ArticleInternational journal of behavioral medicine2007
Effort-reward imbalance, heart rate, and heart rate variability: the Cardiovascular Risk in Young Finns Study.
Article in International journal of behavioral medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 90 citations in OpenAlex.
- Objective assessment of mental stress in individuals with different levels of effort reward imbalance or overcommitment using heart rate variability: a systematic review.Systematic reviews · 2022Pooled it
- Associations of sympathetic and parasympathetic activity in job stress and burnout: A systematic review.PloS one · 2018Pooled it
- Which psychosocial job demands matter most for parasympathetic heart rate variability? A dominance analysis study.Journal of occupational health · 2026Article
- Work stress and changes in heart rate variability among employees after first acute coronary syndrome: a hospital-based longitudinal cohort study.Frontiers in public health · 2024Article
- Mesolimbic dopamine release precedes actively sought aversive stimuli in mice.Nature communications · 2023Article
- Is the Association Between Education and Sympathovagal Balance Mediated by Chronic Stressors?International journal of behavioral medicine · 2022Article
- How the first years of motherhood impact the cardiac autonomic profile of female healthcare professionals: a study by heart rate variability analysis.Scientific reports · 2021Article
- Rewards of Compassion: Dispositional Compassion Predicts Lower Job Strain and Effort-Reward Imbalance Over a 11-Year Follow-Up.Frontiers in psychology · 2021Article
- Executive Stress Management: Physiological Load of Stress and Recovery in Executives on Workdays.International journal of environmental research and public health · 2018Article
- Effects of Cold Stimulation on Cardiac-Vagal Activation in Healthy Participants: Randomized Controlled Trial.JMIR formative research · 2018Article
- Stress and Heart Rate Variability: A Meta-Analysis and Review of the Literature.Psychiatry investigation · 2018Review
- Heart Rate Variability Frequency Domain Alterations among Healthy Nurses Exposed to Prolonged Work Stress.International journal of environmental research and public health · 2018Article
- Work Stress and Altered Biomarkers: A Synthesis of Findings Based on the Effort-Reward Imbalance Model.International journal of environmental research and public health · 2017Review
- Office workers with high effort-reward imbalance and overcommitment have greater decreases in heart rate variability over a 2-h working period.International archives of occupational and environmental health · 2015Article
- Subjective stress, objective heart rate variability-based stress, and recovery on workdays among overweight and psychologically distressed individuals: a cross-sectional study.Journal of occupational medicine and toxicology (London, England) · 2015Article
- Heart rate and heart rate variability as indirect markers of surgeons' intraoperative stress.International archives of occupational and environmental health · 2014Article
- [Effort-reward imbalance at work and depression: current research evidence].Der Nervenarzt · 2013Article
- The perception of work stressors is related to reduced parasympathetic activity.International archives of occupational and environmental health · 2011Article
- Psychophysiological biomarkers of workplace stressors.Neuroscience and biobehavioral reviews · 2010Review
- Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWork stress indicated by effort-reward imbalance is hypothesized to cause autonomic arousal, which, if prolonged or frequent, could contribute to cardiovascular pathology. However, only limited empirical evidence on this mechanism is available. PURPOSE: This study examined associations between effort-reward imbalance, heart rate (HR), and heart rate variability (HRV).
methodThe participants were 457 women and 406 men (mean age 32.3 years) derived from the population-based Young Finns Study. Effort-reward imbalance was defined as the ratio between effort and reward, higher efforts compared to rewards indicating greater imbalance.
resultsIn age-adjusted regression models, higher effort-reward imbalance was associated with lower HRV, and lower reward was associated with higher HR among women. These associations were not attenuated after additional adjustments for demographic characteristics and coronary risk factors. No significant associations of effort-reward imbalance or its components with HR and HRV were found in men.
conclusionOur finding of lower HRV and higher HR in young healthy women with high effort-reward imbalance and low rewards provides evidence of a potential mechanism that may link effort-reward imbalance to the development of coronary heart disease (CHD) in women.
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Registered trials
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