Objectives: We assessed longitudinal patterns of effort-reward imbalance (ERI) and demand-control (DC) scores in pregnancy, and their association with newborn birthweight (BW).
Methods: Sixty-one women were surveyed four times across pregnancy using the ERI and DC questionnaires. Trajectories of change in ERI and DC scores across pregnancy were constructed using growth mixture modeling, and their associations with BW were examined with generalized linear regression.
Results: Declining ERI (diminishing effort with stable/increasing reward) was associated with higher BW (408 g; P = 0.015), and was robust to other work factors. DC trajectory was not significantly associated with BW.
Conclusions: Declining ERI may reflect improved work psychosocial climate across pregnancy, or a conscious reduction in effort. The ERI model may represent more flexible work characteristics, whereas job control may be less amenable to short-term alteration. Surveys in more diverse pregnant working populations could be recommended.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/JOM.0000000000000932 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
An analysis of causal relationships among the factors affecting the academic performance of students at the Alborz University of Medical Sciences.
J Educ Health Promot
December 2024
Department of Midwifery, School of Medicine, Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Background: University graduates are leaders, great human resources, and responsible for the economic and social development of every country. The present study aimed at evaluating the mediating role of self-efficacy in the relationship between stress and effort-reward imbalance (E.R.
View Article and Find Full Text PDFA national cross-sectional study on latent profile analysis of occupational fatigue among Chinese nurses in the early post-COVID-19 era.
Front Public Health
January 2025
Department of Obstetric Nursing, West China Second University Hospital, Sichuan University, Chengdu, China.
Background: Occupational fatigue is a widespread condition within the nursing workforce, adversely affecting both nurses' health and patient safety. The protracted duration of the COVID-19 pandemic, approaching 3 years, has exacerbated the challenges faced by nurses globally. The escalation in patient numbers and the high incidence of infections among healthcare workers have intensified occupational fatigue.
View Article and Find Full Text PDFEffort-reward imbalance and health outcomes in emergency nurses: the mediating role of work-family conflict and intrinsic effort.
Front Public Health
January 2025
Department of Emergency Medicine and West China School of Nursing, West China Hospital, Sichuan University, Chengdu, China.
Background: Emergency nurses experience high stress, but the mechanisms linking effort-reward imbalance to health outcomes are unclear. Work-family conflict might mediate this relationship, and intrinsic effort could moderate it. This study aimed to explore these interactions and their impact on nurse health.
View Article and Find Full Text PDFPsychological Empowerment as a Mediator of Effort-Reward Imbalance Effects on Burnout, Anxiety and Depression Among Nursing Home Professionals: A Cross-Sectional Study.
J Adv Nurs
January 2025
Unit 1219, Bordeaux Population Health Center, Inserm | University of Bordeaux, Bordeaux, France.
Aims: Few studies have explored empowerment as a predictor of mental health outcomes in geriatric healthcare professionals. This research addresses this gap by using the 'effort-reward imbalance' theory of work-related stress to develop a comprehensive model, examining the role of psychological empowerment in the psychological outcomes of nursing home professionals.
Design: This cross-sectional exploratory study used structural equation modelling (SEM) to test a model on the mediating role of psychological empowerment in the relationship between effort-reward ratio and burnout, anxiety and depression.
Digital Meditation to Target Employee Stress: A Randomized Clinical Trial.
JAMA Netw Open
January 2025
Department of Psychiatry and Behavioral Sciences, University of California San Francisco.
Importance: Mindfulness meditation may improve well-being among employees; however, effects of digital meditation programs are poorly understood.
Objective: To evaluate the effects of digital meditation vs a waiting list condition on general and work-specific stress and whether greater engagement in the intervention moderates these effects.
Design, Setting, And Participants: This randomized clinical trial included a volunteer sample of adults (aged ≥18 years) employed at a large academic medical center who reported mild to moderate stress, had regular access to a web-connected device, and were fluent in English.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!