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Sökning: WFRF:(Burell Gunilla)

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  • Hallman, Tina, et al. (författare)
  • Perspectives on Differences in Perceived External Stress : A Study of Women and Men with Coronary Heart Disease
  • 2002
  • Ingår i: Stress and health. - 1532-3005. ; 18:3, s. 105-118
  • Tidskriftsartikel (refereegranskat)abstract
    • Focuses on diiversities among women and men rare, and few studies have focused on gender differences in psychosocial factors and coronary heart disease. The present study is one of a series in which a wide range of psychosocial factors will be analysed with a focus on women. We compared women with men as regards the impact of educational level and occupational position on differences in perceived external stress. A questionnaire (The Stress Profile) was answered by 538 rehabilitation paricipants (97 women, 441 men), and a reference group (5308 women, 5177 men), aged 40-65 years. Generally, women reported a higher value of perceived external stress than men. Most interesting, however, are the patterns of differences that emerged when women and men were compared in different subgroups. Women with upper secondary school education and women in white-collar positions reported significantly higher levels of perceived external stress than men in the respective groups. When using common multivariate methods and adjusting for gender a great deal of information can be lost, and adjusting for gender makes it more difficult to find the true effect of exposures. It is only by regarding women and men separately that it is possible to link their very different working conditions and experience of stress to different health effects and vice versa.
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  • Stenlund, Therese, 1970-, et al. (författare)
  • Cognitively oriented behavioral rehabilitation in combination with Qigong for patients on long-term sick leave because of burnout : REST - a randomized clinical trial
  • 2009
  • Ingår i: International Journal of Behavioral Medicine. - 1070-5503 .- 1532-7558. ; 16:3, s. 294-303
  • Tidskriftsartikel (refereegranskat)abstract
    • BackgroundDespite an increase in the occurrence of burnout, there is no agreement on what kind of rehabilitation these patients should be offered.PurposePrimary aim of this study was to evaluate effects on psychological variables and sick leave rates by two different group rehabilitation programs for patients on long-term sick leave because of burnout. Rehabilitation program A (Cognitively oriented Behavioral Rehabilitation (CBR) and Qigong) was compared with rehabilitation program B (Qigong only).MethodIn a randomized clinical trial, 96 women and 40 men with a mean age of 41.6 ± 7.4 years were allocated to one of the two rehabilitation programs.ResultsA per-protocol analysis showed no significant difference in treatment efficacy between the groups. Both groups improved significantly over time with reduced levels of burnout, self-rated stress behavior, fatigue, depression, anxiety, obsessive–compulsive symptoms, and sick leave rates. In an intention-to-treat analysis, patients in program A had fewer obsessive–compulsive symptoms and larger effect sizes in self-rated stress behavior and obsessive–compulsive symptoms compared to patients in program B.ConclusionThis study showed no differences in effect between CBR and Qigong compared with Qigong only in a per-protocol analysis. Both rehabilitation programs showed positive effect for patients with burnout.
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  • Burell, Gunilla, et al. (författare)
  • Affective Outcomes in the SUPRIM Stress Management Program for Post-Myocardial Infarction Patients
  • 2014
  • Ingår i: SUPRIM.
  • Konferensbidrag (refereegranskat)abstract
    • BackgroundThe Interheart Study showed that psychosocial stress increased the risk of myocardial infarction (OR 2.67). The Secondary Prevention in Uppsala Primary healthcare project (SUPRIM) tested whether stress management after myocardial infarction could decrease risk of recurrent cardiovascular events. SUPRIM was a randomized controlled trial in which CHD patients attended a CBT group stress management program. During 94 months of follow-up there was a 45% reduction of recurrent myocardial infarctions (MI) in the intervention group. There were no differences between intervention and control patientes in standard risk factors. Thus, we assumed that psychological mechanisms could explain the effects on hard endpoints.Method362 MI patients were assessed by a package of self-rating psychometric instrument, and this paper examined whether hostility, time urgency, depression, somatic anxiety, and vital exhaustion decreased more in the intervention group than in the control group. Data collected from 5 points of measurement over 24 months were analyzed with multi-linear regression.ResultsThe intervention had a significant effect on hostility, time urgency, and somatic anxiety. Vital exhaustion and depression scores showed no differences. There was a significant relationship between attendance rate and decrease of hostility, but no association between attendance rate and levels of vital exhaustion or depression.ConclusionsTreatment effects were demonstrated in measures that assessed emotional reactivity. These changes are possibly linked to physiological and hormonal mechanisms. However, it is to a considerable degree still unknown why and how the stress management intervention impacts disease endpoints.
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