Effort–Reward Imbalance at Work and Prescription Drug Misuse - Prospective Evidence from Germany

Sattler S, von dem Knesebeck O (2022)
International Journal of Environmental Research and Public Health 19(13): 7632.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Sattler, SebastianUniBi ; von dem Knesebeck, Olaf
Abstract / Bemerkung
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 t1 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.
Erscheinungsjahr
2022
Zeitschriftentitel
International Journal of Environmental Research and Public Health
Band
19
Ausgabe
13
Art.-Nr.
7632
eISSN
1660-4601
Page URI
https://pub.uni-bielefeld.de/record/2964009

Zitieren

Sattler S, von dem Knesebeck O. Effort–Reward Imbalance at Work and Prescription Drug Misuse - Prospective Evidence from Germany. International Journal of Environmental Research and Public Health. 2022;19(13): 7632.
Sattler, S., & von dem Knesebeck, O. (2022). Effort–Reward Imbalance at Work and Prescription Drug Misuse - Prospective Evidence from Germany. International Journal of Environmental Research and Public Health, 19(13), 7632. https://doi.org/10.3390/ijerph19137632
Sattler, S., and von dem Knesebeck, O. (2022). Effort–Reward Imbalance at Work and Prescription Drug Misuse - Prospective Evidence from Germany. International Journal of Environmental Research and Public Health 19:7632.
Sattler, S., & von dem Knesebeck, O., 2022. Effort–Reward Imbalance at Work and Prescription Drug Misuse - Prospective Evidence from Germany. International Journal of Environmental Research and Public Health, 19(13): 7632.
S. Sattler and O. von dem Knesebeck, “Effort–Reward Imbalance at Work and Prescription Drug Misuse - Prospective Evidence from Germany”, International Journal of Environmental Research and Public Health, vol. 19, 2022, : 7632.
Sattler, S., von dem Knesebeck, O.: Effort–Reward Imbalance at Work and Prescription Drug Misuse - Prospective Evidence from Germany. International Journal of Environmental Research and Public Health. 19, : 7632 (2022).
Sattler, Sebastian, and von dem Knesebeck, Olaf. “Effort–Reward Imbalance at Work and Prescription Drug Misuse - Prospective Evidence from Germany”. International Journal of Environmental Research and Public Health 19.13 (2022): 7632.
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