[e-mail]

1
Tores.Theorell_at_stressforskning.su.se
2
Mean increase in plasma testosterone when change
from high job strain (ratio between demand and
control average of two highest observations of
four during study year) to low job strain
(average of two lowest)

• increase Standard error
• All men in study n44 14 /- 6
• White collars only n23 23 /- 9
• Blue collars only n21 4 /- 8
• Theorell, Karasek and Eneroth, Journal of
  Internal Medicine 227 31-36, 1990

3
In women with acute onset of low back pain, low
DHEA-s predicted persistent disability after six
months (Hasselhorn, Theorell and Vingård, Spine
E24-29, 2001)

• This was replicated in a larger group of 121
  media workers (men and women) who were followed
  for 12 months Again low DHEA-s predicted
  persistent pain
• Schell E, Theorell T, Hasson D, Arnetz B, Saraste
  H. Eur Spine J. 2007

4
Lack of cultural activities through work in
relation to demand control model. SLOSH
n5100.Theorell Scand J Work Env Health suppl
2008
Odds ratios with 95 confidence intervals for
low occurrence (never or some time per year) of
cultural activities by the demand-control model
(measured by DCQ 2006)
5.0
4.0
3.0
2.0
Referencecategory
1.0
Low strain
Passive
Active
Strain
Adjusted for age, education, and branch
5
Bygren et al Psychosomatic Medicine 71469-473,
2009Local government officers in a municipality
were allowed to visit self-selected cultural
activities once a week for eight weeksfilms,
concerts, or art exhibitions visits, or singing
in a choirRandom allocation 51/50Significantly
improved physical health, social functioning and
vitality according to SF-36(two-way interaction)
after eight weeks in cultural activity group
compared to control group
6
Study of effects of ethical/social management
training. Classical management course is
compared with poetry/music sessions followed up
by ethical discussions. Focus on difficult
decisions that managers have to face. Both
courses last for one year. Randomised allocation
of manager participants.

• 24 managers in each group were followed for a
  year. Four employees for each manager were also
  followed. Work environment and mental health
  /questionnaire. Blood samples drawn for analysis
  of of hormones reflecting energy mobilisation
  (cortisol) and regeneration (DHEAs)
• Employees rate increased Courage and less Laissez
  Faire in managers who participated in ethical
  management training (significant two way
  interactions) particularly after 18 months.
• Romanowska et al 2008

7
Joint analysis of participating managers and
subordinates after 12 (end of interventions) and
18 monthsMental health (sleep disturbance,
depression, mental exhaustion) showed
significantly better development in artistic
manager education group than in classical group
particularly after 18 months DHEA-s (index of
anabolism) concentration showed no difference
after 12 months but significantly better
development in artistic than in classical
group after 18 monthsCortisol (index of
stress) significantly different after 12 months
(elevation in artistic and reduction in
classical group) but no difference after 18
monthsRomanowska et al, in preparation 2009
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Managerial Leadership and Ischemic Heart Disease
Among Employees The Swedish WOLF Study

• Anna Nyberg (1), Lars Alfredsson (2,3), Töres
  Theorell (1), Hugo Westerlund (1), Jussi Vahtera
  (4), and Mika Kivimäki (5)
• 1.) Institute for Stress Research Stockholm
  University
• 2.) Institute for Environmental Medicine,
  Karolinska Inst
• 3.) Centre for Public Health, Karolinska Hospital
• 4.) Finnish Institute for Occupational Health
• 5.) University College London, Dep. Epidem/Publ
  Health
• Organisational and Environmental Medicine 2009

11
Association between employee score (fair
management) and risk of subsequent myocardial
infarction after adjustments. WOLF Stockholm
(3122 men aged 25-65 at start followed for 10
years)Increase of one standard deviation on the
scale was associated with reduced risk 0.57
(CI 0.43-0.76)Those who reported that they had
a fair and good management had a 43 reduction
after adjustment for other risk factors.The
longer the exposure to this management the more
reduction

12
Risk of developing a myocardial infarction in
Swedish working men during 10 years of follow-up
in relation to covert coping (Stockholm WOLF
study)

• Coping score N HR (95 CI)
• Low (4-7) 712 1 (ref.)
• Medium (8-10) 1288 4.20 (1.25-14.13)
• High (11-16) 708 5.94 (1.75-20.20)
• Adjusted for age, demographic factors,
  behavioural risk factors, demand and decision
  latitude as well as for biological risk factors
• Leineweber et al Journ Epidemiol Comm Health, in
  press 2009

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Hasson, D et al. . BMC Public Health. 78(5)
1-14, 2005
14
Hasson, D et al. . BMC Public Health. 78(5)
1-14, 2005
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• Geometric means of individual saliva cortisol
  concentration in choir group (beginners) and
  information group of IBS patients, randomly
  selected for once a week meetings during a year.
  For each individual and assessment day there are
  geometric means of six assessments from morning
  to bedtime. Baseline, six months, nine months and
  twelve months from start
• Grape, Wikström, Ekman, Hasson and Theorell
  manuscript 2009