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  • 1.
    Alabaf, Setareh
    et al.
    University of Gothenburg, Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology,Gothenburg, Sweden.
    Gillberg, Christopher
    University of Gothenburg, Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology,Gothenburg, Sweden.
    Lundström, Sebastian
    University of Gothenburg, Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology,Gothenburg, Sweden. Center for Ethics, Law and Mental health (CELAM), Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.
    Lichtenstein, Paul
    Karolinska Institute, Department of Medical Epidemiology and Biostatistics, Stockholm, Sweden.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Råstam, Maria
    University of Gothenburg, Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Gothenburg, Sweden. Lund University, Department of Clinical Sciences Lund, Child and Adolescent Psychiatry, Lund, Sweden..
    Anckarsäter, Henrik
    University of Gothenburg, Center for Ethics, Law and Mental health (CELAM), Institute of Neuroscience and Physiology, Gothenburg, Sweden.
    Correction to: Physical health in children with neurodevelopmental disorders.2019In: Journal of autism and developmental disorders, ISSN 0162-3257, E-ISSN 1573-3432, Vol. 49, no 1, p. 96-97Article in journal (Refereed)
    Abstract [en]

    The original version of this article unfortunately contained a mistake in Fig. 2 part labels, the label "d" was incorrectly labelled as "c" and the subsequent labels should be corrected as d, e, and f. The corrected Fig. 2 is given below.

  • 2.
    Alabaf, Setareh
    et al.
    University of Gothenburg, Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Gothenburg, Sweden.
    Gillberg, Christopher
    University of Gothenburg, Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Gothenburg, Sweden.
    Lundström, Sebastian
    University of Gothenburg, Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Gothenburg, Sweden. Center for Ethics, Law and Mental health (CELAM), Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.
    Lichtenstein, Paul
    Karolinska Institute, Department of Medical Epidemiology and Biostatistics, Stockholm, Sweden.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Råstam, Maria
    University of Gothenburg, Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, Gothenburg, Sweden. Lund University, Department of Clinical Sciences Lund, Child and Adolescent Psychiatry, Lund, Sweden.
    Anckarsäter, Henrik
    University of Gothenburg, Center for Ethics, Law and Mental health (CELAM), Institute of Neuroscience and Physiology, Gothenburg, Sweden.
    Physical health in children with neurodevelopmental disorders2019In: Journal of autism and developmental disorders, ISSN 0162-3257, E-ISSN 1573-3432, Vol. 49, no 1, p. 83-95Article in journal (Refereed)
    Abstract [en]

    With increasing numbers of children being diagnosed with neurodevelopmental disorders (NDDs) attention has been drawn to these children's physical health. We aimed to identify the prevalence of defined physical problems (epilepsy, migraine, asthma, cancer, diabetes, psoriasis, lactose intolerance, celiac disease, diarrhea, constipation, daytime enuresis, encopresis) in a nationwide population of 9- and 12-year-old twins subdivided into those with and without indications of NDDs. Parents of 28,058 twins participated in a well-validated telephone interview regarding their children's mental health and answered questions about their physical problems. The results indicate a high rate of physical problems in children with NDDs, particularly in those with indications of the presence of combinations of several NDDs.

  • 3.
    Alverbratt, Catrin
    et al.
    University West, Department of Health Sciences, Specialist Nursing programme. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Åström, Sture
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Kauffeldt, Anders
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. University West, Department of Health Sciences, Section for nursing - graduate level.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    A New Working Method in Psychiatric Care: the impact of implementation2016In: International Journal of Public Administration, ISSN 0190-0692, E-ISSN 1532-4265, Vol. 40, no 3, p. 295-304Article in journal (Refereed)
    Abstract [en]

    An equal mix of organizational cultures is important for a successful implementation process. The aim of this study was to examine the implementation of a new working method in psychiatric hospital wards, representing different cultural characteristics. Descriptive quantitative data were collected at two hospitals (intervention and control). The results revealed one ward characterized by a mix of organizational cultures. This ward, compared with other intervention wards, showed the best results regarding patient assessed empowerment and participation. The result shows tentatively that organizational culture may have an impact on the implementation processes.

  • 4.
    Andersson, Henrik
    et al.
    University of Borås, PreHospen - Centre for Prehospital Researc Borås, Sweden; University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Axelsson, Christer
    University of Borås, PreHospen - Centre for Prehospital Researc Borås, Sweden; University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Larsson, Anna
    Ambulance Department, South Älvsborg's Hospital, Borås, Sweden.
    Bremer, Anders
    University of Borås, PreHospen - Centre for Prehospital Researc Borås, Sweden; Linnaeus University, Faculty of Health and Life Sciences, Växjö, Sweden.
    Gellerstedt, Martin
    University West, School of Business, Economics and IT, Divison of Informatics.
    Bång, Angela
    University of Borås, PreHospen - Centre for Prehospital Researc Borås, Sweden; University of Gothenburg, The Sahlgrenska Academy, Institute of Health and Care Sciences, Gothenburg, Sweden.
    Herlitz, Johan
    University of Borås, PreHospen - Centre for Prehospital Researc Borås, Sweden; University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Ljungström, Lars
    Skaraborg Hospital, Infection Disease Department, Skövde, Sweden.
    The early chain of care in bacteraemia patients: Early suspicion, treatment and survival in prehospital emergency care.2018In: American Journal of Emergency Medicine, ISSN 0735-6757, E-ISSN 1532-8171, Vol. 36, no 12, p. 2211-2218, article id S0735-6757(18)30279-1Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Bacteraemia is a first stage for patients risking conditions such as septic shock. The primary aim of this study is to describe factors in the early chain of care in bacteraemia, factors associated with increased chance of survival during the subsequent 28days after admission to hospital. Furthermore, the long-term outcome was assessed.

    METHODS: This study has a quantitative design based on data from Emergency Medical Services (EMS) and hospital records.

    RESULTS: In all, 961 patients were included in the study. Of these patients, 13.5% died during the first 28days. The EMS was more frequently used by non-survivors. Among patients who used the EMS, the suspicion of sepsis already on scene was more frequent in survivors. Similarly, EMS personnel noted the ESS code "fever, infection" more frequently for survivors upon arriving on scene. The delay time from call to the EMS and admission to hospital until start of antibiotics was similar in survivors and non-survivors. The five-year mortality rate was 50.8%. Five-year mortality was 62.6% among those who used the EMS and 29.5% among those who did not (p<0.0001).

    CONCLUSION: This study shows that among patients with bacteraemia who used the EMS, an early suspicion of sepsis or fever/infection was associated with improved early survival whereas the delay time from call to the EMS and admission to hospital until start of treatment with antibiotics was not. 50.8% of all patients were dead after five years.

  • 5.
    Andersson, John
    et al.
    Göteborgs Universitet, Scandinavian Surgical Outcomes Research Group, Department of Surgery, Sahlgrenska University Hospital/Östra, Sahlgrenska Academy.
    Abis, G
    Alingsås Hospital, Department of Surgery.
    Gellerstedt, Martin
    University West, School of Business, Economics and IT.
    Angenete, Eva
    Göteborgs Universitet, Scandinavian Surgical Outcomes Research Group, Department of Surgery, Sahlgrenska University Hospital/Östra, Sahlgrenska Academy.
    Angerås, Ulf
    Göteborgs Universitet, Scandinavian Surgical Outcomes Research Group, Department of Surgery, Sahlgrenska University Hospital/Östra, Sahlgrenska Academy.
    Cuesta, M A
    VU University Medical Centre, Department of Surgery, Amsterdam.
    Jess, P
    Roskilde Hospital, Department of Surgery, Roskilde, Denmark.
    Rosenberg, Jakob
    Copenhagen University, Department of Surgery, Herlev Hospital, Copenhagen, Denmark.
    Bonjer, H J
    VU University Medical Centre, Department of Surgery, Amsterdam.
    Haglind, Eva
    Göteborgs Universitet, Scandinavian Surgical Outcomes Research Group, Department of Surgery, Sahlgrenska University Hospital/Östra, Sahlgrenska Academy.
    Patient-reported genitourinary dysfunction after laparoscopic and open rectal cancer surgery in a randomized trial (COLOR II).2014In: British Journal of Surgery, ISSN 0007-1323, E-ISSN 1365-2168, Vol. 101, no 10, p. 1272-1279Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: This article reports on patient-reported sexual dysfunction and micturition symptoms following a randomized trial of laparoscopic and open surgery for rectal cancer.

    METHODS: Patients in the COLOR II randomized trial, comparing laparoscopic and open surgery for rectal cancer, completed the European Organization for Research and Treatment of Cancer (EORTC) QLQ-CR38 questionnaire before surgery, and after 4 weeks, 6, 12 and 24 months. Adjusted mean differences on a 100-point scale were calculated using changes from baseline value at the various time points in the domains of sexual functioning, sexual enjoyment, male and female sexual problems, and micturition symptoms.

    RESULTS: Of 617 randomized patients, 385 completed this phase of the trial. Their mean age was 67·1 years. Surgery caused an anticipated reduction in genitourinary function after 4 weeks, with no significant differences between laparoscopic and open approaches. An improvement in sexual dysfunction was seen in the first year, but some male sexual problems persisted. Before operation 64·5 per cent of men in the laparoscopic group and 55·6 per cent in the open group reported some degree of erectile dysfunction. This increased to 81·1 and 80·5 per cent respectively 4 weeks after surgery, and 76·3 versus 75·5 per cent at 12 months, with no significant differences between groups. Micturition symptoms were less affected than sexual function and gradually improved to preoperative levels by 6 months. Adjusting for confounders, including radiotherapy, did not change these results.

    CONCLUSION: Sexual dysfunction is common in patients with rectal cancer, and treatment (including surgery) increases the proportion of patients affected. A laparoscopic approach does not change this.

  • 6.
    Andersson, Liselotte
    et al.
    University West, Department of Nursing, Health and Culture.
    Jakum, Päivi
    University West, Department of Nursing, Health and Culture.
    Inte som i Gökboet: sjuksköterskors beskrivningar av omvårdnadsprocessen inom den rättspsykiatriska vården : en kvalitativ studie2009Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Forensic psyhiatric care protects the society by giving patients care to diminish risks of serious crimes. In their work the nurses use different care methods to help and support the patient in managing his or her life situation. To clarify how a group of nurses describe the nursing process in forensic psychiatric care. A qualitative study based on interviews. Six nurses were interviewed about their work in four different forensic psychiatric care units. The nursing process in is divided into four categories: evaluation, planning, implementation and assessment. The results are based on the way the interviewed nurses described the essential roles of nurse-patient relationship and structured routines in nursing process. The study also shows some specific difficulties in nursing work, for example the mental dysfunctions of patients, the level of competence among staff and the patients need for social interaction and existence beyond their specific needs.

    Download full text (pdf)
    FULLTEXT01
  • 7.
    Angenete, Eva
    et al.
    University of Gothenburg, Department of Surgery, Sahlgrenska University Hospital/Östra.
    Jacobsson, Anders
    Swedish National Board of Health and Welfare, Stockholm.
    Gellerstedt, Martin
    University West, School of Business, Economics and IT, Division of Computer Science and Informatics.
    Haglind, Eva
    University of Gothenburg, Department of Surgery, Sahlgrenska University Hospital/Östra.
    Laparoscopy on the Risk of Small-Bowel Obstruction: A Population-Based Register Study2012In: Archives of surgery (Chicago. 1960), ISSN 0004-0010, E-ISSN 1538-3644, ISSN 0004-0010, Vol. 147, no 4, p. 359-365Article in journal (Refereed)
    Abstract [en]

    Objective  To investigate the incidence and risk factors for small-bowel obstruction (SBO) after certain surgical procedures. Design A population-based retrospective register study. Setting Small-bowel obstruction causes considerable patient suffering. Risk factors for SBO have been identified, but the effect of surgical technique (open vs laparoscopic) on the incidence of SBO has not been fully elucidated. Patients The Inpatient Register held by the Swedish National Board of Health and Welfare was used. The hospital discharge diagnoses and registered performed surgical procedures identified data for cholecystectomy, hysterectomy, salpingo-oophorectomy, bowel resection, anterior resection, abdominoperineal resection, rectopexy, appendectomy, and bariatric surgery performed from January 1, 2002, through December 31, 2004. Data on demographic characteristics, comorbidity, previous abdominal surgery, and death were collected. Main Outcome Measures Episodes of hospital stay and surgery for SBO within 5 years after the index surgery. Results A total of 108 141 patients were included. The incidence of SBO ranged from 0.4% to 13.9%. Multivariate analysis revealed age, previous surgery, comorbidity, and surgical technique to be risk factors for SBO. Laparoscopy exceeded other risk factors in reduction of the risk of SBO for most of the surgical procedures.

    Conclusions Open surgery seems to increase the risk of SBO at least 4 times compared with laparoscopy for most of the abdominal surgical procedures studied. Other factors such as age, previous abdominal surgery, and comorbidity are also of importance

  • 8.
    Arnold, Melina
    et al.
    Erasmus University Medical Center,Department of Public Health, Rotterdam.
    Moore, Suzanne P
    International Agency for Research on Cancer, Section of Cancer Information, Lyon, France.
    Hassler, Sven
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Ellison-Loschmann, Lis
    Centre for Public Health Research, Massey University, Wellington, New Zealand.
    Forman, David
    International Agency for Research on Cancer, Section of Cancer Information, Lyon, France.
    Bray, Freddie
    International Agency for Research on Cancer, Section of Cancer Information, Lyon, France.
    The burden of stomach cancer in indigenous populations: a systematic review and global assessment2014In: Gut, ISSN 0017-5749, E-ISSN 1468-3288, Vol. 63, no 1, p. 64-71Article in journal (Refereed)
    Abstract [en]

    Objective Stomach cancer is a leading cause of cancer death, especially in developing countries. Incidence has been associated with poverty and is also reported to disproportionately affect indigenous peoples, many of whom live in poor socioeconomic circumstances and experience lower standards of health. In this comprehensive assessment, we explore the burden of stomach cancer among indigenous peoples globally.Design The literature was searched systematically for studies on stomach cancer incidence, mortality and survival in indigenous populations, including Indigenous Australians, Maori in New Zealand, indigenous peoples from the circumpolar region, native Americans and Alaska natives in the USA, and the Mapuche peoples in Chile. Data from the New Zealand Health Information Service and the Surveillance Epidemiology and End Results (SEER) Program were used to estimate trends in incidence.Results Elevated rates of stomach cancer incidence and mortality were found in almost all indigenous peoples relative to corresponding non-indigenous populations in the same regions or countries. This was particularly evident among Inuit residing in the circumpolar region (standardised incidence ratios (SIR) males: 3.9, females: 3.6) and in Maori (SIR males: 2.2, females: 3.2). Increasing trends in incidence were found for some groups.Conclusions We found a higher burden of stomach cancer in indigenous populations globally, and rising incidence in some indigenous groups, in stark contrast to the decreasing global trends. This is of major public health concern requiring close surveillance and further research of potential risk factors. Given evidence that improving nutrition and housing sanitation, and Helicobacter pylori eradication programmes could reduce stomach cancer rates, policies which address these initiatives could reduce inequalities in stomach cancer burden for indigenous peoples.

  • 9.
    Axelsson, Malin
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Conscientiousness – an influential personality trait of adherence behaviour in persons with asthma and allergic rhinitis2011Conference paper (Refereed)
  • 10.
    Axelsson, Malin
    University West, Department of Nursing, Health and Culture.
    Personality and adherence to medication treatment2011Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Striving for improved adherence to medication treatment is of vital concern, as low adherence is a major obstacle in treating many prevalent chronic diseases. Several factors have been identified that seem to influence adherence behaviour, but limited research exists on the significance of personality for adherence to medication treatment. According to the Five-Factor Model (FFM), personality can be described in terms of five broad personality traits: Neuroticism, Extraversion, and Openness to experience, Agreeableness, and Conscientiousness. Reports on health-related quality of life (HRQL), asthma control and selfefficacy may also be influenced by personality. Therefore, the overall aim of the present research project was to explore the significance of personality traits in relation to adherence to medication treatment and asthma control, health-related quality of life and self-efficacy. 

    Download (pdf)
    spikblad
  • 11.
    Axelsson, Malin
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Personlighetens betydelse för uppnådd och upplevd astmakontroll2011In: Fagbladet Allergi i praksis, ISSN 0806-5462, ISSN 0806-5462, p. 12-15Article in journal (Other academic)
  • 12.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Lundgren, Jesper
    Avdelningen för psykologi, Göteborgs Universitet.
    Lötvall, Jan
    Krefting Research Center, Göteborgs universitet.
    Personality traits in relation to health-related quality of life in persons with asthma and/or allergic rhinitis2011In: 30th Congress of the European Academyof Allergy and Clinical Immunology in Istanbul, 2011Conference paper (Refereed)
  • 13.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Lötvall, Jan
    Krefting Research Center, Göteborgs universitet.
    Lundgren, Jesper
    Avdelningen för psykologi, Göteborgs Universitet.
    Patients´ adherence reasoning in relation to asthma medication2011In: 30th Congress of the European Academy of Allergy and Clinical Immunology in Istanbul, 11-15 june 2011, 2011Conference paper (Refereed)
  • 14.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Lötvall, Jan
    Krefting Research Center, Göteborgs universitet.
    Recent educational interventions for improvement of asthma medication adherence.2012In: Asia Pacific allergy, ISSN 2233-8276, Vol. 2, no 1, p. 67-75Article in journal (Refereed)
    Abstract [en]

    Poor adherence to asthma medication treatment is a dilemma as it decreases the chance of achieving and maintaining a proper asthma control. Another dilemma is that there seems to be a small range of functional interventions that enhance adherence to long-term medication treatments. The aim was to review the last five years of published educational interventions for improving adherence to asthma medication. Through systematic database searches 20 articles were identified, which matched the inclusion criteria and described educational interventions to improve asthma self-management including adherence. The current review showed that addressing unintentional non-adherence in terms of incorrect inhaler technique by recurrent education improved the technique among many patients, but not among all. Phoning patients, as a means to remove medication beliefs as adherence barriers, seemed to be an effective educational strategy, shown as increased adherence. Involving patients in treatment decisions and individualising or tailoring educational support also seemed to have favourable effect on adherence. To conclude, addressing specific adherence barriers such as poor inhaler technique or medication beliefs could favour adherence. To change adherence behavior, the current review proposes that educational adherence support should be a collaborative effort between the patient and the health-care professional based on each individual patient's needs and patient factors, including elements such as personality traits.

  • 15. Axrup, K
    et al.
    Lindqvist, B
    Samuelson, Gösta
    Oral-facial-digital syndrome. A case report1971In: Odontologisk revy, ISSN 0029-8441, Vol. 22, no 2, p. 137-44Article in journal (Refereed)
  • 16.
    Bador, Kourosh
    et al.
    AGERA KBT AB, Gothenburg, Sweden.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Evaluation of an Integrated Intensive Cognitive Behavioral Therapy Treatment Within Addiction Care2020In: Journal of Behavioral Health Services & Research, ISSN 1094-3412, E-ISSN 1556-3308, Vol. 47, no 1, p. 102-112Article in journal (Refereed)
    Abstract [en]

    The study aimed to evaluate an integrated intensive cognitive behavioral therapy (CBT) group treatment for people with substance-related syndrome in outpatient care and to identify eventual gender differences. The study population consisted of 35 outpatients (18 male, 17 female) at a clinic in Western Sweden. The patients completed a four-month period of intensive group therapy and participated in the data collection at admission and discharge. The data were collected using the following inventories: Beck Depression and Anxiety Inventories, Rosenberg Self-Esteem Scale,Hopelessness Scale, and Trait Hope Scale. Results showed decreases in anxiety, depression and experience of hopelessness, and increases in self-esteem and hope. In females, the most dramatic improvement was measured for the anxiety and depression attributes, while in males the strongest effect was measured for hope and self-esteem. This study provides clinical evidence of the positive effects of integrated intensive CBT in outpatient care of people with substance-related syndrome.

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    fulltext
  • 17.
    Bay, Annika
    et al.
    Umeå University, Public Health and Clinical Medicine, Umeå, Sweden.
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lamas, K
    Umeå University, Nursing, Umeå, Sweden.
    Sandberg, Camilla
    Umeå University, Public Health and Clinical Medicine, Umeå, Sweden.
    Johansson, Bengt
    Umeå University, Public Health and Clinical Medicine, Umeå, Sweden.
    Facilitators and barriers for physical activity in adults with congenital heart disease2018In: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 39, no suppl_1, p. 1120-1121, article id ehy566.P5433Article in journal (Refereed)
    Abstract [en]

    Background: A majority of adults with congenital heart disease (CHD) have reduced exercise capacity and do not reach the recommended level of physical activity. A physically active lifestyle is essential to maintain health and counteract acquired cardiovascular disease. This study illuminates aspects that may be relevant for performing physical activity.Purpose: To describe facilitators and barriers for physical activity in adults with CHD.Methods: Semi-structured interviews were performed individually with fourteen adults (age 19–68 years, women=7) with complex CHD. The interviews were analyzed using qualitative content analysis.Results: Aspects that may enable or inhibit physical activity were found in two domains; Facilitators and Barriers, which both consisted of four categories physical, psychological, psychosocial and environmental aspects (Table 1).

  • 18. Bergfors, P G
    et al.
    Höglund, T
    Samuelson, Gösta
    Winberg, J
    Lasarettsvecka i pediatrik : Försöksverksamhet  under grundutbildningen: [Hospital week in pediatricsExperiments in medical education].1974In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 71, no 22, p. 2237-8Article in journal (Refereed)
  • 19.
    Berghammer, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Johansson, B.
    Umea University, Department of Public Health and Clinical Medicine, Umea, Sweden.
    Mattson, E.
    Karolinska University Hospital, Department of Cardiology, Stockholm, Sweden.
    Moons, P.
    The Sahlgrenska Academy at Gothenburg University, Institute of health and caring sciences, Gothenburg, Sweden;.
    Dellborg, M.
    University of Gothenburg, Institute of medicine, Sahlgrenska Academy, Gothenburg, Sweden.
    Exploration of disagreement between the patient’s self reported limitations and limitations assessed by caregivers in adults with congenital heart disease2018In: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 39, no Suppl 1, article id 2406Article in journal (Refereed)
    Abstract [en]

    Background: The New York Heart Association (NYHA) classification is applied in a wide spectrum of heart diseases including adult patients with congenital heart disease (ACHD). The NYHA-class assessment is often based on the evaluation by the caregiver, but to what extent it correlates with the patient's view of their function is not fully known.Purpose: To investigate the relation between the patient's self-reported physical limitations, symptoms, other heart defect related factors and NYHA-class assessed by the caregiver.Methods: Eligible patients (n=333, age 39.2±13.6 years) were identified and randomly selected from the national registry for CHD. All of the patients completed a standardized questionnaire measuring different PRO-domains. By combing self-reported data with registry data including NYHA-class, analyses of agreement of physical limitations were performed.Results: Almost 30% of the patients rated their limitations higher compared to the NYHA-class estimated by the caregiver. Patients with self-reported limitations and their NYHA-class underestimated by caregivers, more often reported symptoms, anxiety, lower health and worked fewer hours/week compared to other patients with CHD. There were no differences regarding sex, type of symptoms, prescribed medications, or complexity of cardiac lesion. In patients without self-reported limitations agreement with NYHA-class estimated by caregivers was 97%.Conclusion: Adult patients with CHD and self-reported limitations may not be correctly identified by the care-giver. Instruments for patient reported outcomes might improve the assessment of physical limitations and could further improve the correctness in evaluating the patient's status.

  • 20.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Livskvalitet och sexualitet efter stomioperation2010Conference paper (Refereed)
    Abstract [sv]

    Fysiska och psykiska besvär kan påverka hälsan och i förlängningen sexualiteten. Ett exempel är patienten som har diarréer, ont i magen och förlorar vikt och energi orsakat av en inflammatorisk tarmsjukdom.  Medan att ha en cancer i colon eller rektum ger oftast inga besvärliga symtom, inte i början. Men för patienten med cancer påverkar behandlingen i form av strålning, kirurgi och cytostatika bla. sexualiteten.

    Det är viktigt att sjuksköterskan är medveten om patienten påverkas även sexuellt. Sjuksköterskan kan vanligtvis prata med patienten om privata saker som tex. avföringsvanor och om döden. Sjuksköterskan skall även ges information om sexualiteten, och frågor skall kunna ställas av patienten och eventuell partner. Sexualiteten betyder olika mycket för olika personer och vid olika tidpunkter i livet. Att negligera patientens behov om att prata om detta eller resonera som att de får någon annan ta upp om (läkaren) är inte rätt. Människan är en sexuell varelse.

  • 21.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Sexualitet och fertilitet vid inflammatorisk tarmsjukdom2008Other (Other academic)
  • 22.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Stoma-related complications after stoma construction in emergency surgery.2009In: 10th European congress for nurses with interest in stomacare. Portugal, Porto, June 14-17, 2009., 2009Conference paper (Refereed)
    Abstract [en]

    PURPOSE; Prospectively longitudinal study of the frequency and type of stoma-related complications after stoma construction in emergency surgery. METHOD; 153 patients were operated acutely with a colostomy, ileostomy or loop-ileostomy formation between April 2003 and March 2005 at the Sahlgrenska University Hospital in Gothenburg, Sweden. The postoperative follow up took place in the ward and another five times two years after discharge. On these occasions diameter, height and shape of the ostomy were recorded. Peristomal skin problems, necrosis, leakage due to low ostomy, stenosis, granuloma, prolapse and peristomal hernia were evaluated. Use of convexity appliance was also documented. RESULTS were based on 144 patients 85 women and 59 men with a median age of 67 (range 23-98) years. The ostomy diameter size was postoperatively on the ward median 34 (r 22-80) mm but had reduced to 25 (r 22-60) mm in two weeks. Postoperatively on the ward 31% of colostomy was oval, and 24% of the ileostomy. After 12 months was 21% of the colostomy oval. Irrespective of ostomy types the most common complication was skin problems, most frequent in those with loop ileostomy (48%) hernia was most common in patients with colostomy (26%) at 12 months of follow-up. A patient may have developed more complications such as necrosis of stomin as the cause of this even skin problems. The patients with ileostomy used convexity appliance common in 6 month (67%) and the patients with colostomy in one year (29%). CONCLUSION This study shows that while skin problems dominated in ileostomy patients (48% in loop ileostomies) peristomal hernia was the most common complication in colostomy patients (26%). Early stoma nurse assistance in the acute phase and regular postoperative follow-up subsequently is very important.

  • 23.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    To be an ostomate or not to be, is the question!2012Conference paper (Refereed)
  • 24.
    Berndtsson, Ina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Carlsson, Eva
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Persson, Eva
    School of Health Sciences, University of Borås, Borås.
    Lindholm, Elisabet
    Colorectal Unit, Sahlgrenska University Hospital/Östra, Sahlgrenska Academy,.
    Long-Term Adjustment to Living With an Ileal Pouch-Anal Anastomosis2011In: Diseases of the Colon & Rectum, ISSN 0012-3706, E-ISSN 1530-0358, Vol. 54, no 2, p. 193-199Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim of this study was to describe long-term adjustment to life with an ileal pouch-anal anastomosis after surgery for ulcerative colitis, to investigate the relationship of pouch function to adjustment, and to explore factors affecting quality of life.

    METHODS: A total of 369 patients treated between 1982 and 1993 were included in the study. Questionnaires designed to assess bowel (pouch) function (Oresland score) and disease-specific adjustment (Swedish version of the Ostomy Adjustment Scale), plus open-ended questions regarding quality of life, were sent by mail. Open-ended questions were analyzed with qualitative content analysis.

    RESULTS: A total of 252 patients (84%) returned the disease-specific adjustment questionnaire (141 males/111 females); median age, 51 (range, 26-77) years; median follow-up, 15 (range, 10-21) years after construction of the ileal pouch-anal anastomosis. High adjustment ratings were found for all statements, with the maximum median score of 6 on 28 of the 36 items. Items with the lowest ratings (median score, 5) pertained to things one would do if not for the IPAA, feeling free to travel, ability to enjoy sexual activities, comfort with body image, ability to laugh about awkward situations, confidence in the appliance, and whether the surgery helped with decisions on what things are most important in life. Participants with the lowest adjustment scores had low bowel function scores (P < .0001). Open-ended quality of life questions were answered by 150 patients (59.5%). The most important areas for quality of life were health, family, restroom access, and friends. Five categories emerged from the qualitative content analysis: living a "normal" life, food restrictions, physical limitations, influence of restroom access on social life, and being dependent on medical care.

    CONCLUSIONS: Most participants had adjusted well to life with an ileal pouch-anal anastomosis and considered life to be normal. Good public restrooms were important for quality of life. Improving pouch function may help patients adjust to the postoperative state, but deeper understanding of reasons for poor adjustment despite good pouch function is needed.

  • 25.
    Berntsson, Shala Ghaderi
    et al.
    Uppsala University, Department of Neuroscience, Neurology, University Hospital, Uppsala, Sweden.
    Landtblom, Anne-Marie
    Uppsala University, Department of Neuroscience, Neurology, University Hospital, Uppsala, Sweden, Department of Clinical and Experimental Medicine, Neurology, Medical Faculty, University of Linköping, Linköping, Sweden.
    Flensner, Gullvi
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Cerebellar ataxia and intrathecal baclofen therapy: Focus on patients´ experiences2017In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 2, no 6, article id e0180054Article in journal (Refereed)
    Abstract [en]

    Elucidating patients´ experiences of living with chronic progressive hereditary ataxia and the symptomatic treatment with intrathecal baclofen (ITB) is the objective of the current study. A multicenter qualitative study with four patients included due to the rare combination of hereditary ataxia and ITB therapy was designed to elucidate participants' experiences through semi-structured interviews. The transcribed text was analyzed according to content analysis guidelines. Overall we identified living in the present/ taking one day at a time as the main theme covering the following categories: 1) Uncertainty about the future as a consequence of living with a hereditary disease; The disease; 2) Impact on life as a whole, 3) Influence on personal life in terms of feeling forced to terminate employment, 4) Limiting daily activities, and 5) ITB therapy, advantages, and disadvantages. Uncertainty about the future was the category that affected participants' personal life, employment, and daily activities. The participants' experience of receiving ITB therapy was expressed in terms of improved quality of life due to better body position and movement as well as better sleep and pain relief.

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  • 26. Bjure, J
    et al.
    Fälström, S P
    Latuszek, B
    Samuelson, Gösta
    Cystisk fibros med okaraktäristisk debut: [Cystic fibrosis with uncharacteristic onset].1976In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 73, no 10, article id 870Article in journal (Refereed)
  • 27.
    Boman, Åse
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Povlsen, Lene
    Nordiska högskolan för folkhälsovetenskap.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Borup, Ina
    Nordiska högskolan för folkhälsovetenskap.
    Hanås, Ragnar
    Uddevalla Hospital.
    If dad comes, we are happy - if mom fails to appear, we become desperate: A Grounded Theory study of Swedish diabetes teams perecption of fathers’ involvement in their child's everyday life2011In: 4th International Research Seminar on SALUTOGENESIS and meeting of the IUP-GWG-SAL: May 30-31, 2011, University West, Trollhättan, Sweden, 2011, p. 1-12Conference paper (Refereed)
    Abstract [en]

    Background: Since parental involvement is essential to the outcome of diabetes type 1 treatment in childhood and high paternal engagement in everyday life promote the child's health, it is of value to explore how professionals, the diabetes teams (DT), perceive fathers' involvement in their child with diabetes type 1.

    Method: The study design was Constructivist Grounded Theory and data was collected by Repeated Focus Groups discussions with three Swedish pediatric diabetes teams, between May 2010 and January 2011.

    Results: The core category for the diabetes teams' perception of fathers' involvement was If dad comes, we are happy – if mom fails to appear, we become desperate. The core category relied on three subcategories. Societal and cultural context where DTs perceived fathers involvement as having specific properties and specific areas of responsibility, Balancing where the DTs balanced the father's involvement against the mother's engagement and Becoming aware where the DTs raised awareness of the fathers from being a indistinct parents-unit till to identify and appreciate the father's engagement.

    Conclusions: Perceiving fathers as equal caregivers, and becoming aware of fathers as a health resource, could support an active health promotion perspective in pediatric diabetes care. 

  • 28.
    Brink, Eva
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Alsén, Pia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Cliffordson, Christina
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Validation of the Revised Illness Perception Questionnaire (IPQ-R) in a sample of persons recovering from myocardial infarction – the Swedish version.2011In: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 52, no 6, p. 573-579Article in journal (Refereed)
    Abstract [en]

    When people’s health is threatened, they generally develop illness perceptions to make sense of their illness. The Illness Perception Questionnaire (IPQ-R), developed by Moss-Morris et al (2002), has been widely used in many countries to measure such representations. However, since studies in this crucial research area are lacking in Sweden a Swedish version of IPQ-R was validated with a focus on the seven subscales: timeline acute/chronic, timeline cyclical, consequences, personal control, treatment control, illness coherence and emotional representations. Using confirmatory factor analysis, the aim of the present study was to validate the internal structure of the Swedish version in a sample of 202 persons (144 men and 58 women) who had been diagnosed with myocardial infarction four months earlier. Additionally, inter-correlations among the seven subscales and external concurrent validity were also investigated. The results of confirmatory factor analysis revealed that, in line with the English version of the IPQ-R, the specified seven-factor model had a satisfactory fit. One item was however not considered reliable and was therefore excluded from the instrument. The internal consistency (Cronbach’s alpha coefficients) and the inter-factor correlations were relatively similar to those reported in the validation study of the original English IPQ-R. In tests of concurrent validity, the seven IPQ-R subscales were, as hypothesized, mainly associated with external variables. To conclude, the Swedish version of the IPQ-R’s seven dimensions, with one item removed, (total 37 items) was found to be a reliable and valid measure of illness perception.

  • 29.
    Brink, Eva
    et al.
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Grankvist, Gunne
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Associations between depression, fatigue, and life orientation in myocardial infarction patients2006In: Journal of Cardiovascular Nursing, ISSN 0889-4655, Vol. 21, no 5, p. 407-411Article in journal (Other academic)
  • 30.
    Brink, Eva
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Grankvist, Gunne
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Karlson, Björn W
    Sahlgrenska University, Division of Cardiology.
    Hallberg, Lillemor R M
    Halmstad University, School of Social and Health Sciences.
    Health-related quality of life in women and men one year after acute myocardial infarction2005In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 14, no 3, p. 749-57Article in journal (Refereed)
    Abstract [en]

    The purpose of the present study was, first, to detect possible changes in health-related quality of life (HRQL) over time and, second, to predict HRQL at 1 year based on measures made 1 week and 5 months after a first-time acute myocardial infarction. There was an improvement in HRQL at 1 year, as measured by the questionnaire 36-item Medical Outcomes Study Short-Form (SF-36), for both men and women as compared with the assessment 5 months after the acute myocardial infarction. However, the pattern was somewhat different for women and men. Women mainly reported increased scores on scales reflecting better mental health, whereas men, on the whole, demonstrated higher scores in the physical health domain. Depression (HAD) and fatigue were identified as early predictors of lower HRQL at the 1-year follow-up. Our conclusion is that early assessment of fatigue and depression is worthwhile, as they may indicate decreased HRQL in men and women 1 year after first-time myocardial infarction.

  • 31.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Preoperative Information Provided to Swedish and Immigrant Patients Before Total Hip Replacement2012In: Medicinski arhiv, ISSN 0350-199X, E-ISSN 1986-5961, Vol. 66, no 6, p. 399-404Article in journal (Refereed)
    Abstract [en]

     Background: Total hip replacement is an operation that usually leads to pain  relief and improved health related quality of life (HRQoL). Previous studies have demonstrated the importance of information about upcoming surgery.

    Therefore, it was of interest to study how both immigrants, whose first language was not Swedish, and Swedish patients described pre-operative information.

    Material and methods:

    Individual interviews were conducted with 10 immigrants and 10 Swedish participants. The data were analysed using qualitative content analysis. The study was carried out in western Sweden from March to November 2010.

    Results:

    The findings revealed that pre-operative information for all patients undergoing elective total hip replacement was limited. Patients from both groups expressed concern about inadequate  preoperative information pertaining to the surgery, implant selection, pain relief, choice of anaesthesia, no or too short a time to put questions to the surgeon and an overall stressful situation.

    Conclusions: Adequate preoperative information is important for optimising pain relief and shortening the hospital stay. The fact that the patients overwhelmingly rated the preoperative information as inadequate may be due to several reasons. Mental distress and the two-week interval between the time when the patient received the information and the operation might have contributed to the low degree of retention.

  • 32.
    Daoud, Nihaya
    et al.
    Ben-Gurion University of the Negev.
    Braun-Lewensohn, Orna
    Ben-Gurion University of Negev.
    Eriksson, Monica
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Sagy, Shifra
    Ben-Gurion University of Negev.
    Sense of coherence and depressive symptoms among low-income Bedouin women in the Negev Israel2014In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 23, no 6, p. 307-311Article in journal (Refereed)
    Abstract [en]

    Background: Higher sense of coherence (SOC) has been associated with lower depression in Western societies; however, it is not clear whether this association manifests similarly in non-Western cultural contexts.Aims: To examine the associations between different levels of SOC and depressive symptoms (DS) among indigenous-minority Arab Bedouin women in Israel and explore possible explanatory variables for this association.Methods: We conducted face-to-face interviews with 464 women (aged 18–49 years). DS was measured based on the Center for Epidemiologic Studies Depression Scale. We used the SOC-13 questionnaire and conducted path analysis using Structural Equation Modeling to examine the contribution of two levels of SOC (low/high) to predict DS beyond psychological resources and socioeconomic position.Results: The mean score of SOC was 3.42, standard deviation (SD) = 1.15. While high SOC (mean = 4.38, SD = 0.66, range = 3.5–6.38) was positively and significantly associated with DS (r = 0.46), SOC was not associated (r = 0.02) with DS in the low SOC group (mean = 2.4, SD = 0.56, range = 1–3.42).Conclusions: Relationships between high versus low SOC and DS among Bedouin women differ from those found in Western societies. This raises questions about the use of SOC as a universal tool in different cultural contexts.

  • 33.
    Deater-Deckard, Kirby
    et al.
    University of Massachusetts Amherst, Amherst, MA, USA.
    Godwin, Jennifer
    Duke University, Durham, NC, USA.
    Lansford, Jennifer E.
    Duke University, Center for Child and Family Policy, Durham, NC, USA.
    Tirado, Liliana Maria Uribe
    Universidad San Buenaventura,Consultorio Psicologico Popular, Medellín, Colombia.
    Yotanyamaneewong, Saengduean
    Chiang Mai University, Chiang Mai, Thailand.
    Alampay, Liane Peña
    Ateneo de Manila University, Quezon City, Philippines.
    Al-Hassan, Suha M.
    Hashemite University, Zarqa, Jordan; Emirates College for Advanced Education.
    Bacchini, Dario
    University of Naples Federico II, Department of Psychology, Italy.
    Bornstein, Marc H.
    Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA.
    Chang, Lei
    University of Macau, Department of Psychology, China.
    Di Giunta, Laura
    Rome University La Sapienza, Faculty of Psycholog , Rome, Italy .
    Dodge, Kenneth A.
    Duke University, Center for Child and Family Policy, Durham, NC, USA.
    Oburu, Paul
    Maseno University, Maseno, Kenya.
    Pastorelli, Concetta
    Università di Roma La Sapienza, Rome, Italy.
    Skinner, Ann T.
    Duke University, Center for Child and Family Policy, Durham, NC, USA.
    Sorbring, Emma
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Steinberg, Laurence
    Temple University, Philadelphia, PA, USA ; King Abdulaziz University.
    Tapanya, Sombat
    Chiang Mai University, Department of Psychiatry, Chiang Mai, Thailand.
    Chaos, Danger, and Maternal Parenting in Families: Links with Adolescent Adjustment in Low- and Middle-Income Countries2019In: Developmental Science, ISSN 1363-755X, E-ISSN 1467-7687, Vol. 22, no 5, article id e12855Article in journal (Refereed)
    Abstract [en]

    The current longitudinal study is the first comparative investigation across Low- and Middle- Income Countries (LMICs) to test the hypothesis that harsher and less affectionate maternal parenting (child age 14 years, on average) statistically mediates the prediction from prior household chaos and neighborhood danger (at 13 years) to subsequent adolescent maladjustment (externalizing, internalizing, and school performance problems at 15 years). The sample included 511 urban families in six LMICs: China, Colombia, Jordan, Kenya, the Philippines, and Thailand. Multigroup structural equation modeling showed consistent associations between chaos, danger, affectionate and harsh parenting, and adolescent adjustment problems. There was some support for the hypothesis, with nearly all countries showing a modest indirect effect of maternal hostility (but not affection) for adolescent externalizing, internalizing, and scholastic problems. Results provide further evidence that chaotic home and dangerous neighborhood environments increase risk for adolescent maladjustment in LMIC contexts, via harsher maternal parenting. This article is protected by copyright. All rights reserved.

  • 34. Domellöf, L
    et al.
    Eriksson, S
    Samuelson, Gösta
    Sönne, B
    Local perineal actinomycosis1974In: Acta paediatrica Scandinavica, ISSN 0001-656X, Vol. 63, no 3, p. 450-2Article in journal (Refereed)
  • 35.
    Dåderman, Anna Maria
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies. Karolinska Institutet.
    Det har blivit populärt att vara psykiskt sjuk i Kalifornien: konsekvenser av den nya lagen Three-strikes and you're out law2000In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 97, no 51-52, p. 6038-6039Article in journal (Refereed)
    Abstract [en]

    The primary goal of the new Three-strikes and you're out law, the law which first came into effect on 1994, was to protect innocent members of the community. A person convicted of his or her third conviction after two prior serious convictions under Three-strikes will typically receive a sentence of no less than 25 years to life in state prison. This law is well-known in California among criminals, especially repeat offenders and many of them left the state. The rate of homicides in the state has decreased by 50%. Many repeat offenders remained in California and continued to commit new crimes. Before Three-strikes was enacted, it was very uncommon for forensic psychiatrists to see criminals malingering symptoms of mental illness in any but the most serious of cases of murder or rape. Since the implementation of the new law, it has been found malingering to be much more common. Hundreds of patients at state mental hospitals fake insanity to avoid prison, costing taxpayers far more than the cost of incarceration in a prison. The most common types of malingers are discussed.

  • 36.
    Dåderman, Anna Maria
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Finns det ett samband mellan impulsivitet och psykopati hos kriminella män?2011In: Tema: AUTISMSPEKTRUMSTÖRNINGAR, ADHD, GENETIK, ÖVRIGT / [ed] Mussie Mshgina, 2011Conference paper (Refereed)
    Abstract [sv]

    Bakgrund: Personer med psykopati beskrivs ofta som känslokalla, utan empati OCH impulsiva. MEN de kan ägna mycket energi åt att manipulera andra för att uppnå sina mål, oavsett om han eller hon är kriminell person eller ”succéfull” ledare. Detaljerade planer står i kontrast till impulsivitet. Impulsivitet kännetecknas av handlingar utan föregående planering. Viss andel av kriminellt belastade psykopater har en relativt ”normal” personlighetsprofil – liknande ”succéfull psykopat”. Poythress och Hall (2011) föreslagit revidering av det teoretiska antagandet att psykopater är impulsiva. Snowden och Gray (2011) fann inga signifikanta samband mellan PCL-R total och självskattad impulsivitet. Positiva samband fanns mellan PCL-R Facett 3 (Livsstil), 4 (Antisocial) och impulsivitet.

    Hypoteser: (1) Högre impulsivitet förväntas inte ha signifikanta samband med högre poäng i psykopati PCL-R total; (2) Högre impulsivitet förväntas ha samband med högre poäng i psykopati Facett 3 och 4.

    Metod: Studien omfattar en grupp rättspsykiatriskt undersökta män (N = 60) som rekryterats på frivillig basis vid Avdelningen för Rättspsykiatri i Stockholm (Huddinge enheten). För att mäta psykopati användes Psychopathy Checklist-revised (PCL-R). Att mäta ADHD användes ett instrument som är avsett till retrospektiva skattningar av ADHD med hjälp av journaldata. Impulsivitet mättes med hjälp av etablerade impulsivitetsskalor.

    Resultat: Det fanns inga signifikanta samband mellan PCL-R total och impulsivitet. Det fanns inte heller några signifikanta samband mellan Facett 3 resp. Facett 4 och impulsivitet. Signifikant samband fanns mellan PCL-R Facett 4 och ADHD total (r = .29, p = .023) respektive ADHD ouppmärksamhet (r = .32, p = .013).

    Fortsatt forskning: Kan ADHD vara moderator genom att ha en interaktionseffekt med impulsivitet?

  • 37.
    Dåderman, Anna Maria
    et al.
    Karolinska Institutet, Stockholm University.
    Edman, Gunnar
    Department of Psychiatry, Research and Development, Danderyd’s Hospital, Danderyd, Sweden.
    Flunitrazepam abuse and personality characteristics inmale forensic psychiatric patients2001In: Psychiatry Research, ISSN 0165-1781, E-ISSN 1872-7123, Vol. 103, no 1, p. 27-42Article in journal (Refereed)
    Abstract [en]

    Sixty male non-psychotic forensic psychiatric patients, aged 16-35 years, were studied after they completed their ordinary forensic psychiatric assessment (FPA). The prevalence of flunitrazepam (FZ) abuse was investigated by using both structured and in-depth interviews with the objective of studying the relationship between the abuse and personality traits. The patient’s characteristics, DSM-IV disorders, and actual sentences were obtained by studying their files. In order to obtain measures on their personality traits, self-report inventories were administered to the patients. Eighteen out of 60 patients were FZ abusers, but only 4 of them received a diagnosis related to the FZ abuse during the ordinary FPA. In almost all cases, however, indications of the FZ abuse were found in the files. No differences in personality traits were found between the groups. The frequency of previous admissions to an FPA and actual sentences of robbery, weapons offenses, narcotic-related offenses, and other crimes, such as theft, among the FZ abusers deviated significantly from forensic non-FZ abusers. Therefore, the FZ abuse per se might be more responsible for their tendency to commit crimes characterized by danger and thrill-seeking, such as robbery, weapons offences, and theft, than personality. The most important conclusion is that assessment of FZ abuse is needed in forensic psychiatry.

  • 38.
    Dåderman, Anna Maria
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Edman, Gunnar
    Karolinska Institutet,Department of Clinical Neuroscience.
    Wirsén Meurling, Ann
    Lund University, Department of Psychology, .
    Levander, Sten
    Malmö University, Department of Health & Society.
    Kristiansson, Marianne
    Karolinska Institutet, Department of Clinical Neuroscience, Division of Social and Forensic Psychiatry.
    Flunitrazepam intake in male offenders2012In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 66, no 2, p. 131-140Article in journal (Refereed)
    Abstract [en]

    The abuse of flunitrazepam (FZ) compounds is world-wide, and several studies have reflected on the consequences with regard to violence and criminal life-style of FZ users. Criminals take FZ or some other benzodiazepines to “calm down” before the planned crime. There is support from earlier studies that most likely, all benzodiazepines may increase aggression in vulnerable males. We have examined whether psychopathy as well as any of the four facets of the Psychopathy Checklist-Revised (PCL-R) (Interpersonal, Affective, Lifestyle, and Antisocial) are related to different substance use disorders, with the focus on FZ. We have also examined the relationship between each PCL-R item and FZ use. Participants were 114 male offenders aged 14-35 years, all of whom were convicted for severe, predominantly violent, offences. Substance use, including FZ, was not more common in those who scored high in psychopaty. Use of FZ was more common in offenders who scored high in Facet 4 (Antisocial) of the PCL-R (odds ratio = 4.30, 95% C.I. 1.86 - 9.94). Only one of the PCL-R items, “Criminal versatility”, was significantly associated with FZ use (odds ratio = 3.7). It may be concluded that intake of FZ has a specific relationship to only one of the facets and not to psychopathy per se. The findings have also important theoretical implications because Facet 4 is not a key factor of the construct of psychopathy.

    A short description of the clinical implications of the article: We have used the new 2-factor and 4-facet theoretical model of psychopathy in the young offender population, many of them with one or more substance use disorders. The present results suggest that antisocial behavior defined by Facet 4 (poor behavioral control, early behavior problems, juvenile delinquency, revocation of conditional release and criminal versatility) in the studied subjects, is more typical for FZ users than it is for non-FZ users. This may have implications for assessment and treatment. Clinicians should be aware that criminals with high scores on Facet 4 have a more than four-fold odds of being a FZ user. This conclusion has an important clinical implication because FZ abuse is very common and is not always the focus of a forensic psychiatric assessment.

  • 39.
    Dåderman, Anna Maria
    et al.
    Department of Forensic Psychiatry, Stockholm; Stockholm University, Sweden.
    Fredriksson, Björn
    Department of Forensic Psychiatry, Stockholm, Sweden.
    Kristiansson, Marianne
    Department of Forensic Psychiatry, Stockholm, Sweden.
    Nilsson, Lars-Håkan
    Department of Forensic Psychiatry, Stockholm, Sweden.
    Lidberg, Lars
    Department of Forensic Psychiatry, Stockholm, Sweden.
    Violent behavior, impulsive decision-making, and anterograde amnesia while intoxicated with Flunitrazepam and alcohol or other drugs: A case study in forensic psychiatric patients2002In: The journal of the American Academy of Psychiatry and the Law, ISSN 1093-6793, E-ISSN 1943-3662, Vol. 30, no 2, p. 238-251Article in journal (Refereed)
    Abstract [en]

    It is known that many male juvenile delinquents commit violent crimes while intoxicated with flunitrazepam (FZ), often in combination with alcohol or other drugs. We have also noted the combined abuse of FZ with, for example, alcohol in male forensic psychiatric patients. Our objective was to study violent behavior, impulsive decision making, and amnesia in male forensic psychiatric patients who were intoxicated predominantly with FZ, to increase knowledge of the abuse of FZ in vulnerable subjects. We studied five forensic psychiatric patients, all of whom were assessed in 1998. All of the subjects reported earlier reactions to FZ, including hostility and anterograde amnesia. At the time of their crimes they were all intoxicated with FZ, often in combination with alcohol or other drugs, such as amphetamine or cannabis. In contrast to their behavior based on their ordinary psychological characteristics, their crimes were extremely violent, and the subjects lacked both the ability to think clearly and to have empathy with their victims. Our observations support the view that FZ abuse can lead to serious violent behavior in subjects characterized by vulnerable personality traits, and that this effect is confounded by the concurrent use of alcohol or other drugs. It is evident that FZ causes anterograde amnesia. Previous research and the results presented herein allow us to draw the following conclusion: on the basis of the neuropsychopharmacologic properties of FZ, legal decisions, such as declaring FZ an illegal drug, are needed in countries where it is now legal.

  • 40.
    Dåderman, Anna Maria
    et al.
    The Swedish National Police Academy.
    Jonson, Carin
    Karolinska Institutet.
    Lack of psychopathic character (Rorschach) in forensic psychiatric rapists2008In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 62, no 3, p. 176-185Article in journal (Refereed)
    Abstract [en]

    Previous research using Rorschach is sparse in rapists. The aim of this study of 10 violent male forensic psychiatric rapists was to describe them on a set of Rorschach variables, which are assumed to reflect psychopathic character, in order to increase our understanding of rapists. The participants were involved in a long-term psychodynamic sexual offender treatment program. They were previously assessed on dyslexia and ADHD, and the results showed an overrepresentation of these disorders in this sample. Compared with normative samples, the participants scored significantly lower on three of the Rorschach variables; Lambda, WSum6 and Afr. The participants did not meet criteria for psychopathic character. Although the generalization of the results from 10 rapists is severely limited, our results suggest helplessness in managing emotionally laden situations and hint at the problems experienced by this sample of forensic psychiatric rapists. Clinicians should be aware of the lack of psychopathic character in some rapists and that effective treatment programs should focus on training this type of rapists to be able to react appropriately to emotional stimuli.

  • 41. Dåderman, Anna Maria
    et al.
    Kristiansson, Marianne
    The National Board of Forensic Medicine, Huddinge, Sweden.
    Degree of psychopathy: implications for treatment in male juvenile delinquents2003In: International Journal of Law and Psychiatry, ISSN 0160-2527, E-ISSN 1873-6386, Vol. 26, no 3, p. 301-315Article in journal (Refereed)
    Abstract [en]

    Longitudinal studies have consistently shown that psychopathy in adulthood has its roots in childhood. The psychopathy concept described by Cleckley (1976) involves interpersonal, affective, and behavioral aspects. Moreover, children who show low levels of anxiety respond more poorly to treatment. The aim of the present study was to assess psychopathy in 56 male juvenile delinquents with conduct disorder, treated in youth correctional institutions for severe offenders. We used a modified Psychopathy Checklist-Revised (PCL-R) that has been used for young people (Forth et al., 1990). Each participant received PCL-R assessments from one rater, based on the file information and an extensive interview. Twenty-eight participants (50%) were rated by the second rater. Both the ICC and Cohens’s kappa revealed that the PCL-R ratings were reliable: the ICC(2,1) of the PCL-R total scores was 0.90, F(27, 28) = 11.70, P < .0001; Cohen’s kappa = 0.64, P < .001. The final scores on the PCL-R showed that the base rate for psychopathy (defined as a score of 30 or more) in the sample was 59% (33 of 56 juvenile delinquents). The mean PCL-R total score for all 56 participants was 29.3 (S.D. = 7.8), and ranged between 12 and 40. The high rates of psychopathy found in juvenile delinquents with conduct disorder should alert clinicians to the necessity of psychopathy scoring, and shows that high-quality treatment programs are needed. Psychopathy is not currently considered when assessing and treating young people in state-administered observational and correctional institutions for juvenile delinquents in Sweden.

  • 42.
    Dåderman, Anna Maria
    et al.
    Stockholm University.
    Kristiansson, Marianne
    The National Board of Forensic Medicine, Huddinge, Sweden.
    Psychopathy-related personality traits in male juvenile delinquents: an application of a person-oriented approach2004In: International Journal of Law and Psychiatry, ISSN 0160-2527, E-ISSN 1873-6386, Vol. 27, no 1, p. 45-64Article in journal (Refereed)
    Abstract [en]

    Some personality characteristics, such as impulsiveness, thrill seeking, and the need for change, are clearly relevant when studying psychopathy. Psychopaths are certainly avid sensation seekers. The primary aim of the present study was to identify common patterns with respect to psychopathy-related personality traits in a sample of 56 juveniles from four Swedish national correctional institutions for juvenile delinquents. Karolinska Scales of Personality (KSP), the Impulsiveness scale from the Impulsiveness–Venturesomeness–Empathy (IVE) inventory and the Total Sensation-Seeking scale from the SSS-V were used to determine personality traits. Cluster analysis was performed with SLEIPNER. Ward’s hierarchical minimum variance clustering method was used. We discovered seven clusters of participants. The mean T scores of the profiles of personality traits in the clusters (the cluster centroids) have been used to describe the clusters. Three multideviant clusters emerged, into which 31 (63%) of the classified participants could be placed. To describe the clusters, the prevalence of participants with a high degree of psychopathy (cutoff PCL-R score 27or above) was computed for each cluster and was complemented with data on previous treatment occasions and reoffending. The results indicated that psychopaths may develop different personality pattern; each cluster contained participants with high values of the PCL-R. Deviant personality is not currently considered when assessing and treating people in state administered observational and correctional institutions for juvenile delinquents in Sweden. The present results suggest that young people with psychopathy are not a homogenous group but may develop various personality traits. This should have implications for risk assessment and treatment.

  • 43.
    Dåderman, Anna Maria
    et al.
    Karolinska Institutet.
    Lidberg, Lars
    Relapse in violent crime in relation to cerebrospinal fluid monoamine metabolites (5-HIAA, HVA and HMPG) in male forensic psychiatric patients convicted of murder: a 16-year follow-up2002In: Acta Psychiatrica Scandinavica Supplementum, ISSN 0065-1591, E-ISSN 1600-5473, Vol. 412, no 106, p. 71-74Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: Our purpose was to investigate if low levels of cerebrospinal fluid (CSF)monoamine metabolites of 5-HIAA, HVA and HMPG predict relapse in violent crimes. METHOD: Relapse in crime and level of CSF monoamine metabolites (5-HIAA, HVA and HMPG) was studied in a group of 29 murderers. The follow-up was 16 years. RESULTS: Fourteen of the 29 murderers were convicted of crime; nine of them committed violent crimes; one was convicted of a new murder. The differences in mean CSF monoamine metabolites were lower in subjects who relapsed into any type of crime, but only the difference in mean CSF HVA was statistically significant. CONCLUSION: The risk to commit new murder is very small in males who earlier have been convicted of murder. Low levels of CSF HVA is associated with an increased risk for relapse in any type of crime.

  • 44. Eksmyr, R
    et al.
    Fex, G
    Jagell, S
    Johansson, B G
    Ravnskov, U
    Samuelson, Gösta
    Low molecular weight proteinuria and slight hyperlipoproteinemia in three mentally retarded brothers.1976In: Acta paediatrica Scandinavica, ISSN 0001-656X, Vol. 65, no 4, p. 521-5Article in journal (Refereed)
    Abstract [en]

    Mental retardation in combination with proteinuria and a slight hyperlipoproteinemia was found in three brothers. The increased urinary protein excretion was dominated by albumin and the low molecular weight proteins retinol-binding protein (RBP) and beta2-microglobulin, indicating the presence of proximal tubular dysfunction. However, there was no glucosuria, phosphaturia or amino aciduria and the renal concentrating and acidification capacities were normal. A kidney biopsy in one of the patients revealed morphologic evidence of glomerular damage but a normal tubular structure. A mild hyper-beta-lipoproteinemia was found in the patients but not in their healthy siblings. The cause of this syndrome, hitherto not described, is unknown.

  • 45.
    Emilsson, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Berndtsson, Ina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Gustafsson, Per A
    Linköping University, Department of Clinical and Experimental Medicine and Department of Child and Adolescent Psychiatry, Center for Social and Affective Neuroscience, Linköping , Sweden..
    Horne, Robert
    University College London, Centre for Behavioural Medicine, UCL School of Pharmacy, London , UK.
    Marteinsdottir, Ina
    Linnæus University, Department of Medicine and Optometry Faculty of Health and Life Sciences, , Kalmar , Sweden.
    Reliability and validation of Swedish translation of Beliefs about Medication Specific (BMQ-Specific) and Brief Illness Perception Questionnaire (B-IPQ) for use in adolescents with attention-deficit hyperactivity disorder.2019In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725Article in journal (Refereed)
    Abstract [en]

    Objectives: The purpose of this study was to assess the reliability and validity of Swedish translations of the Beliefs about Medicines Questionnaire-Specific (BMQ-Specific) and Brief Illness Perception Questionnaire (B-IPQ) for use in adolescents with ADHD. Methods: Forward and backward translations of the BMQ-Specific and B-IPQ scales to Swedish were conducted and reviewed by adolescents with ADHD and professionals. The validity and reliability of both questionnaires were investigated in a cross-sectional study of 101 adolescents (13-17 years) on a long-term prescription of ADHD medication recruited from two child and adolescent psychiatric outpatient clinics in Sweden. Results: Regarding the BMQ-Specific, principal component analysis (PCA) loadings confirmed the previously defined components of Specific-Necessity and Specific-Concern. The PCA for B-IPQ revealed two components, the first one, B-IPQ Consequences, captured questions regarding perceptions of the implication of having ADHD (items 1, 2, 5, 6 and 8) and the second one, B-IPQ-Control, the perceptions of the capability to manage the ADHD disorder (items 3, 4 and 7). The Cronbach alpha coefficients for BMQ-Specific-Necessity scale was α = 0.80, for BMQ-Specific-Concern scale α = 0.75, B-IPQ Consequences α = 0.74 and for B-IPQ-Control α = 0.44. Conclusions: The present results prove the Swedish translation of BMQ-Specific and B-IPQ to be valid and reliable for utilization in adolescents with ADHD. The PCA confirmed the original components for BMQ-Specific and the recent findings of two main B-IPQ components describing emotional and cognitive implications versus the capability for self-care maintenance of ADHD.

  • 46.
    Emilsson, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Gustafsson, P.A.
    Department of Clinical and Experimental Medicine and Department of Child and Adolescent Psychiatry, Center for Social and Affective Neuroscience, Linköping University.
    Öhnström, G.
    Department of Clinical and Experimental Medicine and Department of Child and Adolescent Psychiatry, Center for Social and Affective Neuroscience, Linköping University.
    Marteinsdottir, I.
    Department of Clinical and Experimental Medicine, Center for Social and Affective Neuroscience, Linköping University.
    Beliefs regarding medication and side effects influence treatment adherence in adolescents with attention deficit hyperactivity disorder2016In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, p. 1-13Article in journal (Refereed)
    Abstract [en]

    Adherence to attention deficit hyperactivity disorder (ADHD) treatment is important because, when untreated, it may have serious consequences with lifelong effects. In the case of adolescents on long-term medicine prescription, more knowledge is needed regarding adherence and factors influencing adherence, which was the purpose of this study. Adolescents (n = 101) on ADHD medication ≥6 months were administrated questionnaires at amonitoring appointment: Medication Adherence Report Scale (MARS), beliefs about medicines (BMQ) and the Brief Illness Perception Questionnaire (B-IPQ). Adherencewas high, the mean value was 88% of the maximum MARS score, and correlated positively with the "BMQ necessity-concerns differential" but negatively with "BMQ concerns"and "BMQ-side effects". Adolescents with more belief in the necessity of the medication, less concerns and less experience of side effects tended to be more adherent to medication prescription ("intentional non-adherence"),while "unintentional non-adherence" (forgetfulness) was associated with how much they perceived that their ADHD affected their lives. In a multiple regression model, the variance of MARS total (R2 = 0.21) and “intentional nonadherence” (R2 = 0.24) was explained by the “BMQ-necessity–concern differential” and “BMQ-experienced side effects”. The variance of “unintentional non-adherence” (R2 = 0.12) was explained by the “BMQ-necessity–concern differential” and “B-IPQ-consequences of ADHD”. In conclusion, adolescents on long-term medication reported good adherence, mainly influenced by more beliefs in the necessity versus concerns of the medications, less experienced side effects and more perceived consequences of ADHD. BMQ could be useful to identify risks of low adherence, which should be counteracted by partially gender-specific interventions.

  • 47.
    Emilsson, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Gustafsson, Per
    Linköping University, Center for Social and Affective Neuroscience, Department of Biomedical and Clinical Sciences, Nr 2, 58183, Linköping, Sweden; Department of Child and Adolescent Psychiatry, Linköping, Region Östergötland, Nr 3, 581 85, Linköping, Sweden..
    Öhnström, Gisela
    Linköping University, Center for Social and Affective Neuroscience, Department of Biomedical and Clinical Sciences, Nr 2, 58183, Linköping, Sweden; Department of Child and Adolescent Psychiatry, Linköping, Region Östergötland, Nr 3, 581 85, Linköping, Sweden..
    Marteinsdottir, Ina
    Linnæus University, Department of Medicine and Optometry, Faculty of Health and Life Sciences,42157, Kalmar, Sweden..
    Impact of personality on adherence to and beliefs about ADHD medication, and perceptions of ADHD in adolescents.2020In: BMC Psychiatry, ISSN 1471-244X, E-ISSN 1471-244X, Vol. 20, no 1, article id 139Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Adherence to attention deficit hyperactivity disorder (ADHD) medication can prevent serious consequences, possibly with lifelong effects. Numerous factors have been observed that influence adherent behaviour, but the impact of personality traits has been inadequately explored. The purpose of this study was to explore the associations between personality traits and adherence to ADHD medication, beliefs about the medication, and perceptions of ADHD.

    METHOD: Adolescents (n = 99) on ADHD medication were administered: Health-Relevant Personality Traits Five-Factor Inventory, Medication Adherence Report Scale, Beliefs about Medicines Specific and Brief Illness Perceptions Questionnaires.

    RESULTS: The personality trait Antagonism correlated with adherence behaviour (r = - 0.198, p = 0.005) and perceived personal control of ADHD (r = - 0.269, p = 0.007). Negative Affectivity correlated with beliefs regarding necessity (r = 0.319, p = 0.001), concerns (r = 0.344, p = 0.001), and experienced side effects of medication (r = 0.495, p = 0.001), alongside perceptions regarding duration (r = 0.272, p = 0.007), identity (r = 0.388, p < 0.001), being emotionally affected (r = 0.374, p < 0.01), personal control (r = - 0.287, p = 0.004) and concerns about ADHD (r = 0.465, p < 0.001). Impulsivity correlated with perceived consequences (r = - 0.226, p = 0.0255) and personal control of ADHD (r = - 0.379, p < 0.001). Hedonic Capacity correlated with concerns about medication (r = - 0.218, p = 0.0316) and perceived identification with ADHD (r = - 0.203, p = 0.045).

    CONCLUSION: Personality traits are related to adherence, beliefs about ADHD medicines and perceptions of ADHD. Antagonism is associated with adherence, especially intentional non-adherence, while Negative Affectivity correlates with numerous perceptions of ADHD and beliefs about medications. Personality assessments could be useful in the care and treatment of adolescents with ADHD.

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  • 48. Falkmer, S
    et al.
    Samuelson, Gösta
    Sjölin, S
    Penicillaminbehandling vid Wilsons sjukdom: [Penicillamine treatment of Wilson's disease].1969In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 66, no 20, p. 2097-105Article in journal (Refereed)
  • 49. Falkmer, S
    et al.
    Samuelson, Gösta
    Sjölin, S
    Penicillamine-induced normalization of clinical signs, and liver morphology and histochemistry in a case of Wilson's disease.1970In: Pediatrics, ISSN 0031-4005, E-ISSN 1098-4275, Vol. 45, no 2, p. 260-8Article in journal (Refereed)
  • 50.
    Finnström, Berit
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Käck, Britt-Marie
    Drottning Silvias barn och ungdomssjukhus, 416 85 Göteborg.
    Söderhamn, Olle
    Universitetet i Agder, Grimstad.
    Fingertoppskänsla och fingerfärdighet: Föräldrars uppfattningar om faktorer som inverkar på barnets upplevelse av perfer venpunktion2011In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 31, no 2, p. 40-44Article in journal (Refereed)
    Abstract [en]

    Introduction:Pain in connection with needles is a major reason to children’s anxiety and fear. Parents have a unique competence and knowledge about their children’s experiences and reactions that should be regarded as important in health care. Purpose: The purpose of this study was to describe a group of parents' perceptions of the factors that influence their children's experience in relation to venepuncture. Method: Qualitative interviews were conducted with 11 parents. The interviews were based on the question “What factors influence your child's experience in relation to venepuncture?”. The data were analysed through manifest and latent content analysis. Results: The manifest analysis resulted in five categories: Children's experience of fear and stress, The parent's behaviour, Information and preparation, Distraction and Staff expertise. The latent content analysis led to the theme: Adapting the peripheral venepuncture for the individual child is both the responsibility of the parents and the health care professionals. Conclusions: Parents have specific knowledge of the child they wish to convey to the nursing staff. They also want to work in collaboration with staff to minimize the child's anxiety and fear. Parents should be seen as a resource in the child’s health care.

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