{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T14:14:24Z","timestamp":1780496064849,"version":"3.54.1"},"reference-count":74,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T00:00:00Z","timestamp":1671062400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001711","name":"Swiss National Science Foundation","doi-asserted-by":"publisher","award":["100019_185484"],"award-info":[{"award-number":["100019_185484"]}],"id":[{"id":"10.13039\/501100001711","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Workaholism in teachers is characterized by the willingness to work until exhausted and may be associated with various adverse health outcomes as well as high economic costs. The present study examines the association between workaholism, vital exhaustion (VE), and hair cortisol concentration (HCC) as indicators of chronic stress. In addition, this study explores the moderating role of the personality trait neuroticism on the relationship between workaholism and chronic stress indicators, i.e., VE and HCC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty-two Swiss teachers (28 females; <jats:italic>M<\/jats:italic><jats:sub>age<\/jats:sub>\u2009=\u200939.66, SD\u2009=\u200911.99) completed questionnaires assessing VE (Maastricht Vital Exhaustion Questionnaire), workaholism (Measure of Coping Capacity Questionnaire), and neuroticism (Big-Five Inventory). Together with VE, HCC was assessed twice, with a one year lag.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both workaholism and neuroticism were positively associated with VE at both time points but not with HCC. Moderation analyses revealed a positive relationship between workaholism and VE in teachers with high neuroticism, while no such association was observed in teachers with low neuroticism. No associations were found between self-reports and HCC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>These findings emphasize the importance of considering individual characteristics when investigating VE. Further research is necessary to investigate the applicability of HCC as a biomarker of chronic stress in the context of work.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyg.2022.1046573","type":"journal-article","created":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T05:20:00Z","timestamp":1671081600000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Association between workaholism, vital exhaustion, and hair cortisol concentrations among teachers: A longitudinal study testing the moderation effect of neuroticism"],"prefix":"10.3389","volume":"13","author":[{"given":"Alexander","family":"Wettstein","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Jenni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin grosse","family":"Holtforth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Tschacher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"La Marca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,12,15]]},"reference":[{"key":"ref1","volume-title":"The Impact of the Coronavirus Lockdown on Mental Health: Evidence from the US","author":"Adams-Prassl","year":"2020"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1016\/j.sbspro.2011.11.296","article-title":"Personality traits and self-esteem","volume":"29","author":"Amirazodi","year":"2011","journal-title":"Procedia Soc. Behav. Sci."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/0022-3999(89)90088-3","article-title":"Workaholism: an overview and current status of the research","volume":"3","author":"Andreassen","year":"2014","journal-title":"J. Behav. Addict."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1016\/0022-3999(89)90088-3","article-title":"Fatigue and heart disease. The association between \u2018vital exhaustion\u2019 and past, present and future coronary heart disease","volume":"33","author":"Appels","year":"1989","journal-title":"J. Psychosom. Res."},{"key":"ref5","first-page":"259","volume-title":"Teachers and Texts: A Political Economy of Class and Gender Relations in Education","author":"Apple","year":"1989"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1016\/j.paid.2017.09.024","article-title":"The endless pursuit for self-validation through attainment: an examination of self-esteem in relation to workaholism","volume":"121","author":"Aziz","year":"2018","journal-title":"Personal. Individ. Differ."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1150","DOI":"10.1016\/j.tate.2009.02.012","article-title":"Struggling with workload: primary teachers\u2019 experience of intensification","volume":"25","author":"Ballet","year":"2009","journal-title":"Teach. Teach. Educ."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1016\/j.ijchp.2018.11.004","article-title":"The role of vital exhaustion in predicting the recurrence of vascular events: a longitudinal study","volume":"19","author":"Balog","year":"2019","journal-title":"Int. J. Clin. Health Psychol."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1016\/j.biopsycho.2008.01.006","article-title":"Cortisol dysregulation in school teachers in relation to burnout, vital exhaustion, and effort\u2013reward-imbalance","volume":"78","author":"Bellingrath","year":"2008","journal-title":"Biol. Psychol."},{"key":"ref01","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1026\/\/0084-5345.28.2.145","article-title":"NEO-F\u00fcnf-Faktoren Inventar (NEO-FFI) nach Costa und McCrae. G\u00f6ttingen: Hogrefe","volume":"28","author":"Borkenau","year":"1993","journal-title":"Z. f\u00fcr Klin. Psycholo. Psychother."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"104681","DOI":"10.1016\/j.psyneuen.2020.104681","article-title":"Hair cortisol concentration as a biomarker of parental burnout","volume":"117","author":"Brianda","year":"2020","journal-title":"Psychoneuroendocrinology"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"e01386","DOI":"10.1002\/brb3.1386","article-title":"Objective and subjective stress, personality, and allostatic load","volume":"9","author":"Christensen","year":"2019","journal-title":"Brain Behav."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1836","DOI":"10.1177\/0149206314522301","article-title":"All work and no play? A meta-analytic examination of the correlates and outcomes of Workaholism","volume":"42","author":"Clark","year":"2016","journal-title":"J. Manag."},{"key":"ref13","first-page":"236","volume-title":"Measuring Stress: A Guide for Health and Social Scientists","author":"Cohen","year":"1997"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1521\/pedi.1992.6.4.343","article-title":"The five-factor model of personality and its relevance to personality disorders","volume":"6","author":"Costa","year":"1992","journal-title":"J. Personal. Disord."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"1404","DOI":"10.1016\/j.psyneuen.2010.04.006","article-title":"Higher cortisol content in hair among long-term unemployed individuals compared to controls","volume":"35","author":"Dettenborn","year":"2010","journal-title":"Psychoneuroendocrinology"},{"key":"ref02","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1038\/s41398-021-01569-3","article-title":"Resilience and personality as predictors of the biological stress load during the first wave of the Covid-19 pandemic in Germany","volume":"11","author":"Engert","year":"2021","journal-title":"Transl. Psychiatry"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"100084","DOI":"10.1016\/j.cpnec.2021.100084","article-title":"Big five traits and interpersonal goals during stressors as predictors of hair cortisol","volume":"8","author":"Erickson","year":"2021","journal-title":"Compr. Psychoneuroendocrinol."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1097\/PSY.0000000000000423","article-title":"Vital exhaustion and coronary heart disease risk: a systematic review and meta-analysis","volume":"79","author":"Frestad","year":"2017","journal-title":"Psychosom. Med."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jchromb.2013.03.008","article-title":"Quantitative analysis of steroid hormones in human hair using a column-switching LC\u2013APCI\u2013MS\/MS assay","volume":"928","author":"Gao","year":"2013","journal-title":"J. Chromatogr. B"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1337","DOI":"10.2224\/sbp.2011.39.10.1337","article-title":"Prosocial personality traits and adaptation to stress","volume":"39","author":"Garcia-Banda","year":"2011","journal-title":"Soc. Behav. Pers."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1007\/s11218-018-9471-9","article-title":"Burnout syndrome in secondary school teachers: a systematic review and meta-analysis","volume":"22","author":"Garc\u00eda-Carmona","year":"2019","journal-title":"Soc. Psychol. Educ."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1016\/j.psyneuen.2015.09.022","article-title":"Hair cortisol and self-reported stress in healthy, working adults","volume":"63","author":"Gidlow","year":"2016","journal-title":"Psychoneuroendocrinology"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"54","DOI":"10.1016\/j.jvb.2018.09.006","article-title":"Investigating the combined effects of workaholism and work engagement: a substantive-methodological synergy of variable-centered and person- centered methodologies","volume":"109","author":"Gillet","year":"2018","journal-title":"J. Vocat. Behav."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"564","DOI":"10.1093\/occmed\/kqw086","article-title":"Work stress, poor recovery and burnout in teachers","volume":"66","author":"Gluschkoff","year":"2016","journal-title":"Occup. Med (Lond)."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1016\/j.forsciint.2009.12.040","article-title":"An assessment of cortisol analysis in hair and its clinical applications","volume":"196","author":"Gow","year":"2010","journal-title":"Forensic Sci. Int."},{"key":"ref26","first-page":"692","volume-title":"Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach","author":"Hayes","year":"2018"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1016\/S0166-2236(96)10069-2","article-title":"Neurocircuitry of stress: central control of the hypothalamo\u2013pituitary\u2013 adrenocortical axis","volume":"20","author":"Herman","year":"1997","journal-title":"Trends Neurosci."},{"key":"ref28","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1016\/j.psyneuen.2018.01.011","article-title":"Associations of work stress with hair cortisol concentrations \u2013 initial findings from a prospective study","volume":"89","author":"Herr","year":"2018","journal-title":"Psychoneuroendocrinology"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"693","DOI":"10.12973\/eu-jer.10.2.693","article-title":"Burnout in Portuguese teachers: a systematic review","volume":"10","author":"Isabel","year":"2021","journal-title":"Eur. J. Educ. Res."},{"key":"ref30","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1093\/occmed\/kqw114","article-title":"Hair cortisol in relation to job stress and depressive symptoms","volume":"67","author":"Janssens","year":"2017","journal-title":"Occup. Med."},{"key":"ref31","doi-asserted-by":"publisher","first-page":"21","DOI":"10.3109\/00048678909062588","article-title":"Modifiability of trait anxiety and neuroticism: a meta-analysis of the literature","volume":"23","author":"Jorm","year":"1989","journal-title":"Aust. N. Z. J. Psychiatry"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"768","DOI":"10.1080\/13540602.2018.1476337","article-title":"Personal and contextual factors related to teachers\u2019 experience with stress and burnout","volume":"24","author":"Richards","year":"2018","journal-title":"Teach. Teach."},{"key":"ref33","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1348\/000709905X90344","article-title":"Job stressors, personality and burnout in primary school teachers","volume":"77","author":"Kokkinos","year":"2007","journal-title":"Br. J. Educ. Psychol."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1016\/0022-3999(95)00613-3","article-title":"The relationship between severity of coronary artery disease and vital exhaustion","volume":"40","author":"Kop","year":"1996","journal-title":"J. Psychosom. Res."},{"key":"ref35","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1097\/00006842-199811000-00018","article-title":"Depressive symptomatology and vital exhaustion are differentially related to behavioral risk factors for coronary artery disease","volume":"60","author":"Kopp","year":"1998","journal-title":"Psychosom. Med."},{"key":"ref36","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1080\/10253890701714831","article-title":"Circulating fibrinogen but not D-dimer level is associated with vital exhaustion in school teachers","volume":"11","author":"Kudielka","year":"2008","journal-title":"Stress"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"35","DOI":"10.3200\/BMED.30.1.35-44","article-title":"The interrelationship of psychosocial risk factors for coronary artery disease in a working population: do we measure distinct or overlapping psychological concepts?","volume":"30","author":"Kudielka","year":"2004","journal-title":"Behav. Med."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1111\/jopy.12101","article-title":"Adolescent personality: associations with basal, awakening, and stress-induced cortisol responses: adolescent personality and cortisol","volume":"83","author":"Laceulle","year":"2015","journal-title":"J. Pers."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1037\/a0015309","article-title":"Public health significance of neuroticism","volume":"64","author":"Lahey","year":"2009","journal-title":"Am. Psychol."},{"key":"ref40","doi-asserted-by":"publisher","first-page":"480","DOI":"10.1037\/0022-3514.62.3.480","article-title":"Neuroticism and selective encoding and recall of symptoms: evidence from a combined concurrent-retrospective study","volume":"62","author":"Larsen","year":"1992","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref41","doi-asserted-by":"publisher","first-page":"E1862","DOI":"10.1210\/jc.2011-1551","article-title":"Shift work at young age is associated with elevated long-term cortisol levels and body mass index","volume":"96","author":"Manenschijn","year":"2011","journal-title":"J. Clin. Endocrinol. Metabol."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1111\/j.1467-6494.1986.tb00401.x","article-title":"Personality, coping, and coping effectiveness in an adult sample","volume":"54","author":"McCrae","year":"1986","journal-title":"J. Pers."},{"key":"ref43","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1177\/1069072715616059","article-title":"Career optimism mediates the effect of personality on teachers\u2019 career engagement","volume":"24","author":"McIlveen","year":"2016","journal-title":"J. Career Assess."},{"key":"ref44","doi-asserted-by":"publisher","first-page":"1573","DOI":"10.1016\/j.psyneuen.2010.02.017","article-title":"Neuroticism and conscientiousness are associated with cortisol diurnal profiles in adults\u2014role of positive and negative affect","volume":"35","author":"Nater","year":"2010","journal-title":"Psychoneuroendocrinology"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1002\/job.424","article-title":"Dimensions, antecedents, and consequences of workaholism: a conceptual integration and extension","volume":"28","author":"Ng","year":"2007","journal-title":"J. Organ. Behav."},{"key":"ref46","doi-asserted-by":"publisher","first-page":"2339","DOI":"10.1177\/1359105315576350","article-title":"Why do workaholics experience depression? A study with Chinese university teachers","volume":"21","author":"Nie","year":"2016","journal-title":"J. Health Psychol."},{"key":"ref03","volume-title":"Confessions of a workaholic: the facts about Work addiction","author":"Oates","year":"1971"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1016\/j.jvb.2018.05.006","article-title":"Towards an integrative perspective on the structure of teacher work engagement","volume":"108","author":"Perera","year":"2018","journal-title":"J. Vocat. Behav."},{"key":"ref48","doi-asserted-by":"publisher","first-page":"e0214856","DOI":"10.1371\/journal.pone.0214856","article-title":"Perceived stress and reference ranges of hair cortisol in healthy adolescents","volume":"14","author":"Prado-Gasc\u00f3","year":"2019","journal-title":"PLoS One"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1007\/s00420-004-0572-8","article-title":"Overcommitment to work is associated with vital exhaustion","volume":"78","author":"Preckel","year":"2005","journal-title":"Int. Arch. Occup. Environ. Health"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"990","DOI":"10.1093\/ije\/dyg235","article-title":"Vital exhaustion as a risk factor for ischaemic heart disease and all-cause mortality in a community sample. A prospective study of 4084 men and 5479 women in the Copenhagen City heart study","volume":"32","author":"Prescott","year":"2003","journal-title":"Int. J. Epidemiol."},{"key":"ref51","doi-asserted-by":"publisher","first-page":"1053","DOI":"10.1007\/s00420-015-1033-2","article-title":"Relationship between work strain, need for recovery after work and cumulative cortisol among kindergarten teachers","volume":"88","author":"Qi","year":"2015","journal-title":"Int. Arch. Occup. Environ. Health"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1016\/j.jpsychores.2014.01.008","article-title":"Relationship between effort\u2013reward imbalance and hair cortisol concentration in female kindergarten teachers","volume":"76","author":"Qi","year":"2014","journal-title":"J. Psychosom. Res."},{"key":"ref53","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1016\/j.jrp.2006.02.001","article-title":"Measuring personality in one minute or less: a 10-item short version of the big five inventory in English and German","volume":"41","author":"Rammstedt","year":"2007","journal-title":"J. Res. Pers."},{"key":"ref04","volume-title":"Untersuchung arbeitsbedingter Ursachen f\u00fcr das Auftreten von Depressiven St\u00f6rungen: Forschung Projekt F 1865","author":"Rau","year":"2010"},{"key":"ref05","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1017\/thg.2016.50","article-title":"Hair Cortisol and Its Association With Psychological Risk Factors for Psychiatric Disorders: a Pilot Study in Adolescent Twins","volume":"19","author":"Rietschel","year":"2016","journal-title":"Twin Res. Hum. Genet."},{"key":"ref54","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1016\/j.psyneuen.2011.09.009","article-title":"Hair cortisol as a biological marker of chronic stress: current status, future directions and unanswered questions","volume":"37","author":"Russell","year":"2012","journal-title":"Psychoneuroendocrinology"},{"key":"ref55","volume-title":"AVEM\u2013Arbeitsbezogenes Verhaltens-und Erlebensmuster","author":"Schaarschmidt","year":"2008"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"1057","DOI":"10.1108\/JMP-07-2015-0259","article-title":"Heavy work investment, personality and organizational climate","volume":"31","author":"Schaufeli","year":"2016","journal-title":"J. Manag. Psychol."},{"key":"ref57","doi-asserted-by":"crossref","DOI":"10.1201\/9781003062745","volume-title":"The Burnout Companion to Study and Practice: A Critical Analysis","author":"Schaufeli","year":"2020"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1007\/s00420-002-0369-6","article-title":"Assessment of exhaustion and related risk factors in employees in the manufacturing industry - a cross-sectional study","volume":"75","author":"Schnorpfeil","year":"2002","journal-title":"Int. Arch. Occup. Environ. Health"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"1149","DOI":"10.3389\/fpsyg.2018.01149","article-title":"Do implicit motives influence perceived chronic stress and vital exhaustion?","volume":"9","author":"Schoch","year":"2018","journal-title":"Front. Psychol."},{"key":"ref60","doi-asserted-by":"publisher","first-page":"1019","DOI":"10.1016\/j.bbi.2012.02.002","article-title":"Analysis of cortisol in hair--state of the art and future directions","volume":"26","author":"Stalder","year":"2012","journal-title":"Brain Behav. Immun."},{"key":"ref06","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1016\/j.psyneuen.2016.12.017","article-title":"Stress-related and basic determinants of hair cortisol in humans: a meta-analysis","volume":"77","author":"Stalder","year":"2017","journal-title":"Psychoneuroendocrinol."},{"key":"ref61","doi-asserted-by":"publisher","first-page":"1220","DOI":"10.1016\/j.psyneuen.2012.11.015","article-title":"Hair cortisol, stress exposure, and mental health in humans: a systematic review","volume":"38","author":"Staufenbiel","year":"2013","journal-title":"Psychoneuroendocrinology"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.psyneuen.2014.08.001","article-title":"Work stress and hair cortisol levels among workers in a Bangladeshi ready-made garment factory \u2013 results from a cross-sectional study","volume":"50","author":"Steinisch","year":"2014","journal-title":"Psychoneuroendocrinology"},{"key":"ref63","doi-asserted-by":"publisher","first-page":"470","DOI":"10.1007\/s13142-015-0315-2","article-title":"Self-report measures of medication adherence behavior: recommendations on optimal use","volume":"5","author":"Stirratt","year":"2015","journal-title":"Behav. Med. Pract. Policy Res."},{"key":"ref64","doi-asserted-by":"publisher","first-page":"7803","DOI":"10.3390\/su13147803","article-title":"The complexity of heavy work investment (HWI): a conceptual integration and review of antecedents, dimensions, and outcomes","volume":"13","author":"Tabak","year":"2021","journal-title":"Sustainability"},{"key":"ref65","doi-asserted-by":"publisher","first-page":"25842","DOI":"10.1038\/srep25842","article-title":"Pilot study of adrenal steroid hormones in hair as an indicator of chronic mental and physical stress","volume":"6","author":"Ullmann","year":"2016","journal-title":"Sci. Rep."},{"key":"ref07","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1016\/j.psyneuen.2017.12.020","article-title":"Hair cortisol and work stress: Importance of workload and stress model (JDCS or ERI)","volume":"89","author":"van der Meij","year":"2018","journal-title":"Psychoneuroendocrinol."},{"key":"ref66","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1016\/0022-3999(91)90048-S","article-title":"Vital exhaustion and depression: a conceptual study","volume":"35","author":"van Diest","year":"1991","journal-title":"J. Psychosom. Res."},{"key":"ref67","doi-asserted-by":"publisher","first-page":"446","DOI":"10.1097\/PSY.0b013e31825a7194","article-title":"Vital exhaustion and somatic depression: the same underlying construct in patients with myocardial infarction?","volume":"74","author":"Vroege","year":"2012","journal-title":"Psychosom. 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