The development of the Work Stress Questionnaire (WSQ)
Short description
The Work Stress Questionnaire (WSQ) has been developed with the intention of identifying people at risk of ill health and sick leave at an early stage. The WSQ contains 21 questions that deal with perceived stress due to unclear organization and conflicts, individual demands and commitment, influence over work and conflict between work and free time.
The questionnaire provides an opportunity to see whether the critical combination of stress due to unclear organization and leadership and individual demands and commitment constitutes a risk for ill health and delayed return to work. The reliability and validity of the WSQ show satisfactory results.
Few instruments are available specifically developed to identify the risk of sickness absence. The instruments used are mainly diagnosis-specific, for example for low back problems, musculoskeletal problems and mental health. To detect people at risk of sickness absence early, and also to identify the level of work-related stress at the organizational level, a questionnaire that specifically investigates the occurrence of work-related stress can be used.
The Work Stress Questionnaire (WSQ) is specifically designed to identify people at risk of sick leave due to work-related stress at an early stage. The WSQ is based on the idea that environmental factors such as work environment and personal characteristics such as work engagement are interdependent. In both population studies and primary care studies, we have been able to see that the WSQ is a useful instrument for identifying work-related stress as a risk indicator for ill health and risk of future sick leave. In population studies, it was found that high stress due to a poor work environment more than doubled the risk of sick leave at follow-up, and in combination with high stress due to high work engagement, the risk of sick leave increased more than fourfold. Similar results were obtained when the WSQ was used in a randomized controlled primary care study to identify people at risk of sick leave due to work-related stress at an early stage.
To date, the research has resulted in 10 scientific publications, presented at several national and international conferences, and is used in both clinical and population studies. Furthermore, three dissertations have been completed based in part on WSQ data, as well as several bachelor's and master's theses.
1 New data collection is underway within the framework of the 'Women's Study - Population Survey of Women in Gothenburg'.
Group members
Kristina Holmgren
Professor, forskningsledare, leg. arbetsterapeut
E-post: kristina.holmgren@neuro.gu.se
Anna Frantz
Doktorand vid KI, Leg. sjukgymnast
Backa Vårdcentral, Göteborg
Anna-Maria Hultén
Med. dr. och universitetsadjunkt, Leg. arbetsterapeut
E-post: anna-maria.hulten@gu.se
Pernilla Bjerkeli
Farmacie doktor, lektor, legitimerad apotekare
Institutionen för hälsa och lärande
Högskolan i Skövde
E-post: pernilla.bjerkli@his.se
Research partners
Gunnel Hensing
Professor. Biträdande avdelningschef
E-post: gunnel.hensing@socmed.gu.se
Dominique Hange
Docent, Universitetslektor, distriktsläkare
E-post: dominique.andersson@allmed.gu.se
Marit Knapstad
Post Doc position
Faculty of Psychology
University of Bergen, Norway
Publications
Mental stress due to poor organizational climate and high work commitment as predictor of 10-year registered sickness absence: a cohort study based on The Population Study of Women in Gothenburg
Knapstad M, Lissner L, Björkelund C, Holmgren K
Scan J Prim Health. 2025 Feb 20:1-12.
Exploring the impact of mental and work-related stress on sick leave among middle-aged women: Observations from the Population Study of Women in Gothenburg, Sweden
Mehlig K, von Below A, Holmgren K, Björkelund C, Lissner L, Skoglund IM, Hakeberg M and Hange D
Scan J Prim Health. 2024; Dec;42(4):704—713
Work-related stress and future sick leave in a working population seeking care at primary health care centres: A prospective longitudinal study using the WSQ
Hultén AM, Bjerkeli P, Holmgren K
. BMC Public Health 2022 22:851
Self-reported sick leave following a brief preventive intervention on work-related stress: a randomised controlled trial in primary health care
Hultén AM, Bjerkeli P, Holmgren K
BMJ Open 2021;11:e041157
Effects of a work stress intervention on healthcare use and treatment compared to treatment as usual: a randomised controlled trial in Swedish primary healthcare
Sandheimer C, Hedenrud T, Hensing G, Holmgren K.
BMC Fam Pract. 2020 Jul 6;21(1):133.
The Work Stress Questionnaire (WSQ) - Reliability and face validity among male workers
Frantz A, Holmgren K
BMC Public Health 2019 Nov; 27;19(1):1580
(1) Early identification of work-related stress predicted sickness absence in employed women with musculoskeletal or mental disorders. A prospective, longitudinal study in a primary health care setting.
Holmgren K, Fjällström Lundgren M, Hensing G
Disabil Rehabil 2013 Mar; 35(5):418-26
The prevalence of work-related stress, and its association with self-perceived health and sick-leave, in a population of employed Swedish women.
Holmgren K, Dahlin-Ivanoff S, Björkelund C, Hensing G
BMC Public Health 2009 Mar; 2;9:73
Development of a questionnaire assessing work-related stress in women - identifying individuals who risk being put on sick leave.
Holmgren K, Hensing G, Dahlin-Ivanoff S
Disabil Rehabil 2009 31 (4), 284-92
Women on sickness absence--views of possibilities and obstacles for returning to work. A focus group study.
Holmgren K, Dahlin-Ivanoff S
Disabil Rehabil 2004 Feb;26 (4), 213-22