| 431. |
- Ternström, Elin, 1982-, et al.
(författare)
-
A randomized controlled study comparing internet-based cognitive behavioral therapy and counselling by standard care for fear of birth – A study protocol
- 2017
-
Ingår i: Sexual & Reproductive HealthCare. - : Elsevier BV. - 1877-5756 .- 1877-5764. ; 13, s. 75-82
-
Tidskriftsartikel (refereegranskat)abstract
- Fear of birth is a concern that requires evidence based treatment. The aim of this study is to present the protocol of a randomized controlled multi-center trial to compare internet-based cognitive therapy with counseling as standard care for pregnant women reporting fear of birth. Participants will be recruited in mid-pregnancy. Women who score 60 or above on the Fear of Birth Scale will be offered to participate in this study. Data will be collected by questionnaires including validated instruments at baseline and follow-ups at gestational weeks 30 and 36, two months and one year after birth. The primary outcome will be level of fear of birth measured with the Fear of Birth Scale at 36 weeks of gestation. Secondary outcome measures are level of fear of birth at two months and one year after giving birth, preferences for mode of birth, requests for elective cesarean section, compliance and satisfaction with treatment and birth outcomes. A power calculation based on a 20% reduction of fear implies that approximately 200 will be included in the trial. The study outlined in this protocol will be the first randomized controlled trial comparing internet-based cognitive therapy with counseling for women reporting fear of birth. An effective treatment may result in better overall health for women with fear of birth and a reduction in cesarean sections for non-medical reasons. Evidence regarding treatment options of fear of birth will also provide a greater choice for women.
|
|
| 432. |
- Thalén-Lindström, Annika, 1965-, et al.
(författare)
-
Anxiety and depression in oncology patients : a longitudinal study of a screening, assessment and psychosocial support intervention
- 2013
-
Ingår i: Acta Oncologica. - 0284-186X .- 1651-226X. ; 52:1, s. 118-127
-
Tidskriftsartikel (refereegranskat)abstract
- Background. Anxiety and depression in cancer patients are associated with poor health-related quality of life (HRQOL). Clinical interventions to detect and support patients with these symptoms need to be developed and evaluated. We investigated the feasibility of screening with the Hospital Anxiety and Depression Scale (HADS) in a clinical oncology setting. In patients with anxiety or depression symptoms (HADS >7) we explored the use of clinical assessment and psychosocial support and described the development of anxiety, depression and HRQOL during a six-month period. Material and methods. Four hundred and ninety-five consecutive patients were screened for anxiety and depression at the time of their first visit at an oncology department (baseline). Half of the patients with HADS >7 on any of the two HADS subscales were referred to clinical assessment and psychosocial support (intervention group, IG) and half received standard care (SCG) using a historical control group design. HADS and EORTC QLQ-C30 were completed at baseline and after one, three and six months. Results. One hundred and seventy-six (36%) of 495 patients had anxiety or depression symptoms at screening, HRQOL at baseline was clearly impaired for them. Thirty-six (43%) of 84 IG patients attended clinical assessment, resulting in subsequent psychosocial support for 20 (24%) of them. In the SCG, only five (5%) patients attended clinical assessment after self referral, two received subsequent psychosocial support. Anxiety and depression decreased and HRQOL increased statistically significantly over time although anxiety was frequent and HRQOL impaired during the entire six month period. There were no differences between the SCG and IG regarding anxiety, depression or HRQOL at any time point. Conclusion. Systematic screening with HADS is feasible for oncology patients in clinical settings; it identifies patients with persistent symptoms and increases referral to clinical assessment and utilisation of psychosocial support.
|
|
| 433. |
- Thalén-Lindström, Annika, 1965-, et al.
(författare)
-
Validation of the Distress Thermometer in a Swedish population of oncology patients; accuracy of changes during six months
- 2013
-
Ingår i: European Journal of Oncology Nursing. - : Elsevier BV. - 1462-3889 .- 1532-2122. ; 17:5, s. 625-631
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose: To validate the Swedish version of the Distress Thermometer (DT) against the Hospital Anxiety and Depression Scale (HADS) for screening of distress and to explore how well DT measures changes of distress during six months in a population of heterogeneous oncology patients. Methods: The DT was translated into Swedish according to the forward- and back-translation procedure. HADS total score >= 15 was used as gold standard. Consecutive patients were invited to participate at their first visit to the Oncology department. The HADS and the DT were completed at baseline and after I, 3 and 6 months. Results: 462 baseline and 321 six-month assessments were completed. The patients had a variety of cancer diagnoses (n = 42). Most patients (95%) received active treatment. The DT compared favourably with the HADS. The area under the curve was 0.86 (95% CI, 0.82-0.90). DT >= 4 showed a sensitivity of 87%, a specificity of 73%, a positive predictive value (PPV) of 52% and a negative predictive value (NPV) of 95% at baseline. The results from the 1, 3 and 6 months assessments were equivalent baseline results. The DT means changed in the same direction as HADS at all points of assessment. Patients with distress reported statistically significantly more problems in all categories on the associated 'Problem List' compared to non-distressed patients. Conclusion: The Swedish version of the DT with a score >= 4 is valid for screening of distress in heterogeneous oncology patients. Its ability to measure changes in distress over time is comparable to HADS. (c) 2012 Elsevier Ltd. All rights reserved.
|
|
| 434. |
-
THE DANCE OF DISORDER
- 2020
-
Konstnärligt arbeteabstract
- Pamphlet: The Dance of Disorder, Online Symposium, 27-28 Nov 2020, Hamburg and Online.Departuring from the work DANSE MACABRE, the symposium THE DANCE OF DISORDER invited the public to two days of online screenings, readings, performances and discussions with contributions by: Black Audio Film Collective (Screening: The Handsworth Songs), Oona Doherty (Screening/Discussion: Hope Hunt and the Ascension into Lazarus), Liv Fontaine (Performance), Kelina Gotman (Lecture: The Feeling of Plague), Barbara Hammer (Screening: I Was/I Am), Caspar Heinemann (Reading: The Devil), Annika Larsson (Screening/Discussion: Danse Macabre), Yulia Lokshina & Angela Stiegler (Screening/Discussion: Subjective Hill), Dana Michel and Tracy Maurice (Installation/Screening/Conversation: Lay them all down), Semiconductor (Screening: 20Hz), Jasmine Schädler (Lecture Performance: The Possessed Gaze), John Smith (Screening: Twice) as well as conversations between Kelina Gotman, Oona Doherty, Liv Fontaine, Casper Heinemann, Yulia Lokshina, Jasmine Schädler, Annika Larsson, Paul Niedermayer, Michel Wagenschütz and Isabel Gatzke a.o. Moderated by Olympia Bukkakis. Design by Leon Lothschütz.
|
|
| 435. |
-
The Discourse of The Drinkers
- 2017
-
Konstnärligt arbeteabstract
- Conception and Montage: Annika Larsson / Editors: Annika Larsson and Isabel Gatzke / Design: Leon Lothschütz.The book consists of transcribed bar conversations, song lyrics and stills from the filmed material in juxtaposition with modified passages from the stories of The Life of Gargantua and of Pantagruel. Together with a selection of historical bar and intoxicant imagery, lyrics, texts and poetry they form a multi-voiced document, a collective drinking and laughing political body.
|
|
| 436. |
-
The SleepOver Experiment
- 2019
-
Konstnärligt arbeteabstract
- THE SLEEPOVER EXPERIMENT pamphlet consists of apolyphonic montage of text quotes and images connected to the event The SleepOver Experiment at Index Foundation in Stockholm between 18–19 October 2019. With contributions by: Susan Hiller, Annika Larsson, Vladyslav Kamenskyy, John Smith, Lap-See Lam, Harun Farocki, Zbynek Baladrán & Barbora Kleinhamplová, Lucien Castaing-Taylor & Véréna Paravel, The Otolith Group, JUCK, Augustin Maurs and Serge III Oldenbourg.
|
|
| 437. |
- Theander, Elke, et al.
(författare)
-
Early psoriatic arthritis : short symptom duration, male gender and preserved physical functioning at presentation predict favourable outcome at 5-year follow-up. Results from the Swedish Early Psoriatic Arthritis Register (SwePsA)
- 2014
-
Ingår i: Annals of the Rheumatic Diseases. - : BMJ. - 0003-4967 .- 1468-2060. ; 73:2, s. 407-413
-
Tidskriftsartikel (refereegranskat)abstract
- ObjectiveThe Swedish Early Psoriatic Arthritis Register describes the course of early psoriatic arthritis (PsA) in a real life clinical setting in Sweden. The aim of this study was to obtain information on predictors of clinical outcomes over a 5-year period with special focus on effects of gender, joint patterns, diagnostic delay and initial disease activity.MethodsIn six centres, patients with signs suggestive of PsA were included in the Swedish Early Psoriatic Arthritis Register within 2 years of symptom onset. CASPAR (classification for psoriatic arthritis) criteria were fulfilled by 197 patients who had passed the 5-year follow-up. Disease activity was measured by the Disease Activity Score including 28 joints (DAS28) and the Disease Activity Index for Psoriatic Arthritis (DAPSA). Remission and minimal disease activity (MDA) were used as outcome measures.ResultsMean age at inclusion was 46 years, younger in male than female patients (43 vs 48 years). Mean DAS28 was 3.7 and 3.0 at inclusion and 2.8 and 2.1 at follow-up for women and men, respectively-significantly higher in women at both visits. Likewise, DAPSA scores were significantly higher in women. The degree of improvement (change in DAS28 and DAPSA) was similar. Men achieved MDA or remission (50% vs 33%, 25% vs 13%, respectively) more often, and women had significantly more polyarthritis at inclusion (49% vs 27%) and after 5 years (25% vs 15%). Axial or mono/oligoarticular disease was predominant in men. Independent predictors of MDA at the 5-year follow-up were: shorter symptom duration; greater general wellbeing (global visual analogue scale); and low Health Assessment Questionnaire at inclusion.ConclusionsIn early PsA, short delay between onset of symptoms and diagnosis, preserved function, and male gender are the most important predictors of favourable clinical outcome at the 5-year follow-up. Early recognition of PsA and active treatment may be important, particularly in women with polyarticular disease.
|
|
| 438. |
|
|
| 439. |
|
|
| 440. |
|
|
