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  • 1.
    Adamsson, Viola
    et al.
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Reumark, Anna
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Cederholm, Tommy
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Vessby, Bengt
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Risérus, Ulf
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Johansson, Gunnar
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    What is a healthy Nordic diet? Foods and nutrients in the NORDIET study2012Konferansepaper (Fagfellevurdert)
  • 2.
    Adamsson, Viola
    et al.
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Reumark, Anna
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Cederholm, Tommy
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Vessby, Bengt
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Risérus, Ulf
    Clinical Nutrition and Metabolism, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Johansson, Gunnar
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    What is a healthy Nordic diet? Foods and nutrients in the NORDIET study2012Inngår i: Food & Nutrition Research, ISSN 1654-6628, E-ISSN 1654-661X, Vol. 56, artikkel-id 18189Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: A healthy Nordic diet (ND), a diet based on foods originating from the Nordic countries, improves blood lipid profile and insulin sensitivity and lowers blood pressure and body weight in hypercholesterolemic subjects.

    OBJECTIVE: To describe and compare food and nutrient composition of the ND in relation to the intake of a Swedish reference population (SRP) and the recommended intake (RI) and average requirement (AR), as described by the Nordic nutrition recommendations (NNR).

    DESIGN: The analyses were based on an estimate of actual food and nutrient intake of 44 men and women (mean age 53±8 years, BMI 26±3), representing an intervention arm receiving ND for 6 weeks.

    RESULTS: The main difference between ND and SRP was the higher intake of plant foods, fish, egg and vegetable fat and a lower intake of meat products, dairy products, sweets and desserts and alcoholic beverages during ND (p<0.001 for all food groups). Intake of cereals and seeds was similar between ND and SRP (p>0.3). The relative intake of protein, fat and carbohydrates during ND was in accordance with RI. Intake of all vitamins and minerals was above AR, whereas sodium intake was below RI.

    CONCLUSIONS: When compared with the food intake of an SRP, ND is primarily a plant-based diet. ND represents a balanced food intake that meets the current RI and AR of NNR 2004 and has a dietary pattern that is associated with decreased morbidity and mortality.

    © 2012 Viola Adamsson et al.

    Fulltekst (pdf)
    fulltext
  • 3.
    Adamsson, Viola
    et al.
    Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, Uppsala, Sweden.
    Reumark, Anna
    Lantmännen R and D, Stockholm, Sweden.
    Fredriksson, I.-B.
    Bollnäs Heart Clinic, Mitt Hjärta, Bollnäs, Sweden.
    Hammarström, Eskil
    Bollnäs Heart Clinic, Mitt Hjärta, Bollnäs, Sweden.
    Vessby, Bengt
    Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, Uppsala, Sweden.
    Johansson, Gunnar
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Riserus, U.
    Department of Public Health and Caring Sciences, Clinical Nutrition and Metabolism, Uppsala University, Uppsala, Sweden.
    Effects of a healthy Nordic diet on cardiovascular risk factors in hypercholesterolaemic subjects: a randomized controlled trial (NORDIET)2011Inngår i: Journal of Internal Medicine, ISSN 0954-6820, E-ISSN 1365-2796, Vol. 269, nr 2, s. 150-159Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective:

    The aim of this study was to investigate the effects of a healthy Nordic diet (ND) on cardiovascular risk factors.

    Design and subjects:

    In a randomizedcontrolled trial (NORDIET) conducted in Sweden, 88 mildly hypercholesterolaemic subjects were randomly assigned to an ad libitum ND or control diet (subjects' usual Western diet) for 6 weeks. Participants in the ND group were provided with all meals and foods. Primary outcome measurements were low-density lipoprotein (LDL) cholesterol, and secondary outcomes were blood pressure (BP) and insulin sensitivity (fasting insulin and homeostatic model assessment-insulin resistance). The ND was rich in high-fibre plant foods, fruits, berries, vegetables, whole grains, rapeseed oil, nuts, fish and low-fat milk products, but low in salt, added sugars and saturated fats.

    Results:

    The ND contained 27%, 52%, 19% and 2% of energy from fat, carbohydrate, protein and alcohol, respectively. In total, 86 of 88 subjects randomly assigned to diet completed the study. Compared with controls, there was a decrease in plasma cholesterol (-16%, P < 0.001), LDL cholesterol (-21%, P < 0.001), high-density lipoprotein (HDL) cholesterol (-5%, P < 0.01), LDL/HDL (-14%, P < 0.01) and apolipoprotein (apo)B/apoA1 (-1%, P < 0.05) in the ND group. The ND reduced insulin (-9%, P = 0.01) and systolic BP by -6.6 ± 13.2 mmHg (-5%, P < 0.05) compared with the control diet. Despite the ad libitum nature of the ND, body weight decreased after 6 weeks in the ND compared with the control group (-4%, P < 0.001). After adjustment for weight change, the significant differences between groups remained for blood lipids, but not for insulin sensitivity or BP. There were no significant differences in diastolic BP or triglyceride or glucose concentrations.

    Conclusions:

    A healthy ND improves blood lipid profile and insulin sensitivity and lowers blood pressure at clinically relevant levels in hypercholesterolaemic subjects. © 2010 The Association for the Publication of the Journal of Internal Medicine.

  • 4.
    Adamsson, Viola
    et al.
    Enheten för Klinisk Nutrition och Metabolism. Institutionen för Folkhälso- och vårdvetenskap. Uppsala Universitet.
    Reumark, Anna
    MSc Kostvetenskap Lantmännen Food R&D, Stockholm.
    Fredriksson, Ing-Britt
    SSK Mitt Hjärta, Bollnäs.
    Hammarström, Eskil
    SSK Mitt Hjärta, Bollnäs.
    Vessby, Bengt
    Enheten för Klinisk Nutrition och Metabolism. Institutionen för Folkhälso- och vårdvetenskap. Uppsala Universitet.
    Johansson, Gunnar
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Riserus, Ulf
    Enheten för Klinisk Nutrition och Metabolism. Institutionen för Folkhälso- och vårdvetenskap. Uppsala Universitet.
    Effects of a Nordic diet on cardiovascular and metabolic risk factors in hypercholesterolemic subjects: a randomized controlled study2009Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background: Apart from lipid-lowering drugs, dietary changes can also reduce plasma LDL-C concentrations. No studies have been conducted to investigate the clinical effects of a diet with traditional foods originating from the Nordic countries. Method: In a randomised, controlled parallel-group intervention study 88 mildly hypercholesterolemic men and women were randomized to either an ad libitum Nordic diet (ND) or a control diet (CD) for 6 weeks. All meals and foods were provided to the participants in the ND group. Primary outcome measure was LDL-cholesterol, and secondary outcomes were blood pressure, plasma insulin and glucose concentrations. The ND was a high-fibre diet rich in plant foods (fruit, berries, vegetables, root vegetables, whole grain cereals and legumes), vegetable fats (rapeseed oil and nuts) and fatty fish, low-fat milk products, but low in salt, added sugars, saturated fats and red meats. Result: 86 subjects completed the study. Distribution of carbohydrates, fat and protein (E%) in ND was 54, 27, 19, respectively. ND lowered plasma total cholesterol 0.98±0.75 mmol/l (-16%), LDL-C by 0.83±0.67 mmol/l (-21%), HDL-C 0.08±0.23 mmol/l (-5%), including reduced LDL/HDL ratio by -0.42±0.57 (-14%) (all p<0.01 versus controls). Insulin concentrations decreased by 0.51± 2.25 (-9%, p=0.01) and systolic blood pressure by 7±13 mmHg (-5%, P<0.01) compared to controls. Despite diets were eaten ad libitum, body weight decreased by 3.0 kg in the ND (P<0.001). No significant differences were found for diastolic blood pressure, triglycerides or plasma glucose. Conclusion: A Nordic diet improves blood lipid profile, and insulin sensitivity as well as lowering blood pressure to a clinically significant extent in hypercholesterolemic subjects.

  • 5.
    Aderklou, Christina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd.
    Fritzdorf, Liselott
    Högskolan i Halmstad, Akademin för lärande, humaniora och samhälle, Centrum för lärande, kultur och samhälle (CLKS).
    Tebelius, Ulla
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Bengtsson, Jeanette
    Högskolan i Halmstad, Akademin för lärande, humaniora och samhälle, Centrum för lärande, kultur och samhälle (CLKS).
    Baerveldt, Albert-Jan
    Högskolan i Halmstad, Akademin för informationsteknologi, Halmstad Embedded and Intelligent Systems Research (EIS).
    Pedatronics: Robotic toys as a source to evoke young girls’ technological interest2002Inngår i: 32nd Annual Frontiers in Education. Leading a Revolution in Engineering and Computer Science Education: Conference Proceedings Volume III - Saturday Sessions. Boston Park Plaza Hotel, Boston, Massachusetts, November 6-9, 2002, San Diego: Institute of Electrical and Electronics Engineers (IEEE), 2002, Vol. 2, s. F1C-19-F1C-24Konferansepaper (Fagfellevurdert)
    Abstract [en]

    This paper presents some results within Pedatronics; a fusion between pedagogics and mechatronics. Our research interest is to study what emerges in the play with robotic toys. Field-experimental studies of 67 year old children’s purposeless play with robotic toys created a self-developmental sphere, as well as evoked young girl’s technological interest. Both girls and boys prolonged and intensified their interest according to the amount of gadgets involved. The results disclose a learning potential, indicating the importance to develop strategies at an early stage in order to encourage girls to choose technological and engineering educations. The study recommend engineers and toy designers, in cooperation with children, to move towards ’Integrated Play Systems’. Due to an ethological method, the results differ from other studies of children’s play with technological advanced artefacts. © 2002 IEEE

  • 6.
    Afifi, Mustafa
    et al.
    Department of Non-Communicable Diseases Control, Ministry of Health (HQ), Muscat, Oman.
    von Bothmer, Margareta
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Egyptian women's attitudes and beliefs about female genital cutting and its association with childhood maltreatment2007Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 9, nr 4, s. 270-276Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study aimed to establish Egyptian women's attitudes and beliefs about female genital cutting (FGC) or mutilation by applying a questionnaire module about violence to a subsample of 5249 married women from a total of 19 474 women who participated in the 2005 Egypt Demographic Health Survey. Women were interviewed to determine if they had been exposed to marital violence in the year prior to the survey, their attitudes and beliefs about FGC, and if they physically abused their children. The association of beliefs about FGC with maternal physical abuse was examined, adjusting for exposure to marital violence and other socio-demographic variables. Of the women surveyed 16.4% and 3.4% had been exposed to physical and sexual violence, respectively, during the year prior to the survey. Around 76% of the women surveyed intended to continue the FGC practice, and 69.8% had slapped or hit their children during the year prior to the survey. Holding positive beliefs about the practice of FGC or intending to continue it was associated with maternal physical abuse and this has significant implications for health and welfare workers in Egypt and for society in general.

  • 7.
    Ahlborg, Mikael
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nyholm, Maria
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Morgan, Antony
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). Glasgow Caledonian University in London, London, United Kingdom.
    Nygren, Jens M.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Into the realm of social capital for adolescents: A latent profile analysis2019Inngår i: PLOS ONE, E-ISSN 1932-6203, Vol. 14, nr 2, artikkel-id e0212564Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    Recent reports of increasing prevalence of frequent health complaints and mental health problems among adolescents call for directing more attention on determinants of adolescent health. The relationship between health and social capital has gained increased attention since the early 2000’s and research at review level confirms the importance of social capital for health outcomes, despite methodological heterogeneity. The aim of this study was to identify distinct profiles of family, school and peer social capital in a nationally representative sample of adolescents and to explore health outcomes in those profiles.

    Method

    Cross-sectional data from the Swedish Health Behaviour of School-aged Children 2013/14 was used for this study. The analytical sample consisted of 7,804 adolescents aged 11-, 13- and 15-years. Items representing sense of belonging and emotional support were assessed in three contexts; family, school and among peers. Latent profile analyses (LPA) were run to determine social capital profiles. Health outcomes included frequent health complaints and life satisfaction, while socioeconomic status and genders were included as predictors.

    Results

    The results show that five distinct profiles best represent the data for 11- and 15-year olds, while a four-profile model was optimal for 13-year olds. Some profiles were recurrent between age groups but unique profiles were also found. Health outcomes were significantly different between profiles depending on levels of social capital in the different contexts.

    Conclusions

    This study provides novel insight into how social capital co-occurs among adolescents within the contexts of family, school and peers and how this translates into differences in health outcomes. The national representativeness of the sample increases the implications of the results and contributes to meaningful insights that help explain the interactions of social capital in multiple contexts, complementing what is previously known about the relationship with adolescent health. © 2019 Ahlborg et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    Fulltekst (pdf)
    published2019
  • 8.
    Ahlborg, Mikael
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Nyholm, Maria
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Morgan, Antony
    Glasgow Caledonian University, Glasgow, United Kingdom.
    Nygren, Jens M.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Socioeconomic inequalities in health among Swedish adolescents - adding the subjective perspective2017Inngår i: BMC Public Health, E-ISSN 1471-2458, Vol. 17, artikkel-id 838Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    Socioeconomic inequalities in adolescent health predict future inequalities in adult health. Subjective measures of socioeconomic status (SES) may contribute with an increased understanding of these inequalities. The aim of this study was to investigate socioeconomic health inequalities using both a subjective and an objective measure of SES among Swedish adolescents.

    Method

    Cross-sectional HBSC-data from 2002 to 2014 was used with a total sample of 23,088 adolescents aged 11–15 years. Three measures of self-rated health (dependent variables) were assessed: multiple health complaints, life satisfaction and health perception. SES was measured objectively by the Family Affluence Scale (FAS) and subjectively by “perceived family wealth” (independent variables). The trend for health inequalities was investigated descriptively with independent t-tests and the relationship between independent and dependent variables was investigated with multiple logistic regression analysis. Gender, age and survey year was considered as possible confounders.

    Results

    Subjective SES was more strongly related to health outcomes than the objective measure (FAS). Also, the relation between FAS and health was weakened and even reversed (for multiple health complaints) when subjective SES was tested simultaneously in regression models (FAS OR: 1.03, CI: 1.00;1.06 and subjective SES OR: 0.66, CI: 0.63;0.68).

    Conclusions

    The level of socioeconomic inequalities in adolescent health varied depending on which measure that was used to define SES. When focusing on adolescents, the subjective appraisals of SES is important to consider because they seem to provide a stronger tool for identifying inequalities in health for this group. This finding is important for policy makers to consider given the persistence of health inequalities in Sweden and other high-income countries. ©  The Author(s). 2017

  • 9.
    Ahlborg, Tone
    et al.
    Nordic School of Public Health, Göteborg, Sweden.
    Dahlöf, Lars-Gösta
    Göteborg University, Sweden.
    Hallberg, Lillemor R.-M.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Quality of the Intimate and Sexual Relationship in the First-Time Parents Six Months After Delivery2005Inngår i: Journal of Sex Research, ISSN 0022-4499, E-ISSN 1559-8519, Vol. 42, nr 2, s. 167-174Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study aimed to describe the quality of the intimate relationship among parents six months after the birth of their first child. The Dyadic Adjustment Scale (DAS) has been modified and used on 820 responding first-time parents, of which 768 were couples. The results reveal that most parents were happy in their relationship, but both mothers and fathers were discontented with the dyadic sexuality. "Being too tired for sexual activity" was a problem, especially for the mothers, and the most common frequency of intercourse was once or twice per month. The result does not support the assumption that the couples compensate the lacking sexuality with sensuality. Good communication within the couple was associated with higher levels of several dimensions of the intimate relationship, especially dyadic consensus and satisfaction. Thus, one way to stabilize and strengthen a relationship when dyadic sexual activity is low would be to emphasize dyadic communication and sensual activity.

  • 10.
    Ahlborg, Tone
    et al.
    Nordic School of Public Health.
    Persson, Lars-Olof
    University of Göteborg.
    Hallberg, Lillemor R.-M.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Assessing the Quality of the Dyadic Relationship in First-Time Parents: Development of a New Instrument2005Inngår i: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 11, nr 1, s. 19-37Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of this research was to psychometrically evaluate the Dyadic Adjustment Scale (DAS), modified for use with new, first-time parents by extending the items of communication, sensuality, and sexuality. A total of 820 Swedish respondents, 6 months after the birth of their first child, participated in the study. Psychometric evaluation was conducted with factor analysis. The obtained factor structure was tested with multitrait analysis program. Thirty-three itemswere found to fit into a five-factor solution, explaining 50% of the total variance. Descriptive data revealed thatmost new parentswere satisfied with their intimate relationship in general, but dissatisfied with their sexual lives. Themodified DAS, now called the Quality of Dyadic Relationship Instrument includes 33 items and seems to be a useful, updated measurement for assessing quality of the intimate relationship in new first-time parents.

  • 11.
    Ahlbäck, Annie
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Kvarnsäter, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    En av 36,7 miljoner: Att få en HIV diagnos2017Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Trots att HIV numera är en välkänd sjukdom och miljontals människor världen över är drabbade, är det fortfarande en av världens mest stigmatiserade sjukdomar. Stigmatiseringen leder till att sjukdomen förknippas med både fördomar och skam, vilket påverkar människorna som årligen drabbas av sjukdomen. Syftet med denna kvalitativa litteraturstudie var att belysa patienters upplevelser av att få en HIV diagnos. Litteraturstudiens resultat baserades på nio stycken vetenskapliga artiklar som resulterade i följande sex teman: Upplevelser av chock, upplevelser av ilska och skuld, upplevelser av dödsångest, upplevelser av svårigheter vid avslöjandet av diagnosen för närstående, upplevelser av acceptans samt upplevelser av diagnosen som en positiv vändpunkt. I resultatet framkom det tydligt att diagnosbeskedet väcker många starka känslor och att personerna som drabbas är i stort behov av hjälp och stöd av sjukvårdspersonal för att kunna hantera diagnosbeskedet. Därav är det av vikt att sjuksköterskor får en inblick kring upplevelserna angående ett HIV diagnosbesked samt får mer utbildning inom ämnet så att rätt information kan ges.

    Fulltekst (pdf)
    fulltext
  • 12.
    Ahlstav Mårtensson, Ulrica
    et al.
    Halmstad Hospital, Halmstad, Sweden.
    Erling-Hasselqvist, Nann
    Halmstad Hospital, Halmstad, Sweden.
    Boström, Barbro
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Differences in pain and nausea in children operated on by Tonsillectomy or Tonsillotomy – a prospective follow-up study2012Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 69, nr 4, s. 782-792Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To evaluate the differences in postoperative pain, nausea and time of discharge in children 3–12 years old after Tonsillectomy or Tonsillotomy at the postanaesthetic care unit, children’s ward and at home. 

    Background: Tonsillectomy involves risk of bleeding, severe postoperative pain and nausea. Tonsillotomy is a less invasive method with lower risk of bleeding, postoperative pain and nausea according to previous studies.

    Design: A prospective, comparative follow-up study design.

    Method: From December 2008–April 2009 following parental agreement, 87 children in the ages 3–12 undergoing Tonsillectomy or Tonsillotomy participated. Visual analogue scale was used for children’s pain and nausea reports.

    Result: Significantly, fewer children operated on by the Tonsillotomy reported postoperative pain ‡ 3 according to the visual analogue scale than children operated on by the Tonsillectomy at the postanaesthetic care unit and the children’s ward. A statistically significant difference of postoperative nausea was only present during the care at the postanaesthetic care unit and children’s ward with fewer Tonsillotomy children reporting nausea ‡ 3. The time of postoperative care was shorter among the Tonsillotomy children in both the postanaesthetic care unit and the children’s ward. Postoperative pain and pain related difficulties in eating after discharge was significantly more present among the Tonsillectomy children compared with the Tonsillotomy children.

    Conclusion: The results of our study showed duration of postoperative pain and nausea in both groups, but indicated that Tonsillotomy is a more favourable alternative than Tonsillectomy in children. © 2012 Blackwell Publishing Ltd.

  • 13.
    Ahlström, Gerd
    et al.
    Lund University, Lund, Sweden.
    Wallén, Eva Flygare
    Karolinska Institutet (KI), Stockholm, Sweden; Municipality of Östersund, Östersund, Sweden.
    Tideman, Magnus
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Wigforss-gruppen. Ersta Sköndal Bräcke University, Stockholm, Sweden.
    Holmgren, Marianne
    Lund University, Lund, Sweden.
    Ageing people with intellectual disabilities and the association between frailty factors and social care: A Swedish national register study2022Inngår i: Journal of Intellectual Disabilities, ISSN 1744-6295, E-ISSN 1744-6309, Vol. 26, nr 4, s. 900-918Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to describe the social care provided for different age groups of people with intellectual disability, 55 years or above, and to investigate the association between such care and frailty factors for those with diagnosed level of intellectual disabilities. Descriptive and logistic regression analyses were used. Commonest forms of social care among the 7936 people were Residential care, Daily activities and Contact person. Home help and Security alarm increased with age. The frailty factors significantly associated with increased social care were age, polypharmacy and severe levels of intellectual disabilities. Persons most likely to be in residential care were in the age group 65–79 with polypharmacy and severe disability. The results indicate a need for further research of how frailty factors are considered in social care and longstanding medication, especially then severe intellectual disability hinders communication. A national strategic plan for preventive interventions should be developed to ensure the best possible healthy ageing. © The Author(s) 2021.

  • 14.
    Ahmadi, Nasser S.
    et al.
    University of Gothenburg, Gothenburg, Sweden.
    Månsson, Jörgen
    University of Gothenburg, Gothenburg, Sweden.
    Lindblad, Ulf
    University of Gothenburg, Gothenburg, Sweden.
    Hildingh, Cathrine
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Breathlessness in everyday life from a patient perspective: A qualitative study using diaries2014Inngår i: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 12, nr 3, s. 189-194Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Breathlessness is a subjective symptom, which makes it difficult to define and understand. The aim of the present study was to illuminate how patients suffering from breathlessness experience their everyday life. Method: The study was a qualitative study, and the focus of the analysis was the patients' descriptions of their experiences of breathlessness using a diary with two unstructured questions for a period of 7 consecutive days. Sixteen participants: 7 men, mean age 65 ± 7 (range 55-73 years old), and 9 women, mean age 65 ± 9 (range 50-72 years old) participated in the study. Results: Two themes emerged from the analysis: 1) Impaired quality of life and 2) symptom tolerance and adaptation. The theme "impaired quality of life" included the categories limited physical ability, psychological burdens, and social life barriers. The theme "symptom tolerance and adaptation" included importance of health care, social support, hobbies and leisure activities, and coping strategies. Significance of results: The findings in our study showed that patients, in spite of considerable difficulties with shortness of breath, found relief in several types of activities, in addition to drug therapy. The result indicates that the "biopsychosocial model" is an appealing approach that should be discussed further to gain a better understanding of breathlessness. Copyright © Cambridge University Press 2013.

  • 15.
    Aili, Katarina
    et al.
    Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden & FoU Spenshult, Halmstad, Sweden.
    Andersson, Maria L.E.
    FoU Spenshult, Halmstad, Sweden; Department of Clinical Sciences, Lund University, Lund, Sweden.
    Bremander, Ann
    Högskolan i Halmstad, Akademin för företagande, innovation och hållbarhet, Rydberglaboratoriet för tillämpad naturvetenskap (RLAS). FoU Spenshult, Halmstad, Sweden.
    Haglund, Emma
    Högskolan i Halmstad, Akademin för företagande, innovation och hållbarhet, Rydberglaboratoriet för tillämpad naturvetenskap (RLAS). FoU Spenshult, Halmstad, Sweden.
    Larsson, Ingrid
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). FoU Spenshult, Halmstad, Sweden.
    Bergman, Stefan
    FoU Spenshult, Halmstad, Sweden & Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden.
    Sleep problems and fatigue as a predictor for the onset of chronic widespread painover a 5- and 18-year perspective: a 20-year prospective study2018Inngår i: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 77, s. 87-87, artikkel-id OP0072Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: If localised pain represent one end of a pain spectra, with overall better general health, chronic widespread pain (CWP) and fibromyalgia represent the other end of the spectra with worse general health and more comorbidities with other somatic diseases and mental illness. Sleep problems and fatigue are common among individuals reporting CWP and previous research indicate that sleep problems may be an important predictor for pain prognosis.

    Objectives: The aim of this population-based study was to investigate if sleep problems and fatigue predict the onset of CWP 5 and 18 years later.

    Methods: In order to get more stable baseline classifications of CWP, a wash-out period was used, including only individuals who had not reported CWP (according to ACR 1990 criteria for fibromyalgia) at baseline (−98) and three years prior baseline (−95). In all, data from 1249 individuals entered the analyses for the 5 year follow-up (−03) and 791 entered for the 18 year follow-up (−16). Four parameters related to sleep (difficulties initiating sleep, maintaining sleep, early morning awakening and non-restorative sleep), and one parameter related to fatigue (SF-36 vitality scale) were investigated as predictors for CWP. Binary logistic regression analysis were used for analyses.

    Results: All investigated parameters predicted the onset of CWP five years later (problems with initiating sleep (OR 1.91; 1.16–3.14), maintaining sleep (OR 1.85; 1.14–3.01), early awakening (OR 2.0; 1.37–3.75), non-restorative sleep (OR 2.27; 1.37–3.75) and fatigue (OR 3.70; 1.76–7.84)) in a model adjusted for age, gender, socio-economy and mental health. All parameters except problems with early awakening predicted the onset of CWP also 18 years later. In all, 785 individuals did not report any of the sleeping problems at baseline (fatigue not included), 268 reported one of the problems, 167 two, 128 three and 117 subjects reported to have all four sleep problems. Reporting all four sleep problems was significantly associated with CWP at follow-up at both time points when adjusting for age, gender, socio economy and mental health (OR 4.00; 2.03–7.91 and OR 3.95; 1.90–8.20); adjusting for age, gender, socio economy and number of pain regions (OR 2.94; 1.48–5.82 and OR 2.65; 1.24–5.64) and in a model adjusting for age, gender, socio economy and pain severity (OR 2.97;1.53–5.76; and OR 3.02;1.47–6.21) for the 5 year and 18 year follow-up respectively, compared to not reporting any of the sleep problems at baseline.

    Conclusions: Both sleeping problems and fatigue predicts the onset of CWP 5- and 18 years later. The results highlight the importance of the assessment of sleep quality in the clinic.

  • 16.
    Aili, Katarina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och idrott. Spenshult Research and Development Center, FoU Spenshult, Halmstad, Sweden & Karolinska Institutet, Stockholm, Sweden.
    Andersson, Maria L.E.
    Spenshult Research and Development Center, FoU Spenshult, Halmstad, Sweden & Lunds Universitet, Lund, Sweden.
    Bremander, Ann
    Spenshult Research and Development Center, FoU Spenshult, Halmstad, Sweden & Lunds Universitet, Lund, Sweden & University of Southern Denmark, Odense, Denmark & Syddansk Universitet, Graasten, Danmark.
    Haglund, Emma
    Högskolan i Halmstad, Akademin för företagande, innovation och hållbarhet, Rydberglaboratoriet för tillämpad naturvetenskap (RLAS). Spenshult Research and Development Center, FoU Spenshult, Halmstad, Sweden.
    Larsson, Ingrid
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad. Spenshult Research and Development Center, FoU Spenshult, Halmstad, Sweden.
    Bergman, Stefan
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Sleep problems and fatigue as predictorsfor the onset of chronic widespread painover a 5- and 18-year perspective2018Inngår i: BMC Musculoskeletal Disorders, E-ISSN 1471-2474, Vol. 19, nr 1, s. 1-14Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Previous research suggests that sleep problems may be an important predictor for chronic widespread pain (CWP). With this study we investigated both sleep problems and fatigue as predictors for the onset of CWP over a 5-year and an 18-year perspective in a population free from CWP at baseline.

    Methods: To get a more stable classification of CWP, we used a wash-out period, including only individuals who had not reported CWP at baseline (1998) and three years prior baseline (1995). In all, data from 1249 individuals entered the analyses for the 5-year follow-up and 791 entered for the 18-year follow-up. Difficulties initiating sleep, maintaining sleep, early morning awakening, non-restorative sleep and fatigue were investigated as predictors separately and simultaneously in binary logistic regression analyses.

    Results: The results showed that problems with initiating sleep, maintaining sleep, early awakening and non-restorative sleep predicted the onset of CWP over a 5-year (OR 1.85 to OR 2.27) and 18-year (OR 1.54 to OR 2.25) perspective irrespective of mental health (assessed by SF-36) at baseline. Also fatigue predicted the onset of CWP over the two-time perspectives (OR 3.70 and OR 2.36 respectively) when adjusting for mental health. Overall the effect of the sleep problems and fatigue on new onset CWP (over a 5-year perspective) was somewhat attenuated when adjusting for pain at baseline but remained significant for problems with early awakening, non-restorative sleep and fatigue. Problems with maintaining sleep predicted CWP 18 years later irrespective of mental health and number of pain regions (OR 1.72). Reporting simultaneous problems with all four aspects of sleep was associated with the onset of CWP over a five-year and 18-yearperspective, irrespective of age, gender, socio economy, mental health and pain at baseline. Sleep problems and fatigue predicted the onset of CWP five years later irrespective of each other.

    Conclusion: Sleep problems and fatigue were both important predictors for the onset of CWP over a five-year perspective. Sleep problems was a stronger predictor in a longer time-perspective. The results highlight the importance of the assessment of sleep quality and fatigue in the clinic. © The Author(s). 2018

  • 17.
    Aili, Katarina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och idrott. Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
    Arvidsson, Susann
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Nygren, Jens M.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Health related quality of life and buffering factors in adult survivors of acute pediatric lymphoblastic leukemia and their siblings2021Inngår i: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 19, nr 1, artikkel-id 55Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: The improvement in treatment of pediatric acute lymphatic leukemia (ALL) has introduced new challenges for pediatric oncology care in understanding and handling long-term treatment-related complications later in adult life. The aim of this study was to describe health related quality of life (HRQoL) and the relation to buffering factors among young adult (YA) pediatric ALL survivors and their siblings.

    METHODS: This cross-sectional study was performed among 227 adults, treated for pediatric ALL in Sweden between 1985 and 1997 and their siblings (n = 70). Group means of HRQoL (SF-36) were compared between YA ALL survivors and the siblings, as well as to normative values from the general population. Self-efficacy (GSES) and social support (SS-13 subscale AVSI) was considering potential buffering factors for HRQoL and mental health. Associations between HRQoL and mental health respectively and self-efficacy and social support was analyzed.

    RESULTS: The YA ALL survivors scored significantly lower on the HRQoL parameters general health (69.6 vs. 78.4, p = 0.004) and role emotional (77.1 vs. 88.1, p = 0.014), than the siblings. Further, they reported significantly lower general health (69.6 vs. 75.8), vitality (56.9 vs. 68.8), social functioning (84.5 vs. 88.6), role emotional (77.1 vs. 85.7) and mental health (71.3 vs. 80.9) compared with Swedish norms. Both YA ALL survivors and the siblings reported lower vitality and worse mental health than the general population. The HRQoL parameters, depression, stress and anxiety were all associated with both self-efficacy and social support among the YA ALL survivors. Among the siblings however, only general health, vitality, role emotional, mental health and depression were associated with social support, and only general health and mental health were associated with general self-efficacy.

    CONCLUSION: The results from this study show that buffering factors, like social support and self-efficacy, may play an important role for psychosocial outcomes and HRQoL among YA ALL survivors later in life. The results suggest that this group could benefit from continuous support in adult life to handle consequences of their pediatric disease. © 2021, The Author(s).

  • 18.
    Aili, Katarina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). RandD Spenshult, Halmstad, Sweden & Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
    Bergman, Stefan
    Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
    Bremander, Ann
    Lund University, Department of Clinical Sciences, Lund, Sweden.
    Haglund, Emma
    Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, Rydberglaboratoriet för tillämpad naturvetenskap (RLAS). RandD Spenshult, Halmstad, Sweden.
    Larsson, Ingrid
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). RandD Spenshult, Halmstad, Sweden.
    Passive coping strategies but not physical function are associated with worse mental health, in women with chronic widespread pain – a mixed method study2019Inngår i: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 78, nr Suppl 2, s. 2159-2159Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Chronic widespread pain (CWP) is a common condition (approximately 10% prevalence), that affects women twice as often as men. There is a lack of knowledge in how different coping strategies relates to health status during CWP development in a general population.

    Objectives: To explore different ways of coping with CWP and to relate the different coping strategies to health-related factors, before and after developing CWP.

    Methods: A sequential explorative mixed methods study including 19 women 45-67 of age, who had reported CWP in a survey 2016, but not in 1995. Individual interviews were analysed with a phenomenographic approach, and resulted in four categories of coping strategies. These categories were further explored with regard to four dimensions of health status (physical function, bodily pain, vitality and mental health) as measured by SF-36 (0-100, a lower score indicates more disability) and sleep problems measured both in 1995, and 2016.

    Results: The qualitative analysis revealed four categories representing different coping strategies, where each woman was labelled by the most dominant category; the mastering woman, the persistent woman, the compliant woman and the conquered woman. The first two categories emerged as being active coping strategies, and the latter two as passive. Women with passive strategies reported significantly lower vitality (median 57.5 vs 75, p=0.007) and worse mental health (median 54 vs 93, p=0.021) in 1995, before they had developed CWP compared with those with active coping strategies. No differences were seen between the groups on physical function, bodily pain or sleep.

    In 2016, there were still a difference between the passive and active group regarding mental health (median 56 vs 80, p=0.022), but not for vitality (median 35 vs 40, p=0.707). No differences were seen between the groups on physical function or bodily pain. All eight women with passive strategies reported problems with sleep in 2016, as compared to 6 of the 11 women with active strategies (p=0.045).

    Conclusion: Women that reported CWP in 2016, but not in 1995, described both active and passive coping strategies. The qualitative findings were associated with differences in vitality and mental health already in 1995, before they had developed CWP. Further, those with passive coping strategies reported worse health with regard to mental health and sleep problems in 2016. Interestingly, the groups did not differ in bodily pain or physical function neither in 1995 nor in 2016, which implicates the importance for the clinician to take the typical coping strategy into consideration, when meeting these patients in clinical settings. © Aili, Bergman, Bremander, Haglund & Larsson 2019. No commercial re-use. See rights and permissions. Published by BMJ.

  • 19.
    Aili, Katarina
    et al.
    Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
    Bergman, Stefan
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). FoU Spenshult, Halmstad, Sweden & The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Bremander, Ann
    Högskolan i Halmstad, Akademin för företagande, innovation och hållbarhet, Rydberglaboratoriet för tillämpad naturvetenskap (RLAS). FoU Spenshult, Halmstad, Sweden & Lund University, Lund, Sweden.
    Haglund, Emma
    Högskolan i Halmstad, Akademin för företagande, innovation och hållbarhet, Rydberglaboratoriet för tillämpad naturvetenskap (RLAS). FoU Spenshult, Halmstad, Sweden.
    Larsson, Ingrid
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). FoU Spenshult, Halmstad, Sweden.
    Women’s experiences of coping with chronic widespread pain – a qualitative study2018Inngår i: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 77, s. 1815-1815, artikkel-id FRI10737-HPRArtikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Approximately ten percent of the population report chronic widespread pain (CWP), the condition is more common among women than men. For most people, the pain interferes with many aspects of every-day life and implies large consequences. However, the group reporting CWP is heterogeneous and there is a need for better understanding of the different strategies used for coping with pain in every-day life.

    Objectives: The purpose of this study was to describe women’s experiences of how to cope with CWP.

    Methods: The study had a descriptive design with a qualitative content analysis approach. Individual interviews were conducted with 19 women, 31–66 of age, who had reported CWP in a survey 2016. CWP was defined according to the 1990 ACR criteria for fibromyalgia. To be considered chronic, the pain should have persisted for more than three months during the last 12 months. A manifest qualitative content analysis was used to analyze the main question “How do you cope with your chronic widespread pain?” The analysis resulted in four categories.

    Results: Women described their coping with CWP in four different ways; to take control, to continue as usual, to follow instructions and to rest. To take control meant to make deliberate decisions to handle everyday day life. It also meant to take care of oneself, to think positive and to exercise at an adequate level. To continue as usual meant not to listen to body signals and either to ignore or accept the pain. To follow instructions meant listening to the health professionals and following advices, but without taking any part of the responsibility for the treatment outcome. To rest meant to perceive an unreasonable need for recovery, to resign and let the pain set the terms for the daily living.

    Conclusions: Women expressed different ways of coping with CWP including both active and passive strategies. The coping strategies included two dimensions, where one ranged from actively taking control over the pain, to passively following instructions and the other from actively continue as usual by either accepting or ignoring the pain to passively rest and being mastered by pain.

  • 20.
    Aili, Katarina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). Karolinska Institutet, Institute of Environmental Medicine, Stockholm, Sweden & RandD Spenshult, Halmstad, Sweden.
    Bergman, Stefan
    RandD Spenshult, Halmstad, Sweden & Institute of Medicine, The Sahlgrenska Academy, Primary Health Care Unit, Department of Public Health and Community Medicine, Gothenburg, Sweden.
    Haglund, Emma
    Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, Rydberglaboratoriet för tillämpad naturvetenskap (RLAS). RandD Spenshult, Halmstad, Sweden.
    Adding information on widespread pain to the start back screening tool when identifying low back pain patients at increased risk for poor prognosis2019Inngår i: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 78, nr Suppl 2, s. 1457-1457Artikkel i tidsskrift (Fagfellevurdert)
  • 21.
    Aili, Katarina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och idrott. Spenshult Research and Development Center, Halmstad, Sweden | Karolinska Institutet, Institute of Environmental Medicine, Stockholm, Sweden.
    Campbell, Paul
    Keele University, School for Primary, Community and Social Care, Keele, United Kingdom | Midlands Partnership NHS Foundation Trust, Stafford, United Kingdom.
    Michaleff, Zoe A.
    Keele University, School for Primary, Community and Social Care, Keele, United Kingdom.
    Strauss, Vicky Y.
    University of Oxford, CSM, NDORMS, Oxford, United Kingdom.
    Jordan, Kelvin P.
    Keele University, School for Primary, Community and Social Care, Keele, United Kingdom | Keele University, Centre for Prognosis Research, Keele, United Kingdom.
    Bremander, Ann
    Spenshult Research and Development Center, Halmstad, Sweden | Department of Regional Health Research, University of Southern Denmark, Odense, Denmark.
    Croft, Peter
    Keele University, School for Primary, Community and Social Care, Keele, United Kingdom | Keele University, Centre for Prognosis Research, Keele, United Kingdom.
    Bergman, Stefan
    Spenshult Research and Development Center, Halmstad, Sweden | University of Gothenburg, Institute of Medicine, Gothenburg, Sweden.
    Long-term trajectories of chronic musculoskeletal pain: a 21-year prospective cohort latent class analysis2021Inngår i: Pain, ISSN 0304-3959, E-ISSN 1872-6623, Vol. 162, nr 5, s. 1511-1520Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    ABSTRACT: Our knowledge of the prevalence, impact, and outcomes of chronic pain in the general population is predominantly based on studies over relatively short periods of time. The aim of this study was to identify and describe trajectories of the chronic pain status over a period of 21 years. Self-reported population data (n = 1858) from 5 timepoints were analyzed. Pain was categorized by: no chronic pain (NCP), chronic regional pain (CRP), and chronic widespread pain (CWP). Latent class growth analysis was performed for identification of trajectories and logistic regression analysis for identification of predictors for pain prognosis. Five trajectories were identified: (1) persistent NCP (57%), (2) migrating from NCP to CRP or CWP (5%), (3) persistent CRP or migration between CRP and NCP (22%), (4) migration from CRP to CWP (10%), and (5) persistent CWP (6%). Age, sleeping problems, poor vitality, and physical function at baseline were associated with pain progression from NCP. Female gender, seeking care for pain, lack of social support, poor physical function, vitality, and mental health predicted poor pain prognosis among those with CRP. In conclusion, chronic pain was common in the population including 6% reporting persistent CWP, although the majority persistently reported NCP. Most people had stable pain status, but some had ongoing change in pain status over time including people who improved from chronic pain. It was possible to identify clinically relevant factors, characterizing trajectories of chronic pain development, that can be useful for identifying individuals at risk and potential targets for intervention. Copyright © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the International Association for the Study of Pain.

  • 22.
    Aili, Katarina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). RandD Spenshult, Halmstad, Sweden & Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
    Campbell, Paul
    Research Institute for Primary Care and Health Sciences, Keele University, Keele, United Kingdom & Midlands Partnership NHS Foundation Trust, Stafford, United Kingdom.
    Michaleff, Zoe
    Research Institute for Primary Care and Health Sciences, Keele University, Keele, United Kingdom.
    Strauss, Victoria
    University of Oxford, CSM, NDORMS, Oxford, United Kingdom.
    Jordan, Kelvin
    Research Institute for Primary Care and Health Sciences, Keele University, Keele, United Kingdom &Centre for Prognosis Research, Keele University, Keele, United Kingdom.
    Bremander, Ann
    RandD Spenshult, Halmstad, Sweden & University of Southern Denmark, Department of Regional Health Research, Odense, Denmark.
    Croft, Peter
    Research Institute for Primary Care and Health Sciences, Keele University, Keele, United Kingdom & Centre for Prognosis Research, Keele University, Keele, United Kingdom.
    Bergman, Stefan
    RandD Spenshult, Halmstad, Sweden & Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
    Long term trajectories of chronic widespread pain: a 21-year prospective cohort latent class analysis2019Inngår i: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 78, nr Suppl 2, s. 239-239Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Chronic widespread pain (CWP) is common (population prevalence of approximately 10%) and has a significant impact on the individual, healthcare, and society. Currently little is known about the actual course of CWP over time, in particular the pathways to the development and maintenance of CWP. One useful way to understand these pathways is to identify common clusters of people who share pain trajectories. Such information is clinically useful to identify factors that predict development, persistence, and resolution of CWP.

    Objectives: To identify different longitudinal pain trajectories over a period of 21 years.

    Methods: A 21-year longitudinal open-population cohort of n=1858 adults (aged 20-74) who completed surveys relating to their pain status in at least three of the five time points 1995, 1998, 2003, 2007, and 2016. Pain status (presence of persistent pain) was ascertained from a report of painful regions (0-18) on a pain mannequin and categorised into: NCP (No chronic pain), CRP (Chronic regional pain) and CWP (chronic widespread pain). Latent Class Growth Analysis (LCGA) was carried out based on these categories. Participants were assigned to a trajectory cluster where the posterior probability was the highest. Model fit was assessed by statistical indices and clinical interpretations of clusters.

    Results: LCGA identified five clusters describing different pathways of NCP, CRP and CWP over the 21 years. The cluster “Persistent NCP” was the most common pathway (n = 1052, 57%) representing those with no chronic pain over the whole time period. The “Persistent CRP or Migration from CRP to NCP” cluster included 411 individuals (22%) representing a group with stable or improving regional pain. In the groups who were shown to increase pain status, the “Migration from NCP to CRP or CWP” cluster included 92 individuals (5%), and there were 184 individuals (10%) in the cluster “Migration from CRP to CWP” representing a group with regional pain who developed CWP. The final cluster “Persistent CWP” included 119 individuals (6%) representing those with stable CWP throughout the time period. Figure 1 presents the mean number of pain sites over time by cluster.

    Conclusion: This study showed that whilst half of adults report no chronic pain over 21 years, a substantial proportion develop CWP or have persistent CWP over this time period. Whilst a common trajectory was movement from chronic regional pain to no chronic pain, a pattern of improving CWP was not seen suggesting this is an uncommon trajectory. This is the first study to show long-term trajectories for CWP, and further work is now required to understand factors that may identify individuals at risk of worsening pain status and factors that might promote improvement. These identified pathways of chronic pain over a lifespan improve the understanding of long-term development of chronic pain and chronic widespread pain. © Aili et al. 2019. No commercial re-use. See rights and permissions. Published by BMJ.

  • 23.
    Akerö, Emma
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Zetterström, Linda
    Högskolan i Halmstad, Akademin för hälsa och välfärd.
    Inblick i en annan livsvärld: Att belysa omvårdnadsåtgärder vid positiva symtom hos patienter med schizofreni.2016Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Schizofreni är en komplex sjukdom som inbegriper positiva symtom, exempelvis hörselhallucinationer och vanföreställningar. Symtombilden innebär att patienterna kan vara svåra för sjuksköterskan att nå fram till. Sjukdomen innebär för patienten utanförskap och stigmatisering, även en förhöjd suicidrisk. Personer med schizofreni har uppvisat bristande följsamhet i läkemedelsbehandlingen, något som i sin tur kan påverka omvårdnaden negativt. Tidigare forskning visar att det finns ett behov av ökad kunskap för att kunna uppnå bättre effekt av behandlingen av dessa patienter. Därför blev syftet med denna litteraturstudie att belysa omvårdnadsåtgärder vid positiva symtom hos patienter med schizofreni. Artiklar söktes i fyra databaser och ledde till i 18 resultatartiklar. Resultatet av studien visade att individanpassad vård med patientens livsvärld i fokus är grundläggande för att kunna nå patienten, och på så sätt identifiera vilka omvårdnadsåtgärder som är gynnsamma för patienten. Patienter med positiva symtom behöver stöd från sjuksköterskan att hitta copingstrategier för att kunna hantera dessa. Med stöd av denna litteraturstudie kan sjuksköterskan stödja patienter att finna dessa copingstrategier. Beteenden som anses vara destruktiva är inte nödvändigtvis alltid av ondo, de kan även fungera som en copingstrategi för patienter med positiva symtom.

  • 24.
    Alfermann, D.
    et al.
    Faculty of Sports Sciences, University of Leipzig, Leipzig, Germany.
    Stambulova, Natalia
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). The P.F. Lesgaft State Academy, St Petersburg, Russian Federation.
    Zemaityte, A.
    University of Vilnius, Vilnius, Lithuania & Department of Pyschology, University of Konstanz, Konstanz, Germany.
    Reactions to sport career termination: A cross-national comparison of German, Lithuanian, and Russian athletes2004Inngår i: Psychology of Sport And Exercise, ISSN 1469-0292, E-ISSN 1878-5476, Vol. 5, nr 1, s. 61-75Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: To assess the cognitive, emotional, and behavioural consequences of sport career termination of national and international level athletes in three nations.

    Design and methods: Athletes of Germany (n=88), Lithuania (n=65), and Russia (n=101) were asked to describe in retrospect their reactions to career termination. The Athletic Retirement Questionnaire developed by the first two authors and presented in three corresponding languages was used. Planning of retirement and national identity served as independent variables. Dependent variables were reasons and circumstances for career termination, participants’ emotional reactions, coping reactions, athletic identity during and after sport career, and adjustment to life after career termination.

    Results: Analyses of variance revealed significant main effects of retirement planning and national identity on most dependent variables. Planning of retirement contributed to significantly better cognitive, emotional, and behavioural adaptation. In addition, high athletic identity contributed to less positive reactions to retirement and to more problems in the adaptation process. The emotional reactions of Russian and Lithuanian athletes were similar, but differed from the German athletes who, in general, showed more positive and lesser negative emotions after retirement. Though accepting the reality of retirement was the most often used coping strategy among all participants, Lithuanian athletes showed more denial and Russian athletes more distraction strategies after retirement than the other nations.

    Discussion: The results are discussed with regard to athletes’ readiness for career transition in different social and cultural environments. Recommendations are given on how to help athletes to prepare for and to cope with career termination. © 2003 Elsevier Ltd. All rights reserved.

  • 25.
    Alfermann, Dorothee
    et al.
    University of Leipzig, Leipzig, Tyskland.
    Stambulova, Natalia
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Career transitions and career termination2007Inngår i: Handbook of sport psychology / [ed] Gershon Tenenbaum and Robert C. Eklund, Hoboken, N.J.: John Wiley & Sons, 2007, 3, s. 712-733Kapittel i bok, del av antologi (Fagfellevurdert)
    Abstract [en]

    The purpose of this chapter is to comprehensively overview this research area and expand the perspectives provided in the two earlier editions of this Handbook. In this chapter, we first define and explain the key concepts of athletic career, career transition, and career termination. In subsequent sections, we discuss the theoretical background, the empirical research, and intervention approaches as they are concerned with career transitions and termination. We close the chapter with suggestions for future research in the career transition area.

  • 26.
    Alfermann, Dorothee
    et al.
    Leipzig University, Leipzig, Germany.
    Stambulova, Natalia
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI), Idrott, hälsa och fysisk aktivitet.
    Sport psychology in Europe – Women’s perspective2013Inngår i: Abstracts of the ISSP 13th World Congress of Sport Psychology: July 21-26, 2013, Beijing Sport University, Beijing, China, Beijing, 2013, s. 55-55Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Compared to other disciplines of psychology, sport and exercise psychology is a very young field. Sport psychology associations were founded in a variety of countries (particularly in Europe and North America) in the 1960es and later, after the first World Congress of Sport Psychology had taken place in Rome in 1965. Despite the fact that even in those ages quite a few women were studying psychology and afterwards starting a scientific career, females in sport psychology were extremely underrepresented. One of the reasons could lie in the fact that sport, much more than psychology, was a stereotypically male field, with only a few opportunities available to women. Making a career in sport psychology was then a double contradiction for women. First, making a career in general contradicted the typical female role, and second, making a career in sport meant an untypical field for women.

    The presentation will be structured as a dialogue between the two presenters – female sport psychologists working in the field for more than 30 years. Both were born and started their careers during the period of the Cold War: Dorothee Alfermann in the Federal Republic of Germany, and Natalia Stambulova in the Soviet Union. Both countries do not exist on the European map any more reflecting dramatic political, social and economic changes in Europe during the last two decades. All the changes in the European context put their impacts on the development of sport and exercise psychology in Europe including overall organizational development, as well as female careers and their contributions to European Federation of Sport Psychology (FEPSAC), other international sport psychology organizations (e.g., ISSP, AASP) and international sport psychology events (e.g., Congresses). The dialogue will be structured around the following three themes: (a) the presenters’ own careers analyzed from the point of gender issues (e.g., female professional role models and mentors), (b) history of European sport and exercise psychology, foundation of FEPSAC and contribution of its first President Ema Geron (1969-1973), and (c) female sport psychology professionals’ role in today’s European sport psychology and their contributions to FEPSAC, ISSP, AASP, national sport psychology associations, the editorial board of Psychology of Sport and Exercise, the European Forum of Applied Sport Psychologists, the European Master’s Studies in Sport and Exercise Psychology (EMSSEP), and the recent European Master’s (Mundus) Program in Sport and Exercise Psychology (EMPSEP).

  • 27.
    Alfermann, Dorothee
    et al.
    Leipzig University, Leipzig, Germany.
    Stambulova, Natalia
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Centrum för idrott och hälsoforskning (CIHF).
    Zemaityte, Aiste
    University of Vilnius, Vilnius, Lithuania.
    Causes and consequences of career termination: A comparison of German, Russian and Lithuanian athletes2001Inngår i: International Society of Sport Psychology (ISSP) 10th World Congress of Sport Psychology: organized by Democritus University of Thrace, University of Thessaly, Hellenic Society of Sport Psychology : in the dawn of the new millennium : May 28-June 2, 2001, Skiathos, Hellas : programme and proceedings: vol. 4 / [ed] Athanasios Papaioannou, Marios Goudas, Yannis Theodorakis, Thessaloniki, Greece: Christodoulidi Publications , 2001, s. 26-28Konferansepaper (Fagfellevurdert)
  • 28.
    Ali, Lilas
    et al.
    University of Gothenburg, Gothenburg, Sweden.
    Hedman Ahlström, Britt
    University West, Trollhättan, Sweden.
    Krevers, Barbro
    Linköping University, Linköping, Sweden.
    Sjöström, Nils
    University of Gothenburg, Gothenburg, Sweden.
    Skärsäter, Ingela
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Need and Usage of Different Kind of Support among Young Informal Carers of Persons with Mental Illness2014Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background: The high prevalence of mental illness among young person’s means that their relatives and close friends are exposed to stress by having to take on the responsibility for the support of family members or friends in difficult situations of life when suffering from mental illness. Young informal carers have shown to be exposed to a great burden in which they put their own daily tasks aside in order to stay close to the person who suffers from mental illness. Objective: Explore how young (16–25) informal carers of a person with a mental illness experience and use different kind of support, such as web-support, counseling, and group counseling, friends, family, relatives support societies, health care services etc. Method: In a mixed method approach, we first 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. Results: The carers said web-support, counseling, and group counseling might be helpful, yet very few had any professional support. The results also showed that the young informal carers’ safety net is their social network and the person who suffer from mental illness. Conclusion: Young informal carers are in need of a combination of web-based and face-to-face person-centered support, but they do not receive it. Professional support is required. Further studies about the needs of young informal carers of persons with mental illness especially those supporting friends, is necessary to gain before planning to start support interventions for them.

  • 29.
    Ali, Lilas
    et al.
    University of Gothenburg, Gothenburg, Sweden.
    Hedman Ahlström, Britt
    University West, Trollhättan, Sweden.
    Krevers, Barbro
    Linköping University, Linköping, Sweden.
    Sjöström, Nils
    University of Gothenburg, Gothenburg, Sweden.
    Skärsäter, Ingela
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Need and usage of support among young informal carers of persons with mental illness: a mixed-method study2013Inngår i: Horatio, European Psychiatric Nursing Congress 2013: Abstract book / [ed] Neslihan Keser Özcan, Hülya Bilgin, 2013, s. 94-94Konferansepaper (Fagfellevurdert)
  • 30.
    Ali, Lilas
    et al.
    University of Gothenburg.
    Hedman Ahlström, Britt
    University West, Trollhättan.
    Krevers, Barbro
    Linköping University.
    Sjöström, Nils
    Gothenburg University.
    Skärsäter, Ingela
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Support for young informal carers of persons with mental illness: a mixed-method study2013Inngår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, nr 8, s. 611-618Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 31.
    Ali, Lilas
    et al.
    Sahlgrenska Academy, Gothenburg University, Institute of Health and Care Science, Sweden.
    Krevers, Barbro
    Linköping University, Department of Medical and Health Sciences, Sweden.
    Sjöström, Nils
    Sahlgrenska Academy, Gothenburg University, Institute of Health and Care Science, Sweden.
    Skärsäter, Ingela
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Effectiveness of web-based versus folder support interventions for young informal carers of persons with mental illness: a randomized controlled trial2014Inngår i: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 94, nr 3, s. 362-371Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Compare the impact of two interventions, a web-based support and a folder support, for young persons who care for people who suffer from mental illness. 

    Methods: This study was a randomized control trial, following the CONSORT statements, which compared the impact of two interventions. Primary outcome variable was stress, and secondary outcome variables were caring situation, general self-efficacy, well-being, health, and quality of life of young informal carers (N = 241). Data were collected in June 2010 to April 2011, with self-assessment questionnaires, comparing the two interventions and also to detect changes. 

    Results: The stress levels were high in both groups at baseline, but decreased in the folder group. The folder group had improvement in their caring situation (also different from the web group), general self-efficacy, well-being, and quality of life. The web group showed increase in well-being. 

    Conclusion: Young informal carers who take on the responsibility for people close to them; suffer consequences on their own health. They live in a life-situation characterized by high stress and low wellbeing. This signals a need for support. 

    Practice implications: The non-significant differences show that each intervention can be effective, and that it depends upon the individual's preferences. This highlights the importance of adopting person-centered approach, in which young persons can themselves choose support strategy. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

  • 32.
    Ali, Lilas
    et al.
    Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg University, Centre for Person-Centred Care Research (GPCC), Gothenburg, Sweden.
    Krevers, Barbro
    Vårdal Institute – The Swedish Institute for Health Sciences, Gothenburg, Sweden.
    Sjöström, Nils
    Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Skärsäter, Ingela
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    The impact of a person-centred web-based intervention on young informal carers of people with mental illness2015Inngår i: Abstracts: 19th International Philosophy of Nursing Society (IPONS) conference August 24-26, 2015 Karolinska Institutet, Stockholm, Sweden: Technology, Health Care and Person-centeredness: Beyond Utopia and Dystopia. Thinking the Future., Stockholm: Karolinska Institutet , 2015, s. 4-5Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background: Previous research show that young person’s often take responsibility and offer care and support for significant others who suffer from mental illness. This adoption of responsibility has consequences not only for the mentally ill, but also for the carer. A person-centred support approach to provide the young informal carers of what they are in need of is according to previous research essential, and in need of. As the internet becomes increasingly fundamental to young people in their daily lives, person-centred web-based interventions may be effective in supporting those caring for a person with mental illness.

    Objective: To analyze (according to stress, burden, quality of life, and self-efficacy) the impact of a person-centred web-based intervention (information, education, and support) for young persons who support family members or close friends with mental illness.

    Methods: The study design was prospective and randomized. The sample consisted of young informal carers (N = 241; 16–25 y), where N = 241 completed structured questionnaires at baseline and were allocated to person-centred web-based support (N = 121) respectively folder support (n =120) regarding available support in the society for young persons who support someone suffering from mental illness.

    Results: Data show that the stress levels were high in both groups at the start of the intervention, but decreased in the folder group, who also showed improvements in their caring situation (also different from the web-support group), general self-efficacy, well-being and their quality of life. The group who received person-centred web-based support showed significant increase in their well-being.

    Conclusion: It is of great importance to measure the stress and caring situation of young informal carers of persons with mental illness in order to understand their situation. One type of support could be person-centred web-based, however our results indicate that individuals seek support depending on their individual preferences. Since the responsibility of care has shifted from the health care services to the family and friends of the person suffering from a mental illness, more person- centred care/support interventions should be investigated for further development.

  • 33.
    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
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (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 Sweden2015Inngår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 36, nr 6, s. 407-415Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 34.
    Ali, Lilas
    et al.
    Göteborgs universitet, Göteborg, Sverige.
    Skärsäter, Ingela
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Att använda internet vid datainsamling2017Inngår i: Vetenskaplig teori och metod: från idé till examination inom omvårdnad / [ed] Maria Henricson, Lund: Studentlitteratur AB, 2017, 2, s. 217-232Kapittel i bok, del av antologi (Fagfellevurdert)
  • 35.
    Ali, Lilas
    et al.
    Göteborgs universitet, Sahlgrenska akademin, Göteborg, Sverige.
    Skärsäter, Ingela
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    eHälsa2017Inngår i: Vårdpedagogik / [ed] Margret Lepp & Janeth Leksell, Stockholm: Liber, 2017, 1, s. 190-217Kapittel i bok, del av antologi (Fagfellevurdert)
  • 36.
    Almerud, Sofia
    et al.
    Växjö University, School of Health Sciences and Social Work, Vaxjo Sweden.
    Baigi, Amir
    Sahlgrenska Academy, Department of Primary Health Care, Gothenburg Sweden.
    Hildingh, Cathrine
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Jogre, J.
    Växjö University, Centre for Acute and Critical Care (CACC), Vaxjo Sweden.
    Lyrström, L.
    Växjö University, Centre for Acute and Critical Care (CACC), Vaxjo Sweden.
    Fridlund, Bengt
    School of Health Sciences Jonkoping, School of Health Sciences, Jonkoping Sweden.
    Acute coronary syndrome: social support and coping ability on admittance2008Inngår i: British Journal of Nursing, ISSN 0966-0461, E-ISSN 2052-2819, Vol. 17, nr 8, s. 527-531Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To compare social support and coping ability in acute coronary syndrome patients at the time of the cardiac event with a healthy community-based sample, with regard to age, sex, education and marital status.

    Method: The study comprised 241 patients and 316 healthy controls. The participants answered a self-administered questionnaire that included three well-established scales. Multiple logistic regression was used in the analysis to compare the health situation between the patients and controls.

    Results: Persons suffering from acute coronary syndrome rated emotional support significantly lower than the healthy controls. However, there were no differences between the two groups in terms of socio-demographic variables.

    Conclusion: This study indicates that social support may be a predictor of acute coronary syndrome.

  • 37.
    Almquist-Tangen, Gerd
    et al.
    Child Health Care Unit, Halmstad, Sweden & Department of Paediatrics, Institute of Clinical Sciences at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Bergman, Stefan
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Dahlgren, Jovanna
    Department of Paediatrics, Institute of Clinical Sciences at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Lindholm, Annelie
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Roswall, Josefine
    Department of Paediatrics, Institute of Clinical Sciences at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Alm, Bernt
    Department of Paediatrics, Institute of Clinical Sciences at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Consuming milk cereal drinks at one year of age was associated with a twofold risk of being overweight at the age of five2019Inngår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 108, nr 6, s. 1115-1121Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: We previously reported that consuming milk cereal drinks at six months of age was associated with a high body mass index (BMI) at 12 and 18 months. This study examined the association between daily consumption at 12 months of age and BMI at the age of five.

    Methods: We followed up 1870/2666 (70%) children recruited at birth in 2007–2008 for the Swedish longitudinal population‐based Halland Health and Growth Study a mean of 5.09 ± 0.28 years. Feeding practices were obtained from parental questionnaires, and anthropometric data were collected by child health nurses.

    Results: At five years, 11.6% were overweight and 2.3% were obese. Milk cereal drinks were consumed by about 85% and 10% at one and five years of age, respectively. Consumption at 12 months was associated with almost double the risk of being overweight at five years of age (adjusted odds ratio 1.94, 95% confidence interval 1.08–3.50). Other risk factors were a family history of obesity, low paternal educational level and paternal smoking.

    Conclusion: Consuming milk cereal drinks daily at 12 months was associated with a twofold risk of being overweight at five years. These findings may affect the counselling guidelines used at child healthcare centres. Copyright © 2019 John Wiley & Sons, Inc. All rights reserved

  • 38.
    Almqvist-Tangen, Gerd
    et al.
    Child Healthcare Team, Region Halland, Sweden & Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Arvidsson, Susann
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och omvårdnad.
    Alm, Bernt
    Child Healthcare Team, Region Halland, Sweden & Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Bergman, Stefan
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & Research and Development Centre Spenshult, Halmstad, Sweden.
    Roswall, Josefine
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden & County Hospital, Region Halland, Halmstad, Sweden.
    Dahlgren, Jovanna
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Nevonen, Lauri
    Örebro University, Örebro, Sweden & Karolinska Institute, Stockholm, Sweden.
    What makes parents act and react? Parental views and considerations relating to ‘child health’ during infancy2017Inngår i: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 21, nr 4, s. 415-423Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Lifestyle factors and behaviours are adopted very early in life and tend to persist throughout life. Considering that the parents are the primary gatekeepers for their child’s health, there is a need to gain more knowledge and deeper understanding about what causes parents to act and react in order for early preventive efforts to have any effect. The aim was to explore the parental views and considerations concerning ‘child health’ among parents with infants 8–10 months old. The sample was strategic and 16 parents (aged 23–41) were recruited from three child health centres in Sweden. Open-ended interviews were conducted and a qualitative, manifest content analysis approach was utilized. The parents described the subject ‘child health’ as a large, multifaceted concept. Three categories emerged during data analysis: developing a sixth sense, being affected by perceptions and believing health and ill health as a continuum. The parents perceived food and feeding issues as one of the most worrying aspects and a significant indicator of ‘child health’. In order to meet the parents on their turf, the ‘healthy health message’ conveyed needs to take the parental perspective into consideration rather than attempting to educate the parents from predetermined assumption, belief and values. © The Author(s) 2017

  • 39.
    Almqvist-Tangen, Gerd
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Axelsson, Åsa
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Considerations of the concept of infant health: a literature review2006Inngår i: Early Child Development and Care, ISSN 0300-4430, E-ISSN 1476-8275, Vol. 176, nr 6, s. 575-589Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study examined a wide range of literature in order to describe factors associated with the concept of infant health. The design of the study is a literature review examining 21 research studies, written in the English language. The study explored which factors were found to exert an influence on the concept of infant health. The result showed that the concept infant health is dependent on many factors but what seems to exert an influence are foremost maternal health and well-being, the family's health care utilization and the parental assessment of their own health. Additional studies are needed to fully understand the concept of infant health. The need for an infant definition that empowers infant health arises because, if a common ground is not clearly established, miscommunication may arise. Furthermore, there is a need to initiate a model for infant health.

  • 40.
    Alvarsson, Evelina
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Idrott, hälsa och fysisk aktivitet.
    Lorentzson, Moa
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Idrott, hälsa och fysisk aktivitet.
    Mobbning på arbetsplatsen: En litteraturstudie om mobbningens konsekvenser ur ett folkhälsoperspektiv2015Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Introduktion: Eftersom det inte finns någon riktig benämning på vad vuxenmobbning innefattar är detta område inte särskilt belyst. Det som på senare år tagits fram är att mobbing som förekommer på arbetsplatsen är orsaken till många sjukskrivningar. 

    Syftet: Syftet med studien var att beskriva hälsokonsekvenserna av mobbning på arbetsplatsen.     

    Metod: Studien genomfördes som en litteraturstudie där 15 vetenskapliga artiklar utgjorde grunden. Artiklarna granskades och därefter skapades två teman. 

    Resultat: De psykiska hälsoeffekterna av mobbning kan vara kort- och långsiktiga. De psykiska hälsoproblemen som ångest och depression kan övergå till fysiska åkommor så som sömnproblem, muskelsmärta och infektioner. 

    Implikation: Kunskap om mobbning kan användas till att utveckla trygga arbetsmiljöer för att motverka mobbning. 

    Fulltekst (pdf)
    fulltext
  • 41.
    Andersen, Mark
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). Institute for Social Neuroscience, Ivanhoe, Australia.
    Identity and the Elusive self: Western and Eastern Approaches to Being No One2020Inngår i: Journal of Sport Psychology in Action, ISSN 2152-0704, E-ISSN 2152-0712, Vol. 4, nr 11, s. 243-253Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Ideas about self and identity being illusions have been around for a long time in both Eastern and Western philosophies and psychologies. In this article, I trace the concept of there being no independent self (separate from conscious experience) from its ancient roots in the philosophies of Heraclitus and the Buddha through the Age of Enlightenment (David Hume) to modern times (William James, the Dalai Lama). In sport and exercise psychology, substantial interest has grown in mindfulness practices with little attention paid to its original goal in Buddhism of the realization of no-self. The question is, however, what might be the usefulness of these concepts about the illusory nature of the self and identity in the world of sport and exercise psychology service? © 2020 The Author(s). Published with license by Taylor & Francis Group, LLC

    Fulltekst (pdf)
    fulltext
  • 42.
    Andersen, Mark
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och idrott.
    Working with an anxious and psychologically abused athlete: A mindful, neuropsychotherapy approach2014Inngår i: Neuropsychotherapy: Theoretical concepts and clinical applications / [ed] Rossouw, Pieter J., Brisbane: Mediros , 2014, s. 193-207Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 43.
    Andersen, Mark B.
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och idrott.
    Hanrahan, Stephanie J.University of Queensland, Brisbane, Australia.
    Doing exercise psychology2015Collection/Antologi (Annet vitenskapelig)
  • 44.
    Andersen, Mark B.
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Idrott, hälsa och fysisk aktivitet.
    Ivarsson, Andreas
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Idrott, hälsa och fysisk aktivitet.
    A methodology of loving kindness: how interpersonal neurobiology, compassion, and transference can inform researcher–participant encounters and storytelling2016Inngår i: Qualitative Research in Sport, Exercise and Health, ISSN 2159-676X, E-ISSN 2159-6778, Vol. 8, nr 1, s. 1-20Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article concerns some central aspects of methodology in qualitative research: the participants’ and investigators’ storytelling, and the main instruments in many interview-based qualitative studies, the researchers themselves. We discuss several ethical and interpersonal aspects of qualitative research encounters between investigators and their interviewee participants. Interviewing research participants is a fundamentally exploitative process, and we make suggestions for how we can temper that exploitation by giving something of value back to our participants and to make sure the well-being of the participant is not compromised by our actions. Many research topics in qualitative studies concern experiences of stress, distress and trauma, and interviewees re-telling their stories may become retraumatised. Such retraumatisation constitutes abuse on the part of the researcher. To counter potential abuse and exploitation, we discuss how researchers, as the central instruments in interview-based investigations, can use knowledge of interpersonal neurobiology, psychodynamic theory and mindful practice to enable them to hold their participants (and their participants’ stories) in loving care and maybe even help in healing processes. © 2015 Taylor & Francis

  • 45.
    Andersen, Mark
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och idrott.
    Barney, Steve T.
    South Utah University, Cedar City, Utah, USA.
    Waterson, Andrew K.
    High Performance Sport New Zealand, Cambridge, Waikato, New Zealand.
    Mindfully Dynamic Meta-Supervision: The Case of AW and M2016Inngår i: Global Practices and Training in Applied Sport, Exercise, and Performance Psychology: A Case Study Approach / [ed] J. Gualberto Cremades; Lauren S. Tashman, New York: Routledge, 2016, s. 330-342Kapittel i bok, del av antologi (Annet vitenskapelig)
    Abstract [en]

    In applied sport, exercise, and performance psychology (SEPP), discussions of meta-supervision (i.e., the supervision of supervision, the training of practitioners to become competent supervisors) are at least 20 years old and go back to the first published account of a meta-supervision program (Barney, Andersen, & Riggs, 1996). Even though 20 years have passed since, the topic of meta-supervision is still relatively rare in the literature, often being a small part of some other research or discussion article. For example, Watson, Zizzi, Etzel, and Lubker (2004) mentioned a meta-supervision issue when they reported that 47 percent of the membership of the Association for Applied Sport Psychology (AASP) had not received any training in supervision. Recently, however, the topic of meta-supervision has begun to emerge, albeit in a small way. There have been calls for more training in supervision processes, along with suggestions for new supervision training models (e.g., Vosloo, Zakrajsek, & Grindley, 2014). Currently, there is a growing literature on peer supervision in our field, but a review of that topic is beyond the scope of this case study (see Chapters 34 and 35 in this volume for examples). Barney and Andersen (2014a) have explicitly addressed the current status and the future of SEPP meta-supervision. These same authors have incorporated mindfulness into a core feature of meta-supervision: the dynamics within the supervisor-supervisee relationship (Barney & Andersen, 2014b). © 2016 Taylor & Francis.

  • 46.
    Andersen, Mark
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och idrott.
    Waterson, Andrew K.
    High Performance Sport New Zealand, North Dunedin, New Zealand.
    A brief impressionistic history of paying attention: The roots of mindfulness2017Inngår i: Being mindful in sport and exercise psychology: Pathways for practitioners and students / [ed] Sam J. Zizzi & Mark B. Andersen, Morgantown: FiT Publishing , 2017, s. 5-27Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 47.
    Andersen, Mark
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). Institute for Social Neuroscience, Melbourne, Australia.
    Williams, David
    AFL Players Association, Melbourne, Australia.
    Mindfulness Approaches2020Inngår i: Applied sport, exercise, and performance psychology: Current approaches to helping clients / [ed] David Tod & Martin Eubank, Abingdon: Routledge, 2020, s. 70-86Kapittel i bok, del av antologi (Fagfellevurdert)
  • 48.
    Andersson, Anton
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och idrott.
    Wolffsohn, Dexter
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsa och idrott.
    Regulatory Focus and Penalty Taking in Handball2020Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [en]

    Penalty-taking performance in handball within a self-regulatory focus framework was examined. In a two-independent group design, regulatory framings (either promotion or prevention) were given to participants (N = 25) prior to penalty-taking. More precisely, Swedish male (n = 15) and female (n = 10) players of the third male and second female Swedish Leagues were randomly allocated to shoot three penalties each under either a promotion-framed (n = 13; Mage = 20.77, SD = 3.77 years) or a prevention-framed (n = 12; Mage = 19.25, SD = 2.09 years) condition. Positive and negative affect were measured to assess pre-performance emotional states. Findings showed that promotion–focused individuals performed better in a promotion– framed penalty (i.e. fit) than in a prevention–framed (i.e. mismatch). Moreover, when in regulatory fit, pre-performance positive emotions were reported to be greater than when in mismatch. Findings are discussed in terms of role of fit and emotional states in pressureperformance critical situations.

    Fulltekst (pdf)
    fulltext
  • 49.
    Andersson, Gunvor
    et al.
    Socialhögskolan, Lunds universitet.
    Linge, Else Charlotte "Lotta"
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Tioåringars kompetens och levnadsförhållanden1998Rapport (Annet vitenskapelig)
  • 50.
    Andersson, Janicke
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Att förhålla sig till ändligheten i livet och strategier för "framgångsrikt döende"2020Inngår i: Sociologisk forskning, ISSN 0038-0342, E-ISSN 2002-066X, Vol. 57, nr 3-4, s. 271-287Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Denna artikel undersöker hur äldre människor förhåller sig till livets ändlighet. Till skillnad från många andra liknande studier fokuserar denna studie på äldre människor utanför palliativ vård och äldreboenden, som fortfarande är aktiva och engagerade i samhället. När och på vilka sätt blir livets ändlighet uppenbar för dem i deras vardag? Vilka strategier använder de för att hantera medvetenheten om livets ändlighet? Under 2015 samlades data in via sex fokusgruppstillfällen med personer i åldrarna 69–90 år. Resultaten visar att livets ändlighet var något som alla respondenter förhöll sig till så gott som dagligen och utifrån flera dimensioner. I de flesta fall var det något de hade ambivalenta känslor inför. Många var rädda inför ovissheten i framtiden, men ibland gjorde medvetenheten om livets ändlighet samtidigt nuet mer värdefullt. Döden var närvarande i respondenternas vardag, som något som skulle skjutas upp, planeras och administreras genom den sorts självdisciplinerande tekniker som är betydelsefulla för ”framgångsrikt åldrande”. Jag drar därför slutsatsen att dessa normer och tekniker för framgångsrikt åldrande har expanderat till att även bli normer och tekniker för framgångsrik döende.

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