ArticleOccupational and environmental medicine2007
Effort-reward imbalance, procedural injustice and relational injustice as psychosocial predictors of health: complementary or redundant models?
Article in Occupational and environmental medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 6 of them syntheses that pooled it.
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Who cites it
71 citing papers in PubMed, 6 syntheses or guidelines pooled it, 241 citations in OpenAlex.
- Understanding the interplay between organisational injustice and the health and wellbeing of female police officers: a meta-ethnography.BMC public health · 2024Pooled it
- Managers' Action-Guiding Mental Models towards Mental Health-Related Organizational Interventions-A Systematic Review of Qualitative Studies.International journal of environmental research and public health · 2022Pooled it
- Are depressive disorders caused by psychosocial stressors at work? A systematic review with metaanalysis.European journal of epidemiology · 2021Pooled it
- Work-related psychosocial risk factors for stress-related mental disorders: an updated systematic review and meta-analysis.BMJ open · 2020Pooled it
- Musculoskeletal pain and effort-reward imbalance--a systematic review.BMC public health · 2014Pooled it
- What do we know about the non-work determinants of workers' mental health? A systematic review of longitudinal studies.BMC public health · 2011Pooled it
- Psychological distress and trust in healthcare: individual perceptions and national contexts - a multilevel analysis.BMC health services research · 2026Article
- Effort-reward imbalance at work and health: Review and critical appraisal of three decades of research.Scandinavian journal of work, environment & health · 2026Review
- Longitudinal association of exposure to work-related stress with major depressive disorder and the role of occupational burnout in this association in the general population.Social psychiatry and psychiatric epidemiology · 2025Article
- Psychosocial work characteristic profiles and health outcomes in registered nurses at different stages of their careers: a cross-sectional study.BMC health services research · 2025Article
- Perceptions of activity-based offices are associated with employee well-being and self-reported work ability in hybrid work: a cross-sectional study.Journal of occupational health · 2025Article
- Article
- Does job stress mediate the risk of work disability due to common mental disorders among social workers compared with other health and social care, education, and non-human service professionals? A prospective cohort study of public sector employees in Finland.Scandinavian journal of work, environment & health · 2024Article
- Overcommitment, Work-Related Behavior, and Cognitive and Emotional Irritation in Veterinarians: A Comparison of Different Veterinary Working Fields.Healthcare (Basel, Switzerland) · 2024Article
- Effort-reward and overcommitment at work and psychiatric symptoms in healthcare professionals: The mediation role of allostatic load.Comprehensive psychoneuroendocrinology · 2024Article
- Article
- [Professional gratification crisis, overcommitment, and burnout among Ukrainian anesthesiologists and intensive care physicians during the SARS-CoV-2 pandemic].Zentralblatt fur Arbeitsmedizin, Arbeitsschutz und Ergonomie · 2023Article
- Association between work ability and work stressors: cross-sectional survey of elderly services and health and social care service employees.Archives of public health = Archives belges de sante publique · 2022Article
- Perceived overall injustice and organizational deviance-Mediating effect of anger and moderating effect of moral disengagement.Frontiers in psychology · 2022Article
- Socioeconomic Status, Mental Health, and Workplace Determinants among Working Adults in Hong Kong: A Latent Class Analysis.International journal of environmental research and public health · 2021Article
11 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveEffort-reward imbalance at work is an established psychosocial risk factor but there are also newer conceptualisations, such as procedural injustice (decisions at work lack consistency, openness and input from all affected parties) and relational injustice (problems in considerate and fair treatment of employees by supervisors). The authors examined whether procedural injustice and relational injustice are associated with employee health in addition to, and in combination with, effort-reward imbalance.
methodsProspective survey data from two cohorts related to public-sector employees: the 10-Town study (n = 18 066 (78% women, age range 19-62) and the Finnish Hospital Personnel study (n = 4833, 89% women, age range 20-60). Self-rated poor health, minor psychiatric morbidity and doctor-diagnosed depression were assessed at baseline (2000-2) and at follow-up (2004). To determine incident morbidity, baseline cases were excluded.
resultsIn multivariate models including age, sex, occupational status and all three psychosocial factors as predictors, high effort-reward imbalance and either high procedural injustice or high relational injustice were associated with increased morbidity at follow-up in both cohorts. After combining procedural and relational injustice into a single measure of organisational injustice, high effort-reward imbalance and high injustice were both independently associated with health. For all outcome measures, a combination of high effort-reward imbalance and high organisational injustice was related to a greater health risk than high effort-reward imbalance or injustice alone.
conclusionEvidence from two independent occupational cohorts suggests that procedural and relational components of injustice, as a combined index, and effort-reward imbalance are complementary risk factors.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.