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- Lynöe, Niels, et al.
(author)
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Informed consent in China: quality of information provided to participants in a research project.
- 2004
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In: Scandinavian journal of public health. - : Sage Publications. - 1403-4948 .- 1651-1905. ; 32:6, s. 472-5
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Journal article (peer-reviewed)abstract
- AIMS: A study was carried out of informed consent strategies in an epidemiological project approved by the regional research ethics committees in Sweden and China and conducted in three areas south-west of Shanghai. METHODS: All participants in the epidemiological project (EP) were included in the research ethical study (RES), which was conducted as a questionnaire-based interview survey in the three areas. Answers were collected by five field interviewers. RESULTS: All participants included answered the questionnaire. Almost all perceived the information provided as rather good or quite good. However, a majority (on average 76%) had the impression that the EP was part of routine healthcare measures, and not a research project. Almost all participants felt free to abstain from participation although 38% in area II stated that they had not been informed about freedom to abstain from participation. A large proportion of participants did not fully understand the nature of the EP. However, almost all participants stated that they would agree to participate in a similar study in the future. CONCLUSION: Although informed consent procedures are supposed to be internationally applicable our study illustrates that it is not always easy to convey information and obtain consent in the present study setting.
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- Jacobsson, Lars
(author)
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The roots of stigmatization.
- 2002
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In: World psychiatry : official journal of the World Psychiatric Association (WPA). - 1723-8617. ; 1:1, s. 25-
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Journal article (peer-reviewed)
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| 8. |
- Kebede, D, et al.
(author)
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Onset and clinical course of schizophrenia in Butajira-Ethiopia--a community-based study.
- 2003
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In: Social Psychiatry and Psychiatric Epidemiology. - : Springer. - 0933-7954 .- 1433-9285. ; 38:11, s. 625-631
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Journal article (peer-reviewed)abstract
- Background: There are reports on favourable course and outcome of schizophrenia in lowincome countries. The aim of the present study was to examine onset and clinical course of the illness in a community-based sample in rural Ethiopia based on crosssectional information. Method: A two-stage survey was carried out in Butajira-Ethiopia, a predominantly rural district. Altogether 68,378 individuals aged 15–49 years were CIDI-interviewed, of whom 2,159 were identified as cases according to the CIDI interview with regard to psychotic or affective disorders. Key informants identified another group of 719 individuals as being probable cases and a total of 2,285 individuals were SCAN-interviewed. The present paper reports on cases with schizophrenia. Results: There were 321 cases of schizophrenia giving an estimated lifetime prevalence of 4.7/1,000). Of the cases,83.2% (N = 267) were males. Mean age of first onset of psychotic symptoms for males was 23.8 (sd 8.6) compared to 21.0 (sd 7.8) for females (P = 0.037; 95 %CI 0.16–5.47). Over 80% had negative symptoms and over 67% reported continuous course of the illness. Less than 10% had a history of previous treatment with neuroleptic medication. About 7% were vagrants, 9 % had a history of assaultive behaviour,and 3.8% had attempted suicide. The male to female ratio was nearly 5:1. Conclusion: This large community-based study differs from most previous studies in terms of higher male to female ratio, earlier age of onset in females and the predominance of negative symptoms.
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- Kero, Anneli, 1950-, et al.
(author)
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Legal abortion : a painful necessity
- 2001
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In: Social Science and Medicine. - 0277-9536 .- 1873-5347. ; 53:11, s. 1481-1490
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Journal article (peer-reviewed)abstract
- This study was conducted to increase knowledge about the psychosocial background and current living conditions of Swedish women seeking abortion, along with their motives for abortion and their feelings towards pregnancy and abortion. Two hundred and eleven women answered a questionnaire when they consulted the gynaecologist for the first time. The study indicates that legal abortion may be sought by women in many circumstances and is not confined to those in special risk groups. For example, most women in the sample were living in stable relationships with adequate finances. The motives behind a decision to postpone or limit the number of children revealed a wish to have children with the right partner and at the right time in order to combine good parenting with professional career. The study shows that prevailing expectations about lifestyle render abortion a necessity in family planning. One-third of the women had had a previous abortion(s) and 12% had become pregnant in a situation where they had felt pressured or threatened by the man. Two-thirds of the women characterised their initial feelings towards the pregnancy solely in painful words while nearly all the others reported contradictory feelings. Concerning feelings towards the coming abortion, more than half expressed both positive and painful feelings such as anxiety, relief, grief, guilt, anguish, emptiness and responsibility, while one-third expressed only painful feelings. However, almost 70% stated that nothing could change their decision to have an abortion. Thus, this study highlights that contradictory feelings in relation to both pregnancy and the coming abortion are common but are very seldom associated with doubts about the decision to have an abortion.
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- Lagerkvist, Bengt, et al.
(author)
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Assessment of community mental health centres in Bosnia and Herzegovina as part of the ongoing mental health reform.
- 2003
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In: Medicinski arhiv. - 0350-199X. ; 57:1, s. 31-8
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Journal article (peer-reviewed)abstract
- In summary it seems reasonable to state that around 5000 individual service users are visiting the CMHCs in Bosnia and Herzegovina during one week. Approximately 60% of them have mental health problems, around 25% come for non mental medical disorders and around 15% are healthy and come for check ups or certificates. The average CMHC cater for about 65,000 inhabitants with a staff of one psychiatrist, three nurses and 0.7 psychologist and social worker respectively. Most of them have training for tasks within mental health services. The progress of the mental health reform is positive with more CMHCs opened, and basically staffed with trained personnel. They offer a variety of services practiced with a modern strategy. Most personnel has changed their attitudes to mental health itself and the relevant service provision and hence devoted to implement the mental health reform. They would like to have more influence on decision making and present constructive suggestions for future service and policy improvements. The service users are almost all of them very satisfied with the service provided.
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