Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
7302280 | Neuroscience & Biobehavioral Reviews | 2017 | 49 Pages |
Abstract
Work stress can increase the risk of cardiovascular disease by 50%, with increasing research focusing on the underlying mechanisms responsible for these associations. Our meta-analysis assessed the associations of the effort-reward imbalance (ERI) workplace stress model with indices of cardiovascular disease. The search term 'effort*reward*imbalance' produced 22 papers (129 associations, N = 93,817) meeting inclusion criteria. Greater ERI was most associated with increased hypertension (r = 0.26, p < 0.001, N = 1180), intima media thickness (r = 0.23, p < .001, N = 828) and fibrinogen (r = 0.13, p = 0.03, N = 4315). Trait over-commitment was most associated with increased hypertension (r = 0.24, p =0.02, N = 899) and intima media thickness (r = 0.19, p = 0.02, N = 828). Interventions aimed at reducing the impact of ERI and over-commitment on cardiovascular disease should consider concurrently assessing changes in physiological markers of cardiovascular disease.
Keywords
DBPIMTAMBHDLCHDPNN50RMSSDSBPSDNNJDCHRVAmbulatoryWorkplace stresscoronary heart diseasecardiovascular diseaseTriglyceridesCVDbody mass indexBMIintima media thicknessHeart-ratediastolic blood pressuresystolic blood pressuremean arterial pressureBlood pressureFibrinogenPhysiologylow density lipoproteinsLDLhigh density lipoproteinsERImapheart rate variabilitycholesteroltotal cholesterol
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Behavioral Neuroscience
Authors
Pennie Eddy, Eleanor H. Wertheim, Michael Kingsley, Bradley J. Wright,