Employees who are treated as "second-class employees" feel demotivated, angry, disenchanted, and emotionally disenfranchised from their organization. This leads to poor performance. Office politics are common and, for some, a major cause of stress, which may lead to serious heart disease. This may lead to depression and physical illness. The victims of workplace prejudice very often adopt the attitude of "if they treat me like this, then I will have no respect for them and will not be committed to the organization."
Appraisals at work are intended to be a useful, productive, positive, two-way exchange of views between colleagues or employers and employees. This should reduce stress and have very beneficial results in reducing heart disease. There is no doubt that "effort reward imbalance" is of considerable public health importance.
High job demands predict the likelihood of heart disease. Therefore, employees put under stress with deadlines and overburdened with work they realize is unrealistic and unreasonable, are likely to get stressed and depressed. This is more likely among younger workers who are less likely to have the emotional or psychological experience and resilience to cope with these pressures. It is not yet known whether social support at work can reduce job strain. It would appear that the best way to treat job strain and high demands is to reduce these potentially very dangerous problems with good management.
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