| 1. |
- Björkenstam, Emma, et al.
(författare)
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Sickness absence due to common mental disorders in young employees in Sweden : Are there differences in occupational class and employment sector?
- 2022
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Ingår i: Social Psychiatry and Psychiatric Epidemiology. - : Springer Science and Business Media LLC. - 0933-7954 .- 1433-9285. ; 57, s. 1097-1106
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Tidskriftsartikel (refereegranskat)abstract
- Background A large proportion of sickness absence (SA) in young adults is due to common mental disorders (CMDs). Still studies on CMD-related SA in young workers are lacking, especially studies for those employed in the private sector. The current study investigated the associations between sector of employment, occupational class and SA due to CMDs. In addition, associations between type of employment branch and SA due CMDs within each sector were examined.Methods This population-based longitudinal cohort study included 663,583 employees, 19-29 years, residing in Sweden in 2009. Employment sector (i.e., private/public) and occupational class (non-manual/manual workers) were measured in 2009. Risk estimates of SA due to CMDs, between 2010 and 2016, were calculated as Hazard Ratios (HR) with 95% confidence intervals (CI), using Cox regression analysis.Results Sector of employment was associated with SA due to CMDs, such that public sector workers had an elevated risk when compared with private sector employees (adjusted HR: 1.31 (95% CI 1.29-1.33). Moreover, manual workers had a slightly elevated risk for SA due to CMDs compared to non-manual workers. Within the private sector, in both manual and non-manual workers, those employed in education and health and social services evidenced the highest rates and risks of SA due to CMDs.Conclusion Sector of employment and occupational class play a role in SA due to CMDs in young employees. These findings should be considered when identifying high-risk groups for SA in the young working population.
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| 2. |
- Falk Dahl, Christian A, et al.
(författare)
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Lifestyle and social network in individuals with high level of social phobia/anxiety symptoms : a community-based study
- 2010
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Ingår i: Social Psychiatry and Psychiatric Epidemiology. - : Springer Science and Business Media LLC. - 0933-7954 .- 1433-9285. ; 45:3, s. 309-317
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Tidskriftsartikel (refereegranskat)abstract
- To study the lifestyle issues and social network in a community-based sample of individuals with a high level of social phobia/anxiety symptoms (SPAS) compared to controls, and to explore the factors that were most strongly associated with unhealthy lifestyle and a small social network. The MINI-SPIN test was administered in The Oslo Health Study (HUBRO), and the scores used to identify persons with a high level of SPAS. The SPAS group consisted of 446 individuals aged 30, 40 or 45 years defined by MINI-SPIN score a parts per thousand yen8. We randomly selected five controls for each case among those with a MINI-SPIN score of 0-7 (N = 2,230). Information was collected with questionnaires, physical measurements and blood samples. The SPAS group showed significantly higher prevalence of unhealthy lifestyle than controls, which did not hold up in multivariate analyses. The SPAS group showed significantly more alcohol problems and higher future risk of coronary heart disease among females, but not in males. Low level of physical activity in general, and in spare time, was significantly associated with the SPAS group. Small social network was significantly more common in the SPAS group and that result held up in multivariate analysis. In that analysis not being in paired relationship and mental comorbidity were also significantly associated with a small social network. Unhealthy lifestyle and a small social network places younger adults with SPAS under considerable risk for the development of future morbidity. This risk calls for counseling by general practitioners in such individuals.
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| 3. |
- Green Landell, Malin, et al.
(författare)
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Social phobia in Swedish adolescents : Prevalence and gender differences
- 2008
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Ingår i: Social Psychiatry and Psychiatric Epidemiology. - : Springer Science and Business Media LLC. - 0933-7954 .- 1433-9285. ; 44:1, s. 1-7
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Tidskriftsartikel (refereegranskat)abstract
- Background The aim of this study was to investigate the prevalence of self-reported social phobia in a community sample of Swedish adolescents in junior high school, at the risk-period for developing social phobia. Of particular interest was to investigate gender differences in prevalence across ages. Prevalence of sub-threshold social phobia was also studied. Methods Students in grades 6–8 (aged 12–14) from seventeen schools in five Swedish municipalities were screened by means of a self-report questionnaire, the social phobia screening questionnaire-for children (SPSQ-C). Results Data from a sample of 2,128 students were analysed and showed a point-prevalence rate of 4.4% (95%CI 3.5–5.2) and a significant gender difference (6.6% girls vs. 1.8% boys, P < 0.001). No significant differences in prevalence of probable cases emerged across the ages. At sub-threshold level, marked social fear of at least one social situation was reported by 13.8% of the total group. “Speaking in front of class” and “calling someone unfamiliar on the phone” were the most feared social situations. In the social phobia group, 91.4% reported impairment in the school-domain due to their social fear. Conclusion Social phobia is a common psychiatric condition in Swedish adolescents, especially in girls. As impairment in the school-domain is reported to a high degree, professionals and teachers need to recognize social phobia in adolescents so that help in overcoming the difficulties can be offered.
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| 4. |
- Gupta Löfving, Sandra, et al.
(författare)
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Community violence exposure and severe posttraumatic stress in suburban American youth : risk and protective factors
- 2015
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Ingår i: Social Psychiatry and Psychiatric Epidemiology. - : Springer Science and Business Media LLC. - 0933-7954 .- 1433-9285. ; 50:4, s. 539-547
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The psychological effects of community violence exposure among inner-city youth are severe, yet little is known about its prevalence and moderators among suburban middle-class youth. This study aimed to assess the prevalence of community violence exposure among suburban American youth, to examine associated posttraumatic stress and to evaluate factors related to severe vs. less severe posttraumatic stress, such as co-existing internalizing and externalizing problems, as well as the effects of teacher support, parental warmth and support, perceived neighborhood safety and conventional involvement in this context. Method: Data were collected from 780 suburban, predominantly Caucasian middle-class high-school adolescents in the Northeastern US during the Social and Health Assessment (SAHA) study. Results: A substantial number of suburban youth were exposed to community violence and 24 % of those victimized by community violence developed severe posttraumatic stress. Depressive symptoms were strongly associated with higher levels and perceived teacher support with lower levels of posttraumatic stress. Conclusion: Similar to urban youth, youth living in suburban areas in North American settings may be affected by community violence. A substantial proportion of these youth reports severe posttraumatic stress and high levels of comorbid depressive symptoms. Teacher support may have a protective effect against severe posttraumatic stress and thus needs to be further assessed as a potential factor that can be used to mitigate the detrimental effects of violence exposure.
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| 5. |
- Hjärthag, Fredrik, 1973-, et al.
(författare)
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Family burden and functional assessment in the Swedish CLIPS-study : Do staff and relatives agree on individuals with psychotic disorders' functional status?
- 2012
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Ingår i: Social Psychiatry and Psychiatric Epidemiology. - : Springer Science and Business Media LLC. - 0933-7954 .- 1433-9285. ; 47:4, s. 581-587
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE:In this study, the individuals with psychotic disorders' daily life function was investigated on six dimensions considering their relations to family burden. Functional ratings carried out by relatives and staff were also compared.METHODS:Totally 88 relatives, to as many individuals diagnosed with a psychotic disorder, participated in this study. Relatives were to rate their own perceived burden and their ill relatives' physical functioning, personal care skills, interpersonal relationships, social acceptability, activities, and work skills. The outpatient staff, in all 24 case managers also rated the patients' functional level on the same assessment tool as did the relatives.RESULTS:Most dimensions of patients' everyday functioning were highly correlated to relatives' burden. The two functional dimensions "interpersonal relationships" and "activities" were best at classifying burden when rated by relatives. Also, comparing independent functional ratings by relatives and staff showed that despite great agreements on most dimensions, they differed significantly on "social acceptability" where relatives rated the function to be poorer and "activities" where relatives rated the function to be better.CONCLUSIONS:Relatives, who perceive individuals with a psychotic disorder to be limited in their ability to interpersonal relationships and limited in their ability to activate in everyday life, are more likely to perceive a higher burden. Even though staff and relatives mainly agree on the patients' functional ability, they often differ in ratings regarding patients' social acceptability and ability to activate in everyday life. This should be worth considering in clinical practice as well as in future research.
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| 6. |
- Hjärthag, Fredrik, 1973-, et al.
(författare)
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Illness Related Components for the Family Burden of Relatives to Patients with Psychotic Illness
- 2010
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Ingår i: Social Psychiatry and Psychiatric Epidemiology. - : Springer. - 0933-7954 .- 1433-9285. ; 45:2, s. 275-283
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Tidskriftsartikel (refereegranskat)abstract
- Background: Previous research has shown that symptom severity often implies an increased family burden. Few other illness related variables have, however, been investigated in this context. This study investigates how family burden is affected by symptom, function, and cognition, as well as how the patient perceives his/her illness and quality of life. Method: A total of 99 relatives, to as many patients diagnosed with psychosis and with their illness at a stable level, participated in this study. The relatives estimated their perceived burden, the patients rated the distress caused by their illness as well as the quality of their lives, and the care staff rated the patients’ symptom and function as well as tested their cognitive abilities. Results: Increased family burden can be tied to the patients’ increased symptom severity, to their impaired functioning as well as to the patients’ higher self ratings regarding distress. The family burden is also connected to the patient’s reduced working memory and reduced executive functioning, but this connection is not totally clear and should be further investigated. Of the variables that the patients were rated on, it was the overall functional ability measured with GAF that had the single most impact on perceived family burden. Conclusions: To control illness related variables such as symptoms, impaired functioning, impaired working memory and executive functioning, as well as the patients’ own experiences of distress, is important in order to lessen the burden for the relatives. All aspects of family burden are, however, not explained by these factors, which is why further research within this realm is required.
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| 7. |
- Hubicka, Beata, et al.
(författare)
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Personality Traits and Mental Health of Severe Drunk Drivers in Sweden
- 2010
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Ingår i: Social Psychiatry and Psychiatric Epidemiology. - : Springer-Verlag New York. - 0933-7954 .- 1433-9285. ; 45:7, s. 723-731
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Tidskriftsartikel (refereegranskat)abstract
- The present study was intended to investigate personality characteristics and mental health of severe driving under influence (DUI) offenders in a Swedish cohort. More specifically the aim was to investigate the personality traits as assessed by The NEO personality inventory (NEO-PI-R) and aspects of mental health as assessed by the symptom checklist (SCL-90) as compared to the general population. The subjects were 162 severe DUI offenders (with the BAC >0.099%) with an age range of 18-88 years, 143 males and 19 females. It was found that the openness to experience and conscientiousness scales of NEO-PI-R differentiated Swedish DUI offenders from Swedish norm population. The differences between the DUI group and the general population on the on SCL-90 scales were all significant except on the Hostility scale. Two main subtypes of DUI offenders identified were roughly comparable to types I and II alcoholics, as in Cloninger's typology. Among all the scales used (personality traits, psychiatric comorbidity and alcohol use), the only factor that was predictive for future relapses to drunk driving was the factor of depression.
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| 8. |
- Jonsson, Ulf, et al.
(författare)
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Intimate relationships and childbearing after adolescent depression : a population-based 15 year follow-up study
- 2011
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Ingår i: Social Psychiatry and Psychiatric Epidemiology. - : Springer Science and Business Media LLC. - 0933-7954 .- 1433-9285. ; 46:8, s. 711-721
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Adolescent depression is associated with a range of interpersonal adversities. We hypothesized that depressed adolescents are at subsequent increased risk of problems related to intimate relationships and childbearing in adulthood, and used longitudinal data to examine this.Method: A population-based investigation of depression in 16 to 17 year olds was followed up after 15 years, at around the age of 30 years. Comparisons were made between adolescents with depression (n = 361, 78% females) and non-depressed peers (n = 248, 77% females). Data from both national registers and personal interviews were used.Results: At follow-up, the former depressed and non-depressed adolescents had become parents to a similar extent. The former depressed females were more likely than the non-depressed females to report abortion, miscarriage, intimate partner violence and sexually transmitted disease. They also reported a higher number of intimate relationships and were more likely to have divorced and to be registered as single mothers. Depressed females with a comorbid disruptive disorder had a particularly poor outcome. In the depressed females without a disruptive disorder, only those who subsequently had recurrent depressions in adulthood were at increased risk of poor outcome. There was no indication that the formerly depressed males were at increased risk of subsequent problems related to intimate relationships.Conclusion: Females with adolescent depression subsequently have problems related to intimate relationships and childbearing. Disruptive disorders and recurrence of depression appear to be instrumental in this association. Attention should be given to intimate relationship problems and sexual and reproductive health issues in young women with depression.
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| 9. |
- Jukkala, Tanya, et al.
(författare)
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Acceptance of Suicide in Moscow
- 2010
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Ingår i: Social Psychiatry and Psychiatric Epidemiology. - Berlin : Springer. - 0933-7954 .- 1433-9285. ; 46:8, s. 753-765
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Tidskriftsartikel (refereegranskat)abstract
- Purpose Attitudes concerning the acceptability of suicidehave been emphasized as being important for understandingwhy levels of suicide mortality vary in different societiesacross the world. While Russian suicide mortalitylevels are among the highest in the world, not much isknown about attitudes to suicide in Russia. This study aimsto obtain a greater understanding about the levels andcorrelates of suicide acceptance in Russia.Methods Data from a survey of 1,190 Muscovites wereanalysed using logistic regression techniques. Suicideacceptance was examined among respondents in relation tosocial, economic and demographic factors as well as inrelation to attitudes towards other moral questions.Results The majority of interviewees (80%) expressedcondemnatory attitudes towards suicide, although menwere slightly less condemning. The young, the highereducated, and the non-religious were more accepting ofsuicide (OR[2). However, the two first-mentioned effectsdisappeared when controlling for tolerance, while a positiveeffect of lower education on suicide acceptanceappeared. When controlling for other independent variables,no significant effects were found on suicide attitudesby gender, one’s current family situation, or by healthrelatedor economic problems.Conclusions The most important determinants of therespondents’ attitudes towards suicide were their toleranceregarding other moral questions and their religiosity. Moretolerant views, in general, also seemed to explain the moreaccepting views towards suicide among the young and thehigher educated. Differences in suicide attitudes betweenthe sexes seemed to be dependent on differences in otherfactors rather than on gender per se. Suicide attitudes alsoseemed to be more affected by one’s earlier experiences interms of upbringing and socialization than by events andprocesses later in life.
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| 10. |
- Koposov, R., et al.
(författare)
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Inhalant use in adolescents in northern Russia
- 2018
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Ingår i: Social Psychiatry and Psychiatric Epidemiology. - : Springer. - 0933-7954 .- 1433-9285. ; 53:7, s. 709-716
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To determine the prevalence of inhalant use in Russian adolescents and to investigate associated psychosocial problems from a gender perspective. Methods: Data on inhalant use and comorbid psychopathology were collected by means of self-reports from 2892 (42.4% boys) sixth to tenth grade students in public schools in Arkhangelsk, Russia. Multivariate analysis of covariance was used to assess differences in the levels of internalizing and externalizing problems in boys and girls, who were non-users and users of inhalants. Results: The prevalence of inhalant use was 6.1% among boys and 3.4% among girls. Compared with non-users, inhalant users scored significantly higher on internalizing and externalizing problems, functional impairment and lower on academic motivation, with psychopathology increasing with age. While there were no gender differences for internalizing problems, increased levels of externalizing problems in inhalant users were gender-specific (significantly higher in boys). Conclusions: Inhalant use is related to significantly higher levels of comorbid psychopathology in Russian adolescents. Comprehensive, evidence-based prevention and intervention policies are needed to address inhalant use and its harmful effects.
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