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Effort-Reward Imbalance at Work and Prescription Drug Misuse-Prospective Evidence from Germany.
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- Author(s): Sattler S;Sattler S;Sattler S;Sattler S; von dem Knesebeck O; von dem Knesebeck O
- Source:
International journal of environmental research and public health [Int J Environ Res Public Health] 2022 Jun 22; Vol. 19 (13). Date of Electronic Publication: 2022 Jun 22.- Publication Type:
Journal Article; Research Support, Non-U.S. Gov't- Language:
English - Source:
- Additional Information
- Source: Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE
- Publication Information: Original Publication: Basel : MDPI, c2004-
- Subject Terms:
- Abstract: This study examines how work stress affects the misuse of prescription drugs to augment mental performance without medical necessity (i.e., cognitive enhancement). Based on the effort-reward imbalance model, it can be assumed that a misalignment of effort exerted and rewards received increases prescription drug misuse, especially if employees overcommit. To test these assumptions, we conducted a prospective study using a nationwide web-based sample of the working population in Germany ( N = 11,197). Effort, reward, and overcommitment were measured at t
1 and the 12 month frequency of prescription drug misuse for enhancing cognitive performance was measured at a one-year follow-up ( t2 ). The results show that 2.6% of the respondents engaged in such drug misuse, of which 22.7% reported frequent misuse. While we found no overall association between misuse frequency and effort, reward, or their imbalance, overcommitment was significantly associated with a higher misuse frequency. Moreover, at low levels of overcommitment, more effort and an effort-reward imbalance discouraged future prescription drug misuse, while higher overcommitment, more effort, and an imbalance increased it. These findings suggest that a stressful work environment is a risk factor for health-endangering behavior, and thereby underlines the importance of identifying groups at risk of misusing drugs. - References: Behav Brain Sci. 2011 Dec;34(6):293-310. (PMID: 22074962)
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- Publication Date: Date Created: 20220709 Date Completed: 20220712 Latest Revision: 20220829
- Publication Date: 20240105
- Accession Number: PMC9265319
- Accession Number: 10.3390/ijerph19137632
- Accession Number: 35805300
- Source:
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