| 1. |
- Bengtsson-Tops, A, et al.
(författare)
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Subjective versus interviewer assessment of global quality of life among persons with schizophrenia living in the community: A Nordic multicentre study
- 2005
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Ingår i: Quality of Life Research. - : Springer Science and Business Media LLC. - 1573-2649 .- 0962-9343. ; 14:1, s. 221-229
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Tidskriftsartikel (refereegranskat)abstract
- Background: Few studies have investigated differences between subjective and externally assessed quality of life in individuals with a severe mental illness. In a sample of 387 patients with schizophrenia living in the community the present study investigated the association between subjective and interviewer-rated quality of life, clinical and sociodemographic factors related to the two assessments, and if discrepancies in the assessments were related to any clinical or social features of the patients. Method: The study was a Nordic multicentre study with a cross-sectional design. Instruments used were the Lancashire Quality of Life Profile, the Brief Psychiatric Rating Scale, the Interview Schedule for Social Interaction, Camberwell Assessment of Needs and General Assessment of Functioning. Results: The correlation between subjective and interviewer-rated quality of life was moderate (ICC=0.33). More severe affective symptoms, fewer emotional relations and a lower monthly income were related to poorer subjectively rated quality of life but in a stepwise multiple regression analysis accounted for only 14.1 of the variance. Poorer interviewer-rated quality of life was mainly related to a more severe psychopathology but also to a lower monthly income, fewer emotional relations and not being employed. Together these factors accounted for 45.5 of the variance. A greater discrepancy between the subjective and the interviewer rating was found in patients with less affective symptoms, unemployment, and a better social network. Conclusion: Only a moderate correlation between subjective and interviewer-assessed global quality of life was found, implying that the sources of assessment differed, as was also shown in subsequent regression models. It is concluded that both perspectives on the patient's quality of life may be valuable for treatment planning, especially in cases where differences in quality of life assessment related to the patient's psychopathology may be expected.
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| 2. |
- Hansson, Erika, et al.
(författare)
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Disordered eating in a general population : just another depressive symptom or a specific problem?
- 2014
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Previous research has shown that about 30% of adolescent girls and 15% of adolescent boys suffer from disordered eating (DE) which can be defined as problematic eating below criteria for eating disorders according to DSM-V (Hautala et al., 2008; Herpertz-Dahlman et al., 2008). Even sub-clinical unhealthy weight-control behaviors have predicted outcomes related to obesity and eating disorders five years later (Neumark-Sztainer et al., 2006). However, two issues question the validity of DE. First, in contrast to eating disorders, under- or overweight/obesity are not necessary parts of DE. Second, some symptoms and correlates of DE are similar to those of depression. E.g., parent-adolescent relationships seem to play an important role in explaining both DE (Hautala et al., 2011; Berge et al., 2010) and internalizing problems (Soenens et al., 2012). Thus, this study examined associations between DE and a wide range of internalizing and externalizing problems, parent-adolescent relationship characteristics, and food intake and sleep habits in a general population of adolescents. Comparing results with and without controlling for depression reveals whether DE is a specific problem or merely a depressive symptom. This study also explored whether DE and the other variables under study are associated independently of weight status (underweight, overweight/obesity, and normal weight), specific to under- or overweight, or spurious if taking weight status into account. The study is based on the first wave of an on-going longitudinal study, and all measures are child-reported (N=1,281). Adolescents attending grades 7 to 10 in a Southern Swedish municipality (age 12.5 to 19.3, M = 15.2, SD = 1.2) filled out questionnaires in class. DE was measured using the SCOFF, a five-item screening scale validated for use in general populations (e.g. Muro-Sans et al., 2008; Noma et al., 2006). The results of univariate ANOVAs indicate that associations with DE were largely independent of weight status. Moreover, most associations with disordered eating were spurious when controlling for depression. However, some associations remained. Above and beyond depression effects, adolescents with DE reported lower self-esteem, stronger feelings of being over-controlled by their parents and active withholding of information towards them, consumption of fewer meals during the week, and higher levels of daytime sleepiness. Boys with ED slept more hours during the week and ate more fruits and vegetables than boys without ED. In conclusion, despite an overlap between depressive symptoms and disordered eating, this study provides ample evidence that sleep, nutrition habits, self-esteem, and parental control issues distinguish eating disordered adolescents from those suffering from general depressive symptoms.
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| 3. |
- Juter, Kristina, et al.
(författare)
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Mathematics and physics at upper secondary school : an analysis of two lectures
- 2021
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Ingår i: Sustainable mathematics education in a digitalized world. - Göteborg : Nationellt centrum för matematikutbildning (NCM). ; , s. 264-264
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Bokkapitel (populärvet., debatt m.m.)abstract
- A physics lecture and a mathematics lecture, by the same teacher and partly the same students, were studied at upper secondary school. Both lectures covered ordinary differential equations. The main aim of the present paper was to investigate the teacher’s different and similar ways to handle related mathematical content in the two school subjects. The findings show a structural use of mathematics with an analytical approach in mathematics and an applied approach in relation to formulas in physics. This study is part of a larger study about mathematics in physics education funded by the Swedish research council.
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| 4. |
- Masche, J. Gowert, et al.
(författare)
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It takes two to tango : teen internalizing and externalizing problems are predicted by the interaction of parent and teen behaviors
- 2014
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Associations between parenting behaviors of support, behavior control and overcontrol, and psychological control/disrespect with adolescent internalizing and externalizing problems have been studied extensively (Barber et al., 2012; Kerr & Stattin, 2000), and also adolescent behaviors of disclosure and secrecy in the context of these problems (Frijns et al., 2010). However, few studies have assessed how parent and child behaviors might moderate each other’s associations with problems (Keijsers et al., 2009). This study investigates interaction effects of the above-mentioned parent and adolescent behaviors when predicting depression, loneliness, and low self-esteem (internalizing), and delinquency, aggression, and drug/alcohol use (externalizing). Given the variety of behaviors and problems under study, it is hypothesized that various kinds of moderation effects will emerge. An ethnically diverse sample of 1,281 adolescents attending grades 7 to 10 in a Southern Swedish municipality (age 12.5 to 19.3, M = 15.2, SD = 1.2) filled out questionnaires in class. All scales have been published internationally; however, some items were added to short scales. Each of the internalizing and externalizing problems was regressed on all possible combinations of one of the four parenting variables and one of the two adolescent behaviors under study, resulting in 48 regression analyses. Confirming previous findings, parent psychological control and overcontrol were associated with internalizing and externalizing problems, and behavior control and insufficient support with internalizing problems. Adolescent disclosure predicted low levels of both kinds of problems and secrecy predicted high levels. Two-way interactions of parent and adolescent behaviors added significantly (p < .05) to the variance in 13 of 48 analyses which is beyond chance level (p < .001). In addition to the inspection of significant effects, t-values across all analyses were analyzed in order to distinguish between more general trends and solitary effects onspecific internalizing or externalizing problems only. Confirming the hypothesis, interaction effects varied across the combinations of parent and adolescent behaviors (η2 = .26) and were further moderated by the distinction between internalizing and externalizing problems (η2 = .38). These effects were grouped into five kinds of interaction effects: In mutually enhancing and mutually exacerbating effects, two positive or two negative, respectively, behaviors increased each other’s associations with problem levels. In protection effects, usually adolescents’ behavior reduced associations between negative parenting and problems. Relationship split effects might reflect an alienated parent-adolescent relationship in which negative behaviors cannot do much additional harm. Finally, maintained relationship/sabotage means that the lowest level of problems occurred if one generation maintained the relationship by a positive behavior and the other generation abstained from “sabotaging” it by a negative behavior. Otherwise, problem behaviors increased sharply without the other generation’s behavior having any large effect any longer. In conclusion, analyses provide ample evidence that adolescents’ behavior moderates links between parents’ behaviors and adolescents’ internalizing and externalizing problems. Possible causal interpretations include adolescents as “gatekeepers” of parenting efforts, families’ functional and dysfunctional adaptations, and parent and child behavior combinations as consequences of internalizing and externalizing problems.
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| 5. |
- Möller U, Olsson, et al.
(författare)
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Modern technology against falls – A description of the MoTFall project
- 2021
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Ingår i: Health Informatics Journal. - : SAGE Publications Ltd. - 1460-4582 .- 1741-2811. ; 27:2
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Tidskriftsartikel (refereegranskat)abstract
- To meet future challenges from an older and physically less active population innovative solutions are needed. Modern Technology against Falls (MoTFall) aims to prevent falls, increase physical activity and improve self-rated health among older people by means of an information and communication technology based system. The project has developed technology-based solutions, focusing on person-centred care. A participatory research design was applied in the development of a mobile application, a wearable inertial movement measurement unit (IMMU), called the Snubblometer (‘snubbla’ is ‘stumble’ in Swedish) and a web-based education programme for health care professionals. The mobile application includes a fall risk index, exercises and information related to falls prevention. By linking the app to the IMMU, person-centred interventions can be developed and implemented in various health care settings and with different target populations. The IMMU has shown good validity and reliability for measuring postural sway and high sensitivity and specificity for measuring a near fall. The education programme is directed at non-graduate health care professionals in nursing homes and home care. The technical solutions have potential for use in research and in clinical practice. © The Author(s) 2021.
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| 6. |
- Sorgaard, KW, et al.
(författare)
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Schizophrenia and contact with health and social services: A Nordic multi-centre study
- 2003
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Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 1502-4725 .- 0803-9488. ; 57:4, s. 253-261
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Tidskriftsartikel (refereegranskat)abstract
- Background: In a Nordic multi-centre study investigating the life and care situation of persons with schizophrenia living in the community, factors explaining use of health and social services were examined. Method: Four hundred and eighteen individuals with schizophrenia from 10 sites were interviewed about their contact with different services (support functions within and outside the mental health services, general practitioners (GPs), physicians in the mental health, psychotherapy, day-care and inpatient treatment), psychopathology, social network and needs for care. Results: Physicians and support contacts within the mental health system were most used and GPs and psychotherapy least. Three groups of variables were stabile predictors of contact: rural-urban differences, diagnoses (hebephrenic schizophrenia associated with less contact with physicians in the mental services and more with GPs) and health needs as experienced by the patients. No differences between the centres with regard to total service use were found, but the patterns of contact reflected urban-rural variance. A low number of health needs predicted contact with physicians within the mental health services, whereas a high number of such needs was related to contact with GPs and support functions within the mental health services. Social relations exhibited the highest number of unmet needs. Conclusions: Contact with physicians working in the mental health services was much more common than contact with GPs. Based on a broad spectre of demographic, clinical and network variables, it was not possible to find models that explained substantial parts of the variance of service use. Patterns of contact were different in rural, town and city-surroundings, and with the exception of psychotherapy, the rural pattern was characterized by use of less specialized services. The importance of health needs and diagnosis as predictors of contact illustrate the profound and lasting effects on health of having a diagnosis of schizophrenia.
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