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  • 1.
    Andersson, Claes
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Att förebygga ANDT-bruk, främja psykisk hälsa och social inkludering hos unga vuxna i migration: Utvärdering av tre särskilt utlysta ANDT-utvecklingsprojekt2021Report (Other academic)
    Abstract [sv]

    Folkhälsomyndigheten har på regeringens uppdrag utlyst medel till tre projekt med syfte att förebygga ANDT-bruk, främja psykisk hälsa och social inkludering hos unga vuxna i migration som är 18-29 år. Till projekten kopplades ett uppdrag som följeforskare. Denna slutrapport har sammanställts av följeforskaren. Inledningsvis beskrivs projektens mål och organisation. Därefter presenteras resultat från följeforskarens arbete, en avgränsad litteraturöversyn, en processutvärdering, en mål-resultatutvärdering, och en enkätundersökning, som tillsammans syftar till att belysa projektens innehåll, utveckling och resultat. Rapporten avslutas med en sammanfattning som behandlar projektens tillgångar respektive begränsningar och en diskussion som fokuserar på formen för utvecklingsmedel.

    Samtliga av de tre projekten har genomfört vad man förutsatt i ansökan om projektmedel. Projektet Hälsofrämjarna har genomförts av Vuxenutbildningen i Kramfors kommun. Här har fyra hälsomoduler utvecklats och sedan implementerats i undervisningen i svenska för invandrare (SFI). Projektet Främja Hälsa Ung har genomförts av Rädda Barnen och Region Jämtland Härjedalen. I projektet har individer med språklig och kulturell kompetens rekryterats och utbildats för att genom gruppmöten främja målgruppens hälsokompetens. Projektet TB for YOU har genomförts av föreningen Tegelbruket i Örebro. I projektet har verksamhetens ungdomscoacher identifierat och erbjudit målgruppen den egna verksamhetens program inom kultur, bildning och idrott.

    Samtliga program uppvisar såväl positiva som negativa tendenser. Resultat från följeforskarens enkätundersökning visar att de unga vuxna i migration som medverkat i projekten har betydande behov av förebyggande insatser. I jämförelse med nationella referensdata visade det sig att studiedeltagarna var särskilt utsatta vad avser sociala relationer. Allvarlig psykisk ohälsa i form av depression och suicidförsök var också vanligt förekommande. Alkohol och droganvändande var dock inte särskilt omfattande. Projekten har utvecklats i olika utsträckning under projekttiden, vilket sannolikt kan härledas till såväl interna som externa faktorer. Enkätundersökningen och effektutvärderingen har metodologiska tillkortakommanden som framförallt avser begränsade populationer och låga uppföljningsfrekvenser. Effektutvärderingen har till följd av den begränsade populationen inte kunnat identifiera några statistiskt säkerställda resultat. De tendenser som presenteras ska tolkas med försiktighet.

    Unga vuxna i migration är inte en homogen grupp. Rapportens innehåll understryker behovet av att utveckla förebyggande program som kan nå målgruppen på så många tillgängliga sätt som möjligt. Förhoppningen är att många låter sig inspireras av de projekt som beskrivs i denna rapport. 

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  • 2.
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Comparison of Automated Technologies to Deliver Brief Alcohol Interventions to University Students2012In: Alcoholism: Clinical and Experimental Research, ISSN 0145-6008, E-ISSN 1530-0277, Vol. 36, no s2, p. 86A-86A, article id S292Article in journal (Other academic)
    Abstract [en]

    New technologies have previously been used to deliver alcohol interventions to university students. In this study automated interventions delivered by Interactive Voice Response (IVR) are compared to automated interventions delivered over the Internet (WEB). A total of 2 825 Swedish university students responded to a web-survey assessing risky alcohol consumption using the Alcohol Use Disorders Identification Test (AUDIT). A total of 1 423 (50%) had a risky alcohol consumption and were randomized to one out of four different intervention conditions: a single IVR or WEB intervention given one week after baseline, a repeated IVR or WEB intervention given one and two weeks after intervention, or to an untreated control group. Each intervention was really short including less than 500 words, giving a brief feedback on the baseline assessment and instructions on how obtain a Blood Alcohol Concentration (BAC) below 0,06 percentage. Follow-up of intervention results were assessed six weeks after the baseline assessment. At follow- up all intervention groups had significantly reduced their AUDIT scores in comparison to the control group. The reduction in AUDIT scores did not differ between IVR and WEB interventions, and there was no difference between single and repeated interventions. This study indicates that IVR and WEB interventions are equally effective in delivering brief alcohol interventions to university students, and that there is no additional effect by repeating the intervention.

  • 3.
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Comparison of automated technologies to deliver brief alcohol interventions to university students: a randomized controlled trial2012In: Alcoholism: Clinical and Experimental Research, Vol. 36, no s1, p. 243A-243A, article id 0929Article in journal (Other academic)
    Abstract [en]

    New technologies have previously been used to deliver alcohol interventions to university students. In this study automated interventions delivered by Interactive Voice Response (IVR) are compared to automated interventions delivered over the Internet (WEB). A total of 2 825 Swedish university students responded to a web-survey assessing risky alcohol consumption using the Alcohol Use Disorders Identification Test (AUDIT). A total of 1 423 (50%) had a risky alcohol consumption and were randomized to one out of four different intervention conditions: a single IVR or WEB intervention given one week after baseline; a repeated IVR or WEB intervention given one and two weeks after intervention, or to an untreated control group. Each intervention was really short including less than 500 words, giving a brief feedback on the baseline assessment and instructions on how obtain a Blood Alcohol Concentration (BAC) below 0,06 percentage. Follow-up of intervention results were assessed six weeks after the baseline assessment. At follow-up all intervention groups had significantly reduced their AUDIT scores in comparison to the control group. The reduction in AUDIT scores did not differ between IVR and WEB interventions, and there was no difference between single and repeated interventions. This study indicates that IVR and WEB interventions are equally effective in delivering brief alcohol interventions to university students, and that there is no additional effect by repeating the intervention.

  • 4.
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Comparison of WEB and Interactive Voice Response (IVR) Methods for Delivering Brief Alcohol Interventions to Hazardous-Drinking University Students: A Randomized Controlled Trial2015In: European Addiction Research, ISSN 1022-6877, E-ISSN 1421-9891, Vol. 21, no 5, p. 240-252Article in journal (Refereed)
    Abstract [en]

    This study evaluated automated techniques including personalized normative feedback and protective behavioral strategies, for brief interventions intended to reduce peak alcohol concentrations in university students. After completing baseline assessment, a total of 1,678 hazardous-drinking consumers were randomized to a single or a repeated Internet (WEB) or Interactive Voice Response (IVR) intervention, or to a control group (Single WEB: 323; Single IVR: 329; Repeated WEB: 318; Repeated IVR: 334; Control group: 374). At follow-up, six weeks after baseline, questionnaires were returned by 1,422 participants (Single WEB: 277; Single IVR: 286; Repeated WEB: 259; Repeated IVR: 279; Control group: 321). It was found that peak estimated BAC was reduced in the total group (b -0.14, 95% confidence interval (CI) -0.023; -0.005), in the total (b -0.17, 95% CI -0.027; -0.007) and single (b -0.021, 95% CI -0.032; -0.011) WEB group, and in the total (b -0.011, 95% CI -0.021; -0.015) and repeated (b -0.012, 95% CI -0.023; -0.000) IVR groups, compared to controls. The reduction in peak estimated BAC was greater in the single WEB group compared to the single IVR group (b -0.011, 95% CI -0.022; -0.000). This study concluded that both WEB and IVR interventions have a small but significant effect in reducing heavy episodic drinking, which may be due to the relatively large sample size. Repeated intervention may be needed if delivered by IVR.

  • 5.
    Andersson, Claes
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Personalized normative feedback interventions targeting hazardous alcohol use and alcohol-related risky sexual behavior in Swedish university students: A randomized controlled replication trial2020In: Addictive Behaviors Reports, ISSN 2352-8532, Vol. 12, article id 100300Article in journal (Refereed)
    Abstract [en]

    Introduction: This study replicates two US intervention studies using personalized normative feedback (PNF) on alcohol-related risky sexual behavior (RSB).

    Methods: In a randomized controlled trial, 654 Swedish university students were assigned to an alcohol only intervention, an alcohol-related RSB only intervention, a combined alcohol and alcohol-related RSB intervention, an integrated alcohol and alcohol-related RSB intervention, or control. Follow-up assessments were made at 3 and 6 months post-intervention.

    Results: In comparison to controls, drinks per week were reduced at 3 months in the Alcohol Only, Combined, and Integrated intervention groups. Frequency and quantity of drinking before sex were reduced at 3- and 6-month follow-up for the Sex Only, Combined, and Integrated intervention groups. The Alcohol Only intervention showed significant results on frequency of drinking before sex at 3 months, and on quantity of drinking before sex at 6 months. The Combined intervention had reduced outcomes on alcohol-related consequences and on alcohol-related sexual consequences at both follow-ups. Alcohol Only and Integrated interventions showed effects on both outcomes regarding consequences at 6 months, and the Sex Only group showed effects on sexual consequences at 6 months.

    Conclusions: It is concluded that PNF interventions offer considerable positive effects, and could be used to reduce alcohol-related RSB in Swedish university students.

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  • 6.
    Andersson, Claes
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Skills Training for Reducing Risky Alcohol Use in App Form Among Adult Internet Help-seekers2020In: Annals of Behavioral Medicine, ISSN 0883-6612, E-ISSN 1532-4796, Vol. 54, no S1, p. S418-S418Article in journal (Other academic)
    Abstract [en]

    Background: Problematic alcohol use in Sweden occurs among 16 % of the adult population. Digital interventions of varying intensity have shown positive effects in contributing to reductions in problematic use, and the TeleCoach app has shown positive effects in non-treatment-seeking university students with excessive drinking (Gajecki et al., 2017). This pilot study evaluates the app among adult internet help-seekers. This pilot study evaluated the app among adult internet help-seekers, and motivated continued data collection in the current target group Methods: Adult internet-help seekers, recruited via advertisement, were included if they scored ³6 (women) or ³8 (men) on the Alcohol Use Disorders Identification Test (AUDIT). Those with depression scores of ³31 on the Montgomery Åsberg Depression Rating Scale (MADRS-S) or problematic drug use scores of ³8 on the Drug Use Disorders Identification Test (DUDIT) were contacted for a telephone interview and included following clinical assessment; if not reached they were excluded. Participants randomized at a 1:1 ratio to the TeleCoach™ web-based app or to a web-based app with information texts from primary care-based self-help material for changing problematic alcohol use. At six-week follow-up, the primary outcome was the number of standard drinks per past week (Timeline-Followback). Results: Of 147 persons assessed for eligibility, 89 were assigned to the intervention group (n=42) or control group (n=47). Average AUDIT levels at baseline were ³18.The baseline number of standard drinks per week was 32.73 (SD 21.16) for the intervention group, and 26 (4.08) for the control group; at 6-week follow-up it was 12.73 (10.52) and 13.48 (11.13) for the intervention and control groups, respectively. No significant between-groups effects occurred, but withingroup changes over time were significant (F(1, 55)=43.98; p< 0.000), with an effect size of 1.37 for the intervention group and 0.92 for the control group. Conclusions: The results suggest that web-based apps can be of help to internet help-seekers motivated to reduce problematic alcohol use. We have proceeded with the planned larger randomized, controlled study and will present 6-week follow-up data for the entire study sample (n=∼1000) in this presentation.

  • 7.
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Utvärdering av Konsultationsteamet i Malmö2015Report (Other academic)
    Abstract [sv]

    Konsultationsteamet är en verksamhet i Malmö vars syfte är att ge stöd till personer som vill lämna ett kriminellt liv och/eller gängtillhörighet och/eller som lever under allvarliga hot. De individer vars ärenden aktualiseras har antingen inte polisanmälts eller avser ärenden där en tidigare polisanmälan är nedlagd. I aktuell utvärdering ges en beskrivning av verksamhetens uppkomst, utveckling och innehåll. Utifrån tillgänglig dokumentation analyseras verksamhetens resultat och som sedan relateras till verksamhetens mål. Som del av utvärderingen har en Workshop genomförts för att formulera syfte och mål för Konsultationsteamet, identifiera kritiska faktorer för resultat samt att skapa en åtgärdslista för att komma vidare i konkret målarbete. Avslutningsvis föreslås en modell för hur verksamheten ska utvärderas i framtiden. Utvärderingens resultat visar att av de individer som Konsultationsteamet har haft kontakt med sedan verksamhetens start och fram till och med 2014 har drygt 60 % inte erhållit en ny påföljd samt att 56 % varken förekommer i polisens påföljds- eller misstankeregister. Viktiga resultat är även att Konsultationsteamet har skapat en åtgärdslista för att komma vidare i konkret målarbete samt att ett konkret förslag för systematisk och kontinuerlig uppföljning har utvecklats. Utvärderingens slutsats är att Konsultationsteamet bedriver och kontinuerligt utvecklar en viktig verksamhet och som genererar ett relativt bra resultat, samt att föreliggande dokumentation sannolikt har betydelse för såväl Konsultationsteamet eget utvecklingsarbete som för det nationella utvecklingsarbete som genomförs på området.

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  • 8.
    Andersson, Claes
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Validation of the Alcohol-Related Sexual Consequences Scale in Swedish University Students2023In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 20, no 2, article id 1035Article in journal (Refereed)
    Abstract [en]

    Background: Alcohol-related sexual consequences are common in college students. A newly developed 41-item Alcohol-Related Sexual Consequences Scale has recently been evaluated in at-risk young adults in the U.S. The current study aims to validate the Scale in Swedish college students. Methods: The occurrence of alcohol-related sexual consequences was assessed by birth gender, relationship status, gender identity/sexual orientation, and age. Negative binomial regression was used to assess convergent and divergent validity. Results: On average, 5.4 (SD 5.1) alcohol-related sexual consequences were experienced past three months. Greater scores were reported in singles, LGBTQ (Lesbian, Gay, Bisexual, Transgender, Queer/Questioning), and younger students. All sex-related covariates showed robust associations with alcohol-related sexual consequences while most alcohol-related covariates were not associated (e.g., convergent validity). All alcohol-related covariates showed robust associations with alcohol consequences while most sex-related covariates were not associated (e.g., divergent validity). In the full model predicting alcohol-related sexual consequences, being a woman, single, and younger were identified as independent predictors. Conclusions: This newly developed scale assessing alcohol-related sexual consequences could be used in both epidemiological studies and intervention studies targeting at-risk students.

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  • 9.
    Andersson, Claes
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR). Uppsala Univ, Dept Psychol, Uppsala, Sweden..
    Bendtsen, Marcus
    Linkoping Univ, Dept Hlth Med & Caring Sci, Linkoping, Sweden..
    Lindfors, Petra
    Stockholm Univ, Dept Psychol, Stockholm, Sweden..
    Molander, Olof
    Karolinska Inst, Dept Clin Neurosci, Ctr Psychiat Res, Stockholm, Sweden.;Stockholm Hlth Care Serv, Stockholm, Sweden..
    Lindner, Philip
    Karolinska Inst, Dept Clin Neurosci, Ctr Psychiat Res, Stockholm, Sweden.;Stockholm Hlth Care Serv, Stockholm, Sweden..
    Topooco, Naira
    Linkoping Univ, Dept Behav Sci & Learning, Linkoping, Sweden..
    Engström, Karin
    Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden..
    Berman, Anne H.
    Uppsala Univ, Dept Psychol, Uppsala, Sweden.;Karolinska Inst, Dept Clin Neurosci, Ctr Psychiat Res, Stockholm, Sweden.;Stockholm Hlth Care Serv, Stockholm, Sweden..
    Does the management of personal integrity information lead to differing participation rates and response patterns in mental health surveys with young adults?: A three-armed methodological experiment2021In: International Journal of Methods in Psychiatric Research, ISSN 1049-8931, E-ISSN 1557-0657, Vol. 30, no 4, article id e1891Article in journal (Refereed)
    Abstract [en]

    Objectives This study evaluates whether initiation rates, completion rates, response patterns and prevalence of psychiatric conditions differ by level of personal integrity information given to prospective participants in an online mental health self-report survey. Methods A three-arm, parallel-group, single-blind experiment was conducted among students from two Swedish universities. Consenting participants following e-mail invitation answered the World Health Organization (WHO) World Mental Health-International College Student (WMH-ICS) mental health self-report survey, screening for eight psychiatric conditions. Random allocation meant consenting to respond (1) anonymously; (2) confidentially, or (3) confidentially, where the respondent also gave consent for collection of register data. Results No evidence was found for overall between-group differences with respect to (1) pressing a hyperlink to the survey in the invitation email; and (2) abandoning the questionnaire before completion. However, participation consent and self-reported depression were in the direction of higher levels for the anonymous group compared to the two confidential groups. Conclusions Consent to participate is marginally affected by different levels of personal integrity information. Current standard participant information procedures may not engage participants to read the information thoroughly, and online self-report mental health surveys may reduce stigma and thus be less subject to social desirability bias.

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  • 10.
    Andersson, Claes
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Bendtsen, Marcus
    Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
    Molander, Olof
    Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
    Granlund, Lilian
    Department of Psychology, Uppsala University, Uppsala, Sweden.
    Topooco, Naira
    Department of Behavioral Sciences and Learning, Linköping University, Linköping, Sweden.
    Engström, Karin
    Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
    Lindfors, Petra
    Department of Psychology, Stockholm University, Stockholm, Sweden.
    Berman, Anne H.
    Department of Psychology, Uppsala University, Uppsala, Sweden; Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
    Associations between compliance with covid-19 public health recommendations and perceived contagion in others: a self-report study in Swedish university students2021In: BMC Research Notes, E-ISSN 1756-0500, Vol. 14, no 1, article id 429Article in journal (Refereed)
    Abstract [en]

    Objective: During the COVID pandemic, government authorities worldwide have tried to limit the spread of the virus. Sweden's distinctive feature was the use of voluntary public health recommendations. Few studies have evaluated the effectiveness of this strategy. Based on data collected in the spring of 2020, this study explored associations between compliance with recommendations and observed symptoms of contagion in others, using self-report data from university students.

    Results: Compliance with recommendations ranged between 69.7 and 95.7 percent. Observations of moderate symptoms of contagion in "Someone else I have had contact with" and "Another person" were markedly associated with reported self-quarantine, which is the most restrictive recommendation, complied with by 81.2% of participants. Uncertainty regarding the incidence and severity of contagion in cohabitants was markedly associated with the recommendation to avoid public transportation, a recommendation being followed by 69.7%. It is concluded that students largely followed the voluntary recommendations implemented in Sweden, suggesting that coercive measures were not necessary. Compliance with recommendations were associated with the symptoms students saw in others, and with the perceived risk of contagion in the student's immediate vicinity. It is recommended that voluntary recommendations should stress personal relevance, and that close relatives are at risk.

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  • 11.
    Andersson, Claes
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR). Department of Psychology, Uppsala University, Uppsala, Sweden.
    Bendtsen, Marcus
    Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
    Molander, Olof
    Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
    Granlund, Lilian
    Department of Psychology, Uppsala University, Uppsala, Sweden.
    Topooco, Naira
    Department of Behavioral Sciences and Learning, Linköping University, Linköping, Sweden.
    Engström, Karin
    Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
    Lindfors, Petra
    Department of Psychology, Stockholm University, Stockholm, Sweden.
    Berman, Anne H
    Department of Psychology, Uppsala University, Uppsala, Sweden; Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
    Symptoms of COVID-19 contagion in different social contexts in association to self-reported symptoms, mental health and study capacity in Swedish university students.2022In: BMC Research Notes, E-ISSN 1756-0500, Vol. 15, no 1, article id 131Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The present study investigates if symptoms of COVID-19 contagion in different social contexts (cohabitants, family, acquaintances, and others) are associated with university students' own self-reported symptoms of COVID-19 contagion, mental health, and study capacity. This was investigated by a cross-sectional survey administrated in Sweden during the first wave of the COVID-19 pandemic, at the time when universities were locked down to limit viral spread and contagion.

    RESULTS: Mild to moderate symptoms of COVID-19 in cohabitants and family members were associated with student's self-reported symptoms of contagion, while no associations could be seen in relation to mental health and study capacity. Symptoms of COVID-19 contagion in acquaintances and others were not associated with students' self-reported symptoms, nor with their mental health and study capacity. To conclude, during the initial lockdown of universities students' self-reported symptoms of contagion were mainly associated with cohabitants and family members, while symptoms of contagion in different social contexts were not associated with mental health and study capacity. Findings suggest that lockdown of universities may have contributed to limiting infection pathways, while still allowing students to focus on their studies despite significant contagion among others known to the student.

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  • 12.
    Andersson, Claes
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR). Department of Psychology, Uppsala university, Uppsala, Sweden.
    Bendtsen, Marcus
    Department of Health, Medicine and Caring Sciences, Linköping university, Linköping, Sweden.
    Molander, Olof
    Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Stockholm, Sweden.
    Lindner, Philip
    Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Stockholm, Sweden.
    Granlund, Lilian
    Department of Psychology, Uppsala university, Uppsala, Sweden.
    Topooco, Naira
    Department of Behavioural Sciences and Learning, Linköping university, Linköping, Sweden.
    Engström, Karin
    Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
    Lindfors, Petra
    Department of Psychology, Stockholm University, Stockholm, Sweden.
    Berman, Anne H.
    Department of Psychology, Uppsala university, Uppsala, Sweden;Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Stockholm, Sweden.
    Academic self-efficacy: Associations with self-reported COVID-19 symptoms, mental health, and trust in universities’ management of the pandemic-induced university lockdown2022In: Journal of American College Health, ISSN 0744-8481, E-ISSN 1940-3208Article in journal (Refereed)
    Abstract [en]

    Objective: To investigate perceived changes in academic self-efficacy associated with self-reported symptoms of COVID-19, changes in mental health, and trust in universities’ management of the pandemic and transition to remote education during lockdown of Swedish universities in the spring of 2020. Methods: 4495 participated and 3638 responded to self-efficacy questions. Associations were investigated using multinomial regression. Results: Most students reported self-experienced effects on self-efficacy. Lowered self-efficacy was associated with symptoms of contagion, perceived worsening of mental health and low trust in universities’ capacity to successfully manage the lockdown and transition to emergency remote education. Increased self-efficacy was associated with better perceived mental health and high trust in universities. Conclusion: The initial phase of the pandemic was associated with a larger proportion of students reporting self-experienced negative effects on academic self-efficacy. Since self-efficacy is a predictor of academic performance, it is likely that students’ academic performance will be adversely affected. 

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  • 13.
    Andersson, Claes
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Berglund, Mats
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Håkansson, Anders
    Larimer, Mary
    ATLAS-SPEL: Prediktion av spelproblem hos unga2016Conference paper (Other academic)
    Abstract [en]

    Trots att vi vet att problematiskt spelbeteende ofta utvecklas ofta i yngre vuxenålder, saknas kunskap om faktorer som i åldersgruppen predicerar spelproblem och spelberoende.

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  • 14.
    Andersson, Claes
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Berglund, Mats
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Johnsson, Kent
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Witkiewitz, K
    Larimer, M
    Dillworth, T
    Lewis, M
    Relationship of Protective Behavioral Strategies to Alcohol Consequences Among Swedish High School Seniors: Moderating Role of Conduct Disorder Symptoms2012In: Alcoholism: Clinical and Experimental Research, ISSN 0145-6008, E-ISSN 1530-0277, Vol. 36, no s1, p. 67A-67A, article id 0227Article in journal (Other academic)
    Abstract [en]

    This observational study sought to improve our understanding of factors that contribute to risky sexual behavior among women seeking treatment for alcohol and other substance use disorders. Women were recruited at the start of outpatient (n=236) or inpatient (n=166) treatment. At intake, a Timeline Follow-back interview was used to obtain retrospective reports of daily drinking, drug use, and sexual behavior for a 90-day pre-treatment baseline period. Additional interview and questionnaire measures also were obtained. Measures were re- administered at four 90-day follow-up interviews. Among women who reported sex with a primary partner during baseline (n=261), 15% reported consistent condom use for all events with this partner, whereas 80% reported no condom use with this partner. Among women who reported sex with a non-primary partner (n=159; doesn’t include commercial sex trading), 26% reported consistent condom use and 45% reported no condom use with such partners. Significant correlates of non-use of condoms included negative beliefs and attitudes and low self-efficacy regarding condom use and AIDS prevention, as well as psychological distress, sexual impulsiveness and sensation seeking, history of severe assault by a male partner, and (with primary partners) negative partner attitudes toward condom use. Some of these correlates also predicted unprotected sex with a primary partner during the first 90 days after treatment entry, after controlling for baseline. However, unsafe sex with a non-primary partner during follow-up was most notably associated with follow-up levels of substance use, i.e., more drinks per drinking day and greater frequency of alcohol, marijuana, and cocaine use. In sum, preliminary analyses of baseline and follow-up data indicate a high prevalence of unprotected sex in this population. Identification of factors related to baseline and follow-up levels of risky behavior may suggest targets for future intervention development.

  • 15.
    Andersson, Claes
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Danielsson, Susanne
    Silverberg-Dymling, Gunilla
    Löndahl, Gunnel
    Johansson, Björn Axel
    Evaluation of Interactive Voice Response (IVR) and postal survey in follow-up of children and adolescents discharged from psychiatric outpatient treatment: a randomized controlled trial2014In: SpringerPlus, E-ISSN 2193-1801, Vol. 3, no 77, article id 77Article in journal (Refereed)
    Abstract [en]

    Systematic evaluation of child and adolescent psychiatric outpatient treatment is important but time-consuming. The aim of this paper was to study whether Interactive Voice Response (IVR) is a more effective method than a questionnaire sent by post when following up outpatient treatment in child and adolescent psychiatry. Eighty patients were recruited from a child and adolescent psychiatric outpatient unit in Sweden. One parent of each of the patients was randomized to complete the BCFPI follow-up form, using either IVR (n = 40) or postal survey (n = 40) one month after discharge. The response rate for complete answers was 65% in the IVR group and 38% in the postal survey group (p = 0.014). There was less need for reminders in the IVR group (p = 0.000). IVR is a promising and cost-effective method for evaluating evidence-based treatment in child and adolescent psychiatric care.

  • 16.
    Andersson, Claes
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Gajecki, Mikael
    Öjehagen, Agneta
    Berman, Anne H
    Automated telephone interventions for problematic alcohol use in clinical and population samples: a randomized controlled trial2017In: BMC Research Notes, E-ISSN 1756-0500, Vol. 10, article id 624Article in journal (Refereed)
    Abstract [en]

    Objective The primary objective was to evaluate 6-month outcomes for brief and extensive automated telephony interventions targeting problematic alcohol use, in comparison to an assessment-only control group. The secondary objective was to compare levels of problematic alcohol use (hazardous, harmful or probable dependence), gender and age among study participants from clinical psychiatric and addiction outpatient settings and from population-based telephone helpline users and Internet help-seeker samples. Results The Alcohol Use Disorders Identification Test (AUDIT) was used for screening of problematic alcohol use and 6-month follow-up assessment. A total of 248 of help-seekers with at least hazardous use (AUDIT scores of ≥ 6/≥ 8 for women/men) were recruited from clinical and general population settings. Minor recruitment group differences were identified with respect to AUDIT scores and age at baseline. One hundred and sixty persons (64.5%) did not complete the follow-up assessment. The attrition group had a higher proportion of probable dependence (71% vs. 56%; p = 0.025), and higher scores on the total AUDIT, and its subscales for alcohol consumption and alcohol problems. At follow up, within-group problem levels had declined across all three groups, but there were no significant between-group differences. Trial registration ClinicalTrials.gov NCT01958359, Registered October 9, 2013. Retrospectively registered

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  • 17.
    Andersson, Claes
    et al.
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Håkansson, Anders
    Department of Clinical Sciences Lund.
    Associations between Risk Factors in Late Adolescence and Problem Behaviors in Young Adulthood: A Six-Year Follow-Up of Substance Related and Behavioral Addictions in Swedish High School Seniors2021In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, no 23, article id 12766Article in journal (Refereed)
    Abstract [en]

    Introduction: Risk factors of traditional substance use related problems in young adults are more well-known than for behavioral addictions such as gambling and gaming problems. The present study aims to provide knowledge about the longitudinal patters of substance use related and behavioral addictions in early adulthood. Methods: Using self-report surveys, substance-related, psychiatric, and demographic predictors were assessed in Swedish high school seniors and re-assessed six years later along with gambling and gaming problems, n = 800. Associations (Risk Ratios) between risk factors in late adolescence and problem behaviors in young adulthood were analyzed. Results: Tobacco use, illicit drug use, and hazardous drinking in young adulthood were associated with tobacco use, illicit drug use, alcohol use, conduct problems, and impaired impulse control in late adolescence. Gambling problems in young adulthood were only associated with heredity of alcohol problems, while gaming was not associated to any problem behavior in late adolescence. Conclusion: It is concluded that predictors for traditional substance-related addictions differ from predictors for behavioral addictions, and that this difference is more pronounced for gaming problems than for gambling problems.

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  • 18.
    Andersson, Claes
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Vasiljevic, Zoran
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Höglund, P.
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Öjehagen, A.
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Berglund, Mats
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Psychosocial dysfunction is associated with recidivism in crime in paroled offenders2013In: Alcoholism: Clinical and Experimental Research, ISSN 0145-6008, E-ISSN 1530-0277, Vol. 37, no s2, p. 260A-260A, article id 028Article in journal (Other academic)
    Abstract [en]

    The objective of this research was to study whether automated telephony could be used in paroled offenders to perform daily assessment of variables associated with recidivismin crime, and whether there are grounds for studying the effects of a brief intervention based on these assessments during 30 days following probation. The design included a randomized controlled trial using automated daily assessments and feedback interventions based on Interactive Voice Response (IVR). Participants included 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, the subjects in the intervention group received immediate feedback and a recommendation by IVR, and their probation officers also received a daily report by email. Main outcomemeasures (assessed daily) included Stress (Arnetz and Hasson Stress Questionnaire and a revised version of Daily Assessment of Daily Experience), Mood (SCL-8D measuring depression and anxiety), and Use and Urge to Use Alcohol and Drugs (revised version of the Alcohol Urge Questionnaire). Participants were also asked to rate the severity of their most stressful event that day. The outcome variables were analyzed using linear mixed models, presented as group differences between means, 95%CI. Results indicated that the intervention group showed greater improvement than the control group in stress (9.6, 0.5; 18.7, p = 0.038), depression/anxiety (4.6, 0.2; 9.0, p = 0.042), alcohol use (0.8, 0.1; 1.4, p = 0.031), drug use (1.0, 0.5; 1.6, p = 0.000), and in the severity of themost stressful daily event (1.9, 1.1; 2.7, p = 0.000). There were no differences between the groups in the Stress scale and in craving for alcohol and drugs. Overall, the research suggests that in paroled offenders, automated telephony is an effective technology thatmay be used to follow up and to give interventions, resulting in reduced stress and drug use.

  • 19.
    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.

  • 20.
    Andersson, Claes
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Öjehagen, Agneta
    Olsson, Martin
    Brådvik, Louise
    Håkansson, Anders
    Interactive Voice Response with Feedback Intervention in Outpatient Treatment of Substance Use Problems in Adolescents and Young Adults: A Randomized Controlled Trial2017In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 24, no 5, p. 789-797Article in journal (Refereed)
    Abstract [en]

    Substance use disorders and problematic substance use are common problems in adolescence and young adulthood. Brief personalized feedback has been suggested for treatment of alcohol and drug problems and poor mental health. This repeated measurement randomized controlled trial examines the effect of an Interactive Voice Response (IVR) system for assessing stress, depression, anxiety and substance use. The IVR system was used twice weekly over three months after treatment initiation, with or without addition of a personalized feedback intervention on stress and mental health symptoms. Both IVR assessment only (control group) and IVR assessment including feedback (intervention group) were provided as an add-on to treatment-as-usual procedures (TAU) in outpatient treatment of substance use problems in adolescents and young adults (N=73). By using a mixed models approach, differences in change scores were analyzed over the three-month assessment period. Compared to the control group, the intervention group demonstrated significantly greater improvement in the Arnetz and Hasson stress score (AHSS, p=0.019), the total Symptoms Checklist 8 score (SCL-8D, p=0.037), the SCL-8D anxiety sub-score (p=0.017), and on a summarized feedback score (p=0.026), but not on the depression subscale. There were no differences in global substance use scores between the intervention group (feedback on mental health symptoms) and the control group. In conclusion, IVR may be useful for follow-up and repeated interventions as an add-on to regular treatment, and personalized feedback could potentially improve mental health in adolescents and young adults with problematic substance use.

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  • 21.
    Benjet, Corina
    et al.
    Department of Epidemiology and Psychosocial Research National Institute of Psychiatry Ramón de la Fuente Muñiz Mexico City Mexico.
    Orozco, Ricardo
    Department of Epidemiology and Psychosocial Research National Institute of Psychiatry Ramón de la Fuente Muñiz Mexico City Mexico.
    Albor, Yesica C.
    Department of Epidemiology and Psychosocial Research National Institute of Psychiatry Ramón de la Fuente Muñiz Mexico City Mexico.
    Contreras, Eunice V.
    Facultad de Ciencias Administrativas y Sociales Universidad Autónoma de Baja California Ensenada Mexico.
    Monroy‐Velasco, Iris R.
    Facultad de Psicología Universidad Autónoma de Coahuila Saltillo Mexico.
    Hernández Uribe, Praxedis C.
    Secretaría de la Unidad Cuajimalpa Universidad Autónoma Metropolitana Mexico City Mexico.
    Báez Mansur, Patricia M.
    Coordinación de Desarrollo Académico y Servicios Educativos Universidad la Salle Ciudad Victoria.
    Covarrubias Díaz Couder, María A.
    Coordinación de Investigación Universidad la Salle Noroeste Ciudad Obregón Mexico.
    Quevedo Chávez, Guillermo E.
    Coordinación de psicología Universidad la Salle Cancún Cancún Mexico.
    Gutierrez‐García, Raúl A.
    Facultad de Ciencias Sociales y Humanidades Universidad De La Salle Bajío Salamanca Mexico.
    Machado, Nydia
    Departamento de Psicología Instituto Tecnológico de Sonora Ciudad Obregón Mexico.
    Andersson, Claes
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Borges, Guilherme
    Department of Epidemiology and Psychosocial Research National Institute of Psychiatry Ramón de la Fuente Muñiz Mexico City Mexico.
    A longitudinal study on the impact of Internet gaming disorder on self‐perceived health, academic performance, and social life of first‐year college students2023In: American Journal on Addictions, ISSN 1055-0496, E-ISSN 1521-0391, Vol. 32, no 4, p. 343-351Article in journal (Refereed)
    Abstract [en]

    Background and objectives: Internet gaming disorder (IGD) is associated with health, social, and academic problems but whether these are consequences of the disorder rather than precursors or correlates is unclear. We aimed to evaluate whether IGD in the 1st year of university predicts health, academic and social problems 1 year later, controlling for baseline health, academic and social problems, demographics, and mental health symptoms.

    Methods: In a prospective cohort study, 1741 university students completed both a baseline online survey in their 1st year and a follow-up survey 1 year later. Log-binomial models examined the strength of prospective associations between baseline predictor variables (IGD, baseline health, academic and social problems, sex, age, and mental health symptoms) and occurrence of health, academic and social problems at follow-up.

    Results: When extensively adjusted by the corresponding outcome at baseline, any mental disorder symptoms, sex, and age, baseline IGD was associated only with severe school impairment and poor social life (risk ratio [RR] = 1.77; 95% confidence interval [CI] = 1.14-2.75, p = .011; RR = 1.22; 95% CI = 1.07-1.38, p = .002, respectively).

    Conclusions and scientific significance: University authorities and counselors should consider that incoming 1st-year students that meet criteria for IGD are likely to have increased academic and social impairments during their 1st year for which they may want to intervene. This study adds to the existing literature by longitudinally examining a greater array of negative outcomes of IGD than previously documented.

  • 22.
    Berglund, Mats
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Debut av cannabis efter 18 års ålder: en studie baserad på undersökningen Narkotikabruket i Sverige2015In: Slutrapport Trestad2;, Malmö stad , 2015, p. 12-26Chapter in book (Other academic)
    Abstract [en]

    Med hänvisning till CANs skolundersökningar kan det konstateras att användande av narkotika och cannabis generellt har ökat från 1989 till 2013. Denna ökning gäller alla regioner i Sverige och oavsett var i landet man bor så följs upp- och nedgångar i drogvanorna i stor del åt. Under åren 2012–2014 användes mest cannabis i Stockholm och Malmö och minst i Glesbygden. Det förelåg inte skillnader mellan cannabisanvändande och betyg eller föräldrarnas utbildningsnivå. Resultat från den europeiska ESPAD-skolstudien visade en ökning av cannabisanvändande fram till 2003 med något lägre nivåer 2007 och 2011. Cannabisanvändandet i Sverige var lägre eller mycket lägre än i de flesta andra länder. När det gäller primärprevention av cannabisanvändande har en nyligen publicerad systematisk litteraturgenomgång av tillgänglig forskning dragit slutsatsen att många men inte alla studier har signifikant positiva effekter, men att effektstorlekarna är i regel små eller triviala. Högst effektstorlek återfinns i generella multimodala program riktade till gruppen 10–13 år, som inte leds av ungdomarnas ordinarie lärare, och som innehåller högst 10 sessioner samt en s k boostersession för att förstärka effekten. För behandling av missbruk eller beroende av cannabis rekommenderar Socialstyrelsen att hälso- och sjukvården samt socialtjänsten ska erbjuda kognitiv beteendeterapi (KBT) eller återfallsprevention med tillägg av motiverande samtal eller Motivational Enhancement Therapy (MET) som är en särskild kombination av bedömning, återkoppling och motivationshöjande samtal. När det gäller den legalisering av cannabis som genomförts i USA sammanfattas dels ett kritiskt ställningstagande inklusive därpå nödvändiga rekommendationer som har publicerats av American Academy of Pediatrics (AAP) och som är den ledande vetenskapliga organisationen för barnläkare i USA. Avslutningsvis presenteras en nyligen presenterad analys från en svensk-amerikansk studie som studerat effekter av legalisering av cannabis i delstaten Washington och som visar att tillgängligheten inte har förändrats men att det finns en tendens (p=0,08) till ökad konsumtion av cannabis till följd av legaliseringen samt att pojkar anser att kontinuerligt användande av cannabis till följd av legaliseringen innebär mindre risk.

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  • 23.
    Berglund, Mats
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Del B: Uppdatering av cannabissituationen i Sverige och internationellt2015In: Slutrapport Trestad2, Malmö stad , 2015, p. 4-11Chapter in book (Other academic)
    Abstract [sv]

    Med hänvisning till CANs skolundersökningar kan det konstateras att användande av narkotika och cannabis generellt har ökat från 1989 till 2013. Denna ökning gäller alla regioner i Sverige och oavsett var i landet man bor så följs upp- och nedgångar i drogvanorna i stor del åt. Under åren 2012–2014 användes mest cannabis i Stockholm och Malmö och minst i Glesbygden. Det förelåg inte skillnader mellan cannabisanvändande och betyg eller föräldrarnas utbildningsnivå. Resultat från den europeiska ESPAD-skolstudien visade en ökning av cannabisanvändande fram till 2003 med något lägre nivåer 2007 och 2011. Cannabisanvändandet i Sverige var lägre eller mycket lägre än i de flesta andra länder. När det gäller primärprevention av cannabisanvändande har en nyligen publicerad systematisk litteraturgenomgång av tillgänglig forskning dragit slutsatsen att många men inte alla studier har signifikant positiva effekter, men att effektstorlekarna är i regel små eller triviala. Högst effektstorlek återfinns i generella multimodala program riktade till gruppen 10–13 år, som inte leds av ungdomarnas ordinarie lärare, och som innehåller högst 10 sessioner samt en s k boostersession för att förstärka effekten. För behandling av missbruk eller beroende av cannabis rekommenderar Socialstyrelsen att hälso- och sjukvården samt socialtjänsten ska erbjuda kognitiv beteendeterapi (KBT) eller återfallsprevention med tillägg av motiverande samtal eller Motivational Enhancement Therapy (MET) som är en särskild kombination av bedömning, återkoppling och motivationshöjande samtal. När det gäller den legalisering av cannabis som genomförts i USA sammanfattas dels ett kritiskt ställningstagande inklusive därpå nödvändiga rekommendationer som har publicerats av American Academy of Pediatrics (AAP) och som är den ledande vetenskapliga organisationen för barnläkare i USA. Avslutningsvis presenteras en nyligen presenterad analys från en svensk-amerikansk studie som studerat effekter av legalisering av cannabis i delstaten Washington och som visar att tillgängligheten inte har förändrats men att det finns en tendens (p=0,08) till ökad konsumtion av cannabis till följd av legaliseringen samt att pojkar anser att kontinuerligt användande av cannabis till följd av legaliseringen innebär mindre risk.

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  • 24.
    Berglund, Mats
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Johnsson, Kent
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Witkiewitz, Katie
    Lewis, M.
    Dillworth, T.
    Pace, T.
    Ståhlbrandt, Henriettae
    Douglas, H.
    Larimer, M.
    Self-reported disability in relation to alcohol and other drug use and mental health among emerging adults: an international comparison2012In: Alcoholism: Clinical and Experimental Research, ISSN 0145-6008, E-ISSN 1530-0277, Vol. 36, no s1, p. 284A-284A, article id 1095Article in journal (Other academic)
    Abstract [en]

    The present study includes baseline data from 2867 students (77.8% from Sweden, 22.2% from US) and evaluates the relationships among self-reported disabilities, alcohol use, other substance use, and psychosocial adjustment. There were 114 (4.6%) ‘‘hard-of-hearing’’ (HH) students, 129 (5.2%) reported visual disabilities, 33 (1.3%) reported motor disabilities, 223 (9.0%) reported a reading/writing disability, and 97 (3.6%) reported they had ‘‘other’’ disabilities. Of these, 70 (14.1%) reported more than one disability. Presence of a disability was significantly higher among Sweden students (2 (1)=19.93, p< 0.001), with 19.1% of Sweden students and 11.5% of US students reporting at least one disability. Reporting any type of disability was associated with significantly greater alcohol use frequency, intensity, and related problems (all p < 0.02), significantly more mental health symptoms and conduct problems (p < 0.005), and significantly greater likelihood of illicit and prescription drug use (all p < 0.001). With respect to specific disabilities, individuals with motor disabilities reported the highest levels of alcohol use and mental health symptoms, whereas individuals who reported ‘‘other’’ disabilities had higher rates of illicit drug use and conduct problems. Further, there was a significantly positive correlation between the number of disabilities and intensity of alcohol use, mental health symptoms, conduct problems, illicit and prescription drug use, and alcohol related problems (all p < 0.001). The association between conduct problems and disability (any disability and number of disabilities) was moderated by country of origin, gender, and drinking for coping reasons on the Drinking Motives Questionnaire. Participants in Sweden, males, and those who drank for coping reasons were more likely to report a relationship between disability and conduct problems (p < 0.001). Participants who drank for coping reasons were also more likely to report a relationship between disability and alcohol related problems (p=0.001). These findings indicate students with disabilities are an important risk group for preventive interventions for alcohol, substance, and mental health problems, and may benefit from interventions which target healthy coping skills. This research was supported by NIAAA # 5R01AA018276 awarded to Drs. Larimer & Berglund

  • 25.
    Berglund, Mats
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Litt, Dana
    Lee, Christine M
    Kilmer, Jason
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Johnsson, Kent O
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Larimer, Mary E
    Perceived Risk for Cannabis, Tobacco and Alcohol: Comparison of US and Swedish High School Students2014In: Alcoholism: Clinical and Experimental Research, ISSN 0145-6008, E-ISSN 1530-0277, Vol. 38, no s1, p. 347A-347A, article id 218Article in journal (Other academic)
    Abstract [en]

    Aims: Perceived risk is related to use of cannabis, alcohol, and tobacco among youth. Sweden and US have different policies and customs related to these substances thatmay influence both risk perception and behavior regarding use of these substances. Differences in perceived risk of cannabis, cigarettes, chewing tobacco and alcohol in Sweden and the US have been reported but no direct systematic comparison has been performed. Design and setting: The ATLAS Project is a long-term longitudinal study comparing the development of substance use from high school to the young adult life period (18–23 years) in the US and Sweden. Participants: Baseline data for 3352 17–19 year-old high school students (65%from Sweden, 56% women, mean age 17.8, 35%from US 58%women,mean age 17.6). Measurements: Surveys of perceived risk items, ever use of cannabis, cigarettes and alcohol, as well as conduct problems, mental health symptoms, and impulsivity. Findings: The largest differences between the countries were found for the risk of cannabis use. Swedish participants reported much higher perceived risk both for continuous and occasional use than US students. For cigarettes, chewing tobacco and alcohol students from the US reported higher risk perception than the Swedish students did. Females reported higher perceived risk for all substances than male students.Conduct problems were associated with less perceived risk in all examples and impulsivity in cannabis and alcohol issues. Increasedmental health symptoms were associated with increased perceived risk for alcohol. Those who have used the specific drug reported lower levels of risk for that drug butmostly not for other drugs. Conclusions: Perceived risk for cannabis was higher in Swedish students than in US students while cigarette smoking, chewing tobacco and alcohol use were perceived as more risky in the US. One possibility could be that Sweden has much tougher drug laws than the US while less stringent alcohol and tobacco laws.

  • 26.
    Berglund, Mats
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Witkiewitz, K.
    Johansson, Kent
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Lewis, M.
    Dillworth, T.
    Pace, T.
    Ståhlbrandt, H.
    Douglas, H.
    Larimer, M.E.
    Disability, alocohol and drug use, and mental health among high school seniors in the USA and Sweden2012In: Alcoholism: Clinical and Experimental Research, ISSN 0145-6008, E-ISSN 1530-0277, Vol. 36, no Special issue: 2012 ISBRA World Congress : Current topics and innovations in alcohol research, p. 131A-131A, article id P160Article in journal (Other academic)
  • 27.
    Berglund, Mats
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Witkiewitz, K
    Johnsson, Kent
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Lewis, M
    Dillworth, T
    Pace, T
    Ståhlbrandt, H
    Douglas, H.
    Larimer, M.E
    Web-based personalized feedback intervention in high school students: an international comparison2012In: Alcoholism: Clinical and Experimental Research, ISSN 0145-6008, E-ISSN 1530-0277, no 36/s2, p. 86A-86A, article id S291Article in journal (Other academic)
  • 28. Berman, Anne H
    et al.
    Andersson, Claes
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Gajecki, Mikael
    Rosendahl, Ingvar
    Sinadinovic, Kristina
    Blankers, Matthijs
    Smartphone Apps Targeting Hazardous Drinking Patterns among University Students Show Differential Subgroup Effects over 20 Weeks: Results from a Randomized, Controlled Trial.2019In: Journal of Clinical Medicine, E-ISSN 2077-0383, Vol. 8, no 11, article id 1807Article in journal (Refereed)
    Abstract [en]

    Overconsumption of alcohol, from hazardous to excessive, heavy, and harmful levels, is common among university students. Consenting Swedish students were assigned to one of two smartphone apps offering feedback on estimated blood alcohol concentration (eBAC; Promillekoll/PartyPlanner) or assessment only (n = 2166; 1:1:1 ratio). App participants with excessive drinking according to public health criteria (>9/>14 drinks/week for women/men, respectively) at a 7 week follow-up were additionally assigned to the skills-based TeleCoach app or waitlist (n = 186; 1:1 ratio). All participants were followed at 14 and 20 weeks. At 7 weeks, Promillekoll users showed higher risk of excessive drinking (odds ratio (OR) = 1.83; p

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  • 29.
    Berman, Anne H.
    et al.
    Karolinska Inst, Stockholm, Sweden.;Uppsala Univ, Uppsala, Sweden..
    Andersson, Claes
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Lindner, Philip
    Karolinska Inst, Stockholm, Sweden..
    Engstrom, Karin
    Karolinska Inst, Stockholm, Sweden.;Swedish Publ Hlth Agcy, Stockholm, Sweden..
    Bendtsen, Marcus
    Linkoping Univ, Linkoping, Sweden..
    Lindfors, Petra
    Stockholm Univ, Stockholm, Sweden..
    National assessment and e-health interventions for mental health problems among university students: Swedish partnership in the WHO-World Mental Health International College Student (WHM-ICS) consortium2021In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 28, no SUPPL 1, p. S101-S101Article in journal (Other academic)
  • 30.
    Berman, Anne H
    et al.
    Uppsala University; Karolinska Institutet and Stockholm Health Care Services.
    Bendtsen, Marcus
    Linköping University.
    Molander, Olof
    Karolinska Institutet and Stockholm Health Care Services.
    Lindfors, Petra
    Stockholm University.
    Lindner, Philip
    Karolinska Institutet and Stockholm Health Care Services.
    Granlund, Lilian
    Uppsala University.
    Topooco, Naira
    Linköping University.
    Engström, Karin
    Karolinska Institutet.
    Andersson, Claes
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR). Uppsala University.
    Compliance with recommendations limiting COVID-19 contagion among university students in Sweden: associations with self-reported symptoms, mental health and academic self-efficacy2022In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 50, no 1, p. 70-84, article id 14034948211027824Article in journal (Refereed)
    Abstract [en]

    AIMS: The COVID-19 containment strategy in Sweden uses public health recommendations relying on personal responsibility for compliance. Universities were one of few public institutions subject to strict closure, meaning that students had to adapt overnight to online teaching. This study investigates the prevalence of self-reported recommendation compliance and associations with self-reported symptoms of contagion, self-experienced effects on mental health and academic self-efficacy among university students in Sweden in May-June 2020.

    METHODS: This was a cross-sectional 23 question online survey in which data were analysed by multinomial regression, taking a Bayesian analysis approach complemented by null hypothesis testing.

    RESULTS: A total of 4495 students consented to respond. Recommendation compliance ranged between 70% and 96%. Women and older students reported higher compliance than did men and younger students. Mild to moderate COVID-19 symptoms were reported by 30%, severe symptoms by fewer than 2%; 15% reported being uncertain and half of the participants reported no symptoms. Mental health effects were reported by over 80%, and changes in academic self-efficacy were reported by over 85%; in both these areas negative effects predominated. Self-reported symptoms and uncertainty about contagion were associated with non-compliance, negative mental health effects, and impaired academic self-efficacy.

    CONCLUSIONS: Students generally followed public health recommendations during strict closure of universities, but many reported considerable negative consequences related to mental health and academic self-efficacy. Digital interventions should be developed and evaluated to boost coping skills, build resilience and alleviate student suffering during the pandemic and future similar crises.

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  • 31. Berman, Anne H.
    et al.
    Bewick, Bridgette
    Fodor, Marina C.
    Andersson, Claes
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Satterfield, Jason
    Meacham, Meredith
    Satre, Derek D.
    Current State of the Art in Digital Interventions for Addictive Behaviors2020In: Annals of Behavioral Medicine, ISSN 0883-6612, E-ISSN 1532-4796, Vol. 54, no S1, p. S417-S417Article in journal (Other academic)
    Abstract [en]

    Two years ago, a Special Issue on E-health Interventions for Addictive Behaviors was published in the International Journal of Behavioral Medicine. The issue included 16 articles, addressing topics like methodologies for developing e-health interventions, how to engage intervention users and establish a working alliance, and empirical findings from randomized controlled trials and a naturalistic study. The issue began with two articles offering a wide perspective on the field, with a systematic review of reviews on digital interventions for problematic alcohol use, as well as a too for describing e-health interventions as a step towards standardized reporting in order to facilitate communication about the interventions and comparisons between them. This symposium will follow up on the Special Issue by bringing together some of the contributors for presentations of their current work and a discussion on the current state-of-the-art in digital interventions for addictive behaviors. This symposium is sponsored by SBM’s Scientific and Professional Liaison Council (SPLC), in partnership with the International Society of Behavioral Medicine (ISBM).

  • 32. Berman, Anne H
    et al.
    Gajecki, Michael
    Sinadinovic, Kristina
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Mobile interventions targeting risky drinking among university students: A review2016In: Current Addiction Reports, E-ISSN 2196-2952, Vol. 3, no 2, p. 166-174Article in journal (Refereed)
    Abstract [en]

    Mobile interventions based on text messages, automated telephone programs (interactive voice response (IVR)), and smartphone apps offer a new approach targeting hazardous alcohol use in university students. This review covers seven recent studies involving college or university students that evaluated intervention efficacy in comparison to controls: four using text messages, one using IVR, and two smartphone apps. Only the study evaluating IVR reported positive results for the primary outcome. Two of the text message studies reported positive results on secondary outcomes, while the other two reported no differences in comparison to control groups. For smartphone apps, one study reported positive results on secondary outcomes, while the other showed no differences in comparison to controls for a web-based app and negative results for a native app. Further development of mobile interventions is needed for this at-risk population, both in terms of intervention content and use of robust research designs.

  • 33. Berman, Anne H
    et al.
    Gajecki, Mikael
    Fredriksson, Morgan
    Sinadinovic, Kristina
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Mobile phone apps for university students with hazardous alcohol use: study protocol for two consecutive randomized controlled trials2015In: JMIR Research Protocols, E-ISSN 1929-0748, Vol. 4, no 4, article id e139Article in journal (Refereed)
    Abstract [en]

    Background: About 50% of university students overconsume alcohol, and drinking habits in later adulthood are to some extent established during higher educational studies. Several studies have demonstrated that Internet-based interventions have positive effects on drinking habits among university students. Our recent study evaluated two mobile phone apps targeting drinking choices at party occasions via personalized feedback on estimated blood alcohol concentration (eBAC) for students with hazardous drinking. No changes in drinking parameters were found over a seven-week period apart from an increase in number of drinking occasions among men for one of the apps tested. Up to 30% of the study participants drank at potentially harmful levels: higher than the national recommended number of standard drinks per week (a maximum of 9 for women and 14 for men) in Sweden. Objective: (1) To evaluate improved versions of the two mobile phone apps tested in our prior trial, in a new, 3-armed randomized controlled trial among university students with at least hazardous drinking habits according to the Alcohol Use Disorders Identifications Test (AUDIT; Study 1). (2) After 6 weeks, to target study participants showing alcohol consumption higher than the national recommended levels for standard drinks per week by offering them participation in a second, 2-armed randomized trial evaluating an additional mobile phone app with skill enhancement tasks (Study 2). (3) To follow participants at 6, 12 and 18 weeks after recruitment to Study 1 and at 6 and 12 weeks after recruitment to Study 2. Methods: Two randomized controlled trials are conducted. Study 1: Students are recruited at four Swedish universities, via direct e-mail and advertisements on Facebook and student union web sites. Those who provide informed consent, have a mobile phone, and show at least hazardous alcohol consumption according to the AUDIT (≥6 for women; ≥8 points for men) are randomized into three groups. Group 1 has access to the Swedish government alcohol monopoly’s app, Promillekoll, offering real-time estimated eBAC calculation; Group 2 has access to a Web-based app, PartyPlanner, developed by the research group, offering real-time eBAC calculation with planning and follow-up functions; and Group 3 participants are controls. Follow-up is conducted at 6, 12 and 18 weeks. Study 2. Participants who at the first 6-week follow-up show drinking levels higher than 9 (W) or 14 (M) standard drinks (12 g alcohol) per week, are offered participation in Study 2. Those who consent are randomized to either access to a skills training app, TeleCoach or to a wait-list control group. Results: Latent Markov models for Study 1 and mixed models analyses for Study 2 will be performed. Study 2 data will be analyzed for publication during the spring of 2016; Study 1 data will be analyzed for publication during the fall of 2016. Conclusions: If mobile phone interventions for reducing hazardous alcohol use are found to be effective, the prospects for positively influencing substance use-related health among university students can considerably improve.

  • 34. Berman, Anne H
    et al.
    Gajecki, Mikael
    Sinadinovic, Kristina
    Fredriksson, Morgan
    Lindviken, Charlie
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Mobile phone brief intervention applications for risky alcohol use among university students: Three randomized controlled studies2015In: The 13th International Conference on Treatment of Addictive Behaviors, 31st of May-4th of June 2015, Odense, Denmark: Program and abstracts, The University of New Mexico, CASAA , 2015, p. 17-17Conference paper (Other academic)
    Abstract [en]

    Introduction: Most university students overconsume alcohol and have smartphones. Brief online interventions reduce students’ alcohol intake. Delivering brief interventions to students via smartphone apps should be investigated. Method: Students at several Swedish universities were invited to the 3 studies described via e-mails and online ads. Students with a smartphone and risky alcohol consumption according to the Alcohol Use Disorders Identification Test (AUDIT) were included, following informed consent. Three apps were tested, two targeting individual drinking choices on party occasions (Promillekoll and PartyPlanner), and one targeting high-risk users (TeleCoach™). Study 1 offered randomization into 3 groups: Promillekoll (1), offering real-time estimated blood alcohol concentration (eBAC) calculation; PartyPlanner (2), a web-based app with real-time eBAC calculation and additional planning/follow-up functions; a control group (3). Follow-up occurred at 7 weeks. Study 2 replicated Study 1; changes included improved apps based on Study 1 results, and follow-up times extended from 7 to 14 and 21 weeks (T1, T2 & T3). Study 3 offered participants at T1 from Study 2, who drank over 9 (women) and 14 (men) standard drinks/week, randomization into an intervention group (TeleCoach™) and a wait-list control group (intervention offered at T2). Results: For Study 1, 1932 fulfilled eligibility criteria for randomization. Attrition was 22.7–39.3 percent, higher among heavier drinkers and highest in Group 2. Per-protocol analyses revealed one significant timeby- group interaction, where Group 1 participants increased the frequency of their drinking occasions compared to controls (p = 0.001). Among all participants, 29 percent showed high-risk drinking, over the recommended weekly drinking levels of 9 (women) and 14 (men) standard glasses. Preliminary results will be reported for Studies 2 and 3. Discussion: Mobile phone apps offer a huge potential for making brief interventions available to more university students than ever before. Research is needed to identify effective app content.

  • 35.
    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.

  • 36. Berman, Anne H
    et al.
    Molander, Olof
    Tahir, Miran
    Törnblom, Philip
    Gajecki, Mikael
    Sinadinovic, Kristina
    Andersson, Claes
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Reducing Risky Alcohol Use via Smartphone App Skills Training Among Adult Internet Help-Seekers: A Randomized Pilot Trial2020In: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 11, article id 434Article in journal (Refereed)
    Abstract [en]

    Alcohol is one of the leading risk factors for global disease burden and overconsumption leads to a wide variety of negative consequences in everyday life. Digital interventions have shown small positive effects in contributing to reductions in problematic use. Specific research on smartphone apps is sparse and the few studies published indicate effects ranging from negative or null to small or moderate. TeleCoach™, a web-based skills training smartphone app, has shown positive effects in non-treatment-seeking university students with excessive drinking. This pilot trial aimed to evaluate app effects in a sample of internet help-seekers from the general population in Sweden. A total of 89 participants were recruited via online advertisement. Following baseline assessment for hazardous use, they were randomized to TeleCoach or a web-based control app offering brief information and advice regarding problematic alcohol use. The primary outcome was number of standard drinks per week; secondary outcomes included drinking quantity and frequency, binge drinking and blood alcohol count measures as well as app user data and comorbidity related to depression, anxiety, and drug use. Analysis of baseline and 6-week follow-up outcomes showed significant within-group effects on alcohol consumption but no significant between-group differences. Effect sizes for the within-group changes in the primary outcome over time were significant [F(1, 55)=43.98; p < 0.001], with a Cohen's d of 1.37 for the intervention group and 0.92 for the control group. This difference in effect sizes indicated that continuation of the study as a large randomized, controlled trial with up to 1,000 participants could be worthwhile.

    Clinical Trial Registration: www.ClinicalTrials.gov, identifier NCT03696888.

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  • 37. Berman, Anne H.
    et al.
    Molander, Olof
    Tahir, Miran
    Törnblom, Philip
    Gajecki, Mikael
    Sinadinovic, Kristina
    Andersson, Claes
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Skills Training for Reducing Risky Alcohol Use in App Form Among Adult Internet Help-seekers2020In: Annals of Behavioral Medicine, ISSN 0883-6612, E-ISSN 1532-4796, Vol. 54, no S1, p. S417-S417Article in journal (Other academic)
    Abstract [en]

    Background: Problematic alcohol use in Sweden occurs among 16 % of the adult population. Digital interventions of varying intensity have shown positive effects in contributing to reductions in problematic use, and the TeleCoach app has shown positive effects in non-treatment-seeking university students with excessive drinking (Gajecki et al., 2017). This pilot study evaluated the app among adult internet help-seekers, and motivated continued data collection in the current target group. Methods: Adult internet-help seekers, recruited via advertisement, were included if they scored ³6 (women) or ³8 (men) on the Alcohol Use Disorders Identification Test (AUDIT). Those with depression scores of ³31 on the Montgomery Åsberg Depression Rating Scale (MADRS-S) or problematic drug use scores of ³8 on the Drug Use Disorders Identification Test (DUDIT) were contacted for a telephone interview and included following clinical assessment; if not reached they were excluded. Participants randomized at a 1:1 ratio to the TeleCoach™ web-based app or to a web-based app with information texts from primary care-based self-help material for changing problematic alcohol use. At six-week follow-up, the primary outcome was the number of standard drinks per past week (Timeline-Followback). Results: Of 147 persons assessed for eligibility, 89 were assigned to the intervention group (n=42) or control group (n=47). Average AUDIT levels at baseline were ³18.The baseline number of standard drinks per week was 32.73 (SD 21.16) for the intervention group, and 26 (4.08) for the control group; at 6-week follow-up it was 12.73 (10.52) and 13.48 (11.13) for the intervention and control groups, respectively. No significant between-groups effects occurred, but withingroup changes over time were significant (F(1, 55)=43.98; p< 0.000), with an effect size of 1.37 for the intervention group and 0.92 for the control group. Conclusions: The results suggest that web-based apps can be of help to internet help-seekers motivated to reduce problematic alcohol use. We have proceeded with the planned larger randomized, controlled study and will present 6-week follow-up data for the entire study sample (n=∼1000) in this presentation.

  • 38.
    Berman, Anne H.
    et al.
    Uppsala Univ, Uppsala, Sweden..
    Perski, Olga
    Uppsala Univ, Uppsala, Sweden..
    Lindfors, Petra
    Stockholm Univ, Stockholm, Sweden..
    Bendtsen, Marcus
    Linköping Univ, Linköping, Sweden..
    Topooco, Naira
    Uppsala Univ, Uppsala, Sweden..
    Andersson, Claes
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR). Uppsala Univ, Uppsala, Sweden..
    Mental wellbeing in swedish university students: Protective and risk factors in a crosssectional study2023In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 30, p. S66-S67, article id 302Article in journal (Other academic)
    Abstract [en]

    Objective: Mental wellbeing is a fundamental aspect of the broader notion of quality of life. Little is known about the mental wellbeing of university students in general and Swedish university students in particular. As emerging adults, university students typically experience substantial changes to their living conditions, relationships, and academic stress, and depression and anxiety are prospectively associated with lower academic achievement at the end of the first year.

    Methods: Data from five cross-sectional cohorts (n = 7423), collected between spring 2020 and spring 2022, were compared descriptively, regarding sociodemographic factors, lifetime and past 30-day symptoms of mental health problems, experiences of bullying, feeling loved and measures of well-being. Linear regression identified protective factors for wellbeing according to the Short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS), and risk factors for lower wellbeing.

    Results: Participants were > 70% women, 24–27 years old, 75–83% born in Sweden. About one-third had experienced physical bullying at school and about 70% felt loved and cared for. About two-thirds had medium levels of wellbeing, with one-third having low levels and about 5% having high levels. Protective factors for wellbeing included older age, male gender, feeling loved most of the time, and the grit construct. Risk factors included being an international student, non-heterosexual sexual orientation, having symptoms of depression or anxiety most of the time, and experiencing effort/reward imbalance.

    Conclusions: A large proportion of students experience less than optimal wellbeing. Interventions to enhance positive, nurturing relationships and reinforce grit-related factors could support students in this challenging period of life.

  • 39. Berman, Anne H
    et al.
    Rosendahl, Ingvar
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Gajecki, Mikael
    Sinadinovic, Kristina
    Blankens, Matthijs
    Smartphone apps targeting risky and excessive drinking patterns among university students show differing subgroup effects over 20 weeks2017In: Addiction science & clinical practice, ISSN 1940-0632, E-ISSN 1940-0640, Vol. 12, no Suppl 1, p. 19-20Article in journal (Other academic)
    Abstract [en]

    Background and Aims: University students with risky drinking are a clear target group for intervention via smartphone apps. This study compared three different apps over a 20-week period, for university students with hazardous and excessive drinking patterns. Materials and Methods: Students from six campuses were invited to a three-armed trial (A). Those with hazardous alcohol use (n = 2166) were randomly assigned to one of two smartphone apps offer- ing feedback on real-time estimated blood alcohol concentration (eBAC) levels, or to a control group, with three follow-ups at 6, 12 and 20  weeks. At 6  weeks, participants in the app groups with excessive weekly alcohol consumption of >9 (women) or >14 (men) drinks per week (n  =  257), were offered participation in a second trial (B); con-senters (n  =  186) were randomly assigned to a skills-based app or a waitlist group, and compared with an assessment-only control group. Results: Six-week analyses (n = 2166) replicated our earlier trial from 2014, re-confirming earlier results: the Promillekoll app was associated with higher quantity and frequency of drinking compared to controls, and a higher risk for excessive drinking; the PartyPlanner group did not differ from controls. Lower-risk drinkers from trial A (n = 1177) up to 20 weeks did not differ from controls on main outcomes. However, sub-analyses showed that individuals with higher consumption had higher motivation to reduce intake. In both intervention groups, con-sumption was lower for more highly motivated participants compared to controls at 6- and 20-week follow-ups. Latent class analysis of par- ticipants in both trials (n = 2166) revealed a class (n = 146) that drank several days a week and that differed significantly from the remain- ing cohort in gender, age, and alcohol consumption. For this class, access to the Promillekoll app appeared marginally associated with lower quantity over time; access to the skills-based TeleCoach app was clearly associated with fewer drinking days up to 20 weeks. Conclusions: Smartphone apps targeting eBAC can influence drink-ing levels up to 20 weeks for university students with hazardous use and higher motivation to reduce their drinking. A skills-based app that reduces intake among students with excessive weekly consumption can be particularly effective for students with daily drinking habits.

  • 40. Berman, Anne H.
    et al.
    Sundstrom, Chris
    Sinadinovic, Kristina
    Gajecki, Mikael
    Johansson, Magnus
    Andersson, Claes
    Malmö University, Faculty of Health and Society (HS), Department of Criminology (KR).
    Digital Paths to Changing Problematic alcohol Use: Effectiveness of Unguided and Guided Interventions in a Stepped Care Model2018In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 25, no Supplement 1, p. S43-S44, article id P126Article in journal (Other academic)
    Abstract [en]

    Introduction & Purpose: Digital interventions for changing problematic alcohol use have shown small effect sizes in relation to control groups. A meta-analysis (Riper et al., 2014) found an overall effect size of 0.20, with slightly higher effect sizes of 0.23 for interventions with a human guide, compared to 0.20 for unguided interventions. This presentation describes five different interventions, from unguided low-intensity to high-intensity guided interventions, evaluated in separate randomized controlled trials (RCT). Methods: Target groups included internet help-seekers and university students, with hazardous drinking according to the Alcohol Use Disorders Identification Test (AUDIT), excessive drinking based on national public health guidelines, or diagnosed alcohol use disorder (AUD). Study 1 evaluated eScreen.se, offering minimal screening and personal feedback, and alkoholhjalpen.se, a self-help program, with 633 internetbased participants reporting hazardous drinking. Study 2 evaluated the PartyPlanner and Promillekoll smartphone apps with 1932 university students reporting hazardous drinking. Study 3 evaluated the TeleCoach skills-based app with 186 university students who drank excessively. For studies 1-3 assessment-only controls were comparison groups. Study 4 compared the unguided eChange 10-week program to a guided version with 80 internet-based participants having at least hazardous use. Study 5 with 166 participants compared the high-intensity ePlus 13-week program to the unguided eChange program in a 13-week version, and a small wait-list control group. Results: Studies 1-5 are compared with one another in terms of baseline characteristics and results. Although inclusion criteria varied, baseline AUDIT levels out of a maximum of 40 points for studies 1-5 respectively were 20.82 (SD 6.93), 10.55 (3.90); 13.46 (4.69); 21.00 (4.90) and 23.70 (1.40). Within-group and between-group results are compared, showing greater effects for more intensive interventions. Conclusions: Effects vary by target groups, severity levels and interventions, but it is clear that digital interventions contribute to reduced problematic alcohol use.

  • 41. Carroll, Haley A
    et al.
    Heleniak, Charlotte
    Witkkiewitz, Katie
    Lewis, Melissa
    Eakins, Danielle
    Staples, Jennifer
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Berglund, Mats
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Larimer, Mary E
    Effects of parental monitoring on alcohol use in the US and Sweden: A brief report2016In: Addictive Behaviours, ISSN 0306-4603, E-ISSN 1873-6327, Vol. 63, p. 89-92Article in journal (Refereed)
    Abstract [en]

    Objective Adolescent alcohol use predicts a myriad of negative mental and physical health outcomes including fatality (Midanik, 2004). Research in parental influence on alcohol consumption finds parental monitoring (PM), or knowing where/whom your child is with, is associated with lower levels of alcohol use in adolescents (e.g., Arria et al., 2008). As PM interventions have had only limited success (Koutakis, Stattin, & Kerr, 2008), investigating moderating factors of PM is of importance. Country may serve as one such moderator (Calafat, Garcia, Juan, Becoña, & Fernández-Hermida, 2014). Thus, the purpose of the present report is to assess the relationship between PM and alcohol use in the US and Sweden. Method High school seniors from the US (n = 1181, 42.3% Male) and Sweden (n = 2171, 44.1% Male) completed assessments of total drinks consumed in a typical week, problematic alcohol use, and perceived PM. Results Generalized linear mixed modeling (GLM, Cohen, Cohen, West, & Aiken, 2013; Hilbe, 2011) was used to examine whether country moderated the relationship between PM and alcohol use. Results revealed main effects of country and PM and a significant interaction between country and PM in predicting total drinks per week and PM in predicting problematic alcohol use (p < 0.001). Conclusions While PM is related to lower quantity of alcohol consumed and problematic alcohol use, greater PM appears to be more strongly related to fewer drinks per week and less problematic alcohol use in the US, as compared to Sweden.

  • 42. Fossos-Wong, Nicole
    et al.
    Abdallah, Devon
    Lewis, Melissa A
    Witkiewitz, Katie
    Grazioli, Veronique S
    Lee, Christine M
    Kilmer, Jason R
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Pace, Tim
    Larimer, Mary E
    Impact of a Brief Web-Based Personalized Feedback Intervention on use of Protective Behavioral Strategies among US and Swedish High School Senior Drinkers2016Conference paper (Other academic)
  • 43. Fossos-Wong, Nicole
    et al.
    Dillworth, Tiara
    Grazioli, Veronique S
    Lee, Christine A
    Kilmer, Jason
    Pace, Tim
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Johnsson, Kent O
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Berglund, Mats
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Larimer, Mary E
    Changes in Alcohol Expectancies, Drinking and Alcohol-Related Negative Consequences in the Transition out of High School2014In: Alcoholism: Clinical and Experimental Research, ISSN 0145-6008, E-ISSN 1530-0277, Vol. 38, no s1, p. 59A-59A, article id 0235Article in journal (Other academic)
    Abstract [en]

    The transition fromadolescence to emerging adulthood is a period of increased risk for heavy drinking behavior. Prior research has found that college students drink more and experience more consequences than their non-college counterparts. However, sparse research has examined whether students who are college- versus work-bound show differences in drinking and related consequences in high school (HS) as well. In addition, little research has explored whether alcohol expectancies also change over time as a function of selection into college versus non-college environments. The current study examined whether alcohol-related expectancies, consequences, and drinking changed over the course of a year as a function of whether participants transitioned into a four-year university (UNI), community college/trade school (CC), or workforce setting (WF). Participants (N=848) were HS seniors (mean age=17.5 years; 37%male, 73%Caucasian) taking part in a larger study examining alcohol use trajectories.Measures included alcohol expectancies (CEOA), drinking (DDQ), and alcohol-related problems (RAPI) assessed during their senior year and one year later. Repeatedmeasures ANOVAs revealed significant main effects for time, indicating increases in drinks per week F(1, 807)=19.18, p>0.001 and alcohol-related problems F(1, 808)=8.78, p>0.01 and a decrease in alcohol expectancies F(1, 808)=14.35, p>0.001 from baseline to 12 month follow-up. Results also found a main effect for group, indicating UNI students held higher expectancies F(2, 808)=8.15, p>0.001 and drank more F(2, 807)=6.26, p>0.01 than other participants. A significant time9group interaction showed that whereas UNI-bound students drank less thanWF-bound students in HS, the roles reversed one year later with UNI students drinking more thanWF students F (2, 807)=27.56, p>0.001. Similarly, WF-bound students had more alcohol-related problems in HS followed by CC-bound students and UNI-bound students, but one year later the order reversed with UNI students exhibiting the most alcohol-related problems F(2, 807)=5.21, p>0.01. Results indicate that whereas UNI-bound seniors exhibit the highest expectancies, drink less, and experience fewer problems during HS, upon entry into UNI, they experience more problems and out-drink their CC andWF counterparts. These results highlight the importance of prevention strategies, including an expectancy challenge component, especially for UNI-bound HS seniors.

  • 44. Gajecki, Mikael
    et al.
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Rosendahl, Ingvar
    Sinadinovic, Kristina
    Fredriksson, Morgan
    Berman, Anne H
    Skills Training via Smartphone App for University Students with Excessive Alcohol Consumption: a Randomized Controlled Trial2017In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 24, no 5, p. 778-788Article in journal (Refereed)
    Abstract [en]

    PURPOSE: University students in a study on estimated blood alcohol concentration (eBAC) feedback apps were offered participation in a second study, if reporting continued excessive consumption at 6-week follow-up. This study evaluated the effects on excessive alcohol consumption of offering access to an additional skills training app. METHOD: A total of 186 students with excessive alcohol consumption were randomized to an intervention group or a wait list group. Both groups completed online follow-ups regarding alcohol consumption after 6 and 12 weeks. Wait list participants were given access to the intervention at 6-week follow-up. Assessment-only controls (n = 144) with excessive alcohol consumption from the ongoing study were used for comparison. RESULTS: The proportion of participants with excessive alcohol consumption declined in both intervention and wait list groups compared to controls at first (p < 0.001) and second follow-ups (p = 0.054). Secondary analyses showed reductions for the intervention group in quantity of drinking at first follow-up (-4.76, 95% CI [-6.67, -2.85], Z = -2.09, p = 0.037) and in frequency of drinking at both follow-ups (-0.83, 95% CI [-1.14, -0.52], Z = -2.04, p = 0.041; -0.89, 95% CI [-1.16, -0.62], Z = -2.12, p = 0.034). The odds ratio for not having excessive alcohol consumption among men in the intervention group compared to male controls was 2.68, 95% CI [1.37, 5.25] (Z = 2.88, p = 0.004); the figure for women was 1.71, 95% CI [1.11, 2.64] (Z = 2.41, p = 0.016). CONCLUSION: Skills training apps have potential for reducing excessive alcohol use among university students. Future research is still needed to disentangle effects of app use from emailed feedback on excessive alcohol consumption and study participation. TRIAL REGISTRATION:NCT02064998.

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  • 45. Gajecki, Mikael
    et al.
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Sinadinovic, Kristina
    Berman, Anne H.
    Interactive voice response (ivr) for problematic alcohol use: a three-armed randomized controlled trial2013In: Annals of Behavioral Medicine, ISSN 0883-6612, E-ISSN 1532-4796, Vol. 45, p. S96-S96Article in journal (Other academic)
  • 46. Gajecki, Mikael
    et al.
    Berman, Anne H
    Sinadinovic, Kristina
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Ljotsson, Brjann
    Hedman, Erik
    Ruck, Christian
    Lindefors, Nils
    Effects of Baseline Problematic Alcohol and Drug Use on Internet-Based Cognitive Behavioral Therapy Outcomes for Depression, Panic Disorder and Social Anxiety Disorder2014In: PLOS ONE, E-ISSN 1932-6203, Vol. 9, no 8, article id e104615Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Patients' problematic substance use prevalence and effects were explored in relation to internet-based cognitive behavioral therapy (ICBT) outcomes for depression, panic disorder and social anxiety disorder. METHODS: At baseline and treatment conclusion, 1601 ICBT patients were assessed with self-rated measures for alcohol and drug use (AUDIT/DUDIT), depressive symptoms (MADRS-S), panic disorder symptoms (PDSS-SR) and social anxiety symptoms (LSAS-SR). RESULTS: Problematic substance use (AUDIT ≥ 8 for men, ≥ 6 for women; DUDIT ≥ 1) occurred among 32.4% of the patients; 24.1% only alcohol, 4.6% only drugs, and 3.7% combined alcohol and drug use. Hazardous alcohol use and probable alcohol dependence negatively affected panic disorder outcomes, and hazardous drug use led to worse social anxiety outcomes. Depression outcomes were not affected by substance use. Treatment adherence was negatively affected by problematic drug use among men and 25-34 year olds; combined substance use negatively affected adherence for women and 35-64 year olds. CONCLUSION: Problematic substance use does not preclude ICBT treatment but can worsen outcomes, particularly problematic alcohol use for panic disorder patients and hazardous drug use for social anxiety patients. ICBT clinicians should exercise particular caution when treating men and younger patients with problematic drug use, and women or older patients with combined substance use.

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  • 47. Gajecki, Mikael
    et al.
    Berman, Anne H
    Sinadinovic, Kristina
    Rosendahl, Ingvar
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Mobile phone brief intervention applications for risky alcohol use among university students: a randomized controlled study2014In: Addiction science & clinical practice, ISSN 1940-0632, E-ISSN 1940-0640, Vol. 9, no 11Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Brief interventions via the internet have been shown to reduce university students' alcohol intake. This study tested two smartphone applications (apps) targeting drinking choices on party occasions, with the goal of reducing problematic alcohol intake among Swedish university students. METHODS: Students were recruited via e-mails sent to student union members at two universities. Those who gave informed consent, had a smartphone, and showed risky alcohol consumption according to the Alcohol Use Disorders Identification Test (AUDIT) were randomized into three groups. Group 1 had access to the Swedish government alcohol monopoly's app, Promillekoll, offering real-time estimated blood alcohol concentration (eBAC) calculation; Group 2 had access to a web-based app, PartyPlanner, developed by the research group, offering real-time eBAC calculation with planning and follow-up functions; and Group 3 participants were controls. Follow-up was conducted at 7 weeks. RESULTS: Among 28574 students offered participation, 4823 agreed to join; 415 were excluded due to incomplete data, and 1932 fulfilled eligibility criteria for randomization. Attrition was 22.7-39.3 percent, higher among heavier drinkers and highest in Group 2. Self-reported app use was higher in Group 1 (74%) compared to Group 2 (41%). Per-protocol analyses revealed only one significant time-by-group interaction, where Group 1 participants increased the frequency of their drinking occasions compared to controls (p = 0.001). Secondary analyses by gender showed a significant difference among men in Group 1 for frequency of drinking occasions per week (p = 0.001), but not among women. Among all participants, 29 percent showed high-risk drinking, over the recommended weekly drinking levels of 9 (women) and 14 (men) standard glasses. CONCLUSIONS: Smartphone apps can make brief interventions available to large numbers of university students. The apps studied using eBAC calculation did not, however, seem to affect alcohol consumption among university students and one app may have led to a negative effect among men. Future research should: 1) explore ways to increase user retention, 2) include apps facilitating technical manipulation for evaluation of added components, 3) explore the effects of adapting app content to possible gender differences, and 4) offer additional interventions to high-risk users. TRIAL REGISTRATION: clinicaltrials.gov: NCT01958398.

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  • 48.
    Grazioli, V.S.
    et al.
    Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle 98105, USA.
    Douglas, H.
    Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle 98105, USA.
    Dillworth, T.
    Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle 98105, USA.
    Fossos, N.
    Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle 98105, USA.
    Pace, T.
    Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle 98105, USA.
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Berglund, Mats
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Larimer, M.E.
    Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle 98105, USA.
    Injunctive norms of alcohol-related consequences among high school students: impact on alcohol outcomes2013In: Alcoholism: Clinical and Experimental Research, ISSN 0145-6008, E-ISSN 1530-0277, Vol. 37, no s2, p. 156A-156A, article id 582Article in journal (Other academic)
    Abstract [en]

    Literature indicates that high school students experience numerous negative consequences related to drinking (Miller, Naimi, Brewer, & Jones, 2007). It is therefore important to understand determinants of drinking behaviors in this population, such as injunctive norms (i.e., perception of self and/or others’ approval of a specific behavior; Cialdini et al., 1990). A recent study among college students documented a discrepancy between personal attitudes about alcohol-related consequences and perceived attitudes of peers, with students perceiving peers to be more approving of alcohol-related consequences than themselves, which predicted higher rates of alcohol use (DeMartini, Carey, Lao, & Luciano, 2011). To our knowledge, this has not been studied among high school students. Thus, the purpose of the current study is to evaluate the predictive role of perceived differences in injunctive norms between self and peers for alcohol-related consequences among high school seniors. The sample included 3,352 students in the US (n = 1181, 57.7%female) and Sweden (n = 2171, 55.9% female), participating in an international longitudinal study about alcohol use trajectories. Measures included injunctive norms for self and friends for alcohol-related consequences (i.e., 7 items adapted from the RAPI; White & Labouvie, 1989), alcohol-related consequences (RAPI; White & Labouvie, 1989), and alcohol use (DDQ; Collins, Parks, & Marlatt, 1985). Paired samples t-tests were used to compare mean injunctive norms for self (M = 1.78), and friends (M = 2.02). There was a significant difference in perceived attitudes between self and friends (t (3173) = -17.76, p < .001) such that injunctive norms for self were lower than for friends. Next, regression analyses evaluated the discrepancy in injunctive norms for self and friends and its relation to alcohol outcomes. Differences between self and friends were computed by subtracting self from friends (F-S). F-S significantly predicted total drinks per week (b = .11, F (1, 3059) = 40.27, p < .001), average drinks per drinking occasion (b = .08, F (1, 3059) = 17.37, p < .001), and negative consequences (b = .21, F (1, 3113) = 143.09, p < .001). These results provide additional support of the importance of injunctive norms of alcohol-related consequences in young adults and have implications for prevention programs tailored to high school students. This research was supported by NIAAA #U01 AA018276 awarded to Drs. Larimer & Berglund.

  • 49. Grazioli, Véronique S
    et al.
    Dillworth, Tiara
    Witkiewitz, Katie
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Kilmer, Jason R
    Pace, Timothy
    Fossos-Wong, Nicole
    Carroll, Haley
    Berglund, Mats
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Daeppen, Jean-Bernard
    Larimer, Mary E
    Protective behavioral strategies and future drinking behaviors: effect of drinking intentions2015In: Psychology of Addictive Behaviors, ISSN 0893-164X, E-ISSN 1939-1501, Vol. 29, no 2, p. 355-364Article in journal (Refereed)
    Abstract [en]

    Alcohol use is common among United States and Swedish high school students and is related to negative consequences. Whereas drinking intentions are associated with future drinking behaviors, the use of protective behavioral strategies (PBS) is associated with decreased alcohol-related harm among young adults. The interactive effect of PBS and drinking intentions in predicting alcohol outcomes has not been examined. Further, because most PBS studies have been conducted among U.S. college students, PBS research among other populations is needed. The aims of this study were to evaluate longitudinally (a) the relationships between drinking intentions, PBS and alcohol outcomes, and (b) the moderating roles of drinking intentions and country in these relationships among United States and Swedish high school drinkers. Data were collected at baseline, 6- and 12-month follow-ups on 901 Swedish and 288 U.S. high school drinkers. Drinking intentions were associated with more alcohol use and consequences, and use of certain PBS was related to fewer alcohol-related consequences over time. Additionally, the negative prospective relationship between use of PBS and alcohol use, but not alcohol-related consequences, was moderated by intentions, such that the relationship was stronger among participants endorsing high drinking intentions. Country did not moderate these relationships. These results provide initial support for the generalizability of PBS college research to United States and Swedish high school students and suggest that interventions targeting the use of PBS may be most effective among high school drinkers endorsing high drinking intentions.

  • 50. Gripenberg, Johanna
    et al.
    Tengström, Anders
    Andersson, Björn
    Skårner, Anette
    Andersson, Claes
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Berglund, Mats
    Malmö högskola, Faculty of Health and Society (HS), Department of Criminology (KR).
    Trestad2: Storstädernas satsning mot cannabis: delrapport för tiden jan 2012 - sep 20132014Report (Other academic)
    Abstract [sv]

    Denna rapport är en halvtidsdokumentation av den storstadssatsning som mellan 2012 och 2014 genomförs i Stockholm, Göteborg och Malmö med syfte att minska användande av cannabis hos unga. Författarna till rapporten är medlemmar av den övergripande forskargrupp som utsetts av de tre medverkande storstäderna för att följa, dokumentera och utvärdera projektet som helhet. Den övergripande forskargruppen kommer att presentera sin slutrapport sommaren/hösten 2014. Halvtidsdokumentationen avser perioden från januari 2012 till september 2013 och har tillkommit på initiativ av den övergripande forskargruppen för att dokumentera storstadssatsningens förlopp samt för att skapa ett underlag som kan användas såväl under den återstående projekttiden, som vid slutrapportering av hela storstadssatsningen. Rapporten presenterades på ett seminarium med de tre medverkande städerna i Malmö den 3 februari 2014. Rapporten publiceras av Malmö Högskola efter överenskommelse med medverkande städer för att möjliggöra citering av rapportens innehåll vid kommande slutrapport samt för att göra dess innehåll tillgängligt för andra intressenter.

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