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Longitudinal Associations of Work Stress with Changes in Quality of Life among Patients after Acute Coronary Syndrome: A Hospital-Based Study

Author

Listed:
  • Luqiao Wang

    (Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China)

  • Yunke Shi

    (Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China)

  • Zhao Hu

    (Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China)

  • Yanyan Li

    (Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China)

  • Yan Ang

    (Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China)

  • Pan Jing

    (Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China)

  • Bangying Zhang

    (Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China)

  • Xingyu Cao

    (Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China)

  • Adrian Loerbroks

    (Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Faculty of Medicine, University of Düsseldorf, 40225 Düsseldorf, Germany)

  • Jian Li

    (Department of Environmental Health Sciences, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA 90095, USA
    School of Nursing, University of California Los Angeles, Los Angeles, CA 90095, USA)

  • Min Zhang

    (Cardiology Department, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China)

Abstract

(1) Background: Targeting a sample of Chinese employees in this study, the correlation of work stress with changes in quality of life (QoL) was explored subsequent to acute coronary syndrome (ACS). (2) Methods: Patients suffering from the first ACS episode, with regular paid work before ACS, were eligible for this one-year longitudinal study. Effort–reward imbalance (ERI), together with job strain (JS) models, were employed to evaluate work stress before discharge, and QoL prior to discharge (baseline), as well as at 1, 6, and 12 months following discharge, were measured using the 8-Items Short Form (SF-8), in addition to the Seattle Angina Questionnaire (SAQ). Moreover, generalized estimating equations were used to determine the relationship of work stress to longitudinal QoL variations. (3) Results: After adjusting for covariates, high work stress at the baseline measured by JS was associated with the slow recovery of both mental health ( p < 0.01) and physical health ( p < 0.05) in SF-8, while ERI-measured work stress was related to slower improvement in SF-8 physical health ( p < 0.001), SAQ-angina stability (AS) ( p < 0.05), SF-8 mental health ( p < 0.001), and SAQ-angina frequency (AF) ( p < 0.05). After mutual adjustment for JS and ERI, high work stress as assessed by JS displayed no correlation with any QoL alteration (all p > 0.05), whereas ERI-determined work stress at a high level still presented a relationship to slow improvement in SF-8 physical health, SAQ-AS, SF-8 mental health, and SAQ-AF (all p < 0.05). (4) Conclusion: Work stress was associated with slow recovery of QoL in patients with ACS across one year. For ACS patients, ERI was a stronger predictor of QoL variations than JS.

Suggested Citation

  • Luqiao Wang & Yunke Shi & Zhao Hu & Yanyan Li & Yan Ang & Pan Jing & Bangying Zhang & Xingyu Cao & Adrian Loerbroks & Jian Li & Min Zhang, 2022. "Longitudinal Associations of Work Stress with Changes in Quality of Life among Patients after Acute Coronary Syndrome: A Hospital-Based Study," IJERPH, MDPI, vol. 19(24), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:17018-:d:1007193
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    References listed on IDEAS

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    1. Siegrist, Johannes & Dragano, Nico & Nyberg, Solja T. & Lunau, Thorsten & Alfredsson, Lars & Erbel, Raimund & Fahlén, Göran & Goldberg, Marcel & Jöckel, Karl-Heinz & Knutsson, Anders & Leineweber, Con, 2014. "Validating Abbreviated Measures of Effort-Reward Imbalance at Work in European Cohort Studies: The IPD-Work Consortium," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 87, pages 249-256.
    2. Li, Jian & Yang, Wenjie & Cho, Sung-il, 2006. "Gender differences in job strain, effort-reward imbalance, and health functioning among Chinese physicians," Social Science & Medicine, Elsevier, vol. 62(5), pages 1066-1077, March.
    3. Billingsley Kaambwa & Hailay Abrha Gesesew & Matthew Horsfall & Derek Chew, 2020. "Quality of Life Changes in Acute Coronary Syndromes Patients: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(18), pages 1-28, September.
    4. Morten Wahrendorf & Grace Sembajwe & Marie Zins & Lisa Berkman & Marcel Goldberg & Johannes Siegrist, 2012. "Long-term Effects of Psychosocial Work Stress in Midlife on Health Functioning After Labor Market Exit--Results From the GAZEL Study," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 67(4), pages 471-480.
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