PMID: 9547031Jan 1, 1996Paper

Adverse health effects of high-effort/low-reward conditions

Journal of Occupational Health Psychology
Johannes Siegrist

Abstract

In addition to the person-environment fit model (J. R. French, R. D. Caplan, & R. V. Harrison, 1982) and the demand-control model (R. A. Karasek & T. Theorell, 1990), a third theoretical concept is proposed to assess adverse health effects of stressful experience at work: the effort-reward imbalance model. The focus of this model is on reciprocity of exchange in occupational life where high-cost/low-gain conditions are considered particularly stressful. Variables measuring low reward in terms of low status control (e.g., lack of promotion prospects, job insecurity) in association with high extrinsic (e.g., work pressure) or intrinsic (personal coping pattern, e.g., high need for control) effort independently predict new cardiovascular events in a prospective study on blue-collar men. Furthermore, these variables partly explain prevalence of cardiovascular risk factors (hypertension, atherogenic lipids) in 2 independent studies. Studying adverse health effects of high-effort/low-reward conditions seems well justified, especially in view of recent developments of the labor market.

Citations

Dec 6, 2012·International Archives of Occupational and Environmental Health·Thomas UnterbrinkJoachim Bauer
Dec 28, 2012·International Archives of Occupational and Environmental Health·Fredrik SjödinLennart Lindberg
Oct 31, 2013·Applied Ergonomics·Juliya GolubovichErin M Eatough
May 21, 2013·European Journal of Radiology·Nicola Magnavita
Mar 12, 2005·Heart & Lung : the Journal of Critical Care·Lorraine PhillipsPhilip Houck
Feb 18, 2014·International Journal of Nursing Studies·Fengsong GaoAnthony Tuckett
Mar 19, 2014·Journal of Psychosomatic Research·Xingliang QiHuihua Deng
Feb 13, 2004·Progress in Cardiovascular Diseases·Philip C Strike, Andrew Steptoe
Jun 14, 2005·Psychoneuroendocrinology·Johannes Siegrist
May 19, 2005·Social Science & Medicine·Orjan Hemström
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Oct 19, 2000·Social Science & Medicine·J Siegrist
Feb 24, 2001·Social Science & Medicine·M CalnanS Almond
Feb 5, 2004·Social Science & Medicine·Johannes Siegrist, Michael Marmot
Feb 5, 2004·Social Science & Medicine·Hynek PikhartMichael Marmot
Feb 5, 2004·Social Science & Medicine·Johannes SiegristRichard Peter
Jul 17, 1998·Social Science & Medicine·S MatthewsC Power
Aug 26, 2011·BMC Medical Research Methodology·Marc Arial, Pascal Wild
Nov 11, 2010·BMC Public Health·Luiz S Silva, Sandhi M Barreto
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Nov 9, 2010·BioPsychoSocial Medicine·Takeaki Takeuchi
May 28, 2010·BioPsychoSocial Medicine·Mutsuhiro Nakao

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