The fruits of ones labor: Effort–reward imbalance but not job strain is related to heart rate variability across the day in 35–44-year-old workers

Loerbroks, Adrian; Schilling, Oliver; Haxsen, Volker; Jarczok, Marc N.; Thayer, Julian F.; Fischer, Joachim E.

doi:10.1016/j.jpsychores.2010.03.004

Cited by 62 publications

(101 citation statements)

References 33 publications

(48 reference statements)

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“…The results obtained from short-term ECG recordings are difficult to compare with the findings based on 24-hour monitoring because the interpretation of heart rate variability measures depends fundamentally on the length of the recording period according to he Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology [36]. Another important issue is that stress response profiles should be looked at for different sociological periods such as work vs. rest or awake vs. sleep time [26,29,30,34]. The most standardized elements of the study exist in the context of CVD studies where some outcomes, such as coronary heart disease (CHD) and strokes of several classifications are routinely classified in internationally consistent manner.…”

Section: Partial Modelsmentioning

confidence: 99%

“…Many bio-monitoring technologies have multiple parameters that can affect measurement accuracy which are left to vary across studies. Several studies have examined the associations between work stress and heart rate variability based on 5-or 3-minute ECG recordings [25,28,32,33,35], while other studies included measures from 24-hour ambulatory monitoring [26,27,[29][30][31]34]. The results obtained from short-term ECG recordings are difficult to compare with the findings based on 24-hour monitoring because the interpretation of heart rate variability measures depends fundamentally on the length of the recording period according to he Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology [36].…”

Section: Partial Modelsmentioning

confidence: 99%

“…A more comprehensive assessment of low social control in several major socio-economic domains is lacking. A number of studies have examined work-related stress in relation to heart rate variability [26][27][28][29][30][31]. Only rarely some studies have additionally investigated the social co-risk factors such as social network and social support or social economic risks [32][33][34].…”

mentioning

confidence: 99%

“…While some studies included workers with a wide variety of occupational titles [29,31,33,34], other studies were based on homogeneous occupational samples [26][27][28]35]. As for the gender distribution, a large number of studies investigating stress and heart rate variability included only male subjects [26,27,29,31,32,35], while some other studies were based on mixed gender samples [25,30,33,34] or a strictly female sample [27]. Examples of single occupation studies for particular risks have been performed in workers exposed to electromagnetic fields (EMF).…”

mentioning

confidence: 99%

“…Autonomic dysfunction outcomes have been related to stress measures in both the job strain model [29,32,34] and the effort-reward imbalance model [26,33]. On rare occasions both these models were simultaneously examined in relation to heart rate variability [30]. Many bio-monitoring technologies have multiple parameters that can affect measurement accuracy which are left to vary across studies.…”

mentioning

confidence: 99%

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Description of a large-scale study design to assess work-stress-disease associations for cardiovascular disease

Karasek¹,

Collins²,

Clays³

et al. 2010

International Journal of Occupational Medicine and Environmental Health

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We claim that a new level of studies is needed to answer a series of important questions about the expanding global chronic disease burden for cardiovascular disease (CVD) and for related conditions such as diabetes, metabolic syndrome, and obesity. These require a new study design structure, related to a new level of theory that goes beyond the current single-factor, a-theoretic epidemiological studies. This new platform for the design of large-scale Work/Stress/Disease studies would assess CVD-related disease mechanisms in a more general and dynamic form, based on the use of new tools for measuring autonomic functions in an occupational stress context and a new theory of disease causation. A sample outline is presented for such a study, based on StressDisequilibrium Theory (SDT) hypotheses, building on analytic tools developed for the assessment of stress-related exhaustion effects and chronic disease risks from Heart Rate Variability (HRV) research studies. The goal is to assess the associations between social organizational risks, particularly at work, and hypertension, metabolic syndrome, and diabetes II. The study design is multistage, spanning across several levels of disease-related de-regulation, and addressing co-morbidity of the conditions themselves. The study design is meant to span across a broad social population at all levels and would probably be multi-site, involving several countries, to yield the larger sample increased power for finding associations for work -physiological effects. Key words: Stress, Cardiovascular disease, Low control, Growth and regeneration, Large-scale study designAddress reprint request to R. Karasek, Department of Work Environment, University of Massachusetts Lowell, Kitson Hall, One University Avenue, Lowell, MA, USA (e-mail: Robert_Karasek@uml.edu), or Department of Psychology, Copenhagen University, Øster Farinagsgade 2A, DK-1353 Copenhagen K, Denmark. SECTION I. JUSTIFICATION FOR A LARGE STUDY IDEA BASED ON MAJOR UNRESOLVED QUESTIONSThere is increasing evidence around the world of a growing chronic disease problem: for example: cardiovascular diseases (CVD) are the leading cause of death in the US [1,2] and other industrialized countries, and are fast becoming the major cause of mortality in rapidly industrializing societies such as China. In the US CVD risk factors and related conditions for persons over age 20 are estimated to have prevalence of 34%, 33%, and 34% for hypertension, Unauthenticated Download Date | 5/10/18 1:33 PM R E V I E W P A P E R S R. KARASEK ET AL.IJOMEH 2010;23(3) 294 Therefore, we could claim, a bit provocatively, that what is now needed is a new stress model of "how absolute low social control, in major socio-economic institutions, causes chronic disease", as the third explanation for the inverse social gradient in health. In fact, there is much evidence that shows CVD, MD and MSD are related to low control in our modern social organizations. For example, after reviewing 46 studies Belkic et al., concluded that low workplace con...

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Section: Partial Modelsmentioning

confidence: 99%

Section: Partial Modelsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Description of a large-scale study design to assess work-stress-disease associations for cardiovascular disease

Karasek¹,

Collins²,

Clays³

et al. 2010

International Journal of Occupational Medicine and Environmental Health

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Exploring the effectiveness of a specialized therapy programme for burnout using subjective report and biomarkers of stress

Orosz

Federspiel

Seeher

et al. 2020

Clin Psychology and Psychoth

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The increasing prevalence of stress‐related disorders such as burnout urges the need for specialized treatment approaches. Programmes combining psychotherapy and regenerative interventions emerge to be the most successful. However, evaluated therapy programmes are scarce and usually involve subjective symptom quantification without consideration of physiologic parameters. The aim of the present exploratory, single‐group study was the multimodal investigation of the effectiveness of a specialized holistic therapy programme by assessing symptoms and biological markers of chronic stress. Seventy‐one in‐patients (39 men/32 women; age 46.8 ± 9.9 years) of a specialized burnout ward with the additional diagnosis of burnout (Z73.0) in conjunction with a main diagnosis of depressive disorder (F32 or F33) according to the International Classification of Diseases (ICD)‐10 were included in the study. In addition to symptomatology, the stress‐responsive biomarkers heart rate variability (HRV) and serum brain‐derived neurotrophic factor (BDNF) were measured in patients at admittance to and discharge from the burnout ward applying a 6‐week specialized treatment programme. At discharge, patients showed a significant reduction of symptom burden and a significant increase in serum BDNF, while HRV remained unchanged. The findings implicate that the therapy programme may have beneficial effects on symptomatology and neuroplasticity of patients with burnout. As therapy was often supplemented by psychopharmacological treatment, a relevant influence of antidepressant medication especially on BDNF has to be considered.

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Work Stress and Autonomic Nervous System Activity

Jarczok

Thayer

2020

Handbook of Socioeconomic Determinants of Occupational Health

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The fruits of ones labor: Effort–reward imbalance but not job strain is related to heart rate variability across the day in 35–44-year-old workers

Cited by 62 publications

References 33 publications

Description of a large-scale study design to assess work-stress-disease associations for cardiovascular disease

Description of a large-scale study design to assess work-stress-disease associations for cardiovascular disease

Exploring the effectiveness of a specialized therapy programme for burnout using subjective report and biomarkers of stress

Work Stress and Autonomic Nervous System Activity

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