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Gunnarsdottir, HrafnhildurORCID iD iconorcid.org/0000-0002-7915-8972
Publications (10 of 17) Show all publications
Dahlberg, M., Nordmyr, J., Gunnarsdottir, H. & Forsman, A. K. (2023). The Evidenced Effects of Early Childhood Interventions to Promote Mental Health and Parenting in the Nordic Countries: A Systematic Review. International Journal of Mental Health Promotion, 25(4), 505-537
Open this publication in new window or tab >>The Evidenced Effects of Early Childhood Interventions to Promote Mental Health and Parenting in the Nordic Countries: A Systematic Review
2023 (English)In: International Journal of Mental Health Promotion, ISSN 1462-3730, E-ISSN 2049-8543, Vol. 25, no 4, p. 505-537Article in journal (Refereed) Published
Abstract [en]

The first years of life and the family context are key to the promotion and protection of children’s health and well-being, emphasizing the need for interventions aimed to support families with young children. This review aimed to explore the effectiveness of early childhood interventions developed for promoting mental health and parenting among families with young children in the Nordic countries. Six electronic databases were systematically searched, and 20 articles covering 16 studies applying various quantitative and qualitative methods met the study inclusion criteria. The studied interventions were assessed as universal health-promoting interventions and health-promoting interventions with elements of prevention. Outcomes of interest encompassed mental health, related risk and protective factors among the parents and/or the children, or child-parent interaction. The results from studies applying statistical methods show significant improvements in parents’ self-efficacy, self-esteem, and parental satisfaction, while few improvements in parents’ social support or parental relationship were identified. Improvements in social support and parental relationships were however reported in qualitative studies. Most quantitative studies reporting on parents’ mental health problems and stress found a significant decrease, and qualitative studies highlighted experienced positive effects on mental health and well-being. The majority of studies reporting on children’s mental health and/or development as well as strengths and difficulties indicated a statistically significant positive development. No significant changes were however found for existing behaviora lproblems. The majority of studies examining parenting strategies and/or parent-child interaction found significant positive changes after the interventions. In sum, although findings are heterogeneous, early childhood interventions show various positive effects on the parenting and mental health of both children and their parents. The fact that different types of initiatives have been developed and implemented can be seen as an advantage, considering the varying needs and expectations of different families.

Place, publisher, year, edition, pages
Tech Science Press, 2023
Keywords
Systematic review; early childhood intervention; mental health promotion; primary prevention; parenting
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-20297 (URN)10.32604/ijmhp.2023.020833 (DOI)001006828100006 ()2-s2.0-85149480350 (Scopus ID)
Note

CC BY 4.0

 The study was funded by Högskolestiftelsen i Österbotten and Svensk-Österbottniskasamfundet. These funding bodies had no role in the design of the study, the collection, analysis, andinterpretation of data, or the composition of the manuscript

Available from: 2023-07-04 Created: 2023-07-04 Last updated: 2024-01-12
Lundström, S., Tengelin, E., Gunnarsdottir, H. & Bertilsson, M. (2023). Young people’s experience of promoting aspects for mental well-being. In: : . Paper presented at Nordic Health Promotion Research Conference 2023 Halmstad, June 14–16, Sweden.
Open this publication in new window or tab >>Young people’s experience of promoting aspects for mental well-being
2023 (English)Conference paper, Oral presentation only (Other academic)
Abstract [en]

Background: Increasing mental health problems among young people are frequently reported. There is also a growing discussion about whether this increase reflects actual mental health problems, or if young people have more limited abilities to deal with normal challenges in life. From a social justice perspective, young people’s own thoughts and experiences need to be considered when mental health promotion among young people is addressed. 

Purpose: The purpose of this study was to describe young people’s experiences of promoting aspects for mental well-being.

Methods: Individual interviews were conducted with 33 youths aged 16 to 25 years. The interviews were based on the mental well-being items used in the national public health survey ‘Health at equal terms’, annually conducted by The Public Health Agency of Sweden. Qualitative content analysis was used to capture the youth´s experiences.

Findings: Preliminary findings describe promoting aspects for mental well-being as; feeling involved in social contexts, having support from loved ones, receiving help from others, feeling significant as a person, being listened to, having an inner strength, feeling that one’s life is meaningful, and reasonable expectations from oneself and those around.

Conclusion: Findings show that both internal and external aspects are important for promoting mental well-being among young people. Some aspects are beyond their control, which indicates that society needs to create prerequisites for young people to develop mental well-being.

Keywords
Hhealth promotion, mental well-being, social sustainability, young people
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-21025 (URN)
Conference
Nordic Health Promotion Research Conference 2023 Halmstad, June 14–16, Sweden
Available from: 2023-11-29 Created: 2023-11-29 Last updated: 2024-01-12Bibliographically approved
Eklund Karlsson, L., Balkfors, A., Gunnarsdottir, H., Povlsen, L., Regber, S., Buch Mejsner, S., . . . Fosse, E. (2022). Are universal measures sufficient in reducing child poverty in the Nordic countries?: An analysis of policies and political commitments. Scandinavian Journal of Public Health, 50(7), 892-902
Open this publication in new window or tab >>Are universal measures sufficient in reducing child poverty in the Nordic countries?: An analysis of policies and political commitments
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2022 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 50, no 7, p. 892-902Article in journal (Refereed) Published
Abstract [en]

Background: The five Nordic countries (Denmark, Finland, Iceland, Norway and Sweden) have long traditions of social welfare policies that have eradicated poverty as part of their goals. The purpose of this study was to increase our understanding of why child poverty is still significant in the Nordic countries despite existing strategies. Methods: A qualitative analysis of Nordic government documents and reports between 2007 and 2019 was carried out to track changes in public health priorities and political measures and to determine the similarities and differences between the five countries. Results: In all countries, most of the measures were universal, such as benefits during pregnancy, paid parental leave before and after the child was born, paid parental leave related to children’s sickness, child allowances, day care, free health care for children and support for disabled children. National policies aimed to reduce social inequalities and child poverty exist in all five countries, but unaffordable housing, unequal disposable family income distribution and unequal income distribution at local municipality levels seem to be obstacles to reaching national policy goals. Conclusions: Despite comprehensive universal measures to eradicate child poverty, inequalities are significant and increasing in some of the Nordic countries. This might be due to a lack of proportional universalism, where universal measures are in place in all Nordic countries, but with a lack of scale and intensity proportional to the children and families at risk. The significance of eliminating social inequalities needs to be emphasised at the local level.  

Place, publisher, year, edition, pages
Sage Publications, 2022
Keywords
Nordic countries, child poverty, policy, document analysis, social welfare model, social determinants of health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-19180 (URN)10.1177/14034948221109694 (DOI)000825035700001 ()35815562 (PubMedID)2-s2.0-85133930006 (Scopus ID)
Available from: 2022-11-08 Created: 2022-11-08 Last updated: 2022-12-08Bibliographically approved
Eklund, A.-L., Jangsten, E. & Gunnarsdottir, H. (2022). Assessing and promoting responsive interaction between parents and children: A qualitative study of the experiences of child health care nurses in Sweden.. Journal of Pediatric Nursing: Nursing Care of Children and Families, 63(March-April), e95-e101, Article ID S0882-5963(21)00303-1.
Open this publication in new window or tab >>Assessing and promoting responsive interaction between parents and children: A qualitative study of the experiences of child health care nurses in Sweden.
2022 (English)In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 63, no March-April, p. e95-e101, article id S0882-5963(21)00303-1Article in journal (Refereed) Published
Abstract [en]

PURPOSE: One of the main tasks of a child health care nurse is to assess and promote a responsive interaction and secure connection between children and their parents for the future. This study aims to develop an understanding of Swedish child health care nurses´ experiences of assessing and promoting responsive interaction between parents and children.

DESIGN AND METHOD: A qualitative interview study using an inductive approach was implemented. Eleven nurses were interviewed (range: 30-58 min) during the period March to August 2016, and the transcripts were analysed using qualitative content analysis according to Graneheim and Lundman.

RESULTS: Three categories emerged: Interpreting signals in parent and child behaviour, Reinforcing the parents in their role and Feeling inadequate as professional. Interpreting signals in parent and child behaviour was described fundamental when promoting responsive interaction. Further reinforcing the parents in their role was described central. The child health care nurses also described how they often felt inadequate in promoting responsive interaction.

CONCLUSIONS: Assessing and promoting responsive interaction is an important but challenging task which requires extensive knowledge and good communication skills. The child health care nurses express their insufficiency in that regard.

PRACTICE IMPLICATIONS: A targeted education and sufficient time for each visit at the child health care center should be allocated to facilitate the important work on parenting and child interaction and to enhance nurses' feelings of managing their work.

Keywords
Child health care nurse, Interaction, Parenting role, Qualitative content analysis, Secure attachment
National Category
Nursing Pediatrics
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-17777 (URN)10.1016/j.pedn.2021.10.006 (DOI)000820533000013 ()34688530 (PubMedID)2-s2.0-85117415752 (Scopus ID)
Available from: 2021-12-20 Created: 2021-12-20 Last updated: 2024-04-09
Gunnarsdottir, H. & Lundström, S. (2022). Att ha en positiv syn på framtiden. In: Child and Youth Studies Conference University West November 10-11 2022: Growing Up In Challenging Times. Book of Abstracts. Paper presented at Child and Youth Studies Conference University West November 10-11 2022, Trollhättan, Sweden (pp. 6-6). Trollhättan: Högskolan Väst
Open this publication in new window or tab >>Att ha en positiv syn på framtiden
2022 (Swedish)In: Child and Youth Studies Conference University West November 10-11 2022: Growing Up In Challenging Times. Book of Abstracts, Trollhättan: Högskolan Väst , 2022, p. 6-6Conference paper, Oral presentation with published abstract (Other academic)
Abstract [sv]

Som generation beskrivs dagens unga värdera sociala relationer högre och prioritera välbefinnande och lycka jämfört med tidigare generationer (1). De anses vara öppnare och mer toleranta men också mindre optimistiska då de i stor utsträckning har upplevt negativa världshändelser (2,3). Att ha en positiv syn på framtiden är en viktig aspekt av välbefinnande, men vad innebär positiv syn på framtiden för dagens unga och vad behöver de för att kunna ha en positiv syn på framtiden?

Metod

I detta projekt presenteras delar av resultaten från en större studie med syfte att undersöka ungas uppfattningar om psykiska besvär och psykiskt välbefinnande. Individuella intervjuer genomfördes med 33 personer mellan 16 och 25 år och analyserades med kvalitativ innehållsanalys (4,5).

Resultat

Framtid tolkades av de unga som alltifrån det stundande sommarlovet till det som händer om flera år. De relaterade positiv syn på framtiden till en variation av erfarenheter så som: att känna tilltro; inneboende optimism och livslust; att ha mål att sträva mot; och saker utanför den egna makten. Möjligheten att forma framtiden själv och inte styras för mycket av andras förväntningar och krav upplevdes viktigt för att kunna ha en positiv syn på framtiden.

Place, publisher, year, edition, pages
Trollhättan: Högskolan Väst, 2022
Keywords
unga, framtid, psykisk ohälsa
National Category
Pedagogical Work Social Psychology
Research subject
Child and Youth studies
Identifiers
urn:nbn:se:hv:diva-19579 (URN)
Conference
Child and Youth Studies Conference University West November 10-11 2022, Trollhättan, Sweden
Available from: 2023-01-12 Created: 2023-01-12 Last updated: 2023-03-16Bibliographically approved
Langeland, E., Ausland, L. H., Gunnarsdottir, H., Arveklev Höglund, S. & Vinje, H. F. (2022). Promoting Salutogenic Capacity in Health Professionals. In: Mittelmark, Maurice B.; Bauer, Georg F.; Vaandrager, Lenneke; Pelikan, Jürgen M.; Sagy, Shifra; Eriksson, Monica; Lindström, Bengt; Meier Magistretti, Claudia (Ed.), The Handbook of Salutogenesis: (pp. 611-624). Springer International Publishing
Open this publication in new window or tab >>Promoting Salutogenic Capacity in Health Professionals
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2022 (English)In: The Handbook of Salutogenesis / [ed] Mittelmark, Maurice B.; Bauer, Georg F.; Vaandrager, Lenneke; Pelikan, Jürgen M.; Sagy, Shifra; Eriksson, Monica; Lindström, Bengt; Meier Magistretti, Claudia, Springer International Publishing , 2022, p. 611-624Chapter in book (Other academic)
Abstract [en]

From a salutogenic perspective, relational and reflective competencies are key to the success of competence building. Reflecting on and exploring one’s (life) experience in a continuous learning process can enhance salutogenic competence.

This chapter, whose authors have many years of experience building health professionals’ salutogenic competence, is nicely illustrated with teaching and coaching examples drawn from (a) a master’s programme for students in various health professions, (b) salutogenic talk-therapy groups, (c) students in health promotion training programmes, and (d) on-the-job training of healthcare professionals working in childcare services.

The chapter discusses the concept of “self-tuning,” referring to habitual self-sensitivity, reflection, and mobilising of resources, which can play a central role in all types of training. This chapter emphasises that trainers should strive to “live the talk,” developing their personal salutogenic capacity – in other words, do what you teach and be what you teach.

Place, publisher, year, edition, pages
Springer International Publishing, 2022
Keywords
Theory, Methods, Innovation, Next steps, Salutogenic capacity, Health professionals
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Didactics Pedagogy
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-18008 (URN)10.1007/978-3-030-79515-3_55 (DOI)2-s2.0-85133542786 (Scopus ID)978-3-030-79514-6 (ISBN)978-3-030-79515-3 (ISBN)
Available from: 2022-03-08 Created: 2022-03-08 Last updated: 2024-04-09
Arnell, L., Källström, Å. & Gunnarsdottir, H. (2022). Relative Wellbeing of Women Maltreated as Children. Violence against Women, 28(12-13), 2947-2965
Open this publication in new window or tab >>Relative Wellbeing of Women Maltreated as Children
2022 (English)In: Violence against Women, ISSN 1077-8012, E-ISSN 1552-8448, Vol. 28, no 12-13, p. 2947-2965Article in journal (Refereed) Published
Abstract [en]

This study explores and analyzes how adult women in Sweden exposed to childhood maltreatment describe wellbeing, by using a thematic analysis of 22 semi-structured interviews with women maltreated as children. The results show that wellbeing was described as relative to both social norms and the childhood experiences and constituted four dimensions: Material and/or economic; Social and relational;Emotional; and Physical and/or mental. This study concludes that it is important to consider the relative and multiple ways wellbeing can be experienced and understood and to problematize norms of wellbeing, acknowledging the various ways people appraise their lives.

Keywords
Law, Sociology and Political Science, Gender Studies
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-17926 (URN)10.1177/10778012211058218 (DOI)000730675900001 ()2-s2.0-85121307795 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Note

CC-BY licens

Available from: 2021-12-15 Created: 2021-12-15 Last updated: 2023-01-25Bibliographically approved
Nwaru, C. A., Lovestad, S., Gunnarsdottir, H., Sundh, V. & Hensing, G. (2021). Determinants of non-response in a longitudinal study of participants in the Women and Alcohol in Gothenburg project. Women & health, 61(5), 452-460
Open this publication in new window or tab >>Determinants of non-response in a longitudinal study of participants in the Women and Alcohol in Gothenburg project
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2021 (English)In: Women & health, ISSN 0363-0242, E-ISSN 1541-0331, Vol. 61, no 5, p. 452-460Article in journal (Refereed) Published
Abstract [en]

Longitudinal assessment is useful for tracking patterns of alcohol use over time. Non-response is a common feature of longitudinal design and can bias estimates of alcohol use if there exist systematic differences between respondents and non-respondents. We investigated whether alcohol use, health status, and sociodemographic characteristics were determinants of non-response in a longitudinal cohort of women in the general population. We used data from a stratified, random sample of 479 women born in 1925, 1935, 1945, 1955, 1965, and 829 women born in 1970 and 1975, who were initially selected as participants in the Women and Alcohol in Gothenburg project. Results from multivariable logistic regression revealed that problematic alcohol use, depression, poor self-rated physical health, and basic education were associated with increased odds of non-response among women born in 1925, 1935, 1945, 1955, and 1965. Among women born between 1970 and 1975, older age and being unmarried increased the odds of non-response at follow-up. Surprisingly, problematic alcohol use and poor health were not associated with non-response in these younger birth cohorts. This study finding suggests that approaches to improve future survey response rates need to consider factors of greatest relevance to birth year and age.

Place, publisher, year, edition, pages
Routledge, 2021
Keywords
Alcohol use; health; heavy episodic drinking; high alcohol consumption; non-response
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-17101 (URN)10.1080/03630242.2021.1917482 (DOI)000643825100001 ()2-s2.0-85105026861 (Scopus ID)
Note

The work was supported by the [Swedish Council for Social Research, Stockholm] under Grant [94-0130:1C] and [the Swedish Research Council for Health, Working Life and Welfare (Forte)] under Grant [2013-0632].

Available from: 2021-12-22 Created: 2021-12-22 Last updated: 2021-12-22
Löve, J., Mehlig, K., Källström, Å., Hensing, G. & Gunnarsdottir, H. (2021). Experiences of family violence and parental unavailability in childhood in relation to parental socioeconomic position and psychological problems: a cohort study of young Swedish women 1990-2013.. BMC Women's Health, 21(1), Article ID 145.
Open this publication in new window or tab >>Experiences of family violence and parental unavailability in childhood in relation to parental socioeconomic position and psychological problems: a cohort study of young Swedish women 1990-2013.
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2021 (English)In: BMC Women's Health, E-ISSN 1472-6874, Vol. 21, no 1, article id 145Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Despite the high prevalence and severe consequences for health and wellbeing, epidemiological research of neglected emotional needs during childhood is scarce and little is known about its relation to parental socioeconomic position (SEP). This study investigates the prevalence of family violence and parental unavailability in childhood and its association with parental SEP and parental psychological problems in four strata of young Swedish women examined 1990, 1995, 2000, and 2013.

METHOD: The sample comprised 976 women (mean age 22, range 20-25) living in Sweden. Secular trends for family violence, parental rejection and unavailability were analyzed using logistic regression as a function of year of examination. The associations with parental SEP and parental psychological problems were assessed using logistic regression with results in terms of odds ratios (OR) and 95% confidence intervals.

RESULTS: Gendered patterns were observed in the associations between parental psychological problems and family violence and parental unavailability. Maternal psychological problems were associated with maternal rejection OR 6.8 (3.5-13.0), maternal lack of time OR 2.4 (1.2-5.0), and paternal rejection OR 1.9 (1.1-3.5). Paternal psychological problems were associated with paternal rejection OR 4.0 (2.1-7.7), paternal lack of time OR 4.9 (2.3-10.6), and experiencing family violence OR 4.9 (2.1-11.6). Low and medium parental SEP were associated with experience of family violence in childhood OR 3.1 (CI 1.1-8.5) and OR 3.4 (1.7-6.9), respectively. No changes between 1990 and 2013 were observed for the prevalence of any of the outcomes.

CONCLUSIONS: A stable prevalence of family violence and parental unavailability was reported by young women examined between 1990 and 2013. Lower socioeconomic position was associated with family violence while the association with parental unavailability was non-significant. Gendered patterns were observed in the association between parental psychological problems and family violence, where paternal but not maternal psychological problems were associated with family violence. Further, maternal psychological problems were associated with paternal rejection while paternal psychological problems were not associated with maternal rejection. Gendered patterns of parental unavailability need further studies.

Keywords
Childhood, Family violence, Parental lack of time, Parental rejection, Parental unavailability, Socioeconomic position, Women
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Child and Youth studies
Identifiers
urn:nbn:se:hv:diva-17459 (URN)10.1186/s12905-021-01292-7 (DOI)000639147800001 ()33836730 (PubMedID)2-s2.0-85104064786 (Scopus ID)
Note

Open access funding provided by University of Gothenburg. This study was funded by the Swedish research council for health, working life and well-being (Dnr 2016-00965).

Available from: 2021-10-18 Created: 2021-10-18 Last updated: 2023-08-28
Gunnarsdottir, H., Hensing, G. & Hammarström, A. (2021). Poor school connectedness in adolescence and adulthood depressiveness: a longitudinal theory-driven study from the Northern Sweden Cohort. European Journal of Public Health, 31(4), 797-802
Open this publication in new window or tab >>Poor school connectedness in adolescence and adulthood depressiveness: a longitudinal theory-driven study from the Northern Sweden Cohort
2021 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 31, no 4, p. 797-802Article in journal (Refereed) Published
Abstract [en]

Background:Foundations for mental health are laid early in family and school life. Family climate embraces the emotional connections within a family, and school connectedness embraces both functional and affective dimensions of relationship with school. Based on the lack of theory-driven and longitudinal epidemiological studies addressing public mental health, the aim of this longitudinal study was to investigate the associations between adolescents’ school connectedness, family climate and depressiveness in adulthood, by relying on Bronfenbrenner’s ecological theory.

Methods:The data are from the Northern Swedish Cohort, and the sample consists of 481 women and 526 men born in 1965 who participated in data collection at age 16, 21, 30 and 43. The generalized linear model method with random intercepts was used to examine the associations between family climate and school connectedness and depressiveness in adulthood.

Results: Poor school connectedness was associated with depressiveness in adulthood [β = 0.038 (95% CI 0.018–0.058) P ≤ 0.001], but poor family climate was not [β = 0.014 (95% CI −0.004–0.032)]. No difference in associations was observed between those experiencing social/material adversities in adolescence.

Conclusions: This study shows that poor school connectedness in adolescence can affect depressiveness in adulthood. The study confirms the complex processes that determine mental health and proposes a theoretical approach appealing to public mental health research. In addition, this study concludes that more life-course studies are needed to advance the knowledge of the mechanisms behind the associations between family climate and school connectedness and depressiveness in adulthood.

Place, publisher, year, edition, pages
NLM (Medline), 2021
Keywords
adolescent, emotions, adult, climate, epidemiologic studies, mental health
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-17785 (URN)10.1093/eurpub/ckab027 (DOI)000711227200027 ()2-s2.0-85118314916 (Scopus ID)
Funder
Swedish Research Council Formas, 259-2012-37
Available from: 2021-12-20 Created: 2021-12-20 Last updated: 2021-12-20
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-7915-8972

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