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Psychosocial stress at work and cardiovascular diseases: an overview of systematic reviews.

Fishta A, Backé EM - Int Arch Occup Environ Health (2015)

Bottom Line: The search resulted in 462 records.Same to a SRev, an overview of SRev is used to summarize literature and identify areas in which research is needed.This overview can be used to: (a) Disseminate an up-to-date information on work-related stress as a risk factors for CV morbidity and mortality to government, health care providers, workers, and other stakeholders; (b) Encourage governments to better regulate the working conditions and consider work-related psychosocial stress as a hazardous factor that leads to CV diseases or mortality; and (c) Analyze gaps in the literature and provide a summary of research needs.

View Article: PubMed Central - PubMed

Affiliation: Federal Institute for Occupational Safety and Health (BAuA), Nöldnerstraße 40-42, 10317, Berlin, Germany. fishta.alba@baua.bund.de.

ABSTRACT

Purpose: Based on information reported in systematic reviews (SRevs), this study aimed to find out whether psychosocial stress at work leads to cardiovascular (CV) morbidity and mortality.

Methods: A systematic search in PubMed and EMBASE (until 2014) used a string based on PICOS components. A manual search was followed. Applying the predefined criteria, two reviewers independently screened the titles, abstracts, selected full texts, and validated their quality. Discrepancies were resolved by discussion between reviewers. Studies of low quality were excluded. Contents of enrolled SRevs were extracted by one reviewer; a second reviewer evaluated their accurateness.

Results: The search resulted in 462 records. Six SRevs based on 81 studies (total population: ~1,468,670) fulfilled the inclusion criteria, four of "very good" (++) and two of "good" (+) quality. Excluded records were filed, and reasons for exclusion were documented in all cases. Different stress models were used to measure the work-related stress; the "demand-control model" was most commonly used. The two enrolled meta-analysis confirmed a modest (1.32, 95 % CI 1.09-1.59; Virtanen et al. 2013) to moderate evidence (1.45, 95 % CI 1.15-1.84; Kivimäki et al. 2006), predominantly among men, for the association between psychosocial stress at work and CV outcomes. Due to lacking information, it was not possible to give evidence on the dose-response relationship.

Conclusions: Same to a SRev, an overview of SRev is used to summarize literature and identify areas in which research is needed. This overview can be used to: (a) Disseminate an up-to-date information on work-related stress as a risk factors for CV morbidity and mortality to government, health care providers, workers, and other stakeholders; (b) Encourage governments to better regulate the working conditions and consider work-related psychosocial stress as a hazardous factor that leads to CV diseases or mortality; and (c) Analyze gaps in the literature and provide a summary of research needs.

No MeSH data available.


Flow diagram of the process of literature search and identification of SRevs eligible for inclusion in the OSRev
© Copyright Policy - OpenAccess
Related In: Results  -  Collection


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Fig1: Flow diagram of the process of literature search and identification of SRevs eligible for inclusion in the OSRev

Mentions: Initially, two reviewers (AF and EMB) screened the titles and abstracts of the identified literature independently from each other and eliminated irrelevant papers which did not fulfill the predefined criteria. The final study selection was based on their full texts and was done again blindly by two reviewers (AF and EMB). In both steps, discrepancies were solved by discussion between the two reviewers and reasons for exclusion were documented in all cases. The results of the selection process are summarized in a PRISMA diagram (Liberati et al. 2009; Fig. 1).Fig. 1


Psychosocial stress at work and cardiovascular diseases: an overview of systematic reviews.

Fishta A, Backé EM - Int Arch Occup Environ Health (2015)

Flow diagram of the process of literature search and identification of SRevs eligible for inclusion in the OSRev
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4608992&req=5

Fig1: Flow diagram of the process of literature search and identification of SRevs eligible for inclusion in the OSRev
Mentions: Initially, two reviewers (AF and EMB) screened the titles and abstracts of the identified literature independently from each other and eliminated irrelevant papers which did not fulfill the predefined criteria. The final study selection was based on their full texts and was done again blindly by two reviewers (AF and EMB). In both steps, discrepancies were solved by discussion between the two reviewers and reasons for exclusion were documented in all cases. The results of the selection process are summarized in a PRISMA diagram (Liberati et al. 2009; Fig. 1).Fig. 1

Bottom Line: The search resulted in 462 records.Same to a SRev, an overview of SRev is used to summarize literature and identify areas in which research is needed.This overview can be used to: (a) Disseminate an up-to-date information on work-related stress as a risk factors for CV morbidity and mortality to government, health care providers, workers, and other stakeholders; (b) Encourage governments to better regulate the working conditions and consider work-related psychosocial stress as a hazardous factor that leads to CV diseases or mortality; and (c) Analyze gaps in the literature and provide a summary of research needs.

View Article: PubMed Central - PubMed

Affiliation: Federal Institute for Occupational Safety and Health (BAuA), Nöldnerstraße 40-42, 10317, Berlin, Germany. fishta.alba@baua.bund.de.

ABSTRACT

Purpose: Based on information reported in systematic reviews (SRevs), this study aimed to find out whether psychosocial stress at work leads to cardiovascular (CV) morbidity and mortality.

Methods: A systematic search in PubMed and EMBASE (until 2014) used a string based on PICOS components. A manual search was followed. Applying the predefined criteria, two reviewers independently screened the titles, abstracts, selected full texts, and validated their quality. Discrepancies were resolved by discussion between reviewers. Studies of low quality were excluded. Contents of enrolled SRevs were extracted by one reviewer; a second reviewer evaluated their accurateness.

Results: The search resulted in 462 records. Six SRevs based on 81 studies (total population: ~1,468,670) fulfilled the inclusion criteria, four of "very good" (++) and two of "good" (+) quality. Excluded records were filed, and reasons for exclusion were documented in all cases. Different stress models were used to measure the work-related stress; the "demand-control model" was most commonly used. The two enrolled meta-analysis confirmed a modest (1.32, 95 % CI 1.09-1.59; Virtanen et al. 2013) to moderate evidence (1.45, 95 % CI 1.15-1.84; Kivimäki et al. 2006), predominantly among men, for the association between psychosocial stress at work and CV outcomes. Due to lacking information, it was not possible to give evidence on the dose-response relationship.

Conclusions: Same to a SRev, an overview of SRev is used to summarize literature and identify areas in which research is needed. This overview can be used to: (a) Disseminate an up-to-date information on work-related stress as a risk factors for CV morbidity and mortality to government, health care providers, workers, and other stakeholders; (b) Encourage governments to better regulate the working conditions and consider work-related psychosocial stress as a hazardous factor that leads to CV diseases or mortality; and (c) Analyze gaps in the literature and provide a summary of research needs.

No MeSH data available.