title: The Association Between Effort-Reward Imbalance and Depressive Symptoms Is Modified by Selection, Optimization, and Compensation Strategy.
abstract: OBJECTIVE
  To examine the main and interactive effects of effort-reward imbalance (ERI) and selection, optimization, and compensation (SOC) strategy on depressive symptoms among the working population in the City of Kumning, China.
  
  
  METHODS
  We assessed the separate and combined effects of low versus high ERI and good versus poor SOC strategy on depressive symptoms using multivariable logistic regression analyses in a population-based sample (N = 2457).
  
  
  RESULTS
  High ERI and poor SOC were significantly associated with depressive symptoms, respectively. In employees with both high ERI and poor SOC, the odds ratio was highly elevated as compared with the reference group (low ERI and good SOC).
  
  
  CONCLUSIONS
  If our findings are confirmed by prospective studies, health promotion programs in work settings might consider SOC as an integral part to mitigate the adverse mental health effects of ERI.
authors.affiliation: Department of Occupational and Environmental Health (Shang, Dr Li), School of Public Health, Kunming Medical University, Yunnan, PR China; Institute of Occupational and Social Medicine (Dr Riedel, Dr Loerbroks, Dr Müller, Dr Wege, Dr Angerer, Dr Li), Center for Health and Society, Faculty of Medicine, University of Düsseldorf; and Department of Social Epidemiology (Dr Riedel), Institute of Public Health and Nursing Research, Health Sciences Bremen, University of Bremen, Germany.
authors.forename: Li
authors.initials: L
authors.lastname: Shang
authors.forename: Natalie
authors.initials: N
authors.lastname: Riedel
authors.forename: Adrian
authors.initials: A
authors.lastname: Loerbroks
authors.forename: Andreas
authors.initials: A
authors.lastname: Müller
authors.forename: Natalia
authors.initials: N
authors.lastname: Wege
authors.forename: Peter
authors.initials: P
authors.lastname: Angerer
authors.forename: Jian
authors.initials: J
authors.lastname: Li
mesh_terms: D000328:Adult; D002681:China; D003430:Cross-Sectional Studies; D003863:Depression / Q000523:psychology*; D005260:Female; D006306:Health Surveys; D006801:Humans; D007588:Job Satisfaction; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D009784:Occupational Diseases / Q000523:psychology*; D012201:Reward; D057566:Self Report