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Open Access Green as soon as Postprint is submitted to ZB.
Effort-reward imbalance at work and overcommitment in patients with acute myocardial infarction (AMI): Associations with return to work 6 months after AMI.
J. Occup. Rehabil., DOI: 10.1007/s10926-020-09942-7 (2020)
Purpose Stress-related factors influence the adaptation to life after acute myocardial infarction (AMI), including return to work. The goal of this study was to investigate the effect of work-related stress, (expressed by the effort-reward imbalance (ERI) model) on return to work after AMI. Methods A longitudinal study with AMI patients was conducted in order to assess associations between the independent variables effort, reward, ERI and overcommitment and the outcome return to work after AMI. Return to work was inquired at 6 months follow-up. Logistic regression models were applied in the analysis. The fully-adjusted model included demographic, clinical, social, stress-related and health-related quality of life (HRQOL) covariables. Results Of the 346 enrolled patients aged 31 to 82 years, 239 (69.1%) were included in the regression analysis. In the unadjusted model ERI presented an odds ratio (OR) of 1.72 (95% confidence interval (CI) 0.86–3.42). Associations for effort and overcommitment were 0.98 (95% CI 0.83–1.15) and 1.09 (95% CI 0.99–1.18). However, reward showed a significantly inverse association with return to work with an OR of 0.90 (95% CI 0.83–0.99). In the fully adjusted model the OR of ERI decreased to 1.20 (95% CI 0.49–2.96). Effort, reward and overcommitment also showed attenuated ORs without significant results in all models. Diabetes mellitus, current smoking, low physical and low mental HRQOL presented significantly negative relations with return to work. Conclusions Work-related stress appears less important than HRQOL and resilience in terms of return to work after AMI.
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Publication type
Article: Journal article
Document type
Scientific Article
Keywords
Myocardial Infarction ; Occupational Stress ; Return To Work
Language
english
Publication Year
2020
HGF-reported in Year
2020
ISSN (print) / ISBN
1053-0487
e-ISSN
1573-3688
Publisher
Plenum Press
Reviewing status
Peer reviewed
Institute(s)
Independent Research Group Clinical Epidemiology (KEPI)
Institute of Epidemiology (EPI)
Institute of Epidemiology (EPI)
POF-Topic(s)
30202 - Environmental Health
Research field(s)
Genetics and Epidemiology
PSP Element(s)
G-502900-001
G-504000-006
G-504000-006
Grants
Deutsche Stiftung für Herzforschung
Scopus ID
85096071914
PubMed ID
33196948
Erfassungsdatum
2020-12-10