Cited by 5,713Workplace Health and Well-beingEmployment and Welfare StudiesJob Satisfaction and Organizational Behavior

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Adverse health effects of high-effort/low-reward conditions.

Siegrist, Johannes·1996·Journal of Occupational Health Psychology

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Abstract

In addition to the person-environment fit model (J. R. French, R. D. Caplan, & R. V. Harrison, 1982) and the demand-control model (R. A. Karasek & T. Theorell, 1990), a third theoretical concept is proposed to assess adverse health effects of stressful experience at work: the effort-reward imbalance model. The focus of this model is on reciprocity of exchange in occupational life where high-cost/low-gain conditions are considered particularly stressful. Variables measuring low reward in terms of low status control (e.g., lack of promotion prospects, job insecurity) in association with high extrinsic (e.g., work pressure) or intrinsic (personal coping pattern, e.g., high need for control) effort independently predict new cardiovascular events in a prospective study on blue-collar men. Furthermore, these variables partly explain prevalence of cardiovascular risk factors (hypertension, atherogenic lipids) in 2 independent studies. Studying adverse health effects of high-effort/low-reward conditions seems well justified, especially in view of recent developments of the labor market.

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Authors: Siegrist, J.
Venue: Journal of Occupational Health Psychology
Publisher: American Psychological Association (APA)
Published: 1996
Volume: 1
Issue: 1
Pages: 27-41
ISSN: 1076-8998 (ISSN-L)
1939-1307
DOI: 10.1037/1076-8998.1.1.27
OpenAlex: W4243321329
Cited by: 5,713
References: 0
Citations by year: 2026: 268 · 2025: 304 · 2024: 242 · 2023: 294 · 2022: 298 · 2021: 318 · 2020: 292 · 2019: 305 · 2018: 275 · 2017: 330 · 2016: 246 · 2015: 269 · 2014: 271 · 2013: 286 · 2012: 252
FWCI: 50.94
Type: journal article
Language: en
Open access: closed
Locations: Journal of Occupational Health Psychology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Employment and Welfare Studies
Social Sciences › Business, Management and Accounting › Organizational Behavior and Human Resource Management › Job Satisfaction and Organizational Behavior
Keywords: effort-reward imbalance, adverse health effects, occupational stress, job demands
MeSH terms: Cardiovascular Diseases, Humans, Job Description, Male, Models, Psychological, Reward, Risk Factors, Stress, Psychological, Occupational Health, Workload

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Adverse health effects of high-effort/low-reward conditions.

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