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Sökning: WFRF:(Fahlén Göran)

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1.
  • du Prel, Jean-Baptist, et al. (författare)
  • Work overcommitment : Is it a trait or a state?
  • 2018
  • Ingår i: International Archives of Occupational and Environmental Health. - : Springer Science and Business Media LLC. - 0340-0131 .- 1432-1246. ; 91:1, s. 1-11
  • Tidskriftsartikel (refereegranskat)abstract
    • Effort-reward imbalance (ERI) is a well-tested work-related stress model with three components, the two extrinsic components efforts and rewards and the one intrinsic component overcommitment. While an imbalance between efforts and rewards leads to strain reactions, work-related overcommitment (OC) has been described as a personal characteristic with a set of attitudes, behaviours, and emotions reflecting excessive striving combined with a strong desire for approval. However, the question whether OC is a personality trait or a response pattern sensitive to changes in the work context (state) is still open. 2940 Swedish industrial employees were included in this longitudinal analysis of the WOLF-Norrland data over 5 years. A change of OC index or its subscales were regressed against a change of freedom of choice at work, extra work, and ERI adjusted for age, sex, and education. While OC was insensitive to changes in freedom of choice at work and extra work, it was clearly associated with changes of work-related stress over time. Three of four OC subscales exhibited statistically significant associations with ERI. For the first time, we studied fundamental characteristics of OC as an independent personality variable (trait) or an outcome variable subject to changes in the work environment (state). The association between external ERI and OC over time supports our hypothesis of OC being a state. Further investigations are needed to establish OC as a trait or a state.
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2.
  • Fahlén, Göran, 1953- (författare)
  • Aspects of the Effort-reward imbalance model of psychosocial stress in the working life
  • 2008
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Fahlén, G. (2008). Aspects on the Effort-reward Imbalance model of psychosocial stress in the work environments. Sundsvall, Sweden: Mid Sweden University, Department of Health Sciences. ISBN 978-91-85317-94-3. Since the late 1970s, work related stress has increasingly been recognized as an important determinant for ill-health and disease. One of the most influential stress models is the Effort-Reward Imbalance model (ERI), which stipulates that an imbalance between the perceived effort spent at work and rewards received results in noxious stress. Those with a coping behaviour called Work-related Overcommitment (WOC), including an inability to withdraw from work obligations are especially vulnerable. The model has shown strong explanatory value for a large numbers of harmful health outcomes. The general aim of this thesis was to contribute to the development of the ERI model by exploring the properties of this model in relation to its theoretical assumptions, construct, and application and to improve the knowledge of validity of the ERI-model. The study sample that was used in three papers emanated from the WOLF study (Work, Lipids and Fibrinogen). The analyses were confined to the subset of individuals who answered the ERI questions (n=1174) with complete answers. In one paper, data from the SKA study (Sick leave, Culture and Attitudes) were used and they comprised all employees at the Swedish Social Insurance Agency responsible for management and compensation of illness in the working population (n=5700). All data are based on questionnaires. The results indicate that ERI and WOC are risk factors for sleep disturbances and fatigue. A palpable threshold effect was seen between quartile three and four. Since these symptoms are strongly stress related, our results support the utility of the ERI and WOC scales in assessing stress in working life. Agreement between single questions in the original and an approximate instrument for measuring ERI were low, whereas the agreement between the two ERI scales was reasonable. When approximate instruments are used, questions and scales must be presented thoroughly to facilitate comparisons and the results should be interpreted with caution. Today there are no reasons to use such instruments in the ERI model. One statement in the ERI model is that individuals with the coping behaviour characterised as WOC are particularly vulnerable to an imbalance between perceived effort and reward; i.e., that ERI and WOC interact. No such effect was shown in relation to disturbed sleep and fatigue. There is no convincing evidence that ERI and WOC interact in synergy. Analysis demonstrated that WOC was relatively stable in perceived unchanged conditions as measured by the original, more comprehensive instrument as well as by the present, shortened instrument. Positively or negatively perceived changes in ERI correspond to changes in WOC. This result suggests that WOC, at least in part, may act as not only a coping strategy but also as an outcome from ERI. Taken together, these results concerning WOC, suggest that studies to clarify the role of the WOC dimension are needed. The ERI model states that, when individuals stay in unfavourable conditions characterised as ERI, because there are few alternatives on the labour market or when the individual is at risk of being laid off or of facing downward mobility, they are in a “locked in position” (LIP). A strong association between LIP and ERI was shown, supporting this statement.
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3.
  • Fahlén, Göran, et al. (författare)
  • Effort-reward imbalance, "locked in" at work, and long-term sick leave
  • 2009
  • Ingår i: International Archives of Occupational and Environmental Health. - : Springer. - 0340-0131 .- 1432-1246. ; 82:2, s. 191-197
  • Tidskriftsartikel (refereegranskat)abstract
    • The objective was to study the relationship between a situation characterized as being in a "locked-in" position (LIP) in occupation and/or place of work, Effort-reward imbalance (ERI), and long-term sick leave. The study population derived from one section of a cross-sectional study SKA (sick-leave, culture and attitudes), and comprised all employees at the Swedish Social Insurance Agency responsible for management and compensation of illness in the working population. The analyses were performed for 2,951 women and 534 men who had complete data. Logistic regression was used to calculate odds ratio (OR) for ERI and sick-leave, the latter only for women. The results showed a strong association between LIP within the place of work and ERI (for women OR = 3.28 95% CI 2.65-4.07, and for men 2.74 1.75-4.30). Also LIP within occupation resulted in high ERI (for women OR = 1.96 1.57-2.41, and for men 1.92 1.22-3.03). In women, ERI (OR = 1.40 1.15-1.70) as well as LIP within place of work (1.88 1.50-2.36) and within occupation (1.48 1.12-1.86) were associated with sick leave. ERI showed a significant mediating effect between LIP and sick leave, within place of work and within occupation (Z value 2.20 and 2.88, respectively). High ERI is associated with a situation characterized by being locked-in within an occupation or/and within a place of work. The results thereby support the theoretical model of Effort-reward imbalance. The results show that high ERI and being locked in are associated with long-term sick leave. ERI is a potential mediator of the association between being locked in and sick leave.
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5.
  • Fahlén, Göran, et al. (författare)
  • Effort-reward imbalance, sleep disturbances and fatigue
  • 2006
  • Ingår i: International Archives of Occupational and Environmental Health. - : Springer Science and Business Media LLC. - 0340-0131 .- 1432-1246. ; 79:5, s. 371-378
  • Tidskriftsartikel (refereegranskat)abstract
    • Objectives: The objective of this study was to investigate the validity of the effort-reward imbalance (ERI) model in relation to disturbed sleep and fatigue. Methods: The study population derived from a subset of the WOLF (WOrk, Lipids, Fibrinogen) cohort study of cardiovascular risk in a working population who replied to the ERI-questionnaire comprising 789 men and 214 women. Cox regression analysis was used to calculate the prevalence ratio (PR) for sleep disorders and fatigue in relation to the components of ERI. Results: As sleep disturbances and fatigue, based on literature, were defined to be represented by the uppermost quintile, 14% of the men and 23% of the women were affected by sleep disturbances while 14 and 26%, respectively, were affected by fatigue. Higher levels of exposure for the ERI components were associated with increased prevalence of sleep disturbances and fatigue. For men, the strongest association was seen between high overcommitment and fatigue (PR 5.77, 95% confidence interval 2.89-11.5). For women, high effort and sleep disturbances (PR 4.04, CI 1.53-10.7), high effort/reward ratio and sleep disturbances (PR 4.13, CI 1.62-10.5), and between low reward and fatigue (PR 4.36, CI 1.79-10.6) yielded the most obvious associations. Conclusions: The present study adds sleep disturbances and fatigue to the list of adverse consequences of effort-reward imbalance.
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7.
  • Fahlén, Göran, et al. (författare)
  • The effort-reward imbalance model of psychosocial stress at the workplace : a comparison of ERI exposure assessment using two estimation methods
  • 2004
  • Ingår i: Work & Stress. - Abingdon : Taylor & Francis. - 0267-8373 .- 1464-5335. ; 18:1, s. 81-88
  • Tidskriftsartikel (refereegranskat)abstract
    • It is not unusual for old data to be used in epidemiological studies. Recently developed instruments for measuring work-related stress did not exist when the data collection was carried out. Therefore, approximate questions are sometimes used. An apparent problem is the lack of validation of proxy questions. The aim of this study was to compare the original questions for measuring Effort-Reward Imbalance (ERI) with approximate questions. The study population corresponded with a subgroup in the WOLF-n (WOrk, Lipids, Fibrinogen-north) cohort study of cardiovascular risk in a working population in the north of Sweden: 655 men and 178 women. The agreement in exposure between the original and the approximate ERI single questions was relatively low throughout, whereas the correlation between the ERI subscales and the ERI ratios was reasonable. The latter agreement between the original and the approximate ERI ratio indicates that the approximate measures might have been useful in the past. Yet, whenever possible the implementation of the original questionnaire in study protocols is recommended since a complete measurement of ERI might help to further improve the internal consistency and the predictive validity of this exposure to effort-reward imbalance.
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8.
  • Fahlén, Josef, 1974- (författare)
  • Structures beyond the frameworks of the rink : On organization in Swedish ice hockey
  • 2006
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • This is a dissertation on organization in Swedish ice hockey based on four articles. The purpose of the thesis is to contribute knowledge on the direction, management and practice of sport using Swedish elite ice hockey as an example. Knowledge is created by examining four separate but mutually contingent aspects of organizations. Article I contributes to the overall purpose with knowledge on the professionalization of Swedish ice hockey, the reasons behind and the consequences of it. Focusing on the timeframe 1967-2000 the article highlights how norms, values and ideals changed over time and contributed to a change from ice hockey as an amateur sport based on idealistic motives and volunteer efforts to a professional sport based on entertainment and commercial forces. Article II contributes knowledge on the structural organization of Swedish elite ice hockey clubs and contributing factors. The article compares eleven elite ice hockey clubs and shows how they vary in relation to each other from low to high specialization, standardization and centralization but also how they present many similar characteristics such as organizational form, subsidiary businesses, cooperation with farm clubs and upper secondary schools, types of employments and division of workload. Article III contributes with knowledge on how organizational structures are experienced by individuals working or volunteering in the clubs. Comparing experiences in two structurally different clubs, the article shows how more developed structures are experienced more positively than less developed structures are. However, both groups agree that more developed structures are desirable and they also have similar opinions on issues concerning formal education and training, the elite program vs. the youth program, strategic vs. operative tasks and personal freedom. Article IV contributes knowledge on how experiences of mentioned structures are affected by remuneration, authority and centrality. Exploring four positions differing from each other with regard to hierarchical position, distance to the club’s core activities and payment, the article shows that individual experiences of organizational structure vary depending on where in the club the individual works. This variation is shown to result in tensions between the different positions. The knowledge offered in the thesis is based on three data collections. Data have been gathered from official and unofficial documentation from and on the Swedish sports confederation, the Swedish ice hockey association and 11 clubs represented in the highest division 2000/2001, and from individuals working or volunteering in these clubs as board members, general managers, marketing assistants, coaches, volunteers in the youth programs and arena personnel. The studies are carried out within an institutional theory framework and the analysis of the results taken together shows how the structures in elite ice hockey clubs are affected by surrounding environment and societal environments. Norms and ideals concerning legitimate ways of organizing are mediated by authorities, educational establishments, trade organizations and successful models in neighbouring industries. These norms and ideals have changed as new actors such as television networks, commercial sponsors and employed staff have entered ice hockey and as the roles of the government, the associations, the coaches and the players have changed. These ongoing changes are combining to a new context and new circumstances for the direction, management and practice of Swedish ice hockey.
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