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- Snöljung, Åsa, et al.
(författare)
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Neurologists dealing with sickness certification : Experiences of problems and need of competence
- 2017
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Ingår i: Brain and Behavior. - : WILEY. - 2162-3279 .- 2162-3279. ; 7:11
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Tidskriftsartikel (refereegranskat)abstract
- Rationale and AimsMost studies on physicians' sickness certification practices include general practitioners (GP) while there hardly is any knowledge on this regarding neurologists although neurological diseases often involve work incapacity and need of sick leave. AimThe aim was to describe experiences among neurologists in Sweden concerning their work with sickness certification of patients. MethodA cross-sectional study of 265 neurologists' responses in a nationwide survey regarding their work with sickness certification of patients was conducted. ResultsThe majority (81.5%) had sickness certification consultations at least once a week and a third experienced problems every week in handling sickness certification. Among the 251 who at least sometimes had sickness certification consultations, the following two aspects were experienced as very or fairly problematic: assess the degree to which the reduced functional capacity limits a patient's capacity to perform his/her work assignments (67.3%) and make a long-term prognosis about the future work capacity of patients on sick leave (60.5%). At least once a week, 78.7% experienced lack of time regarding managing patient-related aspects of the sickness certification task. Moreover, 21.8% considered sickness certification to be a work environmental problem, at least once a week. In all, 84% stated that they had a large or fairly large need for more competence concerning sickness certification tasks. ConclusionsSickness certification is a common task among neurologists, involving several problematic aspects related to, e.g., lack of competence in assessing function and work capacity and of time. There is a need for improvement.
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| 2. |
- Vadlin, Sofia, et al.
(författare)
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A longitudinal study of the individual- and group-level problematic gaming and associations with problem gambling among Swedish adolescents
- 2018
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Ingår i: Brain and Behavior. - : Wiley. - 2162-3279 .- 2162-3279. ; 8:4
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Tidskriftsartikel (refereegranskat)abstract
- Aim: The aims of the present study were to investigate the long-term stability of problematic gaming among adolescents and whether problematic gaming at wave 1 (W1) was associated with problem gambling at wave 2 (W2), three years later.Methods: Data from the SALVe cohort, including adolescents in Västmanland born in 1997 and 1999, were accessed and analyzed in two waves W2, N = 1576; 914 (58%) girls). At W1 the adolescents were 13 and 15 years old, and at W2 they were 16 and 18 years old. Adolescents self-rated on the Gaming Addiction Identification Test (GAIT), Problem Gambling Severity Index (PGSI), and gambling frequencies. Stability of gaming was determined using Gamma correlation, Spearman’s rho, and McNemar. Logistic regression analysis and General linear model (GLM) analysis were performed and adjusted for sex, age, and ethnicity, frequency of gambling activities and gaming time at W1, with PGSI as the dependent variable, and GAIT as the independent variable, to investigate associations between problematic gaming and problem gambling.Results: Problematic gaming was relative stable over time, g = 0.739, P £ 0.001, r = 0.555, P £ 0.001, and McNemar P £ 0.001. Furthermore, problematic gaming at W1 increased the probability of having problem gambling three years later, logistic regression OR = 1.886 (95% CI 1.125-3.161), P = 0.016, GLM F = 10.588, h2 = 0.007, P = 0.001. Conclusions: Problematic gaming seems to be relatively stable over time. Although associations between problematic gaming and later problem gambling were found, the low explained variance indicate that problematic gaming in an unlikely predictor for problem gambling within this sample.
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