Evidence map›Paper›PMID 42017835›Full record

ArticleJournal of occupational health2026

Which psychosocial job demands matter most for parasympathetic heart rate variability? A dominance analysis study.

Kati Karhula, Maria Hirvonen, Hanna Jantunen, Maria Sihvola, Jarno Turunen, Piia Seppälä

Abstract read
In one paragraph

Article in Journal of occupational health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kati KarhulaFinnish Institute of Occupational Health, Comprehensive Security in Working Life, Panuntie 6, 00620 Helsinki, Finland.ORCID 0000-0003-4104-9612
Maria HirvonenFinnish Institute of Occupational Health, ICT and Digital Services, Neulaniementie 4, 70210 Kuopio, Finland.
Hanna JantunenFinnish Institute of Occupational Health, Occupational Health, Panuntie 6, 00620 Helsinki, Finland.
Maria SihvolaFinnish Institute of Occupational Health, Comprehensive Security in Working Life, Panuntie 6, 00620 Helsinki, Finland.
Jarno TurunenFinnish Institute of Occupational Health, ICT and Digital Services, Hoitajanrinne 1, 90220 Oulu, Finland.
Piia SeppäläFinnish Institute of Occupational Health, Work Ability and Working Careers, Arinatie 3, 00370 Helsinki, Finland.

Funding

City administration of RaisioFinnish Institute of Occupational HealthFinnish Work Environment Fund 220255
6 · The paper itself

Abstract

objectivesProlonged reduced heart rate variability (HRV) is associated with impaired health and chronic diseases. Despite this connection, it remains unclear which psychosocial job demands are the strongest predictors of reduced HRV and poorer health outcomes. This study aimed to determine the most relevant psychosocial job demands that predict reduced HRV.

methodsThe study participants were 163 municipal employees (86% female, mean age 47) who responded to a survey on psychosocial job demands and measured their electrocardiography-based HRV over 4 consecutive nights during a normal work week. The root mean square of successive RR intervals (RMSSD) was used as an indicator of autonomic nervous system activity mediated by the vagus nerve. Hierarchical mixed model regression analysis included psychosocial job demands and the most relevant individual factors and occupational sector as a nested random effect. Dominance analysis (DA) was used to assess all the variable combinations to identify the most significant determinants of HRV across the regression models.

resultsThe participants' RMSSD was stable over the measurement period. DA ranked the participants' age as the factor that most affected RMSSD. The psychosocial job demands that seemed to be the most relevant for RMSSD were encountering bullying and violence at work, ethically challenging situations at work, and effort-reward imbalance. Gender was ranked as the fourth factor.

conclusionsThese results need to be confirmed in further studies, but they suggest that workplace bullying and violence as well as ethically challenging situations at work might have the greatest effect on HRV among public sector employees.

Indexed as

Heart RateOccupational StressParasympathetic Nervous SystemStress, PsychologicalWorkloadAdultElectrocardiographyFemaleHumansMaleMiddle AgedSurveys and QuestionnairesWorking ConditionsWorkplaceautonomous nervous systemheart rate variabilitypsychophysiologypublic sectorworking conditions

Identifiers

PMID42017835
PMCPMC13251737

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.