Arnstein Mykletun
Datos Biográficos
| ID | 312946 |
|---|---|
| NOMBRE | Arnstein Mykletun |
| NOMBRES | Arnstein |
| APELLIDO | Mykletun |
| FIRMA | MYKLETUN A |
| AFILIACIONES | University of Bergen |
| ORCID | 0000-0002-3878-0079 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 33 |
| TOTAL DE CITAS | 66 |
| TOTAL COMO AUTOR | 33 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2001 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 4 |
General practitioners’ incentives and practice style
BACKGROUND: In Norway, 80% of general practitioners (GPs) are self-employed, remunerated through a mix of fee-for-service and capitation (FFS/CAP) payments, while the remaining 20% are salaried. OBJECTIVE: To examine which types of practice styles are most likely to be incentivised under the FFS/CAP system. METHODS: Using nationwide registry data from 2021 (N = 2546 GPs), we compare GPs' practice styles, such as consultation frequency, consultati…
Barriers for return to work as an iatrogenic effect of sickness absence
The trial was prospective registered at clinicaltrials.gov on August 9th, 2021. Trial identifier NCT05006976
Is the association between graded sickness absence and return to work confounded by health? A longitudinal cohort study from the Norwegian neck and back registry
Among sick listed patients referred to secondary care due to MSD, GSA is associated with higher rates of RTW than FSA. Some of the beneficial association between GSA and RTW is confounded by higher symptom levels in FSA than GSA patients, but most of the benefit remains after adjusting for symptom severity. Mechanisms for the benefit of GSA remains unknown
Lifetime Contacts with Child Welfare Services among Children and Adolescents with ADHD
Children and adolescents with attention-deficit/hyperactivity disorder (ADHD) and their parents often face challenges that may lead to contact with child welfare services (CWS). However, there is a lack of studies addressing this issue. This study assessed the rate and association between ADHD and different types of CWS contact compared to the general population. We also examined whether individual and parental characteristics were associated wit…
Without IPS I Think I Would Really Fall Apart
Having a job is an important component of recovery from mental illness and a source of economic, social, and health benefits. Most people experiencing severe mental illness (SMI) want to work but are excluded from employment opportunities. Employment specialists (ESs) working in individual placement and support (IPS) teams help persons struggling with SMI obtain competitive employment. This study is a qualitative phenomenological study of 10 IPS …
The cost of saying no
Our study suggests that GPs' decisions about sickness certification is largely driven by patient preferences. The GPs' gatekeeping function is limited to negotiations about grade and duration of absence spells
The personality profile of IPS employment specialists, and how it relates to job satisfaction
The role of the Individual Placement and Support (IPS) employment specialist is a new type of occupation within mental healthcare. High turnover among employment specialists necessitates improvement in their recruitment and retention. One element that impacts retention is job satisfaction. We assessed the personality of 38 employment specialists (Big 5 Inventory‐2) and measured job satisfaction over three time periods. Compared to norm data, empl…
Implementing individual placement and support in Norway. From vocational rehabilitation to an employment scheme
We explore the implementation and development of individual placement and support (IPS) in Norway. IPS is an evidence‐based practice for supporting people experiencing mental illness to obtain and maintain competitive employment. Implementation of IPS into routine practice has been challenged by different paradigms in vocational rehabilitation, health and welfare policies. Data were mainly collected through individual and joint interviews of IPS …
Disability pension dynamics in early adulthood
Current initiatives such as the Norwegian Inclusive Workplace Agreement (IA) focus on preventing transitions from employment to disability benefits. However, such initiatives have little relevance for young disability pensioners as the majority have weak labour market attachment. Policymakers should therefore consider placing more emphasis on non-workplace interventions
Are attitudes in employees of public employment service in line with the principles of individual placement and support? A questionnaire‐based survey
A high proportion of people with severe mental illness (SMI) want to work, consider it essential for recovery, yet employment rates are low. Many employees in public employment services (PES) work according to traditional attitudes that people with SMI are unable to work and if they do, risk harm from work‐related stress. These attitudes conflict with principles in evidence based vocational models like individual placement and support (IPS) and p…
Can work make you mentally ill? A systematic meta-review of work-related risk factors for common mental health problems
It has been suggested that certain types of work may increase the risk of common mental disorders, but the exact nature of the relationship has been contentious. The aim of this paper is to conduct the first comprehensive systematic meta-review of the evidence linking work to the development of common mental health problems, specifically depression, anxiety and/or work-related stress and to consider how the risk factors identified may relate to e…
Adolescent mental health and earnings inequalities in adulthood
BACKGROUND: Previous studies have shown that adolescent mental health problems are associated with lower employment probabilities and risk of unemployment. The evidence on how earnings are affected is much weaker, and few have addressed whether any association reflects unobserved characteristics and whether the consequences of mental health problems vary across the earnings distribution. METHODS: A population-based Norwegian health survey linked …
Supported employment for people with severe mental illness
Workplace interventions for common mental disorders
Depression and anxiety disorders are the leading cause of sickness absence and long-term work incapacity in most developed countries. The present study aimed to carry out a systematic meta-review examining the effectiveness of workplace mental health interventions, defined as any intervention that a workplace may either initiate or facilitate that aims to prevent, treat or rehabilitate a worker with a diagnosis of depression, anxiety or both. Rel…
The mental health benefits of employment
OBJECTIVE: The literature on mental health in the workplace largely focuses on the negative impacts of work and how work may contribute to the development of mental disorders. The potential mental health benefits of employment have received less attention. METHOD: A systematic search of reviews or meta-analyses that consider the benefits of work in regards to mental health was undertaken using academic databases. All relevant reviews were subject…
The Role of Internalizing and Externalizing Problems in Adolescence for Adult Educational Attainment
To what extent are adolescent mental health problems negatively related to educational attainment? If so, do these relationships primarily reflect childhood socio-economic circumstances that lower both mental health and educational attainment or do individuals’ mental health vulnerabilities impede educational potential regardless of social origin? Using a population-based Norwegian health survey linked to administrative registry data, this study …
The impact of early life factors on cognitive function in old age
In general we found little evidence for a substantial role of early life factors on late-life cognitive function. However, there was some evidence for an association with parental SES status and head circumference on certain cognitive domains
The Bidirectional Association Between Depression and Insomnia
OBJECTIVE: Depression and insomnia are closely linked, yet our understanding of their prospective relationships remains limited. The aim of the current study was to investigate the directionality of association between depression and insomnia. METHODS: Data were collected from a prospective population-based study comprising the most recent waves of the Nord-Trøndelag Health Study (HUNT) (the HUNT2 in 1995-1997 and the HUNT3 in 2006-2008). A total…
The Association Between Habitual Diet Quality and the Common Mental Disorders in Community-Dwelling Adults
OBJECTIVE: Recent evidence suggests a role for diet quality in the common mental disorders depression and anxiety. We aimed to investigate the association between diet quality, dietary patterns, and the common mental disorders in Norwegian adults. METHODS: This cross-sectional study included 5731 population-based men and women aged 46 to 49 and 70 to 74 years. Habitual diet was assessed using a validated food frequency questionnaire, and mental h…
Disability pension by occupational class - the impact of work-related factors
Workers in the skilled and unskilled manual classes had a substantial unexplained risk of disability pension. Work-related factors only had a moderate impact on the disability risk. Literature indicates an accumulation of hazards in the manual classes. This should be taken into account when interpreting the gradient in disability pension
Health problems account for a small part of the association between socioeconomic status and disability pension award. Results from the Hordaland Health Study
There is a socioeconomic gradient in disability pension similar to the well known socioeconomic gradient in health. However, health accounts for little of the socioeconomic gradient in disability pension. Future studies of socioeconomic gradients in disability pension should focus on explanatory factors beyond health
Health Anxiety and Disability Pension Award
Objective: To examine the hypothesized effect of health anxiety on subsequent disability pension award. Mental disorders are consistently underrecognized in general health care, leading to underestimation of its effects on related social security expenditures. According to medicolegal diagnoses for disability pension award, there are almost no awards of disability benefits for health anxiety or hypochondriasis. There are no empirical longitudinal…
Verifiability of diagnostic categories and work ability in the context of disability pension award
Verifiability of both diagnostic categories and work ability in disability assessments are reported to be moderate by GPs. We suggest that the low verifiability of diagnostic categories and related work ability assessments in the majority of disability pension awards is important in explaining why GPs find the gatekeeping-function problematic
Does a higher educational level protect against anxiety and depression? The Hunt study
Anxiety, Depression, and Cause-Specific Mortality
OBJECTIVE: To investigate empirically the association between anxiety/depression and cause-specific mortality with particular attention to the underlying mechanisms and causes of death. Depression reportedly increases general mortality. For cause-specific mortality, there is evidence depression has an effect on cardiovascular disease (CVD) mortality and suicide. Less information is known as to other mortality diagnoses. There is scarce and confli…
Does a higher educational level protect against anxiety and depression? The Hunt study
The Role of Internalizing and Externalizing Problems in Adolescence for Adult Educational Attainment
To what extent are adolescent mental health problems negatively related to educational attainment? If so, do these relationships primarily reflect childhood socio-economic circumstances that lower both mental health and educational attainment or do individuals’ mental health vulnerabilities impede educational potential regardless of social origin? Using a population-based Norwegian health survey linked to administrative registry data, this study …
Positioning an island destination in the peripheral area of the Baltics
Adolescent mental health and earnings inequalities in adulthood
BACKGROUND: Previous studies have shown that adolescent mental health problems are associated with lower employment probabilities and risk of unemployment. The evidence on how earnings are affected is much weaker, and few have addressed whether any association reflects unobserved characteristics and whether the consequences of mental health problems vary across the earnings distribution. METHODS: A population-based Norwegian health survey linked …
Implementing individual placement and support in Norway. From vocational rehabilitation to an employment scheme
We explore the implementation and development of individual placement and support (IPS) in Norway. IPS is an evidence‐based practice for supporting people experiencing mental illness to obtain and maintain competitive employment. Implementation of IPS into routine practice has been challenged by different paradigms in vocational rehabilitation, health and welfare policies. Data were mainly collected through individual and joint interviews of IPS …
Are attitudes in employees of public employment service in line with the principles of individual placement and support? A questionnaire‐based survey
A high proportion of people with severe mental illness (SMI) want to work, consider it essential for recovery, yet employment rates are low. Many employees in public employment services (PES) work according to traditional attitudes that people with SMI are unable to work and if they do, risk harm from work‐related stress. These attitudes conflict with principles in evidence based vocational models like individual placement and support (IPS) and p…
Association of low blood pressure with anxiety and depression
Background: Low blood pressure has mainly been regarded as ideal, but recent studies have indicated an association with depression in elderly people. Objective: To investigate whether low blood pressure is associated with anxiety and depression in the general population. Design: Cross-sectional study. Setting: Participants in the population-based Nord-Trøndelag Health Study (HUNT-2, 1995–7), Norway. Participants: 60 799 men and women aged 20–89 y…
Hospital Anxiety and Depression (HAD) scale
BACKGROUND: The Hospital Anxiety and Depression (HAD) rating scale is a commonly used questionnaire. Former studies have given inconsistent results as to the psychometric properties of the HAD scale. AIMS: To examine the psychometric properties of the HAD scale in a large population. METHOD: All inhabitants aged 20-89 years (n=92 100) were invited to take part in The Nord-Trøndelag Health Study, Norway. A total of 65 648 subjects participated, an…
Positioning an island destination in the peripheral area of the Baltics
The Association Between Anxiety, Depression, and Somatic Symptoms in a Large Population
Objective: Somatic symptoms are prevalent in the community, but at least one third of the symptoms lack organic explanation. Patients with such symptoms have a tendency to overuse the health care system with frequent consultations and have a high degree of disability and sickness compensation. Studies from clinical samples have shown that anxiety and depression are prevalent in such functional conditions. The aim of this study is to examine the c…
Employment status and perceived health in the Hordaland Health Study (Husk)
Recipients of disability benefits have poor perceived health compared to both the employed and the unemployed. Surprisingly little of this difference can be ascribed to respondents' descriptions of their illnesses and symptoms. Even allowing for potential underascertainment of condition severity, this finding supports the increasing focus on non-disease oriented contributing factors. Rehabilitation efforts aiming at return to work should have a s…
Utilization of health services in relation to mental health problems in adolescents
It might not be reasonable to argue that all adolescents with case-level mental health problems are in need of treatment. However, concerning the 99th percentile, claiming treatment need is less controversial. Even in the Norwegian context where mental health services are relatively available and free of charge, help-seeking in individuals with the highest symptom-loads is still low. Most help seekers achieved contact with health care providers, …
Anxiety, Depression, and Cause-Specific Mortality
OBJECTIVE: To investigate empirically the association between anxiety/depression and cause-specific mortality with particular attention to the underlying mechanisms and causes of death. Depression reportedly increases general mortality. For cause-specific mortality, there is evidence depression has an effect on cardiovascular disease (CVD) mortality and suicide. Less information is known as to other mortality diagnoses. There is scarce and confli…
Changes in BMI-distribution from 1966–69 to 1995–97 in adolescents. The Young-Hunt study, Norway
The aim of this study was to explore changes in the BMI-distribution over time among Norwegian adolescents. Height and weight were measured in standardised ways and BMI computed in 6774 adolescents 14–18 years who participated in the Young-HUNT study, the youth part of the Health-study of Nord-Trondelag County, Norway in 1995–97. The results were compared to data from 8378 adolescents, in the same age group and living in the same geographical reg…
Age-specific prevalence of the metabolic syndrome defined by the International Diabetes Federation and the National Cholesterol Education Program
According to both definitions, the prevalence of the metabolic syndrome increased strongly with age. The IDF and the American Heart Association/National Heart, Lung, and Blood Institute guidelines for clinical management of metabolic syndrome would classify a high proportion of elderly Norwegians as in need of overall risk assessment for cardiovascular disease
Association of low blood pressure with anxiety and depression
Background: Low blood pressure has mainly been regarded as ideal, but recent studies have indicated an association with depression in elderly people. Objective: To investigate whether low blood pressure is associated with anxiety and depression in the general population. Design: Cross-sectional study. Setting: Participants in the population-based Nord-Trøndelag Health Study (HUNT-2, 1995–7), Norway. Participants: 60 799 men and women aged 20–89 y…
Verifiability of diagnostic categories and work ability in the context of disability pension award
Verifiability of both diagnostic categories and work ability in disability assessments are reported to be moderate by GPs. We suggest that the low verifiability of diagnostic categories and related work ability assessments in the majority of disability pension awards is important in explaining why GPs find the gatekeeping-function problematic
Does a higher educational level protect against anxiety and depression? The Hunt study
Health Anxiety and Disability Pension Award
Objective: To examine the hypothesized effect of health anxiety on subsequent disability pension award. Mental disorders are consistently underrecognized in general health care, leading to underestimation of its effects on related social security expenditures. According to medicolegal diagnoses for disability pension award, there are almost no awards of disability benefits for health anxiety or hypochondriasis. There are no empirical longitudinal…
The Association Between Habitual Diet Quality and the Common Mental Disorders in Community-Dwelling Adults
OBJECTIVE: Recent evidence suggests a role for diet quality in the common mental disorders depression and anxiety. We aimed to investigate the association between diet quality, dietary patterns, and the common mental disorders in Norwegian adults. METHODS: This cross-sectional study included 5731 population-based men and women aged 46 to 49 and 70 to 74 years. Habitual diet was assessed using a validated food frequency questionnaire, and mental h…
Disability pension by occupational class - the impact of work-related factors
Workers in the skilled and unskilled manual classes had a substantial unexplained risk of disability pension. Work-related factors only had a moderate impact on the disability risk. Literature indicates an accumulation of hazards in the manual classes. This should be taken into account when interpreting the gradient in disability pension
Health problems account for a small part of the association between socioeconomic status and disability pension award. Results from the Hordaland Health Study
There is a socioeconomic gradient in disability pension similar to the well known socioeconomic gradient in health. However, health accounts for little of the socioeconomic gradient in disability pension. Future studies of socioeconomic gradients in disability pension should focus on explanatory factors beyond health
The Bidirectional Association Between Depression and Insomnia
OBJECTIVE: Depression and insomnia are closely linked, yet our understanding of their prospective relationships remains limited. The aim of the current study was to investigate the directionality of association between depression and insomnia. METHODS: Data were collected from a prospective population-based study comprising the most recent waves of the Nord-Trøndelag Health Study (HUNT) (the HUNT2 in 1995-1997 and the HUNT3 in 2006-2008). A total…
The impact of early life factors on cognitive function in old age
In general we found little evidence for a substantial role of early life factors on late-life cognitive function. However, there was some evidence for an association with parental SES status and head circumference on certain cognitive domains
Supported employment for people with severe mental illness
Workplace interventions for common mental disorders
Depression and anxiety disorders are the leading cause of sickness absence and long-term work incapacity in most developed countries. The present study aimed to carry out a systematic meta-review examining the effectiveness of workplace mental health interventions, defined as any intervention that a workplace may either initiate or facilitate that aims to prevent, treat or rehabilitate a worker with a diagnosis of depression, anxiety or both. Rel…
The mental health benefits of employment
OBJECTIVE: The literature on mental health in the workplace largely focuses on the negative impacts of work and how work may contribute to the development of mental disorders. The potential mental health benefits of employment have received less attention. METHOD: A systematic search of reviews or meta-analyses that consider the benefits of work in regards to mental health was undertaken using academic databases. All relevant reviews were subject…
The Role of Internalizing and Externalizing Problems in Adolescence for Adult Educational Attainment
To what extent are adolescent mental health problems negatively related to educational attainment? If so, do these relationships primarily reflect childhood socio-economic circumstances that lower both mental health and educational attainment or do individuals’ mental health vulnerabilities impede educational potential regardless of social origin? Using a population-based Norwegian health survey linked to administrative registry data, this study …
Can work make you mentally ill? A systematic meta-review of work-related risk factors for common mental health problems
It has been suggested that certain types of work may increase the risk of common mental disorders, but the exact nature of the relationship has been contentious. The aim of this paper is to conduct the first comprehensive systematic meta-review of the evidence linking work to the development of common mental health problems, specifically depression, anxiety and/or work-related stress and to consider how the risk factors identified may relate to e…
Adolescent mental health and earnings inequalities in adulthood
BACKGROUND: Previous studies have shown that adolescent mental health problems are associated with lower employment probabilities and risk of unemployment. The evidence on how earnings are affected is much weaker, and few have addressed whether any association reflects unobserved characteristics and whether the consequences of mental health problems vary across the earnings distribution. METHODS: A population-based Norwegian health survey linked …
Disability pension dynamics in early adulthood
Current initiatives such as the Norwegian Inclusive Workplace Agreement (IA) focus on preventing transitions from employment to disability benefits. However, such initiatives have little relevance for young disability pensioners as the majority have weak labour market attachment. Policymakers should therefore consider placing more emphasis on non-workplace interventions
Are attitudes in employees of public employment service in line with the principles of individual placement and support? A questionnaire‐based survey
A high proportion of people with severe mental illness (SMI) want to work, consider it essential for recovery, yet employment rates are low. Many employees in public employment services (PES) work according to traditional attitudes that people with SMI are unable to work and if they do, risk harm from work‐related stress. These attitudes conflict with principles in evidence based vocational models like individual placement and support (IPS) and p…
Medicine (24 obras) · Psychiatry (20 obras) · Psychology (17 obras) · Population (13 obras) · Workplace Health and Well-being (12 obras) · Environmental health (11 obras) · Mental health (11 obras) · Clinical Psychology (10 obras) · Gerontology (10 obras) · Anxiety (9 obras)