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  • 1.
    Jormfeldt, Henrika
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Hansson, Lars
    Institutionen för hälsa, vård och samhälle, Lunds universitet, Department of Health Sciences, Lund University, Lund, Sweden.
    Svensson, Bengt
    Institutionen för hälsa, vård och samhälle, Lunds universitet, Department of Health Sciences, Lund University, Lund, Sweden.
    Differences in self-reported importance of elements of health and subjectively experienced health among outpatients in community mental health services2011In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 25, no 5, p. e19-e26Article in journal (Refereed)
    Abstract [en]

    Positive dimensions of mental health are strong protective factors against physical and mental illness in general population. A cross-sectional study including a randomly selected sample of 141 outpatients was performed to explore differences in patients' self-reported importance of elements of health and subjective experiences of health related to sociodemographic background variables. The examination of differences in self-reported importance of elements of health showed differences regarding gender, and the analyses of subjectively experienced health showed differences regarding age and diagnosis. Clinical interventions aiming at strengthening positive dimensions of health are required in community mental health services to meet the patients' individual needs of enhanced health.

  • 2.
    Lundström, Sofie
    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), Health and Nursing.
    Hedman Ahlström, Britt
    University West, Department of Health Sciences, Trollhättan, Sweden.
    Skärsäter, Ingela
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Health-related lifestyle and perceived health among people with severe mental illness: Gender differences and degree of sense of coherence2019In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 33, no 2, p. 182-188Article in journal (Refereed)
    Abstract [en]

    People with severe mental illness (SMI) experience an increased risk of physical ill health and premature death, which appears to be partly related to unhealthy lifestyle habits. The aim of this study was to describe the distribution of health-related lifestyle habits and perceived health among people with severe mental illness. A further aim was to explore if there were any gender differences or differences based on degree of sense of coherence. The study adopted a cross-sectional design based on data from 65 people with SMI. The results show that degree of Sense of Coherence (SOC) does have relevance for perceived health and for dimensions of Quality of Life (QOL). Furthermore, among the participants with strong SOC, there were less daily smokers and they seemed to have less sedentary leisure time than those with low SOC. Men reported more anxiety/depression than women and women ate fruit more often than men, otherwise there were no gender differences. In comparison with the general population, people with SMI show a higher Body Mass Index are more sedentary, more often daily smokers, have lower SOC and perceive a lower QOL. This emphasizes the importance of health-promotion support that focuses on lifestyle changes, and support for strengthening SOC and QOL for people with SMI. © 2018 Elsevier Inc. All rights reserved

  • 3.
    Skärsäter, Ingela
    et al.
    Gothenburg Univ, Fac Hlth & Caring Sci, Inst Nursing, Sahlgrenska Acad, SE-40530 Gothenburg, Sweden .
    Rayens, Mary Kay
    Univ Kentucky, Coll Nursing, Lexington, KY USA.
    Peden, Ann
    Univ Kentucky, Coll Nursing, Lexington, KY USA.
    Hall, Lynne
    Univ Kentucky, Coll Nursing, Lexington, KY USA.
    Zhang, Mei
    Univ Kentucky, Coll Nursing, Lexington, KY USA.
    Agren, Hans
    Gothenburg Univ, Fac Hlth & Caring Sci, Inst Nursing, Sahlgrenska Acad, SE-40530 Gothenburg, Sweden .
    Prochazka, Helena
    Gothenburg Univ, Fac Hlth & Caring Sci, Inst Nursing, Sahlgrenska Acad, SE-40530 Gothenburg, Sweden .
    Sense of coherence and recovery from major depression: a 4-year follow-up2009In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 23, no 2, p. 119-127Article in journal (Refereed)
    Abstract [en]

    The aim of this longitudinal exploratory study was to identify and follow persons with the first episode of major depression (MD) to determine whether sense of coherence (SOC) changes over time. An additional purpose was to assess whether SOC is associated with depressive symptoms, aggression, and functional status either immediately after diagnosis or at 4 years postdiagnosis. The study design was longitudinal; participants participated in semistructured interviews and completed surveys every 6 months starting at diagnosis and concluding 4 years later. The sample consisted of 33 adult patients who were being treated for the first episode of MD according to the Diagnostic and Statistical Manual of Mental Disorders. Twenty-two participants completed all nine sessions. SOC was measured using the SOC scale; depressive symptoms using the Montgomery Asberg Depression Rating Scale; aggression, including the total score and subscales of anger and hostility, using the Aggression Questionnaire-revised Swedish version; and functional status using the Global Assessment of Functioning (GAF) scale and the 36-item Short-Form Health Survey (SF-36). At baseline, SOC was significantly correlated with total aggression (r = -45) and the hostility subscale (r = -.73); baseline SOC was unrelated to depressive symptoms or functional status. SOC increased significantly over time (P < .0001). At the 4-year follow-up, SOC was significantly related to depressive symptoms (r = -.60), the aggression summary score (r = -.65), the anger subscale (r = -.52), the hostility subscale (r = -.77), the GAF (r = .64), and the physical and mental health components of the SF-36 (r = .74 and .72, respectively). The finding that SOC increases as patients recover from MD suggests that treatment of depression may also bolster the patient's ability to cope, in addition to lowering depressive symptoms. The relationship between SOC and aggression in MD, with higher SOC correlated with lower aggression, needs to be examined further. © 2009 Elsevier Inc. All rights reserved.

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