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- Björkdahl, Ann, 1959-, et al.
(författare)
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The structural properties of the European Brain Injury Questionnaire.
- 2004
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Ingår i: Journal of Stroke & Cerebrovascular Diseases. - : Elsevier BV. - 1052-3057 .- 1532-8511. ; 13:3, s. 122-128
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: We sought to examine the reliability and validity of the European Brain Injury Questionnaire as an evaluation tool in a stroke population by applying the Rasch methodology.METHODS: The European Brain Injury Questionnaire was distributed to 54 patients with stroke and 36 next of kin at discharge from the rehabilitation ward and at a 1-year follow-up. Rasch analysis was used for evaluating the psychometric characteristic and the quality of the measures produced with focus on reliability and validity. The reliability was determined by the separation. The construct validity was determined by examining the hierarchy of the tasks and by evaluating the fit of individual tasks to the latent construct. Analyses of differences across occasions, and across patients and next of kin, were made to examine the stability of the instrument.RESULTS: The reliability was good as the instrument met the criteria for separation. Two items at discharge and 5 items at 1-year follow-up were misfits. If not more than 5% of the items fail to fit the Rasch model the instrument can be considered unidimensional, which in this case only concerned the 1-year follow-up. The instrument was stable over time and across patients and next of kin.CONCLUSION: With some alterations the European Brain Injury Questionnaire seems to be a useful instrument in clinical practice and research, and a help to capture the social, emotional, and cognitive impacts of a stroke.
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| 2. |
- Broeren, Jurgen, et al.
(författare)
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Virtual reality and haptics as an assessement device in the postacute phase after stroke.
- 2002
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Ingår i: Cyber Psychology and Behaviour. - : Mary Ann Liebert Inc. - 1094-9313 .- 1557-8364. ; 5:3, s. 207-211
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Tidskriftsartikel (refereegranskat)abstract
- Virtual reality (VR) technology is altering the health care environment and is changing the options that are available to therapists. This study describes how a haptic device was used as a cinematic assessment utility. Three chronic stroke inpatients at Sahlgrenska University Hospital with left hemisphere damage were assessed. The patients were administered by the box and block manual dexterity test. For comparisons, a reference group was added to the study. Several parameters, including time, speed, and movement of the right upper extremity, were extracted and evaluated. The results indicate that the system shows potential as an assessment device. The feasibility study setup is working well, as is the assessment method. Further research, testing, refinement of the exercises, and use of VR and haptics within neurological rehabilitation are suggested.
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| 3. |
- Kreicbergs, Ulrika, et al.
(författare)
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Anxiety and depression in parents 4-9 years after the loss of a child owing to a malignancy: a population-based follow-up
- 2004
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Ingår i: Psychol Med. - : Cambridge University Press (CUP). - 0033-2917 .- 1469-8978. ; 34:8, s. 1431-41
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Some consider the loss of a child as the most stressful life event. When the death is caused by a malignancy, the parents are commonly exposed not only to their own loss, but also to the protracted physical and emotional suffering of the child. We investigated parental risk of anxiety and depression 4-9 years after the loss of a child owing to a malignancy. METHOD: In 2001, we attempted to contact all parents in Sweden who had lost a child due to a malignancy during 1992--1997. We used an anonymous postal questionnaire and utilized a control group of non-bereaved parents with a living child. RESULTS: Participation among bereaved parents was 449/561 (80 %); among non-bereaved 457/659 (69%). We found an increased risk of anxiety (relative risk 1.5, 95 % confidence interval 1.1-1.9) and depression (relative risk 1.4, 95 % confidence interval 1.1-1.7) among bereaved parents compared with non-bereaved. The risk of anxiety and depression was higher in the period 4-6 years after bereavement than in the 7-9 years period, during which the average excess risks approached zero. Psychological distress was overall higher among bereaved mothers and loss of a child aged 9 years or older implied an increased risk, particularly for fathers. CONCLUSIONS: Psychological morbidity in bereaved parents decreases to levels similar to those among non-bereaved parents 7-9 years after the loss. Bereaved mothers and parents who lose a child 9 years or older have on average an excess risk for long-term psychological distress.
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