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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, Social Medicine and Epidemiology Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:umu:diva-217344 (URN)10.1080/08870446.2023.2286296 (DOI)37994844 (PubMedID)2-s2.0-85177567916 (Scopus ID)
Available from: 2023-12-01 Created: 2023-12-01 Last updated: 2023-12-01
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, Social Medicine and Epidemiology 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: 2023-09-04Bibliographically 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: 2024-03-18Bibliographically 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, Social Medicine and Epidemiology 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: 2024-01-08Bibliographically 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, Social Medicine and Epidemiology 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: 2023-04-03Bibliographically approved
Romeo, M., Yepes-Baldó, M., Nordin, M., Westerberg, K., Lundmark, R. & Morales, P. (2023). The influence of job crafting on the quality of care provided by nursing home employees: the moderating effect of organizational identification. Current Psychology, 42, 10613-10628
Open this publication in new window or tab >>The influence of job crafting on the quality of care provided by nursing home employees: the moderating effect of organizational identification
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2023 (English)In: Current Psychology, ISSN 1046-1310, E-ISSN 1936-4733, Vol. 42, p. 10613-10628Article in journal (Refereed) Published
Abstract [en]

Our goal was to analyze the positive effect of job crafting activities involving nursing home employees on their perceived quality of care, and the moderating effect of organizational identification. A two-wave non-experimental design (with an interval of 12 months) was used. The Job Crafting Questionnaire, the Identification-Commitment Inventory, and the Quality of Care Questionnaire (QoC) were administered to 226 nursing home employees in two waves. The results of the hierarchical regression analyses found significant association between job crafting subdimensions and quality of care twelve months later. Organizational identification was shown to play a moderating role in these relationships when analyzing the effect of cognitive crafting. In this sense, the effect of cognitive crafting on quality of care is only found with high levels of identification. The findings highlight the importance of the job crafting dimensions (task, relational and cognitive) when it comes to enhancing quality of care in residential homes for the elderly. This is especially relevant for cognitive crafting among employees with high levels of organizational identification. This research provides managers with guidance when allocating job crafting opportunities aimed at making improvements in quality of care. In this respect, organizations must offer job crafting training to stimulate and support their employees and, on the other hand, managers should encourage employees to craft their jobs, gearing their needs, abilities, and goals to corporate values and competencies.

Place, publisher, year, edition, pages
Springer, 2023
Keywords
Elderly care, Job crafting, Nursing home employees, Organizational identification, Perceived quality of care
National Category
Applied Psychology Work Sciences
Research subject
Psychology; caring sciences in social sciences
Identifiers
urn:nbn:se:umu:diva-188616 (URN)10.1007/s12144-021-02317-y (DOI)000702800500001 ()2-s2.0-85116303157 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2015-00708
Available from: 2021-10-15 Created: 2021-10-15 Last updated: 2023-07-14Bibliographically approved
Andersson, J., Oudin, A., Nordin, S., Forsberg, B. & Nordin, M. (2022). PM2.5 exposure and olfactory functions. International Journal of Environmental Health Research, 32(11), 2484-2495
Open this publication in new window or tab >>PM2.5 exposure and olfactory functions
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2022 (English)In: International Journal of Environmental Health Research, ISSN 0960-3123, E-ISSN 1369-1619, Vol. 32, no 11, p. 2484-2495Article in journal (Refereed) Published
Abstract [en]

Growing evidence indicates that air pollution can negatively impact cognitive functions. The olfactory system is interesting in this context as it is directly exposed to pollutants and also associated with cognitive functions. The aim of this study was to investigate long- and short-term PM2.5 exposure in association with olfactory functions. Scores from odor tests were obtained from the Betula project - a longitudinal cohort study. Estimates of annual mean PM2.5 concentrations at the participants' residential address were obtained from a dispersion-model. Daily mean PM2.5 concentrations were obtained from a measuring station close to the test location. We found a positive association between long-term PM2.5 exposure and odor identification, i.e. exposure was associated with a better ability to identify odors. We also found an interaction effect between PM2.5 and age on odor identification. We found no associations between any PM2.5 exposure and odor detection or between short-term PM2.5 exposure and olfactory functions.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2022
Keywords
air pollution, olfaction
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:umu:diva-187140 (URN)10.1080/09603123.2021.1973969 (DOI)000691497900001 ()34461775 (PubMedID)2-s2.0-85113945507 (Scopus ID)
Funder
Swedish Research Council Formas, 942-2015-1099EU, Horizon 2020, H2020-MG-2018-2019-2020
Available from: 2021-09-03 Created: 2021-09-03 Last updated: 2023-02-23Bibliographically approved
Azfar, H. S., Dzhusupov, K. O., Orru, H., Nordin, S., Nordin, M. & Orru, K. (2021). Cardiovascular Disease and Mental Distress Among Ethnic Groups in Kyrgyzstan. Frontiers In Public Health, 9, Article ID 489092.
Open this publication in new window or tab >>Cardiovascular Disease and Mental Distress Among Ethnic Groups in Kyrgyzstan
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2021 (English)In: Frontiers In Public Health, ISSN 2296-2565, Vol. 9, article id 489092Article in journal (Refereed) Published
Abstract [en]

The purpose of this study was to characterize different ethnic groups in Kyrgyzstan regarding cardiovascular disease (CVD) and mental distress, and to investigate the association between CVD and mental distress. The mental distress was measured in terms of sleep disturbance, burnout, and stress.

Materials and Methods: A cross-sectional study was carried out among six ethnic groups in Kyrgyzstan, aged 18 years and above. The sample was stratified for age, education, family status, and income. We used the Karolinska Sleep Questionnaire to assess sleep disturbance, the physical and emotional subscale of the Shirom Melamed Burnout Questionnaire to assess burnout, and the 10-item Perceived Stress Scale to assess perceived stress.

Results: The distribution of CVD differed significantly between the six ethnic groups, with higher prevalence among East Europeans, and Western Asians and lower among Other minorities and Central Asians. In all ethnic groups in Kyrgyzstan, individuals with CVD had increased odds of sleep disturbance and burnout. There was a significant difference in burnout and stress between persons with and without CVD in Kyrgyz and East European ethnic groups.

Conclusion: There was a significant difference in burnout and stress between persons with and without CVD in Kyrgyz and East European ethnic groups. In addition to CVD prevention, mitigating sleep disturbance and preventing burnout in the general population should be aimed at in public health measures.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2021
Keywords
cardiovascular disease, Central Asia, ethnicity, mental distress, minority
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-183703 (URN)10.3389/fpubh.2021.489092 (DOI)000651392400001 ()2-s2.0-85106042807 (Scopus ID)
Funder
AFA Insurance, 190082
Available from: 2021-05-31 Created: 2021-05-31 Last updated: 2023-09-05Bibliographically approved
Lundmark, R., Nordin, M., Yepes-Baldó, M., Romeo, M. & Westerberg, K. (2021). Cold wind of change: associations between organizational change, turnover intention, overcommitment and quality of care in Spanish and Swedish eldercare organizations. Nursing Open, 8(1), 163-170
Open this publication in new window or tab >>Cold wind of change: associations between organizational change, turnover intention, overcommitment and quality of care in Spanish and Swedish eldercare organizations
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2021 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 8, no 1, p. 163-170Article in journal (Refereed) Published
Abstract [en]

Aim: To examine the association between organizational change, turnover intentions, overcommitment and perceptions of quality of care among nurses and nursing assistants employed in eldercare organizations.

Design: A longitudinal survey (baseline, 12‐month follow‐up) was used.

Methods: A panel sample of 226 eldercare employees in Spain and Sweden responded to survey questions concerning organizational change, turnover intentions, overcommitment and perceptions of quality of care. The data were analysed using structural equational modelling.

Results: We found a statistically significant positive relationship between organizational change, employees’ turnover intention and overcommitment. We also found a statistically significant negative relationship between organizational change and perceived quality of care.

Place, publisher, year, edition, pages
John Wiley & Sons, 2021
Keywords
care of older people, eldercare, organizational change, overcommitment, quality of care, turnover intentions
National Category
Psychology (excluding Applied Psychology)
Research subject
Psychology
Identifiers
urn:nbn:se:umu:diva-174827 (URN)10.1002/nop2.615 (DOI)000565315400001 ()2-s2.0-85090117620 (Scopus ID)
Available from: 2020-09-09 Created: 2020-09-09 Last updated: 2023-03-24Bibliographically approved
Westerberg, K., Pienaar, J., Nordin, M., Romeo, M. & Yepes-Baldó, M. (2021). Organizational change and commitment: Effects on well-being, turnover intent and quality of care in Spanish and Swedish eldercare. Economic and Industrial Democracy, 42(4), 899-916
Open this publication in new window or tab >>Organizational change and commitment: Effects on well-being, turnover intent and quality of care in Spanish and Swedish eldercare
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2021 (English)In: Economic and Industrial Democracy, ISSN 0143-831X, E-ISSN 1461-7099, Vol. 42, no 4, p. 899-916Article in journal (Refereed) Published
Abstract [en]

Frequent organizational changes have been a rule rather than an exception in many European countries for decades. The present study investigates how affective organizational commitment relates to and moderates the effects of having been exposed to organizational restructuring on employee well-being, quality of care and turnover intentions among 530 eldercare employees in Sweden and Spain. The results show that there was a main effect of employees’ experiences of being affected by change on well-being and turnover intentions but not on quality of care. Restructuring changes were moderated by affective commitment on turnover intentions. However, the buffering effect of affective commitment in terms of protecting employees from turnover intentions was weak.

Place, publisher, year, edition, pages
Sage Publications, 2021
Keywords
Commitment, organizational change, quality of care, turnover intention, well-being
National Category
Psychology (excluding Applied Psychology)
Research subject
Psychology
Identifiers
urn:nbn:se:umu:diva-157154 (URN)10.1177/0143831X18815970 (DOI)000717046100002 ()2-s2.0-85058930548 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2015-00708
Available from: 2019-03-13 Created: 2019-03-13 Last updated: 2021-12-30Bibliographically 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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