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Johansson, C., Bador, K., Kmety, K., Johansson, E., Olsson-Tall, M., Råstam, M. & Kerekes, N. (2024). Associations between adverse childhood experiences and psychological distress among Swedish upper secondary school students. International Journal of Child Abuse & Neglect, 158, Article ID 107089.
Open this publication in new window or tab >>Associations between adverse childhood experiences and psychological distress among Swedish upper secondary school students
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2024 (English)In: International Journal of Child Abuse & Neglect, ISSN 0145-2134, E-ISSN 1873-7757, Vol. 158, article id 107089Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The detrimental impacts of adverse childhood experiences (ACEs) on health have been extensively studied, mainly focusing on the effects of ACEs on adults. However, there is a dearth of studies exploring their influences on adolescents.

OBJECTIVE: This study aims to investigate the associations between ACEs and psychological distress among Swedish adolescents.

PARTICIPANTS AND SETTING: At the end of 2020, 1561 Swedish adolescents (15-19-years-old) participated in an electronic survey. The survey encompassed questions about alcohol and drug use problems within the students' families, questions about the students' experiences of physical and psychological abuse, and the administration of the Brief Symptom Inventory to assess their mental health.

METHODS: Descriptive and comparative non-parametric statistics were applied.

RESULTS: Nearly half of the study population reported experiencing one or more ACEs. Exposure to any ACE was significantly associated with a higher level of psychological distress. Of the ACEs examined, the experience of psychological abuse was the most substantial risk factor for psychological distress (with medium effect sizes of ε2 between 0.07 and 0.12 on each domain and a large effect size of ε2 = 0.14 on the General Severity Index scale). There was a positive correlation (r = 0.36) between the number of ACEs experienced and worsened mental health.

CONCLUSIONS: The significant impacts of any ACE, the cumulative number of ACEs, and, particularly, psychological abuse on adolescent mental health are discussed. To further enhance the understanding of these associations and identify effective interventions to prevent and mitigate the negative impact of ACEs on mental health, additional research is warranted.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Adolescents, Adverse childhood experiences (ACEs), Brief symptom inventory (BSI), Psychological distress, Sweden
National Category
Psychology (excluding Applied Psychology)
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-22762 (URN)10.1016/j.chiabu.2024.107089 (DOI)001346821500001 ()39442377 (PubMedID)2-s2.0-85206900016 (Scopus ID)
Note

CC BY  4.0

Available from: 2025-01-08 Created: 2025-01-08 Last updated: 2025-01-08
Eriksson, M., Johannesson, E., Kerekes, N., Emilsson, M., Pennbrant, S. & Nunstedt, H. (2024). Development and Psychometric Test of the Salutogenic Survey on Sustainable Working Life for Nurses: Identifying Resistance Resources against Stress. International Journal of Environmental Research and Public Health, 21(2), 1-15
Open this publication in new window or tab >>Development and Psychometric Test of the Salutogenic Survey on Sustainable Working Life for Nurses: Identifying Resistance Resources against Stress
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2024 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 21, no 2, p. 1-15Article in journal (Refereed) Published
Abstract [en]

Extensive research shows nurses’ work environment to be particularly stressful. This study develops, explores, and psychometrically tests a new profession-specific questionnaire identifying generalised and specific resistance resources, that make it possible to measure resources to manage work-related stress. An exploratory study design was employed. The questionnaire development was inspired by the MEASURE approach and the salutogenic theory of health. Building on the results from a literature review of nursing research and salutogenesis, supplemented by twelve interviews with hospital nurses, an item pool was generated. The first version was pilot-tested in a group of nurses who were studying to become specialist nurses. The second version of the questionnaire was psychometrically tested on a sample of registered nurses in close patient care (n = 475), analysed using confirmatory factor analysis to test seven predefined domains of the questionnaire. The analysis revealed a first order seven-domain model of 21 items: job satisfaction, professional role, work motivation, commitment, belonging in the workplace, factors and conditions for remaining in the profession, and workload. The structure of the questionnaire indicates its usefulness in clinical practice for measuring resistance resources.

Keywords
instrument development; Confirmatory Factor Analysis (CFA); salutogenesis; the Salutogenic Survey on Sustainable Working life for nurses (SalWork-N); generalised and specific resistance resources; specific enhancing resources
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-21244 (URN)10.3390/ijerph21020198 (DOI)2-s2.0-85185879330 (Scopus ID)
Note

CC BY 4.0

Available from: 2024-02-13 Created: 2024-02-13 Last updated: 2024-10-17
Kerekes, N. (2024). Exploring the impact of trauma-adapted yoga in forensic psychiatry.. Psychiatry Research, 335, Article ID 115879.
Open this publication in new window or tab >>Exploring the impact of trauma-adapted yoga in forensic psychiatry.
2024 (English)In: Psychiatry Research, ISSN 0165-1781, E-ISSN 1872-7123, Vol. 335, article id 115879Article in journal (Refereed) Epub ahead of print
Abstract [en]

The specialized field of forensic psychiatry deals with the care of criminal offenders who suffer from severe mental disorders. As this field is positioned at the intersection of illness, crime, and security, it poses complex challenges. While high-quality clinical studies in forensic psychiatry settings are limited, recent investigations have suggested yoga as a complementary clinical tool within correctional environments. This report of a quasi-experimental study examines the impact of a 10-week trauma-adapted yoga intervention on mental health, antisocial and aggressive behaviors, pain perception, cravings, and character maturity among 56 patients in various forensic psychiatry clinics across Sweden. In the current study, the yoga group demonstrated noteworthy reductions in negative affect states, anxiety, phobic anxiety, paranoid ideations, interpersonal sensitivity, hostility, and overall psychological distress. These reductions were not observed in the comparison group. Additionally, the yoga group exhibited a significant decrease in pain frequency and strengthened self-directedness. However, there were no significant changes in aggressive, antisocial, or self-harm behaviors or cravings in either group. The between-group analyses did not yield significant results, except for pain intensity. The trauma-adapted yoga intervention implemented within forensic psychiatry settings shows feasibility and results in multiple positive changes in patients' health.

Place, publisher, year, edition, pages
Elsevier, 2024
Keywords
Feasibility, Pain, Psychological distress, Self-directedness, Trauma-adapted yoga (TAY)
National Category
Psychiatry Nursing Physiotherapy
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-21459 (URN)10.1016/j.psychres.2024.115879 (DOI)001223975800001 ()38579457 (PubMedID)2-s2.0-85189655136 (Scopus ID)
Note

CC-BY 4.0

Available from: 2025-01-10 Created: 2025-01-10 Last updated: 2025-01-10
Stevanovic, D., Cirovic, N., Cortese, S., Knez, R. & Kerekes, N. (2024). First evidence on a general disease (“d”) factor underlying psychopathology and physical illness in adolescents. European Child and Adolescent Psychiatry
Open this publication in new window or tab >>First evidence on a general disease (“d”) factor underlying psychopathology and physical illness in adolescents
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2024 (English)In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165XArticle in journal (Refereed) Published
Abstract [en]

The coexistence of mental and physical health illnesses could be accounted for by an underlying general disease factor (termed d-factor), reflecting theoretical underpinnings based on possible genetic and pathophysiological overlapping mechanisms.

This study evaluated whether the d-factor underlies mental and physical health illnesses in adolescents. A series of confirmatory factor analyses were conducted using data from 1120 adolescents. The proposed common underlying factor, we believe is the d-factor, was consistently present across different modeling approaches, including unidimensional, correlated-factor, and bifactor models. The best model fit was achieved with the bifactor model represented by mental, neurological, and psychical conditions tested. The first compelling evidence was provided supporting the existence of the transdiagnostic d-factor in youth, opening the door to innovative research of comorbid mental and physical health conditions.

Place, publisher, year, edition, pages
Springer Nature, 2024
Keywords
Mental health, p-factor, Comorbidity, Transdiagnostic, Youth
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-22203 (URN)10.1007/s00787-024-02488-6 (DOI)001243274500004 ()2-s2.0-85195297512 (Scopus ID)
Available from: 2024-08-07 Created: 2024-08-07 Last updated: 2024-09-19Bibliographically approved
Johansson, C., Hedman Ahlström, B., Barac, M., Berglund, T., Bador, K. & Kerekes, N. (2024). Impact of the COVID-19 Pandemic on Swedish Adolescents' Mental Health, Psychosocial Functioning, Risk Behaviours, and Victimisation: Gender Differences and Implications.. International Journal of Environmental Research and Public Health, 21(5), Article ID 604.
Open this publication in new window or tab >>Impact of the COVID-19 Pandemic on Swedish Adolescents' Mental Health, Psychosocial Functioning, Risk Behaviours, and Victimisation: Gender Differences and Implications.
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2024 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 21, no 5, article id 604Article in journal (Refereed) Published
Abstract [en]

The COVID-19 pandemic has shown varying effects on adolescents' mental health, psychosocial functioning, risk behaviours, and victimisation. This study aims to examine the changes reported by a sample of Swedish adolescents (N = 1607) at the end of the first year of the pandemic in relation to these factors. Data were collected with an electronic survey between September 2020 and February 2021, targeting upper-secondary high school students (aged 15-19 years). The results indicate a relatively low overall impact of the pandemic on Swedish upper-secondary school students, with notable gender differences. Compared to adolescent women, a higher percentage of adolescent men reported experiencing elevated levels of anxiety, depression, sleep disturbances, anger, and increased illicit drug use as consequences of the pandemic. In contrast, women demonstrated an increase in several salutogenic behaviours. Victimisation rates generally decreased during this period. These findings underscore the importance of heightened awareness among professionals within schools, social services, and healthcare settings regarding the distinct challenges encountered by a larger portion of adolescent men during the COVID-19 pandemic in Sweden.

Place, publisher, year, edition, pages
MDPI, 2024
Keywords
COVID-19 pandemic, Sweden, adolescents, mental health, psychosocial functioning, risk behaviours, victimisation
National Category
Public Health, Global Health, Social Medicine and Epidemiology Psychiatry
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-21686 (URN)10.3390/ijerph21050604 (DOI)38791818 (PubMedID)2-s2.0-85194218413 (Scopus ID)
Note

CC-BY 4.0

Available from: 2025-01-16 Created: 2025-01-16 Last updated: 2025-01-16
Ben Ayad, H., Kerekes, N., Sfendla, A., Najdi, A. & Senhaji, M. (2024). Psychometric Properties of Update Arabic Version of the Trait Hope Scale and the Rosenberg Self-Esteem Scale. Indonesian Psychological Research, 6(1), 1-16
Open this publication in new window or tab >>Psychometric Properties of Update Arabic Version of the Trait Hope Scale and the Rosenberg Self-Esteem Scale
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2024 (English)In: Indonesian Psychological Research, ISSN 2655-9013, Vol. 6, no 1, p. 1-16Article in journal (Refereed) Published
Abstract [en]

Hope and self-esteem are crucial components of positive psychology, and there is a lack of tools to assess these concepts in Morocco. Therefore, this study aims to provide the necessary instruments for evaluating hope and self-esteem among Moroccan college students. A total of 1150 college students (444 males, 703 females) completed an updated Arabic version of the Trait Hope Scale (THS) and the Rosenberg Self-Esteem Scale (RSES). The data underwent factorial and reliability analyses, with test-retest reliability assessed using responses from 26 students. Both the THS and RSES revealed a two-factor solution, and Multigroup Confirmatory Factor Analysis (MGCFA) demonstrated measurement invariance with respect to gender. Furthermore, the results indicated good and acceptable internal consistency (α = .85 for THS and α = .70 for RSES) and acceptable temporal stability (r = .72 for THS and r = .76 for RSES). In conclusion, the updated Arabic versions of the THS and RSES exhibited strong psychometric properties and stability. They have been established as valid and reliable tools for assessing hope and self-esteem among Moroccan college students.

Keywords
Moroccan college students, Psychometric Properties, Rosenberg Self-esteem Scale, Trait Hope Scale
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-21231 (URN)10.29080/ipr.v6i1.1095 (DOI)
Note

CC BY 4.0

Available from: 2024-02-02 Created: 2024-02-02 Last updated: 2024-05-17
Lundqvist, S. & Kerekes, N. (2024). The association between pain and psychiatric conditions in adolescents: The impact of gender and ADHD diagnosis. European Journal of Psychiatry, 38(1)
Open this publication in new window or tab >>The association between pain and psychiatric conditions in adolescents: The impact of gender and ADHD diagnosis
2024 (English)In: European Journal of Psychiatry, Vol. 38, no 1Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background and objectives: The relationship between pain and psychiatric conditions in children and adolescents has been understudied. This study aimed to investigate the influence of gender on the association between pain and psychiatric diagnoses, as well as the specific relationship between pain and attention deficit/hyperactivity disorder (ADHD), in a sample of adolescents from the general population. Additionally, the study explored whether pain frequency or intensity in individuals with ADHD was influenced by coexisting psychiatric disorders and ADHD medications. Methods: This cross-sectional study included 1608 conveniently sampled Swedish upper secondary school students aged 15–19 years. Data were collected at the end of 2020 using the electronic "Mental and Somatic Health without borders" survey. Results: A significant positive association (p < 0.001) was observed between pain frequency, intensity, and the presence of any psychiatric diagnosis. Female adolescents reported more frequent and intensive pain in the groups with or without any psychiatric diagnosis and in those with ADHD, however the presence of a psychiatric diagnosis had a comparatively lesser impact on pain frequency in females when compared to males. In adolescents with ADHD, pain frequency, but not intensity, showed a significant further increase. Moreover, the presence of coexisting depression and/or anxiety further heightened the association between pain frequency and ADHD. Notably, common ADHD medications did not have a significant impact on pain experiences. Headache emerged as the most prevalent type of pain across all groups of adolescents. Back pain specifically appeared as the next most common type of pain among adolescents with ADHD. Conclusion: The findings suggest a positive association between pain and the presence of psychiatric diagnoses, including ADHD, in adolescents. Gender modified this association. Back pain arised specifically coupled to ADHD. Common ADHD medications did not show a significant impact on pain experiences in this study. These results highlight the importance of a holistic approach to child and adolescent care. © 2023 The Author(s)

Keywords
Attention-deficit/hyperactivity disorder (ADHD); Gender; Medication; Pain; Psychiatry
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-20892 (URN)10.1016/j.ejpsy.2023.100228 (DOI)001096378400001 ()2-s2.0-85173474601 (Scopus ID)
Note

CC BY

Available from: 2023-11-10 Created: 2023-11-10 Last updated: 2024-05-17
Ćirović, N., Stevanovic, D., Nguyen, H., Meszaros, Z. & Kerekes, N. (2024). Thought and mood/arousal disturbances as central broad dimensions in youth psychopathology: A network analysis. Neuroscience Applied, 3(Suppl 1), 103951-103951, Article ID 103951.
Open this publication in new window or tab >>Thought and mood/arousal disturbances as central broad dimensions in youth psychopathology: A network analysis
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2024 (English)In: Neuroscience Applied, ISSN 2772-4085, Vol. 3, no Suppl 1, p. 103951-103951, article id 103951Article in journal (Refereed) Published
Abstract [en]

Mounting evidence has implicated that the structure of psychopathology is better conceptualized as dimensional and not categorical as well as hierarchical [1-3]. A hierarchical structure includes a broad general dimension of psychopathology and more specific dimensions that capture distinct aspects of psychopathology [3]. Studies inquiring into the structure of psychopathology in youth are limited, but highly needed to provide the basis for aetiological research. A network paradigm could offer a novel way to study the structure of psychopathological dimensions revealing dynamics behind their interrelations.This study was based on the previous analysis that aimed to map various psychopathological symptoms and personality traits within the hierarchical structure based on the Hierarchical Taxonomy of Psychopathology (HiTOP) [2] in a multinational sample of 3923 community adolescents (34.7% males, aged 15 to 19 years) (https://osf.io/fujxa/).

Twelve specific components were derived via sequential principal component analysis (PCA) and further analysed here: thought dysfunction, low mood, fearfulness, anxiety, physiological hyperarousal, attentional dysfunction, disruptive mood, antisocial behaviour, antagonistic behaviour, detachment, self-destructive behaviour, and substance use. These components were an input to a network analysis to study the grouping/node communities, interconnectedness, and centrality of them. The analyses include Exploratory Graph Analysis (EGA; model=glasso) for dimensionality/grouping analysis and network analysis (EBICglasso estimation performed on Spearman correlations) performed in EGAnet and bootnet packages in R. We used Strength and Expected Influence as centrality measures. Components are represented as nodes in the network.The EGA suggested four dimensions/node communities: the first consisting of substance use and antisocial behaviour, the second composed of self-destructive behaviour and disruptive mood, the third consisting of antagonism and detachment, and the fourth consisting of thought dysfunction, low mood, physiological arousal, anxiety, attentional dysfunction, and fearfulness.

The network analysis revealed that thought dysfunction, physiological arousal, low mood, and disruptive mood were the most central nodes in the network suggesting their interconnectedness with all other nodes in the network.Our network analysis revealed that specific psychopathological subfactors in youth could be clustered into four broader separate dimensions. Specifically, thought and mood/arousal disturbances proved to be most interconnected with all other nodes/subfactors in the network suggesting that these subfactors could be central in youth psychopathology.

This result reinforces earlier observations, indicating that thought dysfunction encompasses more than just disordered thought content and forms; it also represents a transdiagnostic phenomenon that spans various disorder dimensions [5]. Thought dysfunction is primarily associated with psychosis but it is also an indication of a broader inability to regulate thinking processes in general (i.e., dysfunctional processes) and extends to other cognitive-rational disturbances [1]. In addition, these findings also align with previous findings that negative affectivity (mostly related to individual differences in experiences of negative emotions), like low or disruptive mood and arousal difficulties highly likely underly general psychopathology [1].

Keywords
youth, psychopathology, neuroscience
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-21414 (URN)10.1016/j.nsa.2024.103951 (DOI)
Note

CC BY 4.0

Available from: 2024-03-18 Created: 2024-03-18 Last updated: 2024-05-17
Björck, V., Hedman Ahlström, B. & Kerekes, N. (2024). Work readiness and Work-changing ability: exploring the employability profiles of a social psychiatric care graduate programme’s alumni. Higher Education, Skills and Work-based Learning
Open this publication in new window or tab >>Work readiness and Work-changing ability: exploring the employability profiles of a social psychiatric care graduate programme’s alumni
2024 (English)In: Higher Education, Skills and Work-based Learning, ISSN 2042-3896, E-ISSN 2042-390XArticle in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose 

Work readiness and the ability to change how work is conducted are key dimensions of employability. This study focuses on alumni from the social psychiatric care (SPC) programme at University West in Trollhattan, Sweden. As their work readiness and work-changing abilities have not been studied to this point, the purpose was to explore the eventual main employability profiles in these alumni.

Design/methodology/approach 

Between 8th November 2022 and 2nd January 2023, 94 SPC alumni responded to the Employee Agility and Resilience Short Swedish Version Measurement Scale, consisting of five subscales that represent different employability features. Cluster analysis was used to explore eventual employability profiles in these alumni.

Findings 

Three clusters of SPC alumni with different employability profiles were identified. Cluster 1: Highly employable profile, which is represented by SPC alumni who scored high on each of the five employability features. Cluster 2: Employability with alliance-creating profile; this cluster comprise SPC alumni whose strengths lie in creating collegial relationships. Cluster 3: Employability with a strong social support profile, which comprise SPC alumni with a strong social backing at work. We discuss that SPC alumni of these employability profiles are variously equipped to (1) follow and develop how work is conducted in their fields and (2) adapt to changes at work.

Originality/value 

The study presents employability profiles of SPC alumni and offers valuable insights that could enhance the prospects of these alumni becoming a recognised occupation within the realms of psychiatry, social services, institutional work and community work.

Keywords
Cluster analysis, Employability profiles, Social psychiatric care alumni, Work-changing ability, Work readiness
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-22681 (URN)10.1108/heswbl-07-2024-0186 (DOI)
Note

CC BY 4.0

Available from: 2024-11-25 Created: 2024-11-25 Last updated: 2025-01-28
Kerekes, N., Söderström, A., Holmberg, C. & Hedman Ahlström, B. (2024). Yoga for children and adolescents: A decade-long integrative review on feasibility and efficacy in school-based and psychiatric care interventions.. Journal of Psychiatric Research, 180, 489-499
Open this publication in new window or tab >>Yoga for children and adolescents: A decade-long integrative review on feasibility and efficacy in school-based and psychiatric care interventions.
2024 (English)In: Journal of Psychiatric Research, ISSN 0022-3956, E-ISSN 1879-1379, Vol. 180, p. 489-499Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: There has been a concerning rise in mental illness among children and adolescents. Attention deficit and hyperactivity disorder, autism spectrum disorder, anxiety, and depression are the most prevalent diagnoses in this field. Research suggests that yoga as a complementary treatment offers relief from mental symptoms and has already been successfully applied in adult healthcare settings.

OBJECTIVE: The objective of this review is to provide an integrative summary of the existing research on the feasibility and effectiveness of yoga as a school-based intervention and complementary intervention in psychiatric care for children and adolescents.

METHODS: An integrative literature review was conducted, employing a combined quantitative and qualitative approach. The review was based on 16 selected articles, which presented data from more than 1000 children and adolescents aged 5-19 years and encompassed a variety of study designs. Literature searches were carried out systematically and unsystematically in February 2023, across three chosen databases.

RESULTS: Yoga interventions consistently yielded positive outcomes in multiple domains. In this review, the findings are categorized into five themes: alleviated symptoms of psychiatric conditions; strengthened self-control and behavioral changes; improved cognitive functioning; refined relaxation; enhanced well-being. By improving psychiatric symptoms, enhancing self-control, promoting relaxation, and fostering overall well-being, yoga offers a multifaceted approach toward improving mental and physical health in children and adolescents.

CONCLUSION: This comprehensive review presents compelling evidence of the positive benefits of yoga as a complementary intervention for a wide range of psychological symptoms and cognitive functions in children and adolescents. In order to further validate and consolidate these findings, there is a pressing need for future studies to provide more robust evidence and a deeper understanding of the effectiveness of yoga as a complementary intervention in this context.

Keywords
Children and adolescents, Cognitive functioning, Psychiatric conditions, Self-control, Sleep, Stress, Well-being, Yoga
National Category
Nursing Psychiatry Pediatrics
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-22666 (URN)10.1016/j.jpsychires.2024.11.016 (DOI)001359154600001 ()39547048 (PubMedID)2-s2.0-85208980744 (Scopus ID)
Note

CC-BY 4.0

Available from: 2024-12-02 Created: 2024-12-02 Last updated: 2024-12-02
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Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8854-0399

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