A Systematic Review and Meta-analysis of the Effort-Reward Imbalance Model of Workplace Stress and Hypothalamic-Pituitary-Adrenal Axis Measures of Stress

ABSTRACTObjectiveThe association between effort-reward imbalance (ERI) and various health outcomes has been well documented over the past 20 years, but the mechanisms responsible for this association remain unclear. The present meta-analysis assessed the associations of ERI and overcommitment (OC) in the workplace with hypothalamic-pituitary-adrenal (HPA) axis measures.MethodsElectronic databases were searched with the phrase “effort*reward*imbalance,” which yielded 319 studies leading to 56 full-text studies being screened. Thirty-two studies within 14 articles met inclusion criteria and were meta-analyzed using mixed and random effects models.ResultsGreater ERI was associated with increased HPA axis activity (r = .09, p
Source: Psychosomatic Medicine - Category: Psychiatry & Psychology Tags: Systematic Review/Meta-Analysis Source Type: research