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[Avoiding answers to criticism of the connection between attitudes and sick listing].

https://arctichealth.org/en/permalink/ahliterature163844
Source
Lakartidningen. 2007 Apr 4-17;104(14-15):1168-9; discussion 1169-70
Publication Type
Article
Author
Lennart Hallsten
Author Affiliation
Arbetsvlivsinstitutet, Stockholm. lennart.hallsten@arbetslivsinstitutet.se
Source
Lakartidningen. 2007 Apr 4-17;104(14-15):1168-9; discussion 1169-70
Language
Swedish
Publication Type
Article
Keywords
Attitude of Health Personnel
Humans
Insurance, Health
Occupational Health Services
Sick Leave
Sweden
PubMed ID
17472111 View in PubMed
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Do job demands and job control affect problem-solving?

https://arctichealth.org/en/permalink/ahliterature123437
Source
Work. 2012;42(2):195-203
Publication Type
Article
Date
2012
Author
Peter N Bergman
Gunnel Ahlberg
Gun Johansson
Ulrich Stoetzer
Carl Aborg
Lennart Hallsten
Ingvar Lundberg
Author Affiliation
Occupational and Environmental Medicine, Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden. peter.n.bergman@ki.se
Source
Work. 2012;42(2):195-203
Date
2012
Language
English
Publication Type
Article
Keywords
Adaptation, Psychological
Adult
Aged
Efficiency
Female
Health status
Humans
Job Satisfaction
Logistic Models
Male
Middle Aged
Occupational Diseases - complications - psychology
Organizational Culture
Organizational Innovation
Problem-Based Learning - methods
Professional Competence
Psychometrics
Social Control, Informal
Socioeconomic Factors
Sweden
Task Performance and Analysis
Workload - psychology
Workplace - standards
Abstract
The Job Demand Control model presents combinations of working conditions that may facilitate learning, the active learning hypothesis, or have detrimental effects on health, the strain hypothesis. To test the active learning hypothesis, this study analysed the effects of job demands and job control on general problem-solving strategies.
A population-based sample of 4,636 individuals (55% women, 45% men) with the same job characteristics measured at two times with a three year time lag was used.
Main effects of demands, skill discretion, task authority and control, and the combined effects of demands and control were analysed in logistic regressions, on four outcomes representing general problem-solving strategies.
Those reporting high on skill discretion, task authority and control, as well as those reporting high demand/high control and low demand/high control job characteristics were more likely to state using problem solving strategies.
Results suggest that working conditions including high levels of control may affect how individuals cope with problems and that workplace characteristics may affect behaviour in the non-work domain.
PubMed ID
22699186 View in PubMed
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Early career burnout among nurses: modelling a hypothesized process using an item response approach.

https://arctichealth.org/en/permalink/ahliterature146095
Source
Int J Nurs Stud. 2010 Jul;47(7):864-75
Publication Type
Article
Date
Jul-2010
Author
J Petter Gustavsson
Lennart Hallsten
Ann Rudman
Author Affiliation
Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77 Stockholm, Sweden. petter.gustavsson@ki.se
Source
Int J Nurs Stud. 2010 Jul;47(7):864-75
Date
Jul-2010
Language
English
Publication Type
Article
Keywords
Burnout, Professional
Cohort Studies
Humans
Models, Psychological
Nurses - psychology
Psychometrics
Sweden
Abstract
Cherniss's pioneering research on burnout, based on grounded theory, focused specifically on competence crisis among new graduates, and identified negative attitude changes as the core phenomenon in the progression from competence crisis into early career burnout. In this model, the two main burnout dimensions of exhaustion and dysfunctional coping are ordered sequentially; i.e., initial exhaustion develops, due to dysfunctional coping (cynicism and disengagement), into burnout.
To test the sequential-developmental model of burnout originally proposed by Cherniss, using a psychometric approach.
A sample of 933 early-career nursing professionals, recruited from a Swedish population-based cohort (response rate 81%), were assessed three years after graduation, using items from a burnout inventory. Data were analysed using the Rasch measurement model.
The psychometric tests showed that data adhere to a sequential-developmental model when examined using the one-parameter item response approach. When tested against external variables, the prevalence of low mood, low levels of job performance and health problems increased monotonically along this sequential-developmental model of early career burnout.
Among early-career nursing professionals burnout may be operationalized as a one-dimensional sequential-developmental model. This model resembles the results found in the literature on transition and socialization, and the association between these psychometric results and studies on nursing students' transition and socialization into working life are discussed.
PubMed ID
20070968 View in PubMed
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Genetic and environmental influences on the association between performance-based self-esteem and exhaustion: A study of the self-worth notion of burnout.

https://arctichealth.org/en/permalink/ahliterature281364
Source
Scand J Psychol. 2016 Oct;57(5):419-26
Publication Type
Article
Date
Oct-2016
Author
Pia Svedberg
Lennart Hallsten
Jurgita Narusyte
Lennart Bodin
Victoria Blom
Source
Scand J Psychol. 2016 Oct;57(5):419-26
Date
Oct-2016
Language
English
Publication Type
Article
Keywords
Adult
Burnout, Professional - genetics - psychology
Fatigue - genetics - psychology
Female
Gene-Environment Interaction
Humans
Male
Middle Aged
Models, Psychological
Self Concept
Sweden
Work Performance
Young Adult
Abstract
In the self-worth model, burnout is considered to be a syndrome of performance-based self-esteem (PBSE) and experiences of exhaustion. Studies have shown that PBSE and burnout indices such as Pines' Burnout Measure (BM) are associated. Whether these variables have overlapping etiologies has however not been studied before. Genetic and environmental components of covariation between PBSE and exhaustion measured with Pines' BM were examined in a bivariate Cholesky model using data from 14,875 monozygotic and dizygotic Swedish twins. Fifty-two per cent of the phenotypic correlation (r = 0.41) between PBSE and Pines' BM was explained by genetics and 48% by environmental factors. The findings of the present study strengthen the assumption that PBSE should be considered in the burnout process as proposed by the self-worth conception of burnout. The present results extend our understanding of the link between this contingent self-esteem construct and exhaustion and provide additional information about the underlying mechanisms in terms of genetics and environment. This finding corroborates the assumed syndrome view on burnout, while it also suggests an altered view of how the syndrome emerges and how it can be alleviated.
PubMed ID
27452914 View in PubMed
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Genetic susceptibility to burnout in a Swedish twin cohort.

https://arctichealth.org/en/permalink/ahliterature126454
Source
Eur J Epidemiol. 2012 Mar;27(3):225-31
Publication Type
Article
Date
Mar-2012
Author
Victoria Blom
Gunnar Bergström
Lennart Hallsten
Lennart Bodin
Pia Svedberg
Author Affiliation
Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Source
Eur J Epidemiol. 2012 Mar;27(3):225-31
Date
Mar-2012
Language
English
Publication Type
Article
Keywords
Adult
Burnout, Professional - genetics
Cohort Studies
Cross-Sectional Studies
Female
Gene-Environment Interaction
Health Surveys
Heredity
Humans
Male
Middle Aged
Models, Genetic
Models, Statistical
Questionnaires
Registries
Sweden
Twins, Dizygotic - genetics - psychology
Twins, Monozygotic - genetics - psychology
Abstract
Most previous studies of burnout have focused on work environmental stressors, while familial factors so far mainly have been overlooked. The aim of the study was to estimate the relative importance of genetic influences on burnout (measured with Pines Burnout Measure) in a sample of monozygotic (MZ) and dizygotic (DZ) Swedish twins. The study sample consisted of 20,286 individuals, born 1959-1986 from the Swedish twin registry who participated in the cross-sectional study of twin adults: genes and environment. Probandwise concordance rates (the risk for one twin to be affected given that his/her twin partner is affected by burnout) and within pair correlations were calculated for MZ and DZ same--and opposite sexed twin pairs. Heritability coefficients i.e. the proportion of the total variance attributable to genetic factors were calculated using standard biometrical model fitting procedures. The results showed that genetic factors explained 33% of the individual differences in burnout symptoms in women and men. Environmental factors explained a substantial part of the variation as well and are thus important to address in rehabilitation and prevention efforts to combat burnout.
Notes
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PubMed ID
22388765 View in PubMed
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The importance of genetic and shared environmental factors for the associations between job demands, control, support and burnout.

https://arctichealth.org/en/permalink/ahliterature106923
Source
PLoS One. 2013;8(9):e75387
Publication Type
Article
Date
2013
Author
Victoria Blom
Lennart Bodin
Gunnar Bergström
Lennart Hallsten
Pia Svedberg
Author Affiliation
Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden ; The Swedish School of Sport and Health Sciences, Stockholm, Sweden.
Source
PLoS One. 2013;8(9):e75387
Date
2013
Language
English
Publication Type
Article
Keywords
Adult
Analysis of Variance
Burnout, Professional - genetics
Female
Humans
Job Description
Male
Models, Theoretical
Occupational Health
Questionnaires
Risk factors
Sex Factors
Social Support
Sweden
Abstract
Within occupational health research, one of the most influential models is the Job Demands-Control-Support model. Numerous studies have applied the model to different domains, with both physical and psychological health outcomes, such as burnout. The twin design provides a unique and powerful research methodology for examining the effects of environmental risk factors on burnout while taking familial factors (genetic and shared environment) into account. The aim of the present study was to investigate the impact of familial factors on the associations of burnout with job demands, control and support. A total of 14,516 individuals from the Swedish Twin Registry, who were born between 1959 and 1986, and who participated in the Study of Twin Adults: Genes and Environment (STAGE) by responding to a web-based questionnaire in 2005, were included in the analyses. Of these, there were 5108 individuals in complete same-sex twin pairs. Co-twin control analyses were performed using linear mixed modeling, comparing between-pairs effects and within-pair effects, stratified also by zygosity and sex. The results indicate that familial factors are of importance in the association between support and burnout in both women and men, but not between job demands and burnout. There are also tendencies towards familial factors being involved in the association between control and burnout in men. These results offer increased understanding of the mechanisms involved in the associations between work stress and burnout.
Notes
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PubMed ID
24086520 View in PubMed
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[Irrelevant and biased about attitudes and sick listing].

https://arctichealth.org/en/permalink/ahliterature164543
Source
Lakartidningen. 2007 Feb 7-13;104(6):433-4; discussion 434-6
Publication Type
Article
Author
Lennart Hallsten
Author Affiliation
Arbetslivsinstitutet, Stockholm. lennart.hallsten@arbetslivsinstitutet.se
Source
Lakartidningen. 2007 Feb 7-13;104(6):433-4; discussion 434-6
Language
Swedish
Publication Type
Article
Keywords
Attitude to Health
Decision Making
Humans
Insurance, Health
Physician's Role
Public Opinion
Questionnaires
Sick Leave
Sweden
PubMed ID
17373291 View in PubMed
Less detail

Job burnout and job wornout as risk factors for long-term sickness absence.

https://arctichealth.org/en/permalink/ahliterature137299
Source
Work. 2011;38(2):181-92
Publication Type
Article
Date
2011
Author
Lennart Hallsten
Margaretha Voss
Stefan Stark
Malin Josephson
Author Affiliation
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden. lennart.hallsten@ki.se
Source
Work. 2011;38(2):181-92
Date
2011
Language
English
Publication Type
Article
Keywords
Adult
Aged
Burnout, Professional - etiology - prevention & control
Female
Humans
Longitudinal Studies
Male
Middle Aged
Questionnaires
Risk factors
Self Concept
Sick Leave
Sweden
Young Adult
Abstract
Contingent self-esteem has been assumed to be a risk for burnout-related disorders, and a contingent self-worth notion of job burnout was applied to study the prospective relationship between job burnout and registered episodes of sickness absence of = 60 consecutive days.
Job burnout was defined as being in the high quartiles on the Maslach Burnout Inventory - General Survey (MBI-GS) scales of exhaustion and cynicism and, in addition, as being above the median on a scale for performance-based self-esteem. Another high exhaustion-cynicism group, a "job wornout" group, was defined as being high on the same MBI-GS scales but having performance-based self-esteem scores below the median. Data were analyzed by a multivariate, logistic regression approach.
4,109 public employees in Sweden.
The job burnout group showed an over-risk of long-term sickness absence incidence, both compared with a low exhaustion-cynicism reference group and with the job wornout group after adjustment for several potential confounders. No association with incidence of long-term sickness absence was found for the job wornout group.
The differential vulnerability to long-term sickness absence among high exhaustion-cynicism groups suggests that a self-worth perspective of job burnout can be advantageous for prevention of the costly long-term sickness absences.
PubMed ID
21297288 View in PubMed
Less detail

[On burnout among immigrants--a reply].

https://arctichealth.org/en/permalink/ahliterature188036
Source
Lakartidningen. 2002 Sep 26;99(39):3876-7
Publication Type
Article
Date
Sep-26-2002
Author
Lennart Hallsten
Author Affiliation
Arbetslivsinstitutet, Stockholm. Lennart.Hallsten@niwl.se
Source
Lakartidningen. 2002 Sep 26;99(39):3876-7
Date
Sep-26-2002
Language
Swedish
Publication Type
Article
Keywords
Burnout, Professional - epidemiology - ethnology - etiology
Emigration and Immigration
Humans
Sick Leave - statistics & numerical data
Stress, Psychological - complications
Sweden - epidemiology - ethnology
PubMed ID
12395541 View in PubMed
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9 records – page 1 of 1.