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  • 1.
    Mather, Lisa
    et al.
    Karolinska Insitutet.
    Blom, Victoria
    Karolinska Insitutet.
    Pia, Svedberg
    Karolinska Institutet.
    Stressful and traumatic life-events are associated with burnout in a population of Swedish twins2014In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 21, no 6, p. 899-907Article in journal (Refereed)
    Abstract [en]

    Background

    Most burnout studies focus on symptoms of burnout in relation to work-related stress. However, recent studies have found that familial factors and stress in the personal life may also be of importance. Stressful and traumatic life events influence how individuals cope with stress over the life course and may therefore be associated with burnout symptoms.

    Purpose

    This study aims to assess the associations between stressful and traumatic life events and burnout symptoms in a population-based sample of twins, adjusting for familial confounding.

    Methods

    In this cross-sectional questionnaire-based study of 25,378 Swedish twins, odds ratios (OR) with 95 % confidence intervals (CI) were calculated using logistic regression analysis. First, the whole sample was analysed. Secondly, a matched co-twin analysis was conducted of the same-sex twin pairs discordant on burnout, in order to adjust for familial factors.

    Results

    A history of traumatic life events was independently associated with burnout symptoms, with a cumulative effect with increasing number of events. ORs adjusted for familial confounding: 1–3 events OR 1.58 (CI = 1.21–2.07) 4 or more events OR 2.00 (CI = 1.45–2.75). Independent associations between the stressful life events: serious family problems OR 1.71 (CI = 1.36–2.15), physical illness OR 1.44 (CI = 1.17–1.77), divorce or separation OR 1.40 (CI = 1.15–1.70), and burnout symptoms were also found.

    Conclusions

    The results indicate that stressful and traumatic life events are of importance in the burnout process. This finding may have implications in efforts to prevent burnout.

  • 2.
    Svedberg, Pia
    et al.
    Karolinska Institutet.
    Mather, Lisa
    Karolinska Institutet.
    Bergström, Gunnar
    Karolinska Institutet.
    Lindfors, Petra
    Stockholms universitet.
    Blom, Victoria
    Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Sport Psychology research group.
    Work-Home Interference, Perceived Total Workload, and the Risk of Future Sickness Absence Due to Stress-Related Mental Diagnoses Among Women and Men: a Prospective Twin Study.2018In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 25, no 1, p. 103-111Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Work-home interference has been proposed as an important explanation for sickness absence (SA). Previous studies show mixed results, have not accounted for familial factors (genetics and shared everyday environment), or investigated diagnosis specific SA. The aim was to study whether work-home interference and perceived total workload predict SA due to stress-related mental diagnoses, or SA due to other mental diagnoses, among women and men, when adjusting for various confounders and familial factors.

    METHODS: This study included 11,916 twins, 19-47 years (49% women). Data on work-to-home and home-to-work conflicts, perceived total workload, and relevant confounders were derived from a 2005 survey, and national register data on SA spells until 2013 were obtained. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated. Discordant twin pair design was applied to adjust for familial factors.

    RESULTS: Each one unit increase in work-to-home and home-to-work conflicts, and perceived total workload was associated with higher odds for SA due to stress-related mental diagnoses and to SA due to other mental diagnoses among women, when adjusting for sociodemographic factors (ORs 1.15-1.31). Including health or familial factors, no associations remained. For men, each one unit increase in work-to-home conflicts was associated with higher odds for SA due to stress-related diagnoses (ORs 1.23-1.35), independently of confounders.

    CONCLUSION: Work-to-home conflict was independently associated with future SA due to stress-related diagnoses among men only. Health- and work-related factors seem to be important confounders when researching work-home interference, perceived total workload, and SA. Not including such confounders involves risking drawing incorrect conclusions. Further studies are needed to confirm sex differences and whether genetic factors are important for the associations studied.

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