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  • 1.
    Anderzén, Ingrid
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Demmelmaier, Ingrid
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Hansson, Ann-Sophie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Johansson, Per
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Economics. Uppsala University, Units outside the University, Office of Labour Market Policy Evaluation.
    Lindahl, Erica
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Economics. Uppsala University, Units outside the University, Office of Labour Market Policy Evaluation.
    Winblad, Ulrika
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Samverkan i Resursteam: effekter på organisation, hälsa och sjukskrivning2008Report (Other academic)
    Abstract [sv]

    Vi utvärderar samverkansformen Resursteam, som bedrivits som ett försök för att minska långa sjukskrivningar. Resursteam innebär att ett team med hand-läggare från Försäkringskassan, husläkare, sjukgymnast och beteendevetare, vid regelbundna möten bedömer sjukskrivna personers rehabiliteringsbehov och ger förslag på åtgärder. Det övergripande syftet är att skatta effekten av Resursteam på den försäkrades sjukskrivningslängd och självskattade hälsa. Vi har genomfört (i) en kartläggning av verksamheten, (ii) en enkätstudie till sjuk-skrivna som deltagit i Resursteam och till jämförelsepersoner samt (ii) skattat effekten av Resursteam på självskattad hälsa och sjukskrivning. Resultaten är entydiga och visar på inga eller negativa effekter för de personer som ingått i Resursteam. Som exempel kan nämnas att tiden i sjukskrivning förlängs med cirka 20 procent i genomsnitt.

  • 2.
    Anderzén, Ingrid
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Hansson, Ann-Sophie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Lytsy, Per
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Liljestam Hurtigh, Anna
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Slutrapport – NySatsa Haninge: Projekt med syfte att främja individens möjligheter till återgång i arbete genom individuell utveckling och vägledning2010Report (Other academic)
  • 3.
    Hansson, Ann-Sophie
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Public Health and Caring Sciences. Socialmedicin and Center for Environmental Illness and Stress Disorders, CEOS, Uppsala Academic Hospital.
    Church Conflicts - The Psychosocial Work Environment of the Parishes.2000In: American Conference of Sociology and Religion, Washington DC, 2000, 2000Conference paper (Other scientific)
    Abstract [en]

    The Church of Sweden faces major changes in the years to come. It will be disestablished January 1, 2000. There are many signs of the Church being one of the worst employers when you consider the psychosocial work environment. There are numerous conflicts in the parishes and the reasons suggested are also numerous: poor leadership; theological disputes; the expectations of a good working life in a Christian setting and a denial of problems; The Christian belief itself.

    Diocesan officers, and officers of the Swedish labor inspectorate have been interviewed on their experiences on church conflicts, the causes, patterns and possible ways of resolving them. Approx. 200 Inspection Documents from the Swedish labor inspectorate have been explored. The results suggest that there be no one single explanation to the situation. Several factors, present at the same time, form the reasons for the situation; The leadership, the distribution of responsibilities in the parish, the lack objectives for the Parish, the expectations for a problem free working life. These and other factors vary in correlation.

  • 4.
    Hansson, Ann-Sophie
    Kompetenscentrum för hälsa, Landstinget Västmanland.
    Coachning som rehabiliteringsmetod2014Report (Other academic)
    Abstract [sv]

    Av de 100 deltagare, 74 kvinnor och 26 män, som inkluderades i projektet har 86 avslutat coachprogrammet. Av dem har 69 personer (80 %) vid 12 månaders uppföljningen minskat sin sjukskrivningsgrad och återgått helt eller delvis i arbete. I referensgruppen var det 78 % som minskat sin sjukskrivningsgrad. Det var 21 personer (24 %) som var fortsatt sjukskrivna på 100 % vid coachningens avslut, och efter 12 månader var det 16 personer (19 %). I referensgruppen var motsvarande siffror 30 respektive 22 %. Alltså något större andel sjukskrivna i referensgruppen både efter 6 och 12 månader. Samtidigt var det fler helt ”friska” i referensgruppen efter 12 månader, 68 % jämfört med coachgruppen där det bara var 63 %. Totalt är det ett bortfall på 14 personer av olika skäl. Resultatet av självskattade variabler som allmän hälsa, depressionsdjup, utmattningssyndrom, ångest och hälsorelaterad livskvalitet som vid start lång sämre till än riktvärdena förbättrades markant både vid 6 och 12 månaders mätningar till att ligga bättre än riktvärdena. Det indikerar att deltagarnas psykiska hälsa kontinuerligt förbättrats under projektet gång. En majoritet av de 86 deltagarna anger att coachningen inneburit en stor positiv förändring både vad gäller arbetsåtergång och livskvalitet. Den hälsoekonomiska rapporten visar att: samhällsbesparingarna är 80 tkr/ person jämfört med referensgruppen ca 74 tkr/person. Den hälsorelaterade livskvaliteten förbättrades signifikant.

  • 5.
    Hansson, Ann-Sophie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Coachning som rehabiliteringsmetod vid psykisk ohälsa2015In: Psykisk Hälsa, ISSN 0033-3212, Vol. 56, no 2, p. 72-81Article in journal (Other academic)
  • 6.
    Hansson, Ann-Sophie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Determinants of Individual and Organizational Health in Human Service Professions2008Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The psychosocial work environment in human service organizations is in many respects rewarding from the aspect of human interaction. However, it has also been described in several research reports as demanding and stressful both physically and mentally, resulting in a negative impact on employee health and a high degree of sickness absence. From a public health perspective it is important to focus on determinants of health in occupational groups that are characterized by caring and human relations. This thesis aims at identifying determinants of individual and organizational health in human service professions from a multifactorial perspective.

    Based on both cross-sectional and longitudinal data, four studies of various aspects of psychosocial work exposures are carried out. Study I, an explorative and qualitative study, examines determinants of the psychosocial work environment in the Church of Sweden. Study II consists of a retrospective, randomized study assessing effects of goal clarity work on organizational well-being in the Church. Study III examines exposures resulting in stress-related sick leave among elderly care employees. Study IV is a longitudinal study that assesses effects of organizational change on health and sickness absence among elderly care employees.

    The results show some positive experiences, despite overall demanding work conditions within both of the studied professions. In the Church (Paper I), experiences of freedom and influence at work and the Christian values tend be factors with modifying effect on health. Four patterns are identified for negative health impact; these include unclear organization, a sense of being different, stressful work and destructive communication style. Effects of goal clarity work (Paper II) indicate an overall positive impact on organizational well-being. In elderly care (Paper III), the results suggest, in general, a positive work climate and high effectiveness. Work related exhaustion was significantly higher among employees with stress related sickness absence. Factors of risk for being absent due to stress are approximately three times higher among employees dissatisfied with both their work and their social situations. Finally, measuring effects of organizational change (Paper IV), the results reveal evidence of unchanged self-rated health (SRH), work satisfaction and work exhaustion after reorganization. However, sickness absence increased across time and there is an indication of impaired levels of the anabolic hormone DHEA-S among those individuals affected by the reorganization.

    The results point to a challenge for further research on the interplay between perceived stressors, resources available, biological stress markers and health in order to find adequate measures for improvements in psychosocial work environment in human service professions.

    List of papers
    1. Psychosocial Work Environment in the Church of Sweden: An Explorative Study
    Open this publication in new window or tab >>Psychosocial Work Environment in the Church of Sweden: An Explorative Study
    2006 (English)In: Nonprofit Management & Leadership, ISSN 1048-6682, E-ISSN 1542-7854, Vol. 16, no 3, p. 329-343Article in journal (Refereed) Published
    Abstract [en]

    This article offers a preliminary analysis of the work environment of the national Church of Sweden. Previous research on this topic has been limited and has focused on either structural problems or leadership. This explorative study examined psychosocial work environment factors (those related to the interplay of physical, mental, organizational, and social conditions in the workplace) in the Church of Sweden and used a top-down perspective. Data including documents and interviews and were analyzed and categorized in order to identify patterns of relevance for the psychosocial work environment in the organization. The results show four themes: unclear organization structure, a sense of being different, stressful work conditions, and a destructive communication style. The psychosocial work environment within the church is complex, characterized by deep conflicts that are often not dealt with.

    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:uu:diva-97166 (URN)10.1002/nml.110 (DOI)
    Available from: 2008-04-28 Created: 2008-04-28 Last updated: 2017-12-14Bibliographically approved
    2. Goal Clarity as an Instrument for Improved Organizational Wellbeing in the Church of Sweden
    Open this publication in new window or tab >>Goal Clarity as an Instrument for Improved Organizational Wellbeing in the Church of Sweden
    2009 (English)In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 33, no 1, p. 53-58Article in journal (Refereed) Published
    Abstract [en]

    Lack of goal clarity is known to have negative effects on organizational as well as individual wellbeing. This study assesses effects of goal clarity on organizational wellbeing in the Church of Sweden. Data was based on questionnaires from a random sample of 501 parishes and 1002 individuals from the upper parish management. The response rate was 62%. The results showed significantly more positive experiences of effects of goal clarity on organizational wellbeing for those having former experience with of this type of work and among those representing larger parishes. Older employees reported a higher degree of engagement in the work while younger employees expressed a higher degree of influence. The results suggest that work with goal clarity has a positive impact on organizational wellbeing, which in turn is expected to have positive effects on employee wellbeing. Further research is required to examine the relationships between goal clarity work and organizational as well as individual wellbeing.

    Keywords
    Goal clarity work, Organizational wellbeing, The Church
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:uu:diva-97167 (URN)10.3233/WOR-2009-0843 (DOI)000268716800007 ()19597285 (PubMedID)
    Available from: 2008-04-28 Created: 2008-04-28 Last updated: 2017-12-14Bibliographically approved
    3. Risk-factors for stress-related absence among health care employees: a bio-psychosocial perspective. Associations between self-rated health, working conditions and biological stress hormones
    Open this publication in new window or tab >>Risk-factors for stress-related absence among health care employees: a bio-psychosocial perspective. Associations between self-rated health, working conditions and biological stress hormones
    2006 (English)In: Italian Journal of Public Health, ISSN 1723-7807, Vol. 3, no 3-4, p. 53-61Article in journal (Refereed) Published
    Abstract [en]

    Background

    Stress is a major cause of sickness absence and the health care sector appears to be especially at risk. This cross sectional study aimed to identify the risk factors for absence due to self-reported stress among health care employees. Methods: 225 health care employees were categorized into two groups based on presence or not of self-rated sickness absence for stress. Questionnaire data and stress sensitive hormones measurements were used.

    Results

    Employees with stress related sick leave experienced worse health, poorer work satisfaction as well as worse social and home situations than those employees without stress-related sick leave. No-significant differences were identified regarding stress-sensitive hormones. The risk for employees, not satisfied at work, of becoming absent due to stress was approximately three fold compared to those who reported being satisfied (OR 2.8, 95% confidence interval; (CI) 1.3 - 5.9). For those not satisfied with their social situation, the risk for sickness absence appeared to be somewhat higher (OR 3.2; CI 1.2 - 8.6). Individual factors such as recovery potential and meaning of life as well as work related factors such as skill development and work tempo predicted employee’ s work satisfaction.

    Conclusions

    Based on cross sectional data, work-site and individual factors as well as social situations appear to increase the risk for absence due to stress among health care employees. Lower recovery potential, higher work tempo and poor leadership appeared to be related to the high degree of work related exhaustion experienced by employees.

    Keywords
    Sickness absence, working conditions, stress hormones, health care employees
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:uu:diva-97168 (URN)
    Available from: 2008-04-28 Created: 2008-04-28 Last updated: 2011-12-20Bibliographically approved
    4. Organizational Change, Health and Sick Leave among Health Care Employees: A Longitudinal Study Measuring Stress Markers, Individual and Work Site Factors
    Open this publication in new window or tab >>Organizational Change, Health and Sick Leave among Health Care Employees: A Longitudinal Study Measuring Stress Markers, Individual and Work Site Factors
    2008 (English)In: Work & Stress, ISSN 0267-8373, E-ISSN 1464-5335, Vol. 22, no 1, p. 69-80Article in journal (Refereed) Published
    Abstract [en]

    This controlled longitudinal study was conducted to investigate the effects of organizational change on employees' self-reported health, work satisfaction, work-related exhaustion, stress, and sick leave. The population consisted of 226 employees at T1 and 198 at T2, divided into a study group affected by organizational changes, and a reference group not affected by them. Group differences for the outcome measures self-rated health (SRH), work satisfaction, work-related exhaustion, and hormones associated with stress were analysed using a two-factor ANOVA design for repeated measurements. Our findings showed no significant differences, either across time or between groups for SRH, work satisfaction, and work-related exhaustion. However, we did find significant change across time and between groups for the recovery hormone DHEA-S. Days of sick leave increased by 7% for employees in the study group and by 2% in the reference group. Serum cortisol showed significantly decreased levels across time but not between groups. The decreased recovery potential in the study group might have long-term health implications. The study points to the importance of looking at the impact of organizational change on employee well-being from a number of perspectives, such as self-reported health parameters, registered sick-leave data, and biological stress markers.

    Keywords
    organizational change, self-rated health, biological stress markers, sick leave, work related stress
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:uu:diva-97169 (URN)10.1080/02678370801996236 (DOI)000255041300005 ()
    Available from: 2008-04-28 Created: 2008-04-28 Last updated: 2017-12-14Bibliographically approved
  • 7.
    Hansson, Ann-Sophie
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Public Health and Caring Sciences. Socialmedicin.
    Kyrkan som arbetsplats - ett utvecklingsprojekt.2000In: Ge kyrkan liv - arbetsliv!, 2000, p. 26-Chapter in book (Other (popular scientific, debate etc.))
  • 8.
    Hansson, Ann-Sophie
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Public Health and Caring Sciences. Socialmedicin.
    Psychosocial Work Environment in the Church of Sweden. An Explorative Study2006In: Nonprofil Management & Leadership, ISSN 1542-7854, Vol. 16, no 3, p. 329-343Article in journal (Refereed)
    Abstract [en]

    Previous research about work environment aspects of the Church of Sweden is limited and has either focused on structural problems or leadership. This study is an explorative study and focused on the psychosocial work environment factors (factors which are related to the interplay of physical, mental, organizational and social conditions in the work) in the Church of Sweden and set out from a top-down perspective.

    Data include documents and interviews and were analyzed and categorized in order to find pattern of relevance for the psychosocial work environment in the organization.

    The result shows four themes: unclear organization structure, an idea of being different, stressful work conditions and a destructive communication style. The result emphasized that the psychosocial work environment within the Church is complex with deep conflicts, often not dealt with.

  • 9.
    Hansson, Ann-Sophie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Psychosocial Work Environment in the Church of Sweden: An Explorative Study2006In: Nonprofit Management & Leadership, ISSN 1048-6682, E-ISSN 1542-7854, Vol. 16, no 3, p. 329-343Article in journal (Refereed)
    Abstract [en]

    This article offers a preliminary analysis of the work environment of the national Church of Sweden. Previous research on this topic has been limited and has focused on either structural problems or leadership. This explorative study examined psychosocial work environment factors (those related to the interplay of physical, mental, organizational, and social conditions in the workplace) in the Church of Sweden and used a top-down perspective. Data including documents and interviews and were analyzed and categorized in order to identify patterns of relevance for the psychosocial work environment in the organization. The results show four themes: unclear organization structure, a sense of being different, stressful work conditions, and a destructive communication style. The psychosocial work environment within the church is complex, characterized by deep conflicts that are often not dealt with.

  • 10.
    Hansson, Ann-Sophie
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Public Health and Caring Sciences. Socialmedicin and Center for Environmental Illness and Stress Disorders, CEOS, Uppsala Academic Hospital.
    Psychosocial Work Environment in the Church of Sweden. An Explorative Study2007In: European Congress of Work and Organizational Psychology: Sustainable Work: Promoting Human and Organizational Vitality, 2007, p. 1172-Conference paper (Refereed)
    Abstract [en]

    Previous research about work environment aspects of the Church has either focused on leadership or on the character of conflicts in the organization. This study is focused on the psychosocial environment factors in the Church. Data include both documents from the Swedish Labor Inspection and interviews with representatives from different churches. Data was compared with regard to factors assumed to be relevant for the psychosocial work environment in the organization. The result indicated unsatisfactory work conditions such as unclear management, attitudes too focused on “taking care of people,” employees with their own goals, great expectations (external, from the society and internal, from the Church itself) on good work conditions. Another result was stressful work conditions caused by, i.e., the employees’ difficulties to draw a line between their work and private lives. It was also evident that it was more common in the Church of Sweden not to handle the problems.

  • 11.
    Hansson, Ann-Sophie
    Kompetenscentrum för hälsa, Landstinget Västmanland.
    Tvåårsuppföljning av coachprojektet2016Report (Other academic)
    Abstract [sv]

    Tvåårsuppföljningen av coachprojektet visar, enligt vår bedömning, på en god stabilitet både vad gäller deltagarnas minskade sjukskrivning och upplevda psykiska hälsa. De flesta (80 %) har alltså inte bara återfått arbetsförmågan helt eller delvis, utan av de som intervjuats upplever många också en förbättrad livskvalitet. De intervjuade (42), är samtliga mycket nöjda med sitt deltagande i projektet, och anger att de fått verktyg för att hantera sin situation i framtiden. Vi menar att hållbarheten vad gäller sjukskrivning och hälsa är god. Sjukskrivningsdata för den grupp vi använt som referensgrupp har också analyserats efter två år och resultatet för sjukskrivningar visar på icke signifikanta resultat för båda grupperna. Samtidigt är det fler sjukskrivna (procentuellt sett) i referensgruppen jämfört med coachgruppen.

  • 12.
    Hansson, Ann-Sophie
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Anderzén, Ingrid
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Goal clarity as an instrument for improved organizational well-being in the church of Sweden2009In: Work, Vol. 33, no 1, p. 53-58Article in journal (Refereed)
    Abstract [en]

    Lack of goal clarity is known to have negative effects on organizational as well as individual wellbeing. This study assesses effects of goal clarity on organizational wellbeing in the Church of Sweden. Data was based on questionnaires from a random sample of 501 parishes and 1002 individuals from the upper parish management. The response rate was 62%. The results showed significantly more positive experiences of effects of goal clarity on organizational wellbeing for those having former experience with of this type of work and among those representing larger parishes. Older employees reported a higher degree of engagement in the work while younger employees expressed a higher degree of influence. The results suggest that work with goal clarity has a positive impact on organizational wellbeing, which in turn is expected to have positive effects on employee wellbeing. Further research is required to examine the relationships between goal clarity work and organizational as well as individual wellbeing.

  • 13.
    Hansson, Ann-Sophie
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Anderzén, Ingrid
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Goal Clarity as an Instrument for Improved Organizational Wellbeing in the Church of Sweden2009In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 33, no 1, p. 53-58Article in journal (Refereed)
    Abstract [en]

    Lack of goal clarity is known to have negative effects on organizational as well as individual wellbeing. This study assesses effects of goal clarity on organizational wellbeing in the Church of Sweden. Data was based on questionnaires from a random sample of 501 parishes and 1002 individuals from the upper parish management. The response rate was 62%. The results showed significantly more positive experiences of effects of goal clarity on organizational wellbeing for those having former experience with of this type of work and among those representing larger parishes. Older employees reported a higher degree of engagement in the work while younger employees expressed a higher degree of influence. The results suggest that work with goal clarity has a positive impact on organizational wellbeing, which in turn is expected to have positive effects on employee wellbeing. Further research is required to examine the relationships between goal clarity work and organizational as well as individual wellbeing.

  • 14.
    Hansson, Ann-Sophie
    et al.
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Public Health and Caring Sciences. Socialmedicin and Center for Environmental Illness and Stress Disorders, CEOS, Uppsala Academic Hospital.
    Arnetz, Bengt B
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Public Health and Caring Sciences. Socialmedicin and Center for Environmental Illness and Stress Disorders, CEOS, Uppsala Academic Hospital.
    Anderzén, Ingrid
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Public Health and Caring Sciences. Socialmedicin and Center for Environmental Illness and Stress Disorders, CEOS, Uppsala Academic Hospital.
    Risk-factors for Stress-related Absence Among Health Care Employees: A Bio-Psychosocial Perspective. Associations Between Self-rated Health, Working Conditions and Biological Stress Hormones.2006In: Italian Journal of Public Health, ISSN 1723-7807, Vol. 3, no 3-4, p. 53-61Article in journal (Refereed)
    Abstract [en]

    Background: Stress is one of the major reasons for sickness absence and especially the health care sector appears to be at risk. This cross sectional study aimed to identify risk factors of absence due to self-reported stress among health care employees. Methods: 225 health care employees were categorized into two groups based on self-rated sickness absence for stress or not. Questionnaire data and stress sensitive hormones measurements were used. Results: Employees with stress related sick leave experienced their health, work satisfaction as well as their social- and home situation worse than employees without stress- related sick leave. No statistically significant differences were identified regarding stress-sensitive hormones. The risk for employees not satisfied at work to become absent due to stress compared to those with a sufficient work situation appears to be about three times higher (OR 2.8, 95% CI 1.3 - 5.9). For those not satisfied with their social situation, the risk for being sickness absent appear to be somewhat higher (OR 3.2; CI 1.2 - 8.6).

    Individual factors as recovery potential and meaning of life and work related factors as skill development and work tempo predicted employee’ s work satisfaction. Conclusion: Based on cross sectional data, work-site and individual factors as well as social situation appear to increase the risk for absence due to stress among health care employees. Lower recovery potential, higher work tempo and a worse leadership appeared to be related to the high degree of work related exhaustion among the employees.

  • 15.
    Hansson, Ann-Sophie
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Arnetz, Bengt B.
    Anderzén, Ingrid
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
    Risk-factors for stress-related absence among health care employees: a bio-psychosocial perspective. Associations between self-rated health, working conditions and biological stress hormones2006In: Italian Journal of Public Health, ISSN 1723-7807, Vol. 3, no 3-4, p. 53-61Article in journal (Refereed)
    Abstract [en]

    Background

    Stress is a major cause of sickness absence and the health care sector appears to be especially at risk. This cross sectional study aimed to identify the risk factors for absence due to self-reported stress among health care employees. Methods: 225 health care employees were categorized into two groups based on presence or not of self-rated sickness absence for stress. Questionnaire data and stress sensitive hormones measurements were used.

    Results

    Employees with stress related sick leave experienced worse health, poorer work satisfaction as well as worse social and home situations than those employees without stress-related sick leave. No-significant differences were identified regarding stress-sensitive hormones. The risk for employees, not satisfied at work, of becoming absent due to stress was approximately three fold compared to those who reported being satisfied (OR 2.8, 95% confidence interval; (CI) 1.3 - 5.9). For those not satisfied with their social situation, the risk for sickness absence appeared to be somewhat higher (OR 3.2; CI 1.2 - 8.6). Individual factors such as recovery potential and meaning of life as well as work related factors such as skill development and work tempo predicted employee’ s work satisfaction.

    Conclusions

    Based on cross sectional data, work-site and individual factors as well as social situations appear to increase the risk for absence due to stress among health care employees. Lower recovery potential, higher work tempo and poor leadership appeared to be related to the high degree of work related exhaustion experienced by employees.

  • 16.
    Hansson, Ann-Sophie
    et al.
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Public Health and Caring Sciences. Socialmedicin and Center for Environmental Illness and Stress Disorders, CEOS, Uppsala Academic Hospital.
    Arnetz, Bengt B
    Anderzén, Ingrid
    Stress-related Absence Among Health Care Employees: A Bio-Psychosocial Perspective.2007In: European Congress of Work and Organizational Psychology, 2007Conference paper (Refereed)
    Abstract [en]

    Objective: Stress is one of the leading reasons for sickness absence and especially the health care sector appears to be at risk and this study aimed to identify risk-factors of absence due to stress among health care employees in a cross-sectional study. Methods: 225 health care employees was categorized into two groups based on self-rated sickness absence or not. Questionnaire data and stress sensitive hormones measurements were used. Results: Strong significance between the groups was emphasized for work-related factors, social – and home situation. Stress-related sick leave was explained by unsatisfactory work conditions, social situation and less ability to recover. No statistically significant differences were identified regarding stress-sensitive hormones. Conclusions: Factors on different levels (social, work-site and individual) were found to be predictive for stress-related absence. Unexpected result, despite of the study’s cross-sectional nature, was the non-existing significance between stress hormones and stress-related absence.

  • 17.
    Hansson, Ann-Sophie
    et al.
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Public Health and Caring Sciences. Socialmedicin and Center for Environmental Illness and Stress Disorders, CEOS, Uppsala Academic Hospital.
    Arnetz, Bengt B
    Anderzén, Ingrid
    Stress-related Absence Among Health Care Employees: A Bio-Psychosocial Perspective.2006In: 14 th European Conference on Public Health, 2006Conference paper (Refereed)
    Abstract [en]

    Stress is one of the major reasons for sickness absence and especially the health care sector appears to be at risk. This cross sectional study aimed to identify risk factors of absence due to self-reported stress among health care employees.

    225 health care employees were categorized into two groups based on self-rated sickness absence for stress or not. Questionnaire data and stress sensitive hormones measurements were used. Results: Employees with stress related sick leave experienced their health, work satisfaction as well as their social- and home situation worse than employees without stress- related sick leave. No statistically significant differences were identified regarding stress-sensitive hormones. The risk for employees not satisfied at work to become absent due to stress compared to those with a sufficient work situation appears to be nearly three times higher, 2.8 (95% CI 1.3 to 5.9). For those not satisfied with their social situation, the risk for being sickness absent appears to be somewhat higher, 3.2 (CI 1.2 to 8.6). Individual factors as recovery potential and meaning of life and work related factors as skill development and work tempo predicted employee’ s work satisfaction.

    Conclusion: Based on cross sectional data, work-site and individual factors as well as social situation appear to increase the risk for absence due to stress among health care employees. Lower recovery potential, higher work tempo and a worse leadership appeared to be related to the high degree of work related exhaustion among the employees.

  • 18.
    Hansson, Ann-Sophie
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Lytsy, Per
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Anderzén, Ingrid
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Restart - Return To Work After Long-tem Sickness Absence From Work: A Quasi-experimental Study2010In: WebmedCentral REHABILITATION, ISSN 2046-1690, Vol. 1, no 12, p. WMC001209-Article in journal (Other academic)
    Abstract [en]

    Background: People with long-term sickness absence due to diffuse health problems are difficult to rehabilitate back to work. In this quasi-experimental study 48 individuals with time-limited sickness benefit were recruited to a return to work (RTW) project. The intervention group (30) participated in a 12-month programme based on a cognitive approach with the aim of strengthening the individuals’ self-esteem and empowerment. The reference group (18) received rehabilitation as usual. Methods: Evaluation methods used for the study group were self-reported questionnaires at baseline, before intervention and at follow-up after 1 year. Results: One year after the intervention 27% had returned to full or part-time work and yet another 10% were in work training and 13% in rehabilitation/treatment with an optimistic back to work prognosis. In the reference group only 1 person had partially (25%) returned to work. Subjectively rated health (SRH) and sleep quality improved following the intervention. MADRS scores decreased during the year for the intervention group. The results support the idea that return to work is an important contributor to better self-perceived mental health for people who have been outside the labour market for a long time. Conclusion: The project shows that long-term sickness absence due to diffuse and subjective health problems is not a permanent condition even in participants with substantial work absences periods. In addition, the importance of structured co-operation between the authorities and the project leaders is supported by previous research.

  • 19.
    Hansson, Ann-Sophie
    et al.
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Public Health and Caring Sciences. Socialmedicin.
    Vingård, Eva
    Department of Medical Sciences.
    Arnetz, Bengt B
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Public Health and Caring Sciences. Socialmedicin and Center for Environmental Illness and Stress Disorders, CEOS, Uppsala Academic Hospital.
    Anderzén, Ingrid
    Uppsala University, Medicinska vetenskapsområdet, Faculty of Medicine, Department of Public Health and Caring Sciences. Socialmedicin.
    Effects of organizational changes on health and sickness absence among health care employees.: A longitudninal study measuring biologic stress hormones, individual and work-site facotrs.2007In: World Conference of Stress, 2007Conference paper (Other scientific)
    Abstract [en]

    A series of organizational changes during the last decades in health care organizations have resulted in an uncertain and turbulent working life with negative effects on health and job satisfaction. The aim of this longitudinal study was to assess affects on health and sickness absence among health care employees after organizational changes. The population consisted of 278 employees divided in a study group, structurally concerned of the changes and a control group. The response rate was 81% and 74% respectively at baseline and follow up measurements. Group differences were analyzed both for an open (n= 226) and closed cohort (n= 156) using one-way ANOVA as well as a two-way ANOVA for repeated measurement in a closed cohort. To explain predictors for changed health a stepwise linear regression analysis was used. The results in the open cohort showed that the study group experienced significantly worse self-rated health and worse work satisfaction after the reorganization compared with the control group. The study group had also increased their level of work related exhaustion. The results from the closed cohort showed that the recovery hormone DHEA-S had significantly decreased and sickness absence increased among employees in the study group compared to those in the control group. Factors that best predicted changed health after the reorganization were work related exhaustion, age and coping ability. Sickness absence had increased significant for the study group at the 1-year follow up (7% and 2% respectively).

  • 20.
    Hansson, Ann-Sophie
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Vingård, Eva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine.
    Arnetz, Bengt B
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Anderzén, Ingrid
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Organizational Change, Health and Sick Leave among Health Care Employees: A Longitudinal Study Measuring Stress Markers, Individual and Work Site Factors2008In: Work & Stress, ISSN 0267-8373, E-ISSN 1464-5335, Vol. 22, no 1, p. 69-80Article in journal (Refereed)
    Abstract [en]

    This controlled longitudinal study was conducted to investigate the effects of organizational change on employees' self-reported health, work satisfaction, work-related exhaustion, stress, and sick leave. The population consisted of 226 employees at T1 and 198 at T2, divided into a study group affected by organizational changes, and a reference group not affected by them. Group differences for the outcome measures self-rated health (SRH), work satisfaction, work-related exhaustion, and hormones associated with stress were analysed using a two-factor ANOVA design for repeated measurements. Our findings showed no significant differences, either across time or between groups for SRH, work satisfaction, and work-related exhaustion. However, we did find significant change across time and between groups for the recovery hormone DHEA-S. Days of sick leave increased by 7% for employees in the study group and by 2% in the reference group. Serum cortisol showed significantly decreased levels across time but not between groups. The decreased recovery potential in the study group might have long-term health implications. The study points to the importance of looking at the impact of organizational change on employee well-being from a number of perspectives, such as self-reported health parameters, registered sick-leave data, and biological stress markers.

  • 21.
    Hansson, Per
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Education.
    Hansson, Ann-Sophie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Planlöst eller planlagt? : jämställdhetsarbete inom Svenska kyrkan1995Report (Other academic)
  • 22.
    Hansson, Per
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Educational Sciences, Department of Education.
    Hansson, Ann-Sophie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Warg, Lars-Erik
    Universitetssjukhuset Örebro.
    Arbetsmiljön i samfunden ifrågasatt2014In: Svensk kyrkotidning, ISSN 0346-2153, Vol. 110, no 10, p. 299-301Article in journal (Other academic)
  • 23.
    Holm, Lena
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine.
    Torgén, Margareta
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine.
    Hansson, Ann-Sophie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Runeson, Roma
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine.
    Josephson, Malin
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine.
    Helgesson, Magnus
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine.
    Vingård, Eva
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine.
    Återgång i arbete efter sjukskrivning för rörelseorganens sjukdomar och lättare psykisk ohälsa: en systematisk kunskapssammanställning om effekten av interventioner, rehabilitering och exponeringar på arbetet2010Book (Other academic)
  • 24.
    Lytsy, Per
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Hansson, Ann-Sophie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Anderzén, Ingrid
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Sjukförsäkringen: ett decennium av förändring2009In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 86, no 6, p. 561-571Article in journal (Refereed)
    Abstract [en]

    Just before and a few years after the turn of the millennium the burden the health insurance significantly increased in Sweden. This led to several initiatives to understand the causes and to reverse the trends. Government organizations, such as The Scientific Assessment of Health Technology, The National Board of Health and Welfare and The Social Insurance Board all contributed in different ways by producing knowledge, new guidelines as well as by changing their exercise of authority. Together with political reforms these initiatives have been effective in reducing the number of people on medical expenses insurance. If the changes reflect a better public health is, however, uncertain.

  • 25.
    Lytsy, Per
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Hansson, Ann-Sophie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Anderzén, Ingrid
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Återgång till arbete är möjlig för långtidssjukskrivna: Resultat från samverkansprojekt mellan sjukvården och Försäkringskassan2010In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, no 22, p. 1480-1482Article in journal (Refereed)
    Abstract [en]

    There is a need to develop interventions to support returning to work for patients with long-term time sick absence due to diffuse health problems. In a pilot project 30 persons with long sickness absence (mean 6 yrs) met with a motivational coach at three different occasions to go through their life history, present health situation and psychosocial/social situation. An action plan was formed by the participants and was after the intervention communicated to representatives from the social insurance office and the employment office to create a mutual understanding and facilitate the search for an employer. At evaluation after one year 27% of participants had returned to part- or full-time work and another 23% were in work training or rehabilitation activities but with a fairly good prognosis to return to work in the future. Mean MADRS-score and self-rated health had improved at the one-year follow up.

  • 26.
    Warg, Lars-Erik
    et al.
    Örebro universitetssjukhus.
    Bryngelsson, Ing-Liss
    Örebro universitetssjukhus.
    Mölleby, Göte
    Örebro universitetssjukhus.
    Hansson, Per
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Educational Sciences, Department of Education.
    Hansson, Ann-Sophie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Vihlborg, Per
    Örebro universitetssjukhus.
    Christian Denominations in Central Sweden: Sick leave, work environment and ill-health2012In: Church Work and Management in Change / [ed] Kati Niemelä, Tampere: Church Research Institute , 2012, p. 156-167Chapter in book (Refereed)
  • 27.
    Warg, Lars-Erik
    et al.
    Örebro universitetssjukhus.
    Bryngelsson, Ing-Liss
    Örebro universitetssjukhus.
    Mölleby, Göte
    Örebro universitetssjukhus.
    Vihlborg, Per
    Örebro universitetssjukhus.
    Hansson, Per
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Educational Sciences, Department of Education.
    Hansson, Ann-Sophie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Christian Denominations in Central Sweden: sick leave, work enviornment and ill-health2011Conference paper (Other academic)
    Abstract [en]

    Results in research and statistics in Sweden strongly suggest that the work environment in christian churches could be improved. Fuzzy leadership, in-built structural conflicts and inadequate internal communication are apparent. This study takes its departure from this and examines the work environment in four different christian denominations in central Sweden. The specific aim is to study the reasons behind long term sick leave in order to provide preventive measures to avoid ill-health. The study will be conducted in three phases. In Phase I, data from Statistics Sweden will be compared to information from self-administered questionnares. In Phase II, a questionnaire on psychosocial work environment and health will be distributed to all those employed in the four denominations. In Phase III, interviews with church staff, politicians, trade unions and health workers will be conducted. By integrating all the data, ways to improve the work environment for those employed will be presented.

     

  • 28.
    Warg, Lars-Erik
    et al.
    Arbets‐ och miljömedicinska kliniken Universitetssjukhuset Örebro.
    Mölleby, Göte
    Arbets‐ och miljömedicinska kliniken Universitetssjukhuset Örebro.
    Hansson, Ann-Sophie
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social Medicine.
    Vihlborg, Per
    Arbets‐ och miljömedicinska kliniken Universitetssjukhuset Örebro.
    Hansson, Per
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Educational Sciences, Department of Education.
    Bryngelsson, Ing-Liss
    Arbets‐ och miljömedicinska kliniken Universitetssjukhuset Örebro.
    ”KYRKAN ÄR NOG EN LITE SPECIELL ARBETSPLATS” Arbetsmiljö, ohälsa, sjukskrivning i fyra kristna samfund: Slutrapport till AFA Försäkring angående projektet ”Religiösa samfund i DUSTLänen:Sjukfrånvaro, arbetsmiljö och ohälsa”, mars 2013. Dnr 1000202013Report (Other academic)
    Abstract [sv]

    Rapporten redovisar material från empiriska undersökningar med fokus påarbetsmiljön inom fyra kristna samfund, Svenska kyrkan, Svenska missionskyrkan,Svenska baptistsamfundet och Pingströrelsen. Samfunden låg i Sörmlands län,Västmanlands län, Värmlands län samt Örebro län (DUST‐länen). I FAS I jämfördes desamfundsanställda i DUST‐länen med en grupp ur den arbetande befolkningen i sammalän med avseende på långtidssjukskrivningar. De samfundsanställda uppvisade intehögre eller annorlunda siffror rörande långtidssjukskrivningar, än den arbetandebefolkningen under perioden 2001 – 2009. I FAS II distribuerades en arbetsmiljöenkättill samtliga samfundsanställda inom DUST‐länen, totalt 3 436 anställda (svarsfrekvens61 %). De samfundsanställda uppvisade i jämförelser med en referensgrupp (2 010personer i de nordiska länderna), överlag inte någon annorlunda eller speciellt dåligarbetsmiljö. När vi analyserade de samfundsanställda inbördes om deras värderingarskilde sig från församlingens erhöll vi dock skillnader. Stora värderingsskillnadersignalerade en sämre upplevd arbetsmiljö och även fler långtidssjukskrivningar. Fördem som angav värderingsskillnader noteras överrisker (oddskvoter) för flera avfrågorna i intervallet 4,12 – 5,19 vilket inom arbetsmiljöforskningen anses som myckethöga överrisker. I FAS III intervjuades samfundsanställda samt personer med kunskapom samfundsarbete. Bilden som tecknades var att ledarfunktionen var viktig för enfungerande bra arbetsmiljö. Intervjupersonerna önskade en snabb handläggning avarbetsmiljöproblem, man var dock inte alltid övertygad om att samfunden hadekunskap/verktyg att identifiera problem eller att åtgärda dessa. I rapportenrekommenderas att samfunden följer Arbetsmiljölagen och det systematiskaarbetsmiljöarbete som finns för att hjälpa arbetsplatser att själva övervaka, identifieraoch åtgärda arbetsmiljöproblem. Mer forskning om betydelsen av värderingsskillnaderoch arbetsmiljö efterlyses.

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