Psychosoziale Arbeitsbelastungen und muskulo-skeletale Beschwerden: Bedeutung für die Prävention

Dragano, Nico; Knesebeck, Olaf von dem; Rödel, Andreas; Siegrist, Johannés

doi:10.1007/bf02956410

Cited by 15 publications

(11 citation statements)

References 18 publications

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“…We found significant associations between ERI and MS in three out of four body regions in qualified childcare workers: back, neck and combination of back, neck and shoulder (MS total). The association between ERI and lower back pain (OR: 4.2) has been observed in other longitudinal studies investigating employees of a transport company [ 14 ], employees in public administration [ 15 ] and in other cross-sectional studies investigating employees in healthcare, the wine-growing industry, the police and public transport companies [ 38 – 41 ].…”

Section: Discussionmentioning

confidence: 61%

The effect of effort-reward imbalance on the health of childcare workers in Hamburg: a longitudinal study

Koch

Kersten

Stranzinger

et al. 2017

J Occup Med Toxicol

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BackgroundThe prevalence of effort-reward imbalance (ERI) among qualified childcare workers in Germany is currently estimated at around 65%. High rates of burnout and musculoskeletal symptoms (MS) have also been reported for this group. Previous longitudinal studies show inconsistent results with regard to the association between ERI and MS. As yet, no longitudinal studies have been conducted to investigate the association between ERI and burnout or MS in childcare workers. This study aims to investigate the extent to which a relationship between ERI and MS or burnout can be observed in childcare workers in Germany on a longitudinal basis.MethodsIn 2014 childcare workers (N = 199, response rate: 57%) of a provider of facilities for children and youth in Hamburg were asked about stress and health effects in the workplace. Follow-up was completed one year later (N = 106, follow-up rate: 53%) For the baseline assessment, ERI was determined as the primary influencing factor. Data on MS was recorded using the Nordic questionnaire, and burnout using the personal burnout scale of the Copenhagen Burnout Inventory (CBI). The statistical analysis was carried out using multivariate linear and logistic regression.ResultsAt baseline ERI was present in 65% of the sample population. The mean burnout score at the time of follow-up was 53.7 (SD: 20.7); the prevalence of MS was between 19% and 62%. ERI was identified as a statistically significant factor for MS, after adjusting especially for physical stress (lower back: OR 4.2; 95% CI: 1.14 to 15.50, neck: OR 4.3; 95% CI: 1.25 to 15.0, total MS: OR 4.0; 95% CI: 1.20 to 13.49). With regard to burnout, a relative increase of 10% in the ERI ratio score increased the burnout score by 1.1 points (p = 0.034).ConclusionsERI was revealed to be a major factor in relation to MS and burnout in childcare workers. Based on this observation worksite interventions on the individual and organizational level should be introduced in order to prevent ERI.Electronic supplementary materialThe online version of this article (doi:10.1186/s12995-017-0163-8) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 61%

The effect of effort-reward imbalance on the health of childcare workers in Hamburg: a longitudinal study

Koch

Kersten

Stranzinger

et al. 2017

J Occup Med Toxicol

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“…Bernard et al [ 37 ] found relevant effects in vineyard workers and von der Knesebeck et al [ 38 ] in policemen. Moreover, other studies have found statistically significant associations between OVC and MS in other body regions [ 35 , 39 – 41 ].…”

Section: Discussionmentioning

confidence: 90%

Musculoskeletal Symptoms and Risk of Burnout in Child Care Workers — A Cross-Sectional Study

et al. 2015

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ObjectivesGerman child care workers' job satisfaction is influenced by the consequences of unfavourable underlying conditions. Child care workers tend to suffer from psychosocial stress, as they feel that their work is undervalued. The objective of the present study is to investigate how the psychosocial factors of the effort-reward imbalance (ERI) model influence musculoskeletal symptoms (MS) and the risk of burnout. To our knowledge this is the first study investigating the association between the factors of the ERI model and MS in child care workers.Methods and FindingsData from 199 child care workers were examined in a cross-sectional study. Psychosocial factors were recorded with the ERI questionnaire. MS was recorded with the Nordic Questionnaire and risk of burnout with the Personal Burnout scale of the Copenhagen Burnout Inventory. Multivariate analysis was performed using linear and logistic regression models. The response rate was 57%. In most of the sample (65%), an effort-reward imbalance was observed. 56% of the child care workers were at risk of burnout and 58% reported MS. Factors associated with risk of burnout were subjective noise exposure (OR: 4.4, 95%CI: 1.55–12.29) and overcommitment (OR: 3.4; 95%CI: 1.46–7.75). There were statistically significant associations between MS and overcommitment (low back pain—OR: 2.2, 95%CI: 1.04–4.51), low control (overall MS OR: 3.8; 95%CI: 1.68–3.37) and risk of burnout (overall MS OR: 2.3, 95%CI: 1.01–5.28). For ERI no statistically significant associations were found with reference to risk of burnout or MS.ConclusionOvercommitment in child care workers is related to MS and risk of burnout. There is also evidence that low control is associated with MS and subjective noise exposure with risk of burnout. Effort-reward imbalance is not related to either outcome. This occupational health risk assessment identifies changeable working factors in different types of facilities.

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“…We decided to construct dichotomous measures of the two core components of the ERI model for the following reasons. First, despite considerable loss of information, upper tertiles of these two components were shown to be associated with elevated relative risks of poor health in several investigations (12, 13, 30, 31). Secondly, previous studies showed that results based on tertiles are comparable with those based on continuous measures (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…Interestingly, at least four prospective epidemiological studies reported an association of ERI with measures of poor subjective health, either based on the SF-36 scale or on more parsimonious indicators (31,32,37,38). Less information on validation is available so far with respect to the Physical Health Questionnaire (25), but other measures of self-reported symptoms (39,40), cardiovascular symptoms (41) and musculoskeletal pain (30,42,43) were associated with the extrinsic, the intrinsic or both components of the ERI model.…”

Section: Discussionmentioning

confidence: 99%

Psychosocial work stress is associated with poor self‐rated health in Danish nurses: a test of the effort–reward imbalance model

Weyers

Peter

Bøggild

et al. 2006

Scandinavian Caring Sciences

Self Cite

107

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Nursing staff are exposed to stressful work load which in turn is associated with poor physical and psychological health, sickness absence and job exit. The effort-reward imbalance (ERI) model is a validated approach to measure chronic psychosocial work stress by identifying nonreciprocity between occupational efforts spent and rewards received, and has been found to predict poor health. The aim of this cross-sectional study (n = 367 nurses and nurses aides) was first to test the psychometric properties of the Danish questionnaire measuring ERI, and secondly to analyse whether psychosocial work stress is associated with six indicators of poor self-rated health. Results derived from confirmatory factor analysis indicate satisfying psychometric properties. Elevated risks of poor self-rated health (odds ratios varying from 1.92 to 4.76) are observed in nursing staff characterized by high effort in combination with low reward. Effects are enhanced in those respondents who additionally exhibit a high level of work-related overcommitment. In conclusion, despite methodological limitations, this study contributes to the validation of the ERI questionnaire in Danish language. Furthermore, by documenting associations with poor self-rated health, it supports efforts of theory-guided prevention of work stress in health care professions.

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Psychosoziale Arbeitsbelastungen und muskulo-skeletale Beschwerden: Bedeutung für die Prävention

Cited by 15 publications

References 18 publications

The effect of effort-reward imbalance on the health of childcare workers in Hamburg: a longitudinal study

The effect of effort-reward imbalance on the health of childcare workers in Hamburg: a longitudinal study

Musculoskeletal Symptoms and Risk of Burnout in Child Care Workers — A Cross-Sectional Study

Psychosocial work stress is associated with poor self‐rated health in Danish nurses: a test of the effort–reward imbalance model

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