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| 2. |
- Wahlberg, Åsa, 1988-, et al.
(författare)
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Post-traumatic stress symptoms in Swedish obstetricians and midwives after severe obstetric events : a cross-sectional retrospective survey
- 2017
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Ingår i: British Journal of Obstetrics and Gynecology. - : WILEY. - 1470-0328 .- 1471-0528. ; 124:8, s. 1264-1271
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To examine post-traumatic stress reactions among obstetricians and midwives, experiences of support and professional consequences after severe events in the labour ward.Design: Cross-sectional online survey from January 7 to March 10, 2014.Population: Members of the Swedish Society of Obstetrics and Gynaecology and the Swedish Association of Midwives.Methods: Potentially traumatic events were defined as: the child died or was severely injured during delivery; maternal near-miss; maternal mortality; and other events such as violence or threat. The validated Screen Questionnaire Posttraumatic Stress Disorder (SQ-PTSD), based on DSM-IV (1994) 4th edition, was used to assess partial post-traumatic stress disorder (PTSD) and probable PTSD.Main outcome measures: Partial or probable PTSD.Results: The response rate was 47% for obstetricians (n = 706) and 40% (n = 1459) for midwives. Eighty-four percent of the obstetricians and 71% of the midwives reported experiencing at least one severe event on the delivery ward. Fifteen percent of both professions reported symptoms indicative of partial PTSD, whereas 7% of the obstetricians and 5% of the midwives indicated symptoms fulfilling PTSD criteria. Having experienced emotions of guilt or perceived insufficient support from friends predicted a higher risk of suffering from partial or probable PTSD. Obstetricians and midwives with partial PTSD symptoms chose to change their work to outpatient care significantly more often than colleagues without these symptoms.Conclusions: A substantial proportion of obstetricians and midwives reported symptoms of partial or probable PTSD after severe traumatic events experienced on the labour ward. Support and resilience training could avoid suffering and consequences for professional carers.
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- Wahlberg, Åsa, 1973-, et al.
(författare)
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Self-reported exposure to severe events on the labour ward among Swedish midwives and obstetricians : A cross-sectional retrospective study
- 2017
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Ingår i: International Journal of Nursing Studies. - : Elsevier BV. - 0020-7489 .- 1873-491X. ; 65, s. 8-16
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The process of delivery entails potentially traumatic events in which the mother or child becomes injured or dies. Midwives and obstetricians are sometimes responsible for these events and can be negatively affected by them as well as by the resulting investigation or complaints procedure (clinical negligence).OBJECTIVE: To assess the self-reported exposure rate of severe events among midwives and obstetricians on the delivery ward and the cumulative risk by professional years and subsequent investigations and complaints.DESIGN: Cross-sectional survey.PARTICIPANTS: Members of the Swedish Association of Midwives (SFB) and the Swedish Society of Obstetrics and Gynaecology (SFOG).METHODS: A questionnaire covering demographic characteristics, experiences of self-reported severe events on the delivery ward, and complaints of medical negligence was developed. Potential consequences of the complaint was not reported. A severe event was defined as: 1) the death of an infant due to delivery-related causes during childbirth or while on the neonatal ward; 2) an infant being severely asphyxiated or injured at delivery; 3) maternal death; 4) very severe or life threatening maternal morbidity; or 5) other stressful events during delivery, such as exposure to violence or aggression.RESULTS: The response rate was 39.9% (n=1459) for midwives and 47.1% (n=706) for obstetricians. Eighty-four percent of the obstetricians and almost 71% of responding midwives had experienced one or more self-reported severe obstetric event with detrimental consequences for the woman or the new-born. Fourteen percent of the midwives and 22.4% of the obstetricians had faced complaints of medical negligence from the patient or the family of the patient.CONCLUSIONS: A considerable proportion of midwives and obstetricians will, in the course of their working life, experience severe obstetric events in which the mother or the new-born is injured or dies. Preparedness for such exposure should be part of the training, as should managerial and peer support for those in need. This could prevent serious consequences for the health care professionals involved and their subsequent careers.
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| 4. |
- Arnberg, Filip, Docent i klinisk psykologi, 1981-, et al.
(författare)
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Development and Pilot-testing of the Swedish Version of the PTSD Coach
- 2016
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Konferensbidrag (refereegranskat)abstract
- In Sweden, four out of five people have smartphones, indicating the potential to increase the reach of low- intensity support after trauma via smartphone-apps to aid recovery. While there are many apps in the mental health field available to the general public, their effects are rarely evaluated. The PTSD Coach smartphone-app was developed by the VA ́s National Center for PTSD—Dissemination and Training Division. A Swedish version was developed by using existing code while making adjustment to the content for a Swedish context with a view for use by both civilians and veterans. A pilot study is underway and the findings will be used to inform a larger efficacy study. To date, 31 participants have been recruited to the pilot study, in which they use the Swedish version of the PTSD Coach for four weeks. Pre- and post- assessments include a structured clinical interview (MINI), PCL-5, PHQ-9 and the Swedish version of the PTSD Coach Survey. The participants’ experiences with using the app are explored in focus groups. During this presentation, the adaptation for the Swedish PTSD Coach will be outlined and experiences from the development and pilot study of the Swedish version will be described.
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| 5. |
- Bergh Johannesson, Kerstin, 1949-, et al.
(författare)
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Eye Movement Desensitization and Reprocessing (EMDR)
- 2019
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Ingår i: <em>Innovations in CBT for Childhood Anxiety, OCD & PTSD</em>. - Cambridge, UK : Cambridge University Press. - 9781108401326
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Bokkapitel (refereegranskat)
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| 6. |
- Bergh Johannesson, Kerstin, 1949-, et al.
(författare)
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Impact of Exposure to Trauma on Posttraumatic Stress Disorder Symptomatology in Swedish Tourist Tsunami Survivors
- 2009
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Ingår i: Journal of Nervous and Mental Disease. - 0022-3018 .- 1539-736X. ; 197:5, s. 316-323
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to examine long-term mental health and posttraumatic stress symptomatology in a Swedish tourist population after exposure to the 2004 Southeast Asian tsunami. Data from 4822 returned questionnaires 14 months after the disaster were analyzed. Respondents were categorized into 3 subgroups: (1) danger-to-life exposure group (having been caught or chased by the waves), (2) nondanger-to-life exposure group (exposed to other disaster-related stressors), and (3) low exposure group. Main outcome measures were General Health Questionnaire-12 and Impact of Event Scale-22-Revised. Danger-to-life exposure was an important factor in causing more severe posttraumatic stress symptoms and in affecting mental health. Female gender, single status, and former trauma experiences were associated with greater distress. Other factors related to more severe symptoms were loss of relatives, physical injuries, viewing many dead bodies, experiencing life threat, and showing signs of cognitive confusion. Disaster exposure has a substantial impact on survivors, which stresses the need for long-lasting support.
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| 8. |
- Bergh Johannesson, Kerstin, 1949-, et al.
(författare)
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Krisstöd vid allvarlig händelse
- 2017. - 2
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Ingår i: Traumatologi. - : Liber. - 9789147114238
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 9. |
- Bergh Johannesson, Kerstin, 1949-, et al.
(författare)
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Psychological Crisis Support in Major Incidents
- 2012
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Ingår i: Medical Responses to Major Incidents and Disasters. - Berlin Heidelberg : Springer London. - 9783642218941 ; , s. 363-377
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 10. |
- Bergh Johannesson, Kerstin, 1949-
(författare)
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Psykologiskt omhändertagande av skadade
- 2007. - 1
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Ingår i: Traumatologi. - : Liber. - 9789147052165 ; , s. 473-482
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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