{"id":6284,"date":"2026-10-19T09:48:43","date_gmt":"2026-10-19T09:48:43","guid":{"rendered":"https:\/\/phd.hi.is\/doktorsvorn\/doktorsvorn-i-hjukrunarfraedi-hafdis-skuladottir\/"},"modified":"2026-10-19T09:48:43","modified_gmt":"2026-10-19T09:48:43","slug":"doktorsvorn-i-hjukrunarfraedi-hafdis-skuladottir","status":"publish","type":"phd_defence","link":"https:\/\/phd.hi.is\/en\/doktorsvorn\/doktorsvorn-i-hjukrunarfraedi-hafdis-skuladottir\/","title":{"rendered":"Doktorsv\u00f6rn \u00ed hj\u00fakrunarfr\u00e6\u00f0i – Hafd\u00eds Sk\u00falad\u00f3ttir"},"content":{"rendered":"
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\u00deri\u00f0judaginn 21. j\u00fan\u00ed ver Hafd\u00eds Sk\u00falad\u00f3ttir doktorsritger\u00f0 s\u00edna \u00ed hj\u00fakrunarfr\u00e6\u00f0i vi\u00f0 Hj\u00fakrunarfr\u00e6\u00f0ideild H\u00e1sk\u00f3la \u00cdslands. Ritger\u00f0in ber heiti\u00f0: Me\u00f0fer\u00f0 vegna langvarandi verkja \u00e1 endurh\u00e6fingardeildum \u00e1 \u00cdslandi: K\u00f6nnun og l\u00fdsing \u00e1 skammt\u00edma- og langt\u00edma\u00e1hrifum.\u00a0Multidisciplinary Pain Rehabilitation Programs in Iceland: An Exploration and Description of the Short-term and Long-term Effects.<\/strong><\/p>\n

Andm\u00e6lendur eru dr. Tone Rust\u00f8en, pr\u00f3fessor II vi\u00f0 H\u00e1sk\u00f3lann \u00ed \u00d3sl\u00f3 og v\u00edsindama\u00f0ur vi\u00f0 H\u00e1sk\u00f3lasj\u00fakrah\u00fasi\u00f0 \u00ed \u00d3sl\u00f3 og\u00a0 dr. Krist\u00edn Briem, pr\u00f3fessor vi\u00f0 L\u00e6knadeild H\u00e1sk\u00f3la \u00cdslands, n\u00e1msbraut \u00ed sj\u00fakra\u00fej\u00e1lfun.<\/p>\n

Umsj\u00f3narkennari og lei\u00f0beinandi var dr. Herd\u00eds Sveinsd\u00f3ttir, pr\u00f3fessor og me\u00f0lei\u00f0beinandi var dr. Sigr\u00ed\u00f0ur Halld\u00f3rsd\u00f3ttir, pr\u00f3fessor. A\u00f0rir \u00ed doktorsnefnd voru \u00de\u00f3ra Jenn\u00fd Gunnarsd\u00f3ttir, d\u00f3sent, Amal\u00eda Bj\u00f6rnsd\u00f3ttir, pr\u00f3fessor vi\u00f0 Menntav\u00edsindasvi\u00f0, og Janean E. Holden, pr\u00f3fessor emerita, University of Michigan.<\/p>\n

Helga Bragad\u00f3ttir, pr\u00f3fessor og varadeildarforseti Hj\u00fakrunarfr\u00e6\u00f0ideildar, stj\u00f3rnar ath\u00f6fninni sem fer fram \u00ed H\u00e1t\u00ed\u00f0asal H\u00e1sk\u00f3la \u00cdslands og hefst kl. 13.00.<\/p>\n

\u00a0V\u00f6rninni ver\u00f0ur streymt:<\/p>\n

\u00c1grip<\/strong><\/p>\n

Meginmarkmi\u00f0 \u00feessarar ranns\u00f3knar var a\u00f0 kanna og l\u00fdsa skammt\u00edma- og langt\u00edma\u00e1hrifum me\u00f0fer\u00f0ar vegna langvarandi verkja, \u00e1 \u00feremur endurh\u00e6fingastofnunum \u00e1 alvarleika verkja og truflandi \u00e1hrifum verkja; a\u00f0 auki langt\u00edma\u00e1hrifum \u00e1 sj\u00e1lfsme\u00f0h\u00f6ndlun verkja, g\u00e6\u00f0i svefns, almenna l\u00ed\u00f0an, heilsu og heilsutengd l\u00edfsg\u00e6\u00f0i.<\/p>\n

Helstu ni\u00f0urst\u00f6\u00f0ur voru \u00fe\u00e6r a\u00f0 \u00e1\u00f0ur en \u00fe\u00e1tttakendurnir f\u00f3ru \u00ed me\u00f0fer\u00f0ina lei\u00f0 \u00feeim eins og \u00feeir v\u00e6ru a\u00f0 reyna a\u00f0 lifa af hvern dag; \u00feeir voru fastir \u00ed v\u00edtahring langvarandi verkja og \u00e1 sama t\u00edma a\u00f0 reyna a\u00f0 draga \u00far og fela verkina fyrir \u00f6\u00f0rum. A\u00f0 leita s\u00e9r a\u00f0sto\u00f0ar fagf\u00f3lks var j\u00e1kv\u00e6\u00f0ur vendipunktur. \u00c1 me\u00f0an \u00feeir voru \u00ed me\u00f0fer\u00f0inni h\u00f3fu \u00feeir a\u00f0 brj\u00f3ta upp eldri a\u00f0fer\u00f0ir s\u00ednar vi\u00f0 a\u00f0 takast \u00e1 vi\u00f0 verkina og finna n\u00fdjar lei\u00f0ir sem hentu\u00f0u \u00feeim betur. \u00deremur m\u00e1nu\u00f0um eftir a\u00f0 \u00feeir h\u00f6f\u00f0u loki\u00f0 formlegri me\u00f0fer\u00f0 voru \u00feeir enn a\u00f0 m\u00f3ta lei\u00f0ir sem \u00feeim fannst virka best \u00ed daglegu l\u00edfi. Verkirnir voru enn til sta\u00f0ar en truflu\u00f0u daglegar athafnir minna en \u00e1\u00f0ur. Dregi\u00f0 haf\u00f0i \u00far alvarleika verkja a\u00f0 jafna\u00f0i a\u00f0 mati \u00fe\u00e1tttakenda vi\u00f0 lok me\u00f0fer\u00f0ar og \u00e1ri eftir a\u00f0 me\u00f0fer\u00f0 lauk og einnig truflandi \u00e1hrifum verkja \u00e1 daglegar athafnir, skap, getu til gangs, svefn og l\u00edfs\u00e1n\u00e6gju. \u00c1ri eftir a\u00f0 me\u00f0fer\u00f0 lauk m\u00e1tu \u00fe\u00e1tttakendur heilsu s\u00edna g\u00f3\u00f0a e\u00f0a mj\u00f6g g\u00f3\u00f0a (21%) sem var betra en \u00e1\u00f0ur en \u00feeir f\u00f3ru \u00ed me\u00f0fer\u00f0ina (7%). \u00derj\u00e1r algengustu a\u00f0fer\u00f0ir sem \u00fe\u00e1tttakendur notu\u00f0u til a\u00f0 me\u00f0h\u00f6ndla verki fyrir me\u00f0fer\u00f0 voru j\u00e1kv\u00e6\u00f0 hugsun (68%), lyf (58%) og dreifa huganum (58%). Eina markt\u00e6ka breytingin \u00e1 svefng\u00e6\u00f0um var a\u00f0 fleiri \u00fe\u00e1tttakendur (18%) g\u00e1tu sofi\u00f0 samfellt alla n\u00f3ttina, en \u00feeir voru einungis 6% fyrir me\u00f0fer\u00f0. Heilsutengd l\u00edfsg\u00e6\u00f0i (HRQOL) h\u00f6f\u00f0u aukist \u00e1ri eftir a\u00f0 me\u00f0fer\u00f0 lauk.\u00a0<\/strong><\/p>\n

English abstract<\/strong><\/p>\n

English title: Multidisciplinary pain rehabilitation programs in Iceland: An exploration and description of the short-term and long-tern effects<\/strong><\/p>\n

The overall aim of the thesis was to explore and describe the short- and long-term effects of three multidisciplinary pain rehabilitation programs on pain severity and pain interference and the long-term effects on pain self-management, sleep quality, well-being, health, and health-related quality of life (HRQOL).<\/p>\n

The main results were that prior to attending rehabilitation, the participants were in survival mode, stuck in a vicious circle of chronic pain. They used a variety of strategies to relieve and conceal their pain. Reaching out for professional help was a positive turning point. Whilst attending the pain rehabilitation program, participants learned to deconstruct their habitual but inefficient ways of dealing with chronic pain. Three months after completing the program, they were still rebuilding their daily lives. Pain was still present but interfered much less with daily activities than previously.<\/p>\n

\u00a0Average self-reported pain severity decreased at program completion and at one-year follow-up, and the interference of pain with general activities, mood, walking ability, sleep and enjoyment of life also declined. At one-year follow-up, more than a fifth (21%) of participants rated their health as good or very good, which was markedly better than before treatment (7%). The three most commonly used pain self-management strategies pre-treatment were positive thinking (68%), medication (58%) and distraction (58%).<\/p>\n

At one year follow-up, three times as many participants (18%) slept through the night as had done so pre-treatment (6%). HRQOL increased at one-year follow-up.\u00a0\u00a0<\/p>\n

Um doktorsefni\u00f0<\/strong><\/p>\n

Hafd\u00eds Sk\u00falad\u00f3ttir er f\u00e6dd \u00e1ri\u00f0 1962 \u00e1 Akranesi. H\u00fan lauk st\u00fadentspr\u00f3fi af heilsug\u00e6slubraut vi\u00f0 Fj\u00f6lbrautask\u00f3la Vesturlands \u00e1 Akranesi \u00e1ri\u00f0 1981, BS-pr\u00f3fi \u00ed hj\u00fakrunarfr\u00e6\u00f0i fr\u00e1 H\u00e1sk\u00f3la \u00cdslands \u00e1ri\u00f0 1986 og meistaragr\u00e1\u00f0u \u00ed hj\u00fakrunarfr\u00e6\u00f0i fr\u00e1 Royal College Nursing Institute, University of Manchester, \u00e1ri\u00f0 2001. Hafd\u00eds starfa\u00f0i vi\u00f0 Sj\u00fakrah\u00fasi\u00f0 \u00e1 Akureyri fr\u00e1 1986-2002 og hefur starfa\u00f0 vi\u00f0 heilbrig\u00f0isv\u00edsindasvi\u00f0 H\u00e1sk\u00f3lans \u00e1 Akureyri fr\u00e1 1991. Foreldrar hennar eru Sj\u00f6fn B. Geirdal og Sk\u00fali \u00de\u00f3r\u00f0arson. Hafd\u00eds er gift Magn\u00fasi \u00c1rnasyni og eiga \u00feau synina Sk\u00fala Braga og \u00c1rna \u00de\u00f3r\u00f0.<\/p>\n

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