hh.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Publications (10 of 95) Show all publications
Melin, K., Skarphedinsson, G., Skärsäter, I., Storm Mowatt Haugland, B. & Ivarsson, T. (2018). A solid majority remit following evidence-based OCD treatments: a 3-year naturalistic outcome study in pediatric OCD. European Child and Adolescent Psychiatry, 27(10), 1373-1381
Open this publication in new window or tab >>A solid majority remit following evidence-based OCD treatments: a 3-year naturalistic outcome study in pediatric OCD
Show others...
2018 (English)In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 27, no 10, p. 1373-1381Article in journal (Refereed) Published
Abstract [en]

This study reports follow-up 2 and 3 years after the initial assessment of a sample of youth with a primary diagnosis of OCD. Participants were 109 children and adolescents, aged 5-17 years, recruited from a specialized, outpatient OCD clinic in Sweden. Patients were treated with cognitive behavioral therapy (CBT), augmented when indicated by selective serotonin reuptake inhibitor (SSRI). In cases where SSRIs were insufficient, augmentation with a second-generation antipsychotic (SGA) was applied. Participants were assessed with the Children's Yale-Brown Obsessive-Compulsive Scale (CY-BOCS), Children's OCD Impact Scale (COIS), and Children's Depressive Inventory (CDI) at follow-ups 2 and 3 years after baseline assessment. Treatment response was defined as CY-BOCS total score ≤ 15, and remission was defined as CY-BOCS total score ≤ 10. Analyzing the outcomes with linear mixed-effects models (LME) showed a decrease in OCD symptom load from 23 to 6.9 at the 3-year follow-up. Moreover, two of three (66.1%) participants were in remission, and another 19.2% had responded to treatment at the 3-year follow-up. Thus, 85.3% of participants responded to treatment. Moreover, during the follow-up period, participants' psychosocial functioning had significantly improved, and depressive symptoms had significantly decreased. The results suggest that evidence-based treatment for pediatric OCD, following expert consensus guidelines, has long-term positive effects for most children and adolescents diagnosed with OCD. The results also indicate that improvements are maintained over a 3-year period, at least, and that improvement is also found with regard to psychosocial functioning and depressive symptoms. © 2018 Springer International Publishing AG

Place, publisher, year, edition, pages
Heidelberg: Springer, 2018
Keywords
Cognitive behavioral therapy, Follow-up, Long term, Obsessive–compulsive disorder, Pediatric, Serotonin uptake inhibitors, Treatment outcome
National Category
Psychiatry
Identifiers
urn:nbn:se:hh:diva-36379 (URN)10.1007/s00787-018-1137-9 (DOI)29502315 (PubMedID)2-s2.0-85045036176 (Scopus ID)
Available from: 2018-03-04 Created: 2018-03-04 Last updated: 2018-10-05Bibliographically approved
Skärsäter, I., Keogh, B., Doyle, L., Ellilä, H., Jormfeldt, H., Lahti, M., . . . Kilkku, N. (2018). Advancing the knowledge, skills and attitudes of mental health nurses working with families and caregivers: A critical review of the literature. Nurse Education in Practice, 32, 138-146
Open this publication in new window or tab >>Advancing the knowledge, skills and attitudes of mental health nurses working with families and caregivers: A critical review of the literature
Show others...
2018 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 32, p. 138-146Article, review/survey (Refereed) Published
Abstract [en]

Involving and supporting the family members and caregivers of people with mental illness is essential to high-quality mental health services. However, literature suggests that there is a lack of engagement between family members and mental health nurses (MHNs). Lack of knowledge among MHNs is often cited as one of the main reasons for this lack of engagement. The aim of this review was to explore the knowledge, skills and attitudes that are required by MHNs to enable to them to work more effectively with families affected by mental illness. A literature based critical review was used to access and review 35 papers in order to extract concepts that could inform the design of eLearning materials to assist MHNs advance their knowledge in this area. Two overarching themes were identified; ‘Mental health problems and the family’ and ‘Working with the family’. From these themes, the knowledge, skills and attitudes required to work more effectively with families are described. The findings from this review provide a descriptive account of the knowledge skills and attitudes that are required for effective family work. In addition, the review provides an empirical foundation for education programmes in the area. © 2018 Elsevier Ltd

Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2018
Keywords
Caregivers, Family, Health Knowledge, Attitudes, Practice, Humans, Mental Disorders, Psychiatric Nursing
National Category
Nursing Medical Ethics Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-38737 (URN)10.1016/j.nepr.2018.07.002 (DOI)000447570600024 ()2-s2.0-85049647108 (Scopus ID)
Available from: 2019-01-09 Created: 2019-01-09 Last updated: 2019-02-11Bibliographically approved
Jormfeldt, H., Doyle, L., Ellilä, H., Lahti, M., Higgins, A., Keogh, B., . . . Kilkku, N. (2018). Master’s level mental health nursing competencies, a prerequisite for equal health among service users in mental health care. International Journal of Qualitative Studies on Health and Well-being, 13(S1), Article ID 1502013.
Open this publication in new window or tab >>Master’s level mental health nursing competencies, a prerequisite for equal health among service users in mental health care
Show others...
2018 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, no S1, article id 1502013Article in journal (Refereed) Published
Abstract [en]

Purpose: This discussion paper aims to explore the need of a clarified definition of master’s level mental health nursing competencies in terms of knowledge, skills and attitudes in a European context. Mental health service users have, in spite of their right to equal overall health, higher rates of physical illness and are more likely to experience premature death than the general population. Implementation of a holistic concept of health comprising mental, physical and social aspects of health in mental health services has previously proved to be challenging. Methods: Master’s level mental health nursing competencies in recent literature are discussed and illuminated in terms of knowledge, skills and attitudes in order to enable the promotion of equal overall health among service users in mental health services. Results: The discussion show contents, values and utility of master’s level mental health nursing competencies in mental health services and contribute to reduced role ambiguity by distinguishing master’s level responsibilities from undergraduate nursing tasks and obligations of other professionals in mental health care. Conclusion: This discussion paper shapes implications for developments in master’s level mental health nursing education curricula. © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2018
Keywords
Holistic health, “master’s level mental health nursing competencies”, mental health care, physical health
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hh:diva-37711 (URN)10.1080/17482631.2018.1502013 (DOI)30067476 (PubMedID)2-s2.0-85050919511 (Scopus ID)
Note

Funding: This work was supported by the European Commission [European Commission  (2013-3403)/Life-long learning programme].

Available from: 2018-08-15 Created: 2018-08-15 Last updated: 2018-08-16Bibliographically approved
Doyle, L., Ellilä, H., Jormfeldt, H., Lahti, M., Higgins, A., Keogh, B., . . . Kilkku, N. (2018). Preparing master-level mental health nurses to work within a wellness paradigm: Findings from the eMenthe project. International Journal of Mental Health Nursing, 27(2), 823-832
Open this publication in new window or tab >>Preparing master-level mental health nurses to work within a wellness paradigm: Findings from the eMenthe project
Show others...
2018 (English)In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 27, no 2, p. 823-832Article in journal (Refereed) Published
Abstract [en]

Mental health promotion remains an important component of mental health nursing practice. Supporting wellness at both the individual and societal levels has been identified as one of the key tenets of mental health promotion. However, the prevailing biomedical paradigm of mental health education and practice has meant that many nurses have not been equipped to incorporate a wellness perspective into their mental health practice. In the present study, we report on an exploratory study which details the knowledge, skills, and attitudes required by master-level mental health nurses to practice within a wellness paradigm from the perspective of three groups of key stakeholders: (i) service users and family members (n = 23); (ii) experienced mental health nurses (n = 49); and (iii) master-level mental health nursing students (n = 37). The findings, which were reported from individual and focus group interviews across five European countries, suggested a need to reorientate mental health nursing education to include a focus on wellness and resilience to equip mental health nurses with the skills to work within a strengths-based, rather than a deficits-based, model of mental health practice. Key challenges to working within a wellness paradigm were identified as the prevailing dominance of the biomedical model of cause and treatment of mental health problems, which focusses on symptoms, rather than the holistic functioning of the individual, and positions the person as passive in the nurse-service user relationship. © 2017 Australian College of Mental Health Nurses Inc.

Place, publisher, year, edition, pages
Richmond, VIC: Wiley-Blackwell, 2018
Keywords
e-learning, mental health promotion, nurse education, wellness
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-34904 (URN)10.1111/inm.12370 (DOI)28786212 (PubMedID)
Note

Funding: European Commission/Lifelong Learning Programme

Available from: 2017-09-08 Created: 2017-09-08 Last updated: 2018-04-03Bibliographically approved
Lahti, M., Elliä, H., Jormfeldt, H., Skärsäter, I., Doyle, L., Higgins, A., . . . Kilkku, N. (2018). The required knowledge for lifespan mental health promotion and prevention for Master’s level mental health nurse education – the eMenthe project. International Journal of Health Promotion and Education, 56(3), 143-154
Open this publication in new window or tab >>The required knowledge for lifespan mental health promotion and prevention for Master’s level mental health nurse education – the eMenthe project
Show others...
2018 (English)In: International Journal of Health Promotion and Education, ISSN 1463-5240, E-ISSN 2164-9545, Vol. 56, no 3, p. 143-154Article in journal (Refereed) Published
Abstract [en]

In this study, we address the kind of knowledge that is required for Master’s level nurse education for lifespan mental health promotion and prevention. Data were collected through structured interviews (N = 109). The interviews were conducted across five European countries. The data were analysed using a thematic content analysis approach. The findings show that Master’s level nurse education needs knowledge related to lifespan issues. Needs were raised in several issues like importance of increasing skills and knowledge of mental health workers. We conclude that there is a need to emphasise the knowledge required for mental health promotion and prevention for Master’s level nursing education across Europe. © 2018 Institute of Health Promotion and Education.

Place, publisher, year, edition, pages
Abingdon: Routledge, 2018
Keywords
article, content analysis, Europe, human, human experiment, lifespan, major clinical study, mental health service, nursing education, skill, structured interview
National Category
Public Health, Global Health, Social Medicine and Epidemiology Pedagogy Work Sciences
Identifiers
urn:nbn:se:hh:diva-38711 (URN)10.1080/14635240.2018.1431953 (DOI)000432278900003 ()2-s2.0-85041590563 (Scopus ID)
Available from: 2019-01-08 Created: 2019-01-08 Last updated: 2019-01-08Bibliographically approved
Brockington, I., Butterworth, R., Glangeaud-Freudenthal, N. & Skärsäter, I. (2017). An international position paper on mother-infant (perinatal) mental health, with guidelines for clinical practice. Archives of Women's Mental Health, 20(1), 113-120
Open this publication in new window or tab >>An international position paper on mother-infant (perinatal) mental health, with guidelines for clinical practice
2017 (English)In: Archives of Women's Mental Health, ISSN 1434-1816, E-ISSN 1435-1102, Vol. 20, no 1, p. 113-120Article in journal (Refereed) Published
Abstract [en]

The purpose of this paper is to set out informal, provisional and comprehensive but concise guidelines for mother-infant (perinatal) mental health (psychiatry), as an area of specialisation. It is informal in the sense that the authors are clinicians and researchers from many different nations, who share a common goal and vision, speaking on their own behalf and not with the backing of any authority or society. It is provisional in the expectation that it can be improved by criticism and new research findings. It is a comprehensive summary of the development of the specialty, its core knowledge and recommended investigations and interventions. It is concise (under 6,000 words, taking less than an hour to read) in order to increase readership and facilitate translation. No attempt has been made to parade the evidence for these suggestions, because the document would have been too long to translate, and for many to read. Instead, drafts were circulated for criticism by those included in the authorship, resulting in a consensus (finalised by the three principal authors), providing a framework to guide service provision, clinical practice and research. The full list of authors, from 33 nations, is given in the postscript. They include mother-infant (or parent-infant) and perinatal adult or child psychiatrists and those with a special interest; mother-infant, perinatal and forensic psychologists; psychiatric nurses; the founders of Postpartum Support International and the Association for Postnatal Illness; representatives of social work and obstetrics and the management of these services, and research scientists working in the field. © 2016 The Author(s)

Place, publisher, year, edition, pages
Wien: Springer, 2017
Keywords
Mother-infant psychiatry, Perinatal mental health, clinical guidelines
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-32458 (URN)10.1007/s00737-016-0684-7 (DOI)27826750 (PubMedID)2-s2.0-84994475500 (Scopus ID)
Note

Position-paper: Brockington, Butterworth, Glangeaud-Freudenthal & Skärsäter, with 65 other authors from 33 nations (2016).

Available from: 2016-11-21 Created: 2016-11-21 Last updated: 2017-11-29Bibliographically approved
Ali, L. & Skärsäter, I. (2017). Att använda internet vid datainsamling (2ed.). In: Maria Henricson (Ed.), Vetenskaplig teori och metod: från idé till examination inom omvårdnad (pp. 217-232). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Att använda internet vid datainsamling
2017 (Swedish)In: Vetenskaplig teori och metod: från idé till examination inom omvårdnad / [ed] Maria Henricson, Lund: Studentlitteratur AB, 2017, 2, p. 217-232Chapter in book (Refereed)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2017 Edition: 2
National Category
Other Medical Sciences Health Sciences
Identifiers
urn:nbn:se:hh:diva-36092 (URN)978-91-44-11328-9 (ISBN)
Available from: 2018-01-16 Created: 2018-01-16 Last updated: 2018-01-17Bibliographically approved
Keogh, B., Doyle, L., Ellilä, H., Higgins, A., Jormfeldt, H., Lahti, M., . . . Kilkku, N. (2017). Developing e-learning materials in mental health: the eMenthe Project. Mental Health Practice, 20(5), 36-37
Open this publication in new window or tab >>Developing e-learning materials in mental health: the eMenthe Project
Show others...
2017 (English)In: Mental Health Practice, ISSN 1465-8720, E-ISSN 2047-895X, Vol. 20, no 5, p. 36-37Article in journal (Refereed) Published
Abstract [en]

This article describes a European collaborative project that developed master’s degree level e-learning materials for mental health nurses. The e-learning materials are freely available online at www.ementhe.eu

Place, publisher, year, edition, pages
Harrow: Royal College of Nursing (RCNi), 2017
Keywords
education, international collaboration, mental health, recovery
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-34906 (URN)10.7748/mhp.2017.e1208 (DOI)
Projects
eMenthe
Available from: 2017-09-08 Created: 2017-09-08 Last updated: 2018-03-23Bibliographically approved
Ali, L. & Skärsäter, I. (2017). eHälsa (1ed.). In: Margret Lepp & Janeth Leksell (Ed.), Vårdpedagogik: (pp. 190-217). Stockholm: Liber
Open this publication in new window or tab >>eHälsa
2017 (Swedish)In: Vårdpedagogik / [ed] Margret Lepp & Janeth Leksell, Stockholm: Liber, 2017, 1, p. 190-217Chapter in book (Refereed)
Place, publisher, year, edition, pages
Stockholm: Liber, 2017 Edition: 1
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-36095 (URN)978-91-47-11229-6 (ISBN)
Available from: 2018-01-16 Created: 2018-01-16 Last updated: 2018-02-12Bibliographically approved
Norell Pejner, M., Lundström, J., Ourique de Morais, W., Laurell, H., Isaksson, A., Stranne, F. & Skärsäter, I. (2017). Smart medication organizer – one way to promote self-management and safety in drug administration in elderly people. In: : . Paper presented at Medicinteknikdagarna 2017, Västerås, Sweden, 10-11 October, 2017.
Open this publication in new window or tab >>Smart medication organizer – one way to promote self-management and safety in drug administration in elderly people
Show others...
2017 (English)Conference paper, Oral presentation only (Refereed)
National Category
Medical Engineering Other Medical Engineering
Identifiers
urn:nbn:se:hh:diva-35738 (URN)
Conference
Medicinteknikdagarna 2017, Västerås, Sweden, 10-11 October, 2017
Available from: 2017-12-05 Created: 2017-12-05 Last updated: 2017-12-11Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-7838-6802

Search in DiVA

Show all publications