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  • 1.
    Burckhardt, Carol
    et al.
    Department of Medicine Oregon Health and Sciences University, Portland, Oregon, US.
    Liedberg, Gunilla
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Maintaining work outside the home: difficulties of newly-diagnosed young women with fibromyalgia2001In: ACR Scientific Meeting,2001, Arthritis and Reumatism , 2001, p. 165-165Conference paper (Refereed)
    Abstract [en]

      

  • 2.
    Burckhardt, Carol S.
    et al.
    School of Nursing, Oregon Health and Science University, Portland, USA.
    Liedberg, Gunilla
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Henriksson, Chris M.
    Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Health Sciences.
    Aspegren-Kendall, Sally
    Linköping University, Department of Clinical and Experimental Medicine, Rehabilitation Medicine . Linköping University, Faculty of Health Sciences.
    The Impact of Fibromyalgia on Employment Status of Newly-Diagnosed Young Women2005In: Journal of Musculoskeletal Pain, ISSN 1058-2452, Vol. 13, no 2, p. 31-41Article in journal (Refereed)
    Abstract [en]

    Objectives: To describe employment loss in young women with newly diagnosed fibromyalgia syndrome [FMS] and to identify variables that may explain early loss of employment.

    Methods: In this pilot studsy, 94 young women [18-39 years old] in the United States [USA] and Sweden completed demographics, global rating scales, and standardized questionnaires, including the Fibromyalgia Impact Questionnaire, SF-36 General Health Subscale, Beck Depression Inventory, Beck Anxiety Inventory, Arthritis Self-Efficacy Scale, Arthritis Impact Measurement Scales II Social Support Subscale, and Job Flexibility Scale, three times during the first 12 to 15 months after diagnosis.

    Results: At the time of diagnosis, 60 percent were in paid employment [USA 71 percent, Sweden 49 percent]. When the participants entered the study, within three months of diagnosis, only 46 percent were working [USA 56 percent, Sweden 37 percent]. Twelve months later, 41 percent were working [USA 55 percent, Sweden 28 percent]. Younger age, poorer physical functioning, and lower self-efficacy for pain management along with higher symptom interference with ability to do any work, and pain severity predicted unemployment with 75 percent accuracy.

    Conclusions: An early and notable decrease in the percentage of young women diagnosed with FMS and working in paid employment was seen in this pilot study. Because most of the job loss was associated with FMS symptoms, a larger study of strategies to control or ameliorate these symptoms in the work setting should be undertaken.

  • 3.
    Börsbo, Björn
    et al.
    Linköping University, Department of Medical and Health Sciences, Rehabilitation Medicine. Linköping University, Faculty of Health Sciences.
    Liedberg, Gunilla M
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Wallin, Mia
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Gerdle, Björn
    Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center. Linköping University, Department of Medical and Health Sciences, Division of Community Medicine.
    Subgroups based on thermal and pressure pain thresholds in women with chronic whiplash display differences in clinical presentation - an explorative study2012In: Journal of pain research, ISSN 1178-7090, Vol. 5, p. 511-521Article in journal (Refereed)
    Abstract [en]

    Purpose: To investigate the presence of subgroups in chronic whiplash-associated disorders (WAD) based on pain thresholds for pressure (PPT), cold (CPT), and heat (HPT) and to compare these subgroups with respect to symptomatology, disability, and health aspects. Methods: Two groups of female subjects – patients with chronic WAD (n = 28) and healthy controls (CON; n = 29) – were investigated. Quantitative sensory testing (QST) for thermal thresholds and algometry for PPT at four sites in the body (over the trapezius and tibialis anterior bilaterally) were determined. Habitual pain intensities, psychological strain, disability, and health aspects were registered using a questionnaire.Results: A cluster analysis based on PPT, CPT, and HPT identified two subgroups of chronic WAD: one sensitive subgroup (s-WAD; n = 21), and one less sensitive subgroup (ls-WAD; n = 6). S-WAD displayed widespread hyperalgesia, whereas ls-WAD had localized hyperalgesia in the neck area, with tendencies to supernormal values in remote areas of the body. Generally, s-WAD had a significantly worse situation than the CON with respect to symptomatology, disability, and health aspects. The ls-WAD group was intermediary between s-WAD and CON in these aspects.Conclusion: Different explanations, eg, severity of the pain condition per se, etiological factors, and pre-trauma differences in pain sensitivity, may exist for the differences in pain thresholds between the two subgroups. Future research should investigate the role of pain thresholds in the chronic stage to determine the efficacy of treatment interventions.

  • 4.
    Engstrand, Christina
    et al.
    Östergötlands Läns Landsting, Reconstruction Centre, Department of Plastic Surgery, Hand surgery UHL.
    Boren, Linda
    Östergötlands Läns Landsting, Reconstruction Centre, Department of Plastic Surgery, Hand surgery UHL.
    Liedberg, Gunilla
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Evaluation of Activity Limitation and Digital Extension in Dupuytrens Contracture Three Months after Fasciectomy and Hand Therapy Interventions2009In: Journal of Hand Therapy, ISSN 0894-1130, E-ISSN 1545-004X, JOURNAL OF HAND THERAPY, Vol. 22, no 1, p. 21-26Article in journal (Refereed)
    Abstract [en]

    Background: Working while exposed to motions, physically and psychologically affects a person. Traditionally, motion sickness symptom reduction has implied use of medication, which can lead to detrimental effects on performance. Non-pharmaceutical strategies, in turn, often require cognitive and perceptual attention. Hence, for people working in high demand environments where it is impossible to reallocate focus of attention, other strategies are called upon. The aim of the study was to investigate possible impact of a mitigation strategy on perceived motion sickness and psychophysiological responses, based on an artificial sound horizon compared with a non-positioned sound source.

    Methods: Twenty-three healthy subjects were seated on a motion platform in an artificial sound horizon or in non-positioned sound, in random order with one week interval between the trials. Perceived motion sickness (Mal), maximum duration of exposure (ST), skin conductance, blood volume pulse, temperature, respiration rate, eye movements and heart rate were measured continuously throughout the trials.

    Results: Mal scores increased over time in both sound conditions, but the artificial sound horizon, applied as a mitigation strategy for perceived motion sickness, showed no significant effect on Mal scores or ST. The number of fixations increased with time in the non-positioned sound condition. Moreover, fixation time was longer in the non-positioned sound condition compared with sound horizon, indicating that the subjects used more time to fixate and, hence, assumingly made fewer saccades.

    Conclusion: A subliminally presented artificial sound horizon did not significantly affect perceived motion sickness, psychophysiological variables or the time the subjects endured the motion sickness triggering stimuli. The number of fixations and fixation times increased over time in the non-positioned sound condition.

  • 5.
    Gustavsson, Martha
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences. Karolinska Institute, Sweden.
    Liedberg, Gunilla
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Larsson Ranada, Åsa
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Everyday doings in a nursing home - described by residents and staff2015In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 22, no 6, p. 435-441Article in journal (Refereed)
    Abstract [en]

    Objective: For many groups of elderly people it is important to be active, which can be hindered by disabilities that come with age. Research has progressed in this area but mostly concerns the elderly living at home. The aim of this study was to examine how residents and staff at a nursing home described the residents everyday doings. Methods: A nursing home was selected in which 15 of the residents and six of the staff were interviewed about the residents activities during an ordinary day and week. Results: The material was analysed using qualitative content analysis in which two categories emerged: shared doings and individual doings. The shared doings were important for supporting the residents in their social and physical activities, but participation in these was often hampered by reduced functions. The individual doings, where the residents own interests can be promoted, were also hampered by their disabilities. Being able to be active and having something to do were emphasized, either continuing with previous activities or participating in shared activities at the nursing home. Conclusions: Receiving care and being forced to adjust to the context at the nursing home had a significant impact on the residents daily doings. Most of the residents needed help to be able to continue performing their activities or to find new ones. The social environment consisting of other residents and staff also influenced the residents activities.

  • 6.
    Henriksson, Chris
    et al.
    Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Health Sciences.
    Liedberg, Gunilla
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Factors of Importance for Work Disability in Women with Fibromyalgia2000In: Journal of Rheumatology, ISSN 0315-162X, Vol. 27, no 5, p. 1271-1276Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To identify factors of importance for women with fibromyalgia (FM) to continue working despite the limitations imposed by the symptoms.

    METHODS: A mail questionnaire with questions regarding social background, symptoms, sickness benefits, work situation, work conditions and adjustments, opinions regarding own work ability, and satisfaction with the situation was sent to 218 consecutive women seen at a university pain or rheumatology clinic. Answers were obtained from 176 women.

    RESULTS: Pain, poor quality sleep, abnormal tiredness, muscle stiffness, and increased pain after muscle exertion were frequently reported symptoms. Fifty percent of the women were employed, 15% full-time. Twenty-three percent reported FM as the reason for not working. The work situation had been changed for 58% of the working women, and 80% counted on being able to continue working.

    CONCLUSION: Work disability is a serious concern in FM, and the majority of women with FM have limitations in their ability to work. Our results indicate that individual adjustments in the work situation need to be made and that women who have found a level matching their ability may continue to work and find it satisfactory. Early intervention in the work situation is recommended.

  • 7.
    Henriksson, Chris
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Neuroscience and Locomotion, Occupational Therapy.
    Liedberg, Gunilla
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Neuroscience and Locomotion, Occupational Therapy.
    Gerdle, Björn
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Neuroscience and Locomotion, Rehabilitation Medicine. Östergötlands Läns Landsting, Centre for Medicine, Pain and Rehabilitation Centre.
    Women with fibromyalgia: Work and rehabilitation2005In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 27, no 12, p. 685-695Article in journal (Refereed)
    Abstract [en]

    Purpose. To explore disability in women with fibromyalgia with a focus on their work situation. Method. Review of literature on work status of women with fibromyalgia. Results. Major differences exist between studies in reported disability and in the percentages of women working. Limitations caused by pain, fatigue, decreased muscle strength, and endurance influence work capacity. However, 34-77% of the women work. Individual adjustments in the work situation are reported. When the women find a level that matches their ability, they continue to work and find satisfaction in their work role. Many factors besides degree of impairment or disability influence whether clients with longstanding pain can remain in their work role or return to work after sickness leave. Conclusion. The total life situation, other commitments, type of work tasks, the ability to influence the work situation, and the physical and psychosocial work environment are important factors in determining whether a person can remain in a work role. More knowledge is needed about how to adjust work conditions for people with partial work ability to the benefit of society and the individual.

  • 8.
    Hesselstrand, Malin
    et al.
    Linköping University, Department of Medical and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center. Linköping University, Faculty of Medicine and Health Sciences.
    Samuelsson, Kersti
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Rehabilitation Medicine.
    Liedberg, Gunilla
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Occupational Therapy Interventions in Chronic Pain - A Systematic Review2015In: Occupational Therapy International, ISSN 0966-7903, E-ISSN 1557-0703, Vol. 22, no 4, p. 183-194Article, review/survey (Refereed)
    Abstract [en]

    The use of interventions based on the best available evidence in occupational therapy is essential, and evaluation of research is part of an evidence-based practice. The aim of this study was to assess the quality of studies describing and evaluating the effects of occupational therapy interventions on chronic pain. A systematic review of studies with diverse designs was carried out. A quality assessment was conducted, and the level of evidence was defined using the Research Pyramid Model. Of 19 included studies, three received the highest evidence level, and three were considered to be of high quality. The clinical recommendations that can be derived from this study are the following: occupational therapy interventions should start from the identified needs of the person with chronic pain; no support exists for the effectiveness of electromyographic biofeedback training as a supplement, more studies are needed to confirm this result; the efficacy of instructions on body mechanics was significant during work-hardening treatment; and occupational therapists need to perform and present more clinical studies of high quality and high-evidence level to build up a trustworthy arsenal of evidence-based interventions, for example, in persons with chronic pain. Copyright (C) 2015 John Wiley & Sons, Ltd.

  • 9.
    Jörgensen, Kristian
    et al.
    Leg Kiropraktorers Riksorganisation.
    Rösblad, Birgit
    Leg Sjukgymnasters Riksförbund.
    Liedberg, Gunilla
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Hur utbildas vårdens personal i rörelseorganens sjukdomar?2007Report (Other academic)
    Abstract [sv]

      

  • 10.
    Karlsson, Elin
    et al.
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Liedberg, Gunilla
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Sandqvist, Jan
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Initial evaluation of psychometric properties of a structured work task application for the Assessment of Work Performance in a constructed environment2018In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 40, no 21, p. 2585-2591Article in journal (Refereed)
    Abstract [en]

    Purpose: The Swedish Social Insurance Administration has developed a new assessment tool for sickness insurance. This study is a part of the initial evaluation of the application, called the Assessment of Work Performance, Structured Activities, and focuses on evaluation of the psychometric properties of social validity, content validity, and utility.

    Materials and methods: This was a qualitative study using semi-structured telephone interviews with occupational therapists. A convenience sample was used and participants who fulfilled inclusion criteria (n = 15) were interviewed. Data were analyzed using content analysis with a directed approach.

    Results: The results indicate that the application provides valuable information and that it is socially valid. Assessors found work tasks suitable for a diverse group of clients and reported that clients accepted the assessments. Improvements were suggested, for example, expanding the application with more work tasks.

    Conclusion: The instrument has benefits; however, further development is desired. The use of a constructed environment in assessments may be a necessary option to supplement a real environment. But depending on organizational factors such as time and other resources, the participants had different opportunities to do so. Further evaluations regarding ecological validity are essential to ensure that assessments are fair and realistic when using constructed environments.

    • Implications for rehabilitation
    • This study indicates that assessment in a constructed environment can provide a secure and protected context for clients being assessed.

    • Psychometric evaluations are a never-ending process and this assessment instrument needs further development. However, this initial evaluation provides guidance in development of the instrument but also what studies to give priority to.

    • It is important to evaluate social validity in order to ensure that clients and assessors perceive assessment methods fair and meaningful. In this study, participants found the work tasks appropriate and usable when assessing their clients but client’s perspective must also be included in following studies.

    • This assessment instrument is the only activity-based assessment instrument within the Swedish Social Security Insurance. Psychometric evaluations are important since it affects so many individuals in Sweden.

  • 11.
    Kosek, Eva
    et al.
    KI, Stockholm.
    Löfgren, Monika
    Danderyds sjukhus, Stockholm.
    Alfvén, Gösta
    KI, Stockholm.
    Arrelöv, Britt
    SLL.
    Liedberg, Gunilla
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Löfvander, Monika
    SLL.
    Nisell, Ralph
    KI, Stockholm.
    Sandberg, Ann-Marie
    KI, Stockholm.
    Regionalt vårdprogram - fibromyalgi2009Other (Other (popular science, discussion, etc.))
  • 12. Kroksmark, Ulla
    et al.
    LaCour, Karen
    Magnus, Eva
    Liedberg, Gunilla
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Hälsa - utbildning - välfärdsinstitutioner (HUV) .
    Tidsgeografisk metod-fyra applikationer ur ett aktivitetsperspektiv2007In: At-Forum 2007,2007, 2007Conference paper (Refereed)
    Abstract [sv]

       

  • 13.
    Kroksmark, Ulla
    et al.
    SU/Mölndals sjukhus Göteborgs universitet.
    Liedberg, Gunilla
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Tidsgeografisk metod - anteckna dina aktiviteter i mobil - utvärdering av arbetsterapeutiska insatser: Workshop2011Conference paper (Other academic)
  • 14.
    Liedberg, Gunilla
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Hälsa - utbildning - välfärdsinstitutioner (HUV) .
    A Follow-Up Study in Young women with Fibromyalgia Five Years after Diagnosis2005In: 11th World Congress on Pain.,2005, 2005Conference paper (Refereed)
    Abstract [en]

       

  • 15.
    Liedberg, Gunilla
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Hälsa - utbildning - välfärdsinstitutioner (HUV) .
    Factors of importance for work disability in fibromyalgia2005In: International Developments in Rehabilitation to Work,2005, 2005Conference paper (Refereed)
    Abstract [en]

      

  • 16.
    Liedberg, Gunilla
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.
    Fibromyalgi och konsekvenser i dagliga aktiviteter2008In: Smärta, ISSN 1402-1048, Vol. Nr 4, p. 20-24Article in journal (Refereed)
  • 17.
    Liedberg, Gunilla
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Hälsa - utbildning - välfärdsinstitutioner (HUV) .
    Tidsanvändning och aktivitetsmönster hos kvinnor med långvarig smärta2003In: Tidsgeografiska dagar,2003, 2003Conference paper (Other academic)
  • 18.
    Liedberg, Gunilla
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Hälsa - utbildning - välfärdsinstitutioner (HUV) .
    Time Use and Activity Patterns in Women with Fibromyalgia - a 3-year Follow-up Study2006In: 14th World Congress of Occupational Therapists,2006, 2006Conference paper (Refereed)
    Abstract [en]

         

  • 19.
    Liedberg, Gunilla
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Validitetsprövning av Quality of Life Scale: fokusgruppsintervjuer med kvinnor med fibromyalgi2013In: Best practice : yrkesdialog mellan specialister, Vol. 5, no 15, p. 23-25Article in journal (Other academic)
    Abstract [sv]

    Denna studie kompletterar den tidigare utförda studien7 på kvinnor med FM i Sverige genom att konfirmera innehållsvaliditeten i QOLS-S, dennagång med hjälp av en kvalitativ metod. Att använda sig av en kvalitativ metod i form av intervjuer för att undersöka innehållsvaliditeten i ettinstrument kan ge en djupare förståelse för de begrepp som studeras.

    Att tillfråga patienter med en viss problematik att kritiskt granska och utvärdera innehållet i ett instrument är ett vanligt tillvägagångssätt somvisade sig vara informativt i denna stu die. Resultatet kan också fungera som en påminnelse för sjukvårdspersonal om att iaktta försiktighet närdet gäller att översätta instrument för användning i andra kulturer och i nya sjukdomsgrupper. Instrumenten bör vara kulturellt och språkligt anpassade för en ny population.

  • 20.
    Liedberg, Gunilla
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Hälsa - utbildning - välfärdsinstitutioner (HUV) .
    Women with Fibromyalgia. Employment and Daily Life.2005Conference paper (Refereed)
  • 21.
    Liedberg, Gunilla
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Women with fibromyalgia: Employment and daily life2004Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Introduction: The major symptoms of fibromyalgia have been shown to severely impact everyday activities. As a consequence, many women have problems remaining in a work role. Not being able to fulfil valued roles influences quality of life. Moreover, consequences in terms of high costs in compensation for reduced work ability are also of importance for society. Today, the number of young women diagnosed with fibromyalgia is increasing.

    Objectives: The general aim of this thesis was to increase and deepen knowledge of the life situation of women with fibromyalgia; to examine how to manage a work role when in constant pain, and especially the situation for newly-diagnosed women.

    Subjects and Methods: 278 women with longstanding pain were included. The thesis includes five different studies, two of them with a focus on the work situation, two with focus on young, newly-diagnosed women’s life situation, and one investigating time-use and activity patterns in working and non-working women with fibromyalgia. Methods used are a postal questionnaire, instruments commonly used in fibromyalgia, a diary, and interviews.

    Results: Despite limitations in physical capacity, 48% of the women are working, full-time or part-time. However, most job loss is associated with the fibromyalgia symptoms, and the women report that the symptoms influence their daily activities during most of their waking time. There is a rapid increase in sickness absence in the newly-diagnosed women, and the young women in particular do not return to the labour market during the first year after receiving their diagnosis. The non-working women have a more demanding family situation, and are also less satisfied with their present situation than working women.

    Conclusion: When individual adjustments of the work situation are made and the women participate to a level that matches their ability, they are able to continue in a work role. In evaluating the women’s work capacity, the total life situation of the women should be considered.

    List of papers
    1. Factors of Importance for Work Disability in Women with Fibromyalgia
    Open this publication in new window or tab >>Factors of Importance for Work Disability in Women with Fibromyalgia
    2000 (English)In: Journal of Rheumatology, ISSN 0315-162X, Vol. 27, no 5, p. 1271-1276Article in journal (Refereed) Published
    Abstract [en]

    OBJECTIVE: To identify factors of importance for women with fibromyalgia (FM) to continue working despite the limitations imposed by the symptoms.

    METHODS: A mail questionnaire with questions regarding social background, symptoms, sickness benefits, work situation, work conditions and adjustments, opinions regarding own work ability, and satisfaction with the situation was sent to 218 consecutive women seen at a university pain or rheumatology clinic. Answers were obtained from 176 women.

    RESULTS: Pain, poor quality sleep, abnormal tiredness, muscle stiffness, and increased pain after muscle exertion were frequently reported symptoms. Fifty percent of the women were employed, 15% full-time. Twenty-three percent reported FM as the reason for not working. The work situation had been changed for 58% of the working women, and 80% counted on being able to continue working.

    CONCLUSION: Work disability is a serious concern in FM, and the majority of women with FM have limitations in their ability to work. Our results indicate that individual adjustments in the work situation need to be made and that women who have found a level matching their ability may continue to work and find it satisfactory. Early intervention in the work situation is recommended.

    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-13639 (URN)
    Available from: 2004-05-21 Created: 2004-05-21 Last updated: 2009-05-18
    2. Factors of Importance for Work Disability in Women with Fibromyalgia: An Interview Study
    Open this publication in new window or tab >>Factors of Importance for Work Disability in Women with Fibromyalgia: An Interview Study
    2002 (English)In: Arthritis Care and Research, ISSN 1529-0131, Vol. 47, no 3, p. 266-274Article in journal (Refereed) Published
    Abstract [en]

    Objective: Fibromyalgia symptoms such as continuous pain, tiredness, hyperalgesia, and allodynia limit gainful employment. The present study examines which factors influence the decision to remain in a work role for women with fibromyalgia. This information is important for the individual and for public finances.

    Methods: Qualitative interviews were performed with 39 women, 19 of whom were gainfully employed and 20 who had stopped working. The transcribed interviews were analyzed and divided into categories and subcategories.

    Results: Four categories appear, at societal and individual levels, that were regarded as important by the women for remaining in a work role.

    Conclusions: The ability to remain at work depends not only on limitations in work capacity, but also on the capacity of society to adjust work environments and work tasks. More individual solutions are needed to allow women with fibromyalgia to maintain work roles.

    Keywords
    Work role, Employment, Work disability, Qualitative method
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-13640 (URN)
    Available from: 2004-05-21 Created: 2004-05-21 Last updated: 2009-05-18
    3. The Impact of Fibromyalgia on Employment Status of Newly-Diagnosed Young Women
    Open this publication in new window or tab >>The Impact of Fibromyalgia on Employment Status of Newly-Diagnosed Young Women
    2005 (English)In: Journal of Musculoskeletal Pain, ISSN 1058-2452, Vol. 13, no 2, p. 31-41Article in journal (Refereed) Published
    Abstract [en]

    Objectives: To describe employment loss in young women with newly diagnosed fibromyalgia syndrome [FMS] and to identify variables that may explain early loss of employment.

    Methods: In this pilot studsy, 94 young women [18-39 years old] in the United States [USA] and Sweden completed demographics, global rating scales, and standardized questionnaires, including the Fibromyalgia Impact Questionnaire, SF-36 General Health Subscale, Beck Depression Inventory, Beck Anxiety Inventory, Arthritis Self-Efficacy Scale, Arthritis Impact Measurement Scales II Social Support Subscale, and Job Flexibility Scale, three times during the first 12 to 15 months after diagnosis.

    Results: At the time of diagnosis, 60 percent were in paid employment [USA 71 percent, Sweden 49 percent]. When the participants entered the study, within three months of diagnosis, only 46 percent were working [USA 56 percent, Sweden 37 percent]. Twelve months later, 41 percent were working [USA 55 percent, Sweden 28 percent]. Younger age, poorer physical functioning, and lower self-efficacy for pain management along with higher symptom interference with ability to do any work, and pain severity predicted unemployment with 75 percent accuracy.

    Conclusions: An early and notable decrease in the percentage of young women diagnosed with FMS and working in paid employment was seen in this pilot study. Because most of the job loss was associated with FMS symptoms, a larger study of strategies to control or ameliorate these symptoms in the work setting should be undertaken.

    Keywords
    Fibromyalgia; women; employment; disability; outcomes
    National Category
    Social Sciences
    Identifiers
    urn:nbn:se:liu:diva-13641 (URN)10.1300/J094v13n02_05 (DOI)
    Available from: 2004-05-21 Created: 2004-05-21 Last updated: 2009-05-07
    4. Young women with fibromyalgia in the United States and Sweden: Perceived difficulties during the first year after diagnosis
    Open this publication in new window or tab >>Young women with fibromyalgia in the United States and Sweden: Perceived difficulties during the first year after diagnosis
    2006 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 28, no 19, p. 1177-1185Article in journal (Refereed) Published
    Abstract [en]

    Purpose. The major symptoms of fibromyalgia (FM) - pain, tiredness, disrupted sleep, and muscle weakness - severely impact everyday activities, including the paid work role of women who have had FM for a long time. There are no prospective studies on young and newly diagnosed women with FM. The aim of the present study was to describe and compare difficulties young and newly diagnosed women in Sweden and the United States experienced during their first year after diagnosis.

    Method. Three interviews, 6 months apart, were conducted, with 49 Swedish and 45 US women between the ages of 18 and 39. Five open-ended questions were asked concerning physical, psychological and social difficulties and limitations, and factors that increased or decreased their difficulties and limitations. At interviews 2 and 3 the women were also asked about ways of preventing their difficulties. The answers were written down and analysed by a content analysis approach.

    Results. Consistent categories of difficulties were reported: symptoms, movements, activities, moods, social network, external factors and coping strategies. More US women were working outside their homes than were their Swedish counterparts and they expressed more difficulties compared with the Swedish women.

    Conclusions. In general, difficulties decreased and coping strategies increased over the 1-year period in both groups of newly diagnosed, young women.

    Keywords
    Activities of daily living; qualitative method; content analysis; physical; psychological; social
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-13642 (URN)10.1080/09638280600551534 (DOI)
    Available from: 2004-05-21 Created: 2004-05-21 Last updated: 2017-12-13
    5. Time Use and Activity Patterns in Women with Long-term Pain
    Open this publication in new window or tab >>Time Use and Activity Patterns in Women with Long-term Pain
    2004 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, Vol. 11, no 1, p. 26-35Article in journal (Refereed) Published
    Abstract [en]

    Earlier studies of people with fibromyalgia have shown that pain, tiredness, and sleep disruption seriously affect their daily performance and their ability to maintain life roles. A time-geographic diary method was used to study activities and time use in the daily lives of women with long-term pain. The results of the diaries were also used to evaluate activity changes over time. Sixteen women wrote diaries over seven days, and after three months for another four days. The diaries were analysed in a computer program. After considering the results of the first diary, the women formulated goals to be met in the following three months. The results showed that working women spent significantly less time on “Care for others”, “Care for oneself”, Rest, and “Procure and prepare food” compared with non-working women. Further, working women used time in a manner similar to that of the Swedish female population. The diary method gave a clear picture of the women's daily lives. Visualized in graphs and tables, it will serve as an educational tool in rehabilitation and can be used as a framework for discussing adjustment and coping strategies.

    Keywords
    activities of daily living, fibromyalgia, occupational therapy, qualitative research, rehabilitation, work
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-13643 (URN)10.1080/11038120410019081 (DOI)
    Available from: 2004-05-21 Created: 2004-05-21 Last updated: 2009-08-19
  • 22.
    Liedberg, Gunilla
    et al.
    Linköping University, Department of Social and Welfare Studies, Hälsa - utbildning - välfärdsinstitutioner (HUV) . Linköping University, Faculty of Health Sciences.
    Björk, Mathilda
    Linköping University, Department of Neuroscience and Locomotion. Linköping University, Faculty of Health Sciences.
    Interventioner för fortsatt yrkesarbete för kvinnor med fibromyalgi och reumatoid artrit2006In: Vardagens mönster - forskning för kunskap om vardagen,2006, 2006Conference paper (Other academic)
    Abstract [sv]

        

  • 23.
    Liedberg, Gunilla
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Björk, Mathilda
    Avd. för rehabilitering, HHJ, Hälsohögskolan, Högskolan i Jönköping.
    Interventions at work in fibromyalgia (FM) using the time geographic diary method.2010Conference paper (Other academic)
  • 24.
    Liedberg, Gunilla
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Björk, Mathilda
    Hälsohögskolan, Jönköping.
    Interventions at work using the time-geographic diary method in women with fibromyalgia2010Conference paper (Refereed)
  • 25.
    Liedberg, Gunilla
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences.
    Björk, Mathilda
    Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Rehabilitation Center.
    Pain, self-efficacy, anxiety, and quality of life are central for a bad or good night's sleep in persons with fibromyalgia2017Conference paper (Refereed)
  • 26.
    Liedberg, Gunilla
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Björk, Mathilda
    Avd. för rehabilitering, HHJ, Hälsohögskolan, Högskolan i Jönköping.
    Symptoms of subordinated importance in fibromyalgia when differentiating working from non-working women2014In: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 48, no 2, p. 155-164Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The aim was to identify differences in self-reported symptoms among working (W) and non-working (NW)women, and to determine the most important biopsychosocial variables in differentiating one group from the other.

    METHOD: A questionnaire was mailed to 524 members of a local chapter of the Swedish Rheumatology Association. A total of 362 persons responded (69%); 96% of which were women. Women older than 64 years and all men were excluded. The final study group consisted of 95 W, and 227 NW women. The questionnaire included data on demographics, employment, support, exercise, daily activities and symptoms. Data were analysed using univariate statistics and a partial least squares discriminant analysis (PLS-DA).

    RESULTS: The results showed that 41% of the W and 42% of the NW women were/had been employed in service,care or business. The NW women reported a significantly higher severity of symptoms compared with the W women. The most important variable when differentiating the W from the NW women wassocial support from colleagues and employers.

    CONCLUSION: To change prevailing attitudes and values towards persons with a work disability, a process of active intervention involving staff is needed. Educating employers as to how a disability may influence a work situation, and the importance of social support, can be improved.

  • 27.
    Liedberg, Gunilla
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
    Björk, Mathilda
    Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Rehabilitation Center. Linköping University, Department of Medical and Health Sciences, Division of Community Medicine.
    Börsbo, Björn
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Self-reported nonrestorative sleep in fibromyalgia - relationship to impairments of body functions, personal function factors, and quality of life2015In: Journal of Pain Research, ISSN 1178-7090, E-ISSN 1178-7090, Vol. 8, p. 499-505Article in journal (Refereed)
    Abstract [en]

    Purpose: The purpose of this study was: 1) to determine variables that might characterize good or bad sleep; and 2) to describe the relationship between sleep, impairment of body functions, personal function factors, and quality of life based on quality of sleep in women with fibromyalgia (FM). Methods: This cross-sectional descriptive study included 224 consecutive patients diagnosed at a specialist center. These patients were mailed a questionnaire concerning sleep, body functions, personal factors, and health-related quality of life. In total, 145 completed questionnaires were collected. Results: Using sleep variables (sleep quality, waking up unrefreshed, and tiredness when getting up), we identified two subgroups - the good sleep subgroup and the bad sleep subgroup - of women with FM. These subgroups exhibited significantly different characteristics concerning pain intensity, psychological variables (depressed mood, anxiety, catastrophizing, and self-efficacy), impairments of body functions, and generic and health-related quality of life. The good sleep subgroup reported a significantly better situation, including higher employment/study rate. The bad sleep subgroup reported a greater use of sleep medication. Five variables determined inclusion into either a good sleep or a bad sleep subgroup: pain in the evening, self-efficacy, anxiety, and according to the Short Form health survey role emotional and physical functioning. Conclusion: This study found that it was possible to identify two subgroups of women with FM based on quality of sleep variables. The two subgroups differed significantly with respect to pain, psychological factors, impairments of body functions, and perceived quality of life, where the subgroup with bad sleep had a worse situation.

  • 28.
    Liedberg, Gunilla
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Björk, Mathilda
    Hälsohögskolan, Jönköpings universitet.
    Hensing, Gunnel
    Sahlgrenska akademin, Göteborgs universitet.
    Occupational therapists’ perceptions of gender – A focus group study2012Conference paper (Other academic)
    Abstract [en]

    'Doing gender' in encounters with clients has been investigated previously in social science, but has not been explicitly researched from an occupational therapy perspective.The aim was to describe how occupational therapists perceive gender, and its importance for occupational therapy and daily work.The material was based on four focus group interviews that included 17 occupational therapists. The analysis showed two emerging themes: 'The concept of gender is tacit in occupational therapy' and 'Client encounters'. The first theme was for instance built up of the 'Client-centred approach', and 'Values'. The second theme consisted of 'Communication', 'Assessment' and 'Interventions'. Occupational therapists were unaware of the possibility that they were 'doing gender' in their encounters with clients. Implications of these findings for education and practice should include the gender perspective and its consequences for our clients, which could increase the awareness, and its relevance for health in bothmen and women.

  • 29.
    Liedberg, Gunilla
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Björk, Mathilda
    Linköping University, Department of Clinical and Experimental Medicine, Rehabilitation Medicine. Linköping University, Faculty of Health Sciences. Department of Rehabilitation, School of Health Sciences, Jönköping University, Jönköping.
    Hensing, Gunnel
    Social Medicine, Institute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Göteborg, Sweden.
    Occupational therapists perceptions of gender - A focus group study2010In: Australian Occupational Therapy Journal, ISSN 0045-0766, E-ISSN 1440-1630, Vol. 57, no 5, p. 331-338Article in journal (Refereed)
    Abstract [en]

    Background/aim: Women and men are shaped over the courses of their lives by culture, society and human interaction according to the gender system. Cultural influences on individuals social roles and environment are described in occupational therapy literature, but not specifically from a gender perspective. The purpose of this qualitative study was to explore how a sample of occupational therapists perceives the gender concept. Method: Four focus group interviews with 17 occupational therapists were conducted. The opening question was: How do you reflect on the encounter with a client depending on whether it is a man or a woman? The transcribed interviews were analysed and two main themes emerged: the concept of gender is tacit in occupational therapy and client encounters. Results: The occupational therapists expressed limited theoretical knowledge of gender. Furthermore, the occupational therapists seemed to be doing gender in their encounters with the clients. For example, in their assessment of the client, they focussed their questions on different spheres: with female clients, on the household and family; with male clients, on their paid work. Conclusions: This study demonstrated that occupational therapists were unaware of the possibility that they were doing gender in their encounters with clients. There is a need to increase occupational therapists awareness of their own behaviour of doing gender. Furthermore, there is a need to investigate whether gendered perceptions will shorten or lengthen a rehabilitation period and affect the chosen interventions, and in the end, the outcome for the clients.

  • 30.
    Liedberg, Gunilla
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Neuroscience and Locomotion, Occupational Therapy.
    Burchhardt, Carol S
    Henriksson, Chris
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Neuroscience and Locomotion, Occupational Therapy.
    Validity and reliability testing of the Quality of Life Scale, Swedish version in women with fibromyalgia - Statistical analyses2005In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 19, no 1, p. 64-70Article in journal (Refereed)
    Abstract [en]

    One consequence of constant widespread pain is a low quality of life. The purpose of the study was to examine whether the Quality of Life Scale, Swedish version (QOLS-S), regarded as a generic quality-of-life instrument, is a reliable and valid instrument for use in women with fibromyalgia (FM). Women with FM (n = 113) contributed data on the QOLS-S and other standardized instrument at three points in time. Internal consistency reliability estimates ranged from 0.89 to 0.92. Convergent construct validity was indicated by moderate agreement with a global life satisfaction question. Discriminant construct validity was denoted by low correlations with the physical functioning subscale of the SF-36. In a factor analysis three factors emerged: 'personal and social well-being', 'relations with others' and 'active participation'. A few of the items have high cross-loadings, and the instrument could be improved by rewording those items to more closely reflect one specific factor. Overall, these results provide evidence that the QOLS-S has acceptable validity and reliability for use in women with FM.

  • 31.
    Liedberg, Gunilla
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Hälsa - utbildning - välfärdsinstitutioner (HUV) .
    Burckhardt, Carol
    Div of Arthritis and Rheumatic Diseases Department of Medicine, School of Medicine, Oregon,Health Sciencec University, Portland, Oregon, USA.
    Henriksson, Chris
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Neuroscience and Locomotion, Occupational Therapy.
    Consequences of fibromyalgia in daily activities2007In: EFIC European Pain School,2007, 2007Conference paper (Refereed)
    Abstract [en]

        

  • 32.
    Liedberg, Gunilla
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Hälsa - utbildning - välfärdsinstitutioner (HUV) .
    Burckhardt, Carol
    Henriksson, Chris
    Validitets- och reliabilitatstestning av Quality of Life Scale, svensk version för kvinnor med fibromyalgi2003In: Reuma 2003,2003, 2003Conference paper (Refereed)
  • 33.
    Liedberg, Gunilla
    et al.
    Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Health Sciences.
    Eddy, Linda
    College of Nursing, Washington State University, Vancouver, USA.
    Burckhardt, Carol
    Division of Arthritis and Rheumatic Diseases, Oregon Health and Science University, Portland, USA.
    Validity testing of the Quality of Life Scale, Swedish Version: Focus Group Interviews of Women with Fibromyalgia2012In: Occupational Therapy International, ISSN 0966-7903, E-ISSN 1557-0703, Vol. 19, no 4, p. 165-175Article in journal (Refereed)
    Abstract [en]

    Focus group interviews were used to examine validity of the Quality of Life Scale, Swedish version (QOLS-S) for use with women with fibromyalgia. Five interviews with 18 women with fibromyalgia were completed. The opening question was “What does quality of life mean to you?” Later, participants were asked to respond to questions about the specific domains and items in the QOLS-S. The transcribed interviews were analysed, and categories were identified. Opinions concerning domains and items in the QOLS-S were linked to domains of the QOLS-S. Four categories emerged from the opening question: finances, to be an active person and participate in society, relations with others, and health. Overall, the women's perceptions of quality of life were congruent with the domains of QOLS-S. However, further attention should be given to the translation of certain items and apparent overlaps in some items indicate that they can be combined. Also, the instrument needs to be scrutinized from a cultural perspective because some items in the “social, community and civic activities” domain were not endorsed by the participants.

  • 34.
    Liedberg, Gunilla
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Hälsa - utbildning - välfärdsinstitutioner (HUV) .
    Gullberg, Mats
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Care, Nursing Science.
    Wood, Patrick
    Dept of family Medicine LSU Health sciences Centre, Shreveport, LA, USA.
    Fibromyalgia Symptom Inventory - Validation of a novel clinical instrument2007In: The Seventh World Congress on Myofascial Pain and Fibromyalgia,2007, Binghamton, NY, USA: The Haworth Medical Press , 2007, p. 61-Conference paper (Refereed)
    Abstract [en]

         

  • 35.
    Liedberg, Gunilla
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Hälsa - utbildning - välfärdsinstitutioner (HUV) .
    Henriksson, Chris
    Activity Pattern in Women with Fibromyalgia - Evaluation of a Time Geographic Diary Method2002In: 10th World Congress on Pain,2002, 2002Conference paper (Refereed)
    Abstract [en]

      

  • 36.
    Liedberg, Gunilla
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Neuroscience and Locomotion, Occupational Therapy.
    Henriksson, Chris
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Neuroscience and Locomotion, Occupational Therapy.
    Arbetsterapeutens roll vid rehabilitering av personer med långvarig smärta2006In: Rehabiliteringsmedicin: Teori och praktik / [ed] Jörgen Borg, Björn Gerdle, Gunnar Grimby, Katharina Stibrant Sunnerhagen, Lund: Studenlitteratur , 2006, 1, p. 120-123Chapter in book (Other academic)
    Abstract [sv]

    Kapitel om rehabiliteringsmedicinens utveckling och nuvarande plats i sjukvården samt begrepp och metodik inleder boken. I två delar ges därefter rehabiliteringsmedicinska aspekter på de dominerande sjukdomsgrupperna - komplexa smärttillstånd respektive skador och sjukdomar i nervsystemet. Som avslutning beskrivs bland annat  stressrelaterade tillstånd. Läroboken är avsedd för grundutbildning av läkare, arbetsterapeuter och sjukgymnaster, logopeder samt för läkare under AT-tjänstgöring. Den är också lämplig som introduktion i specialistutbildningen i rehabiliteringsmedicin, geriatrik, neurologi och smärtlindring. Vidareutbildningar av olika vårdyrkesgrupper kan ha nytta av boken och den kan också användas som referenslitteratur av yrkesverksamma med intresse för rehabiliteringsmedicin.

  • 37.
    Liedberg, Gunilla
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Hälsa - utbildning - välfärdsinstitutioner (HUV) .
    Henriksson, Chris
    Factors of Importance for work ability in women with Fibromyalia - an Interview Study2001In: Fifth World Congress on Myofascial pain and Fibromyalgia,2001, 2001Conference paper (Refereed)
  • 38.
    Liedberg, Gunilla
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Henriksson, Chris
    Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Health Sciences.
    Factors of Importance for Work Disability in Women with Fibromyalgia: An Interview Study2002In: Arthritis Care and Research, ISSN 1529-0131, Vol. 47, no 3, p. 266-274Article in journal (Refereed)
    Abstract [en]

    Objective: Fibromyalgia symptoms such as continuous pain, tiredness, hyperalgesia, and allodynia limit gainful employment. The present study examines which factors influence the decision to remain in a work role for women with fibromyalgia. This information is important for the individual and for public finances.

    Methods: Qualitative interviews were performed with 39 women, 19 of whom were gainfully employed and 20 who had stopped working. The transcribed interviews were analyzed and divided into categories and subcategories.

    Results: Four categories appear, at societal and individual levels, that were regarded as important by the women for remaining in a work role.

    Conclusions: The ability to remain at work depends not only on limitations in work capacity, but also on the capacity of society to adjust work environments and work tasks. More individual solutions are needed to allow women with fibromyalgia to maintain work roles.

  • 39.
    Liedberg, Gunilla
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Hälsa - utbildning - välfärdsinstitutioner (HUV) .
    Henriksson, Chris
    Inventering av vård- och behandlingsinsatser vid fibromyalgi i Östergötland2006Report (Other academic)
    Abstract [sv]

       

  • 40.
    Liedberg, Gunilla
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Hälsa - utbildning - välfärdsinstitutioner (HUV) .
    Henriksson, Chris
    Nedsatt aktivitetsförmåga hos unga kvinnor med fibromyalgi2001In: AT-Forum 2001,2001, 2001Conference paper (Refereed)
  • 41.
    Liedberg, Gunilla
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Hälsa - utbildning - välfärdsinstitutioner (HUV) .
    Henriksson, Chris
    Outcomes in Young Women with Fibromyalgia2002In: 13th World Congress of Occupational therapists,2002, 2002Conference paper (Refereed)
  • 42.
    Liedberg, Gunilla
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Hälsa - utbildning - välfärdsinstitutioner (HUV) .
    Henriksson, Chris
    Women with Fibromyalgia and the Work Role2002In: Third International Congress on Women, Work and Health,2002, 2002Conference paper (Refereed)
  • 43.
    Liedberg, Gunilla
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Social and Welfare Studies, Hälsa - utbildning - välfärdsinstitutioner (HUV) .
    Henriksson, Chris
    Young women with fibromyalgia - perceived difficulties the first year after diagnosis2005In: Six World Congress on Myofascial Pain and Fibromyalgia,2004, 2005Conference paper (Refereed)
    Abstract [en]

      

  • 44.
    Liedberg, Gunilla
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Hensing, Gunnel
    Sahlgrenska akademin, Göteborg.
    Occupational Therapists Students’ choice of client activities – does patients’ gender matter?2012Conference paper (Other academic)
  • 45.
    Liedberg, Gunilla
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Hensing, Gunnel
    Gothenburg University.
    Occupational therapy students choice of client activities: does patients gender matter?2011In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 74, no 6, p. 277-283Article in journal (Refereed)
    Abstract [en]

    Aim: In order to achieve a fairer system of health care, it is important that the research and education of health professionals, as well as the organisation of health care, takes into account the gender perspective. The gender order influences womens and mens lifestyles and living conditions and, through this, their health, quality of life and daily activities. The aim of the present study was to explore the perceptions of gender in occupational therapy students in their choice of activities: do students choose activities according to traditional roles? Method: The method was a fictional case study containing 16 activities. Each student was given a copy of one of the versions of the case, Eric or Erica. The students were told to underline the three activities regarded as being of most benefit for the actual patient. Eight male and 99 female students participated. Results: The most chosen activities were cooking, visits to cafeterias and gardening, and the least chosen were spinning, laundry and computer work. The results showed that the students made choices based on traditional gender roles. Conclusion: Extended knowledge is needed about how gender is constructed in occupational therapy, and about whether gendered choices contribute to a prolonged period of treatment or rehabilitation, or the opposite.

  • 46.
    Liedberg, Gunilla
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Hesselstrand, Malin
    Linköping University, Department of Clinical and Experimental Medicine, Rehabilitation Medicine . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre for Medicine, Pain and Rehabilitation Centre.
    Henriksson, Chris
    Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Health Sciences.
    Time Use and Activity Patterns in Women with Long-term Pain2004In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, Vol. 11, no 1, p. 26-35Article in journal (Refereed)
    Abstract [en]

    Earlier studies of people with fibromyalgia have shown that pain, tiredness, and sleep disruption seriously affect their daily performance and their ability to maintain life roles. A time-geographic diary method was used to study activities and time use in the daily lives of women with long-term pain. The results of the diaries were also used to evaluate activity changes over time. Sixteen women wrote diaries over seven days, and after three months for another four days. The diaries were analysed in a computer program. After considering the results of the first diary, the women formulated goals to be met in the following three months. The results showed that working women spent significantly less time on “Care for others”, “Care for oneself”, Rest, and “Procure and prepare food” compared with non-working women. Further, working women used time in a manner similar to that of the Swedish female population. The diary method gave a clear picture of the women's daily lives. Visualized in graphs and tables, it will serve as an educational tool in rehabilitation and can be used as a framework for discussing adjustment and coping strategies.

  • 47.
    Liedberg, Gunilla
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Lindh Falk, Annika
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Arbetsterapi och genus i utbildning och yrkesliv2010In: Genus och kön inom medicin- och vårdutbildningar / [ed] Barbro Wijma; Goldina Smirthwaite; Katarina Swahnberg, Pozkal , 2010, p. 211-222Chapter in book (Other (popular science, discussion, etc.))
  • 48.
    Liedberg, Gunilla
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Lindh Falk, Annika
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Implementering av ett genusperspektiv på ett arbetsterapeutprogram2011Conference paper (Other academic)
    Abstract [sv]

    Bakgrund: Det är viktigt att utbildning också genomsyras av ett genusperspektiv. Kvinnor och män formas genom sin livscykel av kultur, samhälle och interaktioner mellan människor enligt genussystemet. Detta påverkar mäns och kvinnors livsstil och levnadsförhållanden och därmed också hälsa, livskvalitet och dagliga aktiviteter. De gränser som genus sätter för män och kvinnor förhandlas på tre nivåer; individuell, organisatorisk och samhällsnivå. Som en följd av detta förstås att möten inom hälso- och sjukvården också är situationer där genus konstrueras. Begreppet ”konstruera genus” baseras på en förståelse av genusbegreppet som en social konstruktion, inte enbart som biologiskt kön definierat av naturen och förutbestämd till specifika beteenden som en konsekvens av biologin.

    Syfte:  Att implementera ett genusperspektiv på Arbetsterapeutprogrammet.

    Metod: En utsedd person ansvarig för implementeringen har gått igenom bl a referenslitteratur, föreläsningar och examinationer. Förslag till föreläsningar, seminarier och examinationer har framkommit. Diskussionsseminarier bland personalen har också genomförts.

    Resultat: Begreppet genus är tydliggjort i kursplaner med hjälp av specifika lärandemål och examinationer. Frågor om kön och genus är inkluderade i programutvärderingen.

    Diskussion: Trots det klientcentrerade arbetssättet inom arbetsterapi leder inte detta automatiskt till ett genusmedvetet förhållningssätt vid möten med klienter. Ett medvetet förhållningssätt resulterar i att båda könen får behandling utifrån sina specifika behov och att arbetsterapeuten kan bortse från egna värderingar/traditionella könsroller. Forsknings- och utbildningsinsatser behövs för att öka kunskapen om genus inom arbetsterapi.

  • 49.
    Liedberg, Gunilla M.
    Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy.
    Occupational life trajectories in the context of chronic pain and immigration2017Conference paper (Refereed)
  • 50.
    Liedberg, Gunilla M.
    et al.
    Linköping University, Department of Social and Welfare Studies, Health, Activity, Care. Linköping University, Faculty of Health Sciences.
    Burckhardt, Carol S.
    Division of Arthritis and Rheumatic Diseases, Department of Medicine, School of Medicine, Oregon Health Sciences University, Portland, OR, USA.
    Henriksson, Chris M.
    Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Health Sciences.
    Young women with fibromyalgia in the United States and Sweden: Perceived difficulties during the first year after diagnosis2006In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 28, no 19, p. 1177-1185Article in journal (Refereed)
    Abstract [en]

    Purpose. The major symptoms of fibromyalgia (FM) - pain, tiredness, disrupted sleep, and muscle weakness - severely impact everyday activities, including the paid work role of women who have had FM for a long time. There are no prospective studies on young and newly diagnosed women with FM. The aim of the present study was to describe and compare difficulties young and newly diagnosed women in Sweden and the United States experienced during their first year after diagnosis.

    Method. Three interviews, 6 months apart, were conducted, with 49 Swedish and 45 US women between the ages of 18 and 39. Five open-ended questions were asked concerning physical, psychological and social difficulties and limitations, and factors that increased or decreased their difficulties and limitations. At interviews 2 and 3 the women were also asked about ways of preventing their difficulties. The answers were written down and analysed by a content analysis approach.

    Results. Consistent categories of difficulties were reported: symptoms, movements, activities, moods, social network, external factors and coping strategies. More US women were working outside their homes than were their Swedish counterparts and they expressed more difficulties compared with the Swedish women.

    Conclusions. In general, difficulties decreased and coping strategies increased over the 1-year period in both groups of newly diagnosed, young women.

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