Nottingham University Press, p.17-38.
Sørensen, N., Pless, M., Katznelson, N., & Nielsen, M. (2017). Picture perfect: Performance orientation among youth in different youth life contexts(Præstationsorienteringer blandt unge i forskellige ungdomslivskontekster). Tidsskrift for Ungdomsforskning, 17(2):21-37.
Standing, G. (2011). The Precariat: The New Dangerous Class. Bloomsbury Academic.
Sterne, J.A., White, I.R., Carlin, J.B., Spratt, M., Royston, P., Kenward, M.G., et al. (2009). Multiple imputation for missing data in epidemiological and clinical research: Potential and pitfalls. BMJ, 338:b2393. https://doi.org/10.1136/bmj.b2393
Taris, T.W. (1999). The mutual A prospective study among Dutch youth. Genetic, Social, and General Psychology effects between job resources and mental health: Monographs, 125(4):433-450.
Trolle, N., Lund, T., Winding, T.N., & Labriola, M. (2017). Perceived stress among 20-21 year-olds and their future labour market participation - an eight-year follow-up study. BMC Public Health, 17(1):287. https://doi.org/10.1186/s12889-017-4179-x
Wang, S., Sanderson, K., Venn, A., Dwyer, T., & Gall, S. (2018). Association between childhood health, socioeconomic and school-related factors and effortreward imbalance at work: A 25-year follow-up study. Occupational and Environmental Medicine, 75:8. https://doi.org/doi:10.1136/oemed-2017-104308
Watson, D., & Clark, L.A. (1984). Negative affectivity: The disposition to experience aversive emotional states. Psychological Bulletin, 96(3):465-490.
WHO. (2009). Mental Health, Resilience and Inequalities. Available from: ht t p s : / / www. fol ke skol e n . dk/564750/nye-tal-laerernes-sygefravaer-er-steget-med-13- procent-i-2014 [Last accessed on 2023 Apr 24].
WHO. (2020). Adolescent Mental Health. World Health Organization. Available from: https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health [Last accessed on 2023 Dec 21].
Winding, T.N., & Andersen, J.H. (2015). Socioeconomic differences in school dropout among young adults: The role of social relations. BMC Public Health, 15:1054. https://doi.org/10.1186/s12889-015-2391-0
Winding, T.N., Andersen, J.H., Labriola, M., & Nohr, E.A. (2014). Initial non-participation and loss to follow-up in a Danish youth cohort: implications for relative risk estimates. Journal of Epidemiology and Community Health, 68(2):137-144. https://doi.org/10.1136/jech-2013-202707
Winding, T.N., Labriola, M., Nohr, E.A., & Andersen, J.H. (2015). The experience of demanding work environments in younger workers. Occupational Medicine (Oxford, England), 65(4):324-330. https://doi.org/10.1093/occmed/kqv020
Winding, T.N., Nielsen, M.L., & Grytnes, R. (2023). Perceived stress in adolescence and labour market participation in young adulthood - a prospective cohort study. BMC Public Health, 23(1):186. https://doi.org/10.1186/s12889-023-15120-0
WMA. (2021). WMA Declaration of Helsinki - Ethical Principles for Medical Research Involving Human Subjects. World Medical Association. Available from: https://www. wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects [Last accesed on 2023 Dec 21].