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  • 1.
    Agnafors, Sara
    et al.
    Linköpings universitet.
    Bladh, Marie
    Linköpings universitet.
    Ekselius, Lisa
    Uppsala universitet.
    Svedin, Carl Göran
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Sydsjö, Gunilla
    Linköpings universitet.
    Maternal temperament and character: associations to child behavior at the age of 3 years.2021In: Child and Adolescent Psychiatry and Mental Health, E-ISSN 1753-2000, Vol. 15, no 1, article id 23Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The influence of maternal temperament on child behavior, and whether maternal temperament impact boys and girls differently is not thoroughly studied. The aim was to investigate the impact of maternal temperament and character on child externalizing and internalizing problems at age 3.

    METHODS: A birth-cohort of 1723 mothers and their children were followed from birth to age 3. At the child's age of 3 months, the mothers filled out standardized instruments on their temperament and character using the Temperament and Character Inventory (TCI) and depressive symptoms using the Edinburgh Postnatal Depression Scale (EPDS). At the child's age of 3 years, the mothers reported on child behavior using the Child Behaviour Checklist (CBCL).

    RESULTS: Maternal temperamental trait novelty seeking was positively associated with externalizing problems in the total population and in girls. Harm avoidance was positively associated with externalizing problems in the total population and in boys, and with internalizing problems in the total population and boys and girls respectively. Maternal character traits of self-directedness and cooperativeness were negatively associated with both externalizing and internalizing problems in the total population and in boys and girls respectively.

    CONCLUSIONS: Maternal character traits were more influential on child behavior than were temperamental traits, and thus the opportunities for intervention targeted at parental support are good. Maternal mental health and socioeconomic aspects also increased the risk for child behavior problems, indicating the need for recognition and support in clinical settings.

  • 2.
    Andersson, Hedvig
    et al.
    Linköpings universitet.
    Aspeqvist, Erik
    Linköpings universitet.
    Dahlström, Örjan
    Linköpings universitet.
    Svedin, Carl Göran
    Marie Cederschiöld University, Department of Social Sciences.
    Jonsson, Linda S.
    Marie Cederschiöld University, Department of Social Sciences.
    Landberg, Åsa
    Marie Cederschiöld University, Department of Social Sciences.
    Zetterqvist, Maria
    Universitetssjukhuset i Linköping.
    Emotional Dysregulation and Trauma Symptoms Mediate the Relationship Between Childhood Abuse and Nonsuicidal Self-Injury in Adolescents2022In: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 13, article id 897081Article in journal (Refereed)
    Abstract [en]

    Background: Nonsuicidal self-injury (NSSI) is common in adolescents. Emotion dysregulation has been identified as a core mechanism in the development and maintenance of NSSI and it is therefore an important target when addressing NSSI. The pathogenic connection between different kinds of childhood abuse, difficulties in emotion regulation and NSSI needs further investigation. The objective of this study was to examine whether difficulties with emotion regulation and trauma symptoms, separately and together, mediate the relationships between sexual, physical and emotional abuse and NSSI.

    Method: Cross-sectional data was collected from 3,169 adolescent high-school students aged 16–19 years (M = 18.12, SD = 0.45). Data from self-reported experiences of childhood abuse, current difficulties with emotion regulation (measured with the Difficulties with Emotion Regulation Scale, DERS-16) and trauma symptoms (measured with the Trauma Symptom Checklist for Children, TSCC), and NSSI were collected. Structural Equation Modeling (SEM) was used to test the proposed relationships between variables.

    Results: The prevalence of life-time NSSI was 27.4%. Prevalence of reported childhood abuse was 9.2, 17.5, and 18.0% for sexual, physical, and emotional abuse, respectively. Childhood abuse, difficulties with emotion regulation and trauma symptoms exhibited significant positive associations with NSSI in adolescents. Emotional dysregulation and trauma symptoms were both found to mediate the relationship between childhood abuse and NSSI. Latent variable models were found to fit data well.

    Conclusion: Results indicate that increased levels of emotional dysregulation and trauma symptoms in relation to childhood abuse contribute to the increased risk of NSSI. Further, results point to some aspects of emotional dysregulation and trauma symptoms being more important in this regard. Clinical implications are discussed.

  • 3.
    Arnberg, Filip K.
    et al.
    Uppsala universitet.
    Bondjers, Kristina
    Uppsala universitet.
    Sveen, Josefin
    Uppsala universitet.
    Panel discussion: early interventions after traumatic events2015In: European Journal of Psychotraumatology, ISSN 2000-8198, E-ISSN 2000-8066, Vol. 6, article id 28636Article in journal (Other academic)
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  • 4.
    Belca, Spela
    et al.
    Ersta Sköndal University College, Department of Health Care Sciences.
    Barosen, Camilla
    Ersta Sköndal University College, Department of Health Care Sciences.
    Upplevelser av att leva med schizofreni2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Schizofreni är en allvarlig psykisk sjukdom kännetecknad av svikt i kognitiva och sociala förmågor. Det råder otillräckliga kunskaper i bemötandet av personer med schizofreni. Deras subjektiva upplevelser blir oftast åsidosatta fastän de spelar en viktig roll i vården och personers liv. En bättre förståelse för personers subjektiva dimensionen kan bidra till ett bättre bemötande och minska lidande för personer med schizofreni.

    Syfte: Syftet för denna studie är att undersöka subjektiva upplevelser hos personer med schizofreni.

    Metod: Nio kvalitativa artiklar som hittades i databaserna PsycINFO och CINAHL bearbetades med metasyntes, gemensamma teman kunde identifieras.

    Resultat: Personer med schizofreni upplever en komplex blandning av upplevelser såsom tillbakadragande, ensamhet, relationsproblem, hopplöshet, kaos och förvirring som effekter av sjukdomen. Trygghet och gemenskap kan bidra till en positiv utveckling av hälsoprocesserna.

    Diskussion: Livsvärlden ligger till grund för hur personer med schizofreni upplever sin sjukdom och livssituation. Upplevelser av negativa symtom hos personer med schizofreni kräver mer forskning. Bemötandet av personer med schizofreni kan genom fortsatt forskning och utbildning förbättras.

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    Upplevelser av att leva med schizofreni
  • 5.
    Bondjers, Kristina
    et al.
    Uppsala universitet.
    Sveen, Josefin
    Uppsala universitet.
    Willebrand, Mimmie
    Uppsala universitet.
    Psychometric Properties of the PTSD Checklist for DSM-5 in parents to children with burns (018)2015Conference paper (Refereed)
    Abstract [en]

    Introduction Symptoms of post-traumatic stress disorder (PTSD) is a common problem among parents of children with burns. However, there is a paucity of evaluated screening tools for this population. The aim was to evaluate the psychometric properties of the PTSD Checklist (PCL), which is recently revised in accordance to the Diagnostic and statistical manual of mental disorders, 5th ed.  

    Methods The participating parents (N= 62, mean age= 38) completed self-report questionnaires 0.8-5.6 years after their child’s burn. Measures were the PCL-5 (consisting of four subscales; Intrusion, Avoidance, Negative alterations in cognitions and mood, and Arousal and reactivity), the Impact of Event Scale-Revised (with three subscales; Intrusion, Avoidance and Hyperarousal) and the Perceived Stress Scale. The children had a TBSA burned ranging from 1 to 31 % and were 0.1-15.0 years of age at injury.

    Results The average PCL-5 scores were low to moderate and indicated that no parent was above the recommended preliminary cut off of 38 for PTSD. Cronbach’s alpha values were acceptable and varied between 0.56 and 0.77 for the four PCL-5 subscales and mean inter-item correlations ranged from 0.22 to 0.73. The PCL-5 subscales were positively correlated with the corresponding IES-R subscales as well as the total PSS score (p<.05). There were no associations between the PCL-5 and  burn severity (TBSA, TBSA-FT, and LOS), time since injury, child age or gender, or parent gender. 

    Conclusion In conclusion, the PCL-5 had high internal consistency and evaluation of concurrent validity suggested moderate associations with other measures of traumatic stress and perceived stress as expected. The moderate associations with other measures of stress is to be expected, taking into account the slightly different constructs targeted by the three measures in this study. This first study suggests that the PCL-5 is a psychometrically sound instrument that deserves further evaluation as a screening tool for parents of children with burns.

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  • 6.
    Eivergård, Kristina
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Mittuniversitetet.
    Enmarker, Ingela
    Högskolan i Gävle.
    Livholts, Mona
    Helsinki University, Finland.
    Aléx, Lena
    Umeå universitet.
    Hellzén, Ove
    Mittuniversitetet.
    Disciplined into Good Conduct: Gender Constructions of Users in a Municipal Psychiatric Context in Sweden2021In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 30, no 15-16, p. 2258-2269Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To examine how gendered discursive norms and notions of masculinity and femininity were (re)produced in professional conversations about users of long-term municipality psychiatric care. Focus is on the staff's use of language in relation to gender constructions.

    BACKGROUND: Psychiatric care in Sweden has undergone tremendous changes in recent decades from custodian care in large hospitals to a care mainly located in a municipal context. People who need psychiatric care services often live in supporting houses. In municipal psychiatric care, staff conduct weekly professional meetings to discuss daily matters and the users' needs. Official reports of the Swedish government have shown that staff in municipal care services treat disabled women and men differently. Studies exploring gender in relation to users of long-term psychiatric care in municipalities have problematised the care and how staff, through language, construct users' gender. Therefore, language used by staff is a central tool for ascribing different gender identities of users.

    DESIGN: The content of speech derived from audio recordings were analysed using Foucauldian discursive analysis. The COREQ checklist was used in this article.

    RESULTS: The results indicate that by relying on gender discourses, staff create a conditional care related to how the users should demonstrate good conduct. In line with that, an overall discourse was created: Disciplined into good conduct. It was underpinned by three discourses inherent therein: The unreliable drinker and the confession, Threatened dignity, Doing different femininities.

    CONCLUSION: The community psychiatric context generates a discourse of conduct in which staff, via spoken language (re)produces gendered patterns and power imbalances as a means to manage daily work routines. Such practices of care, in which constant, nearly panoptic, control despite the intention to promote autonomy, urgently require problematising current definitions of good conduct and normality.

  • 7.
    Eivergård, Kristina
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Mittuniversitetet.
    Enmarker, Ingela
    Högskolan i Gävle.
    Livholts, Mona
    Linköpings universitet.
    Aléx, Lena
    Umeå universitet.
    Hellzén, Ove
    Mittuniversitetet.
    The Importance of Being Acceptable: Psychiatric Staffs' Talk about Women Patients in Forensic Care2019In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 40, no 2, p. 124-132Article in journal (Refereed)
    Abstract [en]

    Currently, women comprise about ten percent of those sentenced to psychiatric forensic clinics in Sweden. Those who are sentenced to forensic care because of offending and violent behaviour have already taken a step away from the usually expected female behaviour. On the other hand, there are many women in forensic care who have not committed crimes, but who instead self-harm. Studies have identified a gender bias in diagnosing and care in psychiatric settings, but there are few studies conducted on women in forensic care. The present study therefore examined how the situation of women patients and female norms are expressed in the staff's talk about these women during verbal handovers and ward rounds at a forensic clinic in Sweden. The aim was to explore how psychiatric staff, in a context of verbal handovers and ward rounds, talk about women who have been committed to forensic psychiatric care, and what consequences this might have for the care of the patients. The content of speech was examined using audio recordings and a method of analysis that was inspired by thematic analysis. The analysis identified that the staff talked about the women in a way that indicates that they expected the women to follow the rules and take responsibility for their bodies in order to be regarded as acceptable patients.

  • 8.
    Eklund, Rakel
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Uppsala universitet.
    Eisma, Maarten
    University of Groningen, NLD.
    Boelen, Paul
    Utrecht University, NLD; University of Groningen, NLD.
    Arnberg, Filip
    Uppsala universitet.
    Sveen, Josefin
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Uppsala universitet.
    A Mobile App for Prolonged Grief among Bereaved Parents: Study Protocol for a Randomized Controlled Trial2021Manuscript (preprint) (Other academic)
    Abstract [en]

    Introduction: Bereaved parents have elevated risk to develop mental health problems, yet, few studies have evaluated the effect of psychosocial interventions developed for bereaved parents. Cognitive behavioral therapy (CBT), both face-to-face or digitally delivered, has shown to be an effective intervention for prolonged grief symptoms. Self-help mobile apps offer various advantages and studies show improved mental health after app interventions. No app has yet been evaluated targeting prolonged grief in bereaved parents. Therefore, the aim of this planned study is to develop and examine the effectiveness of a CBT-based mobile app, called My Grief, in reducing symptoms of prolonged grief, as well as other psychological symptoms, in bereaved parents. Another aim is to assess users’ experiences and adverse events of My Grief.

    Methods and analysis: We will conduct a two-armed randomized waitlist-controlled trial. Parents living in Sweden, who lost a child to cancer between one and ten years ago, with elevated symptoms of prolonged grief, will be recruited to participate in the trial. The content of My Grief covers four main domains (Learn; Self-monitoring; Exercises; Get support) and builds on principles of CBT and the proven-effective PTSD Coach app. Participants in the intervention group will fill out online questionnaires at baseline and at 3-, 6- and 12-months follow-ups, and the waitlist-controls at baseline and at 3 months. The primary outcome will be prolonged grief symptoms at the 3 months follow-up. Secondary outcomes are posttraumatic stress and depression symptoms, quality of life, and cognitive behavioral variables (i.e., avoidance, rumination, negative cognitions).

    Ethics and dissemination: Ethical approval has been received from the Swedish Ethical Review Authority (project no. 2021-00770). If the app is shown to be effective, the app will be made publicly accessible on app stores, so that it can benefit other bereaved parents.

    Trial registration: Clinicaltrials.gov, identifier: NCT04552717.

  • 9. Hansson, Jan-Håkan
    Organizing normality: essays on organizing day activities for people with severe mental disturbances1993Doctoral thesis, monograph (Other academic)
  • 10.
    Nilsson, Doris
    et al.
    Linköpings universitet.
    Dävelid, Iza
    Linköpings universitet.
    Ledin, Sara
    Linköpings universitet.
    Svedin, Carl Göran
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Psychometric properties of the Child and Adolescent Trauma Screen (CATS) in a sample of Swedish children2021In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 75, no 4, p. 247-256Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim of this study was to investigate the psychometrics of the Swedish version of the Child and Adolescent Trauma Screen (CATS). This was to obtain access to an international instrument to identify symptoms of post-traumatic stress in children and adolescents according to the new Diagnostic and Statistical Manual for Mental Disorders, 5th edition (DSM-5).

    METHOD: A total of 591 young Swedish schoolchildren aged 13-17 years old were given the CATS together with the Trauma Symptom Checklist for Children (TSCC), and the Linköping Youth Life Experience Scale (LYLES-Y). A clinical group of 42 children who had experienced a potential trauma was also given the same questionnaires. Statistical analyses were carried out for the purpose of reliability, different kinds of validity, and confirmatory factor analysis (CFA) concerning the construct of the CATS.

    RESULTS: The CATS showed good internal consistency on all four subscales from α = 0.73-0.89 and moderate stability (intra class correlation [ICC] = 0.57-68). The four-factor model for PTSD indicated good fit, reliability, and convergent validity. The CATS correlated strongly with the PTSD subscale on the TSCC (r = 0.82) and there were significant differences between the nonclinical and clinical groups.

    CONCLUSIONS: The study shows that the Swedish translation of CATS has satisfactory psychometric properties, including acceptable sensitivity and specificity. The CATS could therefore be used as a screening tool both outside and within a clinical setting.

  • 11.
    Nilsson, Emmy-Lie
    Ersta Sköndal University College, Department of Health Care Sciences.
    Betydelsen av handledning för psykiatriska sjuksköterskor inom öppen psykiatrisk beroendevård: En kvalitativ intervjustudie2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Supervision can give the nurse the possibility to reflect, let of steam, process emotions and reduce stress and feelings of inadequacy. Nurses can get increased self-confidence and a better coherence with each other but to have group supervision can be a challenge because it demands openness and commitment.

    Aim: The aim of this study was to describe nurses experience of clinical group-supervision in psychiatric dependency care clinics.

    Method: The study has a qualitative design with semi-structured interviews for data collection. Nine nurses were interviewed and the material was analyzed with qualitative content analysis.

    Results: The results of the study is represented in four main categories; to reflect on the caring paradigm through supervision, to create a nursing team through supervision, to understand what is expected from the nurse through supervision and to get to know your self better through supervision. The main categories has all together nine appurtenant subcategorys.

    Discussions: The result of the study is discussed with Antonovskys KASAM (comprehensebility, manageability and meaningfulness) and other literature and scientific articles. The result of the study showed that the nurses could use the supervision to reduce the risk of burnout and feelings of incapacity and frustration, increase the trust to each other in the working group, increase autonomy and self-confidence and to handle the feelings that arises in the meeting with the patient.

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  • 12.
    Nordenfelt, Lennart
    Ersta Sköndal University College, Enheten för forskning i palliativ vård.
    Rationality and compulsion: applying action theory to psychiatry2007Book (Other academic)
  • 13.
    Rajan, Gita
    et al.
    Karolinska institutet; Akademiskt primärvårdscentrum, Stockholm.
    Syding, Sanna
    Karolinska institutet.
    Ljunggren, Gunnar
    Karolinska institutet; Akademiskt primärvårdscentrum, Stockholm.
    Wändell, Per
    Karolinska institutet.
    Wahlström, Lars
    Karolinska institutet.
    Philips, Björn
    Stockholms universitet.
    Svedin, Carl Göran
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Carlsson, Axel C
    Karolinska institutet.
    Health care consumption and psychiatric diagnoses among adolescent girls 1 and 2 years after a first-time registered child sexual abuse experience: A cohort study in the Stockholm Region2021In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 30, no 11, p. 1803-1811Article in journal (Refereed)
    Abstract [en]

    Child sexual abuse (CSA) is a crime against human rights with severe health consequences, and suicidal actions, stress, eating disorders, and borderline disorder are common among survivors of CSA. The objective of this study was to analyze how health care consumption patterns developed among adolescent girls in the Stockholm Region, Sweden, 1 and 2 years after the first registration of CSA experience appeared in their medical record, as compared to age-matched controls without such registration. In this cohort study, number of healthcare visits, comorbidities, and prescribed drugs were collected through the Stockholm Region administrative database (VAL), for girls age 12-17 with registration of CSA experience in their medical record (n = 519) and age-matched controls (n = 4920) between 2011 and 2018. Healthcare consumption patterns remained higher among the girls with a registered CSA experience compared to the controls, both 1 and 2 years after the first CSA experience registration. Highest odds ratios (ORs) were found for suicide attempts [OR 26.38 (12.65-55.02) and 6.93 (3.48-13.49)]; stress disorders [25.97 (17.42-38.69) and 15.63 (9.82-24.88)]; psychosis [OR 19.39 (1.75-214.13) and 9.70 (1.36-68.95)], and alcohol abuse [OR 10.32 (6.48-16.44) and 6.09 (1.98-18.67)], 1 and 2 years, respectively, after the first CSA experience registration. The drug prescriptions were also significantly higher among the girls with a CSA experience registration than for the controls. The results highlight the need to systematically evaluate and develop assessment, treatment planning, and interventions offered to adolescent girls after their first CSA experience registration.

  • 14.
    Rajan, Gita
    et al.
    Karolinska institutet; Akademiskt primärvårdscentrum, Stockholms läns sjukvårdsområde.
    Wachtler, Caroline
    Karolinska institutet.
    Lee, Sara
    Svenska kognitiva institutet.
    Wändell, Per
    Karolinska institutet.
    Philips, Björn
    Stockholms universitet.
    Wahlström, Lars
    Karolinska institutet.
    Svedin, Carl Göran
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Carlsson, Axel C.
    Karolinska institutet; Akademiskt primärvårdscentrum, Stockholms läns sjukvårdsområde.
    A One-Session Treatment of PTSD After Single Sexual Assault Trauma. A Pilot Study of the WONSA MLI Project: A Randomized Controlled Trial2022In: Journal of Interpersonal Violence, ISSN 0886-2605, E-ISSN 1552-6518, Vol. 37, no 9-10, p. NP6582-NP6603Article in journal (Refereed)
    Abstract [en]

    Sexual abuse is a crime with devastating health consequences. Accessible, acceptable and affordable treatment of PTSD after sexual abuse is important. In this pilot study, a one-session PTSD treatment and a modified perspective to PTSD treatment is introduced. The aim of the study was to test the efficacy of one session of Modified Lifespan Integration (MLI) on reduction of symptoms of PTSD in individuals with PTSD after one sexual assault. This was a single-center, individually randomized waitlist-controlled treatment study with 1:1 allocation, with the intervention of one 90 - 140 minutes session of MLI and with post-treatment follow-up at 3 weeks (time point two). All participants were females, mean age 24, with PTSD symptoms after one sexual assault during the past 5 years. Exclusion criteria were poor understanding of Swedish, multiple traumas, active substance abuse, active psychosis, ADHD, or autism spectrum disorder. Of 135 interested participants, 38 were finally included, 36 completed baseline measures and were included in the intent to treat analyses and 33 were analyzed per protocol. The primary outcome was the difference between the two trial arms in mean PTSD symptoms as measured by the Impact of Event Scale Revised (IES-R) at time point two. In the intervention arm, 72% no longer scored PTSD in per-protocol analysis, compared to 6% in the waiting list arm. IES-R scores were on average halved in the intervention arm (F=21.37, P<0.001), but were essentially unchanged in the waiting list arm. No adverse effects or drop-outs were seen. One session of Modified Lifespan Integration was an effective treatment with a low drop-out rate for females aged 15-65 with PTSD after one sexual assault. Provided that this result can be replicated, MLI should be offered to these patients in clinical settings. Registration number NCT03141047 was given 03/25/2016 at ClinicalTrials.gov (https://register.clinicaltrials.gov/).

  • 15.
    Rajan, Gita
    et al.
    Karolinska institutet.
    Wahlström, Lars
    Karolinska institutet.
    Philips, Björn
    Stockholms universitet.
    Wändell, Per
    Karolinska institutet.
    Wachtler, Caroline
    Karolinska institutet.
    Svedin, Carl Göran
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Carlsson, Axel C.
    Karolinska institutet.
    Delayed healthcare access among victims of sexual abuse, understood through internal and external gatekeeping mechanisms2021In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 75, no 5, p. 370-377Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Sexual abuse is associated with severe health consequences, and the European Union has, through the Istanbul Convention, urged its member countries to provide specialist care for victims of sexual abuse.

    AIM: This aim of this study was to investigate patient- and abuse-related characteristics among patients seeking help at a specialist clinic in Sweden, with focus on disclosure, mental health and appropriate healthcare access.

    METHODS: This is a descriptive study where journal data from 100 consecutive patients January 2017 to February 2018 were analyzed. All adult individuals (women n = 80, men n = 8) who had taken part in the standardized semi-structured intake interview at the clinic were included (n = 88).

    RESULTS: At admission, mean age was 40.3 (SD 11.9), mean number of psychiatric diagnoses 6.3 (2.6), and 93% of the patients scored above cut-off (≥34) on IES-R for PTSD. A majority of the patients (87%) had been exposed to childhood sexual abuse (CSA), and mean time to first disclosure was 15.9 (SD 15.3) years. In total, 82% of the patients had, despite disclosure, experienced difficulties accessing appropriate healthcare before coming to the specialist clinic.

    CONCLUSION: Adult victims of sexual abuse have difficulties accessing appropriate healthcare. This constitutes a gender-based equality problem. A model of gatekeeping mechanisms with two dimensions (external and internal) and three categories (Competence related, Organizational and Emotional) is proposed to understand these difficulties.

  • 16.
    Rise, Marit B.
    et al.
    NTNU - Norges teknisk-naturvitenskapelige universitet, Norway.
    Stølan, Liv Os
    Psykiatrisk Center Sct. Hans, Denmark.
    Erdner, Anette
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
    Hedberg, Berith
    Jönköping University.
    Stahl, Katja
    Janssen Cilag AS, Norway.
    Riise, Jesper
    Janssen Cilag AS, Denmark.
    Jedenius, Erik
    Janssen Cilag AS, Denmark.
    Møllerhøj, Jette
    Psykiatrisk Center Sct. Hans, Denmark.
    Patients' perspectives on three-monthly administration of antipsychotic treatment with paliperidone palmitate: A qualitative interview study2021In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 75, no 4, p. 257-265Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Three-monthly dosage of paliperidone palmitate entails longer time to relapse after discontinuation, is similarly tolerable and safe compared to monthly injections of paliperidone palmitate and is beneficial for the caregivers. However, few studies have so far explored in depth the patients' experiences with paliperidone palmitate medication every three months, or with switching from monthly to three-monthly injections of paliperidone palmitate.

    MATERIAL AND METHODS: A qualitative study based on individual interviews with persons with schizophrenia who receive three-monthly paliperidone palmitate in Norway, Sweden and Denmark. Data was analysed according to qualitative content analysis.

    RESULTS: Twenty-four patients, 16 men and 8 women, took part in individual interviews. The patients' mental health care professionals mainly recommended the switch to three-monthly paliperidone palmitate, and few or no disadvantages were described. According to the patients, three-monthly paliperidone palmitate had several advantages, such as less frequent injections, less administration and planning and less focus on the illness. In addition, the participants described feeling more stability, being more physically and socially active, and that improvement processes were supported. For some, the use involved practical and economic challenges, and some worried whether the medicine 'wore off' before the next injection. According to the patients, switching to three-monthly paliperidone palmitate did not influence the frequency or content of patients' interaction with health care professionals.

    CONCLUSION: Switching from monthly to three-monthly injections with paliperidone palmitate seems to be experienced as advantageous for patients with schizophrenia.

  • 17. Svedberg, Gunnel
    Hugo Lindblads förlorade drömmar: om en patient i vetenskapens tjänst2014Report (Other academic)
    Abstract [sv]

    Hugo Lindblad var en ensam, originell människa, som vistades större delen av sitt vuxna liv på psykiatriska institutioner. Han hade en förmåga att skildra sin tillvaro i ord och bilder. Den här rapporten vill ge enskildring av drag ur Hugo Lindblads livsberättelse.

    Det hölls öppna seminarier om Hugo Lindblads liv och verk på Ersta Sköndal högskola 18 mars 2011 och 16 mars 2012. I en arbetsgrupp för planering av seminarierna deltog Johan Cullberg, Göran Lantz och Gunnel Svedberg. Den här rapporten, Hugo Lindblads förlorade drömmar – om en patient i vetenskapens tjänst, användes som underlag inför seminariet 2011.

    Hugo Lindblad kände sig utvald för en stor och märklig uppgift i vetenskapens tjänst. Vid hans död 90 år gammal, 1976, fanns 25 drömböcker testamenterade till bibliotek i anslutning till psykiatrisk forskning och klinisk verksamhet. Hur har arvet efter Hugo Lindblad förvaltats?

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  • 18.
    Svedin, Carl Göran
    et al.
    Marie Cederschiöld University, Department of Social Sciences.
    Donevan, Meghan
    Marie Cederschiöld University, Department of Social Sciences.
    Bladh, Marie
    Linköpings universitet.
    Priebe, Gisela
    Lunds universitet; Karlstads universitet.
    Fredlund, Cecilia
    Linköpings universitet.
    Jonsson, Linda Sofia
    Marie Cederschiöld University, Department of Social Sciences.
    Associations between adolescents watching pornography and poor mental health in three Swedish surveys2023In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 32, p. 1765-1780Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to examine the association between watching pornography and poor mental health in three repeated cross-sectional surveys in Sweden (2004, 2009, 2014) among high school seniors (13,277 students) with an average age of 18 years. The same index questions concerning ever having watched pornography and the frequency of watching pornography during the last year were combined with three different measures of psychological health and background control variables in multiple logistic regression and forward stepwise logistic regression models. The repeated cross-sectional surveys did not find any consistent associations across years between poor mental health and ever having watched pornography or the frequency of watching pornography. Having watched deviant pornography (containing violence, children and/or animals) was associated with poor mental health among boys in two surveys but only in one survey among girls. Other characteristics, such as mother's unemployment (especially boys), parenting style (especially high controlling parents among boys) and experiences of sexual abuse (especially penetrating abuse among girls), were more consistently and strongly associated to poor mental health across the three surveys. This study stresses the importance of controlling for multiple background variables when studying the association between watching pornography and mental health, since the association might primarily be explained by underlying confounding variables.

  • 19.
    Sveen, Josefin
    Uppsala universitet.
    Posttraumatic Stress and Cognitive Processes in Patients with Burns2011Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    A severe burn is one of the most traumatic injuries a person can experience. Posttraumatic stress disorder (PTSD) is relatively common after burns, and can be devastating for the individual’s possibilities for recovery. The principal aims were to gain knowledge regarding posttraumatic stress symptoms and cognitive processes after burn and to evaluate methods for assessing symptoms of PTSD up to one year after burn.

    The psychometric properties of a Swedish version of the Impact of Event Scale-Revised (IES-R) were examined. The results indicate that the IES-R is a valid screening instrument for measuring PTSD symptoms in patients with burns and it can be used during hospitalisation to identify resilient individuals.

    The pattern of PTSD symptoms over time was also investigated. Four distinct trajectories of PTSD symptoms were identified, i.e. four groups of patients with significantly different onsets and courses. The trajectories differed in the expected direction regarding several risk factors associated with PTSD symptoms.

    Several previously known risk factors for PTSD symptoms were also identified including burn severity, psychiatric history, previous life events, early psychological symptoms, neuroticism-related personality traits, avoidant coping and low social support. The risk factors correspond well with those reported in the international trauma literature, which strengthens the findings in this thesis.

    Finally, using the emotional Stroop task at one year post burn it was found that burn-specific attentional bias was common and associated with more previous life events, more perceived life threat, larger burns and higher levels of PTSD symptoms.

    In summary, there are individual differences in the development and course of PTSD symptoms after burn and attentional bias is a common cognitive phenomenon related to these symptoms. The findings also support the use of the IES-R as a screening instrument for PTSD symptoms in patients with burns.

  • 20.
    Sveen, Josefin
    et al.
    Uppsala universitet.
    Andersson, Gerhard
    Linköpings universitet; Karolinska institutet.
    Ekselius, Lisa
    Uppsala universitet.
    Sjöberg, Folke
    Linköpings universitet.
    Buhrman, Bo
    Linköpings universitet.
    Willebrand, Mimmie
    Uppsala universitet.
    Internet-based information and self-help program for parents of children with burns: Study protocol for a randomized controlled trial2015In: Internet Interventions, ISSN 2214-7829, Vol. 2, no 4, p. 367-371Article in journal (Refereed)
    Abstract [en]

    Background: A burn is one of the most traumatic and painful injuries a child can experience and it is also a very stressful experience for the parents. Given the great psychological distress and perceived lack of multi-professional support experienced by the parents, there is a need for support during in-hospital treatment as well as during recovery. The aim of the study is to develop and evaluate an internet-based information and self-help program for parents of children who have been hospitalized for burn injury. The program aims to decrease parents' symptoms of stress.

    Methods: Participants will consist of parents of children treated for burns between 2009 and 2013 at either of the two specialized Swedish Burn centers. The study is a two-armed randomized controlled trial with a six-week intervention group and an inactive control group, with a pre- and post-assessment, as well as a 3- and 12-month follow-up. The main outcome is stress (post-traumatic stress, general perceived stress and parental stress). The data will be analyzed with the intention-to-treat principle. The intervention is based on Cognitive-Behavior Therapy (CBT) and is inspired by Acceptance and Commitment Therapy (ACT). It is psycho-educational and provides basic skills training in communication and stress management.

    Conclusion: We believe that this program will offer parents of children with burns information and support, decrease symptoms of stress, and that parents will perceive the program as useful. If the program is found to be beneficial, it could be implemented in burn care as it is accessible and cost-effective.

  • 21.
    Sveen, Josefin
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Uppsala universitet.
    Bondjers, Kristina
    Uppsala universitet.
    Heinsoo, Julia
    Uppsala universitet.
    Arnberg, Filip K
    Uppsala universitet; Stockholms universitet.
    Psychometric Evaluation of the Swedish Version of the Prolonged Grief Disorder-13 (PG-13) in a Bereaved Mixed Trauma Sample2020In: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 11, article id 541789Article in journal (Refereed)
    Abstract [en]

    Background: This study aimed to examine the psychometric properties of the Swedish PG-13 in a bereaved trauma exposed sample. A second aim was to examine the latent structure of prolonged grief using the PG-13. Methods: The participants were adults (n = 123) taking part in an ongoing longitudinal study regarding the effects of potentially traumatic events. Participants had experienced a potentially traumatic event in the past 5 years and had reported a death of a significant other either as their primary traumatic event or in addition to another traumatic event. Assessment included self-report of prolonged grief, posttraumatic stress, and general psychological distress. Clinical interviews were used to assess depression, posttraumatic stress disorder, and disability level. The psychometric properties of the Swedish PG-13 were examined through reliability tests and assessment of associations with symptoms of posttraumatic stress, depression, general psychological distress, and disability level. Principal component analysis (PCA) and confirmatory factor analyses (CFA) were used to assess the latent structure. Results: The internal consistency (Cronbach's α = 0.86) and test-retest (r = 0.86) reliability were good. PCA suggested a three-factor model as descriptive of the latent structure of the instrument. Therefore, the CFA used this model, as well as two models suggested in the literature. The three-factor model had the best fit to data. Support of concurrent validity of PG-13 was shown by moderate positive associations with measures of posttraumatic stress, depression, and general psychological distress. Conclusions: The Swedish PG-13 demonstrated good psychometric properties, and its use in research and practice to assess prolonged grief was supported. The factor analyses provided stronger support for models with two or three factors, as compared with a unidimensional model of prolonged grief, with the three-factor model having the best fit.

  • 22.
    Sveen, Josefin
    et al.
    Uppsala universitet.
    Bondjers, Kristina
    Uppsala universitet.
    Willebrand, Mimmie
    Uppsala universitet.
    Psychometric properties of the PTSD Checklist for DSM-5: a pilot study2016In: European Journal of Psychotraumatology, ISSN 2000-8066, E-ISSN 2000-8066, Vol. 7, no 1, p. 1-7, article id 30165Article in journal (Refereed)
    Abstract [en]

    Background: To date there is a lack of studies assessing the psychometric properties of the recently revised PTSD Checklist (PCL), the PTSD Checklist for DSM-5 (PCL-5). The aim of this pilot study was to examine the psychometric properties of the PCL-5 in parents of children with burns.

    Methods: The participating parents (N = 62, mean age = 38) completed self-report questionnaires, 0.8-5.6 years after their child's burn. Measures were the PCL-5, the Impact of Event Scale-Revised (IES-R), the Montgomery Asberg Depression Rating Scale (MADRS), and the Perceived Stress Scale (PSS). Burn severity of the child and sociodemographic variables was obtained.

    Results: The parents' average PCL-5 scores were low to moderate. The internal consistency of the PCL-5 was satisfactory, with Cronbach's alpha ranging from 0.56 to 0.77 and mean inter-item correlations ranging from 0.22 to 0.73 for the four PCL-5 subscales and the PCL-5 total. The PCL-5 subscales were moderately to highly correlated with the corresponding IES-R subscales as well as MADRS and PSS (p < 0.05), whereas associations with sociodemographics and burn severity were low to moderate.

    Conclusions: This study provides preliminary support for the use of PCL-5. The results indicate satisfactory psychometric properties of the PCL-5 as measured with internal consistency, test retest reliability, and aspects of convergent validity.

  • 23.
    Sveen, Josefin
    et al.
    Uppsala universitet.
    Ekselius, Lisa
    Uppsala universitet.
    Gerdin, Bengt
    Uppsala universitet.
    Willebrand, Mimmie
    Uppsala universitet.
    A prospective longitudinal study of posttraumatic stress disorder symptom trajectories after burn injury2011In: Journal of Trauma, ISSN 0022-5282, E-ISSN 1529-8809, Vol. 71, no 6, p. 1808-1815Article in journal (Refereed)
    Abstract [en]

    Background: Psychologic problems are common after burns, and symptoms of posttraumatic stress disorder (PTSD) are some of the most prevalent. Risk factors for PTSD have been identified, but little is known about the onset and course of these symptoms. The objective was to investigate whether there are different PTSD symptom trajectories after burns.

    Methods: Ninety-five adults with burns were enrolled in a prospective study from in-hospital treatment until 12 months after burn. Symptoms of PTSD were assessed with the Impact of Event Scale-Revised and scores at 3, 6, and 12 months after the burn were used in a cluster analysis to detect trajectories. The trajectories were compared regarding known risk factors for PTSD using non-parametric analysis of variance.

    Results: Four clusters were identified: (1) resilient, with low levels of PTSD symptoms that decreased over time; (2) recovery, with high levels of symptoms that gradually decreased; (3) delayed, with moderate symptoms that increased over time; and (4) chronic, with high levels of symptoms over time. The trajectories differed regarding several risk factors for PTSD including life events, premorbid psychiatric morbidity, personality traits, avoidant coping, in-hospital psychologic symptoms, and social support. The resilient trajectory consistently had fewer of the risk factors and differed the most from the chronic trajectory.

    Conclusions: There are subgroups among patients with burns that have different patterns of PTSD symptom development. These findings may have implications for clinical practice, such as the timing of assessment and the management of patients who present with these symptoms.

  • 24.
    Sveen, Josefin
    et al.
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Uppsala universitet.
    Jernelöv, Susanna
    Karolinska institutet; Region Stockholm.
    Pohlkamp, Lilian
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC.
    Kreicbergs, Ulrika
    Ersta Sköndal Bräcke University College, Department of Health Care Sciences, Palliative Research Centre, PRC. Karolinska institutet.
    Kaldo, Viktor
    Karolinska institutet; Region Stockholm; Linnéuniversitetet.
    Feasibility and preliminary efficacy of guided internet-delivered cognitive behavioral therapy for insomnia after the loss of a child to cancer: Randomized controlled trial2021In: Internet Interventions, ISSN 2214-7829, Vol. 25, article id 100409Article in journal (Refereed)
    Abstract [en]

    Bereaved individuals often experience sleep problems. The aim of this study was to evaluate feasibility and preliminary effects of internet-delivered cognitive behavioral therapy for insomnia (iCBT-i) in bereaved parents. Parents were randomized to iCBT-i (n = 10) or an active control group (n = 11). Primary outcome (insomnia) and secondary outcomes (prolonged grief, depression, posttraumatic stress, and grief rumination) were assessed pre- and post-treatment, with 9- and 18-month follow-ups. Feasibility was assessed post-treatment and one month later. Most parents reported positive effects of the treatment. The intervention group improved significantly from pre- to post-treatment and had a significantly larger reduction of insomnia when analyzed over all four time-points (Wald χ2 = 30.0, p < 0.001), although the effect at post-treatment was very small (d = 0.1) for insomnia. Thus, iCBT-i was feasible and was related to reduced insomnia and psychological distress in bereaved parents, both short- and long-term, but the results regarding the treatment effect are preliminary due to the small sample size.

  • 25.
    Sveen, Josefin
    et al.
    Uppsala universitet.
    Öster, Caisa
    Uppsala universitet.
    Alcohol consumption after severe burn: a prospective study2015In: Psychosomatics, ISSN 0033-3182, E-ISSN 1545-7206, Vol. 56, no 4, p. 390-396Article in journal (Refereed)
    Abstract [en]

    Background: The number of patients with alcohol-related burns admitted to burn units has increased. It has been reported previously that alcohol-related burns are an indicator of alcohol dependence, but there are few studies addressing alcohol use several years after burn injury.

    Objective: To investigate alcohol consumption 2–7 years after burn injury and to examine possible contributing factors.

    Methods: Consecutive adult patients with burns (n = 67) were included during hospitalization, and an interview was performed at 2–7 (mean = 4.6) years after burn. Data assessed at baseline were injury characteristics, sociodemographic variables, coping, and psychiatric disorders. At follow-up, the Alcohol Use Disorders Identification Test was used to identify at-risk drinking.

    Results: Overall, 22% of the burns were alcohol-related; however, this was not associated with at-risk drinking at follow-up. Of the former patients with burns, 17 (25%) were identified as having an at-risk drinking pattern at follow-up. One item in the Coping With Burns Questionnaire used in acute care, “I use alcohol, tobacco or other drugs to be able to handle my problems”, was the only factor found to predict an at-risk drinking pattern several years after injury.

    Conclusion: There were more at-risk drinkers in this burn population as compared with in the general population. The results indicate that an avoidant coping pattern, including the use of alcohol to handle problems, can be considered a potentially modifiable factor.

  • 26.
    Vainikainen, Mikael
    Ersta Sköndal University College, Department of Health Care Sciences.
    Skam och värdighet i psykiatrisk tvångsvård2011Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
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  • 27.
    Willebrand, Mimmie
    et al.
    Uppsala universitet.
    Sjöberg, Folke
    Linköpings universitet.
    Huss, Fredrik
    Uppsala universitet.
    Sveen, Josefin
    Uppsala universitet.
    Parents' perceived quality of pediatric burn care.2018In: Journal of critical care, ISSN 0883-9441, E-ISSN 1557-8615, Vol. 43, p. 256-259Article in journal (Refereed)
    Abstract [en]

    PURPOSE: To describe parents' perceived quality of pediatric burn care and evaluate factors associated with differences in perceived quality among parents.

    METHODS: 62 parents of children with burns were recruited on a Swedish national basis 0.8 to 5.6years after the child's injury. Measures were an adaptation of the Quality of Care Indices - Parent questionnaire consisting of 8 subscales and one overall question, the Impact of Event Scale -Revised, Montgomery Åsberg Depression Rating Scale, and Injury-specific fear-avoidance.

    RESULTS: Ratings of quality of care were high, especially regarding Staff Attitudes, Medical Treatment, and Caring Processes. Overall satisfaction rated from 1 to 10 was on average 9.1 (SD=1.2). Overall satisfaction and specific indices of Quality of care were not associated with burn severity, parent gender, or parent age. However, Quality of care was associated with current symptoms of posttraumatic stress and depression, and parents of girls expressed being less satisfied with Participation.

    CONCLUSIONS: Parents' perceived quality of care is associated with psychological health, but not with characteristics of the child's injury or age. The results suggest that burn care can improve by involving parents of girls more and by being more attentive towards parents who themselves appear stressed or worried.

  • 28.
    Willebrand, Mimmie
    et al.
    Uppsala universitet.
    Sveen, Josefin
    Uppsala universitet.
    Injury-related fear-avoidance and symptoms of posttraumatic stress in parents of children with burns2016In: Burns, ISSN 0305-4179, E-ISSN 1879-1409, Vol. 42, no 2, p. 414-420Article in journal (Refereed)
    Abstract [en]

    Parents of children with burns experience a range of psychological reactions and symptoms, and parents’ health is known to impact children's health. So far, there is little research into potential mechanisms that maintain parents’ symptoms. The aim was to investigate parental injury-related fear-avoidance, and its associations with injury severity and health measures. Parents (n = 107) of children aged 0.4–18 years that sustained burns 0.1–9.0 years previously completed questionnaires on fear-avoidance, posttraumatic stress, and health of the child. Analyses showed that the average level of fear-avoidance was low and positively associated with measures of injury severity and parents’ symptoms of posttraumatic stress, and negatively associated with parents’ ratings of their child's health. In two separate multiple regressions with parents’ symptoms of PTSD and the child's health as dependent variables, fear-avoidance made the largest contribution in both models while injury severity was non-significant. Results were not related to comorbid conditions of the child, scarring, or parent-related socio-demographic variables. In summary, injury-related fear-avoidance is more likely among parents whose children sustain more severe burns. In turn, fear-avoidance contributes significantly to parents’ symptoms of PTSD and to poorer health ratings regarding the child, irrespective of injury severity or child comorbidity.

  • 29.
    Willebrand, Mimmie
    et al.
    Uppsala universitet.
    Sveen, Josefin
    Uppsala universitet.
    Perceived support in parents of children with burns2016In: General Hospital Psychiatry, ISSN 0163-8343, E-ISSN 1873-7714, Vol. 38, no Jan-Feb, p. 105-108Article in journal (Refereed)
    Abstract [en]

    Objective: Children sustaining burns that require treatment in a burn center have a need for multiprofessional aftercare services over a prolonged time. So far, there is little research into satisfaction with care and support after pediatric burns. The aim was to investigate parents’ perception of support after pediatric burn and associations with parent, child and injury characteristics.

    Method: Parents (n= 101) of children aged 0.4–17.8 years completed questionnaires on support, parent’s psychological symptoms and health of the child. Time since injury was 0.1–9.0 years.

    Results: Perceived lack of psychosocial, medical, societal or family support was reported by 21% of the parents. Lack of support was not associated with injury or sociodemographic characteristics, but it was significantly associated with parents’ symptoms of general anxiety, depression and injury-related fear avoidance, as well as parents’ ratings of their child’s general health and heat sensitivity.

    Conclusion: Perceived support did not differ on account of burn severity or sociodemographic status. However, care providers should be more attentive to and supportive of parents signaling poorer general health in their child and cognitive beliefs that the child is at risk for harm when active and parents who themselves show signs of psychological symptoms.

  • 30.
    Zetterqvist, Maria
    et al.
    Region Östergötland; Linköpings universitet.
    Jonsson, Linda
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    Landberg, Åsa
    Ersta Sköndal Bräcke University College, Department of Social Sciences. Stiftelsen Allmänna Barnhuset.
    Svedin, Carl Göran
    Ersta Sköndal Bräcke University College, Department of Social Sciences.
    A potential increase in adolescent nonsuicidal self-injury during covid-19: A comparison of data from three different time points during 2011 - 2021.2021In: Psychiatry Research, ISSN 0165-1781, E-ISSN 1872-7123, Vol. 305, article id 114208Article in journal (Refereed)
    Abstract [en]

    Life-time prevalence of nonsuicidal self-injury (NSSI) has consistently been found to be around 17% in community samples of adolescents. Concerns of threats to mental health in adolescents during covid-19 have been raised. Life-time prevalence of NSSI in high school students in Sweden was compared using the same item to assess NSSI at three different time points. Results showed very similar prevalence of NSSI in 2011 and 2014 (17.2 % vs. 17.7 %), and an increase to 27.6 % during the pandemic of 2020-2021. Our findings imply a need to highlight the potential psychosocial consequences of covid-19 for young people.

  • 31.
    Öster, Caisa
    et al.
    Uppsala universitet.
    Sveen, Josefin
    Uppsala universitet.
    Is sexuality a problem?: a follow-up of patients with severe burns 6 months to 7 years after injury2015In: Burns, ISSN 0305-4179, E-ISSN 1879-1409, Vol. 41, no 7, p. 1572-1578Article in journal (Refereed)
    Abstract [en]

    Purpose and aims: This is the first study investigating sexuality from 6 months up to 7 years after burn. The aim was to examine sexuality in females and males by using the BSHS-B sexuality subscale and to examine possible contributing factors with regard to sociodemographics, burn characteristics, personality traits, and previous psychiatric disorders.

    Methods: A cohort of 107 patients consecutively admitted to a Swedish national burn center was followed up at 6, 12, and 24 months after burn, and 67 individuals were followed up at 2-7 years after burn. The present study utilized the BSHS-B sexuality subscale, and multiple regression analyses were used to examine possible contributing factors.

    Results: Women were less satisfied than men, and sexuality mean scores improved over time, even up to 7 years after-burn, in both men and women. The strongest contributing factors for worse outcome regarding sexuality were a history of psychiatric morbidity, neuroticism and burn severity.

    Conclusions: As some patients experience sexual problems after burns, even many years later, it is important to identify these individuals. The BSHS-B sexuality subscale may be used as a screening tool, but more in-depth assessment might be needed to address all aspects of sexuality.

  • 32.
    Öster, Caisa
    et al.
    Uppsala universitet.
    Sveen, Josefin
    Uppsala universitet.
    The psychiatric sequelae of burn injury2014In: General Hospital Psychiatry, ISSN 0163-8343, E-ISSN 1873-7714, Vol. 36, no 5, p. 516-522Article in journal (Refereed)
    Abstract [en]

    Objective: To examine factors predicting psychiatric morbidity, taking into account the full range of psychiatric disorders before and after burn injury.

    Methods: A cohort of 107 patients consecutively admitted to a Swedish national burn center was examined for lifetime psychiatric morbidity, as well as 94 patients at 1 year postinjury. Sixty-seven individuals, some from that same cohort, were interviewed at 2 to 7 years postinjury. The predictive effects of psychiatric history, personality and other risk factors for psychiatric morbidity following burn were evaluated with multiple regression analyses.

    Results: The prevalence of having a psychiatric disorder preburn was 57%. One year postinjury 19% had minor or major depression and 23% had subsyndromal or full posttraumatic stress disorder. At 2 to 7 years, 31% fulfilled the criteria for a psychiatric disorder. The strongest contributing factors were a history of psychiatric morbidity and neuroticism.

    Conclusions: Two-thirds of the patients had a lifetime psychiatric disorder, and one-third had a psychiatric diagnosis 2 to 7 years postburn. Mental health problems can have a major impact on daily life and functional abilities. Thus, identification and treatment of a range of psychiatric disorders, taking into account preburn psychiatric disorders and personality, is important for optimal adjustment after burn.

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