Effort–reward imbalance and relational injustice at work predict sickness absence: The Whitehall II study

Head, Jenny; Kivimäki, Mika; Siegrist, Johannes; Ferrie, Jane E.; Vahtera, Jussi; Shipley, Martin J.; Marmot, Michael

doi:10.1016/j.jpsychores.2007.06.021

Cited by 130 publications

(96 citation statements)

References 40 publications

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“…Overcommitment reveals to be the most relevant risk factor for chronic stress experience in physicians. This finding supports results from our and other studies Head, et al, 2007;Joksimovic, Starke, von dem Knesebeck, & Siegrist, 2002;Li, et al, 2006;Preckel, et al, 2005) that highly overcommitted subjects report high levels of stress and are more likely to experience vital exhaustion. Furthermore, the Sense of Coherence proves to be strongly stress-protective.…”

Section: Associations Between Workplace-related Factors Personal Chasupporting

confidence: 92%

Chronic stress experience in young physicians: impact of person- and workplace-related factors

Buddeberg-Fischer

Stamm

Buddeberg

et al. 2009

Int Arch Occup Environ Health

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OBJECTIVES: The objectives of the present study are to investigate and compare the relative impact of workplace-related factors and personal characteristics on chronic psychosocial stress experience in young physicians. METHODS: In a prospective study, a cohort of Swiss medical school graduates was followed up, beginning in 2001. In their fourth and eighth year after graduation, 443 physicians assessed their workplace conditions, the experienced effort-reward imbalance, the received professional and emotional support as well as their personal characteristics. The chronic stress experience was measured by the Trier Inventory for the Assessment of Chronic Stress-Screening Subscale of Chronic Stress (TICS-SCSS), 7 years after graduation. The model of influencing factors on chronic stress experience was tested with a hierarchical regression analysis. RESULTS: The mean in chronic stress (TICS-SCSS) in our study sample is significantly higher (p < 0.001) compared to an age-matched population representative sample. In the prediction of chronic stress, the workplace-related factor effort-reward imbalance as well as the personal characteristic overcommitment turned out to be the most important risk factors. Stress protective are high satisfaction with career support, sense of coherence and occupational self-efficacy. The whole set of variables used in the regression model explains 51% of the variance of chronic stress experience. In the prediction of chronic stress, gender has no significant moderator effect. CONCLUSIONS: It is a matter of concern that young physicians report to feel chronically stressed early in their professional career. Actions have to be taken to reduce the stress level mainly in regard to re-establish reciprocity between perceived effort invested and rewards received, in the form of esteem, monetary gain and career opportunities including job security. Results: The mean in Chronic Stress (TICS-SCSS) in our study sample is significantly higher (p < 0.001) compared to an age-matched population representative sample. In the prediction of chronic stress, the workplace-related factor effort-reward imbalance as well as the personal characteristic overcommitment turned out to be the most important risk factors.Stress protective are high satisfaction with career support, sense of coherence and occupational self-efficacy. The whole set of variables used in the regression model explains 51% of the variance of chronic stress experience. In the prediction of chronic stress, gender has no significant moderator effect. Conclusions:It is a matter of concern that young physicians report to feel chronically stressed early in their professional career. Actions have to be taken to reduce the stress level mainly in regard to re-establish reciprocity between perceived effort invested and rewards received, in the form of esteem, monetary gain, and career opportunities including job security.-2 --3 -

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Section: Associations Between Workplace-related Factors Personal Chasupporting

confidence: 92%

Chronic stress experience in young physicians: impact of person- and workplace-related factors

Buddeberg-Fischer

Stamm

Buddeberg

et al. 2009

Int Arch Occup Environ Health

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“…Furthermore, long-term spells were used as opposed to number of days absent, as spells ≤14 days are sometimes based on self-report in the three cohorts, and we wanted to prevent any reporting bias. Sickness absence information was from national registers in FPS and Whitehall II, and company register in GAZEL (17,22,37). Recorded sickness absence was due to own morbidity and not absence due to, eg, maternity leave or care for a sick child.…”

Section: Methodsmentioning

confidence: 99%

Job strain and informal caregiving as predictors of long-term sickness absence: A longitudinal multi-cohort study

Mortensen

Dich

Lange

et al. 2016

Scand J Work Environ Health

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“…Work stress was shown to influence the onset as well as disease prognosis (Schnall 2009;Stansfeld 2006;Tsutsumi 2004;Nieuwenhuijsen 2010;Steptoe and Kivimäki 2012) , with some noticeable exceptions (Belkic 2004). Importantly, work stress also contributes to poor self-rated health (Salavecz 2010), functional limitations (Kuper 2002), sick leave (Head 2007) and disability (Blekesaune2005; Dragano 2007). To further improve understanding of stress related disease existing evidence from small and medium size studies must be approved using large scale samples which allow the calculation of precise estimators of effect, subgroup analyses and associations with outcomes of smaller incidence.…”

Section: Introductionmentioning

confidence: 99%

Validating abbreviated measures of effort-reward imbalance at work in European cohort studies: the IPD-Work consortium

Siegrist

Dragano

Nyberg

et al. 2013

Int Arch Occup Environ Health

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Effort–reward imbalance and relational injustice at work predict sickness absence: The Whitehall II study

Cited by 130 publications

References 40 publications

Chronic stress experience in young physicians: impact of person- and workplace-related factors

Chronic stress experience in young physicians: impact of person- and workplace-related factors

Job strain and informal caregiving as predictors of long-term sickness absence: A longitudinal multi-cohort study

Validating abbreviated measures of effort-reward imbalance at work in European cohort studies: the IPD-Work consortium

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