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- Perski, Olga, et al.
(author)
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A systematic review and meta-analysis of tertiary interventions in clinical burnout
- 2017
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In: Scandinavian Journal of Psychology. - : Wiley. - 0036-5564 .- 1467-9450. ; 58:6, s. 551-561
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Research review (peer-reviewed)abstract
- Clinical burnout is one of the leading causes of work absenteeism in high- and middle-income countries. There is hence a great need for the identification of effective intervention strategies to increase return-to-work (RTW) in this population. This review aimed to assess the effectiveness of tertiary interventions for individuals with clinically significant burnout on RTW and psychological symptoms of exhaustion, depression and anxiety. Four electronic databases (Ovid MEDLINE, PsychINFO, PubMed and CINAHL Plus) were searched in April 2016 for randomized and non-randomized controlled trials of tertiary interventions in clinical burnout. Article screening and data extraction were conducted independently by two reviewers. Pooled odds ratios (ORs) and hazard ratios (HRs) were estimated with random-effects meta-analyses. Eight articles met the inclusion criteria. There was some evidence of publication bias. Included trials were of variable methodological quality. A significant effect of tertiary interventions compared with treatment as usual or wait-list controls on time until RTW was found, HR = 4.5, 95% confidence interval (CI) = 2.15-9.45; however, considerable heterogeneity was detected. The effect of tertiary interventions on full RTW was not significant, OR = 1.33, 95% CI = 0.59-2.98. No significant effects on psychological symptoms of exhaustion, depression or anxiety were observed. In conclusion, tertiary interventions for individuals with clinically significant burnout may be effective in facilitating RTW. Successful interventions incorporated advice fromlaborexperts and enabled patients to initiate a workplace dialogue with their employers.
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| 2. |
- Berman, Anne H, et al.
(author)
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Mental wellbeing in Swedish university students : protective and risk factors in a cross-sectional study
- 2023
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In: International Journal of Behavioral Medicine. - : Springer Nature. ; 30, s. S66-S67
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Conference paper (peer-reviewed)abstract
- Objective: Mental wellbeing is a fundamental aspect of the broader notion of quality of life. Little is known about the mental wellbeing of university students in general and Swedish university students in particular. As emerging adults, university students typically experience substantial changes to their living conditions, relationships, and academic stress, and depression and anxiety are prospectively associated with lower academic achievement at the end of the first year.Methods: Data from five cross-sectional cohorts (n = 7423), collected between spring 2020 and spring 2022, were compared descriptively, regarding sociodemographic factors, lifetime and past 30-day symptoms of mental health problems, experiences of bullying, feeling loved and measures of well-being. Linear regression identified protective factors for wellbeing according to the Short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS), and risk factors for lower wellbeing.Results: Participants were > 70% women, 24–27 years old, 75–83% born in Sweden. About one-third had experienced physical bullying at school and about 70% felt loved and cared for. About two-thirds had medium levels of wellbeing, with one-third having low levels and about 5% having high levels. Protective factors for wellbeing included older age, male gender, feeling loved most of the time, and the grit construct. Risk factors included being an international student, non-heterosexual sexual orientation, having symptoms of depression or anxiety most of the time, and experiencing effort/reward imbalance.Conclusions: A large proportion of students experience less than optimal wellbeing. Interventions to enhance positive, nurturing relationships and reinforce grit-related factors could support students in this challenging period of life.
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| 3. |
- Lindfors, Petra, 1973-, et al.
(author)
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Students in Sweden during the covid-19-pandemic : behaviors, self-efficacy, and mental health
- 2023
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In: International Journal of Behavioral Medicine. - : Springer Nature. ; 30, s. S70-S70
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Conference paper (peer-reviewed)abstract
- Background: During the COVID-19-pandemic, Sweden introduced voluntary public health recommendations. In addition, Swedish higher education institutions shifted to remote teaching to reduce contagion. For the majority of students, this led to changes relating to several daily behaviors, and study routines, which might impact mental health.Purpose: This study investigates compliance with recommendations, COVID-19 symptoms, academic self-efficacy, and mental health in students in higher education in SwedenMethod: Self-reports were collected through online questionnaires from students at higher education institutions across Sweden (N: 4495; 71% women; mean-age: 26.5 years). These were analyzed using multinomial regressions taking a Bayesian approach.Results: Compliance with recommendations ranged from about 70 to 96 percent, with women and older students reporting higher compliance. Most of those with COVID-19 symptoms reported having mild to moderate symptoms (30%). Mild to moderate COVID-19 symptoms in significant others were associated with symptoms of contagion but not with study capacity or mental health. In contrast, over 80% reported effects, mainly negative, on both academic self-efficacy and mental health.Conclusions: Students largely followed voluntary recommendations, indicating no need of coercive measures. Still, many reported negative effects on academic self-efficacy and mental health thus raising concerns for enduring effects. Digital interventions boosting study skills and mental health could be a key for providing accessible support to all at reasonable costs.
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