| 21. |
- Beijer, Ulla, et al.
(författare)
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Facets of Male Violence Against Women With Substance Abuse Problems : Women With a Residence and Homeless Women
- 2018
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Ingår i: Journal of Interpersonal Violence. - : SAGE Publications. - 0886-2605 .- 1552-6518. ; 33:9, s. 1391-1411
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Tidskriftsartikel (refereegranskat)abstract
- The aims of this study were to investigate the type and extent to which women with substance abuse problems have been exposed to male violence during their lifetime, and to examine possible differences between women with a residence (WR) and homeless women (HW). The total sample included 79 women (WR, n = 35; HW, n = 44; M age = 47.8 years). Of the total sample, 72 women (91%) had experienced different kinds of male violence, 88% from former partners, and 26% from male friends or acquaintances. Of the 72 women, 71% further reported “Countless occasions of violent events,” and 36% had been forced to commit criminal acts. Abused women who had been forced to commit criminal acts were significantly more frequently found to be homeless, have reported parental alcohol and/or drug problems, have witnessed domestic violence in childhood, have been victims of sexual violence, have used illicit drugs as a dominant preparation, and have injected illicit drugs. Almost half of the abused women (46%) met criteria for posttraumatic stress disorder (PTSD), where HW showed an almost 4-time higher risk (RR 3.78) than WR. In conclusion there is a particular vulnerability in women with substance abuse to male violence, which has an important impact on their health status. Thus, from a public health perspective, it is suggested that for those women who have experienced male violence, treatment protocols need to include both assessing and addressing the impact of such experience in relation to substance abuse as well as concomitant health concerns.
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| 22. |
- Beijer, Ulla, et al.
(författare)
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Male violence against women with substance abuse problems : some health aspects
- 2015
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The objective was to investigate to which extent two groups of women with substance abuse problems were exposed to male violence; women with a residence (WR, n= 35) and homeless women (HW, n= 44). The sample thus included 79 women (mean age: 47.8 years), of which 91% had experienced different kinds of male violence: from former partners, male friends or acquaintances, and 71% reported “Countless occasions of violent events”. Almost half of the women (46%) met criteria for posttraumatic stress disorder (PTSD), and HW displayed the higher risk (RR 3.78) as compared to WR. Furthermore, one-third of the abused women (26 out of 72) had been forced to commit criminal acts. Compared to the abused women without this experience, they were more likely: to be homeless, to be illicit drug addicts, to have reported parental alcohol and/or drug problems, to have witnessed domestic violence in childhood, and to have been victims of sexual abuse. Finally, the two groups significantly differed concerning ever having received treatment for mental problems, in that more WR women had received such treatment (74 % as compared to 46 %). In conclusion, it is suggested that experiences of male violence are to be considered in all different forms of treatment facilities for women with substance abuse problems.
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| 23. |
- Birath, Christina Scheffel, et al.
(författare)
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Moods and expectancies of female alcohol drinking - an exploratory study
- 2010
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 24:3, s. 472-481
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Tidskriftsartikel (refereegranskat)abstract
- Gaining access to information concerning mood states and expectations of change preceding a typical drinking occasion is important for understanding the trigger factors for drinking, and for alcohol abuse treatment planning. The objective of the present study was twofold: (i) to explore self-reported states of mood and expectancies preceding a typical drinking occasion vs. relations with parents and drinking outcome; and (ii) to investigate if vulnerability factors in terms of personality and health are related to severity of alcohol problems. The population consisted of 50 women attending a Swedish alcohol clinic. Semi-structured interviews were conducted. A mixed-methods design was used encompassing qualitative interview-data and quantitative data from questionnaires and medical journals. Nine out of ten patients had a diagnosis of alcohol dependence, and four out of five had parents with dependency problems. As compared to a female norm group, the patients displayed significantly higher anxiety-related traits and irritability. Moods were described by patients as mostly negative and expectancies of change were evenly distributed between reducing, enhancing or flight from feeling. An expectancy of flight when drinking was also related to a positive relation to mother. The findings pointed to the need for differentiating between coping with and expectancies of drinking. Further, a hierarchical cluster analysis resulted in two groups, indicating one group characterized by higher risk values on personality scales and more severe consequences of drinking. The contribution of a treatment design informed through a gender and culture perspective to treatment outcome was discussed.
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| 24. |
- Birath, Christina Scheffel, et al.
(författare)
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Women with Substance Abuse Problems Exposed to Men's Violence - A Public Mental Health Challenge
- 2013
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Ingår i: Journal of Addiction Research & Therapy. - : OMICS Publishing Group. - 2155-6105. ; 4:2, s. 1-7
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To explore self-rated physical and psychological health in two groups of women with substance misuse problems, subjected to male violence.Methods: An examination of the health situation for women with substance dependence being exposed to male violence during life. The study took place in a Swedish context exploring data from 35 women with housing (WwH) and 44 homeless women (HW), regarding posttraumatic stress disorder symptoms, psychological and physical problems. Mann-Whitney U-test and Pearson’s correlation coefficient were used to calculate differences between groups and correlations.Results: The proportion of women being exposed to male violence during life for the studied group was 91% (72 of 79 women; WwH 29; HW 43). It was found that the WwH had physical health problems but compared to the HW, significantly less frequent. Regarding psychological health problems, both groups were suffering from self-reported problems, most notably in variables measuring stress susceptibility and embitterment, where both WwH and HW had scores markedly above norm mean scores. The HW had overall a poorer mental health profile as compared to the WwH. The WwH still maintained a foundation in the society compared to the HW regarding housing (100/0%), and custody over their children (91/0%).Conclusion: The study indicated that women with substance dependence and those who are victims of male violence have major problems with both their psychological and physical health. Particularly vulnerable are the HW. Past experiences of violence that have not been processed can further aggravate the women’s health. Thus, we suggest initiating the process of asking women if they have experienced violence in order to then be able to provide appropriate treatment interventions. For the WwH, this process may lead to a prevention of serious consequences for both their housing situation and for their health.
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| 25. |
- Birath Scheffel, Christina, et al.
(författare)
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Barn till våldsutsatta kvinnor med missbruksproblem
- 2014
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Syftet med föreliggande rapport är att utifrån insamlade och bearbetade data från ursprungsprojektet 'Studie om mäns våld mot kvinnor med missbruksproblem' sammanställa resultat som speglar barns psykosociala familjesituation där modern har missbruksproblem och i många fall blivit utsatt för manligt våld av partner och/eller släkting, bekant, eller myndighetsperson. Sammanfattningsvis lyfter resultaten, avseende barnens egen ogynnsamma utveckling och den generationsöverskridande problematiken i föreliggande studie, frågan om betydelsen av tidiga interventioner riktade till barn i riskmiljöer. Detta förefaller vara av särskild vikt för att ge underbyggt stöd för aktivt handlande avseende Barns rätt i samhället enligt Barnkonventionen.
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| 26. |
- Birath Scheffel, Christina, et al.
(författare)
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Risky drinking women : contrasting therapeutic approaches
- 2014
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Ingår i: Journal of Alcoholism & Drug Dependence. - : OMICS Publishing Group. - 2329-6488. ; 2:3, s. 1000160-
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Tidskriftsartikel (refereegranskat)abstract
- Background: The importance of early identification and effective treatment for risky drinking grows with the increasing rate of alcohol use by women. Objectives: This study aims to contrast treatment approaches for two samples of problem drinking women. Methods: The samples consisted of (i) 134 alcohol treatment-seeking Swedish women receiving long-term comprehensive services; and (ii) 152 US women who were not seeking treatment for alcohol but were medical outpatients with one of four conditions exacerbated by excessive alcohol use and received a brief intervention as part of a study. Data consisted of questionnaires assessing alcohol consumption, perceived stress and attitudes towards change. Results: While the treatment-seeking Swedish group drank more alcohol at the start of treatment, all women reduced their consumption of alcohol at the end of treatment/follow-up. Women who reported more stress drank more initially in both samples. Conclusion and Scientific Significance: This report contrasts two “extreme” approaches to treatment: longterm, open-ended, outpatient treatment and, time-limited, structured brief intervention for risky drinking women. Both treatment methods yielded positive results with significantly reduced drinking. Factors associated with successful outcome included the women’s attitudes toward treatment and conviction for the necessity of change in drinking habits.
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| 27. |
- Daud, Atia, et al.
(författare)
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Resilience and vulnerability among refugee children of traumatized and non-traumatized parents
- 2008
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Ingår i: Child and Adolescent Psychiatry and Mental Health. - : Springer Science and Business Media LLC. - 1753-2000. ; 2:7
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Tidskriftsartikel (refereegranskat)abstract
- Background: The aim of the study was to explore resilience among refugee children whose parents had been traumatized and were suffering from Post-Traumatic Stress Disorder (PTSD).Methods: The study comprised 80 refugee children (40 boys and 40 girls, age range 6–17 yrs), divided into two groups. The test group consisted of 40 refugee children whose parents had been tortured in Iraq before coming to Sweden. In accordance with DSM-IV criteria, these children were further divided in two sub-groups, those who were assessed as having PTSD-related symptoms (n = 31) and those who did not have PTSD-related symptoms (n = 9). The comparison group consisted of 40 children from Egypt, Syria and Morocco whose parents had not been tortured. Wechsler Intelligence Scale for Children, 3rd edn. (WISC-III), Diagnostic Interview for Children and Adolescents- Revised (DICA-R), Post-Traumatic Stress Symptoms checklist (PTSS), "I Think I am" (ITIA) and Strengths and Difficulties Questionnaire (SDQ) were used to assess IQ; PTSD-related symptoms; self-esteem; possible resilience and vulnerability.Results: Children without PTSD/PTSS in the traumatized parents group had more favorable values (ITIA and SDQ) with respect to total scores, emotionality, relation to family, peer relations and prosocial behavior than the children in the same group with PTSD/PTSS and these values were similar to those the children in the comparison group (the non-traumatized parents group). The children in the non-traumatized parents group scored significantly higher on the IQ test than the children with traumatized parents, both the children with PTSD-related symptoms and those without PTSD-related symptoms.Conclusion: Adequate emotional expression, supportive family relations, good peer relations, and prosociality constituted the main indicators of resilience. Further investigation is needed to explore the possible effects of these factors and the effects of IQ. The findings of this study are useful for treatment design in a holistic perspective, especially in planning the treatment for refugee children, adolescents and their families.
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| 28. |
- Daud, Atia, et al.
(författare)
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Trauma, PTSD and personality : the relationship between prolonged traumatisation and personality impairment
- 2008
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 22:3, s. 331-340
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Chronic post-traumatic stress disorder (PTSD) has been associated with personality impairments involving externalized and internalized psychopathology. This study has explored the association between PTSD symptoms as consequences of prolonged torture experiences or early childhood trauma exposure and personality traits.Method: One hundred and sixty-one men were included: 36 Iraqi men refugees (mean age = 43.9, SD = 8.7) who had longstanding torture experiences as adults; 42 Swedish prisoners (mean age = 33.8, SD = 7), with early childhood trauma exposure; 31 Arab men refugees (mean age = 41.8, SD = 8.9) without self-reported torture or violence experiences; 52 non-traumatized Swedish males (mean age = 39.3, SD = 5.5). They were assessed for symptoms of PTSD or PTSD hypothetical clusters. Personality profile was assessed by the Karolinska Scales of Personality (KSP). Factor analysis with varimax rotation was conducted and yielded three factors: externalized, internalized and avoidance domains.Results: Individuals who suffered prolonged torture experiences or had early childhood trauma exposure showed impaired personality profiles in internalized and externalized domains. Individuals with or without PTSD showed significant differences p < 0.05 concerning: internalized, externalized and avoidance. anova and post-hoc analysis according to Scheffé showed that the prolonged torture group > early childhood trauma exposure > nontraumatized group.Conclusion: Prolonged torture experiences or early trauma exposure may impair personality formation by enhancing the effects of cognitive, affective and behavioural vulnerabilities.
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| 29. |
- DeYoung, Colin G., et al.
(författare)
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Variation in the catechol-O-methyltransferase Val(158)Met polymorphism associated with conduct disorder and ADHD symptoms, among adolescent male delinquents
- 2010
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Ingår i: Psychiatric Genetics. - 0955-8829 .- 1473-5873. ; 20:1, s. 20-24
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Tidskriftsartikel (refereegranskat)abstract
- Objective Variation in the catechol-O-methyltransferase gene (COMT) has been associated with antisocial behavior in populations with attention deficit/hyperactivity disorder (ADHD). This study examined whether COMT would predict antisocial behavior in a sample with high levels of behavior problems, not necessarily ADHD. In addition, because previous research suggests that COMT may be associated with ADHD in males, association between COMT and ADHD symptoms was examined. Method This study tested whether variation in three polymorphisms of the COMT gene was predictive of symptoms of conduct disorder and ADHD, in a sample of 174 incarcerated Russian adolescent male delinquents. Results The Val allele of the Val(158)Met polymorphism was significantly associated with conduct disorder diagnosis and symptoms, whereas the Met allele was associated with ADHD symptoms. Conclusion The Val(158)Met polymorphism of the COMT gene shows a complex relation to behavior problems, influencing conduct disorder and ADHD symptoms in opposite directions in a high-risk population. Psychiatr Genet 20:20-24 (C) 2010 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.
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| 30. |
- Eklund, Jenny, et al.
(författare)
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Alcohol use and patterns of delinquent behaviour in male and female adolescents
- 2009
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Ingår i: Alcohol and Alcoholism. - : Oxford University Press (OUP). - 0735-0414 .- 1464-3502. ; 44:6, s. 607-614
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Tidskriftsartikel (refereegranskat)abstract
- Aims: The overall aim was to study patterns of delinquent behaviour in relation to adolescent alcohol use. The more specific aims were to examine whether alcohol use varied between groups of adolescents with different patterns of delinquent behaviour, and to explore whether the association between delinquent behaviour patterns and alcohol use was similar for males and females.Methods:The participants were male (n = 406) and female (n = 532) adolescents in the eighth grade (age 14 years) in a medium-sized city of Sweden. We used information about self-rated alcohol use and different types of delinquent behaviour. Results: The results revealed that the occurrence of excessive alcohol use and drunkenness varied between groups of adolescents with different delinquency patterns, and that the associations between alcohol use and patterns of delinquent behaviours were relatively similar for males and females. Adolescents with patterns characterized by more serious non-violent delinquency or by violent delinquency reported the highest occurrence of alcohol use and frequency of drunkenness. Adolescents with well-adjusted behaviour or occasional minor delinquency were less likely to report drinking large amounts of alcohol or to the point of feeling drunk. Conclusions: The present results further emphasize the importance of distinguishing between different offender groups when examining the relationship between delinquent behaviour and associated problems, such as excessive alcohol use.
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