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Effort-Reward Imbalance, Over-Commitment and Depressive Episodes at Work: Evidence from the ELSA-Brasil Cohort Study

A growing burden of mental illness, and in particular depression, among workers is a concern of occupational public health. Scientific evidence has revealed consistent associations of work-related stress, as measured by theoretical models, with depression, but mostly so in developed countries. This...

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Autores principales: de Araújo, Tânia Maria, Siegrist, Johannes, Moreno, Arlinda B., de Jesus Mendes da Fonseca, Maria, Barreto, Sandhi M., Chor, Dóra, Griep, Rosane Härter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6747529/
https://www.ncbi.nlm.nih.gov/pubmed/31438554
http://dx.doi.org/10.3390/ijerph16173025
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author de Araújo, Tânia Maria
Siegrist, Johannes
Moreno, Arlinda B.
de Jesus Mendes da Fonseca, Maria
Barreto, Sandhi M.
Chor, Dóra
Griep, Rosane Härter
author_facet de Araújo, Tânia Maria
Siegrist, Johannes
Moreno, Arlinda B.
de Jesus Mendes da Fonseca, Maria
Barreto, Sandhi M.
Chor, Dóra
Griep, Rosane Härter
author_sort de Araújo, Tânia Maria
collection PubMed
description A growing burden of mental illness, and in particular depression, among workers is a concern of occupational public health. Scientific evidence has revealed consistent associations of work-related stress, as measured by theoretical models, with depression, but mostly so in developed countries. This contribution explores these associations in a developing Latin American country, Brazil, by applying an internationally established work stress model, the effort-reward imbalance (ERI). This model focuses on the work contract where unjust exchange between high efforts spent and low rewards received in turn contributes to stress-related disorders. The model’s extrinsic (‘effort’, ‘reward’) and intrinsic components (‘over-commitment’), as well as their combination, are hypothesized to be related to a higher risk of depressive episodes (DE). Using cross-sectional data from the ELSA-Brasil study, including 10,034 workers from the public sector, we observed increased prevalence ratio (PR) of DE according to ERI scales. The quartiles of highest ‘effort’ (PR = 1.85; 1.44–2.37), highest ‘over-commitment’ (PR = 3.62; 2.80–4.70) and lowest ‘reward’ (PR = 3.44; 2.55–4.64) were associated with DE, on adjusted models, as well was the E–R ratio (PR = 2.47; 1.92–3.17). An additive interaction was identified between the E–R ratio and ‘over-commitment’. The results support the use of ERI as a screening tool for work stress in the Brazilian context and will offer guidance for worksite health promotion programs.
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spelling pubmed-67475292019-09-27 Effort-Reward Imbalance, Over-Commitment and Depressive Episodes at Work: Evidence from the ELSA-Brasil Cohort Study de Araújo, Tânia Maria Siegrist, Johannes Moreno, Arlinda B. de Jesus Mendes da Fonseca, Maria Barreto, Sandhi M. Chor, Dóra Griep, Rosane Härter Int J Environ Res Public Health Article A growing burden of mental illness, and in particular depression, among workers is a concern of occupational public health. Scientific evidence has revealed consistent associations of work-related stress, as measured by theoretical models, with depression, but mostly so in developed countries. This contribution explores these associations in a developing Latin American country, Brazil, by applying an internationally established work stress model, the effort-reward imbalance (ERI). This model focuses on the work contract where unjust exchange between high efforts spent and low rewards received in turn contributes to stress-related disorders. The model’s extrinsic (‘effort’, ‘reward’) and intrinsic components (‘over-commitment’), as well as their combination, are hypothesized to be related to a higher risk of depressive episodes (DE). Using cross-sectional data from the ELSA-Brasil study, including 10,034 workers from the public sector, we observed increased prevalence ratio (PR) of DE according to ERI scales. The quartiles of highest ‘effort’ (PR = 1.85; 1.44–2.37), highest ‘over-commitment’ (PR = 3.62; 2.80–4.70) and lowest ‘reward’ (PR = 3.44; 2.55–4.64) were associated with DE, on adjusted models, as well was the E–R ratio (PR = 2.47; 1.92–3.17). An additive interaction was identified between the E–R ratio and ‘over-commitment’. The results support the use of ERI as a screening tool for work stress in the Brazilian context and will offer guidance for worksite health promotion programs. MDPI 2019-08-21 2019-09 /pmc/articles/PMC6747529/ /pubmed/31438554 http://dx.doi.org/10.3390/ijerph16173025 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
de Araújo, Tânia Maria
Siegrist, Johannes
Moreno, Arlinda B.
de Jesus Mendes da Fonseca, Maria
Barreto, Sandhi M.
Chor, Dóra
Griep, Rosane Härter
Effort-Reward Imbalance, Over-Commitment and Depressive Episodes at Work: Evidence from the ELSA-Brasil Cohort Study
title Effort-Reward Imbalance, Over-Commitment and Depressive Episodes at Work: Evidence from the ELSA-Brasil Cohort Study
title_full Effort-Reward Imbalance, Over-Commitment and Depressive Episodes at Work: Evidence from the ELSA-Brasil Cohort Study
title_fullStr Effort-Reward Imbalance, Over-Commitment and Depressive Episodes at Work: Evidence from the ELSA-Brasil Cohort Study
title_full_unstemmed Effort-Reward Imbalance, Over-Commitment and Depressive Episodes at Work: Evidence from the ELSA-Brasil Cohort Study
title_short Effort-Reward Imbalance, Over-Commitment and Depressive Episodes at Work: Evidence from the ELSA-Brasil Cohort Study
title_sort effort-reward imbalance, over-commitment and depressive episodes at work: evidence from the elsa-brasil cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6747529/
https://www.ncbi.nlm.nih.gov/pubmed/31438554
http://dx.doi.org/10.3390/ijerph16173025
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