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  • 1.
    Almén, Niclas
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi.
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi.
    Effects of a Recovery-Focused Intervention for Stress Management: A Randomized Controlled Trial2015Konferensbidrag (Refereegranskat)
    Abstract [en]

    Abstract

    INTRODUCTION

    Stress symptoms, burnout, poor mental health and long-term sick leave related to these are major problems in Sweden and elsewhere. Evidence-based prevention and treatment efforts are lacking. Research indicates that stress related health problems primarily could be conceptualized as deficiencies in recovery responses between stress periods rather than high level of stress responses per se. Therefore it is relevant to examine whether it is effective to intervene the recovery behavior – instead of the stress behavior - of people with stress symptoms.

    OBJECTIVES

    The primary purpose of this study was to investigate if a behavioral oriented recovery management intervention could enhance “recovery behaviors” and experiences of recovery and reduce stress related ill health.

    METHODS A group based intervention program focusing exclusively on “recovery behavior” in everyday life (earlier developed and tested in two pilot studies) was evaluated in an experimental group study. The intervention consisted of seven group sessions of 2.5 hours over a period of approximately 10 weeks supplemented by an internet based treatment support system. Self- referred subjects with scores above 24.4 on the Perceived stress scale were randomized to the intervention (n=26) or a waiting-list (n=33).

    RESUL T

    Statistically significant and clinically relevant effects were achieved for the intervention group compare to the waiting-list group: recovery behaviors and experiences of recovery were increased, and levels of perceived stress, worry, anxiety, depression and exhaustion were decreased.

    DISCUSSION These results are in line with two previous pilot studies that we have done. A behavioral and recovery oriented intervention seems to be effective to increase the recovery of the individual and decrease stress related ill health. There are reasons to continue to explore the potential of recovery-oriented interventions for example for different populations (such as people with more extensive clinical health problems) and in different contexts. 

  • 2.
    Almén, Niclas
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för psykologi och socialt arbete.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för psykologi och socialt arbete.
    Öst, Lars-Göran
    Stockholm University, Stockholm.
    Stress-Recovery Management: A Pilot Study Using a Single-Subject Experimental Design2019Ingår i: Behavior modification, ISSN 0145-4455, E-ISSN 1552-4167Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Work-related stress is considered one of the biggest health and safety challenges among the member states of the European Union. A critical factor is recovery between periods of stress. The primary purpose of this study was to investigate whether a brief behaviorally oriented stress-recovery management intervention delivered in an individual setting could reduce stress symptoms among individuals with high levels of perceived stress. A single-subject experimental design with multiple baselines across three individuals was used. The results indicate, with at least moderate experimental control, a temporal relation between the start of the intervention and beneficial changes from baseline in continuous self-recordings of stress symptoms. The changes were maintained at 1-year and 5-year follow-up assessments. Also, self-reporting inventories measuring perceived stress, worry, anxiety, depression, burnout, type A behavior, unwinding and recuperation from work stress, and insomnia showed overall changes in beneficial directions at post-assessment, as well as the two follow-up assessments. The results indicate that a behaviorally oriented stress-recovery management intervention delivered in an individual setting can reduce stress symptoms in individuals with high levels of perceived stress. However, for firm conclusions to be drawn, further research is needed. 

  • 3.
    Almén, Niclas
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för psykologi och socialt arbete.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för psykologi och socialt arbete.
    Öst, Lars-Göran
    Stockholms Universitet.
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för psykologi och socialt arbete.
    Behavioral stress recovery management intervention for people with high levels of perceived stress: A randomized controlled trial2019Ingår i: International Journal of Stress Management, ISSN 1072-5245, E-ISSN 1573-3424Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Continuous and prolonged exposure to stressors or unsuccessfully dealing with such exposure has been suggested as precursors for burnout. Current research indicates that such stress problems could be conceptualized as deficiencies in recovery between periods of stress. The purpose of this study was to evaluate the efficacy of a behaviorally oriented stress recovery management intervention for people experiencing high levels of stress. A total of 73 individuals with experiences of stress symptoms and high levels of perceived stress (≥ 25 on the Perceived Stress Scale) were randomly allocated to either a 10-week intervention group or a waiting-list control group. Participants were assessed at preintervention, postintervention, and 3-month follow-up. The Perceived Stress Scale, questions about tension, and the Shirom–Melamed Burnout Questionnaire were used as primary outcome measures, and the Hospital Anxiety and Depression Scale was used as a secondary outcome measure. Data were analyzed following the intention-to-treat principle. The analysis demonstrated statistically significant improvements for all measures at posttreatment and at follow-up. The between-groups effect sizes were high at posttreatment and moderate–to-high at follow-up. Intervention focused on stress recovery behavior seems to be an effective way of reducing perceived stress, tension, burnout symptoms, anxiety, and depression in people with stress symptoms and high levels of perceived stress in everyday life. The tested intervention warrants further research. Other stress recovery behavior interventions need to be tested to draw conclusions on the efficacy of stress recovery behavior interventions in general regarding stress and burnout.

  • 4. Amsberg, Susanne
    et al.
    Anderbro, Therese
    Wredling, Regina
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Lins, Per-Eric
    Adamson, U
    Johansson, Unn-Britt
    A cognitive behavior therapy-based intervention among poorly controlled adult type 1 diabetes patients--a randomized controlled trial.2009Ingår i: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 77, nr 1, s. 72-80Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To examine the impact of a Cognitive Behavior Therapy (CBT)-based intervention on HbA(1c), self-care behaviors and psychosocial factors among poorly controlled adult type 1 diabetes patients. METHODS: Ninety-four type 1 diabetes patients were randomly assigned to either an intervention group or a control group. The intervention was based on CBT and was mainly delivered in group format, but individual sessions were also included. All subjects were provided with a continuous glucose monitoring system (CGMS) during two 3-day periods. HbA(1c), self-care behaviors and psychosocial factors were measured up to 48 weeks. RESULTS: Significant differences were observed with respect to HbA(1c) (P<0.05), well-being (P<0.05), diabetes-related distress (P<0.01), frequency of blood glucose testing (P<0.05), avoidance of hypoglycemia (P<0.01), perceived stress (P<0.05), anxiety (P<0.05) and depression (P<0.05), all of which showed greater improvement in the intervention group compared with the control group. A significant difference (P<0.05) was registered with respect to non-severe hypoglycemia, which yielded a higher score in the intervention group. CONCLUSION: This CBT-based intervention appears to be a promising approach to diabetes self-management. PRACTICE IMPLICATIONS: Diabetes care may benefit from applying tools commonly used in CBT. For further scientific evaluation in clinical practice, there is a need for specially educated diabetes care teams, trained in the current approach, as well as cooperation between diabetes care teams and psychologists trained in CBT.

  • 5. Amsberg, Susanne
    et al.
    Anderbro, Therese
    Wredling, Regina
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Lins, Per-Eric
    Adamson, Ulf
    Johansson, Unn-Britt
    Experience from a behavioural medicine intervention among poorly controlled adult type 1 diabetes patients2009Ingår i: Diabetes Research and Clinical Practice, ISSN 0168-8227, E-ISSN 1872-8227, Vol. 84, nr 1, s. 76-83Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim To describe experience from a behavioural medicine intervention among poorly controlled adult type 1 diabetes patients, in terms of feasibility, predictors and associations of improved glycaemic control. Methods Data were collected on 94 poorly controlled adult type 1 diabetes patients who were randomised to a study evaluating the effects of a behavioural medicine intervention. Statistics covered descriptive and comparison analysis. Backward stepwise regression models were used for predictive and agreement analyses involving socio-demographic and medical factors, as well as measures of diabetes self-efficacy (DES), diabetes locus of control (DLOC), self-care activities (SDSCA), diabetes-related distress (Swe-PAID-20), fear of hypoglycaemia (HFS), well-being (WBQ), depression (HAD) and perceived stress (PSS). Results The participation rate in the study was 41% and attrition was 24%. Of those patients actually participating in the behavioural medicine intervention, 13% withdrew. From the regression models no predictors or associations of improvement in HbA1c were found. Conclusions The programme proved to be feasible in terms of design and methods. However, no clear pattern was found regarding predictors or associations of improved metabolic control as the response to the intervention. Further research in this area is called for.

  • 6.
    Anderbro, Therese
    et al.
    Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, SE-182 88 Stockholm, Sweden.
    Amsberg, Susanne
    Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, SE-182 88 Stockholm, Sweden.
    Adamsson, Ulf
    Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, SE-182 88 Stockholm, Sweden.
    Bolinder, Jan
    Karolinska Institutet, Department of Medicine, Karolinska University Hospital, Huddinge, Sweden.
    Lins, Per-Eric
    Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, SE-182 88 Stockholm, Sweden.
    Wredling, Regina
    Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, SE-182 88 Stockholm, Sweden.
    Moberg, Erik
    Karolinska Institutet, Department of Medicine, Karolinska University Hospital, Huddinge, Sweden.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Johansson, Unn-Britt
    Department of Clinical Sciences, Karolinska Institutet, Danderyd Hospital, SE-182 88 Stockholm, Sweden.
    Fear of hypoglycaemia in adults with Type 1 diabetes2010Ingår i: Diabetic Medicine, ISSN 0742-3071, E-ISSN 1464-5491, Vol. 27, nr 28, s. 1151-1158Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims The aim of this studywas toexamine the fearof hypoglycaemiaand its association with demographic anddisease-specificvariables in a large and unselective population of adult patients with Type 1 diabetes.

    Methods Questionnaires were sent by post to all patients with Type 1 diabetes who were identified in the local diabetesregistries of two hospitals in Stockholm, Sweden (n = 1387). Fear of hypoglycaemia was measured using the SwedishHypoglycaemia Fear Survey, theWorry subscale and theAloneness subscale.Demographic variables and disease-specific factorswere collected from patients’ self reports and medical records. Univariate analysis and multiple stepwise linear regressionanalysis were used in the statistical analyses of the data.

    Results Seven hundred and sixty-four (55%) patients participated in the study (mean age 43.3 years andmeanHbA1c 7.0%,normal < 5.0%). The Hypoglycaemia Fear Survey - Worry subscale was significantly associated with frequency of severehypoglycaemia, number of symptoms during mild hypoglycaemia, gender, hypoglycaemic symptoms during hyperglycaemiaand hypoglycaemic unawareness. The Hypoglycaemia Fear Survey - Aloneness subscale was significantly associated withfrequency of severe hypoglycaemia, number of symptoms during mild hypoglycaemia, gender, frequency of mildhypoglycaemia, HbA1c, hypoglycaemic unawareness and visits to the emergency room because of severe hypoglycaemia. Fear of hypoglycaemia proved to be more prevalent in females and indicated a different pattern between genders in relation tofactors associated with fear of hypoglycaemia.

    Conclusions This study identifies the frequency of severe hypoglycaemia as themost important factor associated with fear ofhypoglycaemia. Moreover, for the first time,we document gender differences in fear of hypoglycaemia, suggesting that femalesare more affected by fear of hypoglycaemia than men.

     

  • 7. Anderbro, Therese
    et al.
    Amsberg, Susanne
    Wredling, Regina
    Lins, Per-Eric
    Adamsson, Ulf
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Johansson, Unn-Britt
    Psychometric evaluation of the Swedish version of the Hypoglycaemia Fear Survey2008Ingår i: Patient Education & Counseling, ISSN 0738-3991, Vol. 73, nr 1, s. 127-131Artikel i tidskrift (Refereegranskat)
  • 8.
    Anderbro, Therese
    et al.
    Stockholm Univ, Dept Psychol, S-10691 Stockholm, Sweden.
    Gonder-Frederick, Linda
    Univ Virginia, Dept Psychiat & Neurobehav Sci, Charlottesville, VA USA.
    Bolinder, Jan
    Karolinska Inst, Karolinska Univ Hosp, Dept Med, Huddinge, Sweden.
    Lins, Per-Eric
    Karolinska Inst, Danderyd Hosp, Dept Clin Sci, Div Med, Stockholm, Sweden.
    Wredling, Regina
    Karolinska Inst, Danderyd Hosp, Dept Clin Sci, Div Med, Stockholm, Sweden.
    Moberg, Erik
    Karolinska Inst, Karolinska Univ Hosp, Dept Med, Huddinge, Sweden.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi. Sophiahemmet Univ Coll, Stockholm, Sweden.
    Johansson, Unn-Britt
    Sophiahemmet Univ Coll, Stockholm, Sweden.
    Fear of hypoglycemia: relationship to hypoglycemic risk and psychological factors2015Ingår i: Acta Diabetologica, ISSN 0940-5429, E-ISSN 1432-5233, Vol. 52, nr 3, s. 581-589Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The major aims of this study were to examine (1) the association between fear of hypoglycemia (FOH) in adults with type 1 diabetes with demographic, psychological (anxiety and depression), and disease-specific clinical factors (hypoglycemia history and unawareness, A(1c)), including severe hypoglycemia (SH), and (2) differences in patient subgroups categorized by level of FOH and risk of SH. Questionnaires were mailed to 764 patients with type 1 diabetes including the Swedish translation of the Hypoglycemia Fear Survey (HFS) and other psychological measures including the Perceived Stress Scale, Hospital Anxiety and Depression Scale, Anxiety Sensitivity Index, Social Phobia Scale, and Fear of Complications Scale. A questionnaire to assess hypoglycemia history was also included and A(1c) measures were obtained from medical records. Statistical analyses included univariate approaches, multiple stepwise linear regressions, Chi-square t tests, and ANOVAs. Regressions showed that several clinical factors (SH history, frequency of nocturnal hypoglycemia, self-monitoring) were significantly associated with FOH but R (2) increased from 16.25 to 39.2 % when anxiety measures were added to the model. When patients were categorized by level of FOH (low, high) and SH risk (low, high), subgroups showed significant differences in non-diabetes-related anxiety, hypoglycemia history, self-monitoring, and glycemic control. There is a strong link between FOH and non-diabetes-related anxiety, as well as hypoglycemia history. Comparison of patient subgroups categorized according to level of FOH and SH risk demonstrated the complexity of FOH and identified important differences in psychological and clinical variables, which have implications for clinical interventions.

  • 9. Arnetz, B
    et al.
    Frenzel, L
    Åkerstedt, T
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    The Brief Fatigue Syndrome Scale: Validation and Utilization in Fatigue Recovery Studies.2008Ingår i: Fatigue Science for Human Health, Tokyo: Springer-Verlag Tokyo Inc., 2008, s. 55-66Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 10. Arnetz, B
    et al.
    Frenzel, L
    Åkerstedt, T
    Söderström, M
    Ståhl, K
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Stress och återhämtning.: En prospektiv psykofysiologisk interventionsstudie2005Rapport (Övrigt vetenskapligt)
  • 11. Bergström, Gunnar
    et al.
    Björklund, C
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Nathell, L
    Hermansson, U
    Fried, I
    Helander, A
    Bodin, L
    Jensen, I
    Work and health in the processing and engineering industries [abstract]2006Ingår i: EUROPEAN JOURNAL OF PUBLIC HEALTH, 2006, s. 57-58Konferensbidrag (Refereegranskat)
  • 12. Bergström, Gunnar
    et al.
    Björklund, Christina
    Fried, Ingegärd
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Nathell, Lennart
    Hermansson, Ulric
    Helander, Anders
    Bodin, Lennart
    Jensen, Irene B.
    A comprehensive workplace intervention and its outcome with regard to lifestyle, health and sick leave: The AHA study.2008Ingår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 31, nr 2, s. 167-180Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study is a prospective multicentre cohort study entitled Work and Health in the Processing and Engineering Industries, the AHA Study (AHA is the Swedish abbreviation for the study). Four large workplaces in Sweden participated during the years from 2000 to 2003. The present report has two objectives: (1) to present a comprehensive occupational health intervention programme and (2) to evaluate this programme with a focus on lifestyle (smoking and exercise), health related quality of life (HRQoL) and sick leave. Interventions were provided on an individual and group level, including evidence-based methods for four health/focus areas (individual level) and a group intervention based on a survey-feedback methodology. The analyses in this report were exclusively employed at an organizational level. The proportion of smokers decreased at three companies and the course of the HRQoL was advantageous at two of the companies as compared to a gainfully employed reference group. A significant decrease in sick leave was revealed at one company, whereas a break in an ascending sick-leave trend appeared at a second company as compared to their respective corporate groups. This comprehensive workplace intervention programme appears to have had positive effects on smoking habits, HRQoL and sick leave.

  • 13. Boethius, G.
    et al.
    Landahl, M.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Weimer, Kerstin
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Operation tobacco-free: Offering pre-operative tobacco cessation support to patients a in county-scale projekt - Feasibility aspects2006Ingår i: The 13th World Conference on Tobacco and Health: July 12-15, 2006, Washington, DC, 2006Konferensbidrag (Övrigt vetenskapligt)
  • 14. Boëthius, Göran
    et al.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Weimer, Kerstin
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Operation Tobaksfri: Avvänjningsstöd till patienter som ska genomgå operation2005Rapport (Övrigt vetenskapligt)
  • 15.
    Carlsson, R.
    et al.
    Karlstad Hosp, Karlstad, Sweden.
    Burell, G.
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden .
    Hambraeus, K.
    Falun Cent Hosp, Dept Cardiol, Falun, Sweden .
    Johansson, P.
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden .
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Perk, J.
    Linnaeus Univ, Sch Hlth & Caring Sci, Kalmar, Sweden.
    The challenge of lifestyle counselling after percutaneous coronary intervention2012Ingår i: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 33, nr Supp 1, s. 560-560Artikel i tidskrift (Övrigt vetenskapligt)
  • 16.
    Eriksson, Lina J. K.
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi.
    Jansson, Billy
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi.
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi.
    The interactive effect of the Behavioral Inhibition System (BIS) and response inhibition on accuracy in a modified stop-signal task2016Ingår i: Personality and Individual Differences, ISSN 0191-8869, E-ISSN 1873-3549, Vol. 97, s. 198-202Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The ability to adjust to a changing environment is an important aspect of every-day life and successful goal directed behavior requires the ability to suppress responses that are no longer appropriate. The main purpose of the present study was to examine if the relationship between inhibitory control (as indexed by stop-signal reaction time, SSRT) and behavioral precision is dependent on levels of Gray and McNaughton's Behavioral Inhibition System (BIS). Additionally, the relationship between BIS and electrodermal activity, and the Behavioral Approach System (BAS) and heart rate activity was investigated. A modified stop-signal task was used. The results showed that there was an interaction effect of BIS and SSRT on accuracy, suggesting that among individuals with higher levels of BIS, longer SSRT (i.e. poorer inhibitory ability) was associated with decreased accuracy. There were no significant correlations between trait variables and physiological variables. The results were discussed in terms of higher levels of BIS being a vulnerability factor when the individual's inhibitory ability simultaneously is poor in situations where the ability to inhibit inappropriate behavioral routines is important for task performance.

  • 17. Fredrikson, Mats
    et al.
    Linton, Steven J
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Melin, Lennart
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Öhman, Arne
    Öst, Lars-Göran
    Bohman, B
    Lundin, C
    Regeringens storsatsning mot psykisk ohälsa äventyrar patientsäkerheten.2009Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 106, s. 946-947Artikel i tidskrift (Övrigt vetenskapligt)
  • 18. Hallman, T
    et al.
    Burell, G
    Setterlind, S
    odén, A
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Psychosocial risk factors for coronary heart disease (CHD), their importance compared with other risk factors and gender differences in sensitivity2001Ingår i: Journal of Cardiovascular Risk, ISSN 1350-6277, E-ISSN 1473-5652, Vol. 8, nr 1, s. 39-49Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Few studies have focused on risk factors in women's lives concerning psychosocial factors and coronary heart disease (CHD). The present study is one of a series in which a wide range of psychosocial factors will be analysed with a focus on women. Women and men have been compared with respect to sensitivity to psychosocial risk factors regarding CHD. The importance of psychosocial risk factors for women, compared with biomedical risk factors has also been studied. METHODS: A questionnaire (The Stress Profile) was answered by 538 rehabilitation participants (97 women, 441 men) and a reference group (5308 women, 5177 men), aged 40-65 years. Psychosocial factors were investigated using means and b-coefficients. Comparisons between psychosocial and biomedical risk factors were made, with respect to the product of the beta-coefficient and the standard deviation for each compared risk factor. RESULTS: Significant differences appeared concerning five areas: work content, workload and control, physical stress reactions, emotional stress reactions and burnout. All showed that the relative sensitivity was larger for women than for men. Predictive psychosocial risk factors for women with respect to CHD were physical stress reactions, emotional stress reactions, burnout, family relationships and daily hassles/satisfactions, and they were on approximately the same level as biomedical risk factors. CONCLUSIONS: Women appear to be more sensitive than men with respect to psychosocial risk factors for CHD, and the predictive ability of psychosocial risk factors shows great importance. Actions against unhealthy psychosocial conditions are recommended. Both presumptive CHD patients and others might benefit from preventive actions, and since women are more sensitive they will probably gain more than men.

  • 19. Hallman, Tina
    et al.
    Perski, Alexander
    Burell, Gunilla
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Setterlind, Sven
    Perspectives on Differences in Perceived External Stress: A Study of Women and Men with Coronary Heart Disease2002Ingår i: Stress and health, ISSN 1532-3005, Vol. 18, nr 3, s. 105-118Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Focuses on diiversities among women and men rare, and few studies have focused on gender differences in psychosocial factors and coronary heart disease. The present study is one of a series in which a wide range of psychosocial factors will be analysed with a focus on women. We compared women with men as regards the impact of educational level and occupational position on differences in perceived external stress. A questionnaire (The Stress Profile) was answered by 538 rehabilitation paricipants (97 women, 441 men), and a reference group (5308 women, 5177 men), aged 40-65 years. Generally, women reported a higher value of perceived external stress than men. Most interesting, however, are the patterns of differences that emerged when women and men were compared in different subgroups. Women with upper secondary school education and women in white-collar positions reported significantly higher levels of perceived external stress than men in the respective groups. When using common multivariate methods and adjusting for gender a great deal of information can be lost, and adjusting for gender makes it more difficult to find the true effect of exposures. It is only by regarding women and men separately that it is possible to link their very different working conditions and experience of stress to different health effects and vice versa.

  • 20. Hallman, Tina
    et al.
    Thomsson, Helene
    Burell, Gunilla
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Setterlind, Sven
    Stress, Burnout and Coping: Differences between Women with Coronary Heart Disease and Healthy Matched Women2003Ingår i: Journal of Health Psychology, ISSN 1359-1053, E-ISSN 1461-7277, Vol. 8, nr 4, s. 433-446Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Stress is becoming more significant for women, along with the increasing number of women in the workforce. The present study compared women with respect to burnout and coping abilities, and related to the impact of educational level on differences in coping strategies. Women with coronary heart disease reported a higher level of burnout and had the highest scores demonstrating lack of coping, which indicates lesser coping abilities. Differences concerning strain reduction, self-control and emotional distancing are discussed in terms of living conditions. We also discuss that in order to optimize the outcome of rehabilitation and prevention we need more research on women, of women and especially from women’s point of view.

  • 21.
    Hambraeus, K.
    et al.
    Falun Cent Hosp, Dept Cardiol, Falun, Sweden .
    Burell, G.
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden .
    Johansson, P.
    Heart & Lung Patients Assoc, Stockholm, Sweden .
    Karlsson, R.
    Karlstad Hosp, Karlstad, Sweden .
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Perk, J.
    Linnaeus Univ, Sch Hlth & Caring Sci, Kalmar, Sweden.
    Cardiac rehabilitation: demands from elderly patients after percutaneous coronary intervention2012Ingår i: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 33, nr Supp 1, s. 450-450Artikel i tidskrift (Övrigt vetenskapligt)
  • 22. Hofman-Bang, Claes
    et al.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Nordlander, Rolf
    Nygren, Åke
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Öhman, Arne
    Rydén, Lars
    Two year results of a controlled study of a residential rehabilitation for patients treated with percutaneous transluminal coronary angioplasty: A randomized study of a multifactorial programme1999Ingår i: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 20, nr 20, s. 1465-1474Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims In a multifactorial lifestyle behaviour programme, of 2 years duration, to study the maintenance of achieved behaviour and risk factor-related changes. Methods and Results Out of a consecutive population of 151 patients treated with percutaneous transluminal angioplasty under 65 years of age, 87 were randomly allocated to an intervention group (n=46) or to a control group (n=41). The programme started with a 4 week residential stay, which was focused on health education and the achievement of behaviour change. During the first year of follow-up, a maintenance programme included regular contacts with a nurse, while no further rehabilitative efforts were offered during the second year. One patient died (control). During the second year the proportion of hospitalized patients was lower in the intervention group (4% vs 20%;P<0·05). Patients in the intervention group improved several lifestyle dependent behaviours: diet (index at 0, 12 and 24 months): 10·5±3·4, 12·9±2·5 and 12·4±2·6 in the intervention group (I) vs 10·1±3·2, 10·7±3·0 and 11·8±3·2 in the control group (C);P<0·05, exercise sessions per week: 2·5±2·3, 4·5±1·9 and 4·4±2·1 (I) vs 3·1±2·2, 3·5±2·3 and 3·7±2·7 (C);P<0·05, and smoking; 18%, 6% and 9% (I) vs 12%, 21% and 18% (C);P<0·05. This corresponded to improvement in exercise capacity (0, 12 and 24 months): 156±42, 174±49 and 165±47W (I) vs 164±40, 163±49 and 156±48 watts (C);P<0·05. There were no significant differences between the two groups with regard to serum cholesterol levels at 0 and 24 months: 5·4±0·8 and 5·2±0·9mmol.l–1(I) vs 5·4±1·0 and 4·9±0·9mmol.l–1(C); ns, low density lipoprotein cholesterol level: 3·6±0·8 and 3·4±0·8mmol.l–1(I) vs 3·7±0·9 and 3·3±0·7mmol.l–1(C); ns, triglyceride level: 2·2±1·6 and 1·8±1·3mmol.l–1(I) vs 2·2±1·4 and 1·6±0·6mmol.l–1(C); ns, body mass index (0, 12 and 24 months): 27·5±4·5, 27·0±4·3 and 27·4± 4·5kg.m–2(I) vs 26·8±2·8, 26·9±2·7 and 26·9± 3·2kg.m–2(C); ns, waist/hip ratio or blood pressure. The two groups did not differ in quality of life, or psychological factors. Return to work after 12 and 24 months was 74% and 78% (I) vs 68% and 61% (C); ns. Conclusion This rehabilitation programme influenced important lifestyle behaviour and reduced some, but not all, important risk factors Key Words: Rehabilitation, risk factors

  • 23. Jensen, I-B
    et al.
    Bergström, G
    Björklund, C
    Fried, I
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Nathell, L
    Hermansson, U
    Roos, P
    Bodin, L
    The AHA-study: Implementing evidence based measueres for retaining workability at work sites: Effects on lifestyle, workability and firm productivity. 9th International Congress of Behavioral Medicine. Bangkok, Thailand, Nov 29-Dec 2, 20062006Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Jensen IB, Bergstrom G, Bjorklund C, Fried I, Lisspers J, Nathell L, Hermansson U, Roos P, Bodin L, the AHAstudy group (2006). The AHA-study: Implementing evidence based measueres for retaining workability at work sites - Effcets on lifestyle, workability and firm productivity. Presented at the 9th International Congress of Behavioral Medicine. Bangkok, Thailand, Nov 29-Dec 2, 2006.

  • 24. Kallionen, Markus
    et al.
    Bernhardsson, Jens
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Grohp, Magnus
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Psykisk ohälsa ett stort problem hos primärvårdens patienter. Enkät besvarad av över 2000 patienter2010Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 107, nr 23, s. 1545-1547Artikel i tidskrift (Refereegranskat)
    Abstract [sv]

    En enkätundersökning gjordes under två veckor hösten 2008 på över 2 000 patienter som besökte läkare i primärvården i Västernorrland.

    Resultaten visar att 18,46 procent (371) angav psykisk ohälsa, antingen unikt (1,5 procent) eller i samband med annan problematik, som anledning till läkarbesöket.

    Av dessa hade 309 (14,7 procent) också värden på skalor som mäter depression, ångest och utmattning som var över eller lika med gränsen för klinisk relevans.

    Ytterligare 322 patienter av återstående urval (27 procent av kvinnorna och 16 procent av männen) skattade sin psykiska hälsa på likartat sätt.

  • 25. Kalloinen, M
    et al.
    Bernhardson, J
    Grohp, M
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Mental health a problem among primary care patients. A Questionnaire comprising more than 2000 patients.2010Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 107, s. 1545-1547Artikel i tidskrift (Refereegranskat)
  • 26.
    Laaksonen, Marko
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ainegren, Mats
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Institutionen för teknik och hållbar utveckling.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Effects of combined relaxation and shooting training on shooting performance in biathlon2009Ingår i: Effects of combined relaxation and shooting training on shooting performance in biathlon, 2009Konferensbidrag (Refereegranskat)
  • 27.
    Laaksonen, Marko
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Ainegren, Mats
    Mittuniversitetet, Fakulteten för naturvetenskap, teknik och medier, Institutionen för teknik och hållbar utveckling.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Evidence of improved shooting precision in biathlon after 10-weeks of combined relaxation and specific shooting training2011Ingår i: Cognitive Behaviour Therapy, ISSN 1650-6073, E-ISSN 1651-2316, Vol. 40, nr 4, s. 237-250Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to test the hypothesis that a combined relaxation (applied tension release, ATR) and specific shooting training regimen may enhance shooting ability of biathlon athletes. Seven biathletes of high national level were randomized into an experimental group (age 20 ± 5 years; Vo 2max 60 ± 8 mL kg− 1 min− 1) and were asked to add this special training intervention to their regular training for 10 weeks, while five other biathletes served as controls (age 19 ± 2 years; Vo 2max 57 ± 10 mL kg− 1 min− 1). The shooting ability of the subjects was assessed before and after the intervention at rest and after roller skiing on a treadmill in a laboratory-based competition simulating assessment. After the intervention period, the experimental group demonstrated a significantly enhanced shooting performance compared to the control group. No changes in Vo 2max or in heart rate and Vo 2 responses were observed before and after the intervention in either group and there were no differences between the groups in these parameters. Thus, the preliminary conclusion is that a combination of ATR and specific shooting training seems to be instrumental in enhancing the shooting performance in biathlon.

  • 28.
    Lisspers, J
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Setterlind, S
    Trying to understand the sick leave epidemic in Sweden: Changes in job strain and stress reactions during the nineties: The Eighth International Congress of Behavioral Medicine, 25-28 August 2004, Mainz, Germany2004Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Lisspers & Setterlind: "Trying to understand the sick leave "epidemic" in Sweden: Changes in job strain and stress reactions during the nineties". Presented at "the Eighth International Congress of Behavioral Medicine", 25-28 August 2004, Mainz, Germany.

  • 29.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Beteendeförändring - det viktiga vid hjärtrehabilitering.: Svenskt Kardiovaskulärt vårmöte, Malmö, April 2002 (Inbjudet föredrag).2002Konferensbidrag (Övrigt vetenskapligt)
  • 30.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Cardiac rehabilitation and secondary prevention: The effects of lifestyle behaviour change on the progression of CAD and the long-term recurrence risk - and on the effects on and of depression.2003Ingår i: Heart and Mind: The role of stress in Coronary Artery Disease. Maastricht, The Netherlands, January 2003., 2003Konferensbidrag (Övrigt vetenskapligt)
  • 31.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Forskning kring SMC-profilerna vid Mitthögskolan Östersund2004Ingår i: Den hälsosamma arbetsplatsen: från analys till åtgärd, Karlstad: Stress Management Center , 2004, s. 384-Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 32.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Hur motiverar vi människor att ändra beteende?: Livsstils och hälsa - 9e nationella konferensen för nätverket Hälsofrämjande sjukhus, Östersund, Okt-20032003Konferensbidrag (Övrigt vetenskapligt)
  • 33.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Livsstilsförändring vid kranskärlssjukdom - grunden för en effektiv rehabilitering och sekundärprevention.2002Ingår i: Handlingsplan för ökad hälsa i arbetslivet: Del II, bilagor, Stockholm: Fritzes, 2002, s. 427-440Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 34.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Lära nytt: Rehabilitering och beteendeförändring2001Ingår i: Svensk Rehabilitering, ISSN 1403-4468, Vol. 4, nr 1, s. 36-41Artikel i tidskrift (Övrigt vetenskapligt)
  • 35.
    Lisspers, Jan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Modifying Life Style Factors: EU WorkLife 2000 workshop (inför Sveriges ordförandeskap i EU): Prevention of Heart Diseases, Bryssel, Juli 2000 (Inbjudet föredrag).2000Konferensbidrag (Övrigt vetenskapligt)
  • 36.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Almén, Niclas
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Föllingemodellen: En KBT-inriktad och internatsbaserad interventionsmodell för beteendeförändring vid livsstils- och stressrelaterad ohälsa2009Rapport (Övrigt vetenskapligt)
  • 37.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Almén, Niclas
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    "Utbrändhet" som livsstils- och beteendeproblem: Preliminära resultat av ett beteendefokuserat stress- och livsstilsprogram.: Presented at "6. Nordiske kongress i preventiv kardiologi og hjerterehabilitering", June 2005, Tönsberg, Norway.2005Konferensbidrag (Övrigt vetenskapligt)
  • 38.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi.
    Almén, Niclas
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi.
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för psykologi.
    The Effects of a Recovery-Focused Program for Stress Management in Women — An Exploratory Study2014Ingår i: Health, ISSN 1949-4998, E-ISSN 1949-5005, Vol. 06, nr 20, s. 2825-2836Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Current research indicates that stress problems primarily could be conceptualized as deficienciesin recovery and recuperation between stress periods. Accordingly, interventions should put moreemphasis on this aspect. A group based intervention program focusing exclusively on recoverybehavior in everyday life was evaluated in this quasi-experimental, waiting-list control groupstudy, where the control group was also treated in a second phase. Thirty-two self-referred femalesubjects, considering themselves in need of treatment for stress related health problems, wereavailable for analyzes. Fifteen of these constituted the first phase treatment group (INT), while theremaining 17 subjects were placed on waiting list (WLC). Adding a few late applicants leaved 20subjects later treated in the second intervention phase. Significant and clinically meaningful positiveeffects emerged in the INT—compared to the WLC-group on recovery behaviors, stress—andrecovery experiences, as well as on burn-out symptoms, worry, anxiety and depression. Secondaryanalyzes of all treated subjects indicated that the positive change the primary clinical endpointwas predicted by the increase in frequency of recovery behaviors and by the decrease in the worrylevel. Thus, the present intervention model merits further research with more rigorous experimentaldesign as well as with follow-up assessments.

  • 39.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Hofman-Bang, Claes
    Nordlander, Rolf
    Rydén, Lars
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Öhman, Arne
    Nygren, Åke
    Multifactorial evaluation of a program for lifestyle behavior change in rehabilitation and secondary prevention of coronary artery disease1999Ingår i: Scandinavian Cardiovascular Journal, ISSN 1401-7431, E-ISSN 1651-2006, Vol. 33, nr 1, s. 9-16Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    A comprehensive, multifactorial lifestyle behavior change program was developed for rehabilitation and secondary prevention of subjects with coronary artery disease. The purpose of the present report is to describe this intervention model and to analyze results achieved in a first group of consecutive participants. Main inclusion criteria for the 292 subjects were a recent history of acute myocardial infarction, coronary artery bypass surgery, or percutaneous transluminal coronary angioplasty. The program commenced with a 4-week residential stay, with the focus on health education and the achievement of behavior change in major lifestyle areas. During the year of follow-up a systematic maintenance program included regular contact with a nurse. Morbidity and mortality was low. Self-reported quality of life improved and there were significant improvements in blood lipids, exercise capacity and body mass index. There were also significant changes both in psychological variables such as Type A behavior, anger, hostility, and in major lifestyle areas such as stress reactions, diet, exercise and smoking. These changes compared favorably with data from relevant samples from the Swedish normal population. This program had a considerable effect on a number of important factors for rehabilitation and secondary prevention of coronary artery disease.

  • 40.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Nygren, Arne
    Söderman, Eva
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Hospital Anxiety and Depression Scale (HAD): some psychometric data for a Swedish sample1997Ingår i: Acta Psychiatrica Scandinavica, ISSN 0001-690X, Vol. 96, nr 4, s. 281-286Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Examined the factor structure of the Hospital Anxiety and Depression Scale (HAD) using data from 624 male vs female Swedish adults (aged 30-39 vs 40-49 vs 50-59 yrs), and compared the HAD with the Beck Depression Inventory (BDI) and the State-Trait Anxiety Inventory (STAI). A secondary aim was to examine the factor structure of the HAD. Results indicate that the factor structure was quite strong, consistently showing 2 factors in the whole sample as well as in the different subsamples. The correlations between the total HAD scale and the BDI and the STAI, respectively, were stronger than those obtained using the different subscales of the HAD (the anxiety and depression subscales). As expected, there was also a stronger correlation between the HAD and the nonphysical items of the BDI. It was somewhat surprising that the factor analyses were consistently extracting 2 factors, "depression" and "anxiety", while on the other hand both the BDI and the STAI tended to correlate more strongly with the total HAD score than with the specific depression and anxiety HAD subscales. Nevertheless, the HAD appeared to be a useful clinical indicator of the possibility of depression and clinical anxiety.

  • 41.
    Lisspers, Jan
    et al.
    Högskolan i Östersund.
    Nygren, Åke
    Livsstilsförändring som rehabilitering vid kranskärlssjukdom1992Ingår i: VÅRD - utbildning, utvärdering, forskning, Vol. 1, s. 23-28Artikel i tidskrift (Övrigt vetenskapligt)
  • 42.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Nygren, Åke
    Söderman, Eva
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Psychological Patterns in Patients with Coronary Heart Disease, Chronic Pain and Respiratory Disorder1998Ingår i: Scandinavian journal of caring sciences, ISSN 0283-9318, Vol. 12, nr 1, s. 25-31Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Patients with coronary heart disease (CHD), chronic pain and respiratory disorder were investigated for different patterns of psychological factors. Several psychological factors were measured: depression (using Beck"s "BDI"), anxiety (using Spielberger"s "STAI"), anger (Spielberger"s "AX"), and cynicism (Greenglass & Julkunen"s "CD"). The special psychological pattern in patients with CHD was characterized by an increase in suppressed anger, overall experienced anger, and cynicism. Patients with chronic pain did not show any comparable pattern of elevated psychological factors. The pattern in patients with respiratory disorder was characterized by increased cynicism and, in women, also clinical depression.

  • 43.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Schill, Ulla
    Lisstilsförändring vid primärprevention och rehabilitering av kranskärlssjukdom2004Ingår i: Den hälsosamma arbetsplatsen: från analys till åtgärd, Karlstad: Stress Management Center , 2004, s. 384-Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 44.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Ståhl, K
    Setterlind, S
    Effekter av ett beteendefokuserat stress- och livsstilsprogram i primärprevention av livsstilsrelaterad ohälsa - en kvasiexperimentell utvärdering: Presented at "6. Nordiske kongress i preventiv kardiologi og hjerterehabilitering", June 2005, Tönsberg, Norway.2005Konferensbidrag (Övrigt vetenskapligt)
  • 45.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Ståhl, K
    Setterlind, S
    Evaluation of behaviorally oriented stress- and lifestyle change program for primary prevention of coronary heart disease: The Eighth International Congress of Behavioral Medicine", 25-28 August 2004, Mainz, Germany2004Konferensbidrag (Övrigt vetenskapligt)
  • 46.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Ståhl, K.
    Setterlind, S.
    The effects of a behaviorally oriented stress- and lifestyle change program in primary prevention of lifestyle related illness - a quasi-experimental study2005Konferensbidrag (Övrigt vetenskapligt)
  • 47.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Ståhl, Kristina
    Almén, Niclas
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Livsstilsförändring vid kranskärlssjukdom, typ 2- diabetes och utmattningsproblem2005Ingår i: Svensk Rehabilitering, ISSN 1403-4468, Vol. (4, nr 4, s. 8-12Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [sv]

    En viktig del av Föllingekliniken är modellutveckling med koppling till vetenskaplig och evidensbaserad kunskap och forskning med focus på betydelsen av livstilsförändring och stresshantering. i artikeln sammanfattas NÅgra aktuella studier som gjorts vid Föllingekliniken.

  • 48.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Ståhl, Kristina
    Almén, Niclas
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Schill, U
    Light the fire again: Preliminary results on the effects of a lifestyle behavior change intervention model in the treatment and rehabilitation of stress related exhaustion (’burnout’) problems2005Ingår i: International Developments in Rehabilitation to Work, 2005Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Preliminary results on the effects of a lifestyle behavior change intervention model in the treatment and rehabilitation of stress related exhaustion ("burnout") problems. Presented at the conference "International Developments in Rehabilitation to Work", February 2005, Östersund, Sweden.

  • 49.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Ståhl, Kristina
    Arnetz, B.
    Stress, stressreduktion och risk för hjärtsjukdom2005Rapport (Övrigt vetenskapligt)
  • 50.
    Lisspers, Jan
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Sundin, Örjan
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för samhällsvetenskap.
    Behavior change interventions in coronary artery disease: Reversing or retarding artherosclerotic disease2007Ingår i: Best Practices in the Behavioral Management of Chronic Disease II / [ed] Jodie A Trafton; William P Gordon, Los Altos, Calif.: Institute for Brain Potentia , 2007Kapitel i bok, del av antologi (Övrigt vetenskapligt)
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