The interaction effect of effort‐reward imbalance and overcommitment on hypertension among Chinese workers: Findings from SHISO study

Xu, Weiting; Yu, Haiyi; Hang, Juan; Gao, Wei; Zhao, Yiming; Guo, Lijun

doi:10.1002/ajim.22254

Cited by 11 publications

(10 citation statements)

References 35 publications

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“…People who show an excessive engagement and a desire of being in control when trying to cope with exacting work situations are expected to exhibit a high susceptibility to these stress responses (“over-commitment”, OC; Siegrist and Li, 2016). If we hypothesize to apply the ERI model to an excessive identification in university, our finding would result to be in line with the bulk of studies proving the association between OC and elevated SBP over time (Gilbert-Ouimet et al, 2012; Trudel et al, 2013; Xu et al, 2013). …”

Section: Discussionsupporting

confidence: 81%

Anxiety, Stress-Related Factors, and Blood Pressure in Young Adults

et al. 2016

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Hypertension (HT) is a long-term medical condition characterized by persistently elevated blood pressure (BP) in the arterial vessels. Although HT initially is an asymptomatic condition, it chronically evolves into a major risk factor for cardiovascular, cerebrovascular, and renal diseases that, in turn, represent crucial causes of morbidity and mortality in industrialized countries. HT is a complex disorder that is estimated to affect more than a quarter of the world’s adult population. It is classified on the basis of both its pathophysiology (primary and secondary HT) and on the resting BP values (elevated systolic, diastolic, and pulse pressure). It originates from a complicated interaction of genes and several environmental risk factors including aging, smoking, lack of exercise, overweight and obesity, elevated salt intake, stress, depression, and anxiety. Anxiety and depressive disorders are the most commonly diagnosed mental disorders, affecting millions of people each year and impairing every aspect of everyday life, both of them characterized by affective, cognitive, psychomotor, and neurovegetative symptoms. Moreover, work-related stress has been considered as an important risk factor for HT and cardiovascular diseases (CVDs). Although different authors have investigated and suggested possible relations between HT, stress, anxiety, and depression during the last decades, a full understanding of the underlying pathophysiological mechanisms has not been satisfactorily achieved, especially in young adults. The aim of this study was to investigate the impact of anxiety and work-related stress in the development of HT amongst young health care profession students and the possible related consequences of early CVDs.

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Section: Discussionsupporting

confidence: 81%

Anxiety, Stress-Related Factors, and Blood Pressure in Young Adults

et al. 2016

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“…In the main part, studies are listed that performed the conventional statistical interaction test ERI × OC. Twenty-one reports were identified to this end [ 20 , 37 , 41 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 ]. As explained in the Methods section, studies are listed in the lower part of the Table that analyzed the different strength of associations with health of a composite variable that combined data from the model’s extrinsic and intrinsic components (6 studies [ 65 , 66 , 67 , 68 , 69 , 70 ]).…”

Section: Resultsmentioning

confidence: 99%

“…In 13 reports a respective statistical test was not significant [ 20 , 37 , 41 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 ]. On the other hand, eight studies reported a significant interaction term [ 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 ]. With one exception [ 57 ] they are based on a cross-sectional or case-control study design, where five include a self-report subjective measure and two a biomedical objective measure (hypertension; coronary heart disease) [ 58 , 59 ].…”

Section: Resultsmentioning

confidence: 99%

“…On the other hand, eight studies reported a significant interaction term [ 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 ]. With one exception [ 57 ] they are based on a cross-sectional or case-control study design, where five include a self-report subjective measure and two a biomedical objective measure (hypertension; coronary heart disease) [ 58 , 59 ]. Li et al [ 60 ] report a significant synergy index (indicating synergistic interaction) with an odds ratio of 6.7 of poor mental health resulting from the interaction of ERI and OC.…”

Section: Resultsmentioning

confidence: 99%

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Associations of Extrinsic and Intrinsic Components of Work Stress with Health: A Systematic Review of Evidence on the Effort-Reward Imbalance Model

Siegrist

2016

IJERPH

185

216

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Mainstream psychological stress theory claims that it is important to include information on people’s ways of coping with work stress when assessing the impact of stressful psychosocial work environments on health. Yet, some widely used respective theoretical models focus exclusively on extrinsic factors. The model of effort-reward imbalance (ERI) differs from them as it explicitly combines information on extrinsic and intrinsic factors in studying workers’ health. As a growing number of studies used the ERI model in recent past, we conducted a systematic review of available evidence, with a special focus on the distinct contribution of its intrinsic component, the coping pattern “over-commitment”, towards explaining health. Moreover, we explore whether the interaction of intrinsic and extrinsic components exceeds the size of effects on health attributable to single components. Results based on 51 reports document an independent explanatory role of “over-commitment” in explaining workers’ health in a majority of studies. However, support in favour of the interaction hypothesis is limited and requires further exploration. In conclusion, the findings of this review support the usefulness of a work stress model that combines extrinsic and intrinsic components in terms of scientific explanation and of designing more comprehensive worksite stress prevention programs.

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“…ERI is associated with increased risk of coronary heart disease [Xu et al, 2009;Xu et al, 2010b], and risk of recurrent acute myocardial infarction [Aboa-Eboule et al, 2011]. Previous studies have also documented that ERI is associated with subclinical atherosclerosis [Xu et al, 2010a] and risk factors of CVD, such as hypertension [Xu et al, 2013], dyslipidemia [Xu et al, 2011a], and diabetes mellitus .Recently, studies reveal that the immune system plays important roles in the pathway from chronic psychosocial stress to disease [Nakata, 2012]. There is growing evidence demonstrating the role of inflammation in the immune system during the development of CVD.…”

mentioning

confidence: 99%