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Publications (10 of 45) Show all publications
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)
Note

CC BY 4.0

Available from: 2024-02-13 Created: 2024-02-13 Last updated: 2024-02-13
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: 2024-02-02
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)2-s2.0-85173474601 (Scopus ID)
Note

CC BY

Available from: 2023-11-10 Created: 2023-11-10 Last updated: 2023-11-10
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: 2024-03-18
Kerekes, N. & Ekström-Bergström, A. (Eds.). (2023). Complementary Care to Promote Mental Health. Frontiers Media S.A.
Open this publication in new window or tab >>Complementary Care to Promote Mental Health
2023 (English)Collection (editor) (Refereed)
Place, publisher, year, edition, pages
Frontiers Media S.A., 2023. p. 154
Keywords
mental health, health care
National Category
Learning Nursing
Research subject
Work Integrated Learning; NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-21027 (URN)10.3389/978-2-8325-3974-3 (DOI)978-2-8325-3974-3 (ISBN)
Available from: 2023-11-30 Created: 2023-11-30 Last updated: 2024-01-12Bibliographically approved
Lundqvist, S., Knez, R., Nagy, K., Nasic, S., Kerekes, N. & Kantzer, A.-K. (2023). Prevalence of chronic pain in children and adolescents with psychiatric conditions.. Paediatric & neonatal pain, 5(2), 50-56
Open this publication in new window or tab >>Prevalence of chronic pain in children and adolescents with psychiatric conditions.
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2023 (English)In: Paediatric & neonatal pain, E-ISSN 2637-3807, Vol. 5, no 2, p. 50-56Article in journal (Refereed) Published
Abstract [en]

The prevalence of pain in children and adolescents with psychiatric conditions is rarely investigated. The aims of the current study were to (a) describe the prevalence of headaches and abdominal pain in children and adolescents with psychiatric conditions, (b) compare the prevalence of pain in children and adolescents with psychiatric conditions with that in the general population, and (c) investigate the associations between pain experience and different types of psychiatric diagnoses. Families with a child aged 6-15 years who had been referred to a child and adolescent psychiatry (CAP) clinic completed the Chronic Pain in Psychiatric Conditions questionnaire. Information about the child/adolescent's psychiatric diagnosis(es) was extracted from the CAP clinic's medical records. The children and adolescents included in the study were divided into diagnostic groups and compared. Their data were also compared with data of control subjects collected during a previous study of the general population. Abdominal pain was more common among girls with a psychiatric diagnosis (85%) than in the matched control population (62%, p = 0.031). Children and adolescents with neurodevelopmental diagnoses had a higher prevalence of abdominal pain than children and adolescents with other psychiatric diagnoses. Pain conditions in children and adolescents with a psychiatric diagnosis are common and must be addressed.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
chronic pain, children, adolescents, psychiatric conditions
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-20139 (URN)10.1002/pne2.12100 (DOI)37283952 (PubMedID)
Note

Funding information Fonden för rehabilitering och forskning

CC BY

Available from: 2023-06-27 Created: 2023-06-27 Last updated: 2024-01-12Bibliographically approved
Meseguer-Beltrán, M., Sánchez-Sarasúa, S., Landry, M., Kerekes, N. & Sánchez-Pérez, A. (2023). Targeting Neuroinflammation with Abscisic Acid Reduces Pain Sensitivity in Females and Hyperactivity in Males of an ADHD Mice Model. Cells, 12(3), 465-486
Open this publication in new window or tab >>Targeting Neuroinflammation with Abscisic Acid Reduces Pain Sensitivity in Females and Hyperactivity in Males of an ADHD Mice Model
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2023 (English)In: Cells, E-ISSN 2073-4409, Vol. 12, no 3, p. 465-486Article in journal (Refereed) Published
Abstract [en]

Attention deficit/hyperactivity disorder (ADHD) is a neurodevelopmental syndrome characterized by dopaminergic dysfunction. In this study, we aimed to demonstrate that there is a link between dopaminergic deficit and neuroinflammation that underlies ADHD symptoms. We used a validated ADHD mice model involving perinatal 6-OHDA lesions. The animals received abscisic acid (ABA), an anti-inflammatory phytohormone, at a concentration of 20 mg/L (drinking water) for one month. We tested a battery of behavior tests, learning and memory, anxiety, social interactions, and pain thresholds in female and male mice (control and lesioned, with or without ABA treatment). Postmortem, we analyzed microglia morphology and Ape1 expression in specific brain areas related to the descending pain inhibitory pathway. In females, the dopaminergic deficit increased pain sensitivity but not hyperactivity. In contrast, males displayed hyperactivity but showed no increased pain sensitivity. In females, pain sensitivity was associated with inflammatory microglia and lower Ape1 levels in the anterior cingulate cortex (ACC) and posterior insula cortex (IC). In addition, ABA treatment alleviated pain sensitivity concomitant with reduced inflammation and normalized APE1. In males, ABA reduced hyperactivity but had no significant effect on inflammation in these areas. This is the first study proving a sex-dependent association between dopamine dysfunction and inflammation in specific brain areas, hence leading to different behavioral outcomes in a mouse model of ADHD. These findings provide new clues for potential treatments for ADHD.

Place, publisher, year, edition, pages
MDPI, 2023
Keywords
attention deficit/hyperactivity disorder (ADHD); microglia; oxidative stress; Ape1; pain sensitivity; hyperactivity; novel object recognition; spatial memory; neuroinflammation
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-19635 (URN)10.3390/cells12030465 (DOI)000929256800001 ()36766806 (PubMedID)2-s2.0-85147881244 (Scopus ID)
Note

This article belongs to the Special Issue The Signaling and Cellular Mechanisms of Pain.

 This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/)

Available from: 2023-02-14 Created: 2023-02-14 Last updated: 2024-01-12Bibliographically approved
Johansson, C., Kullgren, C., Bador, K. & Kerekes, N. (2022). Gender non-binary adolescents' somatic and mental health throughout 2020.. Frontiers in Psychology, 13, Article ID 993568.
Open this publication in new window or tab >>Gender non-binary adolescents' somatic and mental health throughout 2020.
2022 (English)In: Frontiers in Psychology, E-ISSN 1664-1078, Vol. 13, article id 993568Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Non-binary gender adolescents are particularly vulnerable and more likely to be exposed to several socio-psychological difficulties and disorders. It is vital to discover and act on the vulnerabilities they encounter. The present study aims to describe the somatic and mental health, affect state, frequency of risk behaviors, victimization and negative psychosocial factors, as well as the personality profiles of non-binary adolescents. In this study the concept of gender non-binary is used and captured respondents who selected "neither of these" as their gender from the possible options (female/male/neither of these).

MATERIALS AND METHODS: Data was collected between September 2020 and February 2021 in Sweden, Morocco, Serbia, Vietnam, and the United States. The cross-sectional, retrospective study utilized the electronic version of the Mental and Somatic Health without borders (MeSHe) survey. From the over 5,000 responses of 15-19-year-old adolescents, 58 respondents identified as being non-binary, and built our study population. Their data was analyzed with descriptive statistic methods.

RESULTS: Close to a fourth of adolescents identifying as non-binary reported the existence of at least one somatic disease. The most prevalent somatic disease was allergies. Almost one-third had suffered from pain either often or all the time in the past 12 months. The highest levels of perceived psychological distress were measured using obsessive-compulsive symptoms, depression, and interpersonal sensitivity. The average level of alcohol and drug use during the past 12 months was low. About 40% of non-binary adolescents reported having experienced physical abuse, and half of them experienced psychological abuse at some point in their lives. Seventeen percent reported living with adults with alcohol-use problems. Non-binary adolescents' personalities were found to be dominated by high scores in Openness, Neuroticism, and Agreeableness.

CONCLUSION: This study presents a detailed biopsychosocial picture of a multinational sample of non-binary adolescents. Our study suggests that awareness and support are required from all fields of society, including family, school, healthcare, and educational institutions, for cis-normative culture to progress toward a greater understanding of and respect for gender diversity.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2022
Keywords
adolescents, affect, mental health, non-binary gender, personality, risk behaviors, somatic health, victimization
National Category
Psychology (excluding Applied Psychology)
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-19588 (URN)10.3389/fpsyg.2022.993568 (DOI)000907773700001 ()36619033 (PubMedID)2-s2.0-85144886059 (Scopus ID)
Note

CC-BY 4.0

Available from: 2023-01-17 Created: 2023-01-17 Last updated: 2024-04-09
Stevanovic, D., Damjanovic, R., Jovic, V., Bador, K., Nguyen, H. T., Senhaji, M., . . . Kerekes, N. (2022). Measurement properties of the life history of aggression in adolescents: Data from Morocco, Serbia, Sweden, Vietnam, and the USA.. Psychiatry Research, 311, Article ID 114504.
Open this publication in new window or tab >>Measurement properties of the life history of aggression in adolescents: Data from Morocco, Serbia, Sweden, Vietnam, and the USA.
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2022 (English)In: Psychiatry Research, ISSN 0165-1781, E-ISSN 1872-7123, Vol. 311, article id 114504Article in journal (Refereed) Published
Abstract [en]

The Life History of Aggression (LHA) is a frequently used scale for assessing trait aggression, but its psychometric properties have not been evaluated among adolescents. The aim of this study was to evaluate the psychometric properties of the LHA among high school students from Morocco, Serbia, Sweden, Vietnam, and the United States of America (USA). The total sample included 4867 adolescents, aged 15-19 years, from Morocco (n = 508), Serbia (n = 1067), Sweden (n = 1570), Vietnam (n = 1401), and the USA (n = 321). A two-factor, nine-item model containing an aggression factor (5 items) and a consequences/antisocial behavior factor (4 items) was created. The two-factor model had an acceptable-to-good model fit for the data for the total sample and all five countries, including gender. Cronbach's alpha (α) was satisfactory across countries. Still, the construct was noninvariant across countries and genders. The LHA with nine items in two subscales showed sound construct validity and internal consistency and can be used for group-level or within-group assessments of trait aggression in adolescents by either gender or country. However, it should not be used for cross-gender or cross-country comparisons due to a lack of measurement invariance.

Keywords
Adolescence, Culture, Gender, Measurement invariance, Trait aggression
National Category
Social Psychology
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-18287 (URN)10.1016/j.psychres.2022.114504 (DOI)000835603600021 ()35287040 (PubMedID)2-s2.0-85126020489 (Scopus ID)
Available from: 2022-04-14 Created: 2022-04-14 Last updated: 2024-04-09
El Mzadi, A., Zouini, B., Kerekes, N. & Senhaji, M. (2022). Mental Health Profiles in a Sample of Moroccan High School Students: Comparison Before and During the COVID-19 Pandemic. Frontiers in Psychiatry, 12, 1-13, Article ID 752539.
Open this publication in new window or tab >>Mental Health Profiles in a Sample of Moroccan High School Students: Comparison Before and During the COVID-19 Pandemic
2022 (English)In: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 12, p. 1-13, article id 752539Article in journal (Refereed) Published
Abstract [en]

BackgroundGiven the biological and psychological changes that occur during adolescence, adolescents’ experiences of the COVID-19 pandemic measures could significantly threaten their mental health and cause long-term consequences.

AimThis study aims to determine the impact of the COVID-19 pandemic restrictions on the psychological distress of Moroccan adolescents and identify the risk and protective factors that could influence their mental health.

MethodsThe participants in this study were Moroccan high school students who were recruited at two different times—before the COVID-19 pandemic (350 students, mean age: 16.55 years; 53.71% female) and during the COVID-19 pandemic (457 students, mean age: 16.84; 64.1% female). Students responded to the Brief Symptom Inventory and the Godin-Shephard Leisure-Time Physical Activity questionary, and reported information about their psychosocial environment, gender, and age. The scores on the Brief Symptom Inventory dimensions from the pre-pandemic period and during 2020 were compared. A comparison between the scores of the two genders of the 2020 sample was also carried out. In addition, binary regression analysis was performed to predict the associations between gender, frequency of physical activity, the presence of the number of negative psychosocial factors, and those dimensions of the Brief Symptom Inventory that significantly changed between the samples.

ResultsFemale students reported higher psychological distress than male students in both data collection periods. During the COVID-19 pandemic, students scored significantly (p < 0.001) higher in depression and paranoid ideation, and they scored significantly (p = 0.01) lower in hostility and anxiety compared with the pre-pandemic period. Female gender and the experience of physical or psychological abuse significantly increased the risk of reporting higher scores in depression and paranoid ideation symptoms during 2020. Moderate and frequent physical activities were significantly and negatively associated with depression (p = 0.003 and p=0.004; respectively).ConclusionsThis study confirms the stressful impact of the COVID-19 pandemic on Moroccan high school students, who reported more symptoms of depression and paranoid ideation compared with the pre-COVID-19 period. Female students reported higher psychological distress than male students did. The experience of physical /psychological abuse during the pandemic worsened mental health, while moderate/frequent physical activity improved it.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2022
Keywords
COVID-19 pandemic, Brief symptom inventory (BSI), gender, psychological distress, physical and/or psychological abuse, physical activity
National Category
Psychology
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-17997 (URN)10.3389/fpsyt.2021.752539 (DOI)000769752500001 ()2-s2.0-85125878298 (Scopus ID)
Note

Finansiär och Projektinformation: MeSHe project https://meshe.se/

Available from: 2022-05-10 Created: 2022-05-10 Last updated: 2024-04-09
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8854-0399

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