Psychosocial and biobehavioral characteristics of hypertensive men with elevated atherogenic lipids

Siegrist, Johannes; Peter, Richard; Georg, Werner; Cremer, P.; Seidel, D.

doi:10.1016/0021-9150(91)90217-q

Cited by 33 publications

(10 citation statements)

References 14 publications

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“…This proposed mechanism is supported by epidemiological evidence. In cross sectional studies ERI was associated with high blood pressure, 31 32 increased LDL cholesterol, 31 increased fibrinogen, 33 higher heart rate, and lower 24 hour vagal tone. 34 Intrinsic effort alone also relates to an impaired fibrinolytic system, in terms of decreased tissue type plasminogen activator activity levels, and increased type 1 plasminogen activator inhibitor antigen concentrations.…”

Section: Discussionmentioning

confidence: 93%

When reciprocity fails: effort–reward imbalance in relation to coronary heart disease and health functioning within the Whitehall II study

Kuper

Singh‐Manoux²,

Siegrist³

et al. 2002

Occup Environ Med

300

209

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Background: A deleterious psychosocial work environment, as defined by high efforts expended in relation to few rewards reaped, is hypothesised to increase the risk of future poor health outcomes. Aims: To test this hypothesis within a cohort of London based civil servants. Methods: Effort-reward imbalance (ERI) was measured among 6895 male and 3413 female civil servants aged 35-55 during the first phase of the Whitehall II study . Participants were followed until the end of phase 5 (1997-2000), with a mean length of follow up of 11 years. Baseline ERI was used to predict incident validated coronary heart disease (CHD) events during follow up and poor mental and physical functioning at phase 5. Results: A high ratio of efforts in relation to rewards was related to an increased incidence of all CHD (hazard ratio (HR) = 1.36, 95% CI 1.12 to 1.65) and fatal CHD/non-fatal myocardial infarction (HR = 1.28, 95% CI 0.89 to 1.84) during follow up, as well as poor physical (odds ratio (OR) = 1.47, 95% CI 1.24 to 1.74) and mental (OR = 2.24, 95% CI 1.89 to 2.65) functioning at phase 5, net of employment grade. A one item measure of high intrinsic effort also significantly increased the risk of these health outcomes, net of grade. ERI may be particularly deleterious with respect to CHD risk among those with low social support at work or in the lowest employment grades. Discussion: Within the Whitehall II study, a ratio of high efforts to rewards predicted higher risk of CHD and poor physical and mental health functioning during follow up. Although the increased risk associated with ERI was relatively small, as ERI is common it could be of considerable public health importance.

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Section: Discussionmentioning

confidence: 93%

When reciprocity fails: effort–reward imbalance in relation to coronary heart disease and health functioning within the Whitehall II study

Kuper

Singh‐Manoux²,

Siegrist³

et al. 2002

Occup Environ Med

300

209

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“…In short, the model is an ambitious attempt to integrate a good deal of the sociological literature on heart disease (Siegrist, Siegrist, & Weber, 1986). The research findings reported by Siegrist (1996), and in his earlier publications (Siegrist, 1984;Siegrist, Matschinger, Cremer, & Seidel, 1988;Siegrist, Peter, Georg, Cremer, & Seidel, 1991;Siegrist, Peter, Junge, Cremer, & Seidel, 1990;Siegrist et al, 1992) are impressive, indeed, and suggested the potential power of the theoretical approach. However, because the prospective data so far are based on a selected sample (blue-collar male workers in steel and metal plants, some of which were undergoing reductions in work force), it is not clear in what ways the model will be eventually revised, amplified, or pruned.…”

Section: Specific Aspects Of the Work Environmentmentioning

confidence: 95%

The influence of the work environment on cardiovascular health: A historical, conceptual, and methodological perspective.

Kasl¹

1996

Journal of Occupational Health Psychology

155

109

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The framework of psychosocial epidemiology is used to examine research developments that characterize the accumulation of knowledge regarding the role of the work environment in cardiovascular health and disease. The discussion of current programs of research focuses on the work of T. Theorell and R. Karasek (1996) and J. Siegrist (1996) as exemplars of European and American studies that have contributed the most to the understanding of occupational cardiovascular health. It is argued that researchers need to maintain and nurture relatively broad conceptual models of etiology because cardiovascular disease involves multiple biomedical risk factors and because specific aspects of the work environment are embedded in a large, complex matrix of other psychosocial influences. At the same time, investigators need to push ahead with focused research strategies to clarify the precise nature of the work environmental risk factors that emerge in the broad, somewhat imprecise epidemiologic study designs.

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“…The most commonly used construct of stress at work is that of 'job strain' [6,7], while the somewhat similar construct of 'effort-reward' imbalance, although less commonly used, has provided similar positive findings [8][9][10][11][12]. Job strain, which is an objective index, is defined as the combination of (high) job demands and (low) decision-making latitude where the employee has little control over their immediate work situation [6,7].…”

Section: Coronary Heart Disease Episodes and The Nature Of Work Stressmentioning

confidence: 99%

Work Stress and Coronary Heart Disease

Tennant

2000

European Journal of Cardiovascular Risk

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Background Coronary heart disease (CHD) has been often regarded as a psychosomatic illness; one of the psychosocial variables influencing the onset or course of disease is stress. Work stress in particular may therefore be a significant factor influencing CHD.Method This descriptive review derives from those predictive studies of work stress and CHD published from 1990-2000 based on structured literature searches.Results There is reasonably robust and consistent empirical evidence indicating some causal relationship between work stress and CHD risk.Conclusions Work stress has clear implications for the health and welfare of employees and medico legal implications for employers.

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Psychosocial and biobehavioral characteristics of hypertensive men with elevated atherogenic lipids

Cited by 33 publications

References 14 publications

When reciprocity fails: effort–reward imbalance in relation to coronary heart disease and health functioning within the Whitehall II study

When reciprocity fails: effort–reward imbalance in relation to coronary heart disease and health functioning within the Whitehall II study

The influence of the work environment on cardiovascular health: A historical, conceptual, and methodological perspective.

Work Stress and Coronary Heart Disease

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