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| 2. |
- Axberg, Ulf, et al.
(författare)
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Evaluation of the Incredible Years Series - An open study of its effects when first introduced in Sweden
- 2007
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Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 1502-4725 .- 0803-9488. ; 61:2, s. 143-151
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Tidskriftsartikel (refereegranskat)abstract
- Behaviour management problems (BMP) are common among children (4-12%) and the prevalence seems to be rising. Persistent antisocial behaviour often leads to poor long-term psychosocial adjustment. Structured parent-training programmes have proven to be the most effective way of treating BMP in young children. The Incredible Years Series (IYS), which is a manual-based programme, was introduced in Sweden in 2001. The aim of the present study was to evaluate the effectiveness of IYS in diverse clinical settings in Sweden. Parents of 113 children (3-9 years), recruited through the IYS-trained group leaders' ordinary services, participated in the study. The parents answered various questionnaires regarding their children's symptoms and their own psychological well-being before and after participating in the parent-training groups. The results are very encouraging; significant reduction of BMP in the children was found on all relevant measures. A significant increase in the self-rated wellbeing of the mothers was also found. The IYS seems to work in Sweden, even when used by group leaders who are in training. The importance of using a well-documented manualized method when implementing new models is accentuated.
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| 3. |
- Bergström, Martin, et al.
(författare)
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A follow-up study of adolescents with conduct disorder: can long-term outcome be predicted from psychiatric assessment data?
- 2008
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Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 1502-4725 .- 0803-9488. ; 62:2, s. 121-129
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Tidskriftsartikel (refereegranskat)abstract
- This study examines Swedish young adults (mean age 21) with a history of conduct disorder (CD) as adolescents. Using medical records, this study explores the relationship between adolescent inpatients and their outcomes in adulthood. Two outcome variables were used: an indication of non-successful outcome variable (seven undesirable outcomes) and sense of coherence. Using multiple regression analyses, this study showed that extracted data from the medical case record could significantly explain small variance depending on output variable. The small variance could be related to the homogeneous clinical sample, the follow-up time, the outcome variables and the absence of a biological perspective. This study suggest, clinicians should be very careful when predicting outcome in young adulthood, if they should predict outcome at all. The positive conclusion in this matter is that as far as we know any teenager with CD could have a positive outcome in young adulthood.
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| 4. |
- Bergström, Martin, et al.
(författare)
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A long-term follow-up of conduct disorder adolescents into adulthood.
- 2006
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Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 1502-4725 .- 0803-9488. ; 60:6, s. 469-479
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Tidskriftsartikel (refereegranskat)abstract
- This study focuses on young male and female adults (n=290) who were diagnosed with conduct disorder (CD) during adolescence at the inpatient child and adolescent psychiatric unit in Lund, Sweden. Their adulthood is described using seven outcome variables: in custody, crime, illicit drug use, mental health, teenage parenthood, transference income and educational attainment. Together, the seven outcome variables represent a wide perspective of individual life and known risks for both genders. The variables are compared, scaled and described in an outcome that identifies successful outcome. Although this was a severe clinical inpatient group of adolescents, a relatively large number - about a third of the males and close to half of the females - exhibit a successful outcome by their early twenties. This study highlighted the merits use gender-sensitive outcome variables. The take-home message from a societal perspective is that many improvements are needed, a message that has been voiced in several Swedish commissions.
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| 5. |
- Bergström, Martin, et al.
(författare)
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A long-term follow-up study of adolescents with conduct disorder: Can outcome be predicted from self-concept and intelligence?
- 2009
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Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 1502-4725 .- 0803-9488. ; 63:6, s. 454-461
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Tidskriftsartikel (refereegranskat)abstract
- Background: This study examines Swedish young adults (age 21) with a history of conduct disorder (CD) in adolescence. Research has established CD as a condition for a range of adverse outcomes. Intelligence, aggression, parent-child conflict, parent-child relation and peer-rejection are known factors influencing the outcome. Aim: The aim of this longitudinal study is to find how self-confidence and intelligence in an inpatient group diagnosed with CD are related to health in young adulthood. Methods: The subjects were diagnosed with CD in their adolescence at the inpatient child and adolescent psychiatric unit. Using structured questionnaires as independent variables, this study uses multiple regression analysis to predict health outcomes. Results: The results showed that self-concept and verbal intelligence could significantly predict health outcomes. However, in the multivariate analysis, only self-concept variables significantly predicted the outcome. The predicted outcome was small, but substantial in most models (R-2 = 0.12-0.25). Conclusion: This means that clinicians need to be humble in forecasting individual adult health among adolescents with severe CD. According to this study, it is difficult to separate positive and negative outcomes. We suggest that this structural data has better prediction potential than medical casebook data. If this is the general case, this psychometric data paves the way for more structural ways of assessing child and adolescence psychiatric problems.
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| 6. |
- Gustafsson, Peik, et al.
(författare)
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Treatment of Attention Deficit/Hyperactivity Disorder With Amphetamine: Short-Term Effects on Family Interaction.
- 2008
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Ingår i: Journal of Attention Disorders. - : SAGE Publications. - 1557-1246 .- 1087-0547. ; 12:1, s. 83-91
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Tidskriftsartikel (refereegranskat)abstract
- Objective: This research seeks to study the impact on family function after 3 months of treatment with amphetamine. Method: A total of 43 children, 6 to 11 years of age, with ADHD were treated with amphetamine for 3 months. Family function was studied before and after treatment by parent self-rating and independent observer ratings of videotaped parent—child interactions. Results: The families with a child with ADHD were found to be more dysfunctional than control families. Families with children with severe ADHD behavior showed evidence of more family dysfunction compared to families with children with less severe ADHD behavior. After 3 months of treatment with amphetamine, the children's behavior and the mother's well-being and some aspects of parent-reported and observer-rated family functioning improved. Conclusion: This study gives support to the notion that some aspects of family dysfunction may be related to the child's ADHD behavior.
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| 7. |
- Gustle, Lars-Henry, et al.
(författare)
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Blueprints in Sweden. Symptom load in Swedish adolescents in studies of Functional Family Therapy (FFT), Multisystemic Therapy (MST) and Multidimensional Treatment Foster Care (MTFC).
- 2007
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Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 1502-4725 .- 0803-9488. ; 61:6, s. 443-451
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of the present study was to compare symptom load in youth groups treated with three Swedish Blueprint programmes - Functional Family Therapy (FFT), Multisystemic Therapy (MST) and Multidimensional Treatment Foster Care (MTFC) - to see if symptom load matches the intensity of the treatment model as expected. These youth groups were also compared with in- and outpatients from child and adolescent psychiatry, and a normal comparison group. In addition, we compared the symptom load of their mothers. Symptom load was measured by the Achenbach System of Empirically Based Assessment (ASEBA) in the adolescents, and by the Symptom Checklist 90 in their mothers. The results showed that youth in the MST and MTFC studies had a higher symptom load than in the FFT study, and the same pattern of results was found in their mothers. It is concluded that there seems to be a reasonable correspondence between the offered resources and the symptom load among youth and parents; treatment methods with higher intensity have been offered to youth with higher symptom load. The correlation between internalized and externalized symptoms was high in all study groups. The MST and MTFC groups had an equally high total symptom load as the psychiatric inpatient sample.
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| 8. |
- Hansson, Kjell, et al.
(författare)
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A salutogenic investigation and treatment of conduct disorder (CD)
- 2004
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Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 1502-4725 .- 0803-9488. ; 58:1, s. 5-16
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Tidskriftsartikel (refereegranskat)abstract
- This article reports results from a long-term follow-up of adolescents with conduct disorder who have been patients at an inpatient child psychiatric unit in Lund, Sweden. Up to now, a total of 186 adolescents have participated in the follow-up study. The subjects are a heavily symptom-loaded group with many problems during their childhood. The study includes self-rating that describe psychiatric symptoms, sense of coherence, family climate and an interviewer rating on health. The follow-up paints a relatively positive picture; approximately 30-50% of the subjects have improved their lives and have an acceptable life situation according to the concepts of "love well", "play well", "work well" and "expect well".
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| 9. |
- Hansson, Kjell, et al.
(författare)
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Individual resiliency factors from a genetic perspective: results from a twin study.
- 2008
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Ingår i: Family Process. - : Wiley. - 0014-7370 .- 1545-5300. ; 47:4, s. 537-551
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Tidskriftsartikel (refereegranskat)abstract
- This article is part of the Twin Mother's Study, a study that examines influences on maternal adjustment. A number of studies have investigated the importance of genetic factors for mental health, but few of these examine how genes and the environment influence resiliency/salutogenic factors. This article investigates the relative importance of genetic and environmental influences on resiliency/salutogenic factors. This study includes 326 twin pairs (150 monozygotic and 176 dizygotic) who are mothers, who are living with their spouse, and who are part of the Swedish twin register. Using self-report structured questionnaires, we assessed salutogenic factors, depression, and quality of life; however, we analyzed the questionnaires completed by the mothers. Statistical analyses were conducted using structural equation modeling. We conclude that nonshared environmental components were of principal importance in individual resiliency/salutogenic factors in a genetically informative design, but we also noted that genetic influences were important. The shared environment had mainly no effect.
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| 10. |
- Jarbin, Håkan, et al.
(författare)
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Expressed emotion and prediction of relapse in adolescents with psychotic disorders
- 2000
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Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 1502-4725 .- 0803-9488. ; 54:3, s. 201-205
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Tidskriftsartikel (refereegranskat)abstract
- Expressed emotion (EE) is associated with relapse in adults with psychotic disorders. EE was assessed both at admission and after discharge with the Five Minutes Speech Sample (FMSS) in adolescent in-patients with psychotic disorders (n=15). The results showed that while neither admission nor post-discharge high-EE predicted relapse, the aggregated EE from admission or after discharge significantly predicted both 1- and 2-year relapse rate when borderline ratings were included in the high-EE group. While predictive power and the sensitivity of admission high-EE and relapse was moderate, the specificity of this association was very high (0.9 or more). The aggregated EE measure yielded high sensitivity and high specificity to predict relapse. Despite the low statistical power of the study, the results indicate that FMSS may be a useful tool in determining the risk of relapse in adolescent psychosis.
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