title: [Effort-reward imbalance at work and depressive symptoms--a cross-sectional investigation of middle-aged employees].
abstract: This study explored associations of psychosocial stress at work with depressive symptoms in a group of middle-aged employees. Psychosocial stress at work was conceptualized in terms of the model of effort-reward imbalance. This model is measured by a psychometric scale containing 23 Likert-scaled items. Depressive symptoms were assessed by the German version of the CES-D scale. The sample consisted of 316 (44.6 +/- 7.5 years) men and women employed in an urban transport enterprise. Multivariate logistic regression analysis adjusting for relevant confounders indicated an odds ratio of 5.9 (95 % CI 2.4 - 14.3) for depressive symptoms among employees defined by imbalance of high effort and low reward at work. An association of similar strength was found among employees characterized by a high level of work-related over-commitment. Findings reported for the first time in Germany are in line with two international investigations.
authors.affiliation: Institut für Medizinische Soziologie der Heinrich-Heine-Universität-Düsseldorf.
authors.forename: Marianne
authors.initials: M
authors.lastname: Larisch
authors.forename: Ljiljana
authors.initials: L
authors.lastname: Joksimovic
authors.forename: Olaf
authors.initials: O
authors.lastname: von dem Knesebeck
authors.forename: Dagmar
authors.initials: D
authors.lastname: Starke
authors.forename: Johannes
authors.initials: J
authors.lastname: Siegrist
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000453:epidemiology / Q000523:psychology*; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology / Q000209:etiology / Q000523:psychology*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D012201:Reward; D013315:Stress, Psychological / Q000523:psychology; D014937:Work / Q000523:psychology*
vernacular_title: Berufliche Gratifikationskrisen und depressive Symptome--Eine Querschnittsstudie bei Erwerbstätigen im mittleren Erwachsenenalter.