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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
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    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.2019Ingår i: Journal of autism and developmental disorders, ISSN 0162-3257, E-ISSN 1573-3432, Vol. 49, nr 1, s. 96-97Artikel i tidskrift (Refereegranskat)
    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
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    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 disorders2019Ingår i: Journal of autism and developmental disorders, ISSN 0162-3257, E-ISSN 1573-3432, Vol. 49, nr 1, s. 83-95Artikel i tidskrift (Refereegranskat)
    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.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för vårdvetenskap på avancerad nivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Berlin, Johan
    Högskolan Väst, Institutionen för individ och samhälle, Avd för socialpedagogik och sociologi.
    Åström, Sture
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Kauffeldt, Anders
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Carlström, Eric
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    A New Working Method in Psychiatric Care: the impact of implementation2016Ingår i: International Journal of Public Administration, ISSN 0190-0692, E-ISSN 1532-4265, Vol. 40, nr 3, s. 295-304Artikel i tidskrift (Refereegranskat)
    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, Liselotte
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Jakum, Päivi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Inte som i Gökboet: sjuksköterskors beskrivningar av omvårdnadsprocessen inom den rättspsykiatriska vården : en kvalitativ studie2009Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats
    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.

    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 5.
    Andreasson, Kasper
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Ekman, Eric
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    De svåra samtalen: En studie om sjuksköterskors upplevelser av att vårda suicidala patienter2022Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Suicide is a worldwide problem that generates both great suffering for the individual and its family as well as a large economic impact for the society. 800 000 people commit suicide each year globally, of whom many have already been in contact with the care system without getting the help they need. The aim of this study was to describe nurses’ experiences of caring for suicidal patients. We conducted a literature study based on analysis of qualitative studies according to Friberg’s five step model. Ten studies, published 2011-2021, were included. When asked about their experiences, nurses empathize the need of patient safety and the importance of forming a close partnership with the patient. They also empathize the emotional impact the caring of these patients put on them. Patient safety for these patients is a matter of both a safe hospital environment and nurses being well educated and aware of suicidal cues. The formation of a partnership is crucial for the nurse’s ability to make a good assessment and is usually facilitated by nurses being open and personal as well as empathic and present in the moment. However, becoming too close to the patient may be emotionally tough if the patient commits suicide. Nurses therefore need support and tools for handling their emotions. Further on, to make a good assessment the nurses also need to be able to tune into the patients verbally unexpressed needs. 

    Ladda ner fulltext (pdf)
    fulltext
  • 6.
    André, Frida
    et al.
    Department of Clinical Sciences, Lund, Faculty of Medicine, Lund University, Lund (SWE).
    Kapetanovic, Sabina
    Högskolan Väst, Institutionen för individ och samhälle, Avdelningen för psykologi, pedagogik och sociologi.
    Einarsson, Isak
    Department of Clinical Sciences, Lund, Faculty of Medicine, Lund University, Lund (SWE); Region Skane, Child and Adolescent Psychiatry, Regional Outpatient Care, Lund University Hospital, Lund (SWE).
    Trebbin Harvard, Sunna
    Civic Centre Children and Youth, The Social Services Administration, Copenhagen (DNK).
    Franzén, Leonard
    Social Services, Malmö (SWE).
    Möttus, Annika
    Region Skane, Child and Adolescent Psychiatry, Regional Outpatient Care, Lund University Hospital, Lund (SWE).
    Håkansson, Anders
    Department of Clinical Sciences, Lund, Faculty of Medicine, Lund University, Lund, (SWE); Region Skåne, Malmö Addiction Centre, Gambling Disorder Unit, Malmö (SWE).
    Claesdotter-Knutsson, Emma
    Department of Clinical Sciences, Lund, Faculty of Medicine, Lund University, Lund (SWE); Region Skane, Child and Adolescent Psychiatry, Regional Outpatient Care, Lund University Hospital, Lund (SWE).
    Relapse prevention therapy for internet gaming disorder in Swedish child and adolescent psychiatric clinics: a randomized controlled trial2023Ingår i: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 14Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: To evaluate the effectiveness of relapse prevention (RP) as a treatment for internet gaming disorder (IGD).

    Design: Randomized controlled trial.

    Setting: Three child and adolescent psychiatry (CAP) units in Region Skåne, Sweden.

    Participants: Children aged 13-18 years, coming for their first visit to CAP during 2022, were screened for gaming behavior. Those who met the proposed DSM-5 criteria for IGD were offered participation in the trial, if they had the capacity to provide written informed consent and if they spoke Swedish. A total of 111 CAP patients agreed to participate. Out of those, 11 patients were excluded due to incorrect inclusion such as young age (n = 1), or due to the absence of responses to follow-up measures (n = 9). After exclusion, 102 participants remained (intervention = 47, control = 55).

    Interventions: The intervention, RP, is based on cognitive behavioral treatment (CBT) and was provided individually, comprising of five to seven 45-min sessions over a period of 5 to 7 weeks versus treatment as usual.

    Outcome measures: Participants were assessed with Game Addiction Scale for Adolescents pre-treatment (GASA) (baseline), post-treatment (treatment group only), and 3 months after baseline (follow-up).

    Results: The repeated measures ANOVA showed a significant interaction effect between treatment and time. Both the control group and treatment group lowered their mean GASA score from baseline to follow-up significantly, but the improvement was greater in the treatment group (mean difference in control group -5.1, p < 0.001, 95% CI = - 3.390 to -6.755, mean difference in treatment group -9.9, p < 0.001, 95% CI = -11.746 to -8.105).

    Conclusion: RP was found to be superior to treatment as usual in terms of reduction of IGD symptoms. Future research should address which aspects within a given treatment are effective, who benefits from treatment, in what aspects, and why.

    Ladda ner fulltext (pdf)
    fulltext
  • 7.
    Bador, Kourosh
    et al.
    AGERA KBT AB, Gothenburg, Sweden.
    Kerekes, Nora
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Evaluation of an Integrated Intensive Cognitive Behavioral Therapy Treatment Within Addiction Care2020Ingår i: Journal of Behavioral Health Services & Research, ISSN 1094-3412, E-ISSN 1556-3308, Vol. 47, nr 1, s. 102-112Artikel i tidskrift (Refereegranskat)
    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.

    Ladda ner fulltext (pdf)
    fulltext
  • 8.
    Björkman, Nathalie
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap.
    Hallberg, Nanna
    Högskolan Väst, Institutionen för hälsovetenskap.
    Hur ungdomar med ADHD upplever sina vänskapsrelationer: En kvalitativ intervjustudie2022Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Attention Deficit Hyperactivity Disorder (ADHD) är en neuropsykiatrisk funktionsnedsättning som innebär begränsningar för personens psykiska och fysiska förmågor. Tidigare har en vanlig uppfattning varit att problem vid ADHD försvinner när barnet blev äldre. I dagsläget beskrivs att de grundläggande problemen kvarstår i större eller mindre grad, även i ungdomsåren och upp i vuxen ålder. Tidigare forskning har visat att barn med ADHD som en konsekvens av sin funktionsnedsättning har svårare att skapa goda vänskapsrelationer, som i sin tur är en viktig skyddsfaktor för personens livskvalitet. 

    Syfte: Att beskriva hur ungdomar med ADHD upplever sina vänskapsrelationer.

    Metod: Vi har använt oss av kvalitativ intervjustudie där vi intervjuat 12 ungdomar med ADHD i åldern 15–17 år. Materialet av intervjuerna har analyserats med kvalitativ innehållsanalys enligt Lundman & Graneheim (2017).

    Resultat: I resultatet framkom tre kategorier Kontakt med vänner, Den egna rollen och Hur vänskap påverkar samt nio underkategorier. Resultatet visar att vännerna har en betydande roll för deltagarna i studien och påverkar deras välmående och ger ungdomen ett sammanhang genom deras roll i vänskapsgruppen. Trots att deltagarna upplever att de har goda vänskapsrelationer, finns svårigheter att tolka signaler från vänner och kontrollera impulsivitet vilket kan leda till att deltagarna lätt hamnar i konfliktsituationer.

    Slutsats: För ungdomar är jämnåriga vänner en av de största influenserna, de har en central roll för identitetsskapande och ger ett sammanhang att öva på färdigheter för att fungera i samhället och samspela med andra. Det är därmed en betydelsefull faktor som specialistsjuksköterskan behöver ha i beaktande för den hälsofrämjande omvårdnaden.

  • 9.
    Cassama, Bintou
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Dulabic, Irena
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Sjuksköterskans upplevelse av att vårda patienter med psykisk ohälsa inom somatisk vård: En litteraturbaserad studie2022Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: Mental illness is increasing in our society. Patients that suffer from mental illness run greater risk of developing somatic co-morbidity compared to patients without mental illness. Nurses who performed their work within somatic care were less experienced in caring for patients with mental illness and this could lead to these patients receiving inadequate care.

    Aim: The purpose of this study was to illustrate nurses' experiences of caring for patients with mental illness in somatic care.

    Method: A study of qualitative method. Ten (10) scientific articles were analyzed with Friberg's five-step model and compiled the results with two main categories and seven subcategories.

    Results: Nurses experienced that they lacked skills and knowledge when caring for patients with mental illness. It made the nurses unprepared for meetings with patients with mental illness and felt that they needed support from staff with specialist training in psychiatry. Nurses also experienced an unfavourable work environment with lack of time and insufficient staff in need to be able to provide adequate care to patients with mental illness. These factors lead to a constant fear and frustration of general nurses that contributed to their negative attitudes towards patients with mental illness.

    Conclusion: Education for general nurses in mental illness was considered as crucial to be able to provide good care to patients with mental illness in somatic care. Education in mental illness can leadto general nurses feeling more confident in their work. Organizational adaptations in the environment can create the conditions for safety to the staff and equal care for patients.

  • 10.
    Daoud, Nihaya
    et al.
    Ben-Gurion University of the Negev.
    Braun-Lewensohn, Orna
    Ben-Gurion University of Negev.
    Eriksson, Monica
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för hälsa och kultur.
    Sagy, Shifra
    Ben-Gurion University of Negev.
    Sense of coherence and depressive symptoms among low-income Bedouin women in the Negev Israel2014Ingår i: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 23, nr 6, s. 307-311Artikel i tidskrift (Refereegranskat)
    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.

  • 11.
    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
    Högskolan Väst, Institutionen för individ och samhälle, Avdelningen för psykologi, pedagogik och sociologi.
    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 Countries2019Ingår i: Developmental Science, ISSN 1363-755X, E-ISSN 1467-7687, Vol. 22, nr 5, artikel-id e12855Artikel i tidskrift (Refereegranskat)
    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.

  • 12.
    Dåderman, Anna Maria
    Högskolan Väst, Institutionen för individ och samhälle, Avd för psykologi och organisationsstudier. Karolinska Institutet.
    Det har blivit populärt att vara psykiskt sjuk i Kalifornien: konsekvenser av den nya lagen Three-strikes and you're out law2000Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 97, nr 51-52, s. 6038-6039Artikel i tidskrift (Refereegranskat)
    Abstract [sv]

    Årets symposium anordnad av American College of Forensic Psychiatry ägde rum i Newport Beach i Kalifornien. Ett särskilt tema var en drastisk lagändring och dess konsekvenser för rättspsykiatrin. 1992 blev en ung kvinna skjuten till döds av en nyligen villkorligt frigiven man. Familjens engagemang resulterade i en lagändring. En ny lag, kallad Three-strikes and you're out law, infördes 1994. Efter införande av den nya lagen har antalet begångna mord sjunkit till 5o procent. Efter lagändringen började många kriminella simulera psykisk störning.

  • 13.
    Dåderman, Anna Maria
    Högskolan Väst, Institutionen för individ och samhälle, Avd för psykologi och organisationsstudier.
    Finns det ett samband mellan impulsivitet och psykopati hos kriminella män?2011Ingår i: Tema: AUTISMSPEKTRUMSTÖRNINGAR, ADHD, GENETIK, ÖVRIGT / [ed] Mussie Mshgina, 2011Konferensbidrag (Refereegranskat)
    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?

  • 14.
    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 patients2001Ingår i: Psychiatry Research, ISSN 0165-1781, E-ISSN 1872-7123, Vol. 103, nr 1, s. 27-42Artikel i tidskrift (Refereegranskat)
    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.

  • 15.
    Dåderman, Anna Maria
    et al.
    Högskolan Väst, Institutionen för individ och samhälle, Avd för psykologi och organisationsstudier.
    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 offenders2012Ingår i: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 66, nr 2, s. 131-140Artikel i tidskrift (Refereegranskat)
    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.

  • 16.
    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 patients2002Ingår i: The journal of the American Academy of Psychiatry and the Law, ISSN 1093-6793, E-ISSN 1943-3662, Vol. 30, nr 2, s. 238-251Artikel i tidskrift (Refereegranskat)
    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.

  • 17.
    Dåderman, Anna Maria
    et al.
    The Swedish National Police Academy.
    Jonson, Carin
    Karolinska Institutet.
    Lack of psychopathic character (Rorschach) in forensic psychiatric rapists2008Ingår i: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 62, nr 3, s. 176-185Artikel i tidskrift (Refereegranskat)
    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.

  • 18. Dåderman, Anna Maria
    et al.
    Kristiansson, Marianne
    The National Board of Forensic Medicine, Huddinge, Sweden.
    Degree of psychopathy: implications for treatment in male juvenile delinquents2003Ingår i: International Journal of Law and Psychiatry, ISSN 0160-2527, E-ISSN 1873-6386, Vol. 26, nr 3, s. 301-315Artikel i tidskrift (Refereegranskat)
    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.

  • 19.
    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 approach2004Ingår i: International Journal of Law and Psychiatry, ISSN 0160-2527, E-ISSN 1873-6386, Vol. 27, nr 1, s. 45-64Artikel i tidskrift (Refereegranskat)
    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.

  • 20.
    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-up2002Ingår i: Acta Psychiatrica Scandinavica Supplementum, ISSN 0065-1591, E-ISSN 1600-5473, Vol. 412, nr 106, s. 71-74Artikel i tidskrift (Refereegranskat)
    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.

  • 21.
    Emilsson, Maria
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Berndtsson, Ina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    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 (GBR).
    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.2020Ingår i: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 4, nr 2, s. 89-95Artikel i tidskrift (Refereegranskat)
    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.

  • 22.
    Emilsson, Maria
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    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 disorder2016Ingår i: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, s. 1-13Artikel i tidskrift (Refereegranskat)
    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.

  • 23.
    Emilsson, Maria
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    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.2020Ingår i: BMC Psychiatry, E-ISSN 1471-244X, Vol. 20, nr 1, artikel-id 139Artikel i tidskrift (Refereegranskat)
    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.

    Ladda ner fulltext (pdf)
    fulltext
  • 24.
    Gunnarsdottir, Hrafnhildur
    et al.
    Högskolan Väst, NU-akademin Väst. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Hensing, Gunnel
    School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg (SWE).
    Hammarström, Anne
    Unit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Stockholm (SWE);Department of Epidemiology and Global Health, Umeå University, Umeå (SWE) .
    Poor school connectedness in adolescence and adulthood depressiveness: a longitudinal theory-driven study from the Northern Sweden Cohort2021Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 31, nr 4, s. 797-802Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

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

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

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

    Ladda ner fulltext (pdf)
    EJPH
  • 25.
    Gunnarsdottir, Hrafnhildur
    et al.
    Högskolan Väst, NU-akademin Väst. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Löve, Jesper
    School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Hensing, Gunnel
    School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Källström, Åsa
    School of Law, Psychology, and Social Work, Örebro University, Örebro (SWE).
    To Live, Not Only Survive - An Ongoing Endeavor: Resilience of Adult Swedish Women Abused as Children.2021Ingår i: Frontiers in public health, ISSN 2296-2565, Vol. 9, artikel-id 599921Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: A significant proportion of individuals exposed to maltreatment in childhood adapt positively in adulthood despite the adversities, i.e., show resilience. Little is known about resources and processes related to adulthood that promote resilience. Since women are overrepresented as victims of intrafamilial violence, understanding resilience among adult women is important. Objective: To explore experiences of resilience among adult women who perceive well-being and well-functioning although being exposed to maltreatment during childhood. Participants and Setting: This study included 22 women with experiences of childhood maltreatment, mean age of 48 years, living in Sweden. Methods: Individual interviews were conducted and analyzed according to constructivist grounded theory. Results: The process of resilience was experienced as an ongoing endeavor to live, not only survive, an internal process that interacted with external processes involving social relations and conditions. This endeavor was built on four interrelated resources: establishing and maintaining command of life; employing personal resources; surrounding oneself with valuable people; and reaching acceptance. These worked together, not in a linear or chronological order, but in up and down ways, turns and straight lines (now and then), through the process from maltreatment to well-being. Conclusion: Resilience was found to rest on intrapersonal and interpersonal resources. Individual's inherent capabilities can be, depending on life circumstances and available resources, realized in a way that promote well-being and well-functioning despite severe adversities. Therefore, public health initiatives, social services, and policies should provide conditions that help women maltreated in childhood to live fully rather than merely to survive.

  • 26.
    Gustafsson, Erika
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Holm, Maritha
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Rättspsykiatrisk vård: En svängdörr? 2009Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Alla, som vårdas inom rättspsykiatrisk vård, har någon form av psykiskt funktionshinder och har också begått ett eller flera brott. Vården regleras av ett antal lagar. I rehabiliteringen ingår utslussning av patienten till öppna vårdformer genom så kallad permission. Ett antal av de patienter som har permission återintas emellanåt till slutenvården av olika orsaker. De benämns ibland som svängdörrspatienter.

    Syfte: Syftet var att belysa olika berörda personalgruppers syn på och erfarenheter av vad som har betydelse för om en patient som vårdas enligt lagen om rättspsykiatrisk vård, lyckas eller misslyckas med sin permission.

    Metod: En kvalitativ ansats valdes och två fokusgruppsintervjuer med sex deltagare i varje grupp genomfördes. Texten analyserades med hjälp av en kvalitativ innehållsanalys.

    Resultat: Tre huvudteman som hade betydelse för om en permission lyckades framkom: samsjuklighet, hur grundläggande behov mötts och samverkan runt patienten. Under dessa framkom 14 subteman: rätt psykiatrisk diagnos, samtidigt missbruk, följsamhet i medicinering, socialt nätverk, sysselsättning, tryggt boende, patientens ekonomi, se patientens behov, tydlig planering, kunskap och motivation, otydlig ansvarsfördelning, samverkan inför permission, kontaktmannaskap och uppföljning i öppenvård.

    Konklusion: Mycket fungerar bra i vården runt patienten inom rättspsykiatrisk vård. Brister finns dock som behöver förbättras och utvecklas. Det är viktigt att patienterna är delaktiga i vården och att olika instanser skapar individuella förutsättningar och flexibla lösningar för att permissionen ska lyckas. Ordnad ekonomi är av stor betydelse för att permissionen ska lyckas, då det påverkar många delar i patientens vardag. När patienten misslyckas med permissionen kan orsaken vara att man inte har tagit reda på dennes verkliga behov eller inte tagit tillräcklig hänsyn till dessa i permissionsplaneringen. Bristande resurser i samhället bidrar ibland till att patienter inom rättspsykiatrisk vård inte får rätt eller tillräckliga insatser, vilket är ett problem.

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  • 27.
    Gustafsson, Erika
    et al.
    NU Hospital Group, Department of Institutional Forensic Psychiatric Care, Vänersborg.
    Holm, Maritha
    NU Hospital Group, Department of Institutional Forensic Psychiatric Care, Vänersborg.
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Rehabilitation between institutional and non-institutional forensic psychiatric care: important influences on the transition process.2012Ingår i: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 19, s. 729-737Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    ACCESSIBLE SUMMARY: •  All patients cared for in Forensic Psychiatric Care (FPC) have some kind of psychiatric disorder and most of them have committed one or more criminal acts. In addition, several of the patients have alcohol and drug problems. •  During the stay in institutional FPC, one part of the rehabilitation program is to prepare the patient for non-institutional FPC. However, several patients fail with the rehabilitation. •  This study focuses important aspects that influence the patients' ability to manage their rehabilitation through admission to non-institutional FPC, viewed from different caregivers' perspective. •  The transition is influenced by a well-planned care plan, together with a suitable non-institutional dwelling and a tailored occupation. A major barrier for successful admission was whether the patients managed their own finances or not. Other important areas were having a well-functioning and trusting social network and a good relationship with a contact person. ABSTRACT: All patients cared for in forensic psychiatric care (FPC) have some kind of psychiatric disorder and most of them have committed one or more criminal acts. One part of the patient's rehabilitation is the transition from institutional to non-institutional FPC, but a number of patients do not succeed. The aim of this study was to elucidate different caregivers' experiences of aspects that influence the patients' ability to manage this rehabilitation. A qualitative approach was chosen. Data were collected by interviews in two focus groups, each group comprising of six caregivers representing both institutional and non-institutional FPC. The transcribed interviews were analysed using a qualitative content analysis. Important aspects influencing the patients' transition described were a well-planned care plan, together with a suitable non-institutional dwelling and a tailored occupation. Other important areas were having a well-functioning and trusting social network and a good relationship with a contact person/advocate. A major barrier to a successful transition was whether the patients managed their own finances or not. It was stated that it is important that the patients participate in the care and that different authorities create individual conditions and flexible solutions. All of these factors are important to focus on when caring for patients during their stay in the institutional FPC.

  • 28.
    Hedman Ahlström, Britt
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Depression och familjeliv2009Ingår i: Psykisk hälsa, ISSN 0033-3212, Vol. 50, nr 2, s. 32-38Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 29.
    Hedman Ahlström, Britt
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Wentz, Elisabet
    University of Gothenburg; Institute of Neuroscience and Physiology; Gillberg Neuropsychiatry Centre, Sahlgrenska Academy, Göteborg, Sweden .
    Performance and social life perceived by young persons with ADHD and autism. A chat-log analysis.2015Ingår i: Psychology research, Vol. 5, nr 2, s. 114-124Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study focuses on young persons with ADHD (attention-deficit/hyperactivity disorder) and ASD (autism spectrum disorders), and on their everyday life. Follow-up studies on ADHD and ASD persisting into adulthood describe residual impairments affecting everyday life. Previous studies have focused on interventions and programmes aiming to support these young persons in their attempts to learn, understand and manage social interaction in real life. However, few studies involve the young person’s reflections on their own view of their everyday life. The aim was to elucidate how young persons with ADHD and ASD describe aspects of everyday life based on analysis of Internet-based chat logs. Twelve young persons (seven males and five females aged 15-26 years) with ADHD and ASD participated in an eight-week IBSC (internet-based support and coaching) study, comprising chat via Internet. Data consisted of 12 chat logs (445 pages of text) produced interactively by the participants and their personal coaches. The text was analysed using qualitative content analysis. Two themes were revealed: (1) “When performance is an achievement” with the subthemes; “to cope with the problems caused by the disability”, “the impact of treatment on performance”, and “to perform well enough”; and (2) “When social life is an achievement” with the subthemes; “desire for closeness” and “dealing with social relations”. The study reveals the young persons’ efforts to overcome obstacles to performance and social interaction stemming from their disabilities. They master strategies in terms of SOC while simultaneously they actuate their laborious transition into adulthood. Their ability to express these processes in an IBSC chat became evident. Using e-coaching in this population makes available new opportunities for health-care professionals to pay serious attention to these young persons’ problems.

  • 30. Hovey, D.
    et al.
    Lindstedt, M.
    Zettergren, A.
    Jonsson, L.
    Johansson, A.
    Melke, J.
    Kerekes, Nora
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Anckarsäter, Henrik
    Centre for Ethics, Law and Mental Health (CELAM), University of Gothenburg, Gothenburg, Sweden, Forensic psychiatry, Institute of Neuroscience and Physiology, University of Gothenburg, Ragarden, House 1, SU – East Hospital, SE-416 85 Gothenburg, Sweden, Department of Forensic Psychiatry, Institute of Neuroscience and Physiology, University of Gothenburg.
    Lichtenstein, P.
    Lundström, S.
    Westberg, L.
    Antisocial behavior and polymorphisms in the oxytocin receptor gene: findings in two independent samples2016Ingår i: Molecular Psychiatry, ISSN 1359-4184, E-ISSN 1476-5578, Vol. 21, nr July, s. 983-988Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The quantitative genetic contribution to antisocial behavior is well established, but few, if any, genetic variants are established as risk factors. Emerging evidence suggests that the neuropeptide oxytocin (OXT) may modulate interpersonal aggression. We here investigated whether single-nucleotide polymorphisms (SNPs) in the OXT receptor gene (OXTR) are associated with the expression of antisocial behavior. A discovery sample, including both sexes, was drawn from the Child and Adolescent Twin Study in Sweden (CATSS; n=2372), and a sample from the Twin Study of Child and Adolescent Development (TCHAD; n=1232) was used for replication. Eight SNPs in OXTR, selected on previous associations with social and antisocial behavior, were genotyped in the participants of CATSS. Significant polymorphisms were subsequently genotyped in TCHAD for replication. Participants completed self-assessment questionnaires—Life History of Aggression (LHA; available only in CATSS), and Self-Reported Delinquency (SRD; available in both samples)—designed to capture antisocial behavior as continuous traits. In the discovery sample, the rs7632287 AA genotype was associated with higher frequency of antisocial behavior in boys, and this was then replicated in the second sample. In particular, overt aggression (directly targeting another individual) was strongly associated with this genotype in boys (P=6.2 × 10−7 in the discovery sample). Meta-analysis of the results for antisocial behavior from both samples yielded P=2.5 × 10−5. Furthermore, an association between rs4564970 and LHA (P=0.00013) survived correction in the discovery sample, but there was no association with the SRD in the replication sample. We conclude that the rs7632287 and rs4564970 polymorphisms in OXTR may independently influence antisocial behavior in adolescent boys. Further replication of our results will be crucial to understanding how aberrant social behavior arises, and would support the OXT receptor as one potential target in the treatment of aggressive antisocial behavior.

  • 31.
    Hällgren Graneheim, Ulla
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Åström, Sture
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Until Death Do Us Part: Adult Relatives' Experiences of Everyday Life Close to Persons with Mental Ill-Health2016Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, nr 8, s. 602-608Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study illuminates adult relatives' experiences of everyday life close to a person with mental ill-health. The study was based on nine diaries and four narrative interviews with relatives of people with mental ill-health. Data were subjected to qualitative content analysis. The participants experienced everyday life as a constant fight, for better and for worse, with psychiatric care. They were fighting for the mentally ill person's right to care; sometimes they felt resigned, but yet they had a confidence in the care. Their mission in life was to sacrifice themselves, meaning that they felt indispensable and became lonely and socially isolated. They considered their mission to last until death set them apart because they were keeping a family secret, and had great worries about the future. We conclude that relatives experience a two-folded stigma in living close to a person with mental ill-health and in becoming lonely and socially isolated.

  • 32.
    Joelsson, Britta
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Johansson, Linnéa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Samverkan mellan primärvård och specialistpsykiatri: Två sidor av samma mynt2018Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: Mental illness is increasing in society. Collaboration between primary care and specialist psychiatry is ongoing. The experience is that many people with mental illness refer to different activities and being left without treatment. Good interaction is important for persons seeking mental health care to get the right help.

    Aim: to describe the primary care nurse's experience of collaboration with specialist psychiatry.

    Method: a qualitative study based on semistructured interviews of primary care nurses. The material was analyzed by qualitative content analysis.

    Results: appeared in the following categories; Collaboration characterized by differences with the subcategories Good collaboration for emergency transfers and poor accessibility and inadequate feedback between the activities. Unclear division of responsibilities with the subcategories care different assessments of the same person, Inadequate knowledge on the division of responsibilities between the professions and gray zone patient - primary care or specialist psychiatry. Last category are resource shortage and low interest in mental health with the subcategories Inadequacy and Interest and respect for psychiatry.

    Conclusion: Working according to the division of responsibilities can be an obstacle to cooperation in such a way that the nurse expires blindly from the division of responsibilities without knowing what he/she refers to. Resource shortage, in turn, leads to experiences of insufficiency of nurses. Increased knowledge of each other's activities could lead to closer cooperation and understanding of each other. The person-centered care would benefit from the fact that both instances took care of more people than they actually consider to be part of their area of responsibility.

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  • 33.
    Johansson, Jessika
    Högskolan Väst, Institutionen för hälsovetenskap.
    Tibetan Women’s Empowerment Policy: Perspectives on Creating Equal Opportunities in Healthcare as Tibetan Healthcare Workers in Exile2022Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: In Tibet, as well as in their exile community in India, there is a widespread issue of female oppression and gender inequality within healthcare. Few studies explore the progressive work of organizations fighting these issues, which can contribute to a retrogression of discrimination awareness. 

    Aim: The aim of the study was to describe healthcare workers' perspectives on how and to what extent the Tibetan Women’s Empowerment Policy can be used to create equal opportunities in healthcare. 

    Method: Ethnographic method consisting of semi-structured interviews and observations has been used for data collecting and qualitative content analysis has been used for data analysis.

    Result: There are four recurring perspectives amongst the participants: (1) The policy has contributed to a change of attitude regarding female empowerment, female leadership and feminism. (2) The policy has contributed to the development of adequate healthcare services for women. (3) Limitations of support from the community. (4) The policy is not impactful.

    Conclusion: There are indications which show that the Tibetan women’s empowerment policy can create equal opportunities within healthcare in terms of attitude changes and accessibility to adequate healthcare. However, there are also practical complications in regard to its theoretical outlines as well as limitations of support from the community. It is concluded that the policy is part of a female progression within the community, yet there are still improvements regarding sufficiency and awareness needed to be made.

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  • 34.
    Kajonius, Petri
    Högskolan Väst, Institutionen för individ och samhälle, Avdelningen för psykologi, pedagogik och sociologi.
    The Future of Personalized Care: Scientific, Measurement, and Practical Advancements in Personality and Brain Disorders2019Ingår i: Personality and Brain Disorders: Associations and Interventions / [ed] Garcia, Danilo; Archer, Trevor; Kostrzewa, Richard M., Springer International Publishing , 2019, s. 269-281Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [en]

    Background: Person-centered care sciences are experiencing rapid progress. Personalization in care services is becoming the norm, and implementation from scientific knowledge is increasingly acknowledged and mandated. Advances in personality and brain disorder research are crucial in assisting the future development of personalized care. Aim: We will attempt to present glimpses into the future of personalized care with support from frontline science, measurement, and practice, updating with input from personality genetics and measurement theory. Outline: We present three broad developments: (1) scientific advancements in understanding how personality and genetics are central in predicting mental health and disorders, with the potential to increase predictive diagnosis and treatment validity; (2) measurement advancements with help of trait dimensions and latent structures, with the potential to increase reliability in assessing personalized care needs and functioning; (3) practical advancements in implementing a personalized approach in care services, with the potential to increase effectiveness and satisfaction with patients. We review this glimpse into the future by referencing key findings in personality and assessment meta-analyses, genome-wide association studies (GWAS), and trait measurements in psychiatric disorders. Conclusion: Personalizing care services will benefit practitioners and patients. We suggest and recommend that personalized care diagnosis and treatment is the way forward and that the future will be potentially revolutionized by incorporating the presented advancements in personality research and brain sciences.

  • 35.
    Kajonius, Petri
    Högskolan Väst, Institutionen för individ och samhälle, Avdelningen för psykologi, pedagogik och sociologi. University of Skövde, Sweden .
    The Short Personality Inventory for DSM-5 and its Conjoined structure with the Common Five-Factor Model2017Ingår i: International Journal of Testing, ISSN 1530-5058, E-ISSN 1532-7574, Vol. 17, nr 4, s. 372-384Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Research is currently testing how the new maladaptive personality inventory for DSM (PID-5) and the well-established common Five-Factor Model (FFM) together can serve as an empirical and theoretical foundation for clinical psychology. The present study investigated the official short version of the PID-5 together with a common short version of FFM, reflecting the time-constraints often imposed in all types of assessment. The objective was to model the dependency of maladaptive traits on common traits, hypothesized to show a mutual structure of latent higher order factors. A Swedish adult community sample was surveyed. The results showed that all five maladaptive traits shared a conjoint higher order organization with all the five common traits through the higher order factors of positive and negative emotion, and internalizing and externalizing. In conclusion, the study results support the nascent theory and practice in section III in DSM-5 basing psychopathology on personality traits. 2017 Copyright © International Test Commission

  • 36.
    Kanon, Viola
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap.
    Palmersjö, Sandra
    Högskolan Väst, Institutionen för hälsovetenskap.
    Sambandet mellan antisocialt beteende, aggressivitet och substansbruk hos svenska gymnasieelever2022Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Omfattande forskning har försökt undersöka riskfaktorer till antisociala och/eller aggressiva, normbrytande beteenden hos ungdomar. Tidigare studier bekräftar biologiska, psykosociala och epigenetiska faktorer som bidragande. Det empiriska fokuset har även riktat in sig på att förstå den samverkan som råder mellan riskfaktorerna för att kunna predicera antisocialt, normbrytande beteende. Det finns därmed stöd som erkänner att riskbeteenden hos ungdomar påverkas av ett multidimensionellt samspel.

    Syfte: Syftet med studien var (1) att utforska relationen mellan antisocialt beteende, substansbruk och aggressivitet hos svenska gymnasieelever; samt (2) undersöka om det förekommer specifika könsskillnader. Syftet var även att analysera hur starkt kön, substansbruk och aggressivitet kan predicera ett antisocialt beteende. 

    Metod: Datainsamlingen gjordes i Sverige mellan oktober 2020 och februari 2021 genom Facebook, Instagram och i kontakt med skolor. Totalt svarade 1607 svenska gymnasieelever (15-19 år) på den elektroniska enkäten. Instrumenten som använts i studien är Alcohol Use Disorders Identification Test (AUDIT), Drug Use Disorders Identification Test (DUDIT) och Adolescent Adapted Life History of Aggression (AA-LHA)-subskalor.

    Resultat: Resultatet bekräftade en låg frekvens av riskbeteenden hos både manliga och kvinnliga svenska gymnasieelever. Alkoholanvändning och frekvensen av aggressiva handlingar skilde sig inte åt mellan könen, medan manliga elever signifikant (liten effektstorlek) oftare rapporterade antisocialt beteende och droganvändning än de kvinnliga eleverna. Manliga elevers droganvändning var måttligt associerad med nivån på deras antisociala beteenden. Aggressivitet var den starkaste prediktorn för antisocialt beteende, medan kön inte förutspådde det.

    Konklusion: Resultatet visar att könsskillnaderna avseende riskbeteenden hos svenska ungdomar minskar. Fokus på metoder som lär ut självkontroll av aggressivt beteende kan vara den mest effektiva preventionen för ungdomars normbrytande beteende.

  • 37.
    Kapetanovic, Sabina
    et al.
    Högskolan Väst, Institutionen för individ och samhälle, Avdelningen för psykologi, pedagogik och sociologi.
    Gurdal, Sevtap
    Högskolan Väst, Institutionen för individ och samhälle, Avd för utbildningsvetenskap och språk.
    Ander, Birgitta
    Jönköping University, School of Health and Welfare, Jönköping,.
    Sorbring, Emma
    Högskolan Väst, Institutionen för individ och samhälle, Avdelningen för psykologi, pedagogik och sociologi.
    Reported Changes in Adolescent Psychosocial Functioning during the COVID-19 Outbreak2021Ingår i: Adolescents, E-ISSN 2673-7051, nr 1, s. 10-20Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    What effect the outbreak of the COVID-19 pandemic has had on adolescents’ psychosocial functioning is currently unknown. Using the data of 1767 (50.2% female and 49.8 male) adolescents in Sweden, we discuss adolescents’ thoughts and behaviors around the COVID-19 outbreak, as well as reported changes in substance use, everyday life, relations, victimization, and mental health during the outbreak. Results showed that (a) the majority of adolescents have been complying with regulations from the government; (b) although most adolescents did not report changes in their psychosocial functioning, a critical number reported more substance use, conflict with parents, less time spent with peers, and poorer control over their everyday life; and (c) the majority of adolescents have experienced less victimization, yet poorer mental health, during the COVID-19 outbreak. Adolescent girls and adolescents in distance schooling were likely to report negative changes in their psychosocial functioning during the COVID-19 outbreak. Based on these findings, we suggest that society should pay close attention to changes in adolescents’ psychosocial functioning during times of crisis.

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  • 38.
    Kapetanovic, Sabina
    et al.
    Högskolan Väst, Institutionen för individ och samhälle, Avdelningen för psykologi, pedagogik och sociologi. Department of Psychology, Stockholm University, Stockholm (SWE).
    Gurdal, Sevtap
    Högskolan Väst, Institutionen för individ och samhälle, Avd för utbildningsvetenskap och språk.
    Einarsson, Isak
    Child and Adolescent Psychiatry Outpatient Clinic, Region Skåne, Malmö (SWE).
    Werner, Marie
    Child and Adolescent Psychiatry Outpatient Clinic, Region Skåne, Lund (SWE).
    André, Frida
    Department of Clinical Sciences, Faculty of Medicine, Lund University, Lund (SWE).
    Håkansson, Anders
    Department of Clinical Sciences, Faculty of Medicine, Lund University, Lund (SWE); Malmö Addiction Center and Competence Center Addiction, Region Skåne, Malmö (SWE).
    Claesdotter-Knutsson, Emma
    Child and Adolescent Psychiatry Outpatient Clinic, Region Skåne, Lund (SWE); Department of Clinical Sciences, Faculty of Medicine, Lund University, Lund (SWE).
    Relapse Prevention Therapy for Problem Gaming or Internet Gaming Disorder in Swedish Child and Youth Psychiatric Clinics: Protocol for a Randomized Controlled Trial2023Ingår i: JMIR Research Protocols, E-ISSN 1929-0748, Vol. 12, s. e44318-e44318Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background:

    Although gaming is a common arena where children socialize, an increasing number of children are exhibiting signs of problem gaming or internet gaming disorder. An important factor to the development of problem gaming is parent-child relationships. A cognitive behavioral therapy-based form of treatment, labeled relapse prevention, has been developed as a treatment for child and adolescent problem gaming or internet gaming disorder. However, no study has evaluated the effect of this treatment among Swedish children and youth nor the role of the parent-child relationships in this treatment.

    Objective:

    This study aims (1) to evaluate a relapse prevention treatment for patients showing signs of problem gaming or internet gaming disorder recruited from child and youth psychiatric clinics and (2) to test whether the quality of parent-child relationships plays a role in the effect of relapse prevention treatment and vice versa-whether the relapse prevention treatment has a spillover effect on the quality of parent-child relationships. Moreover, we explore the carer's attitudes about parent-child relationships and child gaming, as well as experiences of the treatment among the children, their carers, and the clinicians who carried out the treatment.

    Methods:

    This study is a 2-arm, parallel-group, early-stage randomized controlled trial with embedded qualitative components. Children aged 12-18 years who meet the criteria for problem gaming or internet gaming disorder will be randomized in a 1:1 ratio to either intervention (relapse prevention treatment) or control (treatment as usual), with a total of 160 (80 + 80) participants. The primary outcomes are measures of gaming and gambling behavior before and after intervention, and the secondary outcomes include child ratings of parent-child communication and family functioning. The study is supplemented with a qualitative component with semistructured interviews to capture participants' and clinicians' experiences of the relapse prevention, as well as attitudes about parent-child relationships and parenting needs in carers whose children completed the treatment.

    Results:

    The trial started in January 2022 and is expected to end in December 2023. The first results are expected in March 2023.

    Conclusions:

    This study will be the first randomized controlled trial evaluating relapse prevention as a treatment for child and adolescent problem gaming and internet gaming disorder in Sweden. Since problem behaviors in children interact with the family context, investigating parent-child relationships adjacent to the treatment of child problem gaming and internet gaming disorder is an important strength of the study. Further, different parties, ie, children, carers, and clinicians, will be directly or indirectly involved in the evaluation of the treatment, providing more knowledge of the treatment and its effect. Limitations include comorbidity in children with problem gaming and internet gaming disorder and challenges with the recruitment of participants.

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  • 39.
    Kelmendi, Denisa
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap.
    Lotfi, Shilan
    Högskolan Väst, Institutionen för hälsovetenskap.
    Frihetsberövade personers vistelse i slutna miljöer och påverkan på den psykiska hälsan: En litteraturbaserad studie2022Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: I Sverige kan man frihetsberövas i antingen anstalter eller rättspsykiatriska vårdavdelningar. Frihetsberövade personer löper större risk för psykisk ohälsa än den allmänna befolkningen.

    Syfte: Att belysa brottsdömda personers erfarenheter av hur vistelsen i slutna miljöer som anstalt och rättspsykiatrisk vårdavdelning påverkar deras psykiska hälsa.

    Metod: En litteraturbaserad studie har genomförts. Tio vetenskapliga artiklar erhölls från databaserna Cinahl och PsycINFO genom systematiska sökningar och analyserades därefter utifrån en femstegsmodell. 

    Resultat: Både positiva och negativa erfarenheter framkom, dock utgjorde de negativa upplevelserna en majoritet. Tre kategorier och åtta subkategorier framkom. De tre kategorierna var: Nedstämdhet, Maktutövande och utsatthet och Förbättrad psykisk hälsa.

    Slutsatser: Den psykosociala miljön övervägde mer än den fysiska miljön vad gäller påverkan på frihetsberövade personers psykiska hälsa. 

  • 40.
    Kerekes, Nora
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Yoga as Complementary Care for Young People Placed in Juvenile Institutions: A Study Plan2021Ingår i: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 12, s. 1-11, artikel-id 575147Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Recent studies have established yoga practice as a mainstream complementary clinical tool within correctional environments. It is shown that regular yoga practice is coupled with improved impulse control, sustained attention, attenuated antisocial and self-harm behaviors, reduced stress, and psychological distress. No academic research until now has provided evidence of mental health benefits of yoga for institutionalized young people. In Sweden, each year more than thousand adolescents receive compulsory care at juvenile institutions run by the Swedish National Board of Institutional Care. These young people are characterized by substance abuse, aggressive and antisocial behaviors, high frequency of self-harm, and the experience of abuse. Most of them manifest attention problems, depression, anxiety, and impulsivity. They have a dramatically increased risk for recidivistic criminal behavior, continuous medical, and social care and untimely death. The present study plan aims at evaluating, with previously validated psychological measures, in a quasi-experimental design, the effects of yoga practice for institutionalized adolescents. Adolescents’ experiences of participating in yoga practice will also be assessed by semi-structured individual interviews. Ethical approval was given by the Swedish Ethical Review Authority. It is hypothesized that yoga practice (in combination with the standard treatment within institutional care) will reduce institutionalized adolescents’ aggression, antisocial behavior, anxiety, depression, and negative affect, and increase their cognitive flexibility (in the form of increased impulse control).

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  • 41.
    Kerekes, Nora
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Bador, Kourosh
    AGERA KBT AB,Gothenburg (SWE).
    Sfendla, Anis
    High Institute of Nursing Professions and Health Techniques, Errachidia ( MAR); Department of Biology, Faculty of Sciences, Abdelmalek Essaâdi University, Tetouan (MAR); Department of Biology, Faculty of Sciences and Techniques, Moulay Ismail University, Errachidia (MAR) .
    Belaatar, Mohjat
    Department of Biology, Faculty of Sciences, Abdelmalek Essaâdi University, Tetouan(MAR).
    El Mzadi, Abdennour
    Department of Biology, Faculty of Sciences, Abdelmalek Essaâdi University, Tetouan (MAR).
    Jovic, Vladimir
    Department of Psychiatry, Clinic for Neurology and Psychiatry for Children and Youth,Belgrade (SRB).
    Damjanovic, Rade
    Department of Social Sciences, Faculty of Education in Sombor, University of Novi Sad, Sombor (SRB).
    Erlandsson, Maria
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Nguyen, Hang Thi Minh
    Department of Clinical Psychology, Faculty of Psychology, University of Social Sciences and Humanities,Hanoi (VNM).
    Nguyen, Nguyet Thi Anh
    Department of Social Work with Children and Family, Faculty of Social Work, Hanoi National University of Education, Hanoi (VNM).
    Ulberg, Scott E.
    Department of Psychiatry and Behavioral Sciences, SUNY Upstate Medical University, Syracuse (USA).
    Kuch-Cecconi, Rachael H.
    Department of Psychiatry and Behavioral Sciences, SUNY Upstate Medical University, Syracuse (USA).
    Meszaros, Zsuzsa Szombathyne
    Department of Psychiatry and Behavioral Sciences, SUNY Upstate Medical University, Syracuse (USA).
    Stevanovic, Dejan
    Department of Psychiatry, Clinic for Neurology and Psychiatry for Children and Youth, Belgrade (SRB).
    Senhaji, Meftaha
    Department of Biology, Faculty of Sciences, Abdelmalek Essaâdi University, Tetouan (MAR).
    Hedman Ahlström, Britt
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Zouini, Btissame
    Department of Biology, Faculty of Sciences, Abdelmalek Essaâdi University, Tetouan (MAR).
    Changes in Adolescents’ Psychosocial Functioning and Well-Being as a Consequence of Long-Term COVID-19 Restrictions2021Ingår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, nr 16, artikel-id 8755Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This work studied self-reports from adolescents on how the COVID-19 pandemic has changed their behaviors, relationships, mood, and victimization. Data collection was conducted between September 2020 and February 2021 in five countries (Sweden, the USA, Serbia, Morocco, and Vietnam). In total, 5114 high school students (aged 15 to 19 years, 61.8% females) responded to our electronic survey. A substantial proportion of students reported decreased time being outside (41.7%), meeting friends in real life (59.4%), and school performance (30.7%), while reporting increased time to do things they did not have time for before (49.3%) and using social media to stay connected (44.9%). One third of the adolescents increased exercise and felt that they have more control over their life. Only a small proportion of adolescents reported substance use, norm-breaking behaviors, or victimization. The overall COVID-19 impact on adolescent life was gender-specific: we found a stronger negative impact on female students. The results indicated that the majority of adolescents could adapt to the dramatic changes in their environment. However, healthcare institutions, municipalities, schools, and social services could benefit from the findings of this study in their work to meet the needs of those young people who signaled worsened psychosocial functioning, increased stress, and victimization.

    Ladda ner fulltext (pdf)
    MDPI
  • 42.
    Kerekes, Nora
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Brändström, Sven
    Washington University School of Medicine, Clinical Associate of the Center for Well-Being, St. Louis, MO, United States.
    Nilsson, Thomas
    University of Gothenburg, Centre for Ethics, Law and Mental Health (CELAM), Institute of Neuroscience and Physiology, Gothenburg, Sweden.
    Imprisoning Yoga: Yoga Practice May Increase the Character Maturity of Male Prison Inmates.2019Ingår i: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 10, artikel-id 406Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: A specific personality profile, characterized by low character maturity (low scores on the self-directedness and cooperativeness character dimensions) and high scores on the novelty seeking temperament dimension of the temperament and character inventory (TCI), has been associated with aggressive antisocial behavior in male prison inmates. It has also been shown that yoga practiced in Swedish correctional facilities has positive effects on the inmates' well-being and on risk factors associated with criminal recidivism (e.g., antisocial behavior). In this study, we aimed to investigate whether the positive effect of yoga practice on inmates' behaviors could be extended to include eventual changes in their personality profile. Methods: Male prison inmates (N = 111) in Sweden participated in a randomized controlled 10-week long yoga intervention trial. Participants were randomly assigned to either a yoga group (one class a week; n = 57) or a control group (free of choice weekly physical activity; n = 54). All the inmates completed the TCI questionnaire before and after the intervention period as part of an assessment battery. Results: After the 10-week-long intervention period male inmates scored significantly lower on the novelty seeking and the harm avoidance and significantly higher on the self-directedness dimensions of the TCI. There was a significant medium strong interaction effect between time and group belonging for the self-directedness dimension of character favoring the yoga group. Conclusion: A 10-week-long yoga practice intervention among male inmates in Swedish correctional facilities increased the inmates' character maturity, improving such abilities as their capability to take responsibility, feel more purposeful, and being more self-acceptant-features that previously were found to be associated with decreased aggressive antisocial behavior.

    Ladda ner fulltext (pdf)
    fulltext
  • 43.
    Kerekes, Nora
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Falk, Örjan
    University of Gothenburg, Centre for Ethics, Law and Mental health (CELAM), Sweden.
    Brändström, Sven
    Washington University, Center for Well-being School of Medicine in St. Louis, USA.
    Anckarsäter, Henrik
    University of Gothenburg, Centre for Ethics, Law and Mental health (CELAM), Sweden.
    Råstam, Maria
    University of Gothenburg, Department of Clinical Sciences, Lund, Child and Adolescent Psychiatry, Lund University, Sweden; Gillberg Neuropsychiatry Centre, Sweden.
    Hofvander, Björn
    Lund University, Department of Clinical Sciences, Lund, Child and Adolescent Psychiatry, Sweden.
    The protective effect of character maturity in child aggressive antisocial behavior2017Ingår i: Comprehensive Psychiatry, ISSN 0010-440X, E-ISSN 1532-8384, Vol. 76, s. 129-137Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Childhood aggressive antisocial behavior (CD) is one of the strongest predictors of mental health problems and criminal behavior in adulthood. The aims of this study were to describe personality profiles in children with CD, and to determine the strength of association between defined neurodevelopmental symptoms, dimensions of character maturity and CD.

    METHODS: A sample of 1886 children with a close to equal distribution of age (9 or 12) and gender, enriched for neurodevelopmental and psychiatric problems were selected from the nationwide Child and Adolescent Twin Study in Sweden. Their parents rated them according to the Junior Temperament and Character Inventory following a telephone interview during which information about the children's development and mental health was assessed with the Autism-Tics, AD/HD and other Comorbidities inventory.

    RESULT: Scores on the CD module significantly and positively correlated with scores on the Novelty Seeking temperament dimension and negatively with scores on character maturity (Self-Directedness and Cooperativeness). In the group of children with either neurodevelopmental or behavioral problems, the prevalence of low or very low character maturity was 50%, while when these two problems coexisted the prevalence of low or very low character maturity increased to 70%. Neurodevelopmental problems (such as: oppositional defiant disorder, symptoms of attention deficit/hyperactivity disorder and autism spectrum disorder) and low scores on character maturity emerged as independently significant predictors of CD; in a multivariable model, only oppositional defiant symptoms and impulsivity significantly increased the risk for coexisting CD while a mature self-agency in a child (Self-Directedness) remained a significant protective factor.

    CONCLUSION: These results suggest that children's willpower, the capacity to achieve personally chosen goals may be an important protective factor - even in the presence of neurodevelopmental and psychiatric problems - against progressing into persistent negative outcomes, such as aggressive antisocial behaviors.

    Ladda ner fulltext (pdf)
    fulltext
  • 44.
    Kerekes, Nora
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Zouini, Btissame
    Department of Biology, Faculty of Sciences, Abdelmalek Essaadi University, Tetouan, Morocco (MAR).
    Karlsson, Emma
    Department of Surgery, Östersund Hospital, Östersund, Sweden.
    Cederholm, Emma
    Addiction Center, Saint Görans Hospital, Stockholm, Sweden.
    Lichtenstein, Paul
    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
    Anckarsäter, Henrik
    Centre for Ethics, Law and Mental Health, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.
    Råstam, Maria
    Department of Clinical Sciences Lund, Child and Adolescent Psychiatry, Lund University, Lund; Gillberg Neuropsychiatry Centre, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.
    Conduct disorder and somatic health in children: a nationwide genetically sensitive study2020Ingår i: BMC Psychiatry, E-ISSN 1471-244X, Vol. 20, s. 1-14, artikel-id 595Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Conduct disorder (CD), a serious behavioral and emotional disorder in childhood and adolescence, characterized by disruptive behavior and breaking societal rules. Studies have explored the overlap of CD with neurodevelopmental problems (NDP). The somatic health of children with NDP has been investigated; however, the prevalence of these problems in children with CD has not been sufficiently studied. Holistic assessment of children with CD is required for establishing effective treatment strategies.

    Aims:

    (1) Define the prevalence of selected neurological problems (migraine and epilepsy) and gastrointestinal problems (celiac disease, lactose intolerance, diarrhea, and constipation) in a population of twins aged 9 or 12;

    (2) Compare the prevalence of somatic problems in three subpopulations: (a) children without CD or NDP, (b) children with CD, and (c) children with both CD and NDP;

    (3) Select twin pairs where at least one child screened positive for CD but not NDP (proband) and map both children’s neurological and gastrointestinal problems.

    Method

    Telephone interviews with parents of 20,302 twins in a cross-sectional, nationwide, ongoing study. According to their scores on the Autism-Tics, AD/HD, and Comorbidities inventory, screen-positive children were selected and divided into two groups: (1) children with CD Only, (2) children with CD and at least one NDP.

    Results

    Children with CD had an increased prevalence of each neurological and gastrointestinal problem (except celiac disease), and the prevalence of somatic problems was further increased among children with comorbid CD and NDP. The presence of CD (without NDP) increased the odds of constipation for girls and the odds of epilepsy for boys. Girls with CD generally had more coexisting gastrointestinal problems than boys with CD. Female co-twins of probands with CD were strongly affected by gastrointestinal problems. Concordance analyses suggested genetic background factors in neurological and gastrointestinal problems, but no common etiology with CD could be concluded.

    Conclusion

    Co-occurring NDP could explain most of the increased prevalence of somatic problems in CD. Our results raise a new perspective on CD in children and adolescents; their CD seems to be linked to a number of other health problems, ranging from neurodevelopmental and psychiatric disorders to somatic complaints.

    Ladda ner fulltext (pdf)
    fulltext
  • 45.
    Lansford, Jennifer E
    et al.
    Duke University, Durham, NC (USA).
    Skinner, Ann T
    Duke University, Durham, NC (USA).
    Godwin, Jennifer
    Duke University, Durham, NC (USA).
    Chang, Lei
    University of Macau, Macau (CHN).
    Deater-Deckard, Kirby
    University of Massachusetts, Amherst, MA (USA).
    Di Giunta, Laura
    Università di Roma "La Sapienza,"Rome (ITA).
    Dodge, Kenneth A
    Duke University, Durham, NC. (USA).
    Gurdal, Sevtap
    Högskolan Väst, Institutionen för individ och samhälle, Avd för utbildningsvetenskap och språk.
    Liu, Qin
    Chongqing Medical University, Chongqing (CHN).
    Long, Qian
    Duke Kunshan University, Kunshan (CHN).
    Oburu, Paul
    Maseno University, Maseno (KEN).
    Pastorelli, Concetta
    Università di Roma "La Sapienza,"Rome (ITA).
    Sorbring, Emma
    Högskolan Väst, Institutionen för individ och samhälle, Avdelningen för psykologi, pedagogik och sociologi.
    Steinberg, Laurence
    Temple University, Philadelphia, PA, (USA), and King Abdulaziz University, Jeddah, Saudi Arabia (SAU).
    Tapanya, Sombat
    Chiang Mai University, Chiang Mai (THA).
    Uribe Tirado, Liliana Maria
    Universidad de San Buenaventura, Medellín (COL).
    Yotanyamaneewong, Saengduean
    Chiang Mai University, Chiang Mai (THA).
    Alampay, Liane Peña
    Ateneo de Manila University, Quezon City (PHL).
    Al-Hassan, Suha M
    Hashemite University, Zarqa (JOR).
    Bacchini, Dario
    University of Naples "Federico II," Naples (ITA).
    Bornstein, Marc H
    Eunice Kennedy ShriverNational Institute of Child Health and Human Development, Bethesda, MD, USA, UNICEF, New York, USA, and Institute for Fiscal Studies, London (GBR).
    Pre-pandemic psychological and behavioral predictors of responses to the COVID-19 pandemic in nine countries.2021Ingår i: Development and psychopathology (Print), ISSN 0954-5794, E-ISSN 1469-2198, s. 1-16Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Prior to the COVID-19 pandemic, adolescents (N = 1,330; Mages = 15 and 16; 50% female), mothers, and fathers from nine countries (China, Colombia, Italy, Jordan, Kenya, Philippines, Sweden, Thailand, United States) reported on adolescents' internalizing and externalizing problems, adolescents completed a lab-based task to assess tendency for risk-taking, and adolescents reported on their well-being. During the pandemic, participants (Mage = 20) reported on changes in their internalizing, externalizing, and substance use compared to before the pandemic. Across countries, adolescents' internalizing problems pre-pandemic predicted increased internalizing during the pandemic, and poorer well-being pre-pandemic predicted increased externalizing and substance use during the pandemic. Other relations varied across countries, and some were moderated by confidence in the government's handling of the pandemic, gender, and parents' education.

    Ladda ner fulltext (pdf)
    Cambridge
  • 46. Lidberg, Lars
    et al.
    Dåderman, Anna Maria
    Karolinska Institutet.
    Nedsatt serotoninhalt predisponerar för våld: Enkelt blodprov förutsäger farlighet1997Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 94, nr 39, s. 3385-3388Artikel i tidskrift (Refereegranskat)
    Abstract [sv]

    En nedsatt serotonerg funktion har visat sig vara förenad med impulsivt destruktivt beteende, såsom mord, anstiftan till mordbrand och våldsamma självmord. Halten av monoaminoxidas (MAO) är kopplad till hjärnans serotonerga kapacitet, och är av central betydelse för att förutsäga farlighet. Genom ett enkelt blodprov kan MAO-halten i trombocyter mätas, en undersökning som bör ingå i varje rättspsykiatrisk undersökning.

  • 47.
    Lohamre, Jimmy
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap.
    Lundgren,, Simon Rickard
    Högskolan Väst, Institutionen för hälsovetenskap.
    Erfarenheter av vårdmiljön hos vuxna patienter med autismspektrumtillstånd2024Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Autism spectrum disorder is a diagnosis that involves difficulties with sensory sensitivity, communication, and social interaction. This condition means that the physical and psychosocial care environment can be experienced as difficult to manage.

    This literature review aims to explore adult patients with autism spectrum disorders' experiences of being in a care environment. A literature review was conducted where eight articles of qualitative, quantitative, and mixed methods were analyzed. Systematic searches were made in the databases Cinahl, PubMed, and PsycInfo.

    The results from the analysis were then written down into two main themes and seven sub-themes. The patients testified about experiences in the care environment where needs for adaptations in the physical-, sensory- and psychosocial environment had not been catered for. The patients requested individual adaptations, private spaces, and alternative communication methods. Stress was mainly caused by noise, lack of communication and short care meetings. Several of the deficiencies that emerged could lead to anxiety in the patients. Understanding the specific needs of adults with autism spectrum disorders in the care setting is critical. The care environment needs to become more accommodating when it comes to adaptations and design. Even adaptations to reduce the sensory stimulation can be part of alleviating the often stressful care environment but also to increase the well-being of the patient.

    Ladda ner fulltext (pdf)
    fulltext
  • 48.
    Lundell, Alexandra
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Gustavsson, Bodil
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Sjuksköterskors upplevelser av hur patientens kön kan påverka bemötandet av patienten inom beroendevård: En intervjustudie2018Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: Addiction is a serious problem in the world, Sweden included. This disease can affect anyone, regardless of gender and age. People with addiction, like the rest of the population, are entitled to respectful encounters in healthcare. However, research about encounters with patients suffering from addiction is limited and research about the possible impact of the patient's gender in this process – according to our knowledge – has not yet been published.

    Aim: The aim of the present study was to describe nurses' experience about the eventual gender specific encounter of patients in addiction care units.

    Method: Data was assessed by nine semi-structured interviews which were analysed with qualitative content analysis.

    Results: The result was presented in two categories; to encounter patients regardless of their gender and to encounter patients according to their gender. The two categories consisted of several subcategories that emphasized the importance of a professional caring encounter, how patients were encountered according to individual differences and how the encounter was affected by whether the patient was a woman, man or without defined gender.

    Conclusion: Nurses felt that professional encounter was important in addiction care. Their intention was to treat patients alike, however the study revealed some differences in encountering process that could be linked to the patient's gender.

    Ladda ner fulltext (pdf)
    fulltext
  • 49.
    Löyttynen, Jenny
    et al.
    Department of Nursing, Umeå University, Umeå (SWE).
    Hällgren Graneheim, Ulla
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Hörnsten, Åsa
    Department of Nursing, Umeå University, Umeå (SWE).
    District Nurses' Experiences of Practice in Caring for People with Mental Ill-Health in Swedish Primary Care.2023Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 44, nr 5, s. 396-405Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Mental ill-health is one of the greatest public health challenges in Sweden, and it is estimated that every third person seeking primary care in the country suffers from mental ill-health. Without proper treatment at an early stage, mental ill-health may lead to long-term illness and have a significant impact on functional ability. As district nurses are specialists in public health nursing, they have been pointed out as having a key role in the prevention and management of mental ill-health. The aim was to explore district nurses' practice in caring for people with mental ill-health within primary health care. Individual semi-structured interviews were conducted with district nurses (n = 18) and the transcribed text was subjected to qualitative content analysis. The result was formulated as several subthemes, eventually developed into three themes: Practicing within an organisation where traditional attitudes are impediments, Perceiving mental healthcare as not being an obvious part of district nursing, Working as fellow human beings rather than "professionals". The findings indicate that district nurses feel uncertainty in their practice in this area. Working independently with mental ill-health was not always considered socially acceptable among district nurses. Despite these challenges they tried to remain involved without becoming emotionally overwhelmed. They also strived to meet the needs of these patients with 'small things', that could be effective and a part of recovery-oriented practice, even if they might be defined as unprofessional, and their efficacy negated.

    Ladda ner fulltext (pdf)
    fulltext
  • 50.
    Mahmoud, Helen
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap.
    Snobar, Raghda
    Högskolan Väst, Institutionen för hälsovetenskap.
    Livet utan grått : att leva med bipolär sjukdom: En litteraturstudie2022Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Bipolär sjukdom är en komplex och kronisk psykisk sjukdom, vilket är förknippat med svårigheter att kontrollera sina humörsvängningar och hantera vardagen. Korrekt diagnos och behandling kan hjälpa personer med bipolär sjukdom att leva ett hälsosamt och aktivt liv. Samarbetet mellan patient, vårdgivare och närstående kan bidra till ett bra bemötande.

    Syfte: Syftet med studien var att undersöka personers erfarenheter av att leva med bipolär sjukdom.

    Metod: En kvalitativ litteraturstudie enligt Friberg (2017) utfördes. Studien baserades utifrån nio kvalitativa artiklar.

    Resultat: Analysen av artiklarna resulterade i fyra huvudteman: Påverkan på vardagslivet, tappa och återta kontrollen, erfarenheter av stigmatisering/självkänslan, vårdgivarens roll och läkemedelseffekter.

    Konklusion: Slutsatserna av studien var att personer med bipolär sjukdom har svårt att kontrollera sina humörsvängningar. Deltagarna beskrev sina erfarenheter vid maniska, depressiva och blandade episoder. Stigmatisering var en av anledningarna till att deltagarna hade svårt att anpassa sig till det dagliga livet. Med vissa strategier, acceptans av sjukdomen, stöd från vårdpersonalen eller närstående, samt rätt medicinering kan personen leva ett bra liv med sjukdomen

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