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Verfasst von:Herr, Raphael [VerfasserIn]   i
 Fischer, Joachim E. [VerfasserIn]   i
Titel:Effects and mediators of psychosocial work characteristics on somatic symptoms six years later
Titelzusatz:prospective findings from the Mannheim Industrial Cohort Studies (MICS)
Verf.angabe:Raphael M. Herr, Jian Li, Adrian Loerbroks, Peter Angerer, Johannes Siegrist, Joachim E. Fischer
E-Jahr:2017
Jahr:July 2017
Umfang:7 S.
Fussnoten:Gesehen am 25.05.2018
Titel Quelle:Enthalten in: Journal of psychosomatic research
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1956
Jahr Quelle:2017
Band/Heft Quelle:98(2017), Seite 27-33
ISSN Quelle:1879-1360
Abstract:Objective: Ample evidence documented the adverse health effects of work stressors, and recent research has increasingly focused on somatic symptoms which are very common and costly. Prospective evidence is however sparse and yielded mixed findings. Furthermore, there is reason to assume that depression and anxiety might mediate the effects of adverse psychosocial work conditions on somatic symptoms. This study aimed to investigate longitudinal effects of work stressors on somatic symptoms and the potential mediation by anxiety and/or depression. Methods: Six year follow-up data from 352 individuals - free of potentially stress-related chronic disease - were utilized. Somatic symptoms were assessed by 19 items of an established list of complaints at baseline and follow-up. The effort-reward-imbalance (ERI) model measured adverse psychosocial work conditions and over-commitment (OC). Linear regressions adjusted for socio-demographics, social status, lifestyle, and baseline symptoms estimated the effects of the ERI ratio, effort, reward, OC, and the ERI ratio x OC interaction on somatic symptoms six years later. Furthermore, single and multiple mediation by anxiety and/or depression was investigated. Results: There was a strong longitudinal effect of the ERI ratio, as well as of its subcomponents, and OC on somatic symptoms (all Bs≥|0.49|; p-values ≤0.004). Moreover, the ERI ratio x OC interaction was significant (p-value=0.047). Multiple mediation analyses revealed especially anxiety to mediate the effect of work stressors on somatic symptoms (Sobel test=0.007). Conclusion: Adverse psychosocial work conditions seem to longitudinally affect somatic symptoms, potentially moderated by OC, and mediated by anxiety.
DOI:doi:10.1016/j.jpsychores.2017.05.003
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: http://dx.doi.org/10.1016/j.jpsychores.2017.05.003
 Volltext: http://www.sciencedirect.com/science/article/pii/S0022399917300077
 DOI: https://doi.org/10.1016/j.jpsychores.2017.05.003
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Cohort study
 Effort-reward imbalance
 Mental health
 Psychosocial work characteristics
 Somatic symptoms
K10plus-PPN:1575528843
Verknüpfungen:→ Zeitschrift

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