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Slunga-Järvholm, Lisbeth
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Publications (10 of 35) Show all publications
Wahlström, V., Bergman, F., Öhberg, F., Eskilsson, T., Olsson, T. & Slunga-Järvholm, L. (2019). Effects of a multicomponent physical activity promoting program on sedentary behavior, physical activity and body measures: a longitudinal study in different office types. Scandinavian Journal of Work, Environment and Health, 45(5), 493-504, Article ID 3808.
Open this publication in new window or tab >>Effects of a multicomponent physical activity promoting program on sedentary behavior, physical activity and body measures: a longitudinal study in different office types
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2019 (English)In: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, Vol. 45, no 5, p. 493-504, article id 3808Article in journal (Refereed) Published
Abstract [en]

Objectives: The aim of this study was to investigate effects of a multicomponent program promoting physical activity on sedentary behavior, physical activity, and body measures, when relocating from cell offices to either a flex or cell office.

Methods: The Active Office Design (AOD) study is a longitudinal non-randomized controlled study performed in a municipality in northern Sweden. A subsample of 86 participants were randomly recruited from the AOD study to objectively measure sedentary behavior and physical activity, using ActivPAL and ActiGraph, before and after relocation to the two different office types. The multicomponent program promoting physical activity was performed in both offices. Data were analyzed using linear mixed models.

Results: Eighteen months after relocation, the total number of steps per work day increased by 21% in the flex office and 3% in the cell office group, compared to baseline. Moderate and vigorous physical activity (MVPA) during work hours increased by 42% in the flex office group and 19% in the cell office group. No changes were seen regarding sitting time at work. Small additive effects for walking and MVPA were seen for both groups during non-work time. Weight increased in the flex office group.

Conclusions: This long-term study shows that a multicomponent workplace intervention can lead to increased walking time, steps, and MVPA in a flex compared to a cell office. Small additive increases of physical activity were seen during non-work time in both groups. More long-term controlled studies are needed to confirm these results.

Place, publisher, year, edition, pages
the Nordic Association of Occupational Safety and Health (NOROSH), 2019
National Category
Occupational Health and Environmental Health Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-157427 (URN)10.5271/sjweh.3808 (DOI)000484571700009 ()30860269 (PubMedID)
Available from: 2019-03-19 Created: 2019-03-19 Last updated: 2019-10-10Bibliographically approved
Wahlström, V., Bergman, F., Öhberg, F., Stenlund, T., Olsson, T. & Slunga-Järvholm, L. (2018). A longitudinal study of physical activity in different office types. Journal of Physical Activity and Health, 15(10), S62-S62
Open this publication in new window or tab >>A longitudinal study of physical activity in different office types
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2018 (English)In: Journal of Physical Activity and Health, ISSN 1543-3080, E-ISSN 1543-5474, Vol. 15, no 10, p. S62-S62Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
Human Kinetics, 2018
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-152984 (URN)000446516100206 ()
Funder
AFA Insurance
Note

Supplement: 1

Available from: 2018-11-01 Created: 2018-11-01 Last updated: 2018-11-19Bibliographically approved
Malmberg Gavelin, H., Eskilsson, T., Boraxbekk, C.-J., Josefsson, M., Stigsdotter Neely, A. & Slunga Järvholm, L. (2018). Rehabilitation for improved cognition in patients with stress-related exhaustion disorder: RECO – a randomized clinical trial. Stress, 21(4), 279-291
Open this publication in new window or tab >>Rehabilitation for improved cognition in patients with stress-related exhaustion disorder: RECO – a randomized clinical trial
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2018 (English)In: Stress, ISSN 1025-3890, E-ISSN 1607-8888, Vol. 21, no 4, p. 279-291Article in journal (Refereed) Published
Abstract [en]

Stress-related exhaustion has been associated with selective and enduring cognitive impairments. However, little is known about how to address cognitive deficits in stress rehabilitation and how this influences stress recovery over time. The aim of this open-label, parallel randomized controlled trial (ClinicalTrials.gov: NCT03073772) was to investigate the long-term effects of 12 weeks cognitive or aerobic training on cognitive function, psychological health and work ability for patients diagnosed with exhaustion disorder (ED). One-hundred-and-thirty-two patients (111 women) participating in multimodal stress rehabilitation were randomized to receive additional cognitive training (n = 44), additional aerobic training (n = 47) or no additional training (n = 41). Treatment effects were assessed before, immediately after and one-year post intervention. The primary outcome was global cognitive function. Secondary outcomes included domain-specific cognition, self-reported burnout, depression, anxiety, fatigue and work ability, aerobic capacity and sick-leave levels. Intention-to-treat analysis revealed a small but lasting improvement in global cognitive functioning for the cognitive training group, paralleled by a large improvement on a trained updating task. The aerobic training group showed improvements in aerobic capacity and episodic memory immediately after training, but no long-term benefits. General improvements in psychological health and work ability were observed, with no difference between interventional groups. Our findings suggest that cognitive training may be a viable method to address cognitive impairments for patients with ED, whereas the effects of aerobic exercise on cognition may be more limited when performed during a restricted time period. The implications for clinical practice in supporting patients with ED to adhere to treatment are discussed.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
Keywords
burnout, stress rehabilitation, cognitive training, aerobic training, exhaustion disorder, randomized controlled trial
National Category
Applied Psychology
Identifiers
urn:nbn:se:umu:diva-147074 (URN)10.1080/10253890.2018.1461833 (DOI)000442694000001 ()29693483 (PubMedID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2009-0772Forte, Swedish Research Council for Health, Working Life and Welfare, 2013-2056Swedish Social Insurance Agency, 99368-2009/RS09Västerbotten County Council
Available from: 2018-04-26 Created: 2018-04-26 Last updated: 2019-01-07Bibliographically approved
Pettersson-Strömbäck, A., Bodin Danielsson, C., Nordin, M., Öhrn, M., Harder, M., Olsson, T., . . . Slunga-Järvholm, L. (2018). Slutrapport från AKTIKON-PROJEKTET i Örnsköldsviks kommun: Arbetsmiljö, fysisk aktivitet, hälsa och produktivitet i aktivitetsbaserad kontorsmiljö – en kontrollerad studie i Örnsköldsviks kommun. Umeå: Umeå universitet
Open this publication in new window or tab >>Slutrapport från AKTIKON-PROJEKTET i Örnsköldsviks kommun: Arbetsmiljö, fysisk aktivitet, hälsa och produktivitet i aktivitetsbaserad kontorsmiljö – en kontrollerad studie i Örnsköldsviks kommun
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2018 (Swedish)Report (Other academic)
Abstract [sv]

Projektet Aktivitetsbaserat Kontor (AktiKon) har följt och utvärderat en förändringsprocess i Örnsköldsviks kommun där tjänstemännen i kommunen flyttade från cellkontor till antingen ett aktivitetsbaserat kontor (AB-kontor) eller ett cellkontor. Syftet med forskningsprojektet var att studera effekter på arbetsmiljö, fysisk aktivitet, hälsa och produktivitet i aktivitetsbaserad kontorsmiljö och kunna jämföra med fortsatt arbete i cellkontor. Mätningar med enkäter, fokusgruppsintervjuer, gåturer och observationer utfördes 6 mån före flytt och 6 respektive 18 månader efter flytt. Individuella intervjuer av personer med upplevd funktionsnedsättning utfördes ca 10 månader efter flytt. Rörelsemätningar utfördes vid fem olika tillfällen under flyttprocessen.

I denna rapport har vi valt att redovisa enkätresultat från anställda som vi har kunnat följa över tid, d.v.s. individer där vi har resultat från enkät besvarad före flytt och från minst ett tillfälle efter flytt. Den ursprungliga studiepopulationen som studerades med denna metod bestod från början av 374 anställda och vid den sista uppföljningen, 18 månader efter flytt, av 152 anställda i AB-kontoret och 63 i cellkontoret. De två grupperna som flyttade till olika kontorsmiljöer var inte helt jämförbara. Exempelvis var det fler män och chefer som flyttade till AB-kontoret och yrkesgrupperna var inte heller lika, men alla som ingick i projektet var tjänstemän inom samma kommun.

De som flyttade till AB-kontoret upplevde den nya kontorsmiljön som estetiskt tilltalande och luftkvaliteten god. De som flyttade till nya cellkontor hade utifrån kvalitativa intervjuer inte en lika positiv uppfattning vad gäller kontorets design och inredning.

Arbetsbelastningen och olika typer av krav såg lika ut över tid för respektive grupp. Det var vid 18 månader efter flytt ingen skillnad jämfört med före flytt i hälsofrämjande arbetsfaktorer undersökta med WEMS-instrumentet (Work Experience Measurement Scale) för de som flyttat till AB-kontor. Det var inte heller någon skillnad över tid i jämförelse med de som flyttat till cellkontor. Datorstödet upplevdes mycket positivt av de som flyttade till AB-kontoret och de blev något mer nöjda än de som flyttade till cellkontor. Det fanns i AB-kontoret inte någon säker skillnad i upplevelse av samarbete mellan olika arbetsgrupper eller inom hela organisationen vid 18 månader efter flytt jämfört med utgångsläget och inte heller någon säker skillnad över tid jämfört med cellkontoret. De som flyttade till AB-kontor rapporterade efter flytten en ökad störning av ljud och besvär av bristande avskildhet. Man upplevde i genomsnitt en lägre produktivitet i AB-kontoret efter flytt och det fanns en skillnad mellan de två kontorstyperna över tid.

Cheferna var generellt nöjda med att arbeta i AB-kontor och de upplevde inte någon minskad produktivitet vid övergång till AB-kontor. I genomsnitt blev det emellertid en minskad nöjdhet med kontorets utformning i gruppen som flyttade till AB-kontor. Nöjdheten med AB-kontoret varierade beroende på yrke och typ av arbetsuppgifter. De som hade mycket enskilt och koncentrationskrävande datorarbete upplevde mindre nöjdhet efter flytt och angav att de helst ville arbeta i cellkontor om de fick välja. De som arbetade mycket i grupp, behövde vara idérika och ofta diskuterade med kollegor föredrog att arbeta i AB-kontor. Bland dem som helst ville arbeta i cellkontor fanns det en ökad förekomst av problem med stress, långvarig utmattning och psykiska besvär.

Det framkom ökade problem med koncentrationen hos de som flyttade till AB-kontor. Det fanns däremot inga säkra skillnader över tid mellan grupperna vad gäller skattning av allmän hälsa och förekomst av andra typer av besvär.

Redan före flytten hade båda grupperna tillgång till höj- och sänkbara bord och det var vanligt att arbeta stående under en rätt stor del av arbetsdagen. Efter flytten ökade tiden i gående och antal steg något i AB-kontoret jämfört med cellkontoret. I AB-kontoret fanns tillgång till gå-band, men dessa användes endast av ett fåtal anställda. Den centralt belägna öppna trappan var omtyckt och användes mycket.

Sammanfattningsvis visar studien att nöjdhet, preferens och produktivitet i AB-kontor varierar mycket beroende på vilka arbetsuppgifter man har. AB-kontoret fungerar särskilt bra för personer med ledningsuppdrag. För att AB-kontoret ska kunna fungera bra även för personer med funktionsnedsättning måste det finnas system för att fånga upp individuella problem och möjliggöra anpassningar vid behov. Detta gäller särskilt vid psykiska besvär och kognitiva svårigheter. Det är angeläget att det i AB-kontoret finns tillgång till stödytor och resurser i tillräcklig omfattning för alla de olika arbetsuppgifter som ska utföras.

En viktig erfarenhet i projektet är betydelsen av att kunna beskriva den kontext som förändringen sker i. Genom att göra en processutvärdering har det funnits möjlighet att på ett adekvat sätt tolka och förstå de effekter som framkom vid övergång till AB-kontor.

Framgångsfaktorer vid övergång till AB-kontor är noggrann kartläggning och analys före flytt, samverkan, delaktighet, överenskomna regler och förhållningssätt, och övergripande rutiner som inkluderar hela kontoret för det fortsatta arbetsmiljöarbetet.

Place, publisher, year, edition, pages
Umeå: Umeå universitet, 2018. p. 65
Series
Yrkes- och miljömedicin rapporterar, ISSN 1654-7314 ; 2018:2
National Category
Occupational Health and Environmental Health
Identifiers
urn:nbn:se:umu:diva-148549 (URN)
Available from: 2018-06-08 Created: 2018-06-08 Last updated: 2018-09-19Bibliographically approved
Eskilsson, T., Slunga Järvholm, L., Malmberg Gavelin, H., Stigsdotter Neely, A. & Boraxbekk, C.-J. (2017). Aerobic training for improved memory in patients with stress-related exhaustion: a randomized controlled trial. BMC Psychiatry, 17(1), Article ID 322.
Open this publication in new window or tab >>Aerobic training for improved memory in patients with stress-related exhaustion: a randomized controlled trial
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2017 (English)In: BMC Psychiatry, ISSN 1471-244X, E-ISSN 1471-244X, Vol. 17, no 1, article id 322Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Patients with stress-related exhaustion suffer from cognitive impairments, which often remain after psychological treatment or work place interventions. It is important to find effective treatments that can address this problem. Therefore, the aim of this study was to investigate the effects on cognitive performance and psychological variables of a 12-week aerobic training program performed at a moderate-vigorous intensity for patients with exhaustion disorder who participated in a multimodal rehabilitation program.

METHODS: In this open-label, parallel, randomized and controlled trial, 88 patients diagnosed with exhaustion disorder participated in a 24-week multimodal rehabilitation program. After 12 weeks in the program the patients were randomized to either a 12-week aerobic training intervention or to a control group with no additional training. Primary outcome measure was cognitive function, and secondary outcome measures were psychological health variables and aerobic capacity.

RESULTS: In total, 51% patients in the aerobic training group and 78% patients in the control group completed the intervention period. The aerobic training group significantly improved in maximal oxygen uptake and episodic memory performance. No additional improvement in burnout, depression or anxiety was observed in the aerobic group compared with controls.

CONCLUSION: Aerobic training at a moderate-vigorous intensity within a multimodal rehabilitation program for patients with exhaustion disorder facilitated episodic memory. A future challenge would be the clinical implementation of aerobic training and methods to increase feasibility in this patient group.

TRIAL REGISTRATION: ClinicalTrials.gov: NCT03073772 . Retrospectively registered 21 February 2017.

Place, publisher, year, edition, pages
BioMed Central, 2017
Keywords
Anxiety, Burnout, Cognition, Depression, Episodic memory, Exercise
National Category
Psychiatry
Identifiers
urn:nbn:se:umu:diva-139777 (URN)10.1186/s12888-017-1457-1 (DOI)000409560600001 ()28865430 (PubMedID)
Available from: 2017-09-22 Created: 2017-09-22 Last updated: 2018-06-09Bibliographically approved
Malmberg Gavelin, H., Stigsdotter Neely, A., Andersson, M., Eskilsson, T., Slunga Järvholm, L. & Boraxbekk, C.-J. (2017). Neural activation in stress-related exhaustion: cross-sectional observations and interventional effects. Psychiatry Research: Neuroimaging, 269, 17-25
Open this publication in new window or tab >>Neural activation in stress-related exhaustion: cross-sectional observations and interventional effects
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2017 (English)In: Psychiatry Research: Neuroimaging, ISSN 0925-4927, E-ISSN 1872-7506, Vol. 269, p. 17-25Article in journal (Refereed) Published
Abstract [en]

The primary purpose of this study was to investigate the association between burnout and neural activation during working memory processing in patients with stress-related exhaustion. Additionally, we investigated the neural effects of cognitive training as part of stress rehabilitation. Fifty-five patients with clinical diagnosis of exhaustion disorder were administered the n-back task during fMRI scanning at baseline. Ten patients completed a 12-week cognitive training intervention, as an addition to stress rehabilitation. Eleven patients served as a treatment-as-usual control group. At baseline, burnout level was positively associated with neural activation in the rostral prefrontal cortex, the posterior parietal cortex and the striatum, primarily in the 2-back condition. Following stress rehabilitation, the striatal activity decreased as a function of improved levels of burnout. No significant association between burnout level and working memory performance was found, however, our findings indicate that frontostriatal neural responses related to working memory were modulated by burnout severity. We suggest that patients with high levels of burnout need to recruit additional cognitive resources to uphold task performance. Following cognitive training, increased neural activation was observed during 3-back in working memory-related regions, including the striatum, however, low sample size limits any firm conclusions.

Place, publisher, year, edition, pages
Clare: Elsevier, 2017
Keywords
Working memory fMRI, Burnout, Stress rehabilitation, Exhaustion disorder, Cognitive training
National Category
Neurosciences Applied Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:umu:diva-139932 (URN)10.1016/j.pscychresns.2017.08.008 (DOI)000412461700003 ()28917154 (PubMedID)
Available from: 2017-10-10 Created: 2017-10-10 Last updated: 2019-01-07Bibliographically approved
Theorell, T., Jood, K., Slunga-Järvholm, L., Vingard, E., Perk, J., Ostergren, P. O. & Hall, C. (2016). A systematic review of studies in the contributions of the work environment to ischaemic heart disease development. European Journal of Public Health, 26(3), 470-477
Open this publication in new window or tab >>A systematic review of studies in the contributions of the work environment to ischaemic heart disease development
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2016 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 26, no 3, p. 470-477Article, review/survey (Refereed) Published
Abstract [en]

Background: There is need for an updated systematic review of associations between occupational exposures and ischaemic heart disease (IHD), using the GRADE system.

Methods: Inclusion criteria: (i) publication in English in peer-reviewed journal between 1985 and 2014, (ii) quantified relationship between occupational exposure (psychosocial, organizational, physical and other ergonomic job factors) and IHD outcome, (iii) cohort studies with at least 1000 participants or comparable case-control studies with at least 50 + 50 participants, (iv) assessments of exposure and outcome at baseline as well as at follow-up and (v) gender and age analysis. Relevance and quality were assessed using predefined criteria. Level of evidence was then assessed using the GRADE system. Consistency of findings was examined for a number of confounders. Possible publication bias was discussed.

Results: Ninety-six articles of high or medium high scientific quality were finally included. There was moderately strong evidence (grade 3 out of 4) for a relationship between job strain and small decision latitude on one hand and IHD incidence on the other hand. Limited evidence (grade 2) was found for iso-strain, pressing work, effort-reward imbalance, low support, lack of justice, lack of skill discretion, insecure employment, night work, long working week and noise in relation to IHD. No difference between men and women with regard to the effect of adverse job conditions on IHD incidence.

Conclusions: There is scientific evidence that employees, both men and women, who report specific occupational exposures, such as low decision latitude, job strain or noise, have an increased incidence of IHD.

National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:umu:diva-123448 (URN)10.1093/eurpub/ckw025 (DOI)000377470800024 ()27032996 (PubMedID)
Available from: 2016-07-19 Created: 2016-07-04 Last updated: 2019-06-05Bibliographically approved
Pettersson-Strömbäck, A., Nordin, M. & Slunga-Järvholm, L. (2016). Managers and coworkes perceptions of activity based work: a sub study of the aktikon project. Paper presented at 14th International Congress of Behavioral Medicine (ICBM), Melbourne, Australia, December 7-10, 2016. International Journal of Behavioral Medicine, 23, S149-S149
Open this publication in new window or tab >>Managers and coworkes perceptions of activity based work: a sub study of the aktikon project
2016 (English)In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 23, p. S149-S149Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
Springer, 2016
National Category
Psychology
Identifiers
urn:nbn:se:umu:diva-129741 (URN)000388943400468 ()
Conference
14th International Congress of Behavioral Medicine (ICBM), Melbourne, Australia, December 7-10, 2016
Note

Supplement: 1

Meeting Abstract: O468

Available from: 2017-01-10 Created: 2017-01-09 Last updated: 2018-06-09Bibliographically approved
Sonntag-Öström, E., Nordin, M., Dolling, A., Lundell, Y., Nilsson, L. & Slunga Järvholm, L. (2015). Can rehabilitation in boreal forests help recovery from exhaustion disorder?: the randomised clinical trial ForRest. Scandinavian Journal of Forest Research, 30(8), 732-748
Open this publication in new window or tab >>Can rehabilitation in boreal forests help recovery from exhaustion disorder?: the randomised clinical trial ForRest
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2015 (English)In: Scandinavian Journal of Forest Research, ISSN 0282-7581, E-ISSN 1651-1891, Vol. 30, no 8, p. 732-748Article in journal (Refereed) Published
Abstract [en]

Modern society is faced with increasing incidence of mental and behavioural disorders. The objective of this study was to evaluate whether visits to boreal forests can be utilised for rehabilitation from exhaustion disorder (ED). This randomised controlled trial comprised of a forest rehabilitation group (n = 35) and a waiting list group (control group) (n = 43) with subsequent cognitive behavioural rehabilitation (CBR) for all participants in both groups. The recovery from ED was compared between the forest rehabilitation and the control group at baseline, after the forest rehabilitation (3 months), and at the end of the CBR (1 year). Both groups had enhanced recovery from ED after the 3-month intervention period and at the end of the CBR (1 year), and there were no significant differences between the groups in terms of psychological health measures. Mental state, attention capacity and preferences for different forest environments were studied during the forest visits. Mental state was improved, but it showed some seasonal differences. A significant effect on attention capacity was found for single forest visits, but there was no effect found for the rehabilitation period as a whole. The most popular forest environments contained easily accessible, open and bright settings with visible water and/or shelter. Forest rehabilitation did not enhance the recovery from ED compared to the control group, but the participants’ well-being was improved after single forest visits.

Place, publisher, year, edition, pages
Taylor & Francis, 2015
Keywords
burnout, human health, mental disorder, nature assisted-therapy, rehabilitation, restoration, urban forestry
National Category
Occupational Health and Environmental Health
Research subject
Public health
Identifiers
urn:nbn:se:umu:diva-92558 (URN)10.1080/02827581.2015.1046482 (DOI)000361601800011 ()
Available from: 2014-08-28 Created: 2014-08-28 Last updated: 2018-06-07Bibliographically approved
Malmberg Gavelin, H., Boraxbekk, C.-J., Stenlund, T., Lisbeth, S. J. & Stigsdotter Neely, A. (2015). Effects of a process-based cognitive training intervention for patients with stress-related exhaustion. Stress, 18(5), 578-588
Open this publication in new window or tab >>Effects of a process-based cognitive training intervention for patients with stress-related exhaustion
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2015 (English)In: Stress, ISSN 1025-3890, E-ISSN 1607-8888, Vol. 18, no 5, p. 578-588Article in journal (Refereed) Published
Abstract [en]

Stress-related exhaustion has been linked to a pattern of selective cognitive impairments, mainly affecting executive functioning, attention and episodic memory. Little is known about potential treatments of these cognitive deficits. The purpose of the present study was to evaluate the effects of a process-based cognitive training intervention, designed to target the specific cognitive impairments associated with stress-related exhaustion. To this end, patients diagnosed with exhaustion disorder (ED) were randomized to either a multimodal stress rehabilitation program with the addition of a process-based cognitive training intervention (training group, n = 27) or a treatment-as-usual control condition, consisting of multimodal stress rehabilitation with no additional training (control group, n = 32). Treatment effects were evaluated through an extensive cognitive test battery, assessing both near- and far transfer effects, as well as self-report forms regarding subjective cognitive complaints and burnout levels. Results showed pronounced training-related improvements on the criterion updating task (p < 0.001). Further, evidence was found of selective near transfer effects to updating (p = 0.01) and episodic memory (p = 0.04). Also, the trained group reported less subjective memory complaints (p = 0.02) and levels of burnout decreased for both groups, but more so for the trained group (p = 0.04), following the intervention. These findings suggest that process-based cognitive training may be a viable method to address the cognitive impairments associated with ED.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2015
Keywords
burnout, cognition, executive function, exhaustion disorder, stress rehabilitation, working memory training
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:umu:diva-111130 (URN)10.3109/10253890.2015.1064892 (DOI)000369888600011 ()26305186 (PubMedID)
Available from: 2015-11-06 Created: 2015-11-06 Last updated: 2019-01-07Bibliographically approved
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