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  • 1.
    Ahlström, Britt Hedman
    et al.
    University of Gothenburg.
    Skärsäter, Ingela
    University of Gothenburg.
    Danielson, Ella
    University of Gothenburg.
    Major depression in a family: What happens and how to manage - a case study2007In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 28, no 7, p. 691-706Article in journal (Refereed)
    Abstract [en]

    Major depression challenges the ways of living for both individuals and families. The aim of this study was to describe what happens and how to manage major depression in a family. The case in this paper is a family with a mother who is suffering major depression and her son and daughter. Narrative interviews and qualitative content analysis were conducted. The findings revealed six themes: "a stealthy intruder," "moving slowly to helplessness," "saving the situation," "protecting oneself and others," "conveying things that are beyond words," and the "dispersal of shadows." These themes elucidated the family members' varying views of depression and the unique ways they managed the situation.

  • 2.
    Ali, Lilas
    et al.
    University of Gothenburg.
    Hedman Ahlström, Britt
    University West, Trollhättan.
    Krevers, Barbro
    Linköping University.
    Sjöström, Nils
    Gothenburg University.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Support for young informal carers of persons with mental illness: a mixed-method study2013In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, no 8, p. 611-618Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore how young (16-25 year old) informal carers of a person with a mental illness experience and use support. In a mixed method approach, we interviewed 12 young carers, and 241 completed a self-administered questionnaire. While the young carers strive to maintain control, their main support seems to be others in their lives, who often define the situation differently. The carers said web-support, counseling, and group counseling might be helpful, yet very few had any professional support. Young carers are greatly in need of support and it should be provided.

  • 3.
    Ali, Lilas
    et al.
    Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden & Vårdal Institute, The Swedish Institute for Health Science, Lund & Gothenburg, Sweden.
    Krevers, Barbro
    Vårdal Institute, The Swedish Institute for Health Science, Lund & Gothenburg, Sweden & Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden; Vårdal Institute, The Swedish Institute for Health Science, Lund & Gothenburg, Sweden; Department of Psychiatry, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Caring Situation, Health, Self-efficacy, and Stress in Young Informal Carers of Family and Friends with Mental Illness in Sweden2015In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 36, no 6, p. 407-415Article in journal (Refereed)
    Abstract [en]

    This study compared the caring situation, health, self-efficacy, and stress of young (16–25) informal carers (YICs) supporting a family member with mental illness with that of YICs supporting a friend. A sample of 225 carers, assigned to a family group (n = 97) or a friend group (n = 128) completed the questionnaire. It was found that the family group experiences a lower level of support and friends experienced a lower positive value of caring. No other differences in health, general self-efficacy and stress were found. YICs endure different social situations, which is why further study of the needs of YICs, especially those supporting friends, is urgently needed.

  • 4.
    Blomqvist, Marjut
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Ivarsson, Andreas
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Sport.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Sandgren, Anna
    Linnaeus University, Center for Collaborative Palliative Care , Department of Health and Caring Sciences, Växjö, Sweden.
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Health Risks among People with Severe Mental Illness in Psychiatric Outpatient Settings2018In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 39, no 7, p. 585-591Article in journal (Refereed)
    Abstract [en]

    Life expectancy is greatly reduced in patients with schizophrenia, and cardiovascular diseases are a leading cause of mortality. The aim of this cross-sectional study was to investigate the prevalence of overweight, obesity, and cardiovascular disease (CVD) risk and to investigate the relationships between self-rated health, sense of coherence, CVD risk, and body mass index (BMI) among people with severe mental illness (SMI) in psychiatric outpatient settings. Nearly 50% of the participants were exposed to moderate/high risk of CVD and over 50% were obese. The results showed no statistically relationships between the subjective and objective measures (Bayes factor <1) of health. The integration of physical health into clinical psychiatric nursing practice is vital. © 2018 Taylor & Francis Group, LLC

  • 5.
    Hedman Ahlström, Britt
    et al.
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Skärsäter, Ingela
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Danielson, Ella
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Children's view of a major depression affecting a parent in the family2011In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 32, no 9, p. 560-567Article in journal (Refereed)
    Abstract [en]

    This study aims to elucidate, from the children's perspective, the meaning for family life of a parent suffering a major depression disorder. Eight children and young adults were interviewed. Phenomenological-hermeneutic analysis generated two themes: (1) "Being a rescuing observer" with the subthemes, "Being attentive" and "Being considerate," and (2) "Being a frustrated observer" with the subthemes, "feeling discomfort" and "being out of it." Children's lives alternate between responsibility and loneliness as they wait for reciprocity in family life to return to normal. Children need support in order to manage their sense of responsibility and loneliness adequately.

  • 6.
    Jormfeldt, Henrika
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Brunt, David
    Linnaeus University, School of Health and Caring Sciences, Växjö, Sweden .
    Rask, Mikael
    Linnaeus University, School of Health and Caring Sciences, Växjö, Sweden .
    Bengtsson, Agneta
    Halmstad University, School of Social and Health Sciences (HOS).
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Staffs’ experiences of a person-centered health education group intervention for people with a persistent mental illness.2013In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, no 7, p. 488-496Article in journal (Refereed)
    Abstract [en]

    Patient education in mental health care is a conventional intervention to increase patients' knowledge about their illness and treatment. A provider-centered focus in patient education may put patients in a passive role, which can counteract their processes of recovery. There is an increasing emphasis on recovery-oriented practice, an approach that is aligned with the service user perspective, but little is known about health care staff's perspectives on person-centered mental health care. A qualitative approach was used to describe staff's experiences of being group leaders in a person-centered health education intervention in municipal services for persons with a persistent mental illness. The analysis of staff experiences revealed three core categories: (1) implications of the division of responsibility among local authorities, (2) awareness of facilitating factors of growth, and (3) the meaning of dialogue. These formed the theme Preconditions for Person-Centered Care. Further research is required to explore larger economic, political, and social structures as backdrops to person-centered mental health care, from the perspective of service users, families, health professionals, and the community at large. © 2013 Informa Healthcare USA, Inc.

  • 7.
    Jormfeldt, Henrika
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), The Wigforss Group.
    Carlsson, Ing-Marie
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Equine-Assisted Therapeutic Interventions Among Individuals Diagnosed With Schizophrenia. A Systematic Review2018In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 39, no 8, p. 647-656Article in journal (Refereed)
    Abstract [en]

    Persons diagnosed with schizophrenia are not sufficiently offered health promotion interventions, notwithstanding their increased risk of bodily ill health. Physical activity is found to improve health and decrease psychiatric symptoms although, there is a challenge to motivate and increase physical activity in people with schizophrenia and innovative evidence-based treatment interventions are needed. The aim was to systematically review studies concerning equine assisted interventions among individuals diagnosed with schizophrenia. The findings of the six included articles indicate that therapeutic equine assisted interventions could be beneficial for individuals with severe mental illness such as schizophrenia or schizophrenia like disorders.

  • 8.
    Jormfeldt, Henrika
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Rask, Mikael
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Brunt, David
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Bengtsson, Agneta
    Psychiatry in Halland, Varberg, Sweden.
    Svedberg, Petra
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Experiences of a Person-Centred Health Education Group Intervention–A Qualitative Study Among People with a Persistent Mental Illness2012In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 33, no 4, p. 209-216Article in journal (Refereed)
    Abstract [en]

    The main focus of psychoeducative interventions for people with persistent mental illnesses has been on providing information about symptoms of disease and its treatment. Supporting group contexts have been described as essential for the achievement of personal goals. A qualitative approach was used to describe participants’ experiences of a person-centered health education intervention in community mental health care. Participants expressed experiences of health processes in terms of stimulating content, development towards personal growth and group context with equality, when participating in the intervention. The findings support further investigation of health promotion approaches emphasizing individual preferences throughout the process of psychoeducation.

  • 9.
    Jormfeldt, Henrika
    et al.
    Department of Health Sciences, Lund University, Lund, Sweden.
    Svensson, Bengt
    Department of Health Sciences, Lund University, Lund, Sweden.
    Arvidsson, Barbro
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Hansson, Lars
    Department of Health Sciences, Lund University, Lund, Sweden.
    Dimensions and reliability of a questionnaire for the evaluation of subjective experiences of health among patients in mental health services2008In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 29, no 1, p. 51-62Article in journal (Refereed)
    Abstract [en]

    Even though the concept of health and its importance has been widely discussed in health care during recent decades, mental health services have been criticised for adopting a biomedical perspective, which does not sufficiently consider the concept of health. The aim of the present study was to investigate the psychometric properties of the Health Questionnaire, a newly developed questionnaire to measure patients' subjective experience of health in mental health services. A cross sectional study was performed using a sample of 139 outpatients in mental health services. A principal component analysis with varimax rotation was used to test the factor structure of the questionnaire. Cronbach's alpha was employed to test internal consistency and Cohen's Kappa assessed test-retest reliability. The final scale, which contained 22 items, derived from three factors (autonomy, social involvement, and comprehensibility) and showed a good reliability in terms of internal consistency. Test-retest reliability was moderate or better for 17 out of 22 items. The Health Questionnaire may enable further empirical studies on subjectively experienced health in mental health services and serve as a measure of outcome and to monitor quality of care.

  • 10.
    Jönsson, Patrik Dahlqvist
    et al.
    Sahlgrenska Academy/The Vårdal Institute, Göteborg University, Institute of Health and Caring Sciences, Göteborg, Sweden.
    Wijk, Helle
    Sahlgrenska Academy, Göteborg University, Institute of Health and Care Sciences, Göteborg, Sweden.
    Skärsäter, Ingela
    Sahlgrenska Academy/The Vårdal Institute, Göteborg University, Institute of Health and Caring Sciences, Göteborg, Sweden.
    Danielson, Ella
    Psychiatric Services in Halland, Halmstad, Sweden.
    Persons living with bipolar disorder: Their view of the illness and the future2008In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 29, no 11, p. 1217-1236Article in journal (Refereed)
    Abstract [en]

    The aim of this study is to describe the meaning of living with bipolar disorder (BD) based on individuals' views of the illness and their future. Interviews were conducted with 18 participants who resided in Sweden and had been diagnosed with bipolar disorder. Qualitative content analysis was employed. The findings revealed that daily life of those with BD was characterized by insecurity and challenges of accepting, understanding, and managing the illness. Increased hope of being able to influence the condition and receiving support to achieve a stable structure in life facilitates the management of daily life. Further research is needed on the next of kins' experiences of living with persons with BD. Copyright © Informa Healthcare USA, Inc.

  • 11.
    Keogh, Brian
    et al.
    Trinity College Dublin, Dublin, Ireland.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Doyle, Louise
    Trinity College Dublin, Dublin, Ireland.
    Ellilä, Heikki
    University of Applied Science Turku, Turku, Finland.
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Lahti, Mari
    University of Applied Science Turku, Turku, Finland.
    Higgins, Agnes
    Trinity College Dublin, Dublin, Ireland.
    Meade, Oonagh
    University of Nottingham, Nottingham, United Kingdom.
    Sitvast, Jan
    University of Applied Sciences HU, Utrecht, The Netherlands.
    Stickley, Theodor
    Tampere University of Applied Sciences, Tampere, Finland.
    Kilkku, Nina
    Tampere University of Applied Sciences, Tampere, Finland.
    Working with Families Affected by Mental Distress: Stakeholders' Perceptions of Mental Health Nurses Educational Needs2017In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 38, no 10, p. 822-828Article in journal (Refereed)
    Abstract [en]

    Family and informal caregivers provide a substantial amount of care and support to people who experience mental health problems. The aim of this study was to explore mental health nurses', students' and service users' perceptions of the knowledge, skills and attitudes that are required by mental health nurses to work with families and carers using a qualitative methodology. Three themes emerged from the data: Knowledge of the family and how mental distress affects the family; working with the family - support and education; and valuing the role of the family. The three themes demonstrate the complexity of preparing mental health nurses to work with families and carers, and the article offers recommendations about how this might be achieved. © 2017 Taylor & Francis Group, LLC

  • 12.
    Lundström, Sofie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Ahlström, Britt Hedman
    University West, Trollhättan, Sweden.
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing.
    Eriksson, Helena
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    The Meaning of the Lived Experience of Lifestyle Changes for People with Severe Mental Illness2017In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 38, no 9, p. 717-725Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to elucidate the meaning of the lived experience of lifestyle changes as perceived by people with severe mental illness (SMI). People with SMI who have experience in managing lifestyle changes were interviewed (n = 10). The interviews were analyzed with a phenomenological hermeneutic approach. The findings reveal three themes: (1) struggling with inner and outer limitations, (2) on one's own but together with others and (3) longing for living a life in harmony. The meaning of lifestyle changes can be understood as a person's internal and external endeavors to make well-considered decisions about lifestyle changes. Support should focus on strengthening the person's self-efficacy and should be based on the person's experiences. © 2017 Taylor & Francis Group, LLC

  • 13.
    Nunstedt, Håkan
    et al.
    University West, Department of Nursing, Health and Culture, Gustav Melins Gata 3, S-461 86 Trollhättan, Sweden.
    Nilsson, Kerstin
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
    Skärsäter, Ingela
    University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden.
    Kylén, Sven
    Primary Care, Research and Evaluation Unit, Fyrbodal, Vänerparken, Vänersborg, Sweden.
    Experiences of major depression: individuals' perspectives on the ability to understand and handle the illness2012In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 33, no 5, p. 272-279Article in journal (Refereed)
    Abstract [en]

    In all social groups, major depression is an increasingly serious problem in modern society. Important aspects of a person's capacity for recovery are the person's own understanding of the illness and the ability to use this understanding to manage the illness. The aim of this study is to describe how individuals with major depression understand their illness and use their understanding to handle it. Twenty participants treated in community care for major depression as determined by the Diagnostic and Statistical Manual of Mental Disorders were interviewed between February and June, 2008. Content analysis of the interviews revealed three major themes: (1) awakening insight, (2) strategies for understanding and managing, and (3) making use of understanding, each with additional subthemes. Individual understandings of the illness varied and led to differences in the ways participants were able to handle their depression. In clinical care it is essential to support an individual's understanding of depression and his or her use of that understanding to handle the illness.

  • 14.
    Skärsäter, Ingela
    et al.
    The Sahlgrenska Academy at Göteborg University, Faculty of Health and Caring Sciences, Institute of Nursing, Göteborg, Sweden.
    Dencker, Karina
    The Sahlgrenska Academy at Göteborg University, Faculty of Health and Caring Sciences, Institute of Nursing, Göteborg, Sweden.
    Bergbom, Ingegerd
    The Sahlgrenska Academy at Göteborg University, Faculty of Health and Caring Sciences, Institute of Nursing, Göteborg, Sweden.
    Häggström, Lars
    Department of Psychiatry, Central Hospital, Halmstad, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS).
    Women's conceptions of coping with major depression in daily life: a qualitative, salutogenic approach2003In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 24, no 4, p. 419-439Article in journal (Refereed)
    Abstract [en]

    The experience of having a severe disease such as major depression affects all aspects of the individual's life, including family, work, and social functioning. Therefore, the aim of this study was to describe, from a salutogenic approach, women's conceptions of coping with major depression in daily life with the help of professional and lay support. Thirteen women, previously hospitalized for major depression, were included in the study. The women were selected by strategic sampling, and data were analyzed by application of a phenomenographic approach. Four descriptive categories emerged: Self-Healing, Managing, Receiving Social Support, and Finding Meaning. While working their way out of the depression, the women needed to undergo a process of transition, involving both a cognitive and an emotional understanding, which they subsequently translated into health-related actions. The task of psychiatric mental health nurses is to provide care that empowers patients. Future nursing research should explore the circumstances that empower these women to start the transition process, as this process appears to be vital for recovery from major depression.

  • 15.
    Svedberg, Petra
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Jormfeldt, Henrika
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    Halmstad University, School of Social and Health Sciences (HOS).
    Arvidsson, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Perceptions of the concept of health among patients in mental health nursing2004In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 25, no 7, p. 723-736Article in journal (Refereed)
    Abstract [en]

    Health has been a central concept in nursing science since the 18th century but the holistic concept of health that includes both the body and the soul, still has to be clarified. The concept of health is often unclear and represents an unreachable ideal state that can be hard to use as a realistic goal in nursing care. The aim of this study was to describe how the patient perceives the concept of health in mental health nursing. Twelve patients with experience of mental health nursing were interviewed and the data were analyzed with a phenomenographic approach. The patients described nine different perceptions that were divided into three descriptive categories: autonomy, meaningfulness, and community. All of these are important to achieve health. There is ambiguity about the possibility to influence the concept of health. Health is described, on the one, hand as a prerequisite to experiencing freedom and finding meaning in life and, on the other hand, it is believed that the search for meaning and the courage to fight and try in spite of the disease is what leads to health. The patients' descriptions are mostly about things that they need in the present time to achieve health, but health as a process with growth and potential for development does not appear that clearly. One conclusion is that mental health nursing must deliver a more process-focused nursing care where the concept of health is visibly used as a goal for all nursing interventions.

  • 16.
    Wadell, Katheleen
    et al.
    Institute of Nursing, The Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Skärsäter, Ingela
    The Vårdal Institute Göteborg, The Swedish Institute for Health Sciences, and Psychiatric Services, Halland, Sweden.
    Nurses' experiences of caring for patients with a dual diagnosis of depression and alcohol abuse in a general psychiatric setting2007In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 28, no 10, p. 1125-1140Article in journal (Refereed)
    Abstract [en]

    The aim of this study is to describe mental psychiatric health nurses' experiences of caring for persons with the dual disorders of major depression and alcohol abuse. The study was conducted in 2003 on three psychiatric wards located in two general hospitals in Sweden. The study group comprised 11 registered nurses with experience of caring for patients with dual disorders. The data were analyzed by means of qualitative content analysis. The findings revealed three categories: Enabling a good level of cooperation with patients; Facilitating continued care and treatment; and Understanding barriers to cooperation with patients. Building a trusting relationship in order to enable cooperation with patients was the basis for continued care and treatment. The nurses needed more training and multidisciplinary knowledge in order to meet the particular clinical needs of this patient group. Nurses have an important obligation to utilize the best available evidence, including research findings and other scientific sources.

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