Skip to content
What Causes What
Socioeconomic status

Job strain

High job demands with low control. Karasek's score is not having a job, and it is not a wide network.

Job strain is a questionnaire, usually the Job Content Questionnaire: how much the work asks, and how much say the person has. The Job Demand-Control-Support extension adds workplace support. Effort-reward imbalance is a cousin used on the same pages: high effort, low reward, overcommitment. Employment status on this atlas is in work or not. Social capital is network density. Neither is this score.

Also called demand-control, JDCS, work stress, effort-reward imbalance.

Connected relationships

SMOKE? CONDITIONAL

Observational · Low

Job strain→Cortisol

Higher Job strain moves Cortisol only in some conditions. Read the mechanism.

Hair cortisol ran higher with effort-reward imbalance among 81 high-workload workers, and morning saliva ran 21.7 percent higher in 48 high-strain teachers, but Karasek job strain tracked a lower diurnal cortisol area in 254 matched MESA adults. Nobody assigned the job.

Read the full evidence

SMOKE+ INCREASES

Meta-analysis · Low

Job strain→Depression

Higher Job strain increases Depression.

Madsen 2018's IPD-Work pool of 120,221 employees found a 27 percent higher rate of first hospital-treated depression after job strain (HR 1.27, 1.04 to 1.55). In Smith 2012, 3,735 Canadians free of depression who reported a rise in psychological demands had later depression odds of 2.36. Nobody assigned the job.

Read the full evidence

Sources