Prolonged stress may lead to mental illness, but the prevalence of in a working age population seeking primary health care for whatever reason, is unknown. This paper seeks examine what extent this group perceives stress, as well symptoms burnout/exhaustion, depression and anxiety. In 2009, 587 patients aged 18–65 years (377 women, 210 men), with an appointment physician, participated study. A screening questionnaire questions about age, gender, marital status, employment, reason medical...

Depression presents a serious condition for the individual and major challenge to health care society. Internet-based cognitive behavior therapy (ICBT) is treatment option supported in several trials, but there as yet lack of effective studies ICBT “real world” primary settings. We examined whether differed from treatment-as-usual (TAU) reducing depressive symptoms after 3 months. TAU comprised visits general practitioner, registered nurse, antidepressant drugs, waiting list for, or...

Depression is one of the leading causes disability and affects 10-15% population. The majority people with depressive symptoms seek care are treated in primary care. Evidence internationally for high quality supports collaborative a manager. Our aim was to study clinical effectiveness manager intervention management patients depression Sweden. In pragmatic cluster randomized controlled trial 23 centers (PCCs), urban rural, included aged ≥ 18 years new (< 1 month) diagnosis. Intervention...

The objective of this study was to explore primary care patients' experiences Internet mediated cognitive behavioural therapy (iCBT) depression treatment.Qualitative study. Data were collected from focus group discussions and individual interviews.Primary care.Data analysed by systematic text condensation Malterud.Thirteen patients having received iCBT for within the PRIM-NET study.Analysis presented different aspects iCBT.The informants described a need face-to-face meetings with therapist....

Objective: To investigate the relationship between subjective symptoms of orofacial pain and oral health-related quality life (OHRQoL), as well psychological distress in population-based middle-aged women.Material methods: The two study samples comprised 1059 women, 38 50 years old, representative cross-sectional studies. Women with long-lasting, frequent or headaches, related to temporomandibular disorders (TMD), moderate-to-high estimates were analysed relation non-case group. OHRQoL was...

The current knowledge of internet-based cognitive behavior therapy (ICBT) implemented in primary care settings is sparse. Our objective was to explore therapists' experiences and attitudes ICBT, the opportunities conditions for research care, identify potential barriers implementation ICBT treatment care. Eleven therapists (of 14) participating project PRIM-NET completed a survey. Four them were selected also detailed semi-structured interview. Data from interviews analyzed qualitatively...

Abstract Aims The aim was to investigate the cross-sectional associations between personality traits, psychogenic needs and eating behaviour, describe extent which influences association behaviour weight status. Methods In 2016/17, a population-based sample of 573 women in Gothenburg, Sweden aged either 38 or 50 participated health examination. They completed Three-Factor Eating Questionnaire, measuring uncontrolled eating, emotional cognitive restraint on scale zero 100. Scores higher than...

Motivation Primary care centres are the first line of mental health service in Sweden responsible for individuals with mild to moderate severe symptoms common disorders (CMD). The aim was evaluate impact sick leave and duration patients diagnosed CMD primary a manager organisation during second year after implementation compared usual care.

Objective: Internet-delivered cognitive behavioral therapy (ICBT) is recommended as an efficient treatment alternative for depression in primary care. However, only few previous studies have been conducted at care centers (PCCs). We evaluated long-term effects of ICBT compared to usual (TAU) settings.Design: Randomized controlled trial.Setting: Patients were enrolled at16 PCCs south-west Sweden.Participants: attending and diagnosed with (n = 90).Interventions: assessed by a...

Purpose: To investigate possible association between mental stress and psychosomatic symptoms, socioeconomic status, lifestyle, as well incident mortality in a middle-aged female population followed over 37 years. Methods: A prospective observational study initiated 1968–1969, including 1462 women aged 60, 54, 50, 46, 38 years, with follow-ups 1974–1975, 1980–1981, 2000–2001, was performed. Measures included self-reported symptoms smoking, physical activity, total cholesterol,...

Objectives To study whether early and enhanced cooperation within the primary care centres (PCC) combined with workplace via a person-centred employer dialogue meeting can reduce days on sick leave compared usual manager contact for patients because of common mental disorders (CMD). Secondary aim: to lapse CMD symptoms, perceived Work Ability Index (WAI) quality life (QoL) during 12 months. Design Pragmatic cluster randomised controlled trial, randomisation at PCC level. Setting 28 PCCs in...

Objective To explore frontline employees’ experiences of how to create a purposeful sick leave and rehabilitation process (SRP) with the best interest patients’ long-term health in focus. Methods Qualitative design based on focus group interviews primary care context Region Västra Götaland, Sweden. Strategically selected professionals from different SRP organizations discussed outcomes process. Analysis was performed Systematic text condensation. Subjects General practitioners (n = 6),...

The Montgomery-Asberg Depression Rating Scale-Self (MADRS-S) and the Beck Inventory II (BDI-II) are commonly used self-assessment instruments for screening diagnosis of depression. BDI-II has 21 items MADRS-S 9 items. These have been tested with psychiatric inpatients but not in outpatient primary care, where most patients symptoms depression initially seek treatment. purpose this study was to compare these 2 care setting.Data were collected from randomized controlled trials that performed...

Women's physical and mental ill-health such as stress-related symptoms, depression, pain, hypertension urogenital health shows a marked increase around the ages 45–55 years. These women are an important group for Primary Health Care (PHC) due to their prevalent symptoms illnesses. The aim of this study was estimate prevalence somatic, psychological in aged attending PHC evaluate factors associated with severe symptoms. One hundred thirty-one were recruited from southwestern Sweden. Data...

Objective To perform a cost-effectiveness analysis of randomised controlled trial internet-mediated cognitive behavioural therapy (ICBT) compared with treatment as usual (TaU) for patients mild to moderate depression in the Swedish primary care setting. In particular, objective was assess from healthcare and societal perspective incremental ratio (ICER) ICBT versus TaU at 12 months follow-up. Design A alongside pragmatic effectiveness trial. Setting Sixteen centres (PCCs) south-west Sweden....

The fracture assessment tool (FRAX) is widely used for predicting fractures, but better methods are needed. aim of this study was to determine whether visual assessments mandibular trabecular bone could improve FRAX predictions. Three age‐cohorts women were examined twice – 499 in 1980/1981 and 412 1992/1993; 397 participated both examinations. Information on 10‐yr events available, trabeculation assessed radiographs as ‘dense’, ‘mixed’, or ‘sparse’. Fracture values, without mineral density...

The aim of this randomized controlled trial (RCT) was to investigate the effects internet-based cognitive behavior therapy (ICBT) treatment for depression compared treatment-as-usual (TAU) on improving work ability and quality life in patients with mild-to-moderate depression. We also examined whether treated ICBT returned more rapidly, that is, had fewer days sick leave, than TAU.This study is based material from PRIM-NET RCT took place between 2010 2013.Primary care centers Region Vastra...

Background: The aim of this paper was to study primary care staff members' experiences and perceptions participating in a randomized controlled trial concerning Internet therapy. Methods: Data were collected via five focus groups, each containing four eight nurses or general practitioners. systematic text condensation method described by Malterud used for thematic analysis meaning content data across cases. Results: informants believed it important conduct research within the setting, but...

Abstract Background Early identification of persons at risk sickness absence due to work-related stress is a crucial problem for society in general, and primary health care particular. Tho date, no established method do this exists. This project’s aim evaluate whether systematic early can prevent absence. paper presents the study design, procedure outcome measurements, as well allocation baseline characteristics population. Method/design The two-armed randomized controlled trial with...

The aim of this study was to explore nurses' experiences and perceptions working as care managers at primary centers.Qualitative, focus group study. Systematic text condensation used analyze the data.Primary health in region Västra Götaland Dalarna Sweden.Eight nurses were trained during three days including treatment depression how work managers. training followed by continuous support.The centers.The described their role providing additional support already existing center, teams with a...

Objective To evaluate the cost-effectiveness of a care manager (CM) programme compared with as usual (CAU) for treatment depression at primary centres (PCCs) from healthcare well societal perspective. Design Cost-effectiveness analysis. Setting 23 PCCs in two Swedish regions. Participants Patients (n=342). Main outcome measures A analysis was applied on cluster randomised trial PCC level where patients had 3 months contact CM (11 intervention PCCs, n=163) or CAU (12 control n=179), follow-up...

To explore experiences among patients with depression of contact a care manager at primary centre.A qualitative explorative study.During spring and summer 2016, 20 individual face-to-face interviews were conducted experience contact. The material was analysed using systematic text condensation.The participants described that having support in their recovery process. Care became more available, the structured continuous manager's availability contributed to trusting relationship. Having...

Objective: Explore general practitioners' (GPs') views on and experiences of working with care managers for patients treated depression in primary settings. Care are specially trained health professionals, often specialist nurses, who coordinate chronic diseases. Design: Qualitative content analysis five focus-group discussions. Setting: Primary centers the Region Västra Götaland Dalarna County, Sweden. Subjects: 29 GPs. Main outcome measures: GPs' depression. Results: GPs expressed a broad...

Abstract Objective: The aim of this study was to examine if the previously found trend increasing menopausal age is continuing, taking into consideration hormonal use and surgical menopause in both 38- 50-year-old women today. Methods: Cohort comparisons five generations population-based samples from Prospective Population Study Women Gothenburg with start 1968/1969, follow-ups 1980/1981, 1992/1993, 2004/2005, 2016/2017. Across time periods newly recruited as well earlier participants were...