The healthy management: the moderator role of transformational leadership on health workers
Abstract
Psychosocial risks arising from work, like workload, have a negative impact on the quality of work life, especially in terms of the deterioration in working conditions and negative consequences for employees’ health. The style of leadership exercised is key in coping with perceived psychosocial risks. The purpose of this study was to analyse the influence of transformational leadership and workload on psychosomatic disorders, and the moderating role of transformational leadership in the relationship between workload and psychosomatic disorders. The sample consisted of 408 Spanish employees working with people with intellectual disabilities. Workload and Psychosomatic disorders were measured by the UNIPSICO subscales, Transformational leadership was measured by a subscale adapted from the Multifactor Leadership Questionnaire (Bass & Avolio, 1989). Carrying out moderation analysis in PROCESS 3.4 results showed that both Workload and Transformational leadership had a significant influence on Psychosomatic disorders. In addition, Transformational leadership moderated the relationship between Workload and Psychosomatic disorders. Transformational leadership buffers the impact of workload on employees’ health and therefore in the need to carry out training programs for managers in organizations in order to exercise a healthy management.
Downloads
References
Abbasi, S. G. (2018). Leadership styles: Moderating impact on job stress and health. Journal of Human Resources Management Research, 1-11. Article ID 322892 http://dx.doi.org/10.5171/2018.322892
Aguinis, H., Edwards, J. R., & Bradley, K. J. (2017). Improving our understanding of moderation and mediation in strategic management research. Organizational Research Methods, 20(4), 665-685.https://doi.org/10.1177/1094428115627498
Akar, H. (2018). A meta-analytic study concerning the effect of educational stakeholders' perceptions of quality of work life on their job satisfaction and organizational commitment. International Online Journal of Educational Sciences, 10(3), 99-112. http://dx.doi.org/10.15345/iojes.2018.03.007
Akar, H., & Ustuner, M. (2019). The relationships between perceptions of teachers’ transformational leadership, organizational justice, organizational support and quality of work life. International Journal of Research in Education and Science (IJRES), 5(1), 309-322.
Arnold, K. A. (2017). Transformational leadership and employee psychological well-being: a review and directions for future research. Journal of Occupational Health Psychology, 22(3), 381–393. https://doi.org/10.1037/ocp0000062
Bailey, T. S., Owen, M. S., & Dollard, M. F. (2020). Psychosocial factors and worker health: comparisons between private and public sectors in Australia. In Handbook of Research on Stress and Well-Being in the Public Sector. Cheltenham, UK: Edward Elgar Publishing. https://doi.org/10.4337/9781788970358.00011
Bass, B. M. (1985). Leadership and performance beyond expectations. Free Press
Bass, B. M. (1997). Does the transactional–transformational leadership paradigm transcend organizational and national boundaries? American Psychologist, 52(2), 130-139. http://dx.doi.org/10.1037/0003-066X.52.2.130
Bass, B. M., & Avolio, B. J. (1989). Manual for the Multifactor Leadership Questionnaire. Consulting Psychologists Press.
Bass, B. M., & Avolio, B. J. (1995). Manual for the multifactor leadership questionnaire: Raterform (5X short). Palo Alto, CA: Mind Garden.
Beadle-Brown, J., Bigby, C., & Bould, E. (2015). Observing practice leadership in intellectual and developmental disability services. Journal of Intellectual Disability Research, 59(12), 1081-1093. https://doi.org/10.1111/jir.12208
Breevaart, K., & Bakker, A. B. (2018). Daily job demands and employee work engagement: The role of daily transformational leadership behaviour. Journal of Occupational Health Psychology, 23(3), 338-349. https://doi.org/10.1037/ocp0000082
Breevaart, K., Bakker, A. B., Demerouti, E., Sleebos, D. M., & Maduro, V. (2014). Uncovering the underlying relationship between transformational leaders and followers’ task performance. Journal of Personnel Psychology, 13(4), 194-203. http://dx.doi.org/10.1027/1866-5888/a000118
Burns, J. M. (1978). Leadership. Harper & Row.
Cathal, R., Bergin, M., & Wells, S.G., J. (2021). Work-related stress and well-being of direct care workers in intellectual disability services: a scoping review of the literature, International Journal of Developmental Disabilities, 67(1), 1-22. http://dx.doi.org/10.1080/20473869.2019.1582907
Chebon, S. K., Aruasa, W. K., & Chirchir, L. K (2019). Influence of individualized consideration and intellectual stimulation on employee performance: lessons from Moi Teaching and Referral Hospital, Eldoret, Kenya. IOSR Journal of Humanities and Social Science, 24(7), 11-22. http://dx.doi.org/10.9790/0837-2407041122
Choi, S. B., Kim, K., & Kang, S. W. (2017). Effects of transformational and shared leadership styles on employees' perception of team effectiveness. Social Behaviour and Personality: An International Journal, 45(3), 377-386. https://doi.org/10.2224/sbp.5805
Chua, J., & Ayoko, O. B. (2019). Employees’ self-determined motivation, transformational leadership and work engagement. Journal of Management & Organization, 1-21. https://doi.org/10.1017/jmo.2018.74
Cox, T. & Griffiths, A. (1996). The assessment of psychosocial hazards at work, in Shabracq, M. J., Winnubst, J. A. M. and Cooper, C. L. (eds), Handbook of Work and Health Psychology, Wiley & Sons, Chichester.
Cox, A. D., Leung, J., Anderson, B. M., & Morgan, M.-C. (2021). Examining research patterns in the treatment of adults with problem behaviour and intellectual and developmental disabilities: A brief review. Behavioural Development, 26(1), 14–28. https://doi.org/10.1037/bdb0000100
Day, D. V., Gronn, P., & Salas, E. (2004). Leadership capacity in teams. The Leadership Quarterly, 15(6), 857-880. https://doi.org/10.1016/j.leaqua.2004.09.001
Devereux J. M., Hastings R. P., Noone S. J., Firth A. & Totsika V. (2009). Social support and coping as mediators or moderators of the impact of work stressors on burnout in intellectual disability support staff. Research in Developmental Disabilities 30, 367–77. https://doi.org/10.1016/j.ridd.2008.07.002
Dumdum, U. R., Lowe, K. B., & Avolio, B. J. (2013). A meta-analysis of transformational and transactional leadership correlates of effectiveness and satisfaction: And update and extension. In B.J. Avolio & F.J. Yammarino, Emerald Group Publishing Limited (Eds.), Transformational and Charismatic Leadership: The Road Ahead (2nd ed., pp. 39-71) Elsevier Science.
Edú V., S., Moriano L., J. A., & Molero A., F., & Topa C., G. (2012). Authentic leadership and its effect on employees' organizational citizenship behaviours. Psicothema, 24(4),561-566. http://www.psicothema.com/pdf/4054.pdf?
Erskine, J.A.K, & Georgiou, G.J. (2017). Leadership styles: Employee stress, well-being, productivity, turnover and absenteeism. Understanding Stress at Work, 28-40. http//hayka-kultura.org/larsen.html
Eurofound (2017). Sixth European Working Conditions Survey – Overview report (2017 update). Office of the European Union. https://www.eurofound.europa.eu/publications/report/2016/working-conditions/sixth-european-working-conditions-survey-overview-report
Eurofound (2019). Working conditions and workers’ health. Office of the European Union. https://www.eurofound.europa.eu/publications/report/2019/working-conditions-and-workers-health
Eurofound, & EU-OSHA (2014). Psychosocial risks in Europe: prevalence and strategies for prevention. Office of the European Union. https://osha.europa.eu/en/publications/psychosocial-risks-europe-prevalence-and-strategies-prevention
European Agency for Safety and Health at Work (EU-OSHA): Irastorza, X. (2019). Third European Survey of Enterprises on New and Emerging Risks (ESENER 3). Luxembourg: Office for Official Publications of the European Communities. https://osha.europa.eu/es/publications/third-european-survey-enterprises-new-and-emerging-risks-esener-3/view
Figueiredo-Ferraz, H., Gil-Monte, P. R., Ribeiro, B. R., & Grau-Alberola, E. (2013). Influence of a cognitive behavioural training program on health: A study among primary teachers. Journal of Psychodidactics, 18(2), 343-356. https://doi.org/10.1387/revpsicodidact.6995
Fladerer, M.P. & Braun, S. (2020). Managers’ Resources for Authentic Leadership – a Multistudy Exploration of Positive Psychological Capacities and Ethical Organizational Climates. British Journal of Management, 31, 325-343. https://doi.org /10.1111/1467-8551.12396
García-Guiu, L., C., Molero A., F., Moya M., M., & Moriano L., J. A. (2015). Authentic leadership, group cohesion and group identification in security and emergency teams. Psicothema, 27(1), 59-64. https://doi.org /10.7334/psicothema2014.161
Gardner, W. L., Lowe, K. B., Meuser, J. D., Noghani, F., Gullifor, D. P., & Cogliser, C. C. (2020). The leadership trilogy: A review of the third decade of the leadership quarterly. The Leadership Quarterly, 31(1), 101379. https://doi.org/10.1016/j.leaqua.2019.101379
Gilbert, M. H., Dagenais-Desmarais, V., & St-Hilaire, F. (2017). Transformational leadership and autonomy support management behaviours: The role of specificity in predicting employees’ psychological health. Leadership and Organization Development Journal, 38(2), 320–332. https://doi.org/10.1108/LODJ-08-2015-0173
Gil-Monte, P. R. (2016). La Batería UNIPSICO: propiedades psicométricas de las escalas que evalúan los factores psicosociales de demanda. [The UNIPSICO Battery: psychometric properties of the scales that assess psychosocial demand factors]. Archivos de prevención de riesgos laborales, 19(2), 86-94. http://dx.doi.org/10.12961/aprl.2016.19.02.3
Gonzalez-Mulé, E., & Cockburn, B. S. (2020). This job is (literally) killing me: A moderated-mediated model linking work characteristics to mortality. Journal of Applied Psychology, 106(1), 140–151. https://doi.org/10.1037/apl0000501
Green, A.E., Miller, E.A., & Aarons, G.A. (2013).Transformational leadership moderates the relationship between emotional exhaustion and turnover intention among community mental health providers. Community Mental Health Journal 49, 373–379. https://doi.org/10.1007/s10597-011-9463-0
Gu B., Tan Q., & Zhao S. (2019). The association between occupational stress and psychosomatic wellbeing among Chinese nurses: A cross-sectional survey. Medicine, 98(22)- p e15836 .https://doi.org/10.1097/MD.0000000000015836
Haile, G.A. (2012). Unhappy working with men? Workplace gender diversity and job-related well-being in Britain. Labour Economics,19(3), 329-350. https://doi.org/10.1016/j.labeco.2012.02.002.
Hatton, C., Emerson, E., Rivers, M., Mason, H., Mason, L., Swarbrick, R., Kiernan, C. , Reeves, D., & Alborz, A. (1999). Factors associated with staff stress and work satisfaction in services for people with intellectual disability. .Journal of Intellectual Disability Research, 43, 253–267. https://doi.org/10.1046/j.1365-2788.1999.00208.x
Hayes, A. F. (2018). Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach (2nd ed.). The Guilford Press. https://www.guilford.com/books/Introduction-to-Mediation-Moderation-and-Conditional-Process-Analysis/Andrew-Hayes/9781462534654
Heidarimoghadam, R., Saidnia, H., Joudaki, J., Mohammadi, Y., & Babamiri, M. (2019). Does mental workload can lead to musculoskeletal disorders in healthcare office workers? Suggest and investigate a path. Cogent Psychology, 6(1), 1-8. https://doi.org/10.1080/23311908.2019.1664205
Hentrich, S., Zimber, A., Garbade, S. F., Gregersen, S., Nienhaus, A., & Petermann, F. (2017). Relationships between transformational leadership and health: The mediating role of perceived job demands and occupational self-efficacy. International Journal of Stress Management, 24(1), 34-61. http://dx.doi.org/10.1037/str0000027
Holstad, T. J., Korek, S., Rigotti, T., & Mohr, G. (2014). The relation between transformational leadership and follower emotional strain: The moderating role of professional ambition. Leadership, 10, 269–288. http://dx.doi.org/10.1177/1742715013476083
Horstmeier, C.A.L., Boer, D., Homan, A.C. & Voelpel, S.C. (2017). The Differential Effects of Transformational Leadership on Multiple Identifications at Work: A Meta‐analytic Model. British Journal of Management, 28(2), 280-298. https://doi.org/10.1111/1467-8551.12160
Johnson, S., Robertson, I., & Cooper C. L. (2018). Well-being: Productivity and happiness at work (2nd ed.). Palgrave MacMillan. https://www.palgrave.com/gp/book/9781349321032
Kedenburg, G. L., (2014). Examining the Interaction Between Leadership Style and Organizational Justice and its Effect on Organizational Commitment, Job Satisfaction, and Work Stress. Masters Theses & Specialist Projects. Paper 1408. https://digitalcommons.wku.edu/theses/1408
Klaver, M., van den Hoofdakker, B. J., Wouters, H., de Kuijper, G., Hoekstra, P. J., & de Bildt, A. (2021). Exposure to challenging behaviours and burnout symptoms among care staff: the role of psychological resources. Journal of Intellectual Disability Research, 65(2), 173–185. https://doi.org/10.1111/jir.12800
Kozak, A., Kersten, M., Schillmöller, Z., & Nienhaus, A. (2013). Psychosocial work-related predictors and consequences of personal burnout among staff working with people with intellectual disabilities. Research in Developmental Disabilities, 34(1), 102-115. https://doi.org/10.1016/j.ridd.2012.07.021
Llorent, V. J., & Ruiz-Calzado, I. (2016). El Burnout y las variables sociodemográficas en los profesionales de la educación que trabajan con personas con discapacidad en Córdoba (España). Ciência & Saúde Coletiva, 21, 3287-3295.
Lievens, F., Van Geit, P., & Coetsier, P. (1997) Identification of Transformational Leadership Qualities: An Examination of Potential Biases. European Journal of Work and Organizational Psychology, 6(4), 415-430. https://doi.org/10.1080/135943297399015
McCauley, C. & Palus, C.J. (2020). Developing the theory and practice of leadershio development: A relational view. The Leadership Quaterly, 101456 https://doi.org/10.1016/j.leaqua.2020.101456
Mills, S. & Rose, J. (2011), The relationship between challenging behaviour, burnout and cognitive variables in staff working with people who have intellectual disabilities. Journal of Intellectual Disability Research, 55, 844-857. https://doi.org/10.1111/j.1365-2788.2011.01438.x
Mohanraj, P. (2017). An investigation on the impact of the factors of quality of worklife on socio-psychological aspects of the workers. International Journal of Research and Innovation in Social Science (IJRISS), 1(3), 14-21. http://www.ijriss.org/DigitalLibrary/Vol.1&Issue3/14-21.pdf
Montano, D. (2016). Supervisor behaviour and its associations with employees’ health in Europe. International Archives of Occupational and Environmental Health, 89(2), 289-298. https://doi.org/10.1007/s00420-015-1072-8
Moriano, J. A., Molero, F., & Mangin, J. P. L. (2011). Liderazgo auténtico. Concepto y validación del cuestionario ALQ en España. Psicothema, 23(2), 336-341. http://www.psicothema.com/psicothema.asp?id=3891
Morsiani G., Bagnasco A. & Sasso L. (2017). How staff nurses perceive the impact of nurse managers’ leadership style in terms of job satisfaction: a mixed method study. Journal of Nursing Management 25, 119–128. https://doi.org/10.1111/jonm.12448
Noreen, S., Nisar, Q. A., Haider, S., & Yean, T. F. (2021). Role of Leaders’ Emotional Labor toward Leader’s Job Satisfaction and Emotional Exhaustion: Moderating Role of Psychological Capital. Gadjah Mada International Journal of Business, 23(1), 36-54. https://doi.org/10.22146/gamaijb.53996
Nyberg, A. (2009). The impact of managerial leadership on stress and health among employees. Stockholm, Sweden: Karolinska Institute.
Nunnally, J. C. (1978). Psychometric theory. McGraw-Hill.
Oros, L., Vargas-Rubilar, N., & Chemisquy, S. (2020). Estresores docentes en tiempos de pandemia: Un instrumento para su exploración [Teachers' stressors in times of pandemic: an instrument for their exploration ]. Revista Interamericana de Psicología/Interamerican Journal of Psychology, 54(3), e1421-e1421. https://doi.org/10.30849/ripijp.v54i3.1421
Peláez, Z., M.J., Coo C., C., Martínez, I.M.,& Salanova, M. (2021). Development and validation of the coaching-based leadership scale and its relationship with psychological capital, work engagement, and performance. Current Psychology. https://doi.org/10.1007/s12144-021-01460-w
Pierro, A., Raven, B. H., Amato, C., & Bélanger, J. J. (2013). Bases of social power, leadership styles, and organizational commitment. International Journal of Psychology, 48(6), 1122-1134. https://doi.org/10.1080/00207594.2012.733398
Ribeiro, N., Yücel, İ. & Gomes, D. (2018). How transformational leadership predicts employees’ affective commitment and performance. International Journal of Productivity and Performance Management, 67(9), 1901-1917. https://doi.org/10.1108/IJPPM-09-2017-0229
Skakon, J., Nielsen, K., Borg, V., & Guzman, J. (2010). Are leaders' well-being, behaviours and style associated with the affective well-being of their employees? A systematic review of three decades of research. Work & Stress, 24(2), 107–139. https://doi.org/10.1080/02678373.2010.495262
Shukla, S., & Shukla, S. (2020). Organizational discourse and dysfunctional leadership. The Psychologist-Manager Journal, 23(1), 1–11. https://doi.org/10.1037/mgr0000094
Sosik, J.J., & Jung, D. (2018). Full Range Leadership Development: Pathways for People, Profit, and Planet (2nd ed.). Routledge. https://doi.org/10.4324/9781315167206
Specchia,M.L.; Cozzolino, M.R.; Carini, E.; Di Pilla, A.; Galletti, C.; Ricciardi,W. & Damiani, G. (2021). Leadership Styles and Nurses’ Job Satisfaction. Results of a Systematic Review. International Journal of Environmental Research and Public Health, 18, 1552. https://doi.org/10.3390/ijerph18041552
St-Hilaire, F., Gilbert, M. H., & Lefebvre, R. (2018). Managerial practices to reduce psychosocial risk exposure: A competency-based approach. Canadian Journal of Administrative Sciences/Revue canadienne des sciences de l’administration, 35(4), 535-550. https://doi.org/10.1002/CJAS.1506
Syrek, C. J., & Antoni, C. H. (2017). Psychological contract fulfillment and employee responses to pay system change: The effects of transformational leadership. Journal of Personnel Psychology, 16(4), 172–185. https://doi.org/10.1027/1866-5888/a000186
Syrek, C. J., Apostel, E., & Antoni, C. H. (2013). Stress in highly demanding IT jobs: Transformational leadership moderates the impact of time pressure on exhaustion and work–life balance. Journal of Occupational Health Psychology, 18(3), 252-261.https://doi.org/10.1037/a0033085
Toderi, S., Gaggia, A., Balducci, C., & Sarchielli, G. (2015). Reducing psychosocial risks through supervisors' development: A contribution for a brief version of the “Stress Management Competency Indicator Tool”. Science of the Total Environment, 518-519, 345-351. https://doi.org/10.1016/j.scitotenv.2015.02.082
Van Aerden, K., Puig-Barrachina, V., Bosmans, K., & Vanroelen, C. (2016). How does employment quality relate to health and job satisfaction in Europe? A typological approach. Social Science & Medicine, 158, 132–140. https://doi.org/10.1016/j.socscimed.2016.04.017
Van der Meer, L., Nieboer, A. P., Finkenflügel, H., & Cramm, J. M. (2018). The importance of person-centred care and co-creation of care for the well-being and job satisfaction of professionals working with people with intellectual disabilities. Scandinavian Journal of Caring Sciences, 32(1), 76–81. https://doi.org/10.1111/scs.12431
Van Stolk C., Staetsky, L., Hassan E. & Woo K., Ch. (2012). Management of psychosocial risks at work: an analysis of the findings of the european survey of enterprises on new and emerging risks (ESENER) European Risk Observatory Report. Edited by Malgorzata Milczarek and Xabier Irastorza, European Agency for Safety and Health at Work (EU-OSHA). https://osha.europa.eu/en/publications/management-psychosocial-risks-work-analysis-findings-european-survey-enterprises-new
Wang, D., Waldman, D. A., & Zhang, Z. (2014). A meta-analysis of shared leadership and team effectiveness. Journal of Applied Psychology, 99(2), 181-198.https://doi.org/10.1037/a0034531
World Medical Association (2013). World Medical Association Declaration of Helsinki: Ethical Principles for Medical Research Involving Human Subjects. JAMA, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053
Yukl, G. A. (2013). Leadership in organizations. Boston: Pearson.
Copyright (c) 2022 Servicio de Publicaciones, University of Murcia (Spain)

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The works published in this journal are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) retains the property rights (copyright) of published works, and encourages and enables the reuse of the same under the license specified in paragraph 2.
© Servicio de Publicaciones, Universidad de Murcia, 2022
2. The works are published in the online edition of the journal under a Creative Commons Reconocimiento-CompartirIgual 4.0 (legal text). You can copy, use, distribute, transmit and publicly display, provided that: i) you cite the author and the original source of publication (journal, editorial and URL of the work), ii) are not used for commercial purposes, iii ) mentions the existence and specifications of this license.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
3. Conditions of self-archiving. Is allowed and encouraged the authors to disseminate electronically pre-print versions (version before being evaluated and sent to the journal) and / or post-print (version reviewed and accepted for publication) of their works before publication, as it encourages its earliest circulation and diffusion and thus a possible increase in its citation and scope between the academic community. RoMEO Color: Green.