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Bodin, Lennart
Publications (10 of 73) Show all publications
Gunnarsson, L.-G. & Bodin, L. (2019). Occupational Exposures and Neurodegenerative Diseases: A Systematic Literature Review and Meta-Analyses. International Journal of Environmental Research and Public Health, 16(3), Article ID 337.
Open this publication in new window or tab >>Occupational Exposures and Neurodegenerative Diseases: A Systematic Literature Review and Meta-Analyses
2019 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, no 3, article id 337Article, review/survey (Refereed) Published
Abstract [en]

Objectives: To carry out an integrated and stratified meta-analysis on occupational exposure to electromagnetic fields (EMFs), metals and pesticides and its effects on amyotrophic lateral sclerosis (ALS) and Parkinson's and Alzheimer's disease, and investigate the possibility of publication bias.

Methods: In the current study, we updated our recently published meta-analyses on occupational exposures in relation to ALS, Alzheimer's and Parkinson's disease. Based on 66 original publications of good scientific epidemiological standard, according to the Meta-analysis of Observational Studies in Epidemiology (MOOSE) and the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) guidelines, we analysed subgroups by carrying out stratified meta-analyses on publication year, statistical precision of the relative risk (RR) estimates, inspection of the funnel plots and test of bias.

Results: Based on 19 studies the weighted RR for occupational exposure to EMFs was 1.26 (95% confidence interval (CI) 1.07-1.50) for ALS, 1.33 (95% CI 1.07-1.64) for Alzheimer's disease and 1.02 (95% CI 0.83-1.26) for Parkinson's disease. Thirty-one studies concerned occupational exposure to pesticides and the weighted RR was 1.35 (95% CI 1.02-1.79) for ALS, 1.50 (95% CI 0.98-2.29) for Alzheimer's disease and 1.66 (95% CI 1.42-1.94) for Parkinson's disease. Finally, 14 studies concerned occupational exposure to metals and only exposure to lead (five studies) involved an elevated risk for ALS or Parkinson's disease and the weighted RR was 1.57 (95% CI 1.11-2.20). The weighted RR for all the non-lead exposures was 0.97 (95% CI 0.88-1.06).

Conclusions: Exposure to pesticides increased the risk of getting the mentioned neurodegenerative diseases by at least 50%. Exposure to lead was only studied for ALS and Parkinson's disease and involved 50% increased risk. Occupational exposure to EMFs seemed to involve some 10% increase in risk for ALS and Alzheimer's disease only.

Place, publisher, year, edition, pages
MDPI, 2019
Keywords
epidemiology, metals, pesticides, electromagnetic fields, ALS, Parkinson's disease, Alzheimer's disease
National Category
Environmental Sciences Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-73127 (URN)10.3390/ijerph16030337 (DOI)000459113600043 ()30691095 (PubMedID)2-s2.0-85060621765 (Scopus ID)
Available from: 2019-03-14 Created: 2019-03-14 Last updated: 2019-03-14Bibliographically approved
Gunnarsson, L.-G. & Bodin, L. (2018). Alzheimer’s Disease and Occupational Exposures: A Systematic Literature Review and Meta-Analyses. In: Alzheimer's Disease & Treatment: . Open Access ebooks
Open this publication in new window or tab >>Alzheimer’s Disease and Occupational Exposures: A Systematic Literature Review and Meta-Analyses
2018 (English)In: Alzheimer's Disease & Treatment, Open Access ebooks , 2018Chapter in book (Refereed)
Abstract [en]

Six systematic literature reviews together with meta-analyses have been published on the associations between Alzheimer’s disease and occupational risk factors. Our meta-analyses were based only on studies fulfilling good standards of scientific quality. We scrutinized the 54 relevant original publications found using a checklist proposed by the MOOSE-group together with a new elaborated protocol. Thus our results are not hampered by bias from studies of lower scientific quality. Thirty publications fulfilled good scientific standards and were thus used in our meta-analyses. Exposures to electromagnetic fields were concerned in 12 publications. The weighted relative risk estimate was 1.35 (95% confidence interval: 1.08-1.70). Exposure to pesticides or other chemicals resulted in the statistically significant relative risk 1.5 while exposure to metals involved no increase of risk. A high degree of work complexity (especially in relation to people) and long education were both protective against Alzheimer’s disease. Based on ten studies the weighted relative risk was 0.47 (95% CI: 0.35-0.63). Both work-related risk factors and protective factors are discussed in relation to possible pathophysiological mechanisms.

Place, publisher, year, edition, pages
Open Access ebooks, 2018
Keywords
Epidemiology; Electromagnetic fields; Pesticides; Chemicals, Metals; Work complexity; Education.
National Category
Medical and Health Sciences Neurology Occupational Health and Environmental Health
Identifiers
urn:nbn:se:oru:diva-70399 (URN)978-93-87500-26-6 (ISBN)
Available from: 2018-11-30 Created: 2018-11-30 Last updated: 2018-12-05Bibliographically approved
Gunnarsson, L.-G. & Bodin, L. (2018). Amyotrophic Lateral Sclerosis and Occupational Exposures: A Systematic Literature Review and Meta-Analyses. International Journal of Environmental Research and Public Health, 15(11), Article ID 2371.
Open this publication in new window or tab >>Amyotrophic Lateral Sclerosis and Occupational Exposures: A Systematic Literature Review and Meta-Analyses
2018 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 15, no 11, article id 2371Article in journal (Refereed) Published
Abstract [en]

Objectives: We conducted a systematic literature review to identify studies fulfilling good scientific epidemiological standards for use in meta-analyses of occupational risk factors for amyotrophic lateral sclerosis (ALS). 

Methods: We identified 79 original publications on associations between work and ALS. The MOOSE (Meta-analysis Of Observational Studies in Epidemiology) and GRADE (Grading of Recommendations, Assessment, Development and Evaluations) guidelines were used to ensure high scientific quality, and reliable protocols were applied to classify the articles. Thirty-seven articles fulfilled good scientific standards, while 42 were methodologically deficient and thus were excluded from our meta-analyses. 

Results: The weighted relative risks for the various occupational exposures were respectively; 1.29 (95% confidence interval (CI): 0.97⁻1.72; six articles) for heavy physical work, 3.98 (95% CI: 2.04⁻7.77; three articles) for professional sports, 1.45 (95% CI: 1.07⁻1.96; six articles) for metals, 1.19 (95% CI: 1.07⁻1.33; 10 articles) for chemicals, 1.18 (95% CI: 1.07⁻1.31; 16 articles) for electromagnetic fields or working with electricity, and 1.18 (95% CI: 1.05⁻1.34; four articles) for working as a nurse or physician. 

Conclusions: Meta-analyses based only on epidemiologic publications of good scientific quality show that the risk of ALS is statistically significantly elevated for occupational exposures to excessive physical work, chemicals (especially pesticides), metals (especially lead), and possibly also to electromagnetic fields and health care work. These results are not explained by publication bias.

Place, publisher, year, edition, pages
MDPI AG, 2018
Keywords
chemicals, electromagnetic fields, epidemiology, metals, physical activity
National Category
Probability Theory and Statistics
Identifiers
urn:nbn:se:oru:diva-70388 (URN)10.3390/ijerph15112371 (DOI)000451640500045 ()30373166 (PubMedID)2-s2.0-85055616670 (Scopus ID)
Funder
AFA Insurance
Note

Funding Agency:

Department of Occupational and Environmental Medicine, Sahlgrenska Academy, University of Gothenburg, Sweden

Available from: 2018-11-30 Created: 2018-11-30 Last updated: 2018-12-17Bibliographically approved
Fahlström, G., Kamwendo, K., Forsberg, J. & Bodin, L. (2018). Fall prevention by nursing assistants among community-living elderly people. A randomised controlled trial. Scandinavian Journal of Caring Sciences, 32(2), 575-585
Open this publication in new window or tab >>Fall prevention by nursing assistants among community-living elderly people. A randomised controlled trial
2018 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 2, p. 575-585Article in journal (Refereed) Published
Abstract [en]

Falls among elderly are a major public health issue in Sweden. The aim was to determine whether nursing assistants can prevent falls by supervising community-living elderly individuals with a history of falling in performing individually designed home exercise programmes. A randomised controlled trial was performed in Sweden, in eight municipalities in the county of Örebro, during 2007-2009. Community-living persons 65 years or older having experienced at least one fall during the last 12 months were included. The intervention group consisted of 76 participants, and there were 72 in the control group. The interventions were free of charge and were shared between a physiotherapist and a nursing assistant. The former designed a programme aiming to improve balance, leg strength and walking ability. The nursing assistant supervised the performance of activities during eight home visits during a 5-month intervention period. The measures and instruments used were health-related quality of life (SF-36), activity of daily living (ADL-staircase), balance, (Falls Efficacy Scale, and Berg Balance Scale), walking ability (Timed Up and Go and the 3-metre walking test), leg strength, (chair stand test). All participants were asked to keep a structured calendar of their physical exercise, walks and occurrence of falls during their 12-month study period. Hospital healthcare consumption data were collected. Although the 5-month intervention did not significantly decrease the risk for days with falls, RR 1.10 (95% CI 0.58, 2.07), p = 0.77, significant changes in favour of the intervention group were noted for balance (p = 0.03), ADL (p = 0.035), bodily pain (p = 0.003) and reported health transition over time (p = 0.008) as well as less hospital care due to fractures (p = 0.025). Additional studies with more participants are needed to establish whether or not falls can be significantly prevented with this model which is workable in home-based fall prevention.

Place, publisher, year, edition, pages
John Wiley & Sons, 2018
Keywords
accidents and falls, community-living elderly, controlled trial, home-based fall prevention, nursing assistants, professional development
National Category
Geriatrics
Identifiers
urn:nbn:se:oru:diva-61693 (URN)10.1111/scs.12481 (DOI)000436254800013 ()28851132 (PubMedID)
Funder
Swedish Research Council, 521-2005-6394Swedish National Board of Health and Welfare, 73-10389/2005
Note

Funding Agency:

Region Örebro Län

Available from: 2017-11-13 Created: 2017-11-13 Last updated: 2018-08-28Bibliographically approved
Busch, H., Björk Brämberg, E., Hagberg, J., Bodin, L. & Jensen, I. (2018). The effects of multimodal rehabilitation on pain-related sickness absence: an observational study. Disability and Rehabilitation, 40(14), 1646-1653
Open this publication in new window or tab >>The effects of multimodal rehabilitation on pain-related sickness absence: an observational study
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2018 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 40, no 14, p. 1646-1653Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim of the current study was to examine the effects on sickness absence of multimodal rehabilitation delivered within the framework of a national implementation of evidence based rehabilitation, the rehabilitation guarantee for nonspecific musculoskeletal pain.

Method: This was an observational matched controlled study of all persons receiving multimodal rehabilitation from the last quarter of 2009 until the end of 2010. The matching was based on age, sex, sickness absence the quarter before intervention start and pain-related diagnosis. The participants were followed by register data for 6 or 12 months. The matched controls received rehabilitation in accordance with treatment-as-usual.

Results: Of the participants, 54% (N = 3636) were on registered sickness absence at baseline and the quarter before rehabilitation. The average difference in number of days of sickness absence between the participants who received multimodal rehabilitation and the matched controls was to the advantage of the matched controls, 14.7 days (CI 11.7; 17.7, p ≤ 0.001) at 6-month follow-up and 9.5 days (CI 6.7; 12.3, p ≤ 0.001) at 12-month follow-up. A significant difference in newly granted disability pensions was found in favor of the intervention.

Conclusions: When implemented nationwide, multimodal rehabilitation appears not to reduce sickness absence compared to treatment-as-usual.

Implications for Rehabilitation

  • A nationwide implementation of multimodal rehabilitation was not effective in reducing sickness absence compared to treatment-as-usual for persons with nonspecific musculoskeletal pain.

  • Multimodal rehabilitation was effective in reducing the risk of future disability pension for persons with nonspecific musculoskeletal pain compared to treatment-as-usual.

  • To be effective in reducing sick leave multimodal rehabilitation must be started within 60 days of sick leave.

  • The evidence for positive effect of multimodal rehabilitation is mainly for sick listed patients. Prevention of sick leave for persons not being on sick leave should not be extrapolated from evidence for multimodal rehabilitation.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
Keywords
Multimodal rehabilitation, observational study, sick leave
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:oru:diva-66159 (URN)10.1080/09638288.2017.1305456 (DOI)000428516800005 ()28345360 (PubMedID)2-s2.0-85016110515 (Scopus ID)
Available from: 2018-03-26 Created: 2018-03-26 Last updated: 2018-09-05Bibliographically approved
Eklund, A., Jensen, I., Loleha-Karlsson, M., Hagberg, J., Leboeuf-Yde, C., Kongsted, A., . . . Axén, I. (2018). The Nordic Maintenance Care program: Effectiveness of chiropractic maintenance care versus symptom-guided treatment for recurrent and persistent low back pain—A pragmatic randomized controlled trial. PLoS ONE, 13(9), Article ID e0203029.
Open this publication in new window or tab >>The Nordic Maintenance Care program: Effectiveness of chiropractic maintenance care versus symptom-guided treatment for recurrent and persistent low back pain—A pragmatic randomized controlled trial
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2018 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 13, no 9, article id e0203029Article in journal (Refereed) Published
Abstract [en]

Background: For individuals with recurrent or persistent non-specific low back pain (LBP), exercise and exercise combined with education have been shown to be effective in preventing new episodes or in reducing the impact of the condition. Chiropractors have traditionally used Maintenance Care (MC), as secondary and tertiary prevention strategies. The aim of this trial was to investigate the effectiveness of MC on pain trajectories for patients with recurrent or persistent LBP.

Method: This pragmatic, investigator-blinded, two arm randomized controlled trial included consecutive patients (18–65 years old) with non-specific LBP, who had an early favorable response to chiropractic care. After an initial course of treatment, eligible subjects were randomized to either MC or control (symptom-guided treatment). The primary outcome was total number of days with bothersome LBP during 52 weeks collected weekly with text-messages (SMS) and estimated by a GEE model.

Results: Three hundred and twenty-eight subjects were randomly allocated to one of the two treatment groups. MC resulted in a reduction in the total number of days per week with bothersome LBP compared with symptom-guided treatment. During the 12 month study period, the MC group (n = 163, 3 dropouts) reported 12.8 (95% CI = 10.1, 15.5; p = <0.001) fewer days in total with bothersome LBP compared to the control group (n = 158, 4 dropouts) and received 1.7 (95% CI = 1.8, 2.1; p = <0.001) more treatments. Numbers presented are means. No serious adverse events were recorded.

Conclusion: MC was more effective than symptom-guided treatment in reducing the total number of days over 52 weeks with bothersome non-specific LBP but it resulted in a higher number of treatments. For selected patients with recurrent or persistent non-specific LBP who respond well to an initial course of chiropractic care, MC should be considered an option for tertiary prevention.

Place, publisher, year, edition, pages
Public Library of Science, 2018
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-70390 (URN)10.1371/journal.pone.0203029 (DOI)000444683000051 ()30208070 (PubMedID)2-s2.0-85053158857 (Scopus ID)
Note

Funding Agencies:

Institute for Chiropractic and Neuro-musculoskeletal Research  

European Chiropractors' Union  A13.02 

Danish Chiropractic Research Foundation  11/148 

Available from: 2018-11-30 Created: 2018-11-30 Last updated: 2018-12-03Bibliographically approved
Gunnarsson, L.-G. & Bodin, L. (2017). Parkinson's disease and occupational exposures: a systematic literature review and meta-analyses. Scandinavian Journal of Work, Environment and Health, 43(3), 197-209, Article ID 3641.
Open this publication in new window or tab >>Parkinson's disease and occupational exposures: a systematic literature review and meta-analyses
2017 (English)In: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 43, no 3, p. 197-209, article id 3641Article in journal (Refereed) Published
Abstract [en]

Objectives: We conducted a systematic literature review to identify studies fulfilling good scientific epidemiological standards for use in meta-analyses of relevant risk factors for Parkinson's disease.

Methods: Our search identified 103 original publications on associations between work and Parkinson's disease. GRADE guidelines were used to ensure high scientific quality, and reliable guidelines were applied to classify the papers. Of the 103 articles, 47 fulfilled good scientific standards while 56 were methodologically deficient and thus excluded from our meta-analyses.

Results: A total of 23 publications concerned work exposure to pesticides. The weighted relative risk estimate was 1.67 (95% confidence interval 1.42-1.97). A funnel plot and bias test indicated that some publication bias concerning smaller studies might have been present. The risk estimate was not influenced by study design (case-control, cohort, or cross-sectional study) or gender. Higher estimates were found when there was a hereditary taint or onset below age 60. Studies on exposure to metals or electromagnetic fields did not show increased risk.

Conclusions: Using an elaborated quality protocol, there is now strong evidence that exposure to any pesticide involves a ≥50% increased risk for developing Parkinson's disease.

Place, publisher, year, edition, pages
Nordic Association of Occupational Safety and Health, 2017
Keywords
chemical; electromagnetic field; epidemiology; metal; pesticide; systematic review; welding
National Category
Occupational Health and Environmental Health
Research subject
Occupational and Environmental Medicine
Identifiers
urn:nbn:se:oru:diva-57338 (URN)10.5271/sjweh.3641 (DOI)000400705700002 ()28379585 (PubMedID)2-s2.0-85018371645 (Scopus ID)
Funder
AFA Insurance
Note

Funding Agencies:

Department of Occupational and Environmental Medicine, Sahlgrenska Academy, University of Gothenburg 

Available from: 2017-05-30 Created: 2017-05-30 Last updated: 2018-07-31Bibliographically approved
Bergström, G., Lohela-Karlsson, M., Kwak, L., Bodin, L., Jensen, I., Torgén, M. & Nybergh, L. (2017). Preventing sickness absenteeism among employees with common mental disorders or stress-related symptoms at work: Design of a cluster randomized controlled trial of a problem-solving based intervention versus care-as-usual conducted at the Occupational Health Services. BMC Public Health, 17(1), Article ID 436.
Open this publication in new window or tab >>Preventing sickness absenteeism among employees with common mental disorders or stress-related symptoms at work: Design of a cluster randomized controlled trial of a problem-solving based intervention versus care-as-usual conducted at the Occupational Health Services
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2017 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 17, no 1, article id 436Article in journal (Refereed) Published
Abstract [en]

Background: Common mental disorders (CMDs) are among the leading causes of sick leave in Sweden and other OECD countries. They result in suffering for the individual and considerable financial costs for the employer and for society at large. The occupational health service (OHS) can offer interventions in which both the individual and the work situation are taken into account. The aim of this paper is to describe the design of a study evaluating the effectiveness of an intervention given at the OHS to employees with CMDs or stress-related symptoms at work. In addition, intervention fidelity and its relation to the outcome will be assessed in a process analysis.

Methods: The study is designed as a cluster randomized trial in which the participating OHS consultants are randomized into either delivering the intervention or performing care as usual. Employees with CMDs or stress-related symptoms at work are recruited consecutively by the OHS consultants. The intervention aims to improve the match between the employee and the job situation. Interviews are held individually with the employee and the nearest supervisor, after which a joint meeting with both the employee and the supervisor takes place. A participatory approach is applied by which the supervisor and the employee are guided by the OHS consultant and encouraged to actively take part in problem solving concerning the work situation. Outcomes will be assessed at baseline and at six and 12 months. A long-term follow-up at 3 years will also be performed. The primary outcome is registered sickness absence during a 1-year period after study inclusion. Secondary outcomes are mental health and work ability. The intervention's cost effectiveness, compared to treatment as usual, both for society and for the employer will be evaluated. A process evaluation by both the OHS consultants and the employee will be carried out.

Discussion: The study includes analyses of the effectiveness of the intervention (clinical and economic) as well as an analysis of its implementation at the participating OHSs. Possible methodological challenges such as selection bias and risk of contamination between OHS consultants delivering the experimental condition and consultants giving usual care are discussed.

Place, publisher, year, edition, pages
BioMed Central, 2017
Keywords
Common mental disorders, Cluster randomized study, Stress-related disorders, Adjustment disorders, Depression, Exhaustion, Work environment, Occupational health services, Participative methodology, Problem solving therapy
National Category
Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:oru:diva-66021 (URN)10.1186/s12889-017-4329-1 (DOI)000401864900001 ()28494753 (PubMedID)2-s2.0-85018929533 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2014-0742]
Available from: 2018-03-22 Created: 2018-03-22 Last updated: 2018-03-26Bibliographically approved
Samano, N., Geijer, H., Bodin, L., Arbeus, M., Mannion, J. D., Dashwood, M. & Souza, D. (2017). The no-touch saphenous vein graft in elderly coronary bypass patients with multiple comorbidities is a promising conduit to substitute the left internal thoracic artery. Journal of Thoracic and Cardiovascular Surgery, 154(2), 457-466.e3
Open this publication in new window or tab >>The no-touch saphenous vein graft in elderly coronary bypass patients with multiple comorbidities is a promising conduit to substitute the left internal thoracic artery
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2017 (English)In: Journal of Thoracic and Cardiovascular Surgery, ISSN 0022-5223, E-ISSN 1097-685X, Vol. 154, no 2, p. 457-466.e3Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: We investigated the patency rates of no-touch saphenous vein grafts anastomosed to the left anterior descending artery compared with the left internal thoracic artery. Further, we compared the patency of no-touch vein grafts to the left anterior descending artery with the patency of no-touch vein grafts to other coronary arteries.

METHODS: Of 2635 consecutive patients undergoing coronary artery bypass grafting between 2003 and 2008, 168 (6.3%) were given at least a saphenous vein graft to the left anterior descending artery to avoid harvesting complications in high-risk patients or in response to a left internal thoracic artery injury. A total of 97 patients were consecutively included after informed consent. A clinical examination and computed tomography angiography were performed on 91 patients at a mean of 6 (4-9) years.

RESULTS: The mean age of patients was 75.6 ± 8.5 years. Postoperatively, 88.7% of patients (86/97) were free of angina. The 91 examined patients had 163 grafts with 286 distal anastomoses. Crude patency, according to distal anastomoses, was 94.4% (270/286). The patency of single versus sequential no-touch vein grafts to the left anterior descending artery was 98% (50/51) versus 92.5% (37/40). The total patency rate was 95.6% (87/91), similar to the reported patency rate for the left internal thoracic artery. The no-touch grafts to the left anterior descending artery versus other coronaries had a patency of 95.6% (87/91) versus 93.8% (183/195), a high similarity confirmed by an equivalence analysis.

CONCLUSIONS: In elderly coronary bypass patients with multiple comorbidities, a no-touch saphenous vein graft is a promising substitute for the left internal thoracic artery.

Place, publisher, year, edition, pages
Mosby Inc., 2017
Keywords
bypass graft, computed tomography angiography, coronary artery bypass grafting, left internal thoracic artery, no-touch harvesting technique, patency, saphenous vein
National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:oru:diva-57312 (URN)10.1016/j.jtcvs.2017.03.048 (DOI)000406775800023 ()28433355 (PubMedID)
Note

Funding Agencies:

Örebro County Council through the regional research board  

Nyckelfonden  11-029 

Available from: 2017-05-30 Created: 2017-05-30 Last updated: 2019-02-28Bibliographically approved
Blom, V., Bodin, L., Bergström, G. & Svedberg, P. (2016). Applying the demand-control-support model on burnout in managers and non-managers. International Journal of Workplace Health Management, 9(1), 110-122
Open this publication in new window or tab >>Applying the demand-control-support model on burnout in managers and non-managers
2016 (English)In: International Journal of Workplace Health Management, ISSN 1753-8351, E-ISSN 1753-836X, Vol. 9, no 1, p. 110-122Article in journal (Refereed) Published
Abstract [en]

Purpose: The purpose of this paper is to study the demand-control-support (DCS) model on burnout in male and female managers and non-managers, taking into account genetic and shared family environmental factors, contributing to the understanding of mechanisms of how and when work stress is related to burnout.

Design/methodology/approach: A total of 5,510 individuals in complete same-sex twin pairs from the Swedish Twin Registry were included in the analyses. Co-twin control analyses were performed using linear mixed modeling, comparing between-pairs and within-pair effects, stratified by zygosity and sex.

Findings: Managers scored higher on demands and control in their work than non-managers, and female managers seem to be particularly at risk for burnout facing more demands which are not reduced by a higher control as in their male counterparts. Co-twin analyses showed that associations between control and burnout as well as between demands and burnout seem to be affected by shared family environmental factors in male non-managers but not in male managers in which instead the associations between social support and burnout seem to be influenced by shared family environment.

Practical implications: Taken together, the study offers knowledge that shared environment as well as sex and managerial status are important factors to consider in how DCS is associated to exhaustion.

Originality/value: Using twin data with possibilities to control for genetics, shared environment, sex and age, this study offers unique insight into the DCS research, which focusses primarily on the workplace environment rather than individual factors.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2016
Keywords
Control; Burnout; Managers; Support; Demands; Twins; DCS model
National Category
Applied Psychology Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-66359 (URN)10.1108/IJWHM-06-2015-0033 (DOI)000382553100008 ()2-s2.0-84959275355 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2009-0548 2012-0947
Available from: 2018-04-05 Created: 2018-04-05 Last updated: 2018-07-24Bibliographically approved
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