Sociological concepts in the etiology of chronic disease: The case of ischemic heart disease

Siegrist, Johannés; Siegrist, Karin; Weber, Ingbert

doi:10.1016/0277-9536(86)90073-0

Cited by 165 publications

(102 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A structured questionnaire was used to collect information on history of occupational activity (including psychosocial job characteristics) using the items presented below. Based on content analysis of these items they were combined into indexes measuring particular dimensions similar to those defined by Karasek in the Job Demand-Control (JDC) model and Siegrist in the Effort-Reward Imbalance model (ERI) [11,12,27]: a) Psychological effort/demands (3 items, Cronbach α = 0.62): Did your job require continuous professional development? Did your job require a considerable activities, identified by the scale) than those with low phy sical demands and high control, while in men it was low demands and high control that lowered the level of functional independence when compared to other groups.…”

Section: Methodsmentioning

confidence: 99%

“…This increasing research activity was supported, among others, by two theoretical models: Karasek's [11] two dimensional model of Job Demand-Control (JDC -job demands-decision latitude/control) and Siegrist's [12,13] Effort-Reward Imbalance model (ERI -work offers opportunities to acquire self-efficacy, self-esteem, self-integration). When an imbalance exists between high effort Kopp [24] found strong associations of variables characterising an adverse psychosocial work environment, as well as other socioeconomic and psychosocial variables, with variations of premature cardio-vascular (CV) mortality rates among middle-aged men and women in 150 sub-regions of Hungary.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Job stress and mortality in older age

Tobiasz–Adamczyk

Brzyski

Florek

et al. 2013

International Journal of Occupational Medicine and Environmental Health

View full text Add to dashboard Cite

Objectives: This paper aims to assess the relationship between the determinants of the psychosocial work environment, as expressed in terms of JDC or ERI models, and all-cause mortality in older individuals. Materials and Methods: The baseline study was conducted on a cohort comprising a random sample of 65-year-old community-dwelling citizens of Kraków, Poland. All of the 727 participants (410 women, 317 men) were interviewed in their households in the period between 2001 and 2003; a structured questionnaire was used regarding their occupational activity history, which included indexes measuring particular dimensions of their psychosocial work environment based on Karasek's Job Demand-Control model and Siegrist's Effort-Reward Imbalance model, as well as health-related quality of life and demographic data. Mortality was ascertained by monitoring City Vital Records for 7 years. Analyses were conducted separately for men and women, with the multivariate Cox proportional hazard model. Results: During a 7-year follow-up period, 59 participants (8.1%) died, including 21 women (5.1% of total women) and 38 men (12%) (p < 0.05). Significant differences in the number of deaths occurred regarding disproportion between physical demands and control in men: those with low physical demands and low control died three times more often than those with high control, regardless of the level of demands. The multivariate Cox proportional hazard model showed that significantly higher risk of death was observed only in men with low physical demands and low control, compared to those with low physical demands and high control (Exp(B) = 4.65, 95% CI: 1.64-13.2). Conclusions: Observed differences in mortality patterns are similar to the patterns of relationships observed in health-related quality of life (HRQoL) level at the beginning of old age; however, the relationship between efforts and rewards or demands and control and mortality was not fully confirmed.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Job stress and mortality in older age

Tobiasz–Adamczyk

Brzyski

Florek

et al. 2013

International Journal of Occupational Medicine and Environmental Health

View full text Add to dashboard Cite

show abstract

“…The Effort-Reward Imbalance (ERI) concept was developed in the context of cardiovascular disease prediction (Siegrist et al, 1986). It is based on the principle of reciprocity; that employee investment of effort in the absence of perceptibly adequate reward, promotes a stress response.…”

Section: Introductionmentioning

confidence: 99%

Hair cortisol and self-reported stress in healthy, working adults

Gidlow

Randall²,

Gillman

et al. 2016

Psychoneuroendocrinology

View full text Add to dashboard Cite

Chronic stress can be important in the pathology of chronic disease. Hair cortisol concentrations (HCC) are proposed to reflect long term cortisol secretion from exposure to stress. To date, inconsistencies in the relationship between HCC and self-reported stress have been attributed to variation and limitations of perceived stress measurement. We report data from employees of two large public sector worksites (n=132). Socio-demographic, health, lifestyle, Perceived Stress Scale (PSS), and work-related Effort Reward Imbalance (ERI) were collected at baseline. Participants were asked to respond to mobile text messages every two days, asking them to report current stress levels (Ecological Momentary Assessment, EMA), and mean stress was determined overall, during work hours, and out of work hours. At 12 weeks, the Appraisal of Stressful Life Events Scale (ALES) was completed and 3cm scalp hair samples were taken, from which HCC was determined (to reflect cortisol secretion over the past 12 weeks). Mean response rate to EMA was 81.9±14.9%. Associations between HCC and the various self-reported stress measures (adjusted for use of hair dye) were weak (all <.3). We observed significant associations with HCC for EMA measured stress responses received out of work hours (ρ=.196, p=.013) and ALES Loss subscale (ρ=.241, p=.003), and two individual items from ERI (relating to future work situation). In regression analysis adjusting for other possible confounders, only the HCC-ALES Loss association remained significant (p=.011). Overall, our study confirms that EMA provides a useful measurement tool that can gather perceived stress measures in real-time. But, there was no relationship between self-reported stress collected in this way, and HCC. The modest association between HCC and stress appraisal does however, provide some evidence for the role of cognitive processes in chronic stress.

show abstract

“…Siegrist et collab. (Siegrist, Siegrist et Weber, 1986;Siegrist, 1996) expliquent ainsi, toujours dans l'axe causaliste, qu'un déséquilibre marqué entre les efforts déployés au travail versus la rétribution par l'employeur « produit un état de tensions dont le burnout est l'expression » (Ponnelle, 2008, p. 4). Ce que les modèles causalistes permettent de dire, c'est que le stress peut être élevé chez les travailleuses sociales qui sont confrontées à des conditions de travail marquées par l'intensification des demandes, un sentiment de non-contrôle des activités professionnelles et un manque de reconnaissance face au travail accompli.…”

Section: Les Modèles Causalistesunclassified

L’autonomie et l’exercice du jugement professionnel chez les travailleuses sociales : substrat d’un corpus bibliographique

Richard

2014

ref

View full text Add to dashboard Cite

Dans les écrits que nous avons consultés et qui visent à analyser les causes structuro-organisationnelles de la souffrance psychique et morale, les répercussions qui découlent des conditions de travail difficiles, voire les moyens auxquels les travailleuses sociales ont recours pour y faire face, les questions de l’autonomie et de l’exercice du jugement professionnel furent bien souvent abordées. En effet, et particulièrement depuis la reconfiguration de l’action publique amorcée par la nouvelle gestion publique à la fin des années 1980, la recension des écrits en Europe et en Amérique du Nord sur le sujet établit des liens entre la managérialisation des services de santé et des services sociaux et l’émergence d’un choc des épistémés capable d’interpeller les travailleuses sociales sur ce qu’elles font, sur ce qui a de l’importance pour elles, sur les responsabilités et les obligations qui sont les leurs dans leur travail. Il y aurait une tension de plus en plus vive entre les normes déontologiques et organisationnelles qui s’appliquent à départager la régulation des activités professionnelles des travailleuses sociales au travail. Pour ne pas devenir de simples exécutantes, les travailleuses sociales sont plus que jamais appelées à se mobiliser afin de préserver leur espace clinique, leur autonomie, bref, leur jugement professionnel.In the literature we consulted which aims to analyze the structural-organizational causes of mental and moral suffering, the impact arising from the difficult working conditions, or the means social workers use in order to face the issues of professional autonomy and professional judgment were often discussed. In fact, since the reconfiguration of public action initiated by the New Public Management in the late 1980s, the literature on the subject found connection between health services managerialisation, social services and the emergence of a shock episteme that able to challenge social workers about what they do, what is important to them; theirs responsibilities and obligations at work in Europe and North America. There would be more and more tension between ethical and organizational standards that apply to share the regulation of professional activities of social workers at work. Thereby, not to become mere implementers, the social workers are more than ever called to mobilize themselves in order to preserve their clinical space, professional autonomy and their professional judgment

show abstract

Sociological concepts in the etiology of chronic disease: The case of ischemic heart disease

Cited by 165 publications

References 24 publications

Job stress and mortality in older age

Job stress and mortality in older age

Hair cortisol and self-reported stress in healthy, working adults

L’autonomie et l’exercice du jugement professionnel chez les travailleuses sociales : substrat d’un corpus bibliographique

Contact Info

Product

Resources

About