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Publications (10 of 115) Show all publications
Sundström, A., Nordin, M., Nordin, S., Neely, A. S. & Malmberg Gavelin, H. (2025). Dimensionality, sensitivity and specificity of different versions of the Shirom-Melamed burnout questionnaire/measure in clinical and non-clinical populations. Stress and Health, 41(1), Article ID e70001.
Open this publication in new window or tab >>Dimensionality, sensitivity and specificity of different versions of the Shirom-Melamed burnout questionnaire/measure in clinical and non-clinical populations
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2025 (English)In: Stress and Health, ISSN 1532-3005, E-ISSN 1532-2998, Vol. 41, no 1, article id e70001Article in journal (Refereed) Published
Abstract [en]

The Shirom-Melamed Burnout Questionnaire/Measure (SMBQ/SMBM) is a self-report instrument frequently used for assessing degree of burnout and screening for stress-related exhaustion disorder. The aim of the present study was three-fold. First, to examine reliability and construct validity of different versions of SMBM with 6–22 items in a clinical context. Second, to examine the criterion validity by assessing sensitivity and specificity and determining clinical cut-offs for these versions of the SMBM, and third to examine the prevalence of burnout in a general population and primary care sample using the proposed cut-offs. Two Swedish samples were used for the first two purposes: a clinical sample of patients diagnosed with exhaustion disorder (n = 149), and a matched sample of healthy controls (n = 60). For the third purpose a sample from the general population (n = 3406), and a primary care clinical sample (n = 326) was used. The modified versions of the SMBM showed good internal consistency, construct validity, dimensionality and model fit on the clinical exhaustion disorder sample, as well as configural measurement invariance across clinical and non-clinical samples. The sensitivity (94.6%–95.3%) and specificity (93.3%–95.0%) in identifying cases with exhaustion disorder based on the cut-off of 4.0 for the 19-, 16- and 11-items versions, and on the cut-off of 3.75 for the 6-item version was high. The prevalence of burnout was 81.2% in the primary care sample and 16.6% in the general population sample. The findings indicate that the SMBM is a useful instrument for screening for exhaustion disorder and burnout.

Place, publisher, year, edition, pages
John Wiley & Sons, 2025
Keywords
burnout, clinical, construct validity, SMBM, SMBQ, stress-related illness
National Category
Public Health, Global Health and Social Medicine Psychiatry
Identifiers
urn:nbn:se:umu:diva-234881 (URN)10.1002/smi.70001 (DOI)001401035100001 ()39834010 (PubMedID)2-s2.0-85215570218 (Scopus ID)
Funder
AFA Insurance, 190082AFA Insurance, 150175Forte, Swedish Research Council for Health, Working Life and Welfare, 2020-01111
Available from: 2025-02-10 Created: 2025-02-10 Last updated: 2025-04-30Bibliographically approved
Nyberg, S. T., Frank, P., Pentti, J., Alfredsson, L., Ervasti, J., Goldberg, M., . . . Kivimäki, M. (2025). Health benefits of leisure-time physical activity by socioeconomic status, lifestyle risk, and mental health: a multicohort study. The Lancet Public Health, 10(2), e124-e135
Open this publication in new window or tab >>Health benefits of leisure-time physical activity by socioeconomic status, lifestyle risk, and mental health: a multicohort study
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2025 (English)In: The Lancet Public Health, ISSN 2468-2667, Vol. 10, no 2, p. e124-e135Article in journal (Refereed) Published
Abstract [en]

Background: Regular physical activity is recommended for all aged 5 years and older, but the health benefits gained might differ across population subgroups. The aim of this study was to examine these benefits in terms of years lived free from major non-communicable diseases in subgroups with varying levels of risk factors.

Methods: Our analysis was based on a multicohort study of initially healthy European adults from the IPD-Work Consortium and initially healthy participants from the UK Biobank study. Self-reported leisure-time physical activity levels at baseline (1986–2010) were categorised as low (no or very little), intermediate (between low and recommended levels), and WHO-recommended (≥2·5 h of moderate or ≥1·25 h of vigorous physical activity per week). We divided the study population into 36 overlapping subgroups based on socioeconomic factors, lifestyle, and mental health at baseline, and assessed disease-free years between ages 40 years and 75 years for both the overall population and subgroups, accounting for coronary heart disease, stroke, type 2 diabetes, cancer, asthma, and chronic obstructive pulmonary disease.

Findings: 14 IPD-Work studies were assessed and six studies were excluded due to missing outcome data and unavailable data for pooling, resulting in the inclusion of eight studies with 124 909 participants. After the exclusion of 7685 participants due to prevalent diseases and 9265 due to missing data, the sample consisted of 107 959 initially healthy European adults (63 567 [58·9%] females and 44 392 [41·1%] males) from the IPD-Work consortium. For the UK Biobank sample, 9 238 453 million individuals were invited, 8 736 094 (94·6%) were non-respondents, and 502 359 participated in the baseline examination. After the exclusion of 73 460 participants, 428 899 participants had data on at least one measure of physical activity. 236 258 (55·1%) were female and 192 641 (44·9%) were male. During 1·6 million person-years at risk, 21 231 IPD-Work participants developed a non-communicable disease, while 101 319 UK Biobank participants developed a non-communicable disease over 4·8 million person-years at risk. Compared with individuals with low physical activity, those meeting the recommended physical activity levels during leisure-time gained an additional 1·1 (95% CI 1·0–1·2) to 2·0 (1·7–2·3) disease-free years, depending on sex and study. In males from the IPD-Work and UK Biobank cohorts, greater gains in disease-free years were observed in current smokers (2·4 [95% CI 2·1–2·8]) versus never smokers (0·7 [0·5–0·9]); those with low education (1·4 [1·1–1·7]) versus high education (0·8 [0·7–1·0]); low socioeconomic status (1·7 [1·5–2·0]) versus high socioeconomic status (0·9 [0·7–1·1]); and those with (1·6 [1·3–1·9]) versus without depressive symptoms (1·0 [0·9–1·1]; p value range <0·0001–0·0008). Similar differences were seen in women for smoking (2·3 [95% CI 1·9–2·7] vs 0·9 [0·7–1·1]), socioeconomic status (1·7 [1·4–2·0] vs 0·8 [0·5–1·0]), depressive symptoms (1·4 [1·1–1·7] vs 1·0 [0·9–1·1]), and for heavy drinkers compared with moderate drinkers (1·4 [1·1–1·6] vs 0·9 [0·7–1·1]; p value range <0·0001–0·010). No differences in physical activity-related health gains were observed between risk groups and non-risk groups by BMI, history of depression, and, in men, alcohol use (p value range 0·11–0·86).

Interpretation: In addition to confirming the association between leisure-time physical activity and increased disease-free years across population subgroups, our findings show that these health benefits are often more pronounced among individuals with pre-existing health risks or disadvantaged backgrounds than in those with more favourable risk factor profiles. This suggests that enhancing population-wide physical activity initiatives could help reduce health disparities, while incorporating physical activity into targeted strategies addressing social disadvantage, unhealthy lifestyles, and depression might enhance their effectiveness.

Funding: Wellcome Trust, UK Medical Research Council, US National Institute on Aging, and Research Council of Finland.

Place, publisher, year, edition, pages
Elsevier, 2025
National Category
Epidemiology Public Health, Global Health and Social Medicine
Identifiers
urn:nbn:se:umu:diva-236192 (URN)10.1016/S2468-2667(24)00300-1 (DOI)001428040000001 ()39909687 (PubMedID)2-s2.0-85216539389 (Scopus ID)
Available from: 2025-03-17 Created: 2025-03-17 Last updated: 2025-03-17Bibliographically approved
Nordin, S., Finell, E. & Nordin, M. (2024). Coping, perceived environmental exposure control and mental distress in persons with symptoms attributed to environmental factors in a general population survey. Cogent Psychology, 11(1), Article ID 2424613.
Open this publication in new window or tab >>Coping, perceived environmental exposure control and mental distress in persons with symptoms attributed to environmental factors in a general population survey
2024 (English)In: Cogent Psychology, E-ISSN 2331-1908, Vol. 11, no 1, article id 2424613Article in journal (Refereed) Published
Abstract [en]

Coping strategies, perceived environmental exposure control and mental distress appear to be important concepts in persons with symptoms associated with environmental factors (SAEF), but their interplay is not well documented. The objective was to investigate (i) use of coping strategies, (ii) prevalence of perceived exposure control, (iii) whether the control is associated with mental distress and SAEF type, and (iv) whether coping strategies are associated with mental distress in SAEF regarding chemicals (SAEF-C), buildings (SAEF-B), electromagnetic fields (SAEF-EMF) and sounds (SAEF-S) in a general population. Cross-sectional population-based data (n = 391) and validated questionnaire instruments were used to assess symptoms of anxiety, depression, burnout and sleep disturbance, applying analysis of covariance and hierarchical regression analysis. The most used problem- and emotion-focused coping strategies were avoiding environments and accepting the situation, respectively. A majority of those with SAEF-C (71.7%), SAEFF-EMF (75.9%) and SAEF-S (64.1%), but not SAEF-B (36.4%) were able to control the adverse exposure, and low level of control was associated with anxiety, depression, burnout and sleep disturbance in all four SAEF types. Use of the strategies avoidance and eating/drinking/smoking were associated with depression, and reprioritizing with burnout. An implication of the results is that suitable coping strategies and perceived control may be considered as part of treatment of SAEF.

Place, publisher, year, edition, pages
Taylor & Francis, 2024
Keywords
Idiopathic environmental intolerance, anxiety, depression, burnout, sleep disturbance, population-based, Environmental Psychology, Health Psychology, Mental Health
National Category
Psychology Public Health, Global Health and Social Medicine
Identifiers
urn:nbn:se:umu:diva-232388 (URN)10.1080/23311908.2024.2424613 (DOI)001349353600001 ()2-s2.0-85209558875 (Scopus ID)
Funder
AFA Insurance, 190082
Available from: 2024-11-29 Created: 2024-11-29 Last updated: 2025-02-20Bibliographically approved
Westerberg, K., Lundmark, R., Nordin, M., Romeo, M. & Yepes-Baldó, M. (2024). Overcommitment and employee outcomes in Swedish eldercare: the buffering effects of role clarity and leader support. International Journal of Care and Caring
Open this publication in new window or tab >>Overcommitment and employee outcomes in Swedish eldercare: the buffering effects of role clarity and leader support
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2024 (English)In: International Journal of Care and Caring, ISSN 2397-8821, E-ISSN 2397-883X Article in journal (Refereed) Epub ahead of print
Abstract [en]

Poor working conditions and high employee turnover in eldercare have frequently been addressed over the years. The aim of the study is to examine the relation between work overcommitment and employee well-being and turnover intentions in eldercare and whether leader support and role clarity moderate the relation between overcommitment and employee outcomes. A questionnaire was distributed to workplaces in eight Swedish municipalities. The results show that overcommitment was related to employees’ impaired well-being, as well as to their turnover intentions. We also found that leader support buffered the negative effects of overcommitment. The role clarity was quite high; however, it did not have a moderating effect.

Place, publisher, year, edition, pages
Bristol University Press, 2024
Keywords
overcommitment, support, well-being, turnover intention
National Category
Applied Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:umu:diva-227745 (URN)10.1332/23978821y2024d000000062 (DOI)001265890900001 ()
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2015-00708
Available from: 2024-07-07 Created: 2024-07-07 Last updated: 2025-01-12
Nordin, M., Sundström, A., Hakelind, C. & Nordin, S. (2024). Self-rated health and its bidirectional relationship with burnout, sleep quality and somatic symptoms in a general adult population. BMC Public Health, 24(1), Article ID 2094.
Open this publication in new window or tab >>Self-rated health and its bidirectional relationship with burnout, sleep quality and somatic symptoms in a general adult population
2024 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 24, no 1, article id 2094Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to investigate how self-rated health (SRH) reflects ongoing ill-health and how SRH is associated with previous ill-health and/or predicts future ill-health such as burnout, disturbed sleep, and somatic symptoms. The study used two waves from the population-based Västerbotten Environmental and Health Study in which 2 336 adult persons participated by answering a questionnaire at two time points three years apart. Hierarchical and logistic regression analyses were conducted, thus treating all variables both continuously (degree) and categorically (case). The analyses were performed both cross-sectionally and longitudinally. The results showed bidirectionality between suboptimal SRH and burnout, disturbed sleep and somatic severity caseness. Moreover, degree of poor SRH was more likely to occur simultaneously to high degrees of burnout and somatic severity than to degree of poor sleep quality. Also, caseness of burnout, disturbed sleep and somatic severity increased the risk of simultaneous suboptimal SRH. Finally, the results showed that degree of burnout three years earlier, predicted degree of poor SRH, and that degree of poor SRH predicted degree of sleep three years later. In conclusion, in a population-based, normal adult sample there is a bidirectional relationship between suboptimal SRH and caseness of burnout, disturbed sleep quality and somatic symptoms, but not between degree of these symptoms. The results can have implications for health care meeting patients complaining about poor general health.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024
National Category
Public Health, Global Health and Social Medicine Psychology
Identifiers
urn:nbn:se:umu:diva-228429 (URN)10.1186/s12889-024-19325-9 (DOI)001283385800006 ()39095764 (PubMedID)2-s2.0-85200270872 (Scopus ID)
Available from: 2024-08-14 Created: 2024-08-14 Last updated: 2025-04-30Bibliographically approved
Nordin, S., Norberg, M., Braf, I., Johansson, H., Lindahl, B., Lindvall, K., . . . Näslund, U. (2023). Associations between emotional support and cardiovascular risk factors and subclinical atherosclerosis in middle-age. Psychology and Health
Open this publication in new window or tab >>Associations between emotional support and cardiovascular risk factors and subclinical atherosclerosis in middle-age
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2023 (English)In: Psychology and Health, ISSN 0887-0446, E-ISSN 1476-8321Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objective: To test the hypothesis of low emotional support being associated with lifestyle and biomedical cardiovascular disease (CVD) risk factors, estimated risk of CVD morbidity and mortality, and subclinical atherosclerosis in middle-aged healthy adults.

Methods and measures: Cross-sectional data were obtained from participants aged 40–60 years who had one or more conventional CVD risk factor. They underwent assessment based on questionnaires, clinical examination, blood sampling, and carotid ultrasound of plaque formation and carotid intima-media wall thickness (cIMT). Based on the Interview Schedule for Social Interaction, the participants were categorised as either low in emotional support (n = 884) or as a referent (n = 2570). Logistic regression analyses were conducted to study the associations.

Results: Logistic regression analyses showed that low emotional support was significantly associated with smoking, alcohol consumption and physical inactivity (OR = 1.53 − 1.94), estimated risk of CVD morbidity and mortality (OR = 1.56 − 1.68), and plaque formation (OR = 1.39). No significant associations were found regarding biomedical CVD risk factors or cIMT.

Conclusion: The findings suggest that low social support is associated with lifestyle CVD risk factors, estimated risk of CVD morbidity and mortality, and subclinical atherosclerosis in middle-aged healthy adults, encouraging causal evaluation with longitudinal data investigating an impact of emotional support on mechanisms underlying CVD.

Place, publisher, year, edition, pages
Routledge, 2023
Keywords
Cardiovascular disease, cardiovascular risk score, carotid artery plaque, carotid vascular ultrasound, social support
National Category
Public Health, Global Health and Social Medicine Cardiology and Cardiovascular Disease
Identifiers
urn:nbn:se:umu:diva-217344 (URN)10.1080/08870446.2023.2286296 (DOI)001106093300001 ()37994844 (PubMedID)2-s2.0-85177567916 (Scopus ID)
Available from: 2023-12-01 Created: 2023-12-01 Last updated: 2025-04-24
Sundström, A., Söderholm, A., Nordin, M. & Nordin, S. (2023). Construct validation and normative data for different versions of the Shirom-Melamed burnout questionnaire/measure in a Swedish population sample. Stress and Health, 39(3), 499-515
Open this publication in new window or tab >>Construct validation and normative data for different versions of the Shirom-Melamed burnout questionnaire/measure in a Swedish population sample
2023 (English)In: Stress and Health, ISSN 1532-3005, E-ISSN 1532-2998, Vol. 39, no 3, p. 499-515Article in journal (Refereed) Published
Abstract [en]

The overall aim of the present study was to examine the construct validity of different versions of the Shirom-Melamed Burnout Questionnaire/Measure (SMBQ/M) suggested in previous work, as well as to provide normative data for a large population-based sample in Sweden with a broad range in age. Cross-sectional data from the Västerbotten Environmental Health Study in Sweden were used. The 3406 participants (56% women) in this study, aged 18–79 years, constituted a random sample stratified for age and sex. Participants responded to a questionnaire including the 4-factor 22-item version of the SMBM as well as background questions and a number of validated questionnaire instruments assessing for example, sleep disturbance, depression, anxiety, perceived stress, and somatic symptoms. The dimensionality of different versions of the SMBM were examined with confirmatory factor analysis. A modified 4-factor 19-item model of the SMBM provided good model-fit, and two 2-factor models (11-item and 6-item) provided excellent model fit. The relationships to relevant psychological constructs provided support for convergent validity for the suggested versions of the SMBM. Finally, normative data were obtained for a broad age group for the different versions. In conclusion, we suggest that for assessing the core of the burnout construct in terms of emotional and physical exhaustion and cognitive weariness, the SMBM-11 or SMBM-6 for repeated measures, are to be used. For a broader assessment of burnout incorporating both symptoms and information about the process of exhaustion via the subscales of listlessness and tension, we recommend the use of the modified 4-factor SMBM-19.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
burnout, confirmatory factor analysis, convergent validity, epidemiology, SMBM, SMBQ
National Category
Public Health, Global Health and Social Medicine Applied Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:umu:diva-200240 (URN)10.1002/smi.3200 (DOI)000862958100001 ()36166816 (PubMedID)2-s2.0-85139006816 (Scopus ID)
Funder
AFA Insurance, 190082
Note

First published online: 27 September 2022

Available from: 2022-10-13 Created: 2022-10-13 Last updated: 2025-02-20Bibliographically approved
Andersson, J., Sundström, A., Nordin, M., Segersson, D., Forsberg, B., Adolfsson, R. & Oudin, A. (2023). Pm2.5 and dementia in a low exposure setting: the influence of odor identification ability and APOE. Journal of Alzheimer's Disease, 92(2), 679-689
Open this publication in new window or tab >>Pm2.5 and dementia in a low exposure setting: the influence of odor identification ability and APOE
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2023 (English)In: Journal of Alzheimer's Disease, ISSN 1387-2877, E-ISSN 1875-8908, Vol. 92, no 2, p. 679-689Article in journal (Refereed) Published
Abstract [en]

Background: Growing evidence show that long term exposure to air pollution increases the risk of dementia.

Objective: The aim of this study was to investigate associations between PM2.5 exposure and dementia in a low exposure area, and to investigate the role of olfaction and the APOE ε4 allele in these associations.

Methods: Data were drawn from the Betula project, a longitudinal study on aging, memory, and dementia in Sweden. Odor identification ability was assessed using the Scandinavian Odor Identification Test (SOIT). Annual mean PM2.5 concentrations were obtained from a dispersion-model and matched at the participants’ residential address. Proportional hazard regression was used to calculate hazard ratios.

Results: Of 1,846 participants, 348 developed dementia during the 21-year follow-up period. The average annual mean PM2.5 exposure at baseline was 6.77 µg/m3, which is 1.77 µg/m3 above the WHO definition of clean air. In a fully adjusted model (adjusted for age, sex, APOE, SOIT, cardiovascular diseases and risk factors, and education) each 1 µg/m3 difference in annual mean PM2.5-concentration was associated with a hazard ratio of 1.23 for dementia (95% CI: 1.01–1.50). Analyses stratified by APOE status (ε4 carriers versus non-carriers), and odor identification ability (high versus low), showed associations only for ε4 carriers, and for low performance on odor identification ability.

Conclusion: PM2.5 was associated with an increased risk of dementia in this low pollution setting. The associations between PM2.5 and dementia seemed stronger in APOE carriers and those with below average odor identification ability.

Place, publisher, year, edition, pages
IOS Press, 2023
Keywords
Alzheimer’s disease, Apolipoprotein E, olfaction, particulate matter, vascular dementia
National Category
Occupational Health and Environmental Health
Research subject
Psychology; Occupational and Environmental Medicine
Identifiers
urn:nbn:se:umu:diva-205123 (URN)10.3233/jad-220469 (DOI)000952023800024 ()36776047 (PubMedID)2-s2.0-85151044242 (Scopus ID)
Funder
EU, Horizon 2020, 814978-2Swedish Research Council Formas, 942-2015-1099
Available from: 2023-02-23 Created: 2023-02-23 Last updated: 2024-04-08Bibliographically approved
Höglund, P., Hakelind, C., Nordin, M. & Nordin, S. (2023). Risk factors for insomnia and burnout: a longitudinal population-based cohort study. Stress and Health, 39(4), 798-812
Open this publication in new window or tab >>Risk factors for insomnia and burnout: a longitudinal population-based cohort study
2023 (English)In: Stress and Health, ISSN 1532-3005, E-ISSN 1532-2998, Vol. 39, no 4, p. 798-812Article in journal (Refereed) Published
Abstract [en]

Insomnia and burnout are highly prevalent in the general population, calling for understanding of its causes. Taking a broad approach, the aim of this study was to determine various mental and somatic risk factors for development of insomnia and burnout and stratifying for sex and age group. Questionnaire data were used from a Swedish population-based sample aged 18–79 years, from which cohorts without insomnia (= 1702) and without burnout (= 1972) at baseline were followed-up after 3 years. Self-reports of eight mental and somatic conditions at baseline were used as independent variables in logistic regression analyses to predict development of insomnia and burnout at 3-year follow-up. All eight studied conditions were significant risk factors for development of both insomnia (odds ratio, OR = 1.62–2.73) and burnout (OR = 2.20–3.21). Burnout and poor self-rated health had the highest ORs for insomnia, and poor self-rated health, anxiety and somatic symptoms had the highest ORs for burnout. The ORs were generally similar between men and women, whereas age groups tended to differ in some of the risk factors. The study highlights the importance of a broad assessment of both mental and somatic conditions in the prevention of insomnia and burnout.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
epidemiology, mental health, public health, somatic health
National Category
Public Health, Global Health and Social Medicine Applied Psychology
Identifiers
urn:nbn:se:umu:diva-204764 (URN)10.1002/smi.3218 (DOI)000920645800001 ()36634111 (PubMedID)2-s2.0-85147301936 (Scopus ID)
Funder
AFA Insurance, 190082
Available from: 2023-02-21 Created: 2023-02-21 Last updated: 2025-02-20Bibliographically approved
Enkvist, H., Öhman, A., Pitkänen, M., Nordin, M. & Nordin, S. (2023). Stress, mental ill-health and functional somatic syndromes in incident and chronic sleep disturbance in a general adult population. Health Psychology and Behavioral Medicine, 11(1), Article ID 2184372.
Open this publication in new window or tab >>Stress, mental ill-health and functional somatic syndromes in incident and chronic sleep disturbance in a general adult population
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2023 (English)In: Health Psychology and Behavioral Medicine, E-ISSN 2164-2850, Vol. 11, no 1, article id 2184372Article in journal (Refereed) Published
Abstract [en]

Objective: Sleep disturbance may constitute health problems for the afflicted individual, but documentation of its chronicity is sparse. The objective was to investigate the extent to which incident and chronic sleep disturbance are associated with stress, mental ill-health and functional somatic syndromes.

Design: This was a prospective, longitudinal study with 3-year interval between two assessments (T1 and T2), with a population-based sample forming groups with incident sleep disturbance (disturbance only at T2; n = 303), chronic sleep disturbance (disturbance at T1 and T2; n = 343) and without sleep disturbance (neither at T1 nor T2; n = 1421). Questionnaire data were used at T2 of physician-based diagnosis of anxiety disorder, depression, exhaustion syndrome, and functional somatic syndrome as well as of degree of stress, burnout, anxiety and depression.

Results: Significant associations were found between chronic sleep disturbance and all four diagnoses (odds ratios = 1.74–2.19), whereas incident sleep disturbance was associated only with exhaustion syndrome and depression (odds ratios = 2.18–2.37). Degree of stress, burnout, anxiety and depression increased significantly from the referents to incident and chronic sleep disturbance, in that order (eta2 = 0.083–0.166), except for the two latter groups not differing in depression.

Conclusion: The findings imply that healthcare professionals should be observant regarding various conditions of, apart from stress, mental ill-health and functional somatic syndromes in patients who present themselves with sleep disturbance, and in particular chronic disturbance.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Anxiety, burnout, depression, insomnia, population-based
National Category
Applied Psychology Public Health, Global Health and Social Medicine Psychiatry
Identifiers
urn:nbn:se:umu:diva-206202 (URN)10.1080/21642850.2023.2184372 (DOI)000945621000001 ()36925761 (PubMedID)2-s2.0-85150529128 (Scopus ID)
Funder
AFA Insurance, 190082
Note

This study is an extension of undergraduate theses by Hampus Enkvist, Albin Öhman and Matias Pitkänen. 

Available from: 2023-04-03 Created: 2023-04-03 Last updated: 2025-02-20Bibliographically approved
Projects
The effects of noise, socioeconomic status and genetics in the relationship between air pollution and dementia [2015-1099_Formas]; Umeå UniversityProWorkNet - an international network for occupational health research with focus on organization and social relations and their impact on work and health [2019-01304_Forte]; Umeå University
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-6936-5126

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