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- Lundberg, Tina, 1973-, et al.
(författare)
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Poor Psychosocial Well-Being in the First Year-and-a-Half After Losing a Parent to Cancer - A Longitudinal Study Among Young Adults Participating in Support Groups
- 2020
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Ingår i: Journal of Social Work in End-of-Life & Palliative Care. - : Taylor & Francis Group. - 1552-4256 .- 1552-4264. ; 16:4, s. 330-345
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to investigate variations in psychosocial well-being over time among young adults who participated in a support group after the death of a parent from cancer. Fifty-five young adults, aged 16-28 years, completed questionnaires that measured self-esteem, anxiety, depression, and life satisfaction at three time-points during the first year-and-one-half after the loss. Results indicated overall poor psychosocial well-being with few increases in psychological health over the study period, despite access to support and social networks. However, these resources may help to prevent major impairments in the participants' future lives.
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| 2. |
- Lundberg, Tina, et al.
(författare)
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Bereavement stressors and psychosocial well-being of young adults following the loss of a parent – A cross-sectional survey
- 2018
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Ingår i: European Journal of Oncology Nursing. - : Churchill Livingstone. - 1462-3889 .- 1532-2122. ; 35, s. 33-38
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The knowledge about young adults who have lost a parent to cancer is limited, and to reach a broader understanding about this group, this study used the Dual Process Model of Coping with Bereavement (Stroebe and Schut, 1999) as a theoretical framework. The purpose of this study was to describe loss- and restoration-oriented bereavement stressors and psychosocial wellbeing of young adults following the loss of a parent to cancer. Method: This survey used baseline data from a longitudinal study. Young adults, aged 16–28 years, who lost a parent to cancer more than two months earlier and agreed to participate in support groups held at three palliative care services in Sweden, responded to a comprehensive theory-based study-specific questionnaire. Results: Altogether, 77 young adults (64 women and 13 men) answered the questionnaire an average of five-to-eight months after the loss. Twenty percent (n = 15) had not been aware of their parent's impending death at all or only knew a few hours before the death, and 65% (n = 50) did not expect the death when it occurred. The young adults reported low self-esteem (n = 58, 76%), mild to severe anxiety (n = 55, 74%), mild to severe depression (n = 23, 31%) and low life satisfaction. Conclusion: Young adults reported overall poor psychosocial wellbeing following bereavement. The unexpectedness and unawareness of the parent's imminent death, i.e., loss-oriented bereavement stressors, might influence psychosocial wellbeing. Despite these reports, restoration-oriented stressors, such as support from family and friends, helped them to cope with the loss.
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| 3. |
- Blom, Lisa Karlsson, 1982, et al.
(författare)
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Tiggarnas liv fyllt av övergrepp
- 2014
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Ingår i: Göteborgs-Posten. - 1103-9345. ; :19 mars
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Tidskriftsartikel (populärvet., debatt m.m.)
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| 4. |
- Lundberg, Tina, 1973-, et al.
(författare)
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Higher Self-Esteem Associated With Less Symptoms of Anxiety and Depression Among Young Adults After the Loss of a Parent to Cancer - A Longitudinal Study
- 2022
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Ingår i: Journal of Palliative Care. - : Sage Publications. - 0825-8597 .- 2369-5293. ; 37:2, s. 113-119
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The purpose of the study was to examine associations between self-esteem and symptoms of anxiety and depression among young adults who lost a parent to cancer.Methods: Older adolescents and young adults, aged 16 to 28 years, who had lost their parent to cancer and had accepted an invitation to join a support group, completed a questionnaire 5 to 8 months after the loss and a similar questionnaire about 10 months later (follow-up). Of a total of 77 young adults who participated in the study, 56 completed both questionnaires. Self-esteem was measured with the Rosenberg Self-Esteem Scale. Symptoms of anxiety and depression were measured with the Hospital Anxiety and Depression Scale. Univariate and multiple linear regression models were used to analyze the associations.Result: Self-esteem was significantly associated with symptoms of anxiety and depression at baseline and at follow-up.Conclusion: This study reveals that self-esteem is a valuable explanatory variable, and that it is associated with both symptoms of anxiety and depression in bereavement. This new knowledge could be used to guide future support to parentally bereaved young adults.
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| 5. |
- Lundberg, Tina, 1973-, et al.
(författare)
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Posttraumatic Growth After Struggling With the Loss of a Parent in Young Adulthood
- 2023
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Ingår i: Omega. - : Sage Publications. - 0030-2228 .- 1541-3764.
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Tidskriftsartikel (refereegranskat)abstract
- This study aims to examine posttraumatic growth and its associations with parental bereavement among adolescents and young adults. Fifty-five young adults who had lost a parent to cancer at least 2 months earlier and were about to attend a support group at a palliative care service were recruited. Data was collected through questionnaires before support group participation, about 5-8 months after the loss and at a 6-month follow-up, about 14-18 months after the loss. The result shows that the young adults experienced posttraumatic growth, mostly in the domains Personal strength and Appreciation of life. Posttraumatic growth was associated with bereavement outcomes, especially life satisfaction, a feeling of meaning in future life and psychological health. The result is of value for health care professionals as it adds information about the importance of supporting constructive rumination to enhance the possibility to positive psychological change after a parent's death.
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| 6. |
- Ridderstedt, Ivan, 1990-
(författare)
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Improving the Efficiency of Public Procurement : Empirical evidence using micro-level contract data
- 2023
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Among OECD countries, close to one-third of government expenditure is allocated using public procurement. This implies that the skill of public authorities in handling the procurement format has a significant impact on how much the public sector accomplish in relation to their goals and responsibilities. The aim of this thesis is to provide new insights into how public procurers can achieve more for the money by improving the design of their auctions and contracts. Specifically, the thesis examines how the efficiency can be influenced by the following three aspects: the method of bid evaluation (the award mechanism), whether items are procured separately or grouped into larger contracts, and variations among procurers in the activities and quantities they specify in a given case.The thesis includes four essays that analyze detailed contract information from Swedish procurements of road reinvestments and public bus services. For a comprehensive sample of the examined contracts, information has been collected from procurement documents and compiled into rich microdata sets. The use of microdata has enabled detailed reviews of how the procurements have been designed as well as statistical analysis of associations between the procurer’s choices and the outcome. While the essays primarily focus on results and implications regarding their respective research questions, the kappa provides a more general discussion about quantitative microanalysis in the field of procurement. This reflects a complementary aim of the thesis, which is to contribute to well-informed decisions regarding whether and how contracting authorities should facilitate analyses of this kind.Two of the essays investigate to what extent and how the Swedish national infrastructure manager Trafikverket can improve its efficiency in procurements of highway pavement replacement. Trafikverket spends approximately EUR 200 million on these works annually. Hence, if better procurement methods could lower the cost by 5% without reducing the quality, about EUR 10 million would be freed up annually for additional road maintenance or other uses. Both essays indicate that even greater efficiency gains can be achieved through improved dissemination of best practices. The results support Trafikverket's policy to bundle similar and adjacent road work but imply that the contracts are generally not large enough to fully benefit from the economies of scale. A conclusion is that it is motivated for Trafikverket to consider the scope for efficient bundling when deciding on the timing of these pavement replacement measures.The other two essays examine how the Swedish regional Public Transport Authorities (PTAs) have implemented the scoring rule award mechanism and its efficiency. This alternative to the lowest price and quality-only mechanisms is promoted within the EU procurement directive and is dominant in many countries. However, the literature on how well public agencies implement this policy is scarce and fragmented. One of the essays shows that scoring rules are common in Swedish procurements of public bus services, but also that there are significant differences between the PTAs in whether and how they have applied this award mechanism. Several implementations have unsound and likely unintended properties, in the light of economic theory. The findings suggest that best practices are not spread effectively between the organizations. The second essay on this theme exploits the property that one PTA alternated between lowest price and a performance focused variant of scoring rules and, equally important, could provide data on a relevant and reliable outcome measure. Based on 30 months of observations on monitored punctuality, performance is not found to be better in contracts awarded using scoring rules. The results suggest that the promotion of scoring rules is not accompanied with adequate guidance on when and how to implement it efficiently.The kappa highlights how microdata at the contract level enable research that considers both the ‘uniqueness’ of each procurement and random variation. In the analyses of road reinvestments, the detailed data allows us to consider several important characteristics of the contracts and the treated road segments. Similarly, the analysis of bus punctuality considers several aspects of the traffic assignment. In this way, quantitative microanalysis can provide reliable quantifications of how costs and quality are affected by both the procurer's actions, while considering the external conditions. Many of these associations are too complex to be reliably assessed by an individual civil servant, even if it is highly knowledgeable and experienced. However, the thesis emphasizes that even quantitative analysis can yield misleading results if the data material is not good enough, for example, if the sample is too small or relevant aspects are not captured.A central argument in the thesis is that the standardized and rigid procurement process creates particularly excellent conditions for collecting useful procurement data. However, the potential for this has largely remained untapped by the public agencies themselves. Instead, these data have primarily been compiled within individual research projects, where even the collection of tendering documents has been a notorious obstacle. In Sweden, Trafikverket's information management and cost control have repeatedly been criticized. However, Trafikverket is far from the ‘worst in class’ in these matters, and the criticism mainly reflects the agency's position as one of Sweden's largest procurers. An overall conclusion of the thesis is that public agencies in general should take a more active role in improving how procurement data are collected and managed. Of particular importance is the establishment of well-structured archiving processes for procurement documents, along with systems to track changes in both costs and content after a contract is awarded. For smaller authorities, it is reasonable that this development is coordinated or driven by a centralized function, whereas Trafikverket is well positioned to take a leading role in finding and disseminating best practices. Ultimately, the responsibility for instructing and overseeing improvements in this area lies with the governing bodies of the public agencies, given that the agencies do not set their own agendas.
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