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Effort-Reward Imbalance and Overcommitment at Work are Associated With Painful Menstruation: Results From the Hungarostudy Epidemiological Panel 2006

László, Krisztina D. MSc; Kopp, Mária S. MD, PhD

Journal of Occupational and Environmental Medicine: February 2009 - Volume 51 - Issue 2 - p 157-163
doi: 10.1097/JOM.0b013e318197ca89
Original Articles

Objective: To analyze the relationship between work stress, defined according to the Effort-Reward Imbalance Model, and painful menstruation.

Methods: Data of 821 pre-menopausal and not pregnant working women from the Hungarostudy Epidemiological Panel 2006 were analyzed. The association between work stress and dysmenorrhoea was investigated using logistic regression.

Results: After controlling for age, occupational class, own and mother’s education, marital status, parity, unsuccessfully trying to conceive for at least 1 year, previous miscarriage, smoking, body-mass index, physical activity and depressive symptoms effort-reward imbalance and overcommitment were associated with an increased risk of menstrual pain (OR [95% CI]: 1.42 [1.03 to 1.94] and 1.07 [1.02 to 1.13], respectively).

Conclusions: We found work stress to be associated with dysmenorrhoea. The relationship between work-related psychosocial factors and painful menstruation needs to be further investigated to determine factors that may explain this association.

From the Institute of Behavioural Sciences (Ms László, Dr Kopp), Semmelweis University, Budapest, Hungary; and Department of Public Health Sciences (Ms László), Preventive Medicine, Karolinska Institutet, Stockholm, Sweden.

Address correspondence to: Krisztina D. László, 1089 Budapest, Nagyvárad tér 4, 20th floor, Hungary; E-mail:

©2009The American College of Occupational and Environmental Medicine