Effort–reward imbalance as a risk factor for disability pension: the Finnish Public Sector Study

Juvani, Anne; Oksanen, Tuula; Salo, Paula; Virtanen, Marianna; Kivimäki, Mika; Pentti, Jaana; Vahtera, Jussi

doi:10.5271/sjweh.3402

Cited by 77 publications

(84 citation statements)

References 43 publications

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“…A good balance is still relevant and necessary, and contributes to sustainable employability (58). However, for modern workers, it is not sufficient to have just a good balance between demands and resources, demands and abilities, or efforts and rewards; they also need to have a good fit or balance with regard to what they consider to be important values in their work.…”

Section: The Complementary Value Of the Ca To Models Of Work And Healthmentioning

confidence: 99%

Sustainable employability – definition, conceptualization, and implications: A perspective based on the capability approach

Klink¹,

Bültmann²,

Burdorf³

et al. 2015

Scand J Work Environ Health

220

300

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Work and health play an entirely different role in the life course than before, necessitating new models. A definition and model of sustainable employability is presented based on Amartya Sen's capability approach, challenging researchers, policy-makers and practitioners to look for what is important and valuable in a given (work) context and whether people are able and enabled to realize this. Affiliation 71Discussion paper Scand J Work Environ Health 2016;42(1):71-79. doi:10.5271/sjweh.3531 Sustainable employability -definition, conceptualization, and implications: A perspective based on the capability approach By Jac JL van der Klink, PhD,1, 2 Ute Bültmann, PhD, 2 Alex Burdorf, PhD,3 Wilmar B Schaufeli, PhD,4,5 Fred RH Zijlstra, PhD,6 Femke I Abma, PhD, 2 Sandra Brouwer, PhD, 2 Gert Jan van der Wilt, PhD 7 Van der Klink JJL, Bültmann U, Burdorf A, Schaufeli WB, Zijlstra FRH, Abma FI, Brouwer S, Van der Wilt GJ. Sustainable employability -definition, conceptualization, and implications: A perspective based on the capability approach. Scand J Work Environ Health 2016;42(1):71-79. doi:10.5271/sjweh.3531Objectives The aim of this paper is to propose a new model of sustainable employability based on the capability approach, encompassing the complexity of contemporary work, and placing particular emphasis on work-related values.Methods Having evaluated existing conceptual models of work, health, and employability, we concluded that prevailing models lack an emphasis on important work-related values. Amartya Sen's capability approach (CA) provides a framework that incorporates a focus on values and reflects the complexity of sustainable employability.Results We developed a model of sustainable employability based on the CA. This model can be used as starting point for developing an assessment tool to investigate sustainable employability.Conclusions A fundamental premise of the CA is that work should create value for the organization as well as the worker. This approach challenges researchers, policy-makers, and practitioners to investigate what people find important and valuable -what they would like to achieve in a given (work) context -and moreover to ascertain whether people are able and enabled to do so. According to this approach, it is not only the individual who is responsible for achieving this; the work context is also important. Rather than merely describing relationships between variables, as existing descriptive models often do, the CA depicts a valuable goal: a set of capabilities that constitute valuable work. Moreover, the CA fits well with recent conceptions of health and modern insights into work, in which the individual works towards his or her own goals that s/he has to achieve within the broader goals of the organization. Correspondence to JJL van der Klink, Tilburg University, Tilburg School of Social and Behavioral Sciences, Tranzo, Scientific Center for Care and Welfare, PO Box 90153, 5000 LE Tilburg. The Netherlands. [E-mail: j.j.l.vdrklink@uvt.nl] In his recent book, The Strength...

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Section: The Complementary Value Of the Ca To Models Of Work And Healthmentioning

confidence: 99%

Sustainable employability – definition, conceptualization, and implications: A perspective based on the capability approach

Klink¹,

Bültmann²,

Burdorf³

et al. 2015

Scand J Work Environ Health

220

300

View full text Add to dashboard Cite

show abstract

“…Of those 265 articles, 52 were deemed as preliminary eligible after screening of titles and abstracts. After fulltext reading, eight studies from 6 articles remained eligible (39)(40)(41)(42)(43)(44), as the Kivimäki et al (39) and Siegrist et al (42) articles each reported results from two independent studies.…”

Section: Risk Of Bias Across Studiesmentioning

confidence: 99%

Effort–reward imbalance at work and risk of depressive disorders. A systematic review and meta-analysis of prospective cohort studies

Rugulies

Aust²,

Madsen³

2017

Scand J Work Environ Health

276

204

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Effort-reward imbalance at work and risk of depressive disorders. A systematic review and meta-analysis of prospective cohort studies by Rugulies R, Aust B, Madsen IEH Effort-reward imbalance at work predicted a 1.5-fold increased risk of depressive disorders in this systematic review and meta-analysis of eight prospective cohort studies from Europe, Canada and the USA. This study provides the hitherto strongest evidence for a possible role of effort-reward imbalance in the etiology of depressive disorders. Review Scand J Work Environ Health. 2017;43(4):294-306. doi:10.5271/sjweh.3632 Effort-reward imbalance at work and risk of depressive disorders. A systematic review and meta-analysis of prospective cohort studies Objective The aim of this review was to determine whether employees exposed to effort-reward imbalance (ERI) at work have a higher risk of depressive disorders than non-exposed employees. AffiliationMethods We conducted a systematic review and meta-analysis of published prospective cohort studies examining the association of ERI at baseline with onset of depressive disorders at follow-up. The work was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and a detailed study protocol was registered before literature search commenced (Registration number: CRD42016047581). We obtained a summary estimate for the association of ERI with risk of depressive disorders by pooling the study-specific estimates in a meta-analysis. We further conducted pre-defined sensitivity analyses.Results We identified eight eligible cohort studies, encompassing 84 963 employees and 2897 (3.4%) new cases of depressive disorders. Seven of the eight studies suggested an increased risk of depressive disorders among employees exposed to ERI. The pooled random-effects estimate was 1.49 [95% confidence interval (95% CI) 1.23-1.80, P<0.001], indicating that ERI predicts risk of depressive disorders. The estimate was robust in sensitivity analyses stratified by study quality, type of ERI ascertainment and type depressive disorder ascertainment, respectively. Conclusions Employees exposed to ERI were at increased risk of depressive disorder. Future studies on ERI and depressive disorders should examine if this association is stronger or weaker when ERI is measured repeatedly during follow-up and with other methods than self-report or when depressive disorders are ascertained with clinical diagnostic interviews.

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“…Civil servants in the highest occupational class reported the highest efforts at work, but rewards were balanced accordingly. Employees in the lowest occupational classes suffered from the lowest rewards and highest imbalance between efforts and rewards and were most at risk for premature displacement from the labor market due to depression disability (6). Since a considerable part of disability pensions was granted to employees below the age of 50 years, the consequences for working careers must have been large in this study population.…”

Section: The Importance Of Preventing Work-related Disabilitymentioning

confidence: 99%

“…Published in the journal's last issue, the related study by Juvani and colleagues (6) reported thatduring a mean follow-up of almost 9 years -about 8.9% of employees were granted a disability pension, primarily for musculoskeletal diseases (43%) and depression (19%). Effort-reward imbalance, estimated at work-unit level, was a strong risk factor for disability due to depression but did not influence disability due to musculoskeletal diseases.…”

Section: The Importance Of Preventing Work-related Disabilitymentioning

confidence: 99%

“…Recent articles have addressed a variety of work-related factors that have increased the risk of disability pension (3)(4)(5)(6). This particular use of the term "disability pension" demonstrates that this exit route from paid employment has dramatic consequences for most workers: once out, always out.…”

Section: The Importance Of Preventing Work-related Disabilitymentioning

confidence: 99%

See 1 more Smart Citation

The importance of preventing work-related disability

Burdorf¹,

Järvholm²,

Härmä³

2014

Scand J Work Environ Health

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Effort–reward imbalance as a risk factor for disability pension: the Finnish Public Sector Study

Cited by 77 publications

References 43 publications

Sustainable employability – definition, conceptualization, and implications: A perspective based on the capability approach

Sustainable employability – definition, conceptualization, and implications: A perspective based on the capability approach

Effort–reward imbalance at work and risk of depressive disorders. A systematic review and meta-analysis of prospective cohort studies

The importance of preventing work-related disability

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