In a review, high job demands, low decision latitude, time pressure, mental stress, job dissatisfaction, high workload, and lack of social support from colleagues and superiors were suggested as risk factors for musculoskeletal disorders in computer workers [ 43].
This instrument is a widely-used measure of psychosocial stress at work comprising 3 domains: mental work-load (psychological job demands), decision latitude and social support.
Things came to a head when the band were forced to cancel a headline set at Latitude 2014 because Trimble was having a mental and physical meltdown.
However, the NHS is now extending DRG-like payments to long-term (e.g. mental health) and end-of-life care, reducing commissioner latitude to determine incentives in these areas.
A recent meta-analytic review of the scientific evidence provides robust evidence that the individual perception of high demands and efforts and of low decision latitude and rewards are prospective risk factors for common mental disorders [ 7].
The greatest risk to physical and mental health from stress occurs to GP's facing high psychological workload demands combined with low decision latitude in meeting those demands.
Blake gave himself greater latitude when he used the same measure in a quatrain in which lines two and four rhyme, as in "The Mental Traveller", the terrifying poem which begins thus: I travel'd thro' a Land of Men, A Land of Men & Women too, And heard & saw such dreadful things As cold Earth wanderers never knew.
Interventions on psychosocial work factors (psychological demands, decision latitude, social support, and effort-reward-imbalance) considering these different levels were found to be effective in preventing mental health problems and improving working conditions in a hospital setting [ 40, 41].
