What can balance the effort? Associations between effort-reward imbalance, overcommitment, and affective disorders in German teachers
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In: International Journal of Occupational and Environmental Health, Vol. 15, No. 4, 2009, p. 374-384.
Research output: Journal contributions › Journal articles › Research › peer-review
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TY - JOUR
T1 - What can balance the effort? Associations between effort-reward imbalance, overcommitment, and affective disorders in German teachers
AU - Lehr, Dirk
AU - Hillert, Andreas
AU - Keller, Stefan
PY - 2009
Y1 - 2009
N2 - Affective disorders in schoolteachers are a frequent reason for absenteeism and early retirement. The objective of this study was to clarify the relationship between effort-reward imbalance at work, overcommitment, and affective disorders. In addition, we examined the differential impact of different types of reward (salary, job security/promotion, and esteem). In a matched case-control study of 244 teachers, 122 teachers in inpatient treatment for affective disorders were compared to 122 healthy controls. Logistic regression analyses revealed strong associations between effort-reward imbalance and affective disorders. Overcommitment was not an independent risk factor for depression. The lack of esteem by supervisors or colleagues was a more important risk factor for depression than low salary or job security. Results suggest that perceived esteem is essential in understanding the nature of stress. Interventions for preventing depression in the workplace should address supervisors' and colleagues' skills in adequately appreciating their supervisees and co-workers.
AB - Affective disorders in schoolteachers are a frequent reason for absenteeism and early retirement. The objective of this study was to clarify the relationship between effort-reward imbalance at work, overcommitment, and affective disorders. In addition, we examined the differential impact of different types of reward (salary, job security/promotion, and esteem). In a matched case-control study of 244 teachers, 122 teachers in inpatient treatment for affective disorders were compared to 122 healthy controls. Logistic regression analyses revealed strong associations between effort-reward imbalance and affective disorders. Overcommitment was not an independent risk factor for depression. The lack of esteem by supervisors or colleagues was a more important risk factor for depression than low salary or job security. Results suggest that perceived esteem is essential in understanding the nature of stress. Interventions for preventing depression in the workplace should address supervisors' and colleagues' skills in adequately appreciating their supervisees and co-workers.
KW - Effort-reward imbalance
KW - Esteem
KW - Germany
KW - Mental disorders
KW - Teachers
KW - Work stress
KW - Health sciences
KW - Psychology
UR - http://www.scopus.com/inward/record.url?scp=73349100351&partnerID=8YFLogxK
U2 - 10.1179/oeh.2009.15.4.374
DO - 10.1179/oeh.2009.15.4.374
M3 - Journal articles
C2 - 19886348
AN - SCOPUS:73349100351
VL - 15
SP - 374
EP - 384
JO - International Journal of Occupational and Environmental Health
JF - International Journal of Occupational and Environmental Health
SN - 1077-3525
IS - 4
ER -