Reidar Tyssen

• Hertzberg, Tuva Kolstad; Tyssen, Reidar; Skirbekk, Helge & Rø, Karin Isaksson (2019). Jobb-hjem-balanse i to kohorter av norske leger. Tidsskrift for Den norske legeforening.  ISSN 0029-2001.  139(10) . doi: 10.4045/tidsskr.18.0339
• Mahmood, Javed Iqbal; Grotmol, Kjersti Støen; Tesli, Martin Steen; Moum, Torbjørn Åge; Andreassen, Ole Andreas & Tyssen, Reidar (2019). Life satisfaction in Norwegian medical doctors: a 15-year longitudinal study of work-related predictors. BMC Health Services Research.  ISSN 1472-6963.  19(729), s 1- 10 . doi: 10.1186/s12913-019-4599-7
• Sletta, Christian; Tyssen, Reidar & Løvseth, Lise T (2019). Change in subjective well-being over 20 years at two Norwegian Medical Schools and factors linked to well-being today: a survey. BMC Medical Education.  ISSN 1472-6920.  19:45, s 1- 12 . doi: 10.1186/s12909-019-1476-3 Full text in Research Archive.
• Solhaug, Ida; De Vibe, Michael F.; Friborg, Oddgeir; Sørlie, Tore; Tyssen, Reidar; Bjørndal, Arild & Rosenvinge, Jan H (2019). Long-term mental health effects of mindfulness training: a 4-year follow-up study. Mindfulness.  ISSN 1868-8527.  10(8), s 1661- 1672 . doi: 10.1007/s12671-019-01100-2
• Tyssen, Reidar (2019). Work and mental health in doctors: A short review of Norwegian studies. Porto Biomedical Journal.  ISSN 2444-8664.  4(5), s 1- 3 . doi: 10.1097/j.pbj.0000000000000050
• Belfrage, Anna; Grotmol, Kjersti Støen; Tyssen, Reidar; Moum, Torbjørn Åge & Lien, Lars (2018). Factors associated with low vs increased perceived mastery of clinical work over ten years of practice: a prospective study of Norwegian doctors. BMC Medical Education.  ISSN 1472-6920.  18:116(116) . doi: 10.1186/s12909-018-1236-9 Full text in Research Archive. Show summary

  Background A higher sense of mastery of doctors’ clinical work could benefit not only their own mental health but also their work performance and patient care. However, we know little about factors associated with perceived mastery of clinical work among physicians. Our aim was therefore to study characteristics of those with stable low levels and of those with increased levels of mastery over a period of ten years of medical practice. Methods N = 631 doctors were surveyed in their final year of medical school in 1993/94 (T1) and 10 (T2), 15 (T3) and 20 (T4) years later. Low and increased perceived mastery of clinical work were measured between T2, T3 and T4. Response rates for all items measuring low and increased mastery were 238/522 (46%) and 256/522 (49%) respectively. The following explanatory variables were included: demographics, medical school factors, personality and contextual work-related and non-work-related factors. Results N = 73 (31%) of the doctors reported stable low mastery from T2 to T4. The following variables were significantly associated with low mastery in the adjusted analyses: vulnerability (OR: 1.30, P < .000, CI: 1.12 to 1.50), drinking alcohol to cope with stress during medical school (OR: 2.66, P = .04, CI: 1.03 to 6.85) and social support (OR: 0.78, P = .002, CI: 0.66 to 0.91). N = 39 (15%) reported increased mastery during the ten-year period from T2 to T4. Perceived job demands (OR: 0.66, P = .02, CI: 0.45 to 0.98) and taking up a leading position (OR: 3.04, P = .01, CI: 1.31 to 7.07) were associated with increased mastery after adjustment. Conclusions Stable low sense of mastery over time is associated with having a vulnerable personality, a history of having used alcohol to cope with stress during medical school and lack of contemporary social support. Conversely, increased sense of mastery is associated with taking up a leading position and having the perception that job demands are decreasing over time. These findings indicate that perceived mastery of clinical work may not be a trait, but a state modifiable over time

• Belfrage, Anna; Grotmol, Kjersti Støen; Tyssen, Reidar; Moum, Torbjørn Åge; Finset, Arnstein; Rø, Karin Isaksson & Lien, Lars (2018). Factors influencing doctors' counselling on patients' lifestyle habits: a cohort study. British Journal of General Practice Open.  ISSN 2398-3795.  2(3), s 1- 12 . doi: 10.3399/bjgpopen18X101607 Full text in Research Archive. Show summary

  Background Lifestyle changes are important for prevention and treatment of many common diseases, and doctors have an important role in the lifestyle counselling of patients. It is important to know more about factors influencing lifestyle counselling. Aim To investigate the frequency of counselling about physical activity compared to that about alcohol habits; the impact of doctors’ own physical activity and alcohol habits on patient counselling about these lifestyle dimensions; and whether perceived mastery of clinical work or vulnerable personality have a confounding or moderating effect on these associations. Design & setting In this nationwide cohort survey, a total of 978 doctors in Norway were surveyed by postal questionnaires in 1993/94 and 2014. The response rate was 562/978 (57%). Method The outcome variables were questions on frequency of asking about alcohol and exercise habits. Explanatory variables were questions on doctors’ own exercise habits, drinking habits (using Alcohol Use Disorders Identification Test [AUDIT]), perceived mastery of clinical work, vulnerable personality, and specialty. Associations were studied by linear regression analysis. Results Of the 526 responders, 307 (58%) reported asking usually/often about exercise habits, while n = 140/524 (27%) usually/often asked about alcohol habits. A doctor's own physical activity level was associated with frequency of asking about physical activity (unstandardised regression coefficient [B] = 0.07; 95% confidence intervals [CI] = 0.01 to 0.13). There were no significant associations between doctors' own lifestyle habits and counselling on alcohol habits. Doctors with low levels of vulnerability asked more frequently about physical activity, regardless of their own physical activity habits (F = 2.41, P = 0.048). Conclusion Doctors’ own lifestyles influenced their preventive counselling about physical activity, but not about alcohol. Vulnerability moderated these effects, indicating the importance of early interventions to help doctors with a vulnerable personality to handle negative criticism from patients

• De Vibe, Michael F.; Solhaug, Ida; Rosenvinge, Jan H; Tyssen, Reidar; Hanley, Adam & Garland, Eric (2018). Six-year positive effects of a mindfulness-based intervention on mindfulness, coping and well-being in medical and psychology students; Results from a randomized controlled trial. PLOS ONE.  ISSN 1932-6203.  13(4) . doi: 10.1371/journal.pone.0196053 Full text in Research Archive.
• Belfrage, Anna; Grotmol, Kjersti Støen; Lien, Lars; Moum, Torbjørn Åge; Wiese, Ragna Veslemøy & Tyssen, Reidar (2017). Medical school predictors of later perceived mastery of clinical work among Norwegian doctors: a cohort study with 10-year and 20-year follow-up. BMJ Open.  ISSN 2044-6055.  7(9), s 1- 8 . doi: 10.1136/bmjopen-2016-014462
• Mahmood, Javed Iqbal; Grotmol, Kjersti Støen; Tesli, Martin Steen; Vaglum, Per Jørgen Wiggen & Tyssen, Reidar (2017). Contextual factors and mental distress as possible predictors of hazardous drinking in Norwegian medical doctors: a 15-year longitudinal nationwide study.. European Addiction Research.  ISSN 1022-6877.  23(1), s 19- 27 . doi: 10.1159/000452442
• Tyssen, Reidar (2017). Personality Traits, In Kirk J. Brower & Michelle B. Riba (ed.),  Physician Mental Health and Well-Being: Research and Practice (Integrating Psychiatry and Primary Care series).  Springer.  ISBN 978-3-319-55582-9.  Kapittel 10.  s 211 - 234
• Aagestad, Cecilie; Tyssen, Reidar & Sterud, Tom (2016). Do work-related factors contribute to differences in doctor-certified sick leave? A prospective study comparing women in health and social occupations with women in the general working population. BMC Public Health.  ISSN 1471-2458.  16 . doi: 10.1186/s12889-016-2908-1 Full text in Research Archive. Show summary

  Background: Doctor –certified sick leave is prevalent in the health and social sector. We examined whether the higher risk of doctor-certified sick leave in women in health and social occupations compared to women in other occupations was explained by particular work-related psychosocial and mechanical risk factors. Methods: A randomly drawn cohort aged 18–69 years from the general population in Norway was surveyed in 2009 (n = 12,255, response at baseline = 60.9 %), and was followed up in the national registry of social transfer payments in 2010. Eligible respondents were women registered with an active employee relationship for ≥100 actual working days in 2009 and 2010 (n = 3032). Using this sample, we compared health and social workers (n = 661) with the general working population (n = 2371). The outcome of interest was long-term sick leave (LTSL) ≥21 working days during 2010. Eight psychosocial and eight mechanical factors were evaluated. Results: After adjusting for age, previous LTSL, education and working hours/week, women in health and social occupations had a higher risk for LTSL compared with women in the general working population (OR = 1.42, 95 % CI = 1.13–1.79; p = 0.003). After adjusting for psychosocial and mechanical factors, 70 % of the excess risk for LTSL was explained compared with the initial model. The main contributory factors to the increased risk were threats of violence and violence, emotional demands and awkward lifting. Conclusions: Psychosocial and mechanical factors explained much of the excess risk for LTSL in women in health and social occupations compared with working women in general. Psychosocial risk factors were the most important contributors.

• Hertzberg, Tuva Kolstad; Isaksson Rø, Karin Elisabet; Vaglum, Per Jørgen Wiggen; Moum, Torbjørn Åge; Røvik, Jan Ole; Gude, Tore; Ekeberg, Øivind & Tyssen, Reidar (2016). Work-home interface stress: An important predictor of emotional exhaustion 15 years into a medical career. Industrial Health.  ISSN 0019-8366.  54(2), s 139- 148 . doi: 10.2486/indhealth.2015-0134
• Hertzberg, Tuva Kolstad; Skirbekk, Helge; Tyssen, Reidar; Aasland, Olaf Gjerløw & Isaksson Rø, Karin Elisabet (2016). Dagens sykehuslege - fremdeles alltid på vakt. Tidsskrift for Den norske legeforening.  ISSN 0029-2001.  136(19), s 1635- 1638 . doi: 10.4045/tidsskr.16.0067 Show summary

  BAKGRUNN Norske sykehusleger fremholder verdien av å jobbe hardt og effektivt og ha stor grad av tilstedeværelse på jobb. Dette bidrar til å skape sosiale normer som virker styrende for atferd innen profesjonskulturen. Det er viktig å undersøke hvilke konsekvenser disse verdiene kan få, når legen også skal ivareta egne behov. MATERIALE OG METODE Vi gjennomførte åtte fokusgruppeintervjuer og tre individuelle intervjuer blant til sammen 48 overleger og leger under spesialisering, som jobbet innen kirurgi, psykiatri og indremedisin ved to ulike sykehus. Totalt N = 48, 56 % kvinner. Intervjuene ble analysert med systematisk tekstkondensering. RESULTATER Når norske sykehusleger ønsker å fremstå som gode leger, opplever de at det får konsekvenser for samspillet med legekollegiet, ledelsen og balansen mellom hjem og jobb. Interessekonflikter fremkom mellom overleger og leger i spesialisering. Ledelsesinitiativ for å håndtere fravær, livsfasetilpasning av legejobben og økt lederengasjement blant leger var tiltak som ble foreslått. FORTOLKNING Bedre gjensidig kunnskap mellom leger og ledelse om hverandres verdier og ansvarsområder vil være viktige premisser for å kunne gjøre strukturelle endringer, for eksempel bedre planlegging av fravær og mulighet for livsfasetilpasning i arbeidsplaner.

• Hertzberg, Tuva Kolstad; Skirbekk, Helge; Tyssen, Reidar; Aasland, Olaf Gjerløw & Isaksson Rø, Karin Elisabet (2016). Den gode legen - sterk og utholdende. Tidsskrift for Den norske legeforening.  ISSN 0029-2001.  136(19), s 1631- 1634 . doi: 10.4045/tidsskr.16.0066 Show summary

  BAKGRUNN Legene i dagens samfunn møter mange kryssende interesser fra blant andre kolleger, pasienter og arbeidsgivere. Det er forsket mye på utvikling og regulering av den medisinske profesjonen. Imidlertid er det forsket mindre på legers egne opplevelser av hva det innebærer å være en god lege. MATERIALE OG METODE Vi gjennomførte åtte fokusgruppeintervjuer og tre individuelle intervjuer blant overleger og leger i spesialisering som jobbet innenfor kirurgi, psykiatri og indremedisin, ved to ulike sykehus. Totalt N = 48, 56 % kvinner. Intervjuene ble analysert med systematisk tekstkondensering. RESULTATER «Faglig dedikasjon» vist ved «høy grad av tilstedeværelse på jobb» og «stor arbeidskapasitet» var sentrale temaer for gode leger. Stor arbeidskapasitet ble definert som viljen til å strekke seg langt, jobbe overtid og jobbe effektivt. Overlegene opplevde det å være lege mer som en «livsstil», mens leger i spesialisering i større grad så på det som en «jobb». FORTOLKNING Norske sykehusleger ønsker å fremstå som faglig dedikerte. Dette kan de vise gjennom en sterk vilje til å jobbe hardt og effektivt med pasientarbeid og samtidig strekke seg langt for å være til stede utover regulær arbeidstid.

• Thorberg, Fred Arne; Young, Ross McD; Lyvers, Michael; Sullivan, Karen A.; Hasking, Penelope; London, Edyth D; Tyssen, Reidar; Connor, Jason P & Feeney, Gerald F.X. (2016). Alexithymia in relation to alcohol expectancies in alchol-dependent outpatients. Psychiatry Research.  ISSN 0165-1781.  236, s 186- 188 . doi: 10.1016/j.psychres.2016.01.016
• Thorberg, Fred Arne; Young, Ross McD; Sullivan, Karen A.; Lyvers, Michael; Hurst, Cameron P; Tyssen, Reidar; Connor, Jason P; Noble, Ernest P; London, Edyth D & Feeney, Gerald F.X. (2016). A Longitudinal Mediational Study on the Stability of Alexithymia among Alcohol-Dependent Outpatients in Cognitive-Behavioral Therapy. Psychology of Addictive Behaviors.  ISSN 0893-164X.  30(1), s 64- 72 . doi: 10.1037/adb0000135
• Berthelsen, Mona; Pallesen, Ståle; Magerøy, Nils; Tyssen, Reidar; Bjorvatn, Bjørn; Moen, Bente Elisabeth & Knardahl, Stein (2015). Effects of psychological and social factors in shiftwork on symptoms of anxiety and depression in nurses: A 1-year follow-up. Journal of Occupational and Environmental Medicine.  ISSN 1076-2752.  57(10), s 1127- 1137 . doi: 10.1097/JOM.0000000000000532 Show summary

  Objectives: The aim of the current study was to elucidate prospective effects of both shift schedules and work environment on mental distress. Methods: A total of 2059 nurses participated at baseline (38.1%), and 1582 nurses completed wave 2 of the survey (76.8%). Psychosocial work factors were measured by the General Nordic Questionnaire for Psychological and Social factors at work and the Swedish Demand–Control–Support Questionnaire. Mental distress was measured by Hospital Anxiety and Depression Scale. Results: Shiftwork was not associated with ‘‘caseness’’ anxiety or depression. Effects of shiftwork on mental distress were not moderated by psychosocial work factors. Mental distress predicted role clarity, role conflict, fair leadership, and social support. Job demands predicted symptoms of depression. Conclusions: Whether psychosocial working conditions buffer mental health effects of shiftwork remains undecided. Prospective studies with multiple measurement points are needed to elucidate potential mutual relationships between work factors and mental distress.

• de Vibe, Michael; Solhaug, Ida; Tyssen, Reidar; Friborg, Oddgeir; Rosenvinge, Jan H; Sørlie, Tore; Halland, Even & Bjørndal, Arild (2015). Does Personality Moderate the Effects of Mindfulness Training for Medical and Psychology Students?. Mindfulness.  ISSN 1868-8527.  6(2), s 281- 289 . doi: 10.1007/s12671-013-0258-y Full text in Research Archive.
• Halland, Even; de Vibe, Michael; Solhaug, Ida; Tyssen, Reidar; Friborg, Oddgeir; Rosenvinge, Jan H; Sørlie, Tore & Bjørndal, Arild (2015). Mindfulness training improves problem-focused coping in psychology and medical students. College Student Journal.  ISSN 0146-3934.  49(3), s 387- 398
• Mahmood, Javed Iqbal; Grotmol, Kjersti Støen; Tesli, Martin Steen; Vaglum, Per Jørgen Wiggen & Tyssen, Reidar (2015). Risk factors measured during medical School for later hazardous drinking: a 10-year, longitudinal, nationwide study(NORDOC). Alcohol and Alcoholism.  ISSN 0735-0414.  51(1), s 71- 76 . doi: 10.1093/alcalc/agv059
• Thorberg, Fred Arne; Young, Ross; Sullivan, Karen; Lyvers, Michael; Connor, Jason; Noble, Ernest P; London, Edythe D; Tyssen, Reidar & Feeney, Gerald F.X. (2015). A longitudinal mediational study of the stability of alexitymia among alcohol treatment seekers. Drug and Alcohol Dependence.  ISSN 0376-8716.  156, s e221 . doi: 10.1016/j.drugalcdep.2015.07.595
• Aagestad, Cecilie; Tyssen, Reidar; Johannessen, Håkon Andre; Gravseth, Hans Magne Ulrik; Tynes, Tore & Sterud, Tom (2014). Psychosocial and organizational risk factors for doctor-certified sick leave: a prospective study of female health and social workers in Norway. BMC Public Health.  ISSN 1471-2458.  14 . doi: 10.1186/1471-2458-14-1016 Show summary

  Background: Doctor-certified sick leave differs substantially across sectors, and among health and social workers, in particular, there is an increased risk. Previous studies have shown that work environmental factors contribute to sick leave. Hence, the identification of specific organizational and psychosocial risk factors for long- term sick leave, taking into account potential confounding related to mechanical risk factors such as lifting and awkward body postures, will be of importance in the work of prevention. Methods: A randomly drawn population sample of Norwegian residents was interviewed about working conditions in 2009 (n = 12,255; response rate 60.9%). Female health and social care workers (n = 925) were followed in a national registry for subsequent sickness absence during 2010. The outcome of interest was doctor-certified sick leave of 21 days or more (long-term sick leave). Eleven work-related psychosocial and organizational factors were evaluated. Results: In total, 186 persons (20.1%) were classified with subsequent long-term sick leave. After thoroughly adjusting for competing explanatory variables, the most consistent predictors for long-term sick leave were violence and threats of violence (OR = 1.67; 95% CI 1.14–2.45). The estimated population attributable risk for violence and threats of violence was 13%. Conclusions: The present study among female health and social care workers revealed a substantial relationship between self-reported violence and threats of violence and subsequent long- term sick leave.

• Solberg, Ingunn Bjarnadottir; Tomasson, Kristinn; Aasland, Olaf Gjerløw & Tyssen, Reidar (2014). Cross-national comparison of job satisfaction in doctors during economic recession. Occupational Medicine.  ISSN 0962-7480. . doi: 10.1093/occmed/kqu114
• Tyssen, Reidar (2014). Alkohol og leger – hvor mye er for mye?, I: Kari Ronge; Karin Elisabet Isaksson Rø & Berit Bringedal (red.),  Fra pidestall til skammel: Festskrift til Olaf Gjerløw Aasland 70 år.  Den norske legeforening / Sykehjelps- og pensjonsordningen for leger (SOP).  ISBN 978-82-8070-106-0.  Kapittel 11.  s 106 - 112
• de Vibe, Michael; Solhaug, Ida; Tyssen, Reidar; Friborg, Oddgeir; Rosenvinge, Jan H; Sørlie, Tore & Bjørndal, Arild (2013). Mindfulness training for stress management: a randomised controlled study of medical and psychology students. BMC Medical Education.  ISSN 1472-6920.  13(107) . doi: 10.1186/1472-6920-13-107 Full text in Research Archive.
• Grotmol, Kjersti Støen; Gude, Tore; Moum, Torbjørn Åge; Vaglum, Per Jørgen Wiggen & Tyssen, Reidar (2013). Risk factors at medical school for later severe depression: A 15-year longitudinal, nationwide study (NORDOC). Journal of Affective Disorders.  ISSN 0165-0327.  146(1), s 106- 111 . doi: 10.1016/j.jad.2012.08.047
• Ljoså, Cathrine Haugene; Tyssen, Reidar & Lau, Bjørn (2013). Perceived Mastery of Work among Shift Workers in the Norwegian Offshore Petroleum Industry. Industrial Health.  ISSN 0019-8366.  51(2), s 145- 153 . doi: 10.2486/indhealth.2012-0086 Show summary

  This study investigated associations between individual and work-related factors and perceived mastery of work among offshore shift workers. 2,406 employees of a Norwegian petroleum company were invited to participate. A web-based survey was used and 1336 completed questionnaires were returned (56%). Mastery of work was assessed using QPS Nordic Mastery Scale and the results were compared with a sample from the QPS Nordic study. Individual factors adjusted for were age, gender, marital status and personality. The following work-related factors were included: demands, control, support, night work and shift work home interference. Female offshore shift workers reported higher levels of perceived mastery of work compared with women in the comparison sample. The following variables were independently associated with perceived mastery of work: female gender (β=0.10, p=0.008), decisional demands (β=0.13, p<0.001), control (β=0.05, p=0.009), social support (β=0.07, p<0.001), shift-work locus of control (β=0.04, p=0.005) and neuroticism (β=–0.29, p<0.001). Post hoc analyses showed no sex differences in perceived mastery in two separate work positions on the platforms. Work-related variables and personality explained 55% and 45% respectively of the total variance (R2=0.22) explained by the final model. Female petroleum offshore workers reported somewhat higher levels of mastery of work than their male colleagues, however, this may be due to different work positions. Work-related factors accounted for about half of the explained variance and decisional demands, control and support remained statistically significant after controlling for personality.

• Solberg, Ingunn Bjarnadottir; Kristinn, Tómasson; Aasland, Olaf Gjerløw & Tyssen, Reidar (2013). The impact of economic factors on migration considerations among Icelandic specialist doctors: a cross-sectional study. BMC Health Services Research.  ISSN 1472-6963.  13 . doi: 10.1186/1472-6963-13-524
• Thorberg, Fred Arne; Young, Ross M.; Sullivan, Karen A.; Lyvers, Michael; Hurst, Cameron P; Tyssen, Reidar; Connor, Jason P & Feeney, Gerald F.X. (2013). A confirmatory factor analysis of the Observer Alexithymia Scale in treatment seeking alcohol-dependent patients. Journal of Substance Use.  ISSN 1465-9891.  18(6), s 492- 498 . doi: 10.3109/14659891.2012.707281
• Tyssen, Reidar; Palmer, Karen S; Solberg, Ingunn Bjarnadottir; Voltmer, Edgar & Frank, Erica (2013). Physicians' perceptions of quality of care, professional autonomy, and job satisfaction in Canada, Norway, and the United States. BMC Health Services Research.  ISSN 1472-6963.  13 . doi: 10.1186/1472-6963-13-516
• Isaksson Rø, Karin Elisabet; Tyssen, Reidar; Gude, Tore & Aasland, Olaf Gjerløw (2012). Will sick leave after a counselling intervention prevent later burnout? A 3-year follow-up study of Norwegian doctors. Scandinavian Journal of Public Health.  ISSN 1403-4948.  40(3), s 278- 285 . doi: 10.1177/1403494812443607
• Solberg, Ingunn Bjarnadottir; Isaksson Rø, Karin Elisabet; Aasland, Olaf Gjerløw; Gude, Tore; Moum, Torbjørn Åge; Vaglum, Per Jørgen Wiggen & Tyssen, Reidar (2012). The impact of change in a doctor's job position: a five-year cohort study of job satisfaction among Norwegian doctors. BMC Health Services Research.  ISSN 1472-6963.  12(41) . doi: 10.1186/1472-6963-12-41
• Ljoså, Cathrine Haugene; Tyssen, Reidar & Lau, Bjørn (2011). Mental distress among shift workers in Norwegian offshore petroleum industry - relative influence of individual and psychosocial work factors. Scandinavian Journal of Work, Environment and Health.  ISSN 0355-3140.  37(6), s 551- 555 . doi: 10.5271/sjweh.3191 Show summary

  Objective This study aimed to investigate the association between individual and psychosocial work factors and mental distress among offshore shift workers in the Norwegian petroleum industry. Methods All 2406 employees of a large Norwegian oil and gas company, who worked offshore during a two-week period in August 2006, were invited to participate in the web-based survey. Completed questionnaires were received from 1336 employees (56% response rate). The outcome variable was mental distress, assessed with a shortened version of the Hopkins Symptom Checklist (HSCL-5). The following individual factors were adjusted for: age, gender, marital status, and shift work locus of control. Psychosocial work factors included: night work, demands, control and support, and shift work–home interference. Results The level of mental distress was higher among men than women. In the adjusted regression model, the following were associated with mental distress: (i) high scores on quantitative demands, (ii) low level of support, and (iii) high level of shift work–home interference. Psychosocial work factors explained 76% of the total explained variance (adjusted R²=0.21) in the final adjusted model. Conclusions Psychosocial work factors, such as quantitative demands, support, and shift work–home interference were independently associated with mental distress. Shift schedules were only univariately associated with mental distress.

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• Thorberg, Fred Arne; Tyssen, Reidar; Landheim, Anne; Lyvers, Michael; Young, Ross McD; Hasking, Penelope; Connor, Jason P; London, edythe; Huang, Ya-Ling & Feeney, Gerald F.X. (2019). Alexithymia, alcohol expectancies, drinking refusal self-efficacy expectancies and negative affect in alcohol-dependent treatment seekers.
• Tyssen, Reidar (2019). Trivsel blant praktiserende læger. Practicus.  (246), s 16- 17
• Solhaug, Ida; De Vibe, Michael F.; Friborg, Oddgeir; Sørlie, Tore; Tyssen, Reidar; Bjørndal, Arild & Rosenvinge, Jan H (2018). Long-term mental health effects of mindfulness training: A 4-year follow-up of an RCT in medical and psychology students.
• Tyssen, Reidar (2018). What is the level of burnout that impairs functioning?. Journal of Internal Medicine.  ISSN 0954-6820.  283(6), s 594- 596 . doi: 10.1111/joim.12769
• Thorberg, Fred Arne; Young, Ross McD; Lyvers, Michael; Connor, Jason P; Tyssen, Reidar; London, Edythe D & Feeney, G.F.X (2017). Alexithymia in alcohol-dependent patients is mediated by stress, anxiety and loss of self-control over drinking. Drug and Alcohol Dependence.  ISSN 0376-8716.  171, s e201- e202
• Gude, Tore; Hem, Erlend; Tyssen, Reidar; Mahmood, Javed Iqbal; Rø, Karin Isakson & Vaglum, Per Jørgen Wiggen (2016). To regret the choice of medicine as a student, how will it influence doctors’ later career?.
• Thorberg, Fred Arne; Young, Ross McD; Lyvers, Michael; Connor, Jason P; Tyssen, Reidar; London Danick, Edythe & Feeney, Gerald F.X. (2016). Alexithymia in alcohol-dependent patients is mediated by stress, anxiety and loss of self-control over drinking.
• Tyssen, Reidar (2016). Legeprofesjon, identitet og ledelse. Overlegen.  ISSN 1503-2663.  (3), s 20- 21
• Gude, Tore; Vaglum, Per Jørgen Wiggen; Mahmood, Javed Iqbal; Hem, Erlend & Tyssen, Reidar (2015). To regret or not to regret, does it matter for physicians’ later functioning?.
• Mahmood, Javed Iqbal; Grotmol, Kjersti Støen; Tesli, Martin Steen & Tyssen, Reidar (2015). Contextual stress and mental distress as predictors of hazardous drinking in Norwegian medical doctors: a 15-year longitudinal and Nationwide study.
• Mahmood, Javed Iqbal; Grotmol, Kjersti Støen; Tesli, Martin Steen; Vaglum, Per Jørgen Wiggen & Tyssen, Reidar (2015). Risk factors at medical school for later hazardous drinking: a 10-year longitudinal, nationwide study.
• Thorberg, Fred Arne; Young, Ross McD; Lyvers, Michael; Connor, Jason P; Tyssen, Reidar; Landheim, Anne; Edythe, London & Feeney, Gerald F.X. (2015). Loss of self-control over drinking and the relationship of alexithymia to quality of life in alcohol-dependent patients. Drug and Alcohol Dependence.  ISSN 0376-8716.  146, s e4 . doi: 10.1016/j.drugalcdep.2014.09.693
• Thorberg, Fred Arne; Young, Ross McD; Sullivan, Karen A.; Lyvers, Michael; Hurst, Cameron P; Tyssen, Reidar; Noble, Ernest P; London Danick, Edythe; Connor, Jason P & Feeney, Gerald F.X. (2015). A Prospective Mediational Study on the Stability of Alexithymia among Alcohol-Dependent Outpatients in Cognitive-Behavioral Therapy.
• Tyssen, Reidar (2015). Hva kan forskning om legers helse lære oss om forebygging i dag?.
• Tyssen, Reidar (2015). Mental health and intervention studies in Norwegian medical students and doctors: a review and update of the NORDOC studies.
• Tyssen, Reidar (2015). Reality weakness trait is linked to both mental health and performance-related issues among Medical students: a nationwide and cross-sectional study (NORDOC)..
• Tyssen, Reidar (2015). Tiden sårer alle leger - også psykiatere. Hva vet vi om psykisk helse blant psykiatere og andre leger, implikasjoner for forebygging og behandling?.
• Aagestad, Cecilie; Tyssen, Reidar; Johannessen, Håkon Andre; Gravseth, Hans Magne Ulrik; Tynes, Tore & Sterud, Tom (2014). Psychosocial and organizational risk factors for doctor-certified sick leave. A prospective study of female health and social workers in Norway: the role of violence.
• de Vibe, Michael; Solhaug, Ida; Halland, Even; Tyssen, Reidar; Rosenvinge, Jan H; Sørlie, Tore; Friborg, Oddgeir & Bjørndal, Arild (2014). Mindfulness Based Stress Reduction for Norwegian medical and psychology students: Pre-post results from a multisite, randomised controlled study.
• DeVibe, Michael; Solhaug, Ida; Halland, Even; Tyssen, Reidar; Friborg, Oddgeir; Rosenvinge, Jan H; Sørlie, Tore & Bjørndal, Arild (2014). Mindfulness training for Norwegian medical and psychology students: Pre-post results from a multisite, randomised controlled study.
• Hertzberg, Tuva Kolstad; Skirbekk, Helge; Aasland, Olaf G.; Tyssen, Reidar & Isaksson Rø, Karin Elisabet (2014). Is it possible to combine being 'a good doctor' with taking care of one's own health? A qualitative study of the importance of professionalism among hospital doctors.
• Mahmood, Javed Iqbal; Grotmol, Kjersti Støen; Tesli, Martin Steen; Vaglum, Per Jørgen Wiggen & Tyssen, Reidar (2014). Risk Factors at Medical School for Later Hazardous Drinking: A 10-Year Longitudinal, Nationwide Study (NORDOC).
• Thorberg, Fred Arne; Young, R; Lyvers, Michael; Connor, Jason; Tyssen, Reidar; Landheim, Anne; London, Edyth & Feeney, Gerald F.X. (2014). A prospective study of alexithymia and craving among alcohol-dependent treatment seekers. Drug and Alcohol Dependence.  ISSN 0376-8716.  140, s e225
• Thorberg, Fred Arne; Young, Ross McD; Lyvers, Michael; Connor, Jason P; Tyssen, Reidar; Landheim, Anne; London Danick, Edythe & Feeney, Gerald F.X. (2014). Loss of self-control over drinking and the relationship of alexithymia to quality of life in alcohol-dependent patients.
• Tyssen, Reidar (2014, 13. februar). Behandlingskvalitet: Amerikanske leger mer tilfredse enn norske.  Dagens Medisin.
• Tyssen, Reidar (2014). Hva kan forskning om legers helse lære oss om forebygging? (2014).
• Tyssen, Reidar (2014). Medice cura te ipse – om medisineres selvmedisinering og sykdomsatferd.
• Tyssen, Reidar (2014). Mental health and intervention studies in Norwegian medical students and doctors: a review.
• Tyssen, Reidar (2014). Verdens beste helsevesen?. Klassekampen.  ISSN 0805-3839.  s 26- 27
• Tyssen, Reidar; Palmer, Karen S; Solberg, Ingunn Bjarnadottir; Voltmer, Edgar & Frank, Erica (2014). Physicians’ Perceptions of Quality of Care, Professional Autonomy, and Job Satisfaction in Canada, Norway, and the United States.
• Isaksson Rø, Karin Elisabet & Tyssen, Reidar (2013). Work-home stress in Norwegian doctors (NORDOC): the role of year-cohort and gender.
• Solhaug, Ida; de Vibe, Michael; Tyssen, Reidar; Friborg, Oddgeir; Rosenvinge, Jan H; Sørlie, Tore & Bjørndal, Arild (2013). Mindfulness training for medical and psychology students: Initial effects from a multisite, randomised controlled study.
• Tyssen, Reidar (2013). Farer i faget - utbrenthet?.
• Tyssen, Reidar (2013). Legers psykiske helse og utbrenthet, implikasjoner for forebygging og behandling.
• Tyssen, Reidar (2013). Om medisinstudenter og legers mentale helse.
• Tyssen, Reidar (2013). Work-home stress in Norwegian doctors (NORDOC): the role of year-cohort and gender.
• Frank, Erica; Aasland, Olaf Gjerløw; Brewster, Joan; Puddester, Derek & Tyssen, Reidar (2012). An immersion in peer review: Avoiding common errors and achiving worthwhile joys in physicican health research (workshop).
• Grotmol, Kjersti Støen; Gude, Tore; Moum, Torbjørn Åge; Vaglum, Per Jørgen Wiggen & Tyssen, Reidar (2012). Work related stress and severe depressive symptoms.
• Grotmol, Kjersti Støen & Tyssen, Reidar (2012). Drinking and depression in Norwegian doctors: a 15-year longitudinal study.
• Grotmol, Kjersti Støen & Tyssen, Reidar (2012). Work-related stress and severe depressive symptoms: a 14-year longitudinal study of Norwegian doctors.
• Hertzberg, Tuva Kolstad; Isaksson Rø, Karin Elisabet & Tyssen, Reidar (2012). Work-home interface stress predicts burnout in Norwegian doctors: a 15-year follow-up study.
• Hertzberg, Tuva Kolstad; Isaksson Rø, Karin Elisabet & Tyssen, Reidar (2012). Work-home interference predicts burnout in Norwegian doctors: a 15-year follow-up study.
• Hillestad, Erling Gilhus; Gude, Tore & Tyssen, Reidar (2012). Interpersonal and work-related predictors of perceived team climate and collaboration among physicians: a nationwide 15-year longitudinal study.
• Isaksson Rø, Karin Elisabet; Tyssen, Reidar; Gude, Tore & Aasland, Olaf Gjerløw (2012). Sick leave after a counseling intervention for burnout gets doctors back on track: a three-year follow-up study of Norwegian doctors.
• Thorberg, Fred Arne; Young, Ross McD; Sullivan, Karen; Lyvers, Michael; Connor, Jason; Landheim, Anne; Tyssen, Reidar & Feeney, GFX (2012). Alexithymia in alcohol dependent patients: Gender differences, associations with craving and dependence severity.
• Thorberg, Fred Arne; Young, Ross McD; Sullivan, Karen; Lyvers, Michael; Connor, Jason; Landheim, Anne; Tyssen, Reidar & Feeney, GFX (2012). Alexithymia in alcoholics is mediated by alcohol expectancy, but only for males.
• Tyssen, Reidar (2012). Hva vet vi om legers helse og hvilke implikasjoner har dette for behandling av legepasienter?.
• Tyssen, Reidar (2012). Medisinstudiet – en psykisk belastning?.
• Tyssen, Reidar (2012). Psychiatry – a promising profession ?! (in Young Psychiatrists' programme).
• Tyssen, Reidar (2012). Psykologiske forsvarsmekanismer på en forståelig måte. (Beresford: Psychological adaptive mechanisms). Tidsskrift for Den norske legeforening.  ISSN 0029-2001.  132(22), s 2515- 2515
• Tyssen, Reidar (2012). Solid lærebok i positiv psykologi for organisasjoner. Tidsskrift for Den norske legeforening.  ISSN 0029-2001.  132(9), s 1135
• Tyssen, Reidar (2012). Work-home stress in Norwegian doctors: the role of year-chort and gender.
• Tyssen, Reidar (2012). Work-home stress in Norwegian doctors: the role of year-cohort and gender.
• Tyssen, Reidar; Dyrbye, Lotte; Dahlin, Marie; Prins, Jelle & Voltmer, Edgar (2012). Is it the job or the person: Controversy in how to respond to the high prevalence of distress amongst physicians in training and practice (symposium).
• Tyssen, Reidar; Solhaug, Ida & de Vibe, Michael (2012). Mental distress and intervention studies in Norwegian medical students.
• Tyssen, Reidar; Solhaug, Ida & de Vibe, Michael (2012). Mental distress and intervention studies in Norwegian medical students (in symposium Bridging Western and Eastern psychiatry – anxiety and depression).
• Voltmer, Edgar; Tyssen, Reidar; Palmer, Karen; Solberg, Ingunn Bjarnadottir & Frank, Erica (2012). Job satisfaction and perceived professional autonomy in Canadian, Norwegian and US physicians.
• Grotmol, Kjersti Støen; Gude, Tore; Moum, Torbjørn; Vaglum, Per Jørgen Wiggen & Tyssen, Reidar (2011). Medical school predictors of severe depressive symptoms.
• Hertzberg, Tuva Kolstad; Isaksson Rø, Karin Elisabet & Tyssen, Reidar (2011). Work-home interference predicts burnout in Norwegian doctors: a 15-year follow-up study.
• Isaksson Rø, Karin Elisabet; Tyssen, Reidar; Gude, Tore & Aasland, Olaf Gjerløw (2011). Sick leave after a counselling intervention prevents later burnout: a three-year follow-up study of Norwegian doctors.
• Tyssen, Reidar (2011, 04. november). Farlige alko-forventninger. [Internett].  Forskning.no.
• Tyssen, Reidar (2011). Hva vet vi om mental helse og rusproblemer blant leger?.
• Tyssen, Reidar (2011, 01. juni). Ikke nok spesialister.  Verdens Gang (VG).
• Tyssen, Reidar (2011). Legen som pasient.
• Tyssen, Reidar (2011). Legers helse og legen som pasient.
• Tyssen, Reidar (2011). Work and mental health: what can we learn from a 15-year longitudinal study of Norwegian doctors?.

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