The Gutenberg Health Study: measuring psychosocial factors at work and predicting health and work-related outcomes with the ERI and the COPSOQ questionnaire

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Matthias Nuebling - , Freiburger Forschungsstelle Arbeits- und Sozialmedizin (FFAS) (Author)
  • Andreas Seidler - , Institute and Policlinic of Occupational and Social Medicine (Author)
  • Susan Garthus-Niegel - , Institute and Policlinic of Occupational and Social Medicine (Author)
  • Ute Latza - , Federal Institute for Occupational Safety and Health (Author)
  • Mandy Wagner - , TUD Dresden University of Technology (Author)
  • Janice Hegewald - , Institute and Policlinic of Occupational and Social Medicine (Author)
  • Falk Liebers - , Federal Institute for Occupational Safety and Health (Author)
  • Sylvia Jankowiak - , Federal Institute for Occupational Safety and Health (Author)
  • Isabella Zwiener - , Johannes Gutenberg University Mainz (Author)
  • Philipp S. Wild - , Johannes Gutenberg University Mainz, Deutsches Zentrum für Herz-Kreislaufforschung (DZHK) (Author)
  • Stephan Letzel - , Johannes Gutenberg University Mainz (Author)

Abstract

Background: Several instruments have been developed to assess psychosocial workload. We compared two of these instruments, the Effort-Reward Imbalance (ERI) model and the Copenhagen Psychosocial Questionnaire (COPSOQ) with regard to congruent validity and internal validity.Methods: This analysis is based on a population-based sample of the baseline examination of 2,783 employees from the Gutenberg Health Study (GHS). About half of the participants completed the ERI questionnaire (n = 1,342), the other half completed the COPSOQ (n = 1,441). First, the two samples were compared and descriptive analyses were carried out calculating mean values for both instruments in general, then separately for age, gender and main occupational groups. Second, we analyzed the relationship between ERI and COPSOQ scales on the workplace situation and on the workplace outcomes: job satisfaction, general health, burnout, satisfaction with life, by applying stepwise logistic regression analysis.Results and discussion: For the majority of occupations, high effort as reflected by the ERI corresponded with high demands as reflected by the COPSOQ. Comparably, high reward (according to ERI) yielded a good agreement with high "influence and development" (according to COPSOQ). However, we could also find differences between ERI and COPSOQ concerning the intensity of psychosocial workload in some occupations (e.g., physicians/pharmacists or warehouse managers/warehousemen/transport workers). These differences point to differing theoretical concepts of ERI and COPSOQ. When the ability of ERI and COPSOQ was examined to determine the associations with health and work outcomes, burnout could be better predicted by the COPSOQ; this might be due to the fact that COPSOQ comprises the constructs "work-privacy conflict" and "emotional demand", which are closely related to burnout. However, methodological differences between these instruments limit their direct comparability.Conclusions: The ERI and COPSOQ instrument yielded similar results for most occupational groups. The slightly stronger association between psychosocial workload as assessed by COPSOQ and burnout might be explained by its broader approach. The ability of the ERI and COPSOQ instrument to reflect relevant risk factors for clinically manifest disorders (e.g., coronary heart disease) will be derived from subsequent prospective analyses of the GHS with the follow-up data.

Details

Original languageEnglish
Article number538
Number of pages13
JournalBMC Public Health
Volume13
Publication statusPublished - 4 Jun 2013
Peer-reviewedYes

External IDs

Scopus 84878406685
WOS 000321501200001
PubMed 23734632
ORCID /0000-0002-7472-674X/work/142257684

Keywords

Keywords

  • Copsoq, Eri, Psychosocial factors, Strain, Stress