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Cost, Gain, and Health Theoretical Clarification and Psychometric Validation of a Work Stress Model With Data From Two National Studies
Stockholm University, Faculty of Social Sciences, Stress Research Institute.ORCID iD: 0000-0001-8433-2405
Stockholm University, Faculty of Social Sciences, Stress Research Institute.
Number of Authors: 42019 (English)In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 61, no 11, p. 898-904Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to test nonsymmetric effects of cost/gain imbalance at work on depression, based on the effort-reward imbalance (ERI) model. Methods: Study participants were derived from two large national studies from Germany and Sweden. Associations between the ERI scales, including the effort-reward (E-R) ratio in 2016 and depression (in 2016 for German sample, and in 2018 for Swedish sample) were examined by multivariable logistic regression. Results: In both samples, high cost/low gain, but not low cost/high gain, is associated with depression, with a 3- to 5-fold elevated risk in the highest decile of the E-R ratio. Conclusions: The short version of the ERI questionnaire is a psychometrically useful tool for epidemiological research. The finding demonstrating nonsymmetric effects of cost/gain imbalance contributes to a theoretical clarification of this stress-theoretical model.

Place, publisher, year, edition, pages
2019. Vol. 61, no 11, p. 898-904
Keywords [en]
depression, effort-reward imbalance, GSOEP study, SLOSH study, work stress prevention
National Category
Public Health, Global Health, Social Medicine and Epidemiology Occupational Health and Environmental Health
Identifiers
URN: urn:nbn:se:su:diva-178576DOI: 10.1097/JOM.0000000000001696ISI: 000506860700009PubMedID: 31490898OAI: oai:DiVA.org:su-178576DiVA, id: diva2:1391861
Available from: 2020-02-05 Created: 2020-02-05 Last updated: 2020-03-04Bibliographically approved

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