| 1. |
- Gyllensten, Kristina, 1977, et al.
(författare)
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Older assistant nurses’ motivation for a full or extended working life
- 2019
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Ingår i: Ageing and Society. - 0144-686X .- 1469-1779. ; 39:12, s. 2699-2713
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore older workers’ motivation for a full or extended working life. With particular focus on assistant nurses aged 55–64 years, working in the elderly care sector. Focus group interviews were conducted with five different groups of assistant nurses. Inductive thematic analysis was used to analyse the interviews and five main themes were developed from the data: ‘Organisational issues’, ‘Health-related problems’, ‘Private issues’, ‘Meaningfulness and appreciation’ and ‘Social support’. Several of the main themes concerned problems with too high work demands of the assistant nurses. These findings suggest that it is important to improve the working conditions of assistant nurses in order to create a more sustainable working life. Increasing the number of staff and improving recovery opportunities and work–life balance could be important steps to improving the working conditions for this group. Finally, upgrading the competency and professionalism of assistant nurses could help to increase the motivation for a full or extended working life.
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| 2. |
- Archer, Trevor, 1949, et al.
(författare)
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Internet-video Gaming: Symptoms, Epidemiology, Neurophysiology and Interventional Aspects.
- 2017
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Ingår i: Journal of Child and Adolescent Behavior. - : OMICS Publishing Group. - 2375-4494. ; 5:3
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Forskningsöversikt (refereegranskat)abstract
- Excessive perseverance with video-internet game usage, or alternatively Internet Gaming Disorder, presents a condition that, despite the potential utility of the underlying technology, augurs an assemblage of poor health and well-being, psychiatric liability and psychosocial perturbation with concomitant regional brain disturbance accompanied by incremental and inexorable prerequisites for appropriate interventions and eventual prevention. The tendency within the pathological expressions of disorder is for vulnerability to reside among the young, e.g., adolescents, rather than the older adults, over gender. Symptom-profiles of the condition incorporate varied, allconsuming and protracted problems ranging from cognitive-affective dysfunctions to biopsychological abnormalities such as sleep disturbances and fatigue. Escalating prevalence and epidemiological entanglement describe a putative framework of loneliness, introversion, neuroticism and impulsivity interspersed with expressions of depression, anxiety, sensation seeking, anger, a singular lack of assertiveness and the hazardous indications of ADHD propensity. Neurophysiological, brain regional and biomarker modifications underlying disorder pathophysiology appear more-or-less attuned to the symptomatic expressions of both diagnosed patients and those found to use excessive gaming, unconstrained from age-level: child, adolescent or young adult. Interventional strategies have centered upon the distinction of individual symptom-profiles, the description of withdrawal symptoms and related tolerance and the administration of coping strategies and resourceful behaviors, as for example implied by the “Craving Behavioral intervention”.
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| 3. |
- Arntén, Anne-Christine Andersson, et al.
(författare)
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Two Methods of Policing: Will the Resources of the Police Officers and the Local Communities be Spiraling Upwards or Downwards?
- 2019
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Ingår i: Journal of Forensic Science & Criminal Investigation. - 2476-1311. ; 11:3, s. 1-5
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Tidskriftsartikel (refereegranskat)abstract
- From the viewpoint of Swedish vulnerable areas this article focusing on the potential consequences of two methods of policing (Zero-tolerance and boundary-relation) from the perspective of factors connected with officers’ health, professional work performance, and the effect on the resources of the local community such as work against crime. The authors put forward different patterns of loss of resources that result from officers stressful and traumatic experiences. The article further discuss the effects on society connected to signs of loss of resources in the areas of health, such as cynicism, and performance. The two methods of policing play very different parts in whether resources will be lost or gained when the officers approach the local community. Reflecting the principles of Sir Robert Peel wherein the good relations between the police and the public is emphasized as the basis of effective policing.
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| 4. |
- Lange, Elvira, et al.
(författare)
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Physiological Adaptation in Women Presenting Fibromyalgia: Comparison with Healthy Controls
- 2017
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Ingår i: Clinical and Experimental Psychology. - : OMICS Publishing Group. - 2471-2701. ; 1:3
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To compare the heart rate variability (HRV) before and after a sub-maximal exercise test in women with fibromyalgia (FM) and to compare the result to matched controls. Additionally, to compare heart rate (HR) before, during and after the sub-maximal exercise test. Methods: Twenty-four women with FM and 26 controls performed a sub-maximal exercise test. HRV was registered for 5 minutes at rest before and after the exercise test. HR was registered at baseline, during the exercise test and at recovery. Results: The HRV of the healthy group was statistically different from the exercise test but the women with FM showed no such difference. HR was significantly higher among the women with FM than in the healthy group at baseline and up to 75W but lower at peak (138/152 bpm, p<0.008). In women with FM HR during exercise (HR2) was predicted by heart rate recovery (HRR20) and physical exertion (RPE2). HRR20 and RPE2 accounted for 0.465 of the variance (p=0.006) in HR2. In healthy women HR2 correlated with HRR20 and negatively with physical activity (PhA). In the reference group HRR20 and PhA accounted for 0.448 (p=0.002) of the variance HR. Conclusion:The HRV in women with FM show less adjustment of the ANS while not being significantly affected by submaximal exercise as healthy women. In healthy women heart rate during the test was negatively related to PhA. In women with FM exertion seems to replace an effect from exercise on physiological adaptation. FM may entail imperceptible extraction of power from PhA while under load. Links to FM pain will be discussed. Women with FM seem to rate exertion “Very hard” on lower workload and HR than healthy women. The physiotherapeutic methodology for measuring HRV with basic HR monitors should be improved before it can be recommended for clinical use.
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| 5. |
- Wentz, Kerstin, 1958, et al.
(författare)
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Blood pressure in women presenting fibromyalgia as a function of Pain and Avoidance disparities.
- 2017
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Ingår i: Journal of Psychology and Cognition. ; 2:3, s. 223-30
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To investigate the relationships between dimensions of PTSD and clinical everyday pain, physiological adaptation to a sub maximal test, i.e. moderate intensity exercise in terms of systolic blood pressure (SBPR) in women with fibromyalgia (FM), and to compare the result to a gender- and age-matched healthy control group. Materials and method: Twenty-two women presenting FM and twenty-six healthy women were education- and age-matched. All the women completed questionnaires regarding background, Impact of Event Scale-Revised (IES-R) and the short form health related quality of life instrument SF 36. All the women performed a stepwise load increment submaximal exercise test on a cycle ergometer to the severe perceived exertion level. Systolic blood pressure (SBPR) pressure was recorded before, during and after the test. Results: In comparison to healthy women, the women presenting FM showed higher IES-R values of intrusion, avoidance and hypertension and a tripled impact from clinical pain over 4 weeks. During recovery from the test, the successive decrease in SBPR was smaller in women presenting FM. In both groups the SBPR domain and IES-R domain presented intra correlation. In FM, a correlative link concerned avoidance and SBPR from baseline and through the test. In parallel, hypertension was correlatively linked to SBPR during recovery from the test. Clinical pain correlated with blunted SBPR responses through the test and also during recovery from the test. Conclusion: Both FM and PTSD are known to mirror suboptimal resources in dimensions such as avoidance, hyper-arousal and different ANS regulatory resources. This situation may be manifested by an interplay avoidance and hypertension and SBPR where in turn, both a vigorous a SBPR response and vigorous SBPR recovery after the test relates to less clinical pain. Further examinations regarding this blunted dynamic and clinical pain together may unfold the role of various agents on resting values and response versus recovery, respectively.
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| 6. |
- Wentz, Kerstin, 1958, et al.
(författare)
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Career Crafting: Working during the Ages of 69-75 Years
- 2016
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Ingår i: Journal of Business and Economics. - 2155-7950. ; 7:8, s. 1334-1345
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to examine successful participation in working life in the ages of 69-75 years. A further aim was to elucidate socioeconomic and psychological processes surrounding successful participation. Focus groups were used to collect the data, and seven different focus groups met in four different towns in the western region of Sweden. Each group consisted of five to eight participants, and the groups met two to four times each to allow the participants to develop recollections and reflections on the topic. The interviews were transcribed verbatim and analyzed using inductive thematic analysis. It was found that from middle age onwards the participants transformed their working lives and created their ideal professional situations. This process took place in a context of embracing social support and large psychological resources. These findings suggest structural facilitation of career crafting in work life and working conditions that can reinforce psychological resources such as positive affect and continuous learning throughout one’s working life.
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| 7. |
- Wentz, Kerstin, 1958, et al.
(författare)
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Exercise Induced Autonomic Disengagement and Pain in Women Presenting FM and Healthy Women: Analgesia and Blood Pressure
- 2017
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Ingår i: Clinical and Experimental Psychology. - : OMICS Publishing Group. - 2471-2701. ; 3:3
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The aim of the present analysis was to examine physiological adaptation to a sub-maximal test by measuring blood pressure (BPR) from the perspective of the fibromyalgia (FM) pain experience. Method: Twenty-four women presenting FM and twenty-six healthy women were education- and age-matched. In their homes, all women completed questionnaires regarding background and health related quality of life (SF-36). All the women performed a stepwise load increment submaximal exercise test on a cycle ergometer to the severe perceived exertion level. Blood pressure was recorded before, during and after the test. Result: Women presenting FM showed higher baseline resting systolic BPR (SBPR) and diastolic BPR (DBPR) with higher SBPR and DBPR during the recovery phase. In both groups SBPR and DBPR were correlated at base line. Women presenting FM contrasted to healthy women by BPR measures more frequently correlating during workload. In women with FM the correlative relationship between the SBPR and DBPR during recovery was pronouncedly higher. Clinical pain correlated four times more often with BPR measures in the FM study group as compared to the group of controls. In FM higher clinical pain was linked to lower BPR. Conclusion: In the context of the FM condition, the tests depict a physiologically perseverative pattern concerning SBPR and SBPR measurements. This pattern was pronounced during recovery. A higher level of clinical pain BP corresponded to lower SBPR and SBPR before and after the test confirming an inverse relationship between blood pressure and pain sensitivity in the condition of FM. Parallel, in FM the analgesic effect from BPR was insufficient due to lowered pain thresholds. Pain thresholds linked to dysregulated sympathetic and parasympathetic functions together with psychological functioning and higher levels of brain functioning need further examination.
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| 8. |
- Wentz, Kerstin, 1958, et al.
(författare)
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Fibromyalgia as a Variant of High-performing PTSD: Negative affect, Emotional integrity counter play and functional impairment.
- 2017
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Ingår i: Journal of Neuropsychology & Stress Management. ; 2, s. 1-9
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The aim of the present analysis was to examine psychological functioning and functional impairment in fibromyalgia (FM) based on three dimensions of post traumatic stress disorder (PTSD), positive and negative affect adjective scales (PANAS), Health related quality of life (SF-36) scales concerning pain, vitality and impairment from emotional and physical and causes together with the Work Ability Index (WAI) and to compare the results to healthy women. Materials and method: Twenty-two women presenting FM and twenty-six healthy women were education-and age-matched. All the women completed questionnaires regarding background, Impact of Event Scale-Revised (IES-R) and health related quality of life (SF-36), Negative and Positive Affect Scale (PANAS) and the single item Work ability index (WAI). Result: In comparison to healthy women, women presenting FM showed higher IES-R values of intrusion, avoidance and hypertension and lower values regarding PA and higher values regarding NA. Role emotional (RE), role physical (RP) and vitality (VT) showed lower values respectively and bodily pain (BP) showed more pain during 4 weeks in women presenting FM and WAI showed a higher value in healthy women (all these p values p ≤ 0.001). Intrusion, avoidance and hypertension correlated but were inversely related to health relates quality of life in terms of RE in FM. Only intrusion and hypertension were associated with NA while avoidance showed a positive association to WAI in FM where also the PA and the NA values were correlated unlike in healthy women. BP was related to VT but unrelated to all other measurements in FM. Conclusion: The absence of links between BP and the other measurements may imply a somewhat non psychological nature of clinical FM pain. Lower PA values and higher NA values added by high levels of PTSD like symptomatology induces severe psychological strain in FM. Avoidance relates positively to WAI but negatively to RE which suggests a pattern of alarming emergency functioning. The result and other research on relentless activity in FM may term FM a variant of high performance PTSD. An investment in areas of psychological resources that need to be filled in in FM may open up for a more resourceful physiological regulation of pain and global self-regulation of e.g. RE, RP.
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| 9. |
- Wentz, Kerstin, 1958, et al.
(författare)
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Pain and physiological adaptation in women presenting fibromyalgia
- 2016
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Ingår i: Journal of Pain Management and Therapy. ; 1:1
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The aim of the present analysis was to examine physiological adaptation to a sub-maximal test by measuring heart rate (HR) and heart rate variability (HRV) from the perspective of the fibromyalgia (FM) pain experience. Method: Twenty-five women presenting FM and healthy women were education- and age-matched. In their homes, all women completed questionnaires regarding health related quality of life and physical activity. All the women performed a stepwise load increment submaximal exercise test on a cycle ergometer to the severe perceived exertion level. HR and HRV were recorded before, during and after the test. Current pain was recorded before and after the test upon the FM women. Result: Correlational analysis over all the pain ratings and adaptation measures of HR and HRV showed that higher HR on two or three levels of workload were linked to greater clinical pain in women presenting FM. Pain at baseline related to clinical everyday pain. Both these pain measures correlated with the intersection between HR and workload and pain after the test. Reactivity through increase in pain from the test did not relate to everyday pain or baseline pain. Pain reactivity instead related to more adaptive HRV from the test, similar to the HRV adaptation of healthy women. In FM, the pain measures were neither related to HR at baseline, maximal workload during the test nor to physical exertion during the test. Conclusion: FM implies everyday clinical pain that is related to the intersection between HR and workload. In contrast to clinical pain, pain reactivity from the test related to a more physiologically adaptive pattern in terms of HRV. Clinical pain and pain reactivity seem to mobilize separate physiological processes via separate mechanisms.
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| 10. |
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