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Publications (10 of 108) Show all publications
Grensman, A., Acharya, B. D., Wändell, P., Nilsson, G. H., Falkenberg, T., Sundin, Ö. & Werner, S. (2018). Effect of traditional yoga, mindfulness-based cognitive therapy, and cognitive behavioral therapy, on health related quality of life: A randomized controlled trial on patients on sick leave because of burnout. BMC Complementary and Alternative Medicine, 18(1), Article ID 80.
Open this publication in new window or tab >>Effect of traditional yoga, mindfulness-based cognitive therapy, and cognitive behavioral therapy, on health related quality of life: A randomized controlled trial on patients on sick leave because of burnout
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2018 (English)In: BMC Complementary and Alternative Medicine, ISSN 1472-6882, E-ISSN 1472-6882, Vol. 18, no 1, article id 80Article in journal (Refereed) Published
Abstract [en]

Background: To explore if health related quality of life(HRQoL) increased after traditional yoga(TY), mindfulness based cognitive therapy(MBCT), or cognitive behavioral therapy(CBT), in patients on sick leave because of burnout. Methods: Randomized controlled trial, blinded, in ninety-four primary health care patients, block randomized to TY, MBCT or CBT (active control) between September 2007 and November 2009. Patients were living in the Stockholm metropolitan area, Sweden, were aged 18-65 years and were on 50%-100% sick leave. A group treatment for 20 weeks, three hours per week, with homework four hours per week. HRQoL was measured by the SWED-QUAL questionnaire, comprising 67 items grouped into 13 subscales, each with a separate index, and scores from 0 (worse) to 100 (best). SWED-QUAL covers aspects of physical and emotional well-being, cognitive function, sleep, general health and social and sexual functioning. Statistics: Wilcoxon's rank sum and Wilcoxon's sign rank tests, Bonett-Price for medians and confidence intervals, and Cohen's D. Results: Twenty-six patients in the TY (21 women), and 27 patients in both the MBCT (24 women) and in the CBT (25 women), were analyzed. Ten subscales in TY and seven subscales in MBCT and CBT showed improvements, p <0.05, in several of the main domains affected in burnout, e.g. emotional well-being, physical well-being, cognitive function and sleep. The median improvement ranged from 0 to 27 points in TY, from 4 to 25 points in CBT and from 0 to 25 points in MBCT. The effect size was mainly medium or large. Comparison of treatments showed no statistical differences, but better effect (small) of both TY and MBCT compared to CBT. When comparing the effect of TY and MBCT, both showed a better effect (small) in two subscales each. Conclusions: A 20 week group treatment with TY, CBT or MBCT had equal effects on HRQoL, and particularly on main domains affected in burnout. This indicates that TY, MBCT and CBT can be used as both treatment and prevention, to improve HRQoL in patients on sick leave because of burnout, reducing the risk of future morbidity. 

Keywords
Burnout, Cognitive behavioral therapy, Exhaustion syndrome, Integrative medicine, Mind-body therapies, Mindfulness-based cognitive therapy, Randomized controlled trial, Stress-related disorder, Traditional yoga, Work-related stress
National Category
Other Health Sciences
Identifiers
urn:nbn:se:miun:diva-33304 (URN)10.1186/s12906-018-2141-9 (DOI)000427044900001 ()29510704 (PubMedID)2-s2.0-85043378898 (Scopus ID)
Available from: 2018-03-19 Created: 2018-03-19 Last updated: 2018-04-03Bibliographically approved
Abbasi, S. H., Sundin, Ö., Jalali, A., Soares, J. & Macassa, G. (2018). Ethnic differences in the risk factors and severity of coronary artery disease: a patient-based study in Iran. Journal of Racial and Ethnic Health Disparities, 5(3), 623-631
Open this publication in new window or tab >>Ethnic differences in the risk factors and severity of coronary artery disease: a patient-based study in Iran
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2018 (English)In: Journal of Racial and Ethnic Health Disparities, ISSN 2197-3792, Vol. 5, no 3, p. 623-631Article in journal (Refereed) Published
Abstract [en]

Background Diverse ethnic groups may differ regarding the risk factors and severity of coronary artery disease (CAD). This study sought to assess the association between ethnicity and CAD risk and severity in six major Iranian ethnic groups.

Methods In this study, 20,165 documented coronary artery disease patients who underwent coronary angiography at a tertiary referral heart center were recruited. The demographic, laboratory, clinical, and risk factor data of all the patients were retrieved. The Gensini score (an indicator of CAD severity) was calculated for all, and the risk factors and severity of CAD were compared between the ethnical groups, using adjusted standardized residuals, Kruskal–Wallis test, and multivariable regression analysis.

Results The mean age of the participants (14,131 [70.1%] men and 6034 [29.9%] women) was 60.7 ± 10.8 years. The Fars (8.7%) and Gilak (8.6%) ethnic groups had the highest prevalence of ≥4 simultaneous risk factors. The mean Gensini score was the highest for the Gilaks (77.1 ± 55.9) and the lowest among the Lors (67.5 ± 52.8). The multivariable regression analysis showed that the Gilaks had the worst severity (β 0.056, 95% CI 0.009 to 0.102; P = 0.018), followed by the Torks (β 0.032, 95% CI 0.005 to 0.059; P = 0.020). Meanwhile, the Lors showed the lowest severity (β −0.087, 95% CI −0.146 to −0.027; P = 0.004).

Conclusions This study found that there was heterogeneity in CAD severity and a diverse distribution in its well-known traditional risk factors among major Iranian ethnic groups.

Place, publisher, year, edition, pages
Springer Berlin/Heidelberg, 2018
Keywords
Health status disparities, Ethnicity, Coronary heart disease, Iran
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-31406 (URN)10.1007/s40615-017-0408-3 (DOI)000439352900021 ()28776137 (PubMedID)
Available from: 2017-08-16 Created: 2017-08-16 Last updated: 2018-08-13Bibliographically approved
Almén, N., Lundberg, H., Sundin, Ö. & Jansson, B. (2018). The reliability and factorial validity of the Swedish version of the Recovery Experience Questionnaire. Nordic Psychology, 1-10
Open this publication in new window or tab >>The reliability and factorial validity of the Swedish version of the Recovery Experience Questionnaire
2018 (English)In: Nordic Psychology, ISSN 1901-2276, E-ISSN 1904-0016, p. 1-10Article in journal (Refereed) Epub ahead of print
Abstract [en]

Recent research has indicated that recovery from work stress and effort might be crucial for health and well-being. Thus, a valid measurement of recovery becomes important. The main purpose of the present study was to empirically evaluate and seeking support for the hypothesized four-factor model of the Swedish version of Recovery Experience Questionnaire (REQ). The total sample (N = 680) was randomly split into two subsamples. The first subsample was used for finding the best-fitting model using an exploratory factor analysis and the second subsample was used to test the a priori model using confirmatory factor analysis. The results support the proposed four-factor structure of the scale for both males and females. Additionally, apart from high reliability estimates, this instrument proved to have good convergent and discriminant validity for all four factors. Implications for the use of the REQ in conjunction with recovery-focused interventions were discussed, as were limitations such as low response rate. 

Keywords
assessement, factor analysis, job stress recovery, psychophysiological deactivation, questionnaire, recovery experiences
National Category
Psychology
Identifiers
urn:nbn:se:miun:diva-33303 (URN)10.1080/19012276.2018.1443280 (DOI)
Available from: 2018-03-19 Created: 2018-03-19 Last updated: 2018-03-19Bibliographically approved
Ternström, E., Hildingsson, I., Haines, H., Karlström, A., Sundin, Ö., Ekdahl, J., . . . Rubertsson, C. (2017). A randomized controlled study comparing internet-based cognitive behavioral therapy and counselling by standard care for fear of birth – A study protocol. Sexual & Reproductive HealthCare, 13, 75-82
Open this publication in new window or tab >>A randomized controlled study comparing internet-based cognitive behavioral therapy and counselling by standard care for fear of birth – A study protocol
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2017 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 13, p. 75-82Article in journal (Refereed) Published
Abstract [en]

Fear of birth is a concern that requires evidence based treatment. The aim of this study is to present the protocol of a randomized controlled multi-center trial to compare internet-based cognitive therapy with counseling as standard care for pregnant women reporting fear of birth. Participants will be recruited in mid-pregnancy. Women who score 60 or above on the Fear of Birth Scale will be offered to participate in this study. Data will be collected by questionnaires including validated instruments at baseline and follow-ups at gestational weeks 30 and 36, two months and one year after birth. The primary outcome will be level of fear of birth measured with the Fear of Birth Scale at 36 weeks of gestation. Secondary outcome measures are level of fear of birth at two months and one year after giving birth, preferences for mode of birth, requests for elective cesarean section, compliance and satisfaction with treatment and birth outcomes. A power calculation based on a 20% reduction of fear implies that approximately 200 will be included in the trial. The study outlined in this protocol will be the first randomized controlled trial comparing internet-based cognitive therapy with counseling for women reporting fear of birth. An effective treatment may result in better overall health for women with fear of birth and a reduction in cesarean sections for non-medical reasons. Evidence regarding treatment options of fear of birth will also provide a greater choice for women.

National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-31379 (URN)10.1016/j.srhc.2017.06.001 (DOI)000411305800011 ()28844361 (PubMedID)2-s2.0-85021645169 (Scopus ID)
Note

Available online 15 June 2017

Available from: 2017-08-11 Created: 2017-08-11 Last updated: 2017-10-18Bibliographically approved
Lundström, L., Rondung, E. & Sundin, Ö. (2017). Associations between fear of birth, depression, anxiety, pain catastrophizing and use of epidural anaesthesia during delivery. Acta Anaesthesiologica Scandinavica, 61(8), 1028-1029, Article ID 108.
Open this publication in new window or tab >>Associations between fear of birth, depression, anxiety, pain catastrophizing and use of epidural anaesthesia during delivery
2017 (English)In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 61, no 8, p. 1028-1029, article id 108Article in journal, Meeting abstract (Other academic) Published
National Category
Psychology
Identifiers
urn:nbn:se:miun:diva-31837 (URN)000407231100114 ()
Available from: 2017-10-13 Created: 2017-10-13 Last updated: 2017-10-13Bibliographically approved
Daniel, M., Agewall, S., Caidahl, K., Collste, O., Ekenbäck, C., Frick, M., . . . Tornvall, P. (2017). Effect of Myocardial Infarction With Nonobstructive Coronary Arteries on Physical Capacity and Quality-of-Life. American Journal of Cardiology, 120(3), 341-346
Open this publication in new window or tab >>Effect of Myocardial Infarction With Nonobstructive Coronary Arteries on Physical Capacity and Quality-of-Life
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2017 (English)In: American Journal of Cardiology, ISSN 0002-9149, E-ISSN 1879-1913, Vol. 120, no 3, p. 341-346Article in journal (Refereed) Published
Abstract [en]

Patients with myocardial infarction with nonobstructive coronary arteries (MINOCA), including Takotsubo syndrome (TS), are considered to have a better survival compared with those with coronary heart disease (CHD). Studies of patients with MINOCA measuring physical and mental function including matched control groups are lacking. The aim of this study was to determine the physical capacity and quality of life in patients with MINOCA. One-hundred patients with MINOCA along with TS (25%) were investigated from 2007 to 2011. A bicycle exercise stress test was performed 6 weeks after hospitalization and QoL was investigated by the Short Form Survey 36 at 3 months' follow-up. Both a healthy and a CHD group that were age and gender matched were used as controls. The MINOCA group had a lower physical capacity (139 ± 42 W) compared with the healthy control group (167 ± 53 W, p <0.001) but better than the CHD control group (124 ± 39 W, p = 0.023). Patients with MINOCA had lower physical and mental component summary scores compared with the healthy controls (p <0.001) and lower mental component summary (p = 0.012), mental health (p = 0.016), and vitality (p = 0.008) scores compared with the CHD controls. In conclusion, the findings of this first study on exercise capacity and QoL in patients with MINOCA showed both physical and mental distress from 6 weeks to 3 months after the acute event similar to CHD controls and in some perspectives even lower scores especially in the mental component of QoL.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:miun:diva-31031 (URN)10.1016/j.amjcard.2017.05.001 (DOI)000407308900001 ()28610801 (PubMedID)2-s2.0-85020452987 (Scopus ID)
Available from: 2017-06-27 Created: 2017-06-27 Last updated: 2018-02-28Bibliographically approved
Esteves, F., Bernhardsson, J., Jansson, B. & Sundin, Ö. (2017). Emotional arousal and attention bias to female body shapes. In: : . Paper presented at 57 Annual Meeting of the Society for Psychophysiological Research, Vienna, Austria, October 11-15, 2017 (pp. s151-s151). , 54
Open this publication in new window or tab >>Emotional arousal and attention bias to female body shapes
2017 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Social Sciences Psychology
Identifiers
urn:nbn:se:miun:diva-33459 (URN)
Conference
57 Annual Meeting of the Society for Psychophysiological Research, Vienna, Austria, October 11-15, 2017
Available from: 2018-04-08 Created: 2018-04-08 Last updated: 2018-04-11Bibliographically approved
Bernhardsson, J., Bjärtå, A., Esteves, F. & Sundin, Ö. (2017). Make no mistake: You are being watched. In: : . Paper presented at 57 Annual Meeting of the Society for Psychophysiological Research, Vienna, Austria, October 11-15, 2017 (pp. s153-s153). , 54
Open this publication in new window or tab >>Make no mistake: You are being watched
2017 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Psychology
Identifiers
urn:nbn:se:miun:diva-33460 (URN)
Conference
57 Annual Meeting of the Society for Psychophysiological Research, Vienna, Austria, October 11-15, 2017
Available from: 2018-04-08 Created: 2018-04-08 Last updated: 2018-04-11Bibliographically approved
Gunther, A., Sackey, P., Storm, H., Wallgren, M., Bernhardsson, J., Sundin, Ö. & Bjärtå, A. (2017). Validation of physiological and self-rated pain assessment tools; how do they act when compared to the nociceptive spinal reflex?: A comparison between physiological and self-rated pain assessment during different affective states. Acta Anaesthesiologica Scandinavica, 61(8), 1047-1047, Article ID 137.
Open this publication in new window or tab >>Validation of physiological and self-rated pain assessment tools; how do they act when compared to the nociceptive spinal reflex?: A comparison between physiological and self-rated pain assessment during different affective states
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2017 (English)In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 61, no 8, p. 1047-1047, article id 137Article in journal, Meeting abstract (Other academic) Published
National Category
Psychology
Identifiers
urn:nbn:se:miun:diva-31835 (URN)000407231100143 ()
Available from: 2017-10-13 Created: 2017-10-13 Last updated: 2017-10-13Bibliographically approved
Bernhardsson, J., Bjärtå, A. & Sundin, Ö. (2016). Changes in Event Related Potentials after exposure therapy for spider phobic individuals. Paper presented at 18th World Congress of Psychophysiology of the International Organization of Psychophysiology (IOP), AUG 31-SEP 04, 2016, Havana, CUBA. International Journal of Psychophysiology, 108, 105-106
Open this publication in new window or tab >>Changes in Event Related Potentials after exposure therapy for spider phobic individuals
2016 (English)In: International Journal of Psychophysiology, ISSN 0167-8760, E-ISSN 1872-7697, Vol. 108, p. 105-106Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

The present study was conducted in order to investigate treatment effects in spider phobic individuals on EEG and eye movements. A previous study has shown larger ERP amplitudes in the late positive complex (LPC) post treatment compared to pre treatment during exposure of spider pictures (Leutgeb, Schäfer, & Schienle, 2009). The authors hypothesize that the result might mirror an increase in attention towards the stimuli and reduced attentional avoidance generating enhanced LPC amplitude as a consequence of directing attention to the spider pictures post treatment. In the present study spider fearful individuals (treatment and waitlist group) and control individuals were measured with EEG and Eye tracking during exposure to pictures of spiders, snakes and flowers pre and post treatment. Based on behavioral and self-assessed measures treatment effects were high. Contrary to Leutgeb et al. (2009), our results showed relatively smaller LPC amplitudes post treatment during presentations of spider pictures. Moreover, the eye movement data indicated no avoidance from spider pictures compared to other pictures, neither pre nor post treatment. These results indicate that when individuals attend to visual threat stimuli, LPC amplitude differences follow the pattern of emotional significance and attention allocation.

National Category
Psychology
Identifiers
urn:nbn:se:miun:diva-29063 (URN)10.1016/j.ijpsycho.2016.07.320 (DOI)000382408700319 ()
Conference
18th World Congress of Psychophysiology of the International Organization of Psychophysiology (IOP), AUG 31-SEP 04, 2016, Havana, CUBA
Available from: 2016-10-07 Created: 2016-10-07 Last updated: 2017-11-30Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-4116-5501

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