| 1. |
- Beijer, Ulla, et al.
(författare)
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Facets of Male Violence Against Women With Substance Abuse Problems : Women With a Residence and Homeless Women
- 2018
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Ingår i: Journal of Interpersonal Violence. - : SAGE Publications. - 0886-2605 .- 1552-6518. ; 33:9, s. 1391-1411
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Tidskriftsartikel (refereegranskat)abstract
- The aims of this study were to investigate the type and extent to which women with substance abuse problems have been exposed to male violence during their lifetime, and to examine possible differences between women with a residence (WR) and homeless women (HW). The total sample included 79 women (WR, n = 35; HW, n = 44; M age = 47.8 years). Of the total sample, 72 women (91%) had experienced different kinds of male violence, 88% from former partners, and 26% from male friends or acquaintances. Of the 72 women, 71% further reported “Countless occasions of violent events,” and 36% had been forced to commit criminal acts. Abused women who had been forced to commit criminal acts were significantly more frequently found to be homeless, have reported parental alcohol and/or drug problems, have witnessed domestic violence in childhood, have been victims of sexual violence, have used illicit drugs as a dominant preparation, and have injected illicit drugs. Almost half of the abused women (46%) met criteria for posttraumatic stress disorder (PTSD), where HW showed an almost 4-time higher risk (RR 3.78) than WR. In conclusion there is a particular vulnerability in women with substance abuse to male violence, which has an important impact on their health status. Thus, from a public health perspective, it is suggested that for those women who have experienced male violence, treatment protocols need to include both assessing and addressing the impact of such experience in relation to substance abuse as well as concomitant health concerns.
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| 2. |
- Cetrez, Önver, 1970-, et al.
(författare)
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A Psychosocial, Spiritual, and Physical Health Study among Assyrian-Syrian Refugees in Istanbul : Cultivating Resilience in the Midst of Hardship
- 2017
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Ingår i: Middle East Journal of Refugee Studies. - Istanbul : Pelikan Basim. - 2149-4398 .- 2458-8962. ; 2:2, s. 227-255
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Tidskriftsartikel (refereegranskat)abstract
- This study aimed at describing the general health situation among Assyrian-Syrian refugees (n = 171, 70.2% males, mean age 31.08) in Istanbul, during two separate time periods. Measures included The Patient Health Questionnaire (PHQ), The Brief R-COPE, The General Self-Efficacy Scale (GSE), The Connor-Davidson Resilience Scale (CD-RISC), The Primary Care Post Traumatic Disorder Scale (PC-PTSD), together with a number of additional health items. The results showed that among the 52.4% of those who were found to have experienced some kind of trauma, 23.4% met the criteria for PTSD. Ratings of one’s own physical health (p < .001), one’s own psychological health (p < .05), and PHQ were statistically significant with PTSD. Females rated their own physical health (p < .01) and own psychological health (p < .01) worse than men. A paired-samples t-Test showed a significant increase from Time 1 to Time 2 for Positive R-COPE (p < .08), a decrease for Negative R-COPE (p < .05), and an increase for the GSE (p < .05). A paired-samples t-Test showed a significant gender difference for the PHQ (p < .01) and GSE (p < .01). A mediation model, using a Sobel Test, showed that positive religious coping strategies reduced symptoms in male participants by improving their evaluations toward their own psychological well-being (p < .001).
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| 3. |
- Cetrez, Önver, Associate Professor, 1970-, et al.
(författare)
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A Public Mental Health Study Among Iraqi Refugees in Sweden : Social Determinants, Resilience, Gender, and Cultural Context
- 2021
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Ingår i: Frontiers in Sociology. - : Frontiers Media S.A.. - 2297-7775. ; 6
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Tidskriftsartikel (refereegranskat)abstract
- This public mental health study highlights the interactions among social determinants and resilience on mental health, PTSD and acculturation among Iraqi refugees in Sweden 2012-2013.Objectives: The study aims to understand participants' health, resilience and acculturation, paying specific attention to gender differences.Design: The study, using a convenience sampling survey design (N = 4010, 53.2% men), included measures on social determinants, general health, coping, CD-RISC, selected questions from the EMIC, PC-PTSD, and acculturation.Results: Gender differences and reported differences between life experiences in Iraq and Sweden were strong. In Sweden, religious activity was more widespread among women, whereas activity reflecting religion and spirituality as a coping mechanism decreased significantly among men. A sense of belonging both to a Swedish and an Iraqi ethnic identity was frequent. Positive self-evaluation in personal and social areas and goals in life was strong. The strongest perceived source of social support was from parents and siblings, while support from authorities generally was perceived as low. Self-rated health was high and the incidence of PTSD was low. A clear majority identified multiple social determinants contributing to mental health problems. Social or situational and emotional or developmental explanations were the most common. In general, resilience (as measured with CD-RISC) was low, with women's scores lower than that of men.Conclusions: Vulnerability manifested itself in unemployment after a long period in Sweden, weak social networks outside the family, unsupportive authorities, gender differences in acculturation, and women showing more mental health problems. Though low socially determined personal scores of resilience were found, we also identified a strong level of resilience, when using a culture-sensitive approach and appraising resilience as expressed in coping, meaning, and goals in life. Clinicians need to be aware of the risks of poorer mental health among refugees in general and women in particular, although mental health problems should not be presumed in the individual patient. Instead clinicians need to find ways of exploring the cultural and social worlds and needs of refugee patients. Authorities need to address the described post-migration problems and unmet needs of social support, together comprising the well-established area of the social determinants of health.
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| 4. |
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| 5. |
- Cetrez, Önver, Associate Professor, 1970-, et al.
(författare)
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Integration Policies, Practices and Experiences – Sweden Country Report
- 2020
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Rapport (refereegranskat)abstract
- This report explores the Swedish integration policies and practices as well as their implementation as experienced by newcomers. Integration refers to the permanent settlement period that sets in after the acquisition of a permanent residence permit, or when one starts mentally adapting to the host society. Through a multilevel governance approach, it highlights how legal, political, and institutional integration frameworks in Sweden affect integration outcomes. The latter refers specifically to the way newcomers establish themselves in the new society and negotiate their new social positions.The report compiles data from different sources (academic literature, research reports, official texts, policies and other relevant texts, interviews conducted both at micro and meso level) in order to provide comprehensive insights into regulations, policies, practices and experiences of integration in Sweden. Thus, the report aims to paint an integrated picture of how different components interact and affect migrant populations. The results are also relevant for future research that will specifically include host populations. The report specifically highlights the effects of a post-migration context on mental health and psychosocial integration, while emphasizing that all areas of daily functioning, namely housing, access to education and the labour market, as well as access to citizenship and a general feeling of belonging, are interconnected and combine in a comprehensive view.
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| 6. |
- Cetrez, Önver, 1970-, et al.
(författare)
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Utvärdering av Örebro preventionsprogram : Fas 1: ett assyriskt/syrianskt kulturellt perspektiv i Södertälje
- 2008
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- This report deals with the implementation of Örebro prevention program among the Assyrians in Södertälje. The program focuses on the use and abuse of alcohol and targets the interventions of parents. The purpose of the first part of the evaluation of this program has been to gain a general understanding of how the program has functioned within a minority context and based on this information to contribute with possible changes in the program for implementation among other minority populations. For this study a qualitative method with focus group interviews has been used. Data from four different groups has been collected: key persons, parents, youth, and pupils. The main conclusions that can be drawn from this study is that Örebro prevention program is useful within cultural minority groups, presupposing that the proposed changes within the program are implemented. The changes being recommended are: change/increase of content and implementation of practical applications. See the whole report at: http://www.ab.lst.se/upload/dokument/publikationer/S/rapporter/2008/OPP_tryck12%20maj_webb.pdf
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| 7. |
- DeMarinis, Valerie, 1954-, et al.
(författare)
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Cultural Analysis as a Perspective for Gender-Informed Alcohol Treatment Research in a Swedish Context
- 2009
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Ingår i: Alcohol and Alcoholism. - : Oxford University Press (OUP). - 0735-0414 .- 1464-3502. ; 44:6, s. 615-619
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Tidskriftsartikel (refereegranskat)abstract
- AIM: An exploratory study to investigate the role of culture in women's drinking at a clinic for women with alcohol problems in a Swedish treatment context. METHODS: A content analysis of the case journal material of 20 consecutive female patients at the EWA clinic (Early treatment of Women with Alcohol addiction) in Stockholm, Sweden, was conducted using an original instrument informed by the field of cultural psychiatry and emerging from recurrent themes in the case journals. RESULTS: The patients perceived themselves as having a sub-group status. A trajectory of ritualized actions around drinking, especially private drinking rituals, was identified. Existential components of patients' struggles with addiction in a highly secularized cultural context were identified. Multiple, contradictory explanatory frameworks for understanding drinking problems were creating cognitive dissonance. CONCLUSION: Using cultural analysis as a perspective for gaining gendered information may allow for identifying new patterns within specific cultural and subgroup contexts. It may contribute new information to the following treatment research areas: gender-appropriate measurement issues; service integration; gender-appropriate services for women; and, drinking rituals and patterns.
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| 8. |
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| 9. |
- DeMarinis, Valerie, 1954-, et al.
(författare)
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Health psychology and distress after haematopoietic stem cell transplantation
- 2009
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Ingår i: European Journal of Cancer Care. - : Hindawi Limited. - 0961-5423 .- 1365-2354. ; 18:1, s. 57-63
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study of 23 adult haematopoietic stem cell transplantation (HSCT) recipients is to compare the presence of post-transplantation depression disorders by gender and to compare the outcomes among those with and without depressive disorders using a health psychology focus. This cross-sectional pilot study of mid-term survivors took place in hospital outpatient clinic. Main outcome measures are depression disorders, health status (Short Form-12) and health anxiety. Female survivors had a higher rate of depression disorders, but those with treated depressive disorders were similar to those without depression on health-related quality of life and health anxiety. Neither patient age nor time since HSCT was associated with depressive disorders. A health psychology approach may enhance management of HSCT survivorship.
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