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Does Group-Level Commitment Predict Employee Well-Being?: A Prospective Analysis

Clausen, Thomas PhD; Christensen, Karl Bang PhD; Nielsen, Karina PhD

Journal of Occupational and Environmental Medicine: November 2015 - Volume 57 - Issue 11 - p 1141–1146
doi: 10.1097/JOM.0000000000000547

Objective: To investigate the links between group-level affective organizational commitment (AOC) and individual-level psychological well-being, self-reported sickness absence, and sleep disturbances.

Methods: A total of 5085 care workers from 301 workgroups in the Danish eldercare services participated in both waves of the study (T1 [2005] and T2 [2006]). The three outcomes were analyzed using linear multilevel regression analysis, multilevel Poisson regression analysis, and multilevel logistic regression analysis, respectively.

Results: Group-level AOC (T1) significantly predicted individual-level psychological well-being, self-reported sickness absence, and sleep disturbances (T2). The association between group-level AOC (T1) and psychological well-being (T2) was fully mediated by individual-level AOC (T1), and the associations between group-level AOC (T1) and self-reported sickness absence and sleep disturbances (T2) were partially mediated by individual-level AOC (T1).

Conclusions: Group-level AOC is an important predictor of employee well-being in contemporary health care organizations.

National Research Centre for the Working Environment (Dr Clausen); Department of Biostatistics (Dr Christensen), Institute of Public Health, University of Copenhagen, Denmark; and Norwich Business School (Dr Nielsen), University of East Anglia, Norwich, UK.

Address correspondence to: Thomas Clausen, PhD, National Research Centre for the Working Environment, Copenhagen, Denmark (

Copyright © 2015 by the American College of Occupational and Environmental Medicine