The perception of work stressors is related to reduced parasympathetic activity

Clays, Els; Bacquer, Dirk De; Crasset, Vincent; Smet, Patrick De; Kornitzer, Marcel; Karasek, Robert; Backer, Guy De

doi:10.1007/s00420-010-0537-z

Cited by 77 publications

(83 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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].…”

Section: Partial Measuresmentioning

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%

“…On the whole, the measurement of physiological biomarkers of work stress tends to be limited to small focused studies rather than large scale epidemiological cohorts [24]. Studies including 24-hour ECG recordings are particularly based on rather small selected samples of less than 200 subjects [26,27,29,34], although recently a few studies have been published with findings based on ambulatory ECG monitoring in samples of approximately 600 persons [31,37]. A lot of variation exists in the occupational profile of the study samples.…”

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%

“…The majority of studies report some individual health status components of the sample, but a comprehensive disease profile description is usually lacking. A few studies restricted their study samples to subjects without the history of CHD based on diverse criteria [29,31,33,34]. above factors.…”

mentioning

confidence: 99%

See 4 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

Self Cite

View full text Add to dashboard Cite

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...

show abstract