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1.	Honk, Ludwig, et al. (författare) Longitudinal associations between psychedelic use and psychotic symptoms in the United States and the United Kingdom 2024 Ingår i: Journal of Affective Disorders. - 0165-0327 .- 1573-2517. ; 351, s. 194-201 Tidskriftsartikel (refereegranskat)abstract It has long been speculated that psychedelic use could provoke the onset of psychosis, but there is little evidence to support this conjecture. Using a longitudinal research design with samples representative of the US and UK adult populations with regard to sex, age, and ethnicity (n = 9732), we investigated associations between psychedelic use and change in the number of psychotic symptoms during the two-month study period. In covariate-adjusted regression models, psychedelic use during the study period was not associated with a change in the number of psychotic symptoms unless it interacted with a personal or family history of bipolar disorder, in which case the number of symptoms increased, or with a personal (but not family) history of psychotic disorders, in which case the number of symptoms decreased. Taken together, these findings indicate that psychedelic use may affect psychotic symptoms in individuals with a personal or family history of certain disorders characterized by psychotic symptomatology.
2.	Klein, Yannick, 1991-, et al. (författare) Development of nature-related habits and their relation to mental health outcomes during two years of the COVID-19 pandemic : a population-based study in Sweden 2024 Ingår i: Journal of Public Health. - 2198-1833 .- 1613-2238. Tidskriftsartikel (refereegranskat)abstract Aims Spending time in natural environments has been linked to mental health benefits, and may have been an important resilience factor during the COVID-19 pandemic, but longitudinal studies are limited. This longitudinal study aimed to investigate the development of nature-related habits and their relationship to different mental health outcomes before and during early and later phases of COVID-19 (2019–2022). Furthermore, the buffering potential of nature-related habits on effects of major life events on mental health outcomes was investigated.Subject and methods A subsample of the Swedish Longitudinal Occupational Survey of Health (SLOSH) was studied during 2018–2022, including follow-ups in early 2021 (n = 1902) and 2022 (n = 1580). Visits to various types of nature, mental health outcomes (symptoms of depression, anxiety, loneliness, sleep difficulties), and major life events were analyzed across the study period while controlling for confounders.Results Greater overall engagement in nature visits, particularly visiting forests or using one’s garden, was associated with lower levels of depression, anxiety, loneliness, and sleep problems in early 2021 and 2022.Importantly, changes in nature visits were consistently negatively associated with investigated mental health outcomes across the study period. All nature visits, except for garden time, increased in the long term (2019–2022). Visiting forests also increased in the short term, while overall nature visits initially decreased (2019–2020).Conclusion Generally, nature visits increased longitudinally and were associated with better mental health outcomes during the COVID-19 pandemic. This underscores the importance of green- and blue-space accessibility for facilitating outdoor recreation in natural environments, to support resilience and public health during pandemics.
3.	Klein, Yannick, 1991-, et al. (författare) Nature-related habits and their development and relation to mental health outcomes during the covid-19 pandemic : a population-based study in Sweden 2023 Ingår i: International Journal of Behavioral Medicine. - : Springer Nature. ; , s. 136- Konferensbidrag (refereegranskat)abstract Background: Mental health disorders represent a major public health concern, and significantly contribute to the global burden of disease. The Covid-19 pandemic posed additional challenges for mental health. Spending time in natural environments has been linked to numerous health benefits.Purpose: Therefore, the present study investigated the role of different types of nature-related habits for symptoms of depression, anxiety, and loneliness, and their development during the pandemic 2019–2022, in Sweden. Further, we investigated whether nature habits could buffer negative effects of major life events on mental health outcomes (MHO).Method: Different types of nature-related habits, symptoms of depression, anxiety, loneliness, major life events, and control variables were assessed via self-report measures, in a sub-sample of respondents to the Swedish Occupational Survey of Health, in 2021 (n = 1 896), and 2022 (n = 1 579). Sequential linear regressions were conducted to analyze relationships between nature-related habits and MHO, while controlling for demographics, SES, relationship status, and pre-pandemic MHO.Results: Spending time in nature was consistently associated with fewer symptoms of depression, anxiety, and loneliness during the pandemic after adjusting for control variables. Especially spending time in forest and garden environments were associated with better mental health. Spending time in garden environments buffered effects of major life events on symptoms of depression and anxiety, but not loneliness. Increased nature habits during the pandemic related to improved MHO.Conclusions: Spending time in natural environments during the Covid-19 pandemic led to better MHO, with implications for urban development and public health promotion.
4.	Klein, Yannick, 1991-, et al. (författare) Nature visits buffered against loneliness during COVID-19, especially among those working mainly remotely. A population-based study of working adults in Sweden Tidskriftsartikel (refereegranskat)abstract BackgroundThe COVID-19 pandemic and associated restrictions posed challenges to people’s private and work lives. There was a rapid shift from on-site to remote working for many working adults in Sweden and internationally, while opportunities for in-person social and leisure activities indoors were limited. One challenge was thus the risk of increased loneliness and social isolation, especially among those working more remotely. In this context, nature visits may potentially mitigate loneliness. This study thus investigates whether a higher degree of remote work during COVID-19 was related to increased loneliness and whether nature visits mitigated loneliness, especially for those working mainly remotely, for which studies are limited. MethodsThe sample comprised a subsample of respondents to the Swedish Longitudinal Occupational Survey of Health 2020 (n = 984). The effect of remote work, nature-related habits (NRH), and time on loneliness (before – during COVID-19) were analyzed using linear mixed models while controlling for confounders.ResultsIn general, loneliness levels during COVID-19 were highest and increased the most compared to before the pandemic among the most remotely working individuals. Engaging daily in NRH was associated with lower levels of loneliness, particularly among individuals mostly working remotely. This was observed in a three-way interaction effect between remote work, NRH, and time on loneliness.ConclusionDaily nature visits may protect against loneliness during and beyond crises like COVID-19, particularly for those working mainly remotely. Policies preserving and facilitating access to natural environments may be crucial for promoting resilience during and beyond crises like COVID-19.
5.	Klein, Yannick, 1991-, et al. (författare) Residential Greenspace Is Associated with Lower Levels of Depressive and Burnout Symptoms, and Higher Levels of Life Satisfaction : A Nationwide Population-Based Study in Sweden 2022 Ingår i: International Journal of Environmental Research and Public Health. - : MDPI AG. - 1661-7827 .- 1660-4601. ; 19:9 Tidskriftsartikel (refereegranskat)abstract Population-based studies of individual-level residential greenspace and mental health outcomes are still limited. Thus, the present study investigates greenspace–mental health associations—including depressive symptoms, burnout symptoms, and life satisfaction—in a population-based sample of adults, the Swedish Longitudinal Occupational Survey of Health, in 2016 (n = 14,641). High-resolution land cover of greenspace and green–blue-space was assessed at 50, 100, 300 and 500 m buffers around residential addresses. Higher residential greenspace and green–blue-space were associated with lower levels of depressive and burnout symptoms among non-working individuals and with higher life satisfaction in the whole study population, after controlling for age, sex, individual income, and neighborhood socioeconomics. The immediate residential-surrounding environment (50 m) consistently showed the strongest associations with the outcomes. Having a partner was associated with better mental health outcomes and with having more residential greenspace, and adjusting for this rendered greenspace–health associations mostly statistically non-significant. In conclusion, higher levels of greenspace and green–blue-space in the immediate residential-surrounding environment were associated with better mental health outcomes in the present study, which contributes additional nuances to prior studies. The importance of residential greenspace for public health, urban planning, and development is discussed.
6.	Magnusson Hanson, Linda, 1977-, et al. (författare) Organisatorisk och psykosocial arbetsmiljö på den svenska arbetsmarknaden under coronapandemin : En del av regeringsuppdraget Coronapandemins konsekvenser för arbetsmiljön i Sverige 2023 Rapport (refereegranskat)abstract Introduktion och syfte med rapportenCoronapandemin (Covid-19 pandemin) innebar en rad restriktioner och en påföljande ekonomisk kris, som påverkade mångas arbetsliv och privatliv. Det finns emellertid fortfarande få svenska och internationella populationsbaserade studier om arbetsmiljöförändringarna i samband med coronapandemin, som fokuserar på olika sektorer utöver vård-/omsorgssektorn, och som är representativa för den arbetande befolkningen.Syftet med denna rapport är att undersöka hur upplevelsen bland den arbetande befolkningen i Sverige har förändrats i samband med coronapandemin, vad gäller den organisatoriska och psykosociala arbetsmiljön samt balans mellan arbetet och privatlivet. Syftet är även att undersöka om de eventuella förändringarna inom dessa arbetsmiljöområden skiljer sig åt beroende av bakgrundsfaktorer såsom kön, ålder, utbildningsnivå, socioekonomisk status, yrkesgrupp, samt distansarbete under coronapandemin.MetodUrvalet till analyserna i denna rapport är hämtat från den Svenska Longitudinella studien Om Sociala förhållanden, arbetsliv och Hälsa (SLOSH). Denna studie följer ett stort urval av initialt arbetande män och kvinnor ur Sveriges arbetande befolkning vartannat år med frågeformulär. Det genomfördes även en kompletterande webbundersökning i ett urval från SLOSH kallad ”SLOSH-corona” under 2021 (under ”mitten av coronapandemin”) och under 2022 (under ”slutet av coronapandemin”). Den fokuserade på arbetsmiljön, den sociala situationen, samt hälsan och hälsobeteenden i samband med coronapandemin.Denna rapport använder uppgifter från SLOSH-datainsamlingarna under våren 2018 (före coronapandemin), under våren 2020 (”i början av corona pandemin”), samt från SLOSH-corona 2021 och 2022. Det gäller uppgifter från totalt 1 345 individer som har deltagit i både SLOSH 2018 och 2020, samt som har arbetat både före coronapandemin och vid något av insamlingstillfällena under coronapandemin. De svarande i urvalet är representativa för hela Sverige och den svenska arbetsmarknaden. Men de bestod bland annat av en något större andel kvinnor än män, samt av en övervägande andel medelålders eller äldre personer i arbetslivet, gifta eller sammanboende personer, personer med en universitetsutbildning, samt tjänstemän. Frågeformulären innehöll uppgifter om en rad arbetsmiljöfaktorer som indelats i kategorierna; den organisatoriska arbetsmiljön, krav och resurser, den sociala arbetsmiljön, samt balans mellan arbete och privatliv.Eventuella förändringar över tid undersöktes i huvudsak genom regressionsanalyser. Dessa jämförde svaren på frågorna från någon av de insamlingar som gjordes under coronapandemin, med svaren på samma frågor från insamlingarna före coronapandemin. De svarande rapporterade själva för några faktorer, om de upplevde en förändring jämfört med före coronapandemin. Resultaten består därmed av både beskrivande och analytisk statistik samt tester av om de eventuella arbetsmiljöförändringarna över tid skilde sig åt beroende av ett antal bakgrundsfaktorer, samt på grund av om arbete skett från en ordinarie arbetsplats eller på distans/hemifrån.ResultatOrganisatorisk arbetsmiljöJämfört med före coronapandemin, så visade de övergripande analyserna i hela urvalet främst på:en betydligt högre andel som arbetade på distans/hemifrån under coronapandemin.en lägre andel som jobbade långa arbetstider (mer än 40 timmar per vecka) under coronapandemin.att en relativt stor andel upplevde att arbetsuppgifterna ökade, och framför allt från början till mitten av coronapandemin.Förändringar i den organisatoriska arbetsmiljön skilde sig främst åt beroende på aspekter som utbildning och socioekonomi. Exempelvis så ökade förekomsten av distansarbete tydligare bland högutbildade personer och tjänstemän. Förekomsten av långa arbetstider minskade samtidigt mer markant i dessa grupper. Förekomsten av långa arbetstider ökade däremot i stället bland personer med yrken som fokuserar på vården/omsorgen och andra kontaktyrken.Krav och resurserJämfört med före coronapandemin, visade de övergripande analyserna främst på:något lägre nivåer av psykologiska krav i arbetet under coronapandemin.något högre nivåer av kontroll/beslutsutrymme i arbetet under coronapandemin.en lägre andel med spänt arbete (höga psykologiska krav och en låg kontroll/ett lågt beslutsutrymme) under coronapandemin.att en relativt stor andel upplevde en ökad arbetsmängd och en psykisk arbetsbelastning (vilket skulle kunna handla om en anpassning och en hantering av sina känslor i olika arbetssituationer) under coronapandemin.marginellt högre nivåer av anställningsotrygghet, men endast under början av coronapandemin.En ökning av anställningsotryggheten var tydligare bland personer med yrken som fokuserar på materiell tillverkning i början av pandemin (såsom yrken inom byggverksamhet och tillverkning, maskinell tillverkning och transport, lantbruk, trädgård, skogsbruk, samt fiske). En ökad arbetsmängd och en psykisk arbetsbelastning var tydligast bland kvinnor och personer som arbetar inom yrken med fokus på vården/omsorgen och grundskolan/barnomsorgen. De med yrken inom vården/omsorgen, upplevde emellertid även att beslutsutrymmet ökat i en större utsträckning. Det var även de personer som hade arbetet på sin ordinarie arbetsplats under coronapandemin som i en högre grad upplevde att arbetsmängden och den psykiska arbetsbelastningen hade ökat. De personer som delvis eller mestadels arbetade på distans/hemifrån upplevde en ökad kontroll/ett ökat beslutsutrymme i en högre grad, samt ett ökat inflytande.Social arbetsmiljöJämfört med före coronapandemin, visade de övergripande analyserna främst på:en lägre nivå av ett socialt stöd i arbetet under slutet av coronapandemin.att en relativt hög andel deltagare upplevde ökade konflikter med andra (t.ex. patienter, kunder, elever, passagerare) under coronapandemin.att en relativt hög andel deltagare upplevde en försämrad stämning och ett försämrat samarbete på arbetsplatsen under coronapandemin.Socialt stöd hade minskat speciellt för vården och omsorgspersonalen, samt bland de personer som hade jobbat på sin ordinarie arbetsplats under coronapandemin. Ökade konflikter med andra var även tydligast bland de som jobbat på sin ordinarie arbetsplats under coronapandemin. En försämrad stämning på arbetsplatsen var tydligast bland de personer som jobbade inom yrken med ett fokus på grundskolan och barnomsorgen, samt inom andra kontaktyrken och bland högutbildade. Det var tydligare med en försämrad sammanhållning och ett försämrat samarbete på arbetsplatsen bland högutbildade personer och tjänstemän, samt bland de som arbetat på distans/hemifrån.Balans mellan arbete och privatlivAtt arbetssituationen under coronapandemin påverkade privatlivet på ett positivt sätt var en vanligare upplevelse än att det hade en negativ påverkan. Det var även vanligare med en upplevelse av att privatlivet påverkade arbetssituationen på ett positivt sätt, än på ett negativt.Det var vanligare bland de som arbetat på distans under coronapandemin, att arbetssituationen påverkade privatlivet på ett positivt sätt, eller att privatlivet påverkade arbetssituationen på ett positivt sätt. För de personer som hade yrken fokuserade inom vården/omsorgen och inom grundskolan/barnomsorgen var det vanligare med en upplevelse av att arbetssituationen påverkade privatlivet på ett negativt sätt.SlutsatserResultaten från dessa analyser tyder på flera förändringar inom den organisatoriska arbetsmiljön, i samband med coronapandemin. Det gäller främsten generell ökning av distansarbete, och en generell minskning av arbetstider. Resultaten var mindre tydliga vad gäller krav och resurser i arbetet. De psykologiska kraven minskade något, medan kontroll/beslutsutrymme ökade något. Det innebar en lägre andel deltagare med spänt arbete under pandemin, vilket kan tyda på en generell förbättring av balans mellan denna typ av krav och resurser. Det fanns samtidigt indikationer på en ökning av vissa typer av krav åtminstone för vissa grupper på arbetsmarknaden, till exempel vad gäller arbetsmängden och den psykiska arbetsbelastningen. Resultaten tyder vidare på en generell försämring i den sociala arbetsmiljön, och en relativt god balans mellan arbetet och privatlivet. Det finns emellertid betydande skillnader framför allt beroende av yrkesgrupper och distansarbete. Resultaten tyder exempelvis på en ökning av vissa typer av krav, och en försämring av vissa typer av sociala arbetsmiljöfaktorer bland de som arbetat inom hälso-/ sjukvårds- och utbildningssektorn, samt bland de som arbetat på sin ordinarie arbetsplats. Vidare så tyder resultaten på en relativt god balans mellan arbetet och privatlivet, men på en försämring av andra sociala arbetsmiljöfaktorer bland högutbildade personer och tjänstemän, samt bland de som arbetat på distans/hemifrån.
7.	Pöllänen, Elin, et al. (författare) Classic Psychedelics and Human–Animal Relations 2022 Ingår i: International Journal of Environmental Research and Public Health. - : MDPI AG. - 1661-7827 .- 1660-4601. ; 19:13 Tidskriftsartikel (refereegranskat)abstract Previous research has found associations between classic psychedelic use and nature-relatedness, but the link between classic psychedelic use and human–animal relations remains largely unexplored. Using data representative of the US adult population, with regard to age, sex and ethnicity (N = 2822), this pre-registered study assessed lifetime classic psychedelic use, ego dissolution during respondents’ most intense experience using a classic psychedelic, and three measures related to human–animal relations: speciesism, animal solidarity and desire to help animals. The results showed that lifetime classic psychedelic use was negatively associated with speciesism (β = −0.07, p = 0.002), and positively associated with animal solidarity (β = 0.04, p = 0.041), but no association was found with desire to help animals (β = 0.01, p = 0.542). Ego dissolution during the respondents’ most intense experience using a classic psychedelic was negatively associated with speciesism (β = −0.17, p < 0.001), and positively associated with animal solidarity (β = 0.18, p < 0.001) and desire to help animals (β = 0.10, p = 0.007). The findings indicate that classic psychedelics and ego dissolution may have an impact on human–animal relations. As these results cannot demonstrate causality, however, future studies should use longitudinal research designs to further explore the potential causal link between classic psychedelic use and human–animal relations.
8.	Ramstetter, Lena, et al. (författare) Fostering collective climate action and leadership : Insights from a pilot experiment involving mindfulness and compassion 2023 Ingår i: iScience. - : Elsevier. - 2589-0042. ; 26:3 Tidskriftsartikel (refereegranskat)abstract Recent research suggests that mindfulness, compassion, and self-compassion relate to inner transformative qualities/capacities and intermediary factors that can support increased pro-environmental behavior and attitudes across individual, collective, organizational, and system levels. However, current insights focus on the individual level, are restricted to certain sustainability fields, and wider experimental evidence is scarce and contradictory. Our pilot study addresses this gap and tests the aforementioned proposition in the context of an intervention: an EU Climate Leadership Program for high-level decision-makers. The intervention was found to have significant effects on transformative qualities/capacities, intermediary factors, and pro-environmental behaviors and engagement across all levels. The picture is, however, more complex for pro-environmental attitudes. With due limitations (e.g., small sample size), this preliminary evidence confirms the feasibility and potential of mindfulness- and compassion-based interventions to foster inner-outer transformation for sustainability and climate action. Aspects that should be taken into account in larger confirmatory trials are discussed.
9.	Simonsson, Otto, et al. (författare) Altered states of leadership : mindfulness meditation, psychedelic use, and leadership development 2023 Ingår i: Frontiers in Psychology. - : Frontiers Media S.A.. - 1664-1078. ; 14 Tidskriftsartikel (refereegranskat)abstract Background: Previous research suggests that mindfulness meditation and psychedelic substances show promise as mental health interventions, but relatively little remains known about their potential impact on leadership outcomes. Aims: This study aimed to investigate if and how mindfulness meditation and psychedelic use may impact leadership among respondents with a management position as their primary role at work. Methods: Using samples representative of the US and UK adult populations with regard to sex, age, and ethnicity, this study used quantitative and qualitative methods to examine if and how mindfulness meditation and psychedelic use may impact leadership. Results: Among respondents with a management position as their primary role at work (n = 3,150), 1,373 reported having tried mindfulness meditation and 559 reported having tried psychedelics. In covariate-adjusted regression analyses, both lifetime number of hours of mindfulness meditation practice and greater psychological insight during respondents' most intense psychedelic experience were associated with describing a positive impact on leadership (ORs = 2.33, 3.49; ps < 0.001), while qualitative analyses revealed nuances in the type of impacts mindfulness meditation and psychedelic use had on leadership. There were several subthemes (e.g., focus, creativity, patience, empathy, compassion) that were frequently reported with both mindfulness meditation and psychedelic use. There were also unique subthemes that were more commonly reported with mindfulness meditation (e.g., improved sleep, stress reduction, calming effects) and psychedelic use (e.g., greater self-understanding, less hierarchical attitudes toward colleagues, positive changes in interpersonal attitudes and behaviors), respectively. Conclusion: Although causality cannot be inferred due to the research design, the findings in this study suggest potential complementary effects of mindfulness meditation and psychedelic use on leadership, which could inspire new approaches in leadership development.
10.	Simonsson, Otto, et al. (författare) Longitudinal associations between psychedelic use and meditation practices in the United States and the United Kingdom 2024 Ingår i: Psychological Medicine. - 0033-2917 .- 1469-8978. ; 54:6, s. 1228-1234 Tidskriftsartikel (refereegranskat)abstract Background: Previous research has proposed that there may be potential synergies between psychedelic and meditation interventions, but there are still knowledge gaps that merit further investigation. Methods: Using a longitudinal observational research design with samples representative of the US and UK adult population with regard to sex, age, and ethnicity (N = 9732), we investigated potential associations between self-reported psychedelic use and meditation practice. Results: The follow-up survey was completed by 7667 respondents (79% retention rate), with 100 respondents reporting psychedelic use during the 2-month study period (1.3% of follow-up respondents). In covariate-adjusted regression models, psychedelic use during the study period was associated with greater increases in the number of days of mindfulness meditation practice in the past week (B = 0.40, p = 0.004). Among those who reported psychedelic use during the study period, covariate-adjusted regression models revealed that the subjective experience of insight during respondents' most intense psychedelic experience in that period was also associated with greater increases in the number of days of mindfulness and loving-kindness or compassion meditation practice in the past week (B = 0.42, p = 0.021; B = 0.38, p = 0.017). Notably, more days of loving-kindness or compassion meditation practice in the past week at baseline was associated with less severe subjective feelings of death or dying during respondents' most intense psychedelic experience in the study period (B = -0.29, p = 0.037). Conclusions: Psychedelic use might lead to greater engagement with meditation practices such as mindfulness meditation, while meditation practices such as loving-kindness or compassion medication might buffer against certain challenging experiences associated with psychedelic use.
11.	Simonsson, Otto, et al. (författare) Longitudinal associations between psychedelic use and unusual visual experiences in the United States and the United Kingdom 2024 Ingår i: Journal of Psychopharmacology. - 0269-8811 .- 1461-7285. ; 38:1, s. 110-115 Tidskriftsartikel (refereegranskat)abstract Background: Whereas findings from case reports and cross-sectional studies suggest that naturalistic psychedelic use may be associated with unusual visual experiences that occur after the acute pharmacological effects have subsided, such findings need to be replicated in longitudinal studies to better understand potential cause-and-effect relationships.Aims: To investigate longitudinal associations between naturalistic psychedelic use and unusual visual experiences.Methods: Using a longitudinal observational research design with samples representative of the US and UK adult populations with regard to sex, age, and ethnicity (N = 9732), we investigated the relationship between psychedelic use during the 2-month study period and changes in past-week unusual visual experiences.Results: The follow-up survey was completed by 79% of respondents (n = 7667), with 100 respondents reporting psychedelic use during the 2-month study period (1.3% of those who responded at follow-up). In covariate-adjusted regression models, the results showed that, as hypothesized, psychedelic use during the 2-month study period was associated with greater increases in unusual visual experiences. Notably, there was an interaction between lifetime psychedelic use and psychedelic use during the study period on unusual visual experiences such that those who used psychedelics for the first time reported greater increases in unusual visual experiences.Conclusions: Psychedelic use may elicit unusual visual experiences that occur after the acute pharmacological effects have subsided, especially among those who have not used psychedelics previously. Future longitudinal studies are warranted to further elucidate these relationships.
12.	Stenfors, Cecilia U.D. 1982-, et al. (författare) Are Subjective Cognitive Complaints Related to Poorer Memory Functioning in the Working Population? A Case-Control Study Ingår i: BMC Psychology. - 2050-7283. Tidskriftsartikel (refereegranskat)
13.	Stenfors, Cecilia U. D., 1982-, et al. (författare) Green sleep : Immediate residential greenspace and access to larger green areas are associated with better sleep quality, in a longitudinal population-based cohort 2023 Ingår i: Environmental Research. - : Elsevier. - 0013-9351 .- 1096-0953. ; 234 Tidskriftsartikel (refereegranskat)abstract Objective: Sleep is pivotal to health, wellbeing and functioning in daily life, but sleep difficulties are common and may be affected by modifiable qualities in the residential surrounding environment, in terms of greenspace. However, population-based studies on individual-level greenspace and sleep are limited. The objective of the current study was thus to investigate prospective associations between fine-grained individual-level residential greenspace and sleep, and moderating effects of life style (physical activity, work status) and sex, in a nationwide population-based Swedish cohort.Methods: Participants of the Swedish Longitudinal Occupational Survey of Health (SLOSH)-a population-based sample of adults in Sweden-were studied during 2014-2018 (19,375 individuals; 43,062 observations). Residential greenspace land cover, and coherent green area size, were assessed via high resolution geographic information systems, at 50, 100, 300, 500 and 1000 m buffers around residences. Prospective greenspace and sleep associations were assessed via multilevel general linear models, adjusting for demographic, socioeconomic (individual and neighborhood), life style and urban factors.Results: Higher greenspace availability in the immediate residential surroundings (50 m and 100 m buffer zones) was associated with less sleep difficulties, even after adjustment for confounders. Greenspace effects were generally greater among non-working individuals. Among the physically active, and among non-working, greenspace and green area size further away from home (300, 500 and 1000 m, i.e. dependent on mobility) were also associated with less sleep difficulties.Conclusions: Residential greenspace in the immediate residential surroundings is associated with significantly less sleep difficulties. Greenspace further away from home was associated with better sleep especially among the physically active, and non-working individuals. The results highlight the importance of greenspace in the immediate residential-surrounding environment for sleep, and the need to integrate health and environmental policies, urban planning and greening.
14.	Stenfors, Cecilia U. D., 1982-, et al. (författare) Psychosocial Working Conditions and Cognitive Complaints among Swedish Employees 2013 Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 8:4, s. e60637- Tidskriftsartikel (refereegranskat)abstract Background: Cognitive complaints involving problems with concentration, memory, decision-making and thinking are relatively common in the work force. The sensitivity of both subjective and objective cognitive functioning to common psychiatric conditions, stress levels and to cognitive load makes it plausible that psychosocial working conditions play a role in cognitive complaints. Thus, this study aimed to test the associations between psychosocial work factors and cognitive complaints in nationally representative samples of the Swedish work force. Cross-sectional (n = 9751) and prospective (n = 3644; two time points two years apart) sequential multiple regression analyses were run, adjusting for general confounders, depressive-and sleeping problems. Additional prospective analyses were run adjusting for baseline cognitive complaints. Cross-sectional results: High quantitative demands, information and communication technology (ICT) demands, underqualification and conflicts were positively associated with cognitive complaints, while social support, good resources at work and overqualification were negatively associated with cognitive complaints in all models. Skill discretion and decision authority were weakly associated with cognitive complaints. Conflicts were more strongly associated with cognitive complaints in women than in men, after adjustment for general confounders. Prospective results: Quantitative job demands, ICT demands and underqualification were positively associated with future cognitive complaints in all models, including when adjusted for baseline cognitive complaints. Decision authority was weakly positively associated with future cognitive complaints, only after adjustment for depressive-and sleeping problems respectively. Social support was negatively associated with future cognitive complaints after adjustment for general confounders and baseline cognitive complaints. Skill discretion and resources were negatively associated with future cognitive complaints after adjustment for general confounders. The associations between quantitative demands and future cognitive complaints were stronger in women. Discussion/Conclusions: The findings indicate that psychosocial working conditions should be taken into account when considering cognitive complaints among employees.
15.	Stenfors, Cecilia U. D., 1982- (författare) Subjective Cognitive Complaints in the Working Population : The Influence of Objective Cognitive Functioning and Working Conditions 2013 Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract Cognitive functioning is important for managing work and life in general. However, subjective cognitive complaints (SCC), involving self-perceived difficulties with concentration, memory, decision making, and clear thinking are common in the general and in the working population and can be coupled with both lowered well-being and work ability. The present thesis investigated the extent to which SCC among people in the work force can be explained by objective cognitive functioning (study I & II) and working conditions (study III), utilizing samples from the working population. The potential roles of other common psychological problems which often co-occur with SCC were also investigated in studies I-III.In Study I, high levels of SCC were associated with significantly poorer episodic memory performance during high executive demands and a trend was found towards poorer episodic memory, while not being associated with semantic memory. In Study II, high levels of SCC were associated with significantly poorer executive cognitive performance on all three executive cognitive tests used. Symptoms of depression, chronic stress and sleeping problems were found to play an important role in the relations between SCC and episodic memory during divided attention in study I and executive cognitive functioning in study II. In Study III, in all cross-sectional data analyses, high quantitative demands, information and communication technology (ICT) demands, underqualification in the work situation and inter-personal conflicts were positively associated with SCC, whereas social support, good resources at work and overqualification in the work situation were negatively associated with SCC. In all prospective data analyses, quantitative job demands, ICT demands and underqualification were positively associated with future SCC, including when adjusted for baseline cognitive complaints.The findings may guide prevention of and interventions for SCC among people in the work force.
16.	Stenfors, Cecilia U.D. 1982-, et al. (författare) Subjective Cognitive Complaints in the Working Population - The Role of Executive Cognitive Functioning Ingår i: PLOS ONE. - 1932-6203. Tidskriftsartikel (refereegranskat)
17.	Stenfors, Cecilia U. D., 1982-, et al. (författare) The role of residential greenspace qualities and it’s closeness for mental health and sleep outcomes : Results from longitudinal studies on nationwide population-based cohorts in Sweden with fine-grained assessments 2023 Ingår i: 17th International Congress of Behavioral Medicine. International Journal of Behavioral Medicine. ; , s. 136-137 Konferensbidrag (refereegranskat)abstract Background: Mental health and sleeping problems are public health concerns associated with vast costs for society and individuals. Exposure and access to natural environments in terms of greenspace (vegetation) are associated with a range of benefits such as enhanced affect and cognition, and decreased stress. However, population-based studies investigating high-resolution, individual-level residential greenspace are yet lacking, as population-based studies have mainly assessed greenspace at the level of larger areas rather than the individual level. Furthermore, studies on residential greenspace and sleep are scarce.Objective & methods: Thus, in a set of large-scale population-based longitudinal studies, on nationwide cohorts in Sweden, objective high-resolution individual-level residential greenspace land cover assessments were made and the role of different greenspace qualities were investigated longitudinally for: 1) self-reported sleeping problems, 2) objective prescription medication purchase in terms of a) insomnia medications and b) antidepressants, while controlling for individual and neighbourhood confounders. Multilevel and generalized estimating equation models were conducted to estimate effects.Results: Results across studies showed that more residential greenspace primarily in the immediate residential surrounding (50 m and 100 m buffer zones around home) is associated with 1) less sleeping problems, and 2) lower risk of purchasing insomnia and antidepressant prescription medications. Furthermore, among physically active, greenspace further from home also associated with less sleeping problems.Conclusions: Results highlight the role of greenspace in the immediate residential surroundings for mental health and sleep outcomes, and the importance of integrating health-, environmental-, urban development- and greening policies, also mitigating climate change.
18.	Stenfors, Cecilia U. D., 1982- (författare) Vår relation till naturen – ett nexus för mänsklig, ekologisk och planetär hållbarhet, samt resiliens vid kriser 2023 Ingår i: Socialmedicinsk Tidskrift. - 0037-833X. ; 100:3, s. 509-524 Tidskriftsartikel (refereegranskat)abstract Access to and contact with natural environments is associated with both bet-ter mental and physical health, with positive effects on several aspects of well-being, cognitive performance and creativity, and recovery from mental strain, and is also associated with lower redemption of psychotropic prescrip-tion medications. Access to and contact with nature is also an important resi-lience factor during crises, such as the covid-19 pandemic. Protection and regeneration of natural environments, including green and blue environments, and promoting contact with nature both inside and outside city boarders, and working actively for the integration of nature into the design of our living envi-ronments and lifestyles, are thus central to human, social and environmental sustainability and planetary health, biodiversity, and resilience to crises such as pandemics and climate change.

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