Association of Occupational Stress and Emotional Intelligence among Physiotherapists in Malaysia: A Cross-sectional Study

Nizar Abdul Majeed Kutty, Mohammed Abdul Razzaq Jabbar, Kok Chee Cheng


Purpose: While occupational stress may negatively affect physiotherapists’ work attitudes and behaviour, emotional intelligence has been suggested as a factor that leads to successful performance and provision of quality service in the healthcare profession. This study was designed to investigate the association of occupational stress and emotional intelligence among physiotherapists in Malaysia.

Method: The study employed a cross‐sectional self‐report design. Convenience sampling method was used to recruit 171 participants. The sample comprised physiotherapists who work in government and private settings in Malaysia. Questionnaires consisting of socio-demographic data, Genos Emotional Intelligence Inventory and Occupational Stress Index were distributed to the participants. The data was analysed using Pearson Correlation, Independent samples t-test and One-way ANOVA.                  

Results: It was found that 130 physiotherapists (76%) suffered from moderate stress, 21.1% experienced low stress and 2.9% reported high stress. Overall, moderate emotional intelligence level was reported by the participants with mean of 129.36±18.314. A negative correlation was found between occupational stress and emotional intelligence. Males exhibited higher level of occupational stress than female physiotherapists. Demographic variables such as years of clinical experience and monthly salary were statistically significant with emotional intelligence.

Conclusion: Emotional self-management and understanding others' emotions appear to play an important role in managing occupational stress.


Emotional intelligence; occupational stress; physiotherapists

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Aalto AM, Heponiemi T, Keskimaki, Kuusio H, Hietapakka L, Lamsa R (2014). Employment, psychosocial work environment and well-being among migrant and native physicians in Finnish health care. European Journal of Public Health; 24(3): 445-451. PMid:24648502

Abu Al Rub RF, Al-Zaru IM (2008). Job stress, recognition, job performance and intention to stay at work among Jordanian hospital nurses. Journal of Nursing Management; 16(3): 227-236. PMid:18324981

Bradberry T (2014). Increasing your salary with emotional intelligence. Available at [Accessed on 10 Jul 2019]

Broom JP, Williams J (1996). Occupational stress and neurological rehabilitation physiotherapists. Physiotherapy; 82(11): 606606-614614.

Brunborg GS (2008). Core-self evaluations. A predictor variable for job stress. European Psychologist; 13(2): 96-102.

Campo MA, Weiser S, Koenig KL (2009). Job strain in physical therapists. Physical Therapy; 89(9): 946-956. PMid:19608632 PMCid:PMC2737052

Chartered Society of Physiotherapy (2019). Available at [Accessed on 10 Jun 2019]

Chhabra B, Mohanty RP (2013). Effect of emotional intelligence on work stress: A study of Indian managers. International Journal of Indian Culture and Business Management; 6 (3): 300-309.

Codier E, Codier DD (2017). Could emotional intelligence make patients safer? The American Journal of Nursing; 117(7): 58-62. PMid:28644290

Day AL, Carroll SA (2004). Using an ability-based measure of emotional intelligence to predict individual performance, group performance, and group citizenship behaviours. Personality and Individual Differences; 36: 1443-1458.

Doki S, Sasahara S, Matsuzaki I (2018). Stress of working abroad: a systematic review. International Archives of Occupational and Environmental Health; 91(7): 767-784. PMid:29967924 PMCid:PMC6132646

El-Sayed SH, Ali El-Zeiny HH, Adeyemo DA (2014). Relationship between occupational stress, emotional intelligence, and self-efficacy among faculty members in faculty of nursing, Zagazig University, Egypt. Journal of Nursing Education and Practice; 4(4): 183-194.

Emanuel EJ, Gudbranson E (2018). Does medicine overemphasise IQ? The Journal of the American Medical Association; 319(7): 651-2. PMid:29379958

Fariselli L, Ghini M, Freedman J (2006). Age and Emotional Intelligence. Available at [Accessed on 12 Jun 2019]

Fischer M, Mitsche M, Endler P, Mesenholl-Strehler E, Lothaller H, Roth R (2013). Burnout in physiotherapists: Use of clinical supervision and desire for emotion¬al closeness or distance to clients. International Journal of Therapy and Rehabilitation; 20(11): 550-558.

Font A, Moncada S, Benavides FG (2012). The relationship between immigration and mental health: what is the role of workplace psychosocial factors. International Archives of Occupational and Environmental Health; 85(7): 801-806. PMid:22138841

Foster K, McCloughen A, Delgado C, Kefalas C, Harkness E (2014) Emotional intelligence education in pre-registration nursing programmes: an integrative review. Nurse Education Today; 35 (3): 510-517. PMid:25499529

Genos International (2019). The Genos Emotional Intelligence Inventory (Genos EI). Consortium for research on emotional intelligence in organisations. Available at [Accessed on 12 Dec 2019]

Golbasi Z, Kelleci M, Dogan S (2008). Relationships between coping strategies, individual characteristics and job satisfaction in a sample of hospital nurses: cross-sectional questionnaire survey. The International Journal of Nursing Studies; 45(12): 1800-6. PMid:18703192

Gribble N, Ladyshewsky RK, Parsons R (2019). The impact of clinical placements on the emotional intelligence of occupational therapy, physiotherapy, speech pathology, and business students: a longitudinal study. BMC Medical Education; 19(90): 1-10. PMid:30917816 PMCid:PMC6437894

Hamaideh SH, Mrayyan MT, Mudallal R, Faouri IG, Khasawneh NA (2008). Jordanian nurses' job stressors and social support. International Nursing Review; 55(1): 40-7. PMid:18275534

Hamid HS, Razak N (2016). Measuring emotional intelligence in a Malaysian sample: An exploratory factor analysis. Jurnal Psikologi Malaysia; 30(1): 1-8.

Jo SG, Park MS (2013). The influence of emotional labour and job stress on somatization symptoms among nurse officers. Korean Journal of Military Nursing Research; 31(2): 77-90.

Khaniyan M, Foroughan M, Hosseini MA, Biglarian A (2013). Emotional intelligence and occupational stress among rehabilitation staffs working in Tehran's training hospitals. Iranian Rehabilitation Journal; 11(17): 68-74.

Klappa SG, Fulton LE, Cerier L, Pena A, Sibenaller A, Klappa SP (2015). Compassion fatigue among physiotherapist and physical therapists around the world. Global Journal of Medical, Physical and Health Education; 3(5): 124-137.

Latif MA, Sultana S (2009). Adaptation of an occupational stress index. Journal of Life and Earth Science; 3(4): 55-57.

Lazarus RS (1999). Stress and emotion: A new synthesis. New York: Springer Publishing Company.

Mayer JD, Salovey P (1993). The intelligence of emotional intelligence. Intelligence; 17: 433-442.

Nelson MH, Fierke KK, Sucher BJ, Janke KK (2015). Including emotional intelligence in pharmacy curricula to help achieve CAPE outcomes. American Journal of Pharmaceutical Education; 79(4): 48. PMid:26089557 PMCid:PMC4469014

Nikolaou I, Tsaousis I (2002). Emotional intelligence in the workplace: exploring its effects on occupational stress and organisational commitment. The International Journal of Organisational Analysis; 10(4): 327-342.

Patil V, Naik R, De Sousa A (2016). A study of the impact of emotional intelligence training in physiotherapy interns: a pilot study. International Journal of Physiotherapy; 3(2): 163-165.

Potter M, Gordon S, Hamer P (2003). The difficult patient in private practice physiotherapy: a qualitative study. Australian Journal of Physiotherapy; 49(1): 53-61.

Rees DW, Cooper CI (1991). A criterion-oriented validation of the OSI outcome measures on a sample of health services employees. Stress Medicine; 7(2): 125-127.

Ruotsalainen JH, Verbeek JH, Marine A, Serra C (2014). Preventing occupational stress in healthcare workers. Sao Paulo Medical Journal; 12(4): CD002892.

Santos MC, Barros L, Carolino E (2010). Occupational stress and coping resources in physiotherapists: a survey of physiotherapists in three general hospitals. Physiotherapy; 96(4): 303-10. PMid:21056165

Siegrist J (1996). Adverse health effects of high-effort/low-reward conditions. Journal of Occupational Health Psychology; 1(1): 27-41. PMid:9547031

Slaski M, Cartwright S (2002). Health, performance and emotional intelligence: An exploratory study of retail managers. Stress and Health; 18: 63-68.

Stenmarker M, Palmerus K, Marky I (2009). Stress-resilience of capacity of paediatric oncologists: a Swedish nationwide and population-based study of motivation, emotional distress, and overall life satisfaction. Pediatric Blood & Cancer; 52(4): 503-9. PMid:19058204

Stoller JK, Taylor CA, Farver CF (2013). Emotional intelligence competencies provide a developmental curriculum for medical training. Medical Teacher; 35(3): 243-7. PMid:23360483

Van den Tooren M, De Jonge J (2008). Managing job stress in nursing: what kind of resources do we need? Journal of Advanced Nursing; 63(1): 75-84. PMid:18522680

Van Rooy DL, Viswesvaran C (2004). Emotional intelligence: A meta-analytic investigation of predictive validity and nomological net. Journal of Vocational Behaviour; 65(1): 71-95.

Vlachou EM, Damigos D, Lyrakos G, Chanopoulos K, Kosmidis G, Karavis M (2016). The relationship between burnout syndrome and emotional intelligence in healthcare professionals. Health Science Journal; 10(5): 1-9.

Weisinger H (1998). Emotional intelligence at work. San Francisco, CA: Jossey-Bass.

Yamagishi M, Kobayashi T, Nakamura Y (2008). Effects of web-based career identity training for stress management among Japanese nurses: A randomized control trial. Journal of Occupational Health; 50(2): 191-3. PMid:18403870

Zeidner M, Matthews G, Roberts RD (2006). Emotional intelligence, adaptation and coping. Emotional intelligence in everyday life: A scientific inquiry. Philadelphia, PA: Psychology Press.


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