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  • 1. Alsterberg, Sara
    et al.
    Lövdahl, Elisabeth
    Malmö University, Faculty of Health and Society (HS).
    Stöd och bemötande under hepatit C-behandling vid en sprutbytesmottagning: En intervjustudie ur ett patientperspektiv2021Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Personer som injicerar droger är en patiengrupp med somatisk och psykiatrisk samsjuklighet. På grund av stigma, personliga eller strukturella förutsättningar, undervker patientgruppen att söka vård. Det gör att internationells såväl som nationell forskning om patientgruppens omvårdnadsbehov är begränsad. Genom det av WHO uppsatta målet att globalt eliminera hepatit C till år 2030, startade ACTIONNE-studien år 2018. Med sprutbytesmottagningen i Malmö som plattform behandlades 50 personer som injicerar droger framgångsrikt för hepatit C. Genom ACTIONNE-studien gavs patienterns möjlighet att etablera en kontinuerlig kontakt med vården. Följsamheten var god vilket gör det betydelsefullt att beakta deras behov i sammanhanget, för att utifrån det skapa möjligheter att implementera en personcentrerad vård för gruppen. Syfte: Att utforska behovet av stöd och bemötande hos personer som genomgått hepatit C-behandling inom ACTIONNE-studien. Metod: Semistrukurerade intervjuer genomfördes med 17 personer som genongått hepatit C-behandling inom ACTIONNE-stiudien. Materialet anayserades med hjälp av kvalitativ innehållsanalys enligt Burnard (1991). Resultat: Analysen genererade två kategorier: Bekräftade min existens och Förmedlade gemenskap, med fem tillhörande rubriker. Alla kategorier uppstod mot tidigare erfarenheter av marginalisering, varför behovet att inte stigmatiseras framstod som det mest grundläggande. Slutsats: Informanterna i studien ville känna sig inkluderade och behövde känna tillit för att våga anförtro sig och be om hjälp. Tilliten byggde på validering, tillgänglighet och att få känna sig jämlik. Lyhördhet för gruppens förutsättningar och erfarenheter skapar grunden för alliansbyggande partnerskap, ur vilken framtida vård och behandling kan utvecklas. 

  • 2. Ambrus, Livia
    et al.
    Sunnqvist, Charlotta
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Asp, Marie
    Westling, Sofie
    Westrin, Åsa
    Coping and suicide risk in high risk psychiatric patients2020In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 29, no 1, p. 27-32Article in journal (Refereed)
    Abstract [en]

    Background: A dysfunctional use of coping strategies has repeatedly been linked to suicidal behaviour in non-psychiatric populations. However, data regarding association between coping strategies and suicidal behaviour in psychiatric populations are limited. Aims: The aim of the study was to investigate the possible relationship between self-reported suicide risk, suicidal ideation and coping strategies in three psychiatric cohorts. Method: Three cohorts of psychiatric patients were involved in the study; recent suicide attempters (n = 55), suicide attempters at follow-up 12 years after a suicide attempt (n = 38) and patients with ongoing depression without attempted suicide (n = 72). Patients filled in the self-rating version of The Suicide Assessment Scale (SUAS-S) from which items no. 17–20 addressing current suicidal ideation were extracted. To investigate coping strategies, the Coping Orientation of Problem Experience Inventory (COPE) was used. Results: In all cohorts, regression analyses showed that only avoidant coping was significantly correlated with the scores of SUAS-S adjusted for covariates. The items no. 17–20 correlated significantly to avoidant coping but not with other coping strategies in all cohorts. Conclusion: The results of this study indicate that among coping strategies only avoidant coping may be associated with suicide risk in psychiatric patients independently of history of attempted suicide.

  • 3.
    Andersson, Claes
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Vasiljevic, Zoran
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Höglund, Peter
    Öjehagen, Agneta
    Berglund, Mats
    Daily Automated Telephone Assessment and Intervention Improved 1-Month Outcome in Paroled Offenders2020In: International journal of offender therapy and comparative criminology, ISSN 0306-624X, E-ISSN 1552-6933, Vol. 64, no 8, p. 735-752Article in journal (Refereed)
    Abstract [en]

    This randomized trial evaluates whether automated telephony could be used to perform daily assessments in paroled offenders (N = 108) during their first 30 days after leaving prison. All subjects were called daily and answered assessment questions. Based on the content of their daily assessments, subjects in the intervention group received immediate feedback and a recommendation by automated telephony, and their probation officers also received a daily report by email. The outcome variables were analyzed using linear mixed models. The intervention group showed greater improvement than the control group in the summary scores (M = 9.6, 95% confidence interval [CI] = [0.5, 18.7], p = .038), in mental symptoms (M = 4.6, CI = [0.2, 9.0], p = .042), in alcohol drinking (M = 0.8, CI = [0.1, 1.4], p = .031), in drug use (M = 1.0, CI = [0.5, 1.6], p = .000), and in most stressful daily event (M = 1.9, CI = [1.1, 2.7], p = .000). In conclusion, automated telephony may be used to follow up and to give interventions, resulting in reduced stress and drug use, in paroled offenders.

  • 4.
    Beda, Boniface
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Recovery at Suicide Attempts: A systematic review and meta-ethnography of qualitative research2021Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Suicide attempts have increased in recent years and are far more common than suicide. Suicide attempts are a significant public health problem that requires attention because it occurs in all cultures throughout the world. Recovery can be difficult, and the risk of another suicide attempt may be imminent. The recovery process is an individual experience. It requires effort by the person who needs to learn to manage the situation and find meaning in life. The aim of the current study was to integrate and synthesize prevailing knowledge of the patient's experiences of recovery after a suicide attempt. Methods: A qualitative meta-ethnography and systematic literature study was based on published empirical research studies that follow (PRISMA) guidelines and was synthesized and exposed to quality assessments. Systematic searches were conducted in databases CINAHL, PsycINFO and PubMed as well as Manual Search. Seven qualitative studies were identified focusing on knowledge of the patient's experiences of recovery after a suicide attempt. Results: The synthesis process of data was analysed in seven stages inspired by Noblit and Hare (1988). Two analytical themes emerged regarding experience of being aware was a crucial factor and experiences of togetherness was necessary for recovery. Four meta-themes emerged that show integrate knowledge of the patient's experiences of how to maintain health after a suicide attempt. Firstly, the suicidal individual needs to think constructively and secondly to release intense emotions that lead to hopelessness. Thirdly, the suicidal individual needs to have the ability to understand the meaning in life and lastly, to strive to establish personal goals to overcome difficulties. Conclusions: The attention of healthcare professionals is required to improve the recovery process for patients after a suicide attempt. It develops a deep understanding of suicidal patients that facilitates changes in suicidal behavior. In this way, the patient strives to continue to live a peaceful life, feel safe and satisfied. Increasing knowledge about how the patient recovers and the desire to become aware related to the experience of togetherness leads to a sense of credibility. A comprehensive picture of the patient's life situation is made clear through their life experience is necessary for suicide prevention.

  • 5.
    Berman, Anne H.
    et al.
    Uppsala Univ, Uppsala, Sweden..
    Kraepelien, Martin
    Karolinska Inst, Stockholm, Sweden..
    Sundstrom, Christopher
    Uppsala Univ, Uppsala, Sweden.;Karolinska Inst, Stockholm, Sweden..
    Molander, Olof
    Karolinska Inst, Stockholm, Sweden..
    Andersson, Claes
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR). Uppsala Univ, Uppsala, Sweden..
    Andersson, Gerhard
    Linköping Univ, Linköping, Sweden..
    Bendtsen, Marcus
    Linköping Univ, Linköping, Sweden..
    Lindfors, Petra
    Stockholm Univ, Stockholm, Sweden..
    Olsson, Erik
    Uppsala Univ, Uppsala, Sweden..
    Strid, Catharina
    Lund Univ, Lund, Sweden..
    Topooco, Naira
    Uppsala Univ, Uppsala, Sweden.;Linköping Univ, Linköping, Sweden..
    Teaching digital mental health treatment in theory and practice: A proof-of-concept pilot and feasibility study2023In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 30, p. S67-S67Article in journal (Other academic)
    Abstract [en]

    Background: Improving relationship dynamics positively impacts both partners’ health among couples. However, few studies have investigated sexual and gender minority (SGM) couples’ relationship goals and their experiences toward achieving them.

    Purpose: The present study investigated SGM couples’ experiences that centered on them working toward or maintaining their relationship goals over time.

    Method: From a cohort study with SGM couples, a purposive sample of 40 couples was selected and interviewed over Zoom. Interviews were individual-level, semi-structured, and recorded. Thematic analysis was used to analyze the transcripts.

    Results: Approximately half of the 40 couples identified as gay male couples, a third as lesbian couples, and about one-fifth as queer or gender minority couples. Top three reported relationship goals were 1) improving communication, 2) working on finances, and 3) enhancing intimacy. Feeling emotionally connected, career-related decisions, and improving sexual satisfaction were other commonly reported goals. Overall, most partners felt they made progress toward at least 1 of their 3 relationship goals within the prior 6 months. However, perceived relationship goal progress varied extensively between partners across couple groups. Facilitator-related themes about relationship goal progress included dyadic efforts, having a support system including professional help, and planning. Barrier-related themes included nonexistent or minimal effort, different communication styles, employment and economical struggles, and competing life and health priorities.

    Conclusion(s): Dyadic efforts and support systems were key toward someone working toward or maintaining their relationships goals. Findings suggest key relationship functioning areas to target in a future multiple health behavior change intervention for SGM couples.

  • 6.
    Ekdahl, S.
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Idvall, Ewa
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Perseius, K. I.
    Red Cross University College, Department of psychiatric nursing, Stockholm, Sweden.
    Family skills training in dialectical behaviour therapy: The experience of the significant others2016In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 33, no S1, p. S210-S210Article in journal (Other academic)
    Abstract [en]

    Introduction

    Borderline personality disorder (BPD) is a severe psychiatric health problem with reputation of being difficult to deal with and to treat. Significant others (SOs) of patients with BPD show higher levels of psychological distress compared with the general population. Strengthening the coping strategies of SOs plays an important role in the recovery of the patient. Support and education for SOs is important, both for SOs themselves and for the patients recovery.

    Objectives

    Research around support and education for SOs is of great importance not only for SOs and patients, but also for psychiatric staff, in order to offer help and support, for the whole family.

    Aim

    The aim was to describe significant others’ experiences of dialectical behaviour therapy-family skills training (DBT-FST), their life situation before and after DBT-FST, and measurement of their levels of anxiety and depressive symptoms.

    Methods

    The study had a descriptive mixed method design. Data were collected with free text questionnaires (n = 44), group interviews (n = 53) and the HAD scale (n = 52) and analysed by qualitative content analysis and descriptive and inferential statistics.

    Results

    The results show that life before DBT-FST was a struggle. DBT-FST gave hope for the future and provided strategies, helpful in daily life. For the subgroup without symptoms of anxiety and depression before DBT-FST, anxiety increased significantly. For the subgroup with symptoms of anxiety and depression the symptoms decreased significantly. This indicates, despite increased anxiety for one group, that DBT-FST is a beneficial intervention and most beneficial for those with the highest anxiety and depressive symptoms.

    Disclosure of interest

    The authors have not supplied their declaration of competing interest.

  • 7.
    Ekdahl, S.
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Idvall, Ewa
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Perseius, Kent-Inge
    Mats, S.
    A life tiptoeing: Being a significant other to persons with borderline personality disorder2016In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 33, no S1, p. S505-S505, article id EV877Article in journal (Other academic)
    Abstract [en]

    Introduction: Borderline Personality Disorder (BPD) is a severe psychiatric health problem with a reputation of being difficult to deal with and to treat. Significant Others (SOs) of patients with BPD show higher levels of psychological distress compared with the general population. Strengthening the coping strategies of SOs has been shown to play an important role in the recovery of the person with psychiatric health problems. Research around SOs of persons with BPD is, to our knowledge, scarce, especially qualitative research exploring their experiences.

    Objective: We believe that if the personnel working in health care and psychiatric care are able to better understand SOs experiences and life situation, it could be an important step toward improved care.

    Aim: The aim of this study was to describe SOs experiences of living close to a person with BPD and their experience of encounter with psychiatric care.

    Methods: Data were collected by free-text questionnaires and group interviews and were analyzed by qualitative content analysis.

    Results and conclusion: The results revealed four categories: a life tiptoeing; powerlessness, guilt, and lifelong grief; feeling left out and abandoned; and lost trust. The first two categories describe the experience of living close to a person with BPD, and the last two categories describe encounter with psychiatric care.

    Disclosure of interest: The authors have not supplied their declaration of competing interest.

  • 8.
    Fernström, Johan
    et al.
    Department of Clinical Sciences Lund, Psychiatry, Faculty of Medicine, Lund University, Lund, Sweden; Office for Psychiatry and Habilitation, Psychiatric Clinic Lund, Region Skåne, Sweden..
    Ohlsson, Lars
    Malmö University, Faculty of Health and Society (HS), Department of Biomedical Science (BMV).
    Asp, Marie
    Department of Clinical Sciences Lund, Psychiatry, Faculty of Medicine, Lund University, Lund, Sweden; Office for Psychiatry and Habilitation, Psychiatric Clinic Lund, Region Skåne, Sweden..
    Lavant, Eva
    Malmö University, Faculty of Health and Society (HS), Department of Biomedical Science (BMV).
    Holck, Amanda
    Department of Clinical Sciences Lund, Psychiatry, Faculty of Medicine, Lund University, Lund, Sweden; Office for Psychiatry and Habilitation, Psychiatric Clinic Lund, Region Skåne, Sweden..
    Grudet, Cécile
    Department of Clinical Sciences Lund, Psychiatry, Faculty of Medicine, Lund University, Lund, Sweden..
    Westrin, Åsa
    Department of Clinical Sciences Lund, Psychiatry, Faculty of Medicine, Lund University, Lund, Sweden.; Office for Psychiatry and Habilitation, Psychiatry Research Skåne, Region Skåne, Sweden..
    Lindqvist, Daniel
    Department of Clinical Sciences Lund, Psychiatry, Faculty of Medicine, Lund University, Lund, Sweden.; Office for Psychiatry and Habilitation, Psychiatry Research Skåne, Region Skåne, Sweden..
    Plasma circulating cell-free mitochondrial DNA in depressive disorders2021In: PLOS ONE, E-ISSN 1932-6203, Vol. 16, no 11, article id e0259591Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Plasma circulating cell-free mitochondrial DNA (ccf-mtDNA) is an immunogenic molecule and a novel biomarker of psychiatric disorders. Some previous studies reported increased levels of ccf-mtDNA in unmedicated depression and recent suicide attempters, while other studies found unchanged or decreased ccf-mtDNA levels in depression. Inconsistent findings across studies may be explained by small sample sizes and between-study variations in somatic and psychiatric co-morbidity or medication status.

    METHODS: We measured plasma ccf-mtDNA in a cohort of 281 patients with depressive disorders and 49 healthy controls. Ninety-three percent of all patients were treated with one or several psychotropic medications. Thirty-six percent had a personality disorder, 13% bipolar disorder. All analyses involving ccf-mtDNA were a priori adjusted for age and sex.

    RESULTS: Mean levels in ccf-mtDNA were significantly different between patients with a current depressive episode (n = 236), remitted depressive episode (n = 45) and healthy controls (n = 49) (f = 8.3, p<0.001). Post-hoc tests revealed that both patients with current (p<0.001) and remitted (p = 0.002) depression had lower ccf-mtDNA compared to controls. Within the depressed group there was a positive correlation between ccf-mtDNA and "inflammatory depression symptoms" (r = 0.15, p = 0.02). We also found that treatment with mood stabilizers lamotrigine, valproic acid or lithium was associated with lower ccf-mtDNA (f = 8.1, p = 0.005).

    DISCUSSION: Decreased plasma ccf-mtDNA in difficult-to-treat depression may be partly explained by concurrent psychotropic medications and co-morbidity. Our findings suggest that ccf-mtDNA may be differentially regulated in different subtypes of depression, and this hypothesis should be pursued in future studies.

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  • 9.
    Gil, D.
    et al.
    Department of Computing Technology and Data Processing, University of Alicante, Alicante, Spain.
    Johnsson, Magnus
    Malmö University, Faculty of Technology and Society (TS), Department of Computer Science and Media Technology (DVMT).
    Szymanski, J.
    Department of Computer Systems Architecture, Gdansk University of Technology, Gdansk, Poland.
    Peral, J.
    Department of Languages and Computing Systems, University of Alicante, Alicante, Spain.
    Tanniru, M.
    College of Public Health, University of Arizona, Phoenix, USA; Henry Ford Health System, Detroit, USA.
    Architecture Based on Machine Learning Techniques and Data Mining for Prediction of Indicators in the Diagnosis and Intervention of Autistic Spectrum Disorder2021In: Research and Innovation Forum 2021: Managing Continuity, Innovation, and Change in the Post-Covid World: Technology, Politics and Society / [ed] Anna Visvizi, Orlando Troisi, Kawther Saeedi, Springer, 2021, p. 133-140Conference paper (Refereed)
    Abstract [en]

    In the complex study to obtain indicators in the autism spectrum disorder it is very common to perform many and very complex tasks. Often, these tasks require the completion of a series of forms and surveys that are even more complex and tedious, which means that the accuracy of the reports is not always satisfactory. In this paper, we propose a general architecture based on machine learning techniques and data mining for prediction of the main indicators in the diagnosis and intervention of the autistic spectrum disorder. The main idea of this approach is to replace those print documents by mobile tests, tablet or smartphones tests through games, store them in databases and analyse them. Furthermore, very often these last two steps are not undertaken with the lack of quantitative and qualitative analysis that could be generated. Finally, the presented architecture is oriented to data collection with the objective of the creation of large specialized datasets. © 2021, The Author(s), under exclusive license to Springer Nature Switzerland AG.

  • 10.
    Gremyr, Andreas
    et al.
    Department of Psychotic Disorders, Sahlgrenska University, Hospital, Sahlgrenska Universitetssjukhuset Psykiatri Psykos, Göteborgsvägen 31, 431 80, Mölndal, Sweden; Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Barnarpsgatan 39, 55111, Jönköping, Sweden..
    Holmberg, Christopher
    Department of Psychotic Disorders, Sahlgrenska University, Hospital, Sahlgrenska Universitetssjukhuset Psykiatri Psykos, Göteborgsvägen 31, 431 80, Mölndal, Sweden; Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Barnarpsgatan 39, 55111, Jönköping, Sweden..
    Thor, Johan
    Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Barnarpsgatan 39, 55111, Jönköping, Sweden..
    Malm, Ulf
    Sahlgrenska Academy at Gothenburg University, Institute of Neuroscience and Physiology, Box 400, 40530, Göteborg, Sweden..
    Gäre, Boel Andersson
    Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Barnarpsgatan 39, 55111, Jönköping, Sweden; Futurum Academy for Health and Care, Region Jönköping County, Jönköping, Sweden.
    Andersson, Ann-Christine
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Barnarpsgatan 39, 55111, Jönköping, Sweden..
    How a point-of-care dashboard facilitates co-production of health care and health for and with individuals with psychotic disorders: a mixed-methods case study2022In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 22, no 1, p. 1599-, article id 1599Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Individuals with psychotic disorders experience widespread treatment failures and risk early death. Sweden's largest department specializing in psychotic disorders sought to improve patients' health by developing a point-of-care dashboard to support joint planning and co-production of care. The dashboard was tested for 18 months and included more than 400 patients at two outpatient clinics.

    METHODS: This study evaluates the dashboard by addressing two questions: 1) Can differences in health-related outcome measures be attributed to the use of the dashboard? 2) How did the case managers experience the accessibility, use, and usefulness of the dashboard for co-producing care with individuals with psychotic disorders? This mixed-method case study used both Patient-Reported Outcome Measures (PROM) and data from a focus group interview with case managers. Data collection and analysis were framed by the Clinical Adoption Meta Model (CAMM) phases: i) accessibility, ii) system use, iii) behavior, and iv) clinical outcomes. The PROM used was the 12-item World Health Organization Disability Assessment Schedule (WHODAS 2.0), which assesses functional impairment and disability. Patients at clinics using the dashboard were matched with patients at clinics not using the dashboard. PROM data were compared using non-parametric statistics due to skewness in distribution. The focus group included five case managers who had experience using the dashboard with patients.

    RESULTS: Compared to patients from clinics that did not use the dashboard, patients from clinics that did use the dashboard improved significantly overall (p = 0.045) and in the domain self-care (p = 0.041). Focus group participants reported that the dashboard supported data feedback-informed care and a proactive stance related to changes in patients' health. The dashboard helped users identify critical changes and enabled joint planning and evaluation.

    CONCLUSION: Dashboard use was related to better patient health (WHODAS scores) when compared with matched patients from clinics that did not use the dashboard. In addition, case managers had a positive experience using the dashboard. Dashboard use might have lowered the risk for missing critical changes in patients' health while increasing the ability to proactively address needs. Future studies should investigate how to enhance patient co-production through use of supportive technologies.

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  • 11. Gustafsson, P
    et al.
    Thernlund, G
    Besjakov, J
    Karlsson, MK
    Ericsson, Ingegerd
    Malmö högskola, School of Teacher Education (LUT), Sport Sciences (IDV).
    Svedin, CG
    ADHD symptoms and maturity: a study in a group of primary school children2008In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 97, no 2, p. 233-238Article in journal (Refereed)
  • 12.
    Hallberg, Ulrika
    et al.
    Malmö University, Faculty of Odontology (OD).
    Klingberg, Gunilla
    Malmö University, Faculty of Odontology (OD).
    Children with Special Needs: An Overview of Knowledge on Disability2023 (ed. 1)Book (Other academic)
    Abstract [en]

    There can be a lack of understanding of the vulnerable situation of children with disabilities and their families, even among professional caregivers whose mission is to protect the health and wellbeing of these children. Their respectful treatment should include knowledge, empathy, humanity, and an open and sympathetic dialogue. This book provides an overview of knowledge and literature review of children and adolescents with special care needs that contribute to the respect and understanding of children with disabilities and their families. It also explains possible reasons for different outcomes in research studies and why there is a lack of knowledge in some areas concerning these children. 

    Research on children with disabilities is considerable but often can be difficult to access on many levels, which means it does not always benefit those who need this knowledge. This compact book addresses this by presenting the international research in the field in an understandable way for people who work with children with disabilities and their families. The authors provide a broad picture of the background, reality of life, opportunities for professional help and support, as well as outlook of these children and families. Among the topics covered:

    • The Health and Well-being of Children with Disabilities
    • The Health and Well-being of Relatives
    • Occupation
    • On the Road to Adulthood

    Children with Special Needs: An Overview of Knowledge on Disability is pertinent reading for students in all areas of health care (including nursing and psychology), social work, sociology, and education aimed at children and young people. The text also would be of interest to those who practice in these areas and/or encounter children with disabilities in their daily work.

  • 13.
    Henriksen, Mads Gram
    et al.
    Univ Copenhagen, Ctr Subject Res, Dept Commun, Karen Blixens Plads 8, DK-2300 Copenhagen, Denmark.;Amager, Mental Hlth Ctr, Gl Kongevej 33, DK-1610 Copenhagen, Denmark.;Mental Hlth Ctr Glostrup, Brondbyostervej 160, DK-2605 Brondby, Denmark..
    Englander, Magnus
    Malmö University, Faculty of Health and Society (HS), Department of Social Work (SA).
    Nordgaard, Julie
    Amager, Mental Hlth Ctr, Gl Kongevej 33, DK-1610 Copenhagen, Denmark.;Univ Copenhagen, Fac Hlth & Med Sci, Copenhagen, Denmark..
    Methods of data collection in psychopathology: the role of semi-structured, phenomenological interviews2021In: Phenomenology and the Cognitive Sciences, ISSN 1568-7759, E-ISSN 1572-8676, Vol. 21, p. 9-30Article in journal (Refereed)
    Abstract [en]

    Research in psychopathology is booming in an unprecedented way, at least, in terms of increasing number of publications. Yet, a few questions arise: Does quantity also give us quality? Are the collected data generally of sound quality? How are data typically collected in psychopathology? Are the applied methods of data collection appropriate for this particular field of study? This article explores three different methods of data collection in psychopathology, namely self-rating scales, structured interviews, and semi-structured, phenomenological interviews. To identify the most adequate methodological approach, we first establish the nature of the object of psychopathology and then we critically assess each method’s appropriateness to this field of study. We emphasize fundamental issues that make self-rating scales and structured interviews unfit for the task of adequately examining psychopathology. By contrast, we propose that a semi-structured, phenomenological interview presents a more appropriate method. Finally, we describe two types of semi-structured, phenomenological interviews that can be applied to assess and explore psychopathology, respectively.

  • 14. Hooper, Samuel
    Is Sharing Caring? TikTok and Mental Health Videos: Content Analysis and Interview-Based Study2022Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This degree project is particularly interested in how people with mental health difficulties use the social media platform TikTok to share their experiences. It aims to contribute to meaningful conversations about the role of social media concerning mental health awareness and the effectiveness of social media for social change. A qualitative content analysis methodology is applied to 50 TikTok videos shared under the TikTok hashtag #mentalhealthuk to determine how people share their experiences. In addition, four semistructured interviews were conducted with video creators sharing content on #mentalhealthuk. The theoretical lens through which this study looks is Media for Development (M4D) and the importance of Voice for development. In addition, there is a special focus on storytelling and performativity in the digital realm. The findings from this study reveal that TikTok has been an effective site for the recovery process of people dealing with metal health difficulties, because it provided a source of connectedness and room for creative expression. However, the findings also reveal the restraints TikTok users face when using social media to share genuine experiences, and the negative effects, for example cyber bullying, had on their mental health.      

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  • 15.
    Khalili, Sandra
    Malmö University, Malmö University Library.
    ADHD hos flickor: En litteraturstudie kring dess symtom och psykosociala effekter2021Independent thesis Basic level (degree of Bachelor), 30 credits / 45 HE creditsStudent thesis
    Abstract [en]

    ADHD is one of the most common diagnoses in children and adolescents. For many years, researchers believed that ADHD only affected boys, which led to research being conducted only on boys and men. Recent research has shown, however, that girls are also diagnosed and that it can instead show up in several different ways. Girls showed more often introverted symptoms, while boys more often expressed extroverted symptoms. Previous research shows that girls more often have a comorbidity with depression and anxiety and try to hide their ADHD diagnosis to a greater extent than boys. The purpose of this essay was to increase knowledge about girls' ADHD symptoms and the psychosocial effects that follow. To answer the purpose, a literature study was used where a number of articles were reviewed and compiled. The results of the study indicated insufficient knowledge about girls with ADHD as well as symptoms, treatment and its psychosocial effects. Teachers and other professions had limited knowledge about ADHD and more often recognized stereotypical symptoms that are more prevalent in boys. One can therefore come to the conclusion that girls' symptoms are often overlooked and not always taken as seriously. From a feminist perspective, it can be seen as a phenomenon based on the power structures we live under, which has often become an integral part of our identity. 

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  • 16. Kjellin, Lars
    et al.
    Östman, Margareta
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Relatives of psychiatric inpatients: do physical violence and suicide attempts of patients influence family burden and participation in care?2005In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 59, no 1, p. 7-11Article in journal (Refereed)
  • 17. Leufstadius, Christel
    et al.
    Erlandsson, Lena-Karin
    Björkman, Tommy
    Eklund, Mona
    Malmö högskola, Faculty of Health and Society (HS).
    Meaningfulness in daily occupations among individuals with persistent mental illness2008In: Journal of Occupational Science, ISSN 1442-7591, E-ISSN 2158-1576, Vol. 15, p. 27-35Article in journal (Refereed)
    Abstract [en]

    This study investigated how people with persistent mental illness who work or study, attend a community‐based activity centre or have no regular activities, experience and describe the meaningfulness of their daily occupations. Data were gathered from 102 randomly selected individuals who were interviewed regarding their daily occupations and perceived meaningfulness using a ‘yesterday activity diary’. Content analysis revealed five main themes of meaningfulness: 1) Connection with others and the world around them, 2) Enjoyment and fun in life, 3) Being productive and having a sense of achievement, 4) Being occupied and having routines and projects in the stream of time and 5) Taking care of oneself to maintain health. Their connections, enjoyment and fun, and taking care of oneself were the aspects of meaningfulness that occurred most frequently. Participants who worked or studied more frequently identified connections, and made fewer statements about taking care of their health. The findings contribute to the knowledge of perceived meaningfulness in daily occupation, showing that despite different occupational structures and settings, all themes of meaningfulness were represented in the three groups. Thus, people with persistent mental illness create and find meaning within their daily occupations, although the occupations that generate these aspects of meaningfulness may differ. 

  • 18.
    Lindqvist, Daniel
    et al.
    Department of Clinical Sciences Lund, Psychiatry, Faculty of Medicine, Lund University, Lund, Sweden; Office for Psychiatry and Habilitation, Psychiatry Research Skåne, Lund, Sweden.
    Furmark, Tomas
    Department of Psychology, Uppsala University, Uppsala, Sweden.
    Lavebratt, Catharina
    Department of Molecular Medicine and Surgery, Karolinska Institutet, and Center for Molecular Medicine, Karolinska University Hospital, Stockholm, Sweden.
    Ohlsson, Lars
    Malmö University, Faculty of Health and Society (HS), Department of Biomedical Science (BMV).
    Månsson, Kristoffer N T
    Center for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
    Plasma circulating cell-free mitochondrial DNA in social anxiety disorder2022In: Psychoneuroendocrinology, ISSN 0306-4530, E-ISSN 1873-3360, Vol. 148, article id 106001Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To investigate plasma levels of circulating cell-free mitochondrial DNA (ccf-mtDNA) in patients with social anxiety disorder (SAD) and healthy controls (HC).

    METHODS: In this study, 88 participants (46 patients with SAD and 42 HCs) were enrolled and both ccf-mtDNA and peripheral blood mononuclear cells (PBMC) mtDNA copy number (mtDNA-cn) were measured at up to three times per individual (9-11 weeks apart). SAD patients also received cognitive behavioral therapy (CBT) between the second and third time-point.

    RESULTS: SAD patients had significantly lower ccf-mtDNA compared to HCs at all time points, but ccf-mtDNA did not change significantly after CBT, and was not associated with severity of anxiety symptoms. Plasma ccf-mtDNA did not significantly correlate with PBMC mtDNA-cn in patients.

    CONCLUSION: This is the first report of lower ccf-mtDNA in patients with an anxiety disorder. Our findings could reflect a more chronic illness course in SAD patients with prolonged periods of psychological stress leading to decreased levels of ccf-mtDNA, but future longitudinal studies are needed to confirm or refute this hypothesis.

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  • 19.
    Lockman-Lundgren, Klara
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Att våga fråga - Om identifiering av våldsutsatthet hos kvinnliga patienter i psykiatrisk vård: Empirisk kvalitativ intervjustudie2022Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Domestic violence is a wide-spread public health issue affecting women’s quality of life and general health. Women are more affected by domestic violence by a male partner. Research indicates that one out of every three women seeking psychiatric care has been a victim of domestic violence during her life. Therefore, nurses working with psychiatric care play an important role in identifying women who have been exposed to violence. Aim: The aim of the study has been to highlight the experiences of nurses working in a psychiatric context in identifying women who have been abused by a partner, previously or at present. Method: The study is a qualitative interview-based study with eight participants carried out with semi-structured interview questions. Subsequently, the data has undergone analysis based on Burnard’s (1996) model of contextual analysis. Results: Among the nurses interviewed, there is a wide range of knowledge and experiences in identifying, supporting, and communicating with women who have been exposed to domestic violence. The study shows that psychiatric care nurses rarely ask female patients about experiences of violence, and therefore only seldomly identify victims of abuse. A trusting relationship between the nurse and patient was furthermore shown to be an important part of the work with identifying abused women and communicating with them about their experiences. However, nurses within psychiatric care rarely have the time necessary for building trusting relationships with their patients. The work they do to identify and support abused women was also described to lack routine, which according to the interviewees is crucial to provide good healthcare. Also, the nurses interviewed expressed a lack of support in their work with identification and support of women exposed to violence – an aspect pointed out as important in carrying out their work. Conclusion: The study shows that nurses working in psychiatry expressively need more knowledge, support, routine, and time to maintain a high level of psychiatric care when treating women who have been exposed to violence by a male partner.

  • 20.
    Lundberg, Chris
    et al.
    Malmö University, Faculty of Health and Society (HS).
    Kataja, Fredrik
    Malmö University, Faculty of Health and Society (HS).
    Socialpsykiatrins tillblivelse och fortlevnad: Att lära av historien kring vårdbemötande2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background. Prior to the undertaking of radical changes in Swedish psychiatry, various psychological theories permeated mental healthcare that would subsequently become essential components at the very heart of the “care-cultural revolution.” This subsequently resulted in the creation of Swedish social psychiatry through which trial establishments’ well-functioning praxis and knowledge have, so it seems, been forgotten over the years.

    Method. How, when and why has it gone from the fact that the caregiver/client-relationship has previously been considered as “good” to in these days feel as though it has become “dehumanized”? How was this relationship in the past, how is it as of today, and how can it be made better for the future? In order to answer this, a closer look, through manifest qualitative content analysis with conventional (inductive) approach, is taken on Swedish health care throughout the 1960s–1980s as well as an elaborate deep dive down into the “new psychiatry” of the 1970s and social psychiatric trial establishments.

    Result. The paths to the formation of a care-ensuring relationship between caregiver and client are found within caregivers’ attitude and approach towards their clients. What is required is a trusting atmosphere and that both parties maintain continuous contact (Gustafsson, 2010) wherein time provides good conditions in the formation of functional and developing alliances (Topor & Denhov, 2012). In order for user influence to function during preventive work, in line with addressing clients’ problems as much as possible, a crisis psychotherapeutic approach and knowledge of mental crisis is required through which genuine presence is achi-eved (Cullberg, 1974). Research also clearly shows that what is needed during care meetings is genuine presence, compassionate understanding, and straightforward communication: not only to see the person, but also to understand what this particular crisis means for this particular individual as well as that his or her behavior in itself and what is not being expressed says so much more than words can ever describe.

    Conclusion. Empirical data suggests that current research remarks on what works well and less well, if not at all, in relation to care treatment is certainly good. But what about the pioneers of Nordic social psychiatry like Berggren, Cullberg, and Haugsgjerd? Current research refers to neither and their legacies seem to have been forgotten. So, what about all the know-ledge and insight that was acquired and incorporated in previous experimental activities such as Cullberg's crisis theory and crisis psychotherapy? Current research refers, likewise, to neither and everything seems to have gone down the drain. What is clear, however, is that their visions were applied with very good results in, amongst other things, the Nacka Project as well as that said theory and psychotherapy seem to have faded away following the trial establishment’s closure. Psychology and psychiatry, ultimately, move in a borderland between science and the humanities wherein they, in conjunction with the code of ethics that all treatment is to be based on “science and proven experience,” coexist in line with fumble attempts to capture life’s complexities. But where exactly should the line be drawn between “scientific professionalism” and “personal insight” when meeting someone with mental ill-health, a fellow human being in a mental crisis?

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  • 21.
    Manderius, Charlotta
    et al.
    Psychiatric assessment unit, adult psychiatry, Region Skane, Helsingborg, Sweden.
    Clintståhl, Kristofer
    Psychiatric psychosis unit, adult psychiatry, Region Skane, Helsingborg, Sweden.
    Sjöström, Karin
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Örmon, Karin
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Regionhälsan, The Västra Götaland Competence Centre on Intimate Partner Violence, Gothenburg, Sweden.
    The psychiatric mental health nurse's ethical considerations regarding the use of coercive measures: a qualitative interview study2023In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 22, no 1, article id 23Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: In psychiatric inpatient care, situations arise where it may be necessary to use coercive measures and thereby restrict individual autonomy. The ethical principles of healthcare, i.e., respect for autonomy, beneficence, nonmaleficence, and justice, are recognized as central aspects in healthcare practice, and nurses must be clear about which ethical theories and principles to prioritize and what values are needed for a thorough ethical consideration. The aim of this study is to shed light on psychiatric mental health nurses' ethical considerations and on the factors influencing them when performing coercive measures.

    METHODS: This qualitative interview study included twelve psychiatric mental health nurses with experience from psychiatric inpatient care. A content analysis was made. The interviews were audio recorded and transcribed verbatim, and categories were formulated.

    RESULTS: The study revealed a duality that created two categories: Ethical considerations that promote the patient's autonomy and health and Obstacles to ethical considerations. Based on this duality, ethical considerations were made when performing coercive measures to alleviate suffering and promote health. The result shows a high level of ethical awareness in clinical work. However, a request emerged for more theoretical knowledge about ethical concepts that could be implemented among the staff.

    CONCLUSION: The psychiatric mental health nurses in this study strive to do what is best for the patient, to respect the patient's autonomy as a guiding principle in all ethical considerations, and to avoid coercive measures. An organizational ethical awareness could increase the understanding of the difficult ethical considerations that nurses face with regard to minimizing the use of coercive measures in the long run.

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  • 22.
    Medoc, Albin
    et al.
    Malmö University, Faculty of Technology and Society (TS), Department of Computer Science and Media Technology (DVMT).
    Subasic, Daniel
    Malmö University, Faculty of Technology and Society (TS), Department of Computer Science and Media Technology (DVMT).
    An optimization model for the placement of psychiatric emergency units: The case of Region Skåne2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Mental illness is a major problem in today's society and many individuals have experienced a mental health problem. Severe mental illness, such as schizophrenia, bipolar disorder, and major depression, is also relatively common, and mental illness can even lead to a person taking their own life. For individuals who have such destructive thoughts, quick access to care and proper evaluation and treatment is crucial. Therefore, the value of acquiring a special ambulance with a focus on psychiatric care has been identified. However, to utilize these special ambulances to their full potential, it is important that they are placed at optimal locations.

            We propose an optimization model that aims to identify optimal locations for psychiatric emergency units in a specific geographical region. A collaboration with Region Skåne allowed us to use real data, and thus perform a scenario study to evaluate the optimization model. In our scenario study, we used our model to identify the optimal placements of one, two, and three psychiatric ambulances based on population and risk probability, respectively. The results from the scenario study show that the optimal location for a certain area can vary depending on which perspective is chosen. It is therefore important to have clear and well-thought-out goals for the placement of special ambulances. 

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  • 23.
    Mejias Nihlén, Theodor
    Malmö University, Centre for Sexology and Sexuality Studies (CSS).
    A Feasibility Study of a CBT-group Treatment for Hypersexual Disorder in Women2021Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    The purpose of this thesis was to investigate the feasibility of a treatment for hypersexual disorder (HD) by calculating and reporting the results with pre-collected data from a research project at ANOVA/Karolinska Universitetssjukhuset. The treatment was a cognitive behavioral group therapy (CBGT) developed for HD administered in a 7-session group setting with a sample of HD-diagnosed women (n = 16). Feasibility was explored through symptom change of hypersexuality, sexual compulsivity, psychological distress, and depression. Symptom change in relationship to treatment attendance was also explored. In this thesis, the results are considered in a broader context, discussing theoretical issues concerning women’s sexuality in relation to hypersexual problems and medicalization of hypersexual behaviors.

     

    The treatment was shown to be feasible. Significant decrease was found on all measures. Attendance rate significantly correlated with a decrease in depressive symptoms, but not on other measures. Women’s sexuality might differ from men’s, but the treatment, which was first evaluated for men, is still feasible for women. Treatment for hypersexual problems in women and hypersexual problems in women in general have been understudied, which makes this study an important contribution to the research field. Further treatment studies could potentially investigate whether specific alterations based on gender and sexual orientation could be needed for further development of the treatment. There are issues concerning medicalization of hypersexual behaviors which should be considered when addressing the phenomenon, such as the influence of moral and cultural factors on the understanding of hypersexuality. Still, there is need for treatment for hypersexual behaviors experienced as problematic, and having these problems addressed within the medical and scientific field has potential for being beneficial and is preferred to having them left to alternative, unregulated health care providers.

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  • 24.
    Petersson Bloom, Linda
    Malmö University, Faculty of Education and Society (LS), Department of School Development and Leadership (SOL).
    Professional Development for Enhancing Autism Spectrum Disorder Awareness in Preschool Professionals2021In: Journal of autism and developmental disorders, ISSN 0162-3257, E-ISSN 1573-3432, Vol. 51, p. 950-960Article in journal (Refereed)
    Abstract [en]

    The current study describes the design, implementation, and analysis of a professional development programme using a Lesson Study model to enhance awareness in preschool professionals regarding inclusive education for children with autism spectrum disorder. The mixed method approach included pre- and post-intervention questionnaires, audio-recordings of group seminars, and an interview. The results indicated an increase in autism awareness among the professionals, suggesting that professionals changed their practice as a result of the programme. This was particularly clear regarding making adjustments to the learning environment and taking measures to prevent challenging situations. In addition to describing the implementation of a professional development programme in a preschool, this paper emphasises the importance of appropriate conditions for such initiatives.

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  • 25.
    Poon, Max
    et al.
    Malmö University, Faculty of Health and Society (HS).
    Ljung, Peter
    Malmö University, Faculty of Health and Society (HS).
    JÄMFÖRELSE MELLAN KBT OCH FENOMENOLOGI: I SYNEN PÅ ÅTERHÄMTNING2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study is to compare CBT (Cognitive behavioral therapy) and phenomenology through a recovery-oriented perspective. Recovery stands for an individual process, which can be seen in contrary to the more traditional view of being cured or symptom free, regarding mental illness. Instead of being cured for example, recovery emphasizes the process of constituting a new life, partially through a social community. A cornerstone in recovery is hence the practitioner’s ability to support its client, through her individual needs. CBT is relevant within the field of social psychiatry, since it is a well-implemented method of treatment. It mainly aims towards achieving a change of behavior, by addressing cognitive patterns. Phenomenology constitutes an acknowledged philosophical method in this field, but differs in the sense of not standing on a methodological base, as CBT. In this aspect lays the interest of comparing these methods through a common phenomenon, such as recovery. This comparison has resulted in a basic disparity between the two methods, predominantly regarding the view of the practitioner’s role and approach, as well as the perception of progress as measurable. The practitioner’s role, through a phenomenological perspective, features the ability to approach its client in a flexible and neutral manner, in opposition to a CBT-oriented practitioner, which advocates a more active and concerned approach. Regarding the clients progress as measurable, the phenomenological standpoint differs in comparison to CBT, through the perception of progress as being partly non-visible or noticeable but despite that meaningful.

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  • 26.
    Porter, Susann
    et al.
    Lunds universitet .
    Bejerholm, Ulrika
    The effect of individual enabling and support on empowerment and depression severity in persons with affective disorders: outcome of a randomized control trial2018In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 72, no 04, p. 259-267Article in journal (Refereed)
    Abstract [en]

    Purpose:  To evaluate the effect of Individual Enabling and Support (IES) on empowerment and depression severity as compared to Traditional Vocational Rehabilitation (TVR) in people with affective disorders at 12 months follow-up. Additionally, longitudinal changes within the intervention groups and the correlation over time between empowerment and depression severity were evaluated.

    Method:  A single-blind randomized controlled trial of two intervention groups, IES (n = 33) and TVR (n = 28), was performed with measurement points at baseline, 6, and 12 months. Individuals with affective disorders, including depression and bipolar disorder diagnoses were included. The Empowerment Scale and Montgomery-Åsberg Depression Self-Rating Scale were administered, and Intention-To-Treat analysis was applied. The study was registered with the trial number ISRCTN93470551.

    Result:  There was a statistically significant difference between the intervention groups on empowerment and depression severity at 12 months. Within-group analysis showed that IES-participants increased their perceived empowerment and decreased their depression severity between measurement points, this was not seen among TVR-participants. A moderate, inverse relationship was detected between empowerment and depression.

    Conclusion:  IES is more effective in increasing empowerment and decreasing depression severity after a 12-month intervention than is TVR. This study was limited by a small sample size and larger trials in different contexts are needed.  Keywords:  Depression; bipolar disorder; return-to-work; supported employment; vocational rehabilitation.

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  • 27. Ryttersund, Anna
    et al.
    Sjögran, Lotta
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Englander, Magnus
    Malmö University, Faculty of Health and Society (HS), Department of Social Work (SA).
    Återhämtning från psykisk ohälsa i en professionell psykiatrisk omvårdnadskontext: en fenomenologisk studie2020In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 97, no 2, p. 303-313Article in journal (Refereed)
    Abstract [sv]

    Syftet var att avtäcka innebörden av patienters återhämtning från psykisk ohälsa utifrån en psykiatrisk professionell omvårdnadskontext. Forskningsdesignen som användes var fenomenologisk kvalitativ metod med djupintervjuer. Resultatet presenteras i en struktur sammansatt av tre konstituenter: 1) Förståelsen att återhämtning tar tid och är en del av patientens hela liv och berättelse, 2) fokus på att stödja patienten i riktning mot återhämtning samt 3) målet att först och främst arbeta med patientens självuppfattning och identitet. Resultatet är förenligt med det som i forskning anses främja återhämtningen för patienter inom den psykiatriska vården. Resultatet överensstämmer även med den personcentrerade vården och omvårdnadsmodellen The Tidal Model. Resultaten pekar således på arbetssätt som kan ingå i sjuksköterskans återhämtningsinriktade arbete i den psykiatriska vården.

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  • 28.
    Sjögran, Lotta
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Våldsutsatthet hos män i psykiatrisk vård2023In: Psyche : psykiatrisk vårdtidskrift, ISSN 0283-3468, no 3, p. 16-17Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    I den här artikeln sammanfattar doktoranden och specialistsjuksköterskan Lotta Sjögran en vetenskaplig studie som publicerades våren 2023. Resultatet av studien visar att våldserfarenhet är vanlig bland män som söker allmänpsykiatrisk vård eller beroendevård.

  • 29. Strid, Catharina
    et al.
    Lundh, Lars-Gunnar
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Ojehagen, Agneta
    Psychometric properties of the Swedish version of the Outcome Questionnaire-45 as administered by automated technique in a large sample of mental ill-health patients in Primary Health Care2014In: European Journal of Psychiatry, ISSN 0213-6163, E-ISSN 2340-4469, Vol. 28, no 4, p. 242-251Article in journal (Refereed)
    Abstract [en]

    Background and Objectives: Mental health problems are common in Primary Health care and clinicians require valid and reliable instruments to make good treatment plans for these patients. The Outcome Questionnaire-45 (OQ-45) was developed by Lambert and colleagues in order to help improve outcomes of treatment. The aims of this study were to examine the psychometric properties of the Swedish version of OQ-45 when administered by an automated technique and to evaluate if the OQ-45 uniquely could contribute to the description of the patients' difficulties and needs beyond demographic characteristics and other instruments. Methods: The study comprised 816 patients with mental ill-health taking part in a large randomized controlled trial, Regassa. The OQ-45 data were collected by Interactive Voice Response IVR, a computerized, automated telephone technique. The OQ-45 consists of 45 items summarized in a total score and in three subscales; Symptoms of distress, SD, Interpersonal relations, IR, and Social role functioning, SR. Depression was measured by MADRS and health-related quality of life by EQ-5D. Results: The OQ-45 total score showed good psychometric properties, but there was little support for its three factor structure. The OQ-45 significantly predicted level of depression and health-related quality of life in patients. Conclusions: The OQ-45 contributed uniquely to the description of the patients problems. The results indicate that the total score of the Swedish version of OQ-45 can be valuable to use for clinicians in the field.

  • 30.
    Strömberg Winnerdalen, Åsa
    et al.
    Malmö University, Faculty of Health and Society (HS).
    Olsson, Moa
    Malmö University, Faculty of Health and Society (HS).
    I skuggan av ADHD: ADHD diagnosen ur ett kvinnoperspektiv2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study has been to investigate how women experience and describe their ADHD symptoms. Furthermore, a closer examination is made of the possible consequences of an undiagnosed or established ADHD diagnosis for women. The method used for the study has consisted of producing a mapping literature review with the support of scientific articles and journals. The results of the collected empirical evidence indicate a number of distinctive consequences. These could be linked to failed schooling, difficulties in social relationships, comorbidity and an increased vulnerability to risky behavior and drug abuse. The conclusion of the study is that women tend to be negatively affected by their ADHD symptoms to a greater extent than men and experience negative consequences in several of life's arenas. One of the most important factors that can be linked to the consequences of the diagnosis is described as the fact that they are women.

  • 31.
    Sunnqvist, Charlotta
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Rämgård, Margareta
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Örmon, Karin
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Time Geography, a Method in Psychiatric Nursing Care2020In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 41, no 11, p. 1004-1010Article in journal (Refereed)
    Abstract [en]

    Patients' life history is of primary interest in psychiatric nursing care. Our aim was to illustrate how we used time geography as a method to identify individuals' patterns in relation to certain situations in place. We have used interviews and diaries to construct life charts by hand and with a computer software program. By using time geography, we provide a rich amount of information, which can generate a broader picture of a person's life, to identify stressful as well as social aspects of a person's life. Patients with mental ill health need and value the therapeutic relationship using time geography.

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  • 32.
    Sunnqvist, Charlotta
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sjögran, Lotta
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Mårdhed, Emma
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Tidsgeografiska livslinjer, en metod för psykiatrisk omvårdnad2023In: Psyche : psykiatrisk vårdtidskrift, ISSN 0283-3468, no 1, p. 18-19Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Att skapa livslinjer för patienter i olika sammanhang är för många av oss ganska välbekant, men vad innebär tidsgeografiska livslinjer? Hur kan dessa användas av specialistsjuksköterskan i den psykiatriska omvårdnaden? I denna artikel berättar författarna om en narrativ omvårdnadsmetod som kan hjälpa till att skapa en helhetsbild av patientens livsförlopp och stärka den personcentrerade vården.

  • 33.
    Svensson, Robert
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Shannon, David
    Immigrant background and crime among young people: An examination of the importance of delinquent friends based on national self-report data2021In: Youth & society, ISSN 0044-118X, E-ISSN 1552-8499, Vol. 53, no 8, p. 1335-1355Article in journal (Refereed)
    Abstract [en]

    In this article we examine whether different agents of socialization—family, school, and peers—are differentially associated with offending among different immigrant groups. Our expectation is to find that the association between delinquent friends and offending is stronger for first- and second-generation immigrants than for youths of native Swedish background. We use data from four nationally representative self-report studies of 21,504 adolescents with an average age of 15 years in Sweden. The results show that both first- and second-generation immigrants report committing more offenses than natives. The association is rather weak and the two predictors account for only a marginal amount of the variance in total offending. The results also show that the association between delinquent friends and offending is stronger for both first- and second-generation immigrants than for natives.

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  • 34.
    Vasiljevic, Zoran
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Ojehagen, Agneta
    Andersson, Claes
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Incremental validity of ambulatory assessment of acute dynamic risk in predicting time to recidivism among prisoners on parole2020In: Psychology, Crime and Law, ISSN 1068-316X, E-ISSN 1477-2744, Vol. 26, no 6, p. 614-630Article in journal (Refereed)
    Abstract [en]

    This study investigates the incremental validity of changes in ten stress-related acute dynamic risk factors, collected through automated telephony over 30 consecutive days following parole, for predicting time to recidivism during the following year. Before release, the participants completed self-report assessment of some stable risk factors - impulsiveness and history of problematic substance use - as well as an assessment of symptoms of anxiety experienced during the weeks prior to release. Analysis of the baseline assessments showed that impulsiveness and a history of problematic substance use, but not pre-release symptoms of anxiety, were associated with recidivism during the parole year. Growth modelling using a linear mixed model was used to assess whether inmates on parole showed changes in acute dynamic risk factors during the first month following release. Individual growth model slopes and intercept were then extracted and used as covariates in a series of Cox regression analyses to test whether changes in acute dynamic risk factors could provide incremental predictive validity beyond baseline stable risk factors. Changes in five dynamic risk factors were associated with an increased risk of recidivism, of which daily drug use and daily summary score showed incremental predictive improvement beyond impulsiveness and history of problematic drug use.

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  • 35.
    Wangel, Anne-Marie
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden.
    Persson, Karin
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Duerlund, Sara
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Fhager, Johan
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Mårdhed, Emma
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sjögran, Lotta
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sjöström, Karin
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Glantz, Andreas
    Department of Nursing, Faculty of Medicine, Umeå University, Umeå, Sweden.
    Örmon, Karin
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Götaland Region Competence Centre on Intimate Partner Violence, Gothenburg, Sweden.
    Sunnqvist, Charlotta
    The Region Skåne Committee on Psychiatry, Habilitation and Technical Aids, Lund, Sweden;Department of Clinical Sciences Psychiatry, Lund University, Lund, Sweden.
    The Core Elements of Psychiatric and Mental Health Nursing: Time, Honest Engagement, Therapeutic Relations, Professional Nursing and Lifetime-Perspective2024In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, p. 1-10Article, review/survey (Refereed)
    Abstract [en]

    Defining psychiatric and mental health nursing has been a challenge for decades, and it is still difficult to find a comprehensive definition. We have identified a possibility to clarify psychiatric and mental health nursing based on humanistic philosophy in a general psychiatric care context. The aim was therefore to identify and synthesize the theoretical frameworks from which psychiatric and mental health nursing models are developed. We systematically collected and evaluated articles based on Grounded Theory (GT) methodology regarding psychiatric or mental health nursing. The PRISMA statement for systematic reviews was used and the formal process of synthesis, as a three-step process of identifying first -, second - and third-order themes following the examples of Howell Major and Savin-Baden. The synthesis resulted in a model describing five core elements of psychiatric and mental health nursing: 'professional nursing', 'therapeutic relationships' and 'honest engagement', with time as the all-encompassing theme, including the patients' 'lifetime perspective'. Psychiatric and mental health nursing is a caring support towards recovery, where the patient's lifetime perspective must be in focus during the caring process with a relationship built on an honest engagement. Time is therefore essential for psychiatric and mental health nursing.

  • 36.
    Östman, Margareta
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Familjens situation2005In: Att leva med psykiska funktionshinder: livssituation och effektiva vård- och stödinsatser, Studentlitteratur AB, 2005Chapter in book (Other academic)
  • 37.
    Östman, Margareta
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Family burden and participation in care: differences between relatives of patients admitted to psychiatric care for the first time and relatives of re-admitted patients2004In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 11, no 5, p. 608-613Article in journal (Refereed)
  • 38.
    Östman, Margareta
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Interviews with children in families with mentally ill persons - some experiences2004Conference paper (Refereed)
  • 39.
    Östman, Margareta
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Psychological factors related to associated stigma in relatives of persons with mental ilness2005Conference paper (Refereed)
  • 40.
    Östman, Margareta
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Severely mentally ill persons- sexuality and some effects on married life2006Conference paper (Refereed)
  • 41.
    Östman, Margareta
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Eidevall, Lena
    Illuminating patients with children up to 18 years of age - A 1-day-inventory study in a psychiatric service2005In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 59, no 5, p. 388-392Article in journal (Refereed)
  • 42.
    Östman, Margareta
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Hansson, L
    Appraisal of caregiving, burden and psychological distress in relatives of psychiatric inpatients2004In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 19, no 7, November 2004, p. 402-407Article in journal (Refereed)
    Abstract [en]

    Appraisal of caregiving and its relationship to family burden and experienced mental health problems in the relatives were investigated as part of a multi-centre study of the quality of mental health services in Sweden performed in 1997. The sample was drawn from relatives of involuntarily and voluntarily admitted patients to acute psychiatric wards. The instrument used was a semi-structured questionnaire, interviewing relatives about the burden, experience of mental health problems and appraisal of the caregiving situation. The results showed a high proportion of relatives engaged in caregiving activities on a daily basis the month before the patient's admission to hospital and a high proportion of relatives appraising the caregiving activities negatively. The burden was more extensive if the relative and the patient were living together, had a longer duration of their relationship, if the relative was rendering caregiving on a daily basis and if the relative appraised caregiving negatively. The relatives' psychological distress was not related to their negative appraisal of caregiving, nor was patient characteristics, such as diagnosis and level of psychosocial functioning. The only factor found to influence the relatives' psychological distress was the duration of relationship to the patient. Interventions reducing psychological distress for relatives who have known the patients for more than 20 years, who live with the patient, who give care on a daily basis and who appraise their caregiving negatively are suggested. 

  • 43.
    Östman, Margareta
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Wallsten, Tuula
    Kjellin, Lars
    Family burden and relatives' participation in psychiatric care: are the patient's diagnosis and the relation to the patient of importance?2005In: International Journal of Social Psychiatry, ISSN 0020-7640, E-ISSN 1741-2854, Vol. 51, no 4, p. 291-301Article in journal (Refereed)
    Abstract [en]

    Background: Studies that differentiate among diagnoses have detected divergent results in the experience of family burden. Aim: This study aimed to investigate differences in family burden and participation in care between relatives from subgroups of psychoses, affective disorders and ‘other diagnoses’, and between different subgroups of relatives. Method: In a Swedish longitudinal study performed in 1986, 1991 and 1997, 455 close relatives of both committed and voluntarily admitted patients were interviewed concerning different aspects of their burden, need for support and participation in the actual care situation. Results: Relatives showed burdens in several of the aspects measured. In only one aspect of the investigated burden items was a difference found between different diagnostic subgroups. The relatives of patients with affective disorder more often had to give up leisure time. However, spouses showed more burdens and more often experienced sufficient participation in the patient's treatment than other subgroups while siblings more seldom experienced burdens and more seldom felt that their own needs for support had been met by the psychiatric services. Within each diagnostic subgroup there were differences between subgroups of relatives. Conclusion: Being a close relative, and living together with a severely mentally ill person in an acute situation, is one factor of importance for experiencing burden and participation in care, contradicting the conventional wisdom which differentiates between diagnoses.

1 - 43 of 43
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