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Simula, A. S., Ruokolainen, O., Oura, P., Lausmaa, M., Holopainen, R., Paukkunen, M., . . . Karppinen, J. (2020). Association of STarT Back Tool and the short form of the Örebro Musculoskeletal Pain Screening Questionnaire with multidimensional risk factors. Scientific Reports, 10(1), Article ID 290.
Open this publication in new window or tab >>Association of STarT Back Tool and the short form of the Örebro Musculoskeletal Pain Screening Questionnaire with multidimensional risk factors
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2020 (English)In: Scientific Reports, ISSN 2045-2322, E-ISSN 2045-2322, Vol. 10, no 1, article id 290Article in journal (Refereed) Published
Abstract [en]

The Short form of the Örebro Musculoskeletal Pain Screening Questionnaire (ÖMPSQ-short) and the STarT Back Tool (SBT) have been developed to screen for risk factors for future low back pain (LBP) -related disability and work loss respectively. The aim of this study was to investigate the accordance of the two questionnaires and to evaluate the accumulation of risk factors in the risk groups of both screening tools in a large population-based sample. The study population consisted of 3079 participants of the Northern Finland Birth Cohort 1966 who had reported LBP over the previous 12 months and had SBT and ÖMPSQ-short data. We evaluated the association of depressive and anxiety symptoms (Hopkins symptom check list-25, Generalized anxiety disorder 7 questionnaire, and Beck's Depression Inventory 21), psychological features (Fear-Avoidance Beliefs Questionnaire), lifestyle characteristics (BMI, smoking, alcohol abuse, physical inactivity) and social factors (education level) with the SBT and ÖMPSQ-short risk groups. The high-risk groups of both questionnaires were associated (p < 0.001) with depressive and anxiety symptoms and fear-avoidance beliefs. In addition, adverse lifestyle factors accumulated in the higher risk groups, especially from the ÖMPSQ-short. Agreement between the two questionnaires was moderate for men and fair for women.

Place, publisher, year, edition, pages
Nature Publishing Group, 2020
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-79312 (URN)10.1038/s41598-019-57105-3 (DOI)31937867 (PubMedID)2-s2.0-85077861061 (Scopus ID)
Available from: 2020-02-21 Created: 2020-02-21 Last updated: 2020-02-21Bibliographically approved
Boersma, K., Flink, I. & Linton, S. J. (2020). Interpersonal problems as a predictor of pain catastrophizing in patients with chronic pain: Editorial comment on: Ryum, T., Börsting Jacobsen, H., Borchgrevink, P.C., Landrö, N.I. & Stiles, T.C.. Scandinavian Journal of Pain
Open this publication in new window or tab >>Interpersonal problems as a predictor of pain catastrophizing in patients with chronic pain: Editorial comment on: Ryum, T., Börsting Jacobsen, H., Borchgrevink, P.C., Landrö, N.I. & Stiles, T.C.
2020 (English)In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879Article in journal (Refereed) Accepted
Place, publisher, year, edition, pages
Walter de Gruyter, 2020
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:oru:diva-78835 (URN)
Available from: 2019-12-27 Created: 2019-12-27 Last updated: 2020-01-07Bibliographically approved
Sündermann, O., Flink, I. & Linton, S. J. (2020). My body is not working right: a cognitive behavioral model of body image and chronic pain. Pain
Open this publication in new window or tab >>My body is not working right: a cognitive behavioral model of body image and chronic pain
2020 (English)In: Pain, ISSN 0304-3959, E-ISSN 1872-6623Article in journal (Refereed) Epub ahead of print
Place, publisher, year, edition, pages
Wolters Kluwer, 2020
National Category
Psychology
Identifiers
urn:nbn:se:oru:diva-79937 (URN)10.1097/j.pain.0000000000001822 (DOI)32028333 (PubMedID)
Available from: 2020-02-19 Created: 2020-02-19 Last updated: 2020-02-19Bibliographically approved
Bauducco, S., Flink, I., Boersma, K. & Linton, S. J. (2020). Preventing sleep deficit in adolescents: Long-term effects of a quasi-experimental school-based intervention study. Journal of Sleep Research (1), Article ID e12940.
Open this publication in new window or tab >>Preventing sleep deficit in adolescents: Long-term effects of a quasi-experimental school-based intervention study
2020 (English)In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, no 1, article id e12940Article in journal (Refereed) Published
Abstract [en]

Adolescents are at risk of sleep deficit, which has serious consequences for their daytime functioning. However, school-based interventions to improve sleep have shown limited success. This might be due to the content of the programmes (e.g., not targeting central factors such as daytime stress and technology use) or because changes have not been captured due to a lack of long-term follow-ups. Hence, the aim of this study was to evaluate the long-term effects of a school-based sleep education curriculum including time-management training. The study used a quasi-experimental design. Participants were 3,622 adolescents (mean age 13.7, 48% girls); 286 were in the intervention group and 3,336 were followed as a natural control group. Data were collected before the intervention and at a 1-year follow-up. We divided participants into three groups according to baseline sleep duration (calculated from self-reported bed- and wake times, minus sleep onset latency): insufficient (<7 hr), borderline (7-8 hr) and adequate (>8 hr). Adolescents in the intervention group were ~2 times less likely to report insufficient sleep at follow-up as compared to controls. Sleep knowledge improved significantly in the intervention group but there were no changes in emotional sleep hygiene (e.g., bedtime worry) and perceived stress. Surprisingly, technology use increased and behavioural sleep hygiene worsened in the intervention group. Although the mechanisms of change need further investigation, the results of this study point to potential long-term benefits of school-based sleep programmes.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2020
Keywords
Information and communication technology, prevention, sleep health, youths
National Category
Applied Psychology
Identifiers
urn:nbn:se:oru:diva-77882 (URN)10.1111/jsr.12940 (DOI)000494302700001 ()31691408 (PubMedID)2-s2.0-85074845721 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2012-65Vinnova, 2012-65Swedish Research Council Formas, 2012-65
Available from: 2019-11-14 Created: 2019-11-14 Last updated: 2020-02-14Bibliographically approved
Mazzer, K., Boersma, K. & Linton, S. J. (2019). A longitudinal view of rumination, poor sleep and psychological distress in adolescents. Journal of Affective Disorders, 245, 686-696
Open this publication in new window or tab >>A longitudinal view of rumination, poor sleep and psychological distress in adolescents
2019 (English)In: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 245, p. 686-696Article in journal (Refereed) Published
Abstract [en]

Background: Given the high prevalence and negative impact of psychological problems during adolescence, examining transdiagnostic factors that may have scope to positively influence a variety of psychological problems is imperative. The main purpose of this study was to investigate the longitudinal relationship between rumination and psychological distress and whether sleep mediated this relationship over a 2 year period.

Methods: Participants were 1620 high school students in the 7th and 8th grade at baseline from 17 public schools in three middle Sweden communities. Students completed questionnaires at school during the spring of 2014, 2015 and 2016. Rumination and psychological distress were self-reported, and sleep duration was calculated from reported bed-times, wake-times and sleep onset latencies.

Results: Sleep duration declined with age, whereas rumination and psychological distress increased. Rumination was predictive of future psychological distress and distress at a given time was predictive of concurrent rumination. Sleep duration did not consistently mediate the reciprocal relationships between rumination and psychological distress over time.

Limitations: Stronger longitudinal associations may have been obtained by using smaller measurement intervals or further delineation of outcome constructs.

Conclusions: Reducing rumination, rather than targeting sleep patterns, may work towards preventing the development of a number of psychological problems and is a strategy anticipated to function across disorders to improve young people's mental wellbeing.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Rumination, Adolescence, Sleep, Distress, Longitudinal
National Category
Neurology Psychiatry
Identifiers
urn:nbn:se:oru:diva-72423 (URN)10.1016/j.jad.2018.11.053 (DOI)000456697100084 ()30447567 (PubMedID)2-s2.0-85056473453 (Scopus ID)
Funder
Swedish Research Council Formas
Available from: 2019-02-14 Created: 2019-02-14 Last updated: 2019-02-14Bibliographically approved
Boersma, K., Flink, I. & Linton, S. J. (2019). Considering the interpersonal context of pain catastrophizing. Scandinavian Journal of Pain, 20(1), 9-10
Open this publication in new window or tab >>Considering the interpersonal context of pain catastrophizing
2019 (English)In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 20, no 1, p. 9-10Article in journal, Editorial material (Refereed) Published
Place, publisher, year, edition, pages
Walter de Gruyter, 2019
National Category
Physiology
Identifiers
urn:nbn:se:oru:diva-78556 (URN)10.1515/sjpain-2019-2020 (DOI)000504845500003 ()31785197 (PubMedID)
Available from: 2019-12-13 Created: 2019-12-13 Last updated: 2020-01-10Bibliographically approved
Nicholas, M. K., Costa, D. S., Linton, S. J., Main, C. J., Shaw, W. S., Pearce, G., . . . McGarity, A. (2019). Correction to: Implementation of Early Intervention Protocol in Australia for 'High Risk' Injured Workers is Associated with Fewer Lost Work Days Over 2 Years Than Usual (Stepped) Care. Journal of occupational rehabilitation, 29(4), 671-671
Open this publication in new window or tab >>Correction to: Implementation of Early Intervention Protocol in Australia for 'High Risk' Injured Workers is Associated with Fewer Lost Work Days Over 2 Years Than Usual (Stepped) Care
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2019 (English)In: Journal of occupational rehabilitation, ISSN 1053-0487, E-ISSN 1573-3688, Vol. 29, no 4, p. 671-671Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Springer, 2019
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-77982 (URN)10.1007/s10926-019-09855-0 (DOI)000495099300002 ()31414346 (PubMedID)2-s2.0-85070666706 (Scopus ID)
Note

This corrects the article Implementation of Early Intervention Protocol in Australia for 'High Risk' Injured Workers is Associated with Fewer Lost Work Days Over 2 Years Than Usual (Stepped) Care DOI:10.1007/s10926-019-09849-y

Available from: 2019-11-22 Created: 2019-11-22 Last updated: 2020-01-14Bibliographically approved
Flink, I. & Linton, S. J. (2019). Du, jag och sex: Om lust och närhet i parrelationer. Stockholm: Natur och kultur
Open this publication in new window or tab >>Du, jag och sex: Om lust och närhet i parrelationer
2019 (Swedish)Book (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Stockholm: Natur och kultur, 2019. p. 118
National Category
Psychology
Identifiers
urn:nbn:se:oru:diva-78836 (URN)9789127824577 (ISBN)9789127824591 (ISBN)
Available from: 2019-12-27 Created: 2019-12-27 Last updated: 2020-01-07Bibliographically approved
Boersma, K., Södermark, M., Hesser, H., Flink, I., Gerdle, B. & Linton, S. J. (2019). Efficacy of a transdiagnostic emotion-focused exposure treatment for chronic pain patients with comorbid anxiety and depression: a randomized controlled trial. Pain, 160(8), 1708-1718
Open this publication in new window or tab >>Efficacy of a transdiagnostic emotion-focused exposure treatment for chronic pain patients with comorbid anxiety and depression: a randomized controlled trial
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2019 (English)In: Pain, ISSN 0304-3959, E-ISSN 1872-6623, Vol. 160, no 8, p. 1708-1718Article in journal (Refereed) Published
Abstract [en]

The comorbidity between chronic pain and emotional problems has proven difficult to address with current treatment options. This study addresses the efficacy of a transdiagnostic emotion-focused exposure treatment ("hybrid") for chronic pain patients with comorbid emotional problems. Adults (n = 115) with chronic musculoskeletal pain and functional and emotional problems were included in a 2-centre, parallel randomized controlled, open-label trial comparing this treatment to an active control condition receiving a guided Internet-delivered pain management treatment based on CBT principles (iCBT). The hybrid treatment (n = 58, 10-16 sessions) integrates exposure in vivo for chronic pain based on the fear-avoidance model with an emotion-regulation approach informed by procedures in Dialectical Behavior Therapy. The iCBT (n = 57; 8 treatment modules) addresses topics such as pain education, coping strategies, relaxation, problem solving, stress, and sleep management using standard CBT techniques. Patient-reported outcomes were assessed before and after treatment as well as at a 9-month primary end point. Across conditions, 78% participants completed post-treatment and 81% follow-up assessment. Intent-to-treat analyses showed that the hybrid had a significantly better post-treatment outcome on pain catastrophizing (d = 0.39) and pain interference (d = 0.63) and significantly better follow-up outcomes on depression (d = 0.43) and pain interference (d = 0.51). There were no differences on anxiety and pain intensity. Observed proportions of clinically significant improvement favoured the hybrid on all but one comparison, but no statistically significant differences were observed. We conclude that the hybrid emotion-focused treatment may be considered an acceptable, credible, and efficacious treatment option for chronic pain patients with comorbid emotional problems.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Chronic pain, Emotional problems, Transdiagnostic, Cognitive-behavioral therapy, Internet, Randomized clinical trial, Exposure
National Category
Applied Psychology
Identifiers
urn:nbn:se:oru:diva-75576 (URN)10.1097/j.pain.0000000000001575 (DOI)000480764500006 ()31335641 (PubMedID)2-s2.0-85066118471 (Scopus ID)
Funder
AFA Insurance, 140356Riksbankens Jubileumsfond, P14-0799: 1
Note

Funding Agency:

Region Östergötland  LIO-724821

Available from: 2019-08-09 Created: 2019-08-09 Last updated: 2020-01-08Bibliographically approved
Caneiro, J. P., Smith, A., Linton, S. J., Moseley, G. L. & O'Sullivan, P. (2019). How does change unfold? an evaluation of the process of change in four people with chronic low back pain and high pain-related fear managed with Cognitive Functional Therapy: A replicated single-case experimental design study. Behaviour Research and Therapy, 117, 28-39
Open this publication in new window or tab >>How does change unfold? an evaluation of the process of change in four people with chronic low back pain and high pain-related fear managed with Cognitive Functional Therapy: A replicated single-case experimental design study
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2019 (English)In: Behaviour Research and Therapy, ISSN 0005-7967, E-ISSN 1873-622X, Vol. 117, p. 28-39Article in journal (Refereed) Published
Abstract [en]

PURPOSE: To understand the process of change at an individual level, this study used a single-case experimental design to evaluate how change in potential mediators related to change in disability over time, during an exposure-based behavioural intervention in four people with chronic low back pain and high pain-related fear. A second aim was to evaluate whether the change (sequential or simultaneous) in mediators and disability occurred at the same timepoint for all individuals.

RESULTS: For all participants, visual and statistical analyses indicated that changes in disability and proposed mediators were clearly related to the commencement of Cognitive Functional Therapy. This was supported by standard outcome assessments at pre-post timepoints. Cross-lag correlation analysis determined that, for all participants, most of the proposed mediators (pain intensity, pain controllability, and fear) were most strongly associated with disability at lag zero, suggesting that mediators changed concomitantly and not before disability. Importantly, these changes occurred at different rates and patterns for different individuals, highlighting the individual temporal variability of change.

CONCLUSION: This study demonstrated the interplay of factors associated with treatment response, highlighting 'how change unfolded' uniquely for each individual. The findings that factors underpinning treatment response and the outcome changed simultaneously, challenge the traditional understanding of therapeutic change.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Behavioural change, Low back pain, Mediators, Pain-related fear, Process of change
National Category
Psychology
Identifiers
urn:nbn:se:oru:diva-74575 (URN)10.1016/j.brat.2019.02.007 (DOI)000470947600004 ()30853096 (PubMedID)2-s2.0-85062389222 (Scopus ID)
Note

Funding Agencies:

Australian Postgraduate Award (APA)  

Curtin University Postgraduate (CUPS)  

National Health & Medical Research Council of Australia  

Available from: 2019-06-04 Created: 2019-06-04 Last updated: 2019-11-13Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-5359-0452

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