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Dahl, Joanne
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Publications (4 of 4) Show all publications
Nilsson, A., Sjödén, P.-O., Dahl, J. & Denison, E. (2005). Factors related to long-duration pain and sick leave among Swedish staff working in the public health service. Scandinavian Journal of Caring Sciences, 19(4), 419-26
Open this publication in new window or tab >>Factors related to long-duration pain and sick leave among Swedish staff working in the public health service
2005 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 19, no 4, p. 419-26Article in journal (Refereed) Published
Abstract [en]

The aim of the present study was to provide information about factors related to long-duration pain (LDP) (>3 months), sick leave (SL) and long sick leave (LSL) (>3 months) among staff in the community health services. The specific research question was: To what extent do data on activity, physical function, pain severity, psychological/cognitive factors, expectations of LDP, expectations to be working within 6 months and work satisfaction predict LDP, SL and LSL respectively? Logistic regression analyses were used to test predicted membership in the groups LDP, SL and LSL. In this context prediction refers to statistical prediction only, due to the cross-sectional design. Staff (n = 914) in the public health services in a medium-sized Swedish city completed a questionnaire during the spring of 2000. The results show that musculoskeletal pain and SL for this occupational group are common. Pain severity, expectations of LDP and fear-avoidance increased the odds of being in the LDP group, while kinesiophobia decreased the odds. Pain severity and kinesiophobia increased the odds of being in the SL group, while expectations to be working in 6 months decreased the odds. Only expectations to be working in 6 months predicted membership in the LSL group, decreasing the odds. Although some caution is warranted concerning the representativity of the sample, the results indicate that expectations about pain duration and ability to work are important psychosocial factors in LDP and LSL.

Keywords
Adult, Aged, Cross-Sectional Studies, Female, Health Personnel/statistics & numerical data, Humans, Logistic Models, Male, Middle Aged, Musculoskeletal Diseases/*epidemiology/psychology, Occupational Diseases/*epidemiology/psychology, Pain/*epidemiology/prevention & control, Public Health Administration/manpower, Risk Factors, Sick Leave/statistics & numerical data, Sweden/epidemiology
Identifiers
urn:nbn:se:hig:diva-1523 (URN)10.1111/j.1471-6712.2005.00367.x (DOI)000233625400018 ()16324068 (PubMedID)
Available from: 2008-06-16 Created: 2008-06-16 Last updated: 2018-03-13Bibliographically approved
Dahl, J., Wilson, K. G. & Nilsson, A. (2004). Acceptance and Commitment Therapy and the Treatment of Persons at Risk for Long-Term disability resulting from stress and pain symptoms: A Preliminary Randomizad trial. Behavior Therapy, 35(4), 785-801
Open this publication in new window or tab >>Acceptance and Commitment Therapy and the Treatment of Persons at Risk for Long-Term disability resulting from stress and pain symptoms: A Preliminary Randomizad trial
2004 (English)In: Behavior Therapy, ISSN 0005-7894, E-ISSN 1878-1888, Vol. 35, no 4, p. 785-801Article in journal (Refereed) Published
Abstract [en]

Approximately 14% of the working-age Swedish population are either on long-term sick leave or early retirement due to disability. Substantial increase of sick listing,reports of work disabilities and early retirement due to stress and musculoskeletal

chronic pain suggest a need for methods of preventing loss of function resulting from these conditions. The present preliminary investigation examined the effects of a brief Acceptance and Commitment Therapy (ACT) intervention for the treatment of public health sector workers who showed chronic stress/pain and were at risk for high sick leave utilization. ACT was compared in an additive treatment design with medical treatment as usual (MTAU). A group of 19 participants were randomly distributed

into 2 groups. Both conditions received MTAU. The ACT condition receivedfour 1-hour weekly sessions of ACT in addition to MTAU. At post and 6-month followup, ACT participants showed fewer sick days and used fewer medical treatment resources

than those in the MTAU condition. No significant differences were found inlevels of pain, stress, or quality of life. Improvements in sick leave and medical utilization could not be accounted for by remission of stress and pain in the ACT group

as no between-group differences were found for stress or pain symptoms.

Keywords
Acceptance and Commitment Therapy, values, pain, stress, exposure
Identifiers
urn:nbn:se:hig:diva-1534 (URN)10.1016/S0005-7894(04)80020-0 (DOI)000225759700008 ()
Available from: 2008-05-30 Created: 2008-05-30 Last updated: 2018-03-13Bibliographically approved
Wisksell, R. & Dahl, J. (2003). Evaluation of a behavior analysis and treatment of progressive Myoclonus epilepsy, type Unverricht-Lundborg: a Case Study. Cognitive Behaviour Therapy, 32(1), 38-46
Open this publication in new window or tab >>Evaluation of a behavior analysis and treatment of progressive Myoclonus epilepsy, type Unverricht-Lundborg: a Case Study
2003 (English)In: Cognitive Behaviour Therapy, ISSN 1650-6073, E-ISSN 1651-2316, Vol. 32, no 1, p. 38-46Article in journal (Refereed) Published
Abstract [en]

This case study of a 14-yr-old boy evaluates the clinical effectiveness of a psychological treatment within a behaviour medicine approach to epilepsy of a subject with progressive myoclonic epilepsy. The pattern of seizure behaviour was identified in the behaviour analysis. Self-management skills were taught to the client and in vivo exposure was subsequently used in a desensitization process. The main findings in this study were that the debilitating effects of the myoclonic jerks can be reduced and functioning level improved when fear of seizures is reduced. These results indicate that psychological treatment can increase the level of functioning in clients with progressive myoclonic epilepsy.

Identifiers
urn:nbn:se:hig:diva-2403 (URN)10.1080/16506070310003657 (DOI)
Available from: 2007-03-20 Created: 2007-03-20 Last updated: 2018-03-13Bibliographically approved
Dahl, J. & Nilsson, A. (2001). Evaluation of a randomized preventive behavioural medicine work site intervention for public health workers at risk for developing chronic pain.. European Journal of Pain, 5(4), 421-432
Open this publication in new window or tab >>Evaluation of a randomized preventive behavioural medicine work site intervention for public health workers at risk for developing chronic pain.
2001 (English)In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 5, no 4, p. 421-432Article in journal (Refereed) Published
Identifiers
urn:nbn:se:hig:diva-2423 (URN)10.1053/eujp.2001.0264 (DOI)000173508300010 ()11743708 (PubMedID)
Available from: 2007-04-04 Created: 2007-04-04 Last updated: 2018-03-13Bibliographically approved
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