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J Siegrist

Publications and source records attributed to J Siegrist.

124 records · Page 7Linked to original sources
PubMed1976

[Nonsymmetrical communication in clinical visits (author's transl)].

The article tries to demonstrate on an empirical basis how physicians in hospitals react to threatening situations, namely the demand of information about illness by severely ill patients. Four types of reaction relating to physicians' verbal communications are distinguished and illustrated by tape-recordings on clinical visits:1. Disregard, 2. Shift of the topic or the addressee, 3. Communication of "reference-information", 4. Communication of "functional uncertainty". The results demonstrate that nonsymmetrical communications are significantly more usual in regard to severely ill than regard to non severe patients and significantly more usual among traditionally trained physicians than among physicians with psychosomatic or psychotherapeutic training or orientation. Some practical consequences are mentioned, especially in the field of medical education.

Communication↗
PubMedDate not supplied

[Psychosocial stress at work and musculoskeletal pain among police officers in special forces].

This study investigates associations of an adverse psychosocial work environment with musculoskeletal pain among German police officers in special forces. Analyses are based on a survey of 480 officers in special police forces (mainly special assignments and mobile units). An adverse psychosocial work environment is measured by the effort-reward imbalance model that identifies "high effort/low reward" working conditions. Musculoskeletal pain is assessed by means of a validated questionnaire (12 months and 7 days prevalence). Analyses confirm that police work is a stressful occupation. Multivariate logistic regression analysis indicates a twofold risk for neck, back and hip pain among police officers defined by an imbalance of high effort and low reward at work after adjustment for age, gender, socio-economic status, and physical work load.

Adult↗
PubMedDate not supplied

[Status threat in mid-adulthood and its health consequences--medical sociologic findings in coronary diseases].

Starting from a socio-physiological approach to the study of stress we define a distinct class of critical experiences called "active distress" which consists of enhanced effort due to external demands and limited success or control over the outcome. Results of a retrospective case-control study on 380 male patients (age 30-55) with defined first myocardial infarction and a matched control group are presented. In this frame of reference, results show that forced striving for maintenance of socioeconomic status and threat to achieved position (by downward mobility) are more common in the disease than in the control group. In addition coronary-prone behaviour is more pronounced if achieved status is threatened. Such an approach is of scientific as well as of practical interest, e.g., in the field of preventive gerontology.

Adult↗
PubMedDate not supplied

Threat to occupational status control and cardiovascular risk.

Individuals exposed to chronically stressful social contexts were show n to suffer from increased cardiovascular risk. High effort at work in combination with low reward, and especially with low control over one's occupational status, defines one such stressful social context. In this study an association between high effort, low occupational status control and hypertension as well as the co-manifestation of hypertension and elevated atherogenic lipids [coronary high risk (CHR) status] is explored in a group of 179 middle-aged (48.5+/-6.5 years) male managers. After adjustment for relevant covariates, logistic regression analysis showed independent effects of indicators of high extrinsic effort [time pressure: odds radio (OR)=5.31 95% confidence intervals (95%-C1): 1.10-25.57; severe problems: OR = 4.64 95% Cl: 1.37-15.68] and of low status control (forced job change: OR = 3.92 95% Cl: 1.29-11.92) on CHR. Similar, but less powerful effects were observed with respect to the criterion of hypertension. In conclusion, our findings indicate that effort-reward imbalance at work, and especially threatened status control, defines an independent psychosocial risk constellation with relevance to cardiovascular disease.

Adult↗