The number one reason employees get sick....Perceived unfairness at work

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Recent studies confirm that emotional hurt and rejection, whether part of social interactions or the perception of inequitable and unjust workplace conditions can actually trigger the same neurophysiologic pathways associated with physical pain and suffering (Eisenberger, Lieberman, & Williams, 2003).
In a nifty study by Naomi Eisenberger and colleagues at UCLA, she was able to use the latest technology to peer into the inner workings of our brain called functional magnetic resonance (fMRI) while a team was involved in a social exercise designed to provoke feelings of social isolation and rejection.

She studied what part of the brain was activated while a group of subjects played a computer game with other individuals they did not know. She created two possibilities of being rejected - either actively or passively (she told them they couldn't not continue because of some technical problems). Comparison of fMRI brain activity in the active exclusion group versus inclusion conditions revealed greater activity in the part of the brain that is associated with physical pain (anterior cingulate cortex). Additionally, the subjects who were rejected also reported feeling psychological distress based on self-report measures1.

Current findings suggest that people report higher levels of self-reported pain and have diminished performance on a cognitively demanding task after reliving a past socially meaningful event than a past physically painful event2.

Additionally, interpersonal judgment and social evaluation tends to elicit strong stress reactions with cort in our system being elevated fifty percent longer when the stressor is interpersonal versus impersonal3. It might take approximately an hour for our cortisol levels to respond to "normal" after dealing with an upsetting interpersonal situation.

Perceived Unfairness and Employee Health

Quite a bit of research supports the idea that when employees experience injustice (distributive or procedural), psychological contract breach (e.g., feeling exploited in our work relationship with the company) or unfairness can negatively impact an employee's health.

In a very comprehensive meta-analysis, 279 studies were reviewed to explore the association between employee perceived fairness at work and diverse health outcomes (e.g., absenteeism, job burnout, unhealthy behaviors, negative emotional states, and physical health problems4. Perceived unfairness was significantly associated with indicators of physical and mental health.

Several findings were interesting to note:

  1. Although unfairness was associated with poorer health, the results suggested that unfairness was more strongly associated with indicators of strain and psychological conditions, rather than, physical health outcomes.
  2. Mental health problems were most pronounced for those experiencing (i.e., the kind of injustice related to distribution of rewards and recognition).
  3. Neither age or gender had any impact on the association between unfairness and health.
  4. Interactional unfairness (interpersonal interactions) was consistently one of the weaker predictors of employee health. However, a closer look at the analyses suggested that interactional justice uniquely predict some health indicators such as job burnout and stress distributive and procedural injustice.
These findings suggest that perceived unfairness is a pretty significant predictor of employee health and that the experience of interpersonal mistreatment (e.g., disrespect, bullying behavior, evaluative feedback) are highly associated with well-being.

We already know that working for a competent jerk can be a health risk5.

It would seem safe to conclude that both perceived social inequity, unfairness and negative interpersonal interactions might be more important than just impacting disengagement - it might actually directly lead to such health outcomes as job burnout, absenteeism and psychological distress... Be well.....

References:

  1. Eisenberger, N., Lieberman, M. and Williams, K. (2003). Does rejection hurt? An fMRI study of social exclusion. , 302, 290-292 [↩]
  2. Chen, Z., Williams, K., Fitness, J. & Newton, N. (2008). When hurt will not heal. Exploring the capacity to relive social and physical pain. , 19, 789-795 [↩]
  3. Dickerson, S. & Kemeny. M. (2004). Acute stressors and cortisol responses: A theoretical integration and synthesis of laboratory research. 130, 355-391 [↩]
  4. Robbins, J. (2012). Perceived unfairness and employee health: A meta-analytic integration. , 97, 235-272 [↩]
  5. Nyberg. et al., 2008. Managerial leadership and ischemic heart disease among employees: The Swedish WOLF study. , 66, 51-55 [↩]
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