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Kristofferzon, Marja-LeenaORCID iD iconorcid.org/0000-0002-1864-5777
Publications (10 of 53) Show all publications
Eriksson, E., Wejåker, M., Danhard, A., Nilsson, A. & Kristofferzon, M.-L. (2019). Living with a spouse with chronic illness – the challenge of balancing demands and resources. BMC Public Health, 19, Article ID 422.
Open this publication in new window or tab >>Living with a spouse with chronic illness – the challenge of balancing demands and resources
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2019 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 19, article id 422Article in journal (Refereed) Published
Abstract [en]

Aims and objectives. To describe the partners’ experiences of living with a person with chronic illness and how they manage everyday life.

Background. The number of partners providing informal care for their chronically ill spouse is rising, and they describe their daily life as demanding.

Design. A descriptive design with a qualitative approach was used.   

Methods. A purposive sample of 16 partners with a chronically ill spouse were interviewed. The interviews were recorded, transcribed, and analyzed using qualitative content analysis.

Results Four main themes were identified: ‘Living with challenges caused by the spouse's disease,’ ‘Seeking support for living with the spouse’s illness,’ ‘Appreciating the good parts of life’ and ‘Adapting to constant changes and an uncertain future.’ The participants rated their health as rather good and had great confidence in their own ability to cope with daily life. Their experiences of support from formal care providers varied; they expressed the need for more assistance from the health care sector.

Conclusions. The partners experienced many challenges in everyday life when providing informal care for their chronically ill spouse. This affected both their physical and psychological health, as they had limited time for themselves. The partners seemed to receive more support from their informal network than from formal care providers. In handling daily life, the partners balanced demands and resources to identify possibilities to move forward and find meaning in life.

Relevance to clinical practice. Formal care providers must acknowledge partners' needs, develop evidence-based assessment guidelines, and provide efficient support to partners with a chronically ill spouse. 

Keywords
chronic illness, partner, resources, formal care, daily life
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-25800 (URN)10.1186/s12889-019-6800-7 (DOI)000465429300005 ()31014309 (PubMedID)2-s2.0-85064811879 (Scopus ID)
Available from: 2017-12-14 Created: 2017-12-14 Last updated: 2019-08-09Bibliographically approved
Wallin, E., Larsson, I.-M., Kristofferzon, M.-L., Larsson, E.-M., Raininko, R. & Rubertsson, S. (2018). Acute brain lesions on magnetic resonance imaging in relation to neurological outcome after cardiac arrest. Acta Anaesthesiologica Scandinavica, 62(5), 625-647
Open this publication in new window or tab >>Acute brain lesions on magnetic resonance imaging in relation to neurological outcome after cardiac arrest
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2018 (English)In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 62, no 5, p. 625-647Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Magnetic resonance imaging (MRI) of the brain including diffusion-weighted imaging (DWI) is reported to have high prognostic accuracy in unconscious post-cardiac arrest (CA) patients. We documented acute MRI findings in the brain in both conscious and unconscious post-CA patients treated with target temperature management (TTM) at 32-34°C for 24 h as well as the relation to patients' neurological outcome after 6 months.

METHODS:

A prospective observational study with MRI was performed regardless of the level of consciousness in post-CA patients treated with TTM. Neurological outcome was assessed using the Cerebral Performance Categories scale and dichotomized into good and poor outcome.

RESULTS:

Forty-six patients underwent MRI at 3-5 days post-CA. Patients with good outcome had minor, mainly frontal and parietal, lesions. Acute hypoxic/ischemic lesions on MRI including DWI were more common in patients with poor outcome (P = 0.007). These lesions affected mostly gray matter (deep or cortical), with or without involvement of the underlying white matter. Lesions in the occipital and temporal lobes, deep gray matter and cerebellum showed strongest associations with poor outcome. Decreased apparent diffusion coefficient, was more common in patients with poor outcome.

CONCLUSIONS:

Extensive acute hypoxic/ischemic MRI lesions in the cortical regions, deep gray matter and cerebellum detected by visual analysis as well as low apparent diffusion coefficient values from quantitative measurements were associated with poor outcome. Patients with good outcome had minor hypoxic/ischemic changes, mainly in the frontal and parietal lobes.

Keywords
cardiac arrest, target temperature management, MRI, brain, acute lesions, neurological outcome
National Category
Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:hig:diva-25930 (URN)10.1111/aas.13074 (DOI)000429532400007 ()29363101 (PubMedID)2-s2.0-85040991955 (Scopus ID)
Note

Funding agencies:

- Department of Surgical Sciences-Anaesthesiology & Intensive Care, Uppsala University Sweden

- Uppsala University Hospital

- Laerdal Foundation for Acute Medicine 

Available from: 2018-01-04 Created: 2018-01-04 Last updated: 2018-06-18Bibliographically approved
Wallin, E., Larsson, I.-M., Nordmark-Grass, J., Rosenqvist, I., Kristofferzon, M.-L. & Rubertsson, S. (2018). Characteristics of jugular bulb oxygen saturationin patients after cardiac arrest: A prospective study. Acta Anaesthesiologica Scandinavica, 62(9), 1237-1245
Open this publication in new window or tab >>Characteristics of jugular bulb oxygen saturationin patients after cardiac arrest: A prospective study
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2018 (English)In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 62, no 9, p. 1237-1245Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Using cerebral oxygen venous saturation post-cardiac arrest (CA) is limited because of a small sample size and prior to establishment of target temperature management (TTM). We aimed to describe variations in jugular bulb oxygen saturation during intensive care in relation to neurological outcome at 6 months post- CA in cases where TTM 33°C was applied.

METHOD:

Prospective observational study in patients over 18 years, comatose immediately after resuscitation from CA. Patients were treated with TTM 33°C M and received a jugular bulb catheter within the first 26 hours post-CA. Neurological outcome was assessed at 6 months using the Cerebral Performance Categories (CPC) and dichotomized into good (CPC 1-2) and poor outcome (CPC 3-5).

RESULTS:

Seventy-five patients were included and 37 (49%) patients survived with a good outcome at 6 months post-CA. No differences were found between patients with good outcome and poor outcome in jugular bulb oxygen saturation. Higher values were seen in differences in oxygen content between central venous oxygen saturation and jugular bulb oxygen saturation in patients with good outcome compared to patients with poor outcome at 6 hours (12 [8-21] vs 5 [-0.3 to 11]% P = .001) post-CA. Oxygen extraction fraction from the brain illustrated lower values in patients with poor outcome compared to patients with good outcome at 96 hours (14 [9-23] vs 31 [25-34]% P = .008).

CONCLUSIONS:

Oxygen delivery and extraction differed in patients with a good outcome compared to those with a poor outcome at single time points. Based on the present findings, the usefulness of jugular bulb oxygen saturation for prognostic purposes is uncertain in patients treated with TTM 33°C post-CA.

Keywords
cardiac arrest, intensive care, jugular bulb saturation, neurological outcome, prognostication, target temperature management
National Category
Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:hig:diva-26622 (URN)10.1111/aas.13162 (DOI)000443673500008 ()29797705 (PubMedID)2-s2.0-85047479161 (Scopus ID)
Note

Funding: Department of Surgical Sciences-Anaesthesiology & Intensive Care, Uppsala University, Sweden

Available from: 2018-05-25 Created: 2018-05-25 Last updated: 2018-09-24Bibliographically approved
Kristofferzon, M.-L., Engström, M. & Nilsson, A. (2018). Coping mediates the relationship between sense of coherence and mental quality of life in patients with chronic illness: a cross-sectional study. Quality of Life Research, 27(7), 1855-1863
Open this publication in new window or tab >>Coping mediates the relationship between sense of coherence and mental quality of life in patients with chronic illness: a cross-sectional study
2018 (English)In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 27, no 7, p. 1855-1863Article in journal (Refereed) Published
Abstract [en]

Purpose

The aim of the present study was to investigate relationships between sense of coherence, emotion-focused coping, problem-focused coping, coping efficiency, and mental quality of life (QoL) in patients with chronic illness. A model based on Lazarus’ and Folkman’s stress and coping theory tested the specific hypothesis: Sense of coherence has a direct and indirect effect on mental QoL mediated by emotion-focused coping, problem-focused coping, and coping efficiency in serial adjusted for age, gender, educational level, comorbidity, and economic status.

Methods

The study used a cross-sectional and correlational design. Patients (n = 292) with chronic diseases (chronic heart failure, end-stage renal disease, multiple sclerosis, stroke, and Parkinson) completed three questionnaires and provided background data. Data were collected in 2012, and a serial multiple mediator model was tested using PROCESS macro for SPSS.

Results

The test of the conceptual model confirmed the hypothesis. There was a significant direct and indirect effect of sense of coherence on mental QoL through the three mediators. The model explained 39% of the variance in mental QoL.

Conclusions

Self-perceived effective coping strategies are the most important mediating factors between sense of coherence and QoL in patients with chronic illness, which supports Lazarus’ and Folkman’s stress and coping theory.

Keywords
Coping, Chronic illness, Quality of life, Sense of coherence, Coping effectiveness
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-26408 (URN)10.1007/s11136-018-1845-0 (DOI)000435128700017 ()29623597 (PubMedID)2-s2.0-85045041173 (Scopus ID)
Projects
LVO-CopQoL
Available from: 2018-04-06 Created: 2018-04-06 Last updated: 2019-01-30Bibliographically approved
Rashid, M., Kristofferzon, M.-L., Heiden, M. & Nilsson, A. (2018). Factors related to work ability and well-being among women on sick leave due to long-term pain in the neck/shoulders and/or back: a cross-sectional study. BMC Public Health, 18(1), Article ID 672.
Open this publication in new window or tab >>Factors related to work ability and well-being among women on sick leave due to long-term pain in the neck/shoulders and/or back: a cross-sectional study
2018 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 18, no 1, article id 672Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Musculoskeletal pain is one of the leading causes of sick leave, especially among women, in Western countries. The aim of the present study was to identify factors associated with work ability and well-being, respectively, among women on sick leave due to long-term pain in the neck/shoulders and/or back.

METHODS:

A cross-sectional study with a correlational design was conducted on women who were sick-listed due to long-term pain in the neck/shoulders and/or back. A total of 208 participants responded to a survey comprising eight instruments: Multidimensional Pain Inventory scale, General Self-Efficacy scale, Sense of Coherence scale, Coping Strategies Questionnaire, Demand-Control-Support Questionnaire, Hospital Anxiety and Depression Scale, Work Ability Index and Life Satisfaction questionnaire. Multiple linear regression analyses were performed to identify factors associated with work ability and well-being, respectively.

RESULTS:

Women who more strongly believed they would return to the same work had greater work ability (β = 0.39, p < 0.001), whereas women with higher pain intensity (β = - 0.30, p < 0.001) and higher job strain (β = - 0.12, p < 0.05) had lower work ability. Women with higher self-efficacy rated greater well-being (β = 0.14, p < 0.05). As the women's scores for depression increased, their well-being decreased by 48%, which was statistically significant (p < 0.001). The regression models for work ability and well-being were significant (p < 0.001), and their adjusted R- square values were 48% and 59%, respectively.

CONCLUSIONS:

The study suggests that the factors beliefs to be back at the same work, pain intensity and job strain are predictive of work ability. Moreover, the factors self-efficacy and depression seem to be predictive of well-being. The findings highlight factors that should be considered by health care professionals and policy-makers to guide attempts to reduce sick leave.

Keywords
Ability to work; Musculoskeletal pain; Prognostic factors; Quality of life; Sickness absence; Women
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hig:diva-25931 (URN)10.1186/s12889-018-5580-9 (DOI)000433587000004 ()29848306 (PubMedID)2-s2.0-85047837458 (Scopus ID)
Note

Funding agency:

University of Gävle grant no: 2015/424

Available from: 2018-01-04 Created: 2018-01-04 Last updated: 2018-09-06Bibliographically approved
Rashid, M., Kristofferzon, M.-L., Heiden, M. & Nilsson, A. (2018). Work ability, well-being and return-to-work among women in Gävleborg on sick leave due to long-term pain in the neck/shoulders and/or back. In: Per Lindberg (Ed.), FALF KONFERENS 2018 Arbetet – problem eller potential för en hållbar livsmiljö?   10-12 juni 2018 Gävle: Program och abstracts. Paper presented at FALF KONFERENS 2018 Arbetet – problem eller potential för en hållbar livsmiljö?, 10-12 juni 2018, Gävle (pp. 68). Gävle: Gävle University Press
Open this publication in new window or tab >>Work ability, well-being and return-to-work among women in Gävleborg on sick leave due to long-term pain in the neck/shoulders and/or back
2018 (English)In: FALF KONFERENS 2018 Arbetet – problem eller potential för en hållbar livsmiljö?   10-12 juni 2018 Gävle: Program och abstracts / [ed] Per Lindberg, Gävle: Gävle University Press , 2018, p. 68-Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background

Sickness absence due to long-term musculoskeletal pain (MSP) is a common phenom-enon in Sweden as well as in other European countries. Sick leave due to MSP (i.e. pain in the neck/shoulders and/or back) is higher among women than among men; therefore, women can be considered as a vulnerable group.

Aim

The overall aim is to identify factors of importance for work ability, well-being and return to work among women of working age who are on sick leave due to long-term pain in the neck/shoulders and/or back. The project includes three empirical studies.

Methods

The project was a result of a joint collaboration between the University of Gävle and the Swedish Social Insurance Agency in Gävleborg. Initially, a postal survey was sent to 600 women in Gävleborg who were receiving time-loss benefits during spring 2016. The inclusion criteria were: women aged 18-65 years, ≥ 50% sick leave from service, sick leave ≥ 1 month due to pain in the neck/shoulders and/or back (≥ 3 months) and understanding the Swedish language. The exclusion criteria were: rheumatoid arthritis, multiple sclerosis, stroke, cancer, Parkinson, bipolar disease, schizophrenia and preg-nancy. After 12 months, a follow-up survey was sent to the 208 women who answered the survey at baseline, and 141 responded.

Results

Study-I aimed to identify factors associated with work ability and well-being among women on sick leave. The results showed that beliefs to be back at the same work, pain intensity and job strain correlated with work ability. Self-efficacy and depression correlated with well-being. Study-II aimed to compare work ability and well-being over time, among women who returned to work (RTW) versus women who remained on sick leave in one year. The findings indicated that out of 141 women, 94 did RTW and 47 remained on sick leave. The group that RTW improved in work ability as well as well-being over time, whereas the group that remained on sick leave tended to decline over time in well-being. Study-III aims to identify predictors of RTW among women on sick leave. The analysis is under way. This project highlights factors that should be considered by health care professionals and policy-makers to guide attempts to reduce sick leave in this vulnerable group.

Place, publisher, year, edition, pages
Gävle: Gävle University Press, 2018
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hig:diva-28852 (URN)
Conference
FALF KONFERENS 2018 Arbetet – problem eller potential för en hållbar livsmiljö?, 10-12 juni 2018, Gävle
Available from: 2018-12-17 Created: 2018-12-17 Last updated: 2018-12-17Bibliographically approved
Nilsson, A., Carlsson, M., Lindqvist, R. & Kristofferzon, M.-L. (2017). A comparative correlational study of coping strategies and quality of life in patients with chronic heart failure and the general Swedish population. Nursing Open, 4(3), 157-167
Open this publication in new window or tab >>A comparative correlational study of coping strategies and quality of life in patients with chronic heart failure and the general Swedish population
2017 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 4, no 3, p. 157-167Article in journal (Refereed) Published
Abstract [en]

The aim was to compare coping strategies and quality of life (QoL) in patients with chronic heart failure (CHF) with such strategies and QOL in persons from two general Swedish populations as well as to investigate relationships between personal characteristics and coping strategies. Methods:A cross-sectional, comparative and correlational design was used to examine data from three sources. The patient group (n=124), defined using ICD-10, was selected consecutively from two hospitals in central Sweden. The population group (n=515) consisted of persons drawn randomly from the Swedish population. Data were collected with questionnaires in 2011; regarding QoL, Swedish population reference data from 1994 were used. Results: Overall, women used more coping strategies than men did. Compared to the general population data from SF-36, patients with CHF rated lower QoL. In the regression models, perceived low ‘efficiency in managing psychological aspects of daily life’ increased use of coping. Other personal characteristics related to increased use of coping strategies were higher education, lower age and unsatisfactory economic situation. Conclusion: Differences between the patients and the general Swedish population showed an unclear pattern for coping and a clear pattern for QoL. To deal with the psychological consequences of daily life, men with CHF and persons in the general Swedish population seemed to use both problem- and emotion-focused coping. 

Keywords
chronic heart failure, coping, cross sectional survey, general Swedish population, Jalowiec Coping Scale, quality of life, SF-36
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-23789 (URN)10.1002/nop2.81 (DOI)000405085600006 ()28694980 (PubMedID)2-s2.0-85062111850 (Scopus ID)
Projects
LVO-CopQoL
Available from: 2017-03-21 Created: 2017-03-21 Last updated: 2019-03-26Bibliographically approved
Rashid, M., Kristofferzon, M.-L., Nilsson, A. & Heiden, M. (2017). Factors associated with return-to-work among people on work absence due to long-term neck or back pain: a narrative systematic review. BMJ Open, 7(6), Article ID e014939.
Open this publication in new window or tab >>Factors associated with return-to-work among people on work absence due to long-term neck or back pain: a narrative systematic review
2017 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 7, no 6, article id e014939Article, review/survey (Refereed) Published
Abstract [en]

OBJECTIVE:

The purpose of this narrative systematic review was to summarise prognostic factors for return to work (RTW) among people with long-term neck/shoulder or back pain.

METHODS:

A systematic literature search was performed through three databases (Medline, CINAHL and PsycINFO) for studies published until February 2016. Only observational studies of people on work absence (≥2 weeks) due to neck/shoulder or back pain were included. The methodological quality of the included studies was assessed using guidelines for assessing quality in prognostic studies on the basis of Framework of Potential Biases. Factors found in the included studies were grouped into categories based on similarities and then labelled according to the aspects covered by the factors in the category.

RESULTS:

Nine longitudinal prospective cohort studies and one retrospective study fulfilled the inclusion criteria. From these, five categories of factors were extracted. Our findings indicate that recovery beliefs, health-related factors and work capacity are important for RTW among people with long-term neck or back pain. We did not find support for workplace factors and behaviour being predictive of RTW.

CONCLUSIONS:

Our findings suggest that recovery beliefs, perceived health and work capacity may be important targets of intervention for people with long-term neck or back pain. However, more high-quality prospective studies are needed to confirm the results and improve our understanding of what is needed to facilitate RTW in this population.

Keywords
factors, return to work, work absence, pain
National Category
Public Health, Global Health, Social Medicine and Epidemiology Occupational Health and Environmental Health
Identifiers
urn:nbn:se:hig:diva-21102 (URN)10.1136/bmjopen-2016-014939 (DOI)000406391200103 ()28674139 (PubMedID)2-s2.0-85021744037 (Scopus ID)
Available from: 2016-01-25 Created: 2016-01-25 Last updated: 2018-03-13Bibliographically approved
Israelsson, J., Bremer, A., Herlitz, J., Axelsson, Å. B., Cronberg, T., Djärv, T., . . . Årestedt, K. (2017). Health status and psychological distress among in-hospital cardiac arrest survivors in relation to gender. Resuscitation, 114, 27-33
Open this publication in new window or tab >>Health status and psychological distress among in-hospital cardiac arrest survivors in relation to gender
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2017 (English)In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 114, p. 27-33Article in journal (Refereed) Published
Abstract [en]

AIM: To describe health status and psychological distress among in-hospital cardiac arrest (IHCA) survivors in relation to gender.

METHODS: This national register study consists of data from follow-up registration of IHCA survivors 3-6 months post cardiac arrest (CA) in Sweden. A questionnaire was sent to the survivors, including measurements of health status (EQ-5D-5L) and psychological distress (HADS).

RESULTS: Between 2013 and 2015, 594 IHCA survivors were included in the study. The median values for EQ-5D-5L index and EQ VAS among survivors were 0.78 (q1-q3=0.67-0.86) and 70 (q1-q3=50-80) respectively. The values were significantly lower (p<0.001) in women compared to men. In addition, women reported more problems than men in all dimensions of EQ-5D-5L, except self-care. A majority of the respondents reported no problems with anxiety (85.4%) and/or symptoms of depression (87.0%). Women reported significantly more problems with anxiety (p<0.001) and symptoms of depression (p<0.001) compared to men. Gender was significantly associated with poorer health status and more psychological distress. No interaction effects for gender and age were found.

CONCLUSIONS: Although the majority of survivors reported acceptable health status and no psychological distress, a substantial proportion reported severe problems. Women reported worse health status and more psychological distress compared to men. Therefore, a higher proportion of women may be in need of support. Health care professionals should make efforts to identify health problems among survivors and offer individualised support when needed.

Keywords
medication adherence, reasons, attitudes, gender, anxiety symptoms, depression symptoms
National Category
Cardiac and Cardiovascular Systems Health Sciences
Identifiers
urn:nbn:se:hig:diva-23696 (URN)10.1016/j.resuscitation.2017.02.006 (DOI)000402487800021 ()28216089 (PubMedID)2-s2.0-85014407099 (Scopus ID)
Funder
Swedish Heart Lung Foundation
Note

Funding agency:

Medical Research Council of Southeast Sweden 

Available from: 2017-03-01 Created: 2017-03-01 Last updated: 2018-03-13Bibliographically approved
Rashid, M., Kristofferzon, M.-L., Heiden, M. & Nilsson, A. (2017). Predictors of work ability among women on long-term sick leave due to musculoskeletal pain. In: Anna-Lisa Osvalder, Mikael Blomé and Hajnalka Bodnar (Ed.), NES2017 conference proceedings: . Paper presented at Nordic Ergonomics Society Conference 2017 (NES2017) 'Joy at Work', 20-23 August, 2017, Lund, Sweden (pp. 140).
Open this publication in new window or tab >>Predictors of work ability among women on long-term sick leave due to musculoskeletal pain
2017 (English)In: NES2017 conference proceedings / [ed] Anna-Lisa Osvalder, Mikael Blomé and Hajnalka Bodnar, 2017, p. 140-Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background: Musculoskeletal pain is one of the leading causes of sick leave (SL), especially among women in Sweden and in other western countries. It is, therefore, important to know which health- and work-related factors are associated with work ability (WA) among women with long-term musculoskeletal pain.

     Purpose: The aim of this study was to determine whether there is any association between self-efficacy, anxiety, depression, sense of coherence, job strain, support at work, pain intensity, physical activity, beliefs to be back at the same work, coping strategies, and WA.

     Methods: A cross-sectional study was conducted on women with long-term pain who were on SL. Inclusion criteria: (i) age 18-65 years, (ii) SL: ≥ 1 months, (iii) SL: ≥ 50%, (iv) pain in neck, shoulder or back (≥ 3 months), and (v) understanding Swedish. Exclusion criteria: (i) rheumatoid arthritis, (ii) multiple sclerosis, (iii) stroke, (iv) cancer, (v) Parkinson, (vi) bipolar disease, (vii) schizophrenia, (viii) pregnancy. In spring 2016, self-administered questionnaires were sent out to 600 women who were receiving time-loss benefits according to the Swedish Social Insurance registers. Out of these, a total of 208 participants responded and were included in the analysis. For assessing the predictors and the outcome, seven instruments were used: General Self-Efficacy, Hospital Anxiety and Depression Scale, Demand-Control-Support Questionnaire, Sense of Coherence, Multidimensional Pain Inventory, Coping Strategy Questionnaire and Work Ability Index. Two of the predictors, physical activity and beliefs to be back at the same work, were measured by single questions. Multiple linear regression analyses were performed to detect which of the factors were associated with WA.

     Results: Women who more strongly believed that they would return to the same work within 6 months had higher WA (β= 0.39, p < .001), whereas women with higher pain intensity (β= -0.28, p < .001) and higher job strain (β= -0.12, p < .05) had lower WA. The results did not change when age, cohabitant, economic situation and social support were controlled for in the analysis. The regression model was significant (p < .0001), and its adjusted R- square was 48%.

     Discussion and practical implications: Women’s positive beliefs are associated with higher WA in accordance with previous studies. Our study also found that pain intensity and high job strain are associated with reduced WA. The results suggest that health care providers and employers should take women’s beliefs to be back at the same work into account for supporting them to return to work. Furthermore, the focus of rehabilitation program should be on women suffering from high pain intensity to increase WA.

     Conclusion: This study showed that beliefs to be back at the same work, pain intensity and job strain might be predictors of WA. Further studies are needed to identify if these predictors are also important for WA among women with long-term pain who are at work.

 

Key words: Factors, ability to work, sickness absence, women and pain

National Category
Other Health Sciences
Identifiers
urn:nbn:se:hig:diva-25222 (URN)
Conference
Nordic Ergonomics Society Conference 2017 (NES2017) 'Joy at Work', 20-23 August, 2017, Lund, Sweden
Available from: 2017-09-13 Created: 2017-09-13 Last updated: 2018-03-13Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1864-5777

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