Home » News » Stress Management » Stress Accompanies Middle Management
Stress Accompanies Middle Management

Stress Accompanies Middle Management

Ask anyone who has held the role and they will attest to the mental challenges associated with a middle management position.

New research now confirms this perception as individuals near the middle of the social hierarchy were found to suffer higher rates of depression and anxiety than those at the top or bottom.

Investigators from Columbia University’s Mailman School of Public Health discovered symptoms of depression were reported by 18 percent of supervisors and managers compared to 12 percent for workers.

The study findings appear online in the journal Sociology of Health & Illness.

While income and educational accomplishment often influence the risk of adverse mental health outcomes, the new study shows that social class also plays a prominent role for depression and anxiety.

“Contradictory class locations are those that embody aspects of both ownership and labor, and using this construct we found patterns of depression and anxiety that are not easily detected or explained with standard approaches,” said first author Seth J. Prins, MPH, a doctoral student.

“We explored how social class might influence depression and anxiety in ways that may be masked or incompletely explained by standard socioeconomic status measures.”

The researchers based their findings on the largest representative population data set ever used to test these hypotheses directly: the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a nationally representative survey of the U.S. population age 18 and older, interviewed in person.

This study used data on the 21, 859 participants who were full-time workers. The National Institute on Alcohol Abuse and Alcoholism (NIAAA) Alcohol Use Disorder and Associated Disabilities Interview Schedule DSM-IV was used to assess DSM-IV psychiatric disorders.

The researchers estimated the prevalence and odds of any lifetime and previous 12-month depression and anxiety by occupational class categories, income, and education.

Class designations were made by sorting respondents into three categories: owners, who identified as self-employed and earned greater than $71,500; managers and supervisors, who occupied executive, administrative, or managerial positions; and workers, who were defined by various occupation categories in the NESARC including farmers and laborers.

“We chose to focus on depression and anxiety because the average age of onset is older than age 18, and these disorders are likely to arise after entry in the workforce,” said Katherine Keyes, Ph.D., assistant professor of Epidemiology.

Prior research has shown that work stress and job strain are important risk factors in developing depression. Workers with little opportunity for decision-making and greater job demands show higher rates of depressive symptoms.

“Our findings highlight the need for population health research to both conceptualize and measure social class in ways that go beyond the standard measures of socioeconomic status,” said Lisa M. Bates, ScD, assistant professor of Epidemiology,

“Standard measures are most readily available, but can mask important complexity in the relationship between social class and population health.”

Source: Columbia University’s Mailman School of Public Health/EurekAlert
Employees talking photo by shutterstock.

Stress Accompanies Middle Management

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2018). Stress Accompanies Middle Management. Psych Central. Retrieved on November 29, 2020, from
Scientifically Reviewed
Last updated: 8 Aug 2018 (Originally: 19 Aug 2015)
Last reviewed: By a member of our scientific advisory board on 8 Aug 2018
Published on Psych All rights reserved.