“…First, substantial literature exists relating effort-reward imbalance to health outcomes such as cardio-vascular problems, musculoskeletal pain, vital exhaustion, and burnout, as well as to behavioural outcomes, such as sickness absence (Eddy, Heckenberg, Wertheim, Kent, & Wright, 2016;GilbertOuimet, Trudel, Brisson, Milot, & Vézina, 2014;Koch, Schablon, Latza, & Nienhaus, 2014;Van Vegchel, De Jonge, Bosma, & Schaufeli, 2005). However, most of these studies used a cross-sectional design, thus providing no evidence for possible causal relationships.…”