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Effort-Reward Imbalance and Affective Disorders

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Work Stress and Health in a Globalized Economy

Abstract

In this chapter, we examine whether effort-reward imbalance (ERI) at work may contribute to the development of affective disorders. Affective disorders describe affective excesses, encompassing both elated and depressed affect. Excessive elated affect pertains to mania and bipolar disorders, excessive depressed affect without history of elated affect pertains to depressive disorders. Here, we mainly focus on depressive disorders. The reasons are, first, that depressive disorders are of particular public health relevance as they are regarded as one of the most important contributors to the loss of healthy life years in the world. Second, whereas ERI has been discussed as a potential risk factor for depressive disorders, we are not aware of discussions relating ERI to elevated mood and disorders in the manic or bipolar spectrum

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Acknowledgement

The writing of this chapter was partly supported by a grant from the Danish Working Environment Research Fund (grant # 9-2011-03). We thank Maria Kristine Friborg for proofreading the abstracted results from the systematic literature review.

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Rugulies, R., Aust, B., Madsen, I.E.H. (2016). Effort-Reward Imbalance and Affective Disorders. In: Siegrist, J., Wahrendorf, M. (eds) Work Stress and Health in a Globalized Economy. Aligning Perspectives on Health, Safety and Well-Being. Springer, Cham. https://doi.org/10.1007/978-3-319-32937-6_6

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