| 1. |
- Göransson, Carina, 1967-, et al.
(författare)
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Kvalitetsutveckling inom hälso- och sjukvård
- 2006
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Ingår i: Grundläggande omvårdnad. - Stockholm : Liber. - 9789147052776 - 9147052775
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 2. |
- Hedelin, Birgitta, et al.
(författare)
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Kunskap och gemenskap främjar hälsa
- 2009
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Ingår i: Nordisk Geriatrik. - Stockholm : Taylor & Francis. - 1403-2082. ; 12:1, s. 26-29
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Tidskriftsartikel (populärvet., debatt m.m.)
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| 3. |
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| 4. |
- Karpowicz, Ewa, et al.
(författare)
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Self-esteem in patients treated for anorexia nervosa.
- 2009
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Ingår i: International journal of mental health nursing. - Richmond : Wiley. - 1447-0349 .- 1445-8330. ; 18:5, s. 318-25
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Tidskriftsartikel (refereegranskat)abstract
- Anorexia nervosa (AN) mainly affects girls or women between 13 and 45 years of age. According to previous studies, one of the reasons for the desire to be thin is low self-esteem. The purpose of the study was to examine the self-esteem of 38 female patients with AN between 16 and 25 years of age, before and after 3 months of treatment at a specialist ward for eating disorders in Göteborg, Sweden. A quantitative pre- and post-assessment based on two self-rating questionnaires, the Rosenberg Self-Esteem Scale (RSE-S) and three subscales (weight phobia, body dissatisfaction, and ineffectiveness) of Eating Disorder Inventory-2 (EDI-2), together with body mass index (BMI), were used in the study, which was conducted between June 2005 and March 2008. The results reveal that self-esteem, BMI, weight phobia, and body dissatisfaction improved significantly between pre- and post-treatment. The RSE-S and EDI-2 ineffectiveness correlate highly with one another, which lends support to convergent validity, and the internal consistency was high for both the RSE-S and EDI-2 ineffectiveness. The results indicate that the treatment was effective, as both patients' self-esteem and BMI increased after completed treatment, which was the primary goal of the treatment at this ward. Future studies should focus on follow up and the way self-esteem manifests itself at different points in time within an individual.
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| 5. |
- Nordstrom, M., et al.
(författare)
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The life circumstances of persons with a psychiatric disability: a survey in a region in southern Sweden
- 2009
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Ingår i: Journal of Psychiatric and Mental Health Nursing. - Malden, USA : Wiley. - 1351-0126 .- 1365-2850. ; 16:8, s. 738-748
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Tidskriftsartikel (refereegranskat)abstract
- Accessible summary This article describes the life circumstances of persons with a psychiatric disability living in a region in southern Sweden. The respondents themselves describe their life circumstances in terms of their living conditions, occupation and activities, health, and formal and informal support. The results show that 77.5% are unmarried, which differ considerably from corresponding figures for the Swedish population in general, of whom only 34% are single. Approximately 23% reported some sort of regular work, while only 8.7% declared that they earned a salary. Nine of 10 participants reported that their income came from sickness benefits and disability pensions, which can be compared with 10% (approximately) of the general Swedish population. Ninety per cent of participants reported receiving two or three different types of support - e.g. practical, social and medical - and having extensive contacts with municipal services to help them cope with their daily lives. People with psychiatric disability need both formal and informal support in coping with their everyday lives. The family plays an important role and it is essential to establish cooperation between the formal and informal support systems. The socio-political goal of fostering access to work and gainful employment is far from having been attained. Abstract This article describes the life circumstances of persons with a psychiatric disability living in one urban and six rural areas in a single region in Sweden. Furthermore, the life circumstances of persons with a psychiatric disability are discussed in relation to the aims of social policies in Sweden. Data were collected by means of a survey study exploring the formal support provided by local authorities to its citizens and the informal support given by family members and volunteers. The results reveal how the respondents themselves describe their life circumstances in terms of their living conditions, occupation and activities, health, and formal and informal support. The results indicate that persons with a psychiatric disability, regardless of where they live, need both formal and informal support in order to cope with their everyday lives. The family plays an important role in this, and it is essential for the formal and informal support systems to cooperate with each other. The lack of activities and opportunities for work experienced by persons with a psychiatric disability indicates that the sociopolitical goal of fostering access to employment and work and to earning a living for this group is far from having been attained.
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| 6. |
- Skärsäter, Ingela, 1952, et al.
(författare)
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Functional status and quality of life in patients with first-episode major depression
- 2006
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Ingår i: Journal of Psychiatric and Mental Health Nursing. - West Sussex, UK : Wiley. - 1351-0126 .- 1365-2850. ; 13:2, s. 205-213
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to analyse the level of severity of major depression and its relation to functioning and health-related quality of life over time in patients treated for their first episode of major depression. Thirty-three adult patients who fulfilled the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria for major depression were included in the study. Semi-structured interviews and self-assessment questionnaires were used at baseline and at 6-monthly intervals in a 2-year follow-up, in order to measure the level of severity of depression, functioning and quality of life. The results showed that the first episode of major depression was rated as severe in 43% of cases. Multiple domains of functioning as well as quality of life were strongly affected in patients at baseline, although the level of functioning increased significantly over the study period, as did quality of life, but not concurrently with the decrease in the level of severity of the depression. Psychosocial functioning is an important outcome measure related to major depression, which underlines the importance of separate evaluations initiated and conducted by mental health nurses in order to determine whether or not patients have actually achieved a state of health. © 2006 Blackwell Publishing Ltd.
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| 7. |
- Skärsäter, Ingela, 1952-
(författare)
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Parents with first time major depression : perceptions of social support for themselves and their children
- 2006
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Ingår i: Scandinavian Journal of Caring Sciences. - Oxford, England : Blackwell Publishing. - 0283-9318 .- 1471-6712. ; 20:3, s. 308-314
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to ascertain the perceptions of parents, with first time major depression, regarding the social support for themselves and their children. Eighteen parents, with children under the age of 19, were interviewed on admission to an inpatient unit and of these 16 were followed up 1 year later. In addition, the severity of parents' depression and their functional status was measured. The results showed that although the parents did regain their mental health and functional capacity to a certain extent, they nevertheless remained in a vulnerable position, increasing the strain on the whole family. The parents' and their children's social support was low and came mostly from outside the family. The parents were worried about their children, due to problems related to the depressive episode as well as ordinary teenage rebellion. Important questions concerned practical problems such as whether there was someone to take care of the children if the parent is incapable of doing so. There were also concerns pertaining to how the changed family situation might interfere with the child's natural development or whether depression was a question of heredity. This highlights the need to investigate the importance of social support for the family as a whole when one of them suffers from depression. There is a need for improved treatment of parental depression to reduce symptoms such as decreased functional status that may impair parenting. The study also emphasises the need for healthcare practitioners to assess multiple aspects of social support so that care planning will target all relevant domains.
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| 8. |
- Skärsäter, Ingela, 1952-, et al.
(författare)
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Sense of coherence and recovery from major depression : a 4-year follow-up
- 2009
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Ingår i: Archives of Psychiatric Nursing. - Maryland Heights, USA : Saunders Elsevier. - 0883-9417 .- 1532-8228. ; 23:2, s. 119-127
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this longitudinal exploratory study was to identify and follow persons with the first episode of major depression (MD) to determine whether sense of coherence (SOC) changes over time. An additional purpose was to assess whether SOC is associated with depressive symptoms, aggression, and functional status either immediately after diagnosis or at 4 years postdiagnosis. The study design was longitudinal; participants participated in semistructured interviews and completed surveys every 6 months starting at diagnosis and concluding 4 years later. The sample consisted of 33 adult patients who were being treated for the first episode of MD according to the Diagnostic and Statistical Manual of Mental Disorders. Twenty-two participants completed all nine sessions. SOC was measured using the SOC scale; depressive symptoms using the Montgomery Asberg Depression Rating Scale; aggression, including the total score and subscales of anger and hostility, using the Aggression Questionnaire-revised Swedish version; and functional status using the Global Assessment of Functioning (GAF) scale and the 36-item Short-Form Health Survey (SF-36). At baseline, SOC was significantly correlated with total aggression (r = -45) and the hostility subscale (r = -.73); baseline SOC was unrelated to depressive symptoms or functional status. SOC increased significantly over time (P < .0001). At the 4-year follow-up, SOC was significantly related to depressive symptoms (r = -.60), the aggression summary score (r = -.65), the anger subscale (r = -.52), the hostility subscale (r = -.77), the GAF (r = .64), and the physical and mental health components of the SF-36 (r = .74 and .72, respectively). The finding that SOC increases as patients recover from MD suggests that treatment of depression may also bolster the patient's ability to cope, in addition to lowering depressive symptoms. The relationship between SOC and aggression in MD, with higher SOC correlated with lower aggression, needs to be examined further. © 2009 Elsevier Inc. All rights reserved.
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| 9. |
- Skärsäter, Ingela, 1952-, et al.
(författare)
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Sense of coherence and recovery from majordepression : A four-year follow-up
- 2008
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Ingår i: Journal of Affective Disorders. - Amsterdam : Elsevier. - 0165-0327 .- 1573-2517. ; 107:Suppl. 1, s. S54-S54
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Tidskriftsartikel (refereegranskat)abstract
- ObjectiveThe aim of this exploratory study was to identify and follow persons with a first episode of major depression to determine whether sense of coherence changes over time. An additional purpose was to assess whether sense of coherence relates to depressive symptoms, aggression, and functional status either immediately following diagnosis or at four years post-diagnosis.MethodsThe study design was longitudinal; subjects participated in semi-structured interviews and completed surveys every 6 months starting at diagnosis and concluding 4 years later. The sample consisted of thirty-three adult patients who were being treated for first episode of major depression (DSM-IV). Sense of coherence was measured using Sense of Coherence Scale (SOC), depressive symptoms using the Montgomery Åsberg Depression Rating Scale, aggression, including a total score and subscales of anger and hostility, using the AQ Aggression Questionnaire — revised Swedish Version, and functional status using Global Assessment of Functioning scale and SF-36 Health Survey. The data were analyzed using Pearson's product moment correlation and repeated measures analysis of variance.ResultsAt baseline, SOC was significantly correlated with total aggression (r = − 45) and the hostility subscale (r = − .73); baseline SOC was unrelated to depressive symptoms or functional status. SOC increased significantly over the time (p < .0001). At the four-year follow-up, SOC was significantly related to depressive symptoms (r = − .60), the aggression summary score (r = − .65), the anger subscale (r = − .52), the hostility subscale (r = − .77), the GAF (r = .64), and the physical and mental health components of the SF-36 (r = .74 and .72, respectively).ConclusionThe finding that SOC increases as patients recover from MD suggests that treatment for depression may also bolster the patient's ability to cope, in addition to lowering depressive symptoms. The relationship between SOC and aggression in MD, with higher SOC correlated with lower aggression, needs to be examined further. © 2008 Published by Elsevier B.V.
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| 10. |
- Skärsäter, Ingela, 1952-, et al.
(författare)
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Sense of coherence and social support in relation to recovery in first-episode patients with major depression : a one-year prospective study
- 2005
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Ingår i: International Journal of Mental Health Nursing. - Richmond, Australia : Wiley-Blackwell. - 1445-8330 .- 1447-0349. ; 14:4, s. 258-264
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Tidskriftsartikel (refereegranskat)abstract
- Major depression is a common illness, with a lifetime prevalence rate of 10-13% for men and 21-24% for women. The experience of having a serious illness such as major depression affects the individual's quality of life and requires significant adaptation in order to cope. The aim of this study was to explore sense of coherence and social support in patients treated for a first episode of major depression in a 1-year follow up. The study design was prospective and longitudinal. A total of 24 patients, aged 18 years or over, with a first episode of major depression were included. Semi-structured interviews and self-assessment questionnaires were used at baseline as well as in a 1-year follow up in order to measure the level of severity of the depression, social support, and sense of coherence. The result showed that 71% of the patients had recovered at follow up. The sense of coherence scores were low at baseline, although the patients who recovered increased their sense of coherence scores significantly. Another factor of importance for recovery was a significant increase in social support. Social support is an important cornerstone in the restoration of a person's sense of coherence. It can be used in interventions that include the patient's family or close social network in combination with support to assist the patient to view his/her situation as comprehensible, manageable, and meaningful, thereby promoting or improving health. Mental health nurses are in a key position to identify patients' strengths and weaknesses so that the support and interventions provided can be tailored to meet the needs of each patient.
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