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Sökning: WFRF:(Sarkadi Anna 1974 )

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  • Sarkadi, Anna, et al. (författare)
  • Is the refugee health screener a useful tool when screening 14-18 year old refugee adolescents for emotional distress?
  • 2018
  • Ingår i: The Journal of Refugee Studies. - Oxford, UK : Oxford Academic. - 0951-6328.
  • Tidskriftsartikel (refereegranskat)abstract
    • The high number of asylum seekers in Sweden has highlighted the need for structured assessment tools to screen for refugee mental health problems in clinical services. We examined the utility of the Refugee Health Screener (RHS) in refugee adolescents, aged 14-18, attending routine clinical examinations or staying in group homes/refugee centres (N=29). Participants completed a survey, including the RHS, administered through iPads in their native language. The RHS showed excellent internal consistency (α = .96) and correlated moderately with symptoms of PTSD (r=0.41, p=.025). Mean scores and prevalence rates were comparable to a study of adult refugees in Sweden. Unaccompanied refugee minors (URM) scored significantly higher (M=32.0, SD=12.9) compared to youth staying with their families (M=7.5, SD=8.2, p<.001, d=2.27). Our findings confirm that the RHS can be used in the adolescent population in Sweden.  These findings moreover suggest that URMs are a particularly vulnerable group with a large burden of mental health problems.
  • Ssegonja, Richard, et al. (författare)
  • Indicated preventive interventions for depression in children and adolescents : A meta-analysis and meta-regression
  • 2019
  • Ingår i: Preventive Medicine. - 0091-7435 .- 1096-0260. ; 118, s. 7-15
  • Forskningsöversikt (övrigt vetenskapligt)abstract
    • Depression contributes about 2% to the global burden of disease. A first onset of depressive disorder or subsyndromal depressive symptoms is common in adolescence, indicating that early prevention is a priority. However, trials of preventive interventions for depression in youths show conflicting results. This systematic review and meta-analysis investigated the effectiveness of group-based cognitive behavioral therapy (GB-CBT) as a preventive intervention targeting subsyndromal depression in children and adolescents. In addition, the impact of different covariates (type of comparator and use of booster sessions) was assessed. Relevant articles were identified from previous systematic reviews, and supplemented with an electronic search spanning from 01/09/2014 to 28/02/2018. The retrieved articles were assessed for eligibility and risk of bias. Relevant data were extracted. Intervention effectiveness was pooled using a random-effects model and the impact of covariates assessed using meta-regression. 38 eligible articles (34 trials) were obtained. The analysis showed GB-CBT to significantly reduce the incidence (relative risk 0.43, 95% CI 0.21-0.87) and symptoms (Cohen's d -0.22, 95% CI -0.32 to -0.11) of depression at post-test compared to all controls. Comparisons with passive comparators suggested that the effect decayed over time. However, compared to active controls, a significant intervention effect was evident only after 12 month or more. Our results suggest that the preventive effect of GB-CBT wears off, but still lasts longer than the effect of active comparators. Only a few studies included booster sessions, precluding firm conclusions. Future studies should clarify to what extent maintenance strategies can prolong the preventive effect of GB-CBT.
  • Bergström, Malin, et al. (författare)
  • "We also communicate through a book in the diaper bag"-Separated parents' ways to coparent and promote adaptation of their 1-4 year olds in equal joint physical custody
  • 2019
  • Ingår i: PLoS ONE. - PUBLIC LIBRARY SCIENCE. - 1932-6203 .- 1932-6203. ; 14:4
  • Tidskriftsartikel (refereegranskat)abstract
    • Joint physical custody (JPC) refers to a practice where children with separated parents share their time between the parents' respective homes. Studies on parents' views of JPC for young children are scarce. The aim of this interview study was to explore parents' perceptions on how they experience and practice equally shared JPC for their 1-4 year-olds in Sweden. Forty-six parents (18 fathers and 28 mothers) of 50 children (31 boys and 19 girls) under 5 years of age were interviewed. Parents were recruited through information in the media and represented a broad range of socioeconomic backgrounds, as well as both voluntary and court-ordered custody arrangements. The interviews were semi-structured and analyzed using systematic text condensation. Two themes emerged regarding the research question. In the first theme, Always free, never free, parents described their striving to coparent without a love relationship. While they appreciated the freedom of being a "half-time parent", doing things one's own way, they felt constrained by the long-term commitment to live close to and keep discussing child rearing issues with the ex-partner. Good communication was key and lessened parent's feelings of being cut-off from half of the child's life. When JPC was ordered by court or conflicts were intense, parents tried to have less contact and worried when the children were in the other home. The second theme, Is it right, is it good?, included descriptions of how the parents monitored the child's responses to the living arrangement and made changes to optimize their adjustment. Adaptations included visits for the child with the other parent mid-week, shared meals or adapting schedules. In conclusion, these parents worked hard to make JPC work and cause minimal damage to their children. Most parents were pleased with the arrangements with the notable exception of couples experiencing ongoing conflict.
  • Bokström, Pär, 1980-, et al. (författare)
  • Föräldrastöd i förskolan
  • 2013
  • Ingår i: Föräldrar, förskola och skola : om mångfald, makt och möjligheter. - Lund : Studentlitteratur. - 978-91-44-07952-3 ; s. 193-207
  • Bokkapitel (populärvet., debatt m.m.)abstract
    • Trots att utvecklingen mot en socialt ansvarstagande skola har pågått under lång tid, så är föräldrastödsprogram som levereras i förskolans regi någonting nytt i Sverige. Närheten till både barn och föräldrar har visat sig vara en utmärkt utgångspunkt för den här typen av verksamhet. Föräldrarna litar på pedagogernas kompetens och känner en trygghet i att de känner deras barn väl. Men det medför också utökade arbetsuppgifter och fördjupade ansvarsområden för pedagogerna, då föräldrastöd går utanför den traditionella verksamheten. Det medför i sin tur att pedagogerna i viss mån får en ny roll i sitt arbete med barnen, och även gentemot föräldrarna. Forskning på området är ytterst sparsam, både i Sverige och internationellt. Anledningen till det är att föräldrastöd på förskola är ovanligt, med hittills endast ett genomfört projekt i Sverige.
  • Cederblad, Maria, 1968-, et al. (författare)
  • Infrequent enuresis, the uninvestigated majority : comparisons between children with enuresis of varying severity.
  • 2015
  • Ingår i: Journal of Pediatric Urology. - 1477-5131 .- 1873-4898. ; 11:1, s. 24.e1-24.e6
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVE: The main objective was to compare children with frequent enuresis (FE) and children with infrequent enuresis (IE) using anamnestic data and variables related to bladder and kidney function. A secondary aim was to look at the group of children who wet their beds every single night, a phenomenon we chose to call constant enuresis (CE).SUBJECTS AND METHODS: The parents recorded the number of wet and dry nights for a period of 14 days, and measured the voided volumes as well as nocturnal urine production for 48 h. History data relevant to bladder and bowel function was also recorded.RESULTS: The children could be grouped as follows: IE, n = 14; FE, n = 18; and CE, n = 22. The children with IE were slightly older than the other groups, IE mean 7.57; FE mean 6.22; CE, mean 6.56 (p = 0.004). When comparing the groups in terms of the measured parameters, only one significant difference was found: the FE group had larger average daytime voided volumes, but only when the first morning void was included. The only significantly differing anamnestic variable was previous daytime incontinence, which was more common among the children in the IE group.CONCLUSIONS: When comparing children with varying enuresis severity, no major differences regarding bladder function and urine production were found. Furthermore, children with infrequent enuresis tend to be slightly older when they seek medical help.
  • Cederblad, Maria, 1968-, et al. (författare)
  • No effect of basic bladder advice in enuresis : a randomised controlled trial
  • 2015
  • Ingår i: Journal of Pediatric Urology. - 1477-5131 .- 1873-4898. ; 11:3
  • Tidskriftsartikel (refereegranskat)abstract
    • BackgroundThere are two firstline, evidence-based treatments available for nocturnal enuresis: desmopressin and the enuresis alarm. Prior to use of these therapies, international experts usually recommend that the children also be given basic bladder training during the daytime. The rationale behind this recommendation is that daytime bladder training or urotherapy, is a mainstay in the treatment of daytime incontinence caused by detrusor overactivity. Still, there is, as yet, no firm evidence that daytime bladder training is useful against nocturnal enuresis.AimTo explore whether basic bladder advice has any effect against nocturnal enuresis.Study designThe study was prospective, randomized, and controlled. The evaluated intervention was bladder advice, given in accordance with ICCS guidelines and focused on regular voiding, sound voiding posture, and sufficient fluid intake. Forty children aged 6 years or more with previously untreated enuresis, but no daytime incontinence, were randomized (20 in each group) to receive either first basic bladder advice for 1 month and then alarm therapy (group A) or just the alarm therapy (group B). Based on power calculations, the minimum number of children required in each treatment arm was 15.ResultsThe basic bladder advice did not reduce the enuresis frequency in group A (p = 0.089) and the end result after alarm therapy did not differ between the two groups (p = 0.74) (see Table). Only four children in group A had a partial or full response to bladder training, and two of these children relapsed immediately during alarm therapy.DiscussionThis was the first study to evaluate, in a prospective, randomized manner, the value of daytime basic bladder training as a treatment of enuresis. It was found that the treatment neither resulted in a significant reduction in the number of wet nights, nor did it improve the success of subsequent alarm therapy.ConclusionsThe recommendation that all children with enuresis be given bladder training as a firstline therapy can no longer be supported. Instead, we recommend that treatment of these children start with the enuresis alarm or desmopressin without delay.
  • Cederblad, Maria, et al. (författare)
  • "Nobody Asked Us if We Needed Help" : Swedish parents experiences of enuresis
  • 2014
  • Ingår i: Journal of Pediatric Urology. - 1477-5131 .- 1873-4898. ; 10:1, s. 74-79
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVE: To explore the everyday dilemmas of parents living with a child with nocturnal enuresis and to describe their support needs in relation to healthcare professionals.SUBJECTS AND METHODS: The study was conducted in 2011 in Uppsala County, Sweden. Parents of 13 children with enuresis, 10 mothers and three fathers, participated in qualitative semi-structured in-depth interviews, which were analysed using systematic text condensation.RESULTS: The analysis of the material resulted in six themes: enuresis is socially stigmatising and handicapping; all practices and home remedies are tested; it creates frustration in the family; protecting the child from gossip or teasing; support from healthcare providers would have helped; it's something we just have to live with. Two patterns of coping were identified: the Unworried wet-bed-fixers and the Anxious night-launderers.CONCLUSION: Having a child with enuresis can be stressful for parents, although they tried hard not to blame their child. Because parents can feel reluctant to bring up enuresis themselves, they want child health nurses to routinely raise the issue of bedwetting at the yearly check-up. Parents' information needs included causes of and available treatment options for enuresis as well as access to aids and other support for affected families.
  • Dahlberg, Anton, et al. (författare)
  • SDQ in the Hands of Fathers and Preschool Teachers Psychometric Properties in a Non-clinical Sample of 3-5-Year-Olds
  • 2019
  • Ingår i: Child Psychiatry and Human Development. - 0009-398X .- 1573-3327. ; 50:1, s. 132-141
  • Tidskriftsartikel (refereegranskat)abstract
    • The Strengths and Difficulties Questionnaire (SDQ) is a well-established instrument for measuring social and behavioural problems among children, with good psychometric properties for older children, but less validity reports on pre-schoolers. In addition, there is a knowledge gap concerning fathers as informants. The present work is one of the few validity studies to include preschool teachers and the first on preschool children where fathers are included as separate informants. In this study, SDQs were collected from a large community sample (n = 17,752) of children aged 3-5, rated by mothers, fathers, and preschool teachers and analysed using confirmatory factor analysis. Our results revealed acceptable fit for all informant groups and measurement invariance across child gender, child age, and parental education level. Our findings suggest good construct validity of the SDQ for a non-clinical preschool population and imply that it may be used for assessing child behaviour problems from different informant perspectives.
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