Gender differences in job strain, effort-reward imbalance, and health functioning among Chinese physicians

Jian, Li; Yang, Wenjie; Cho, Sung-Il

doi:10.1016/j.socscimed.2005.07.011

Cited by 149 publications

(152 citation statements)

References 66 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%

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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%

“…Siegrist's Effort-Reward Imbalance model Li, Yang, & Cho, 2006;Rockenbauch, Meister, Schmutzer, & Alfermann, 2006) or on personality traits (Firth-Cozens, 1997;Tyssen, et al, 2005). The present study investigates the combination of these dimensions in their impact on chronic stress experience.…”

Section: Chronic Stress Experiencementioning

confidence: 94%

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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“…A study (21) concomitantly using the ERI and Demand-Control instruments found that the over-commitment and control over work variables affect the physicians' physical health.…”

Section: Methodsmentioning

confidence: 99%

Preliminary study about occupational stress of physicians and nurses in pediatric and neonatal intensive care units: the balance between effort and reward

Fogaça

Carvalho

Cítero

et al. 2010

Rev. Latino-Am. Enfermagem

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This study compared the balance between effort (E) and reward (R) among physicians and nurses working in pediatric (PED) and neonatal (NEO) Intensive Care Units. This descriptive cross-sectional study was carried out with 37 physicians and 20 nurses. The Effort-Reward Imbalance Questionnaire was used. Statistically significant differences were not found among physicians (p>0.05) or nurses from PED and NEO in relation to E and R (p>0.05). No statistically significant differences were found between physicians and nurses in PED in the several studied variables. Comparison between the professionals working in NEO revealed that physicians presented more over-commitment than nurses (p=0.01).The organizational setting of NEO proved to be more demanding for physicians, exacting a greater commitment to their work, while demands presented in both units seemed to be the same for nurses. Estudio preliminar sobre el estrés ocupacional de médicos y enfermeros en UTI pediátrica y neonatal: el equilibrio entre esfuerzo y recompensaEl objetivo del estudio fue comparar el equilibrio entre esfuerzo (E) y recompensa (R) entre médicos de unidades de terapia intensiva pediátrica (PED) y neonatal (NEO) y entre enfermeros de las mismas unidades. Este es estudio transversal descriptivo con 37 médicos y 20 enfermeros. El cuestionario Effort-Reward Imbalance fue utilizado. No se encontraron diferencias estadísticas entre médicos de la PED y de la NEO en relación al E y R (p>0,05). De la misma forma, enfermeros de la PED y de la NEO no tuvieron diferencias estadísticas en relación al E y R (p>0,05). Comparando médicos con enfermeros de la PED, no fueron encontradas diferencias entre las variables estudiadas. En relación a la comparación hecha entre profesionales de la NEO, se encontró un mayor súper compromiso de médicos de que de enfermeros (p=0,01). El ambiente organizacional de la NEO se mostró más exigente para los médicos, determinando mayor compromiso con el trabajo, en cuanto que, para los enfermeros de ambas unidades, la demanda pareció ser la misma.

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“…En terminant, notons que certaines études empiriques confirment la contribution de ce modèle vis-à-vis de la détresse psychologique (Calnan et al, 2004;Dragano et al, 2008;Lau, 2008;Li et al, 2006 (Stansfeld et al, 1999;Van Vegchel et al, 2001). Par ailleurs, le fait que ce modèle soit relativement récent explique le peu d'étude ayant été en mesure de le supporter.…”

Section: ( Overcommitment)unclassified

Une étude sur le rôle modérateur des traits de personnalité sur la relation entre les conditions de l’organisation du travail et la détresse psychologique

Parent-Lamarche

Marchand

2010

Psychologie du Travail et des Organisations

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Gender differences in job strain, effort-reward imbalance, and health functioning among Chinese physicians

Cited by 149 publications

References 66 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

Preliminary study about occupational stress of physicians and nurses in pediatric and neonatal intensive care units: the balance between effort and reward

Une étude sur le rôle modérateur des traits de personnalité sur la relation entre les conditions de l’organisation du travail et la détresse psychologique

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