Biological Work and Health Psychology, University of Konstanz, Konstanz, Germany.
Centre for the Advanced Study of Collective Behaviour, University of Konstanz, Konstanz, Germany.
Front Public Health. 2024 Mar 4;12:1284431. doi: 10.3389/fpubh.2024.1284431. eCollection 2024.
While perceived appreciation at work has been associated with self-reported health and wellbeing, studies considering biological health markers are lacking. In this study, we investigated whether appreciation at work would relate to coronary heart disease (CHD) risk as well as the specificity of this proposed association.
Our study comprised a total of 103 male participants, including apparently healthy, medication-free, non-smoking men in the normotensive to hypertensive range ( = 70) as well as medicated hypertensive and CHD patients ( = 33). CHD risk was assessed by blood pressure [mean arterial pressure (MAP)], the diabetes marker glycated hemoglobin A1c (HbA1c), blood lipids [total cholesterol (TC)/high-density lipoprotein-cholesterol (HDL-C) ratio], coagulation activity (D-dimer and fibrinogen), and inflammation [interleukin (IL)-6, tumor necrosis factor-alpha (TNF-α), and C-reactive protein (CRP)]. Perceived appreciation at work, as well as potentially confounding psychological factors (social support, self-esteem, and work strain due to a lack of appreciation), were measured by self-report questionnaires.
We found higher appreciation at work to relate to lower overall composite CHD risk ('s ≤ 0.011) and, in particular, to lower MAP ('s ≤ 0.007) and lower blood lipids ('s ≤ 0.031) in medication-free participants as well as all participants. This overall association was independent of confounding factors, including related psychological factors ('s ≤ 0.049).
Our findings indicate that appreciation at work might be an independent health-promoting resource in terms of CHD risk. Implications include that encouraging appreciation at work may help reduce the development and progression of CHD.
虽然工作中的感知赞赏与自我报告的健康和幸福感有关，但缺乏考虑生物学健康标志物的研究。在这项研究中，我们调查了工作中的赞赏是否与冠心病（CHD）风险相关，以及这种关联的特异性。
我们的研究共包括 103 名男性参与者，包括血压正常至高血压范围内的明显健康、无药物治疗、非吸烟男性（ = 70）以及接受药物治疗的高血压和 CHD 患者（ = 33）。通过血压[平均动脉压（MAP）]、糖尿病标志物糖化血红蛋白 A1c（HbA1c）、血脂[总胆固醇（TC）/高密度脂蛋白胆固醇（HDL-C）比值]、凝血活性（D-二聚体和纤维蛋白原）和炎症[白细胞介素（IL）-6、肿瘤坏死因子-α（TNF-α）和 C 反应蛋白（CRP）]评估 CHD 风险。通过自我报告问卷测量工作中的感知赞赏以及潜在的混杂心理因素（社会支持、自尊和因缺乏赞赏而导致的工作压力）。
我们发现，工作中的更高赞赏与整体复合 CHD 风险降低有关（ s≤0.011），特别是在无药物治疗的参与者以及所有参与者中，MAP 降低（ s≤0.007）和血脂降低（ s≤0.031）。这种整体关联独立于混杂因素，包括相关心理因素（ s≤0.049）。
我们的研究结果表明，工作中的赞赏可能是 CHD 风险的一个独立的促进健康的资源。这意味着鼓励工作中的赞赏可能有助于减少 CHD 的发展和进展。
