text: ESENER 2019 reveals that several**psychosocial risk factors**are reported to be present in a significant 
  share of establishments in the EU27, namely having to deal with difficult customers, patients and pupils 
  (59%) and time pressure (45%). 
  
  The aspects**‘Difficult clients’, ‘Poor communication’ and ‘Long working hours’**are major psycho- 
  social risks. The increase of workforce in communicative and client-oriented occupations — social work, 
  education, tourism and entertainment, health and care — during the last 30 years adds to the 
  conventional work with clients in service, sales and health occupations. 
  
  The next table shows the top seven EU Member states with the highest share of these risks for all 
  sectors and for the sector ‘Human health and social work activities’ (HHSW). 