| 1. |
- Anderberg, Mats, 1961-, et al.
(författare)
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Mer än varannan ungdom med alkohol- och narkotikaproblem i öppenvården har erfarenhet av utsatthet i barndomen
- 2019
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Ingår i: Socialmedicinsk Tidskrift. - Stockholm : Karolinska Institutet. - 0037-833X. ; 96:6, s. 786-799
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Tidskriftsartikel (refereegranskat)abstract
- Det finns idag få svenska studier som undersöker erfarenheter av utsattheti barndom hos ungdomar med drogproblem, särskilt inom öppenvården.Den här studien analyserade erfarenheter av försummelse och övergreppunder barndomen hos ungdomar (medelålder 18 år) som påbörjat öppenvårdsbehandlingför drogproblem. Resultaten visade att många ungdomarhade erfarenheter av försummelse och övergrepp i barndomen. Erfarenhetav utsatthet i barndomen var också relaterat till upplevda problem i uppväxtfamiljen,t.ex. ekonomiska svårigheter, missbruk, psykisk ohälsa och våld ifamiljen. Resultaten pekar på att det är angeläget att även utreda utsattheti barndomen bland ungdomar i behandling för drogproblem, särskilt då det idag finns god evidens för att psykiatrisk samsjuklighet (t.ex. traumareaktionoch drogproblem) bör behandlads samtidigt för att uppnå bäst effekt.
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| 2. |
- Anderberg, Mats, et al.
(författare)
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Mer än varannan ungdom med alkohol- och narkotikaproblem i öppenvården har erfarenhet av utsatthet i barndomen
- 2019
-
Ingår i: Socialmedicinsk Tidskrift. - 0037-833X. ; 96:6, s. 786-799
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Tidskriftsartikel (refereegranskat)abstract
- Few Swedish studies investigated experiences of childhood maltreatment in adolescents with substance use problems, especially in outpatient care. This study analyzed experiences of neglect and abuse during childhood in adol- escents (mean age 18 years) who started outpatient treatment for substance use problems. The results showed that several of them had experience of child maltreatment. Child maltreatment was also related to perceived pro- blems in the upbringing family, e.g. financial difficulties, substance use pro- blems, mental illness and violence in the family. This indicate the importance to investigate experiences of child maltreatment among adolescents in tre- atment for substance use problems, especially since there is evidence to- day that psychiatric co-morbidity (e.g. trauma reaction and drug problems) should be treated simultaneously to achieve the best effect.
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| 3. |
- Boson, Karin, 1984, et al.
(författare)
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Adolescents with substance use problems in outpatient treatment: a one-year prospective follow-up study focusing on mental health and gender differences
- 2022
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Ingår i: Substance Abuse Treatment, Prevention, and Policy. - : Springer Science and Business Media LLC. - 1747-597X. ; 17:1
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Tidskriftsartikel (refereegranskat)abstract
- Background Although several studies have found a high incidence of coexisting mental health problems among adolescents with substance use problems, follow-up studies addressing how these conditions change over time are rare. The study will describe and analyze indications of mental health problems and how various risk factors predict outcomes 1 year after initial treatment contact. In addition, gender-specific risk factors are explored. Methods A clinical sample of 455 adolescents (29% girls, median age 17 years) answered a structural interview at baseline and were followed up using official records 1 year after initiated treatment. Bivariate associations and logistic regressions were conducted to analyse the links between risk factors at the individual, social, and structural levels as well as links between various mental illness symptoms at treatment start and indications of mental health problems 1 year later were analysed. Results The results show that mental health problems among adolescents largely persisted 1 year after start of outpatient care for substance use problems. Forty-two per cent of the sample displayed indications of mental health problems at follow-up, and registrations for both outpatient treatment and psychiatric medication were more common among the girls. Girls also reported more mental illness symptoms at treatment start than boys did, especially anxiety. Depression and suicidal thoughts had predictive values regarding indications of mental health problems and small cumulative effects were found for 6-10 co-occurring risk factors. Conclusions Adolescents with depression and suicidal thoughts at treatment start should yield attention among clinicians as these general risk factors could predict indication of mental health problems at 1 year follow-up effectively. Also, patients with more than six co-occurring risk factors seem more vulnerable for continued mental health problems. Generally, girls displayed a greater mental health and psychosocial burden at treatment initiation and were more likely to show indication of mental health problems at follow-up. These results suggests that girls are more likely to get psychiatric out-treatment parallel to, or after, substance abuse treatment. We recommend further investigation of gender differences and gender-specific needs in substance use treatment.
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| 4. |
- Melander Hagborg, Johan
(författare)
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Child maltreatment among young adolescents: Effects on mental health, academic functioning and substance use
- 2019
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The main aim of this doctoral thesis was to investigate how experiences of childhood maltreatment affected three developmentally salient areas of functioning in adolescent development. Participants were recruited through the Swedish multidisciplinary program Longitudinal Research on Development in Adolescence (LoRDIA). Study I explored the relationship between self-reported emotional maltreatment (i.e., emotional neglect and emotional abuse), mental health, and mental well-being among 1134 girls and boys (mean age 12.7 years, SD 0.6). Emotional maltreatment had significant negative effects on mental health and mental well-being in both girls and boys. There were also significant effects of the interaction between gender and level of emotional maltreatment on mental health: girls reported decreased mental health and mental well-being at lower levels of emotional maltreatment than did boys; furthermore, girls reported more mental health problems in response to emotional maltreatment than did boys. The aim of Study II was to examine the relationship between child maltreatment and school absenteeism among adolescents (n = 1316; mean age 14.3 years, SD 0.6), focusing on the prevalence of self-reported child maltreatment among non-absentees and absentees. Furthermore, differences between maltreated and non-maltreated absentees in mental health, perceived school environment, and peer victimization in school were analyzed. About 25% of absentees reported one subtype of maltreatment (16% of the total sample) and a mean of 22% of absentees reported two or more subtypes of maltreatment (11% of the total sample). Maltreated absentees reported more mental health problems, personal harassment, and negative relationships with their teachers than did non-maltreated absentees. Study III investigated the longitudinal relationship (at three time points) between being subjected to no maltreatment, one type of maltreatment, and multiple types of maltreatment, and experiencing substance-use–related negative consequences (SURNCs) in adolescence (n = 406; mean ages at the three time points were 13.5, 14.4, and 14.9 years). SURNCs are the proximal consequences of substance use consumption, consequences such as getting into fights with friends or family, stealing, neglecting responsibilities, and being unable to cut down on substance use. Estimates from zero-inflated Poisson growth curve models revealed that experiencing multiple types of maltreatment before the age of 12 years was associated with increased frequency of SURNCs during the transition from early to mid-adolescence. This association was partly mediated by alcohol and illicit substance use frequency. Results of the three studies included in this thesis indicate that child maltreatment is associated with negative outcomes concerning three developmentally salient domains of functioning in adolescence: mental health, academic functioning (i.e., school absenteeism), and substance use. Further research should address gender differences in the consequences of maltreatment and factors that mediate and moderate the relationship between child maltreatment and mental health, school absenteeism, and substance use. In addition, it is important to evaluate trauma-informed preventive interventions that can be implemented within regular mental healthcare, schools, and substance use treatment centers.
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| 5. |
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| 6. |
- Melander Hagborg, Johan, et al.
(författare)
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Evidence for a relationship between child maltreatment and absenteeism among high-school students in Sweden
- 2018
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Ingår i: International Journal of Child Abuse & Neglect. - : Elsevier BV. - 0145-2134 .- 1873-7757. ; 75, s. 41-49
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Tidskriftsartikel (refereegranskat)abstract
- School absenteeism is a potent predictor of academic failure. Maltreated adolescents have been found to be more absent from school compared to their peers. However, it is scarcely studied in what degree a general population of students with high levels of school absenteeism has been exposed to child maltreatment. Furthermore, it is not known if maltreated school-absentees have specific characteristics compared to not-maltreated absentees. In this article, the first objective was to present and compare the prevalence of six types of child maltreatment in a general population of high school students reporting no, moderate or excessive absenteeism. The second objective was to compare maltreated and not-maltreated students who report absenteeism in respect to mental health, perceived school environment and peer victimization in school. Data from 667 girls and 649 boys (mean age 14.3) was used from the longitudinal multidisciplinary research program LoRDIA (Longitudinal Research on Development In Adolescence). Data was collected via self-report questionnaires in classroom settings. All six types of child maltreatment were overrepresented among absentees. Roughly 25% of absentees reported one subtype of maltreatment (16% in the total population) and a mean of 22% of absentees reported two or more types of maltreatment (11% in the total population). Maltreated absentees reported more mental health problems, personal harassment and worse relationship with their teachers than not-maltreated absentees. There might be specific correlates of school absenteeism among maltreated adolescents and professionals involved in preventing school-absenteeism should be made aware of the relationship between maltreatment and absenteeism.
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| 7. |
- Melander Hagborg, Johan, et al.
(författare)
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Gender differences in the association between emotional maltreatment with mental, emotional, and behavioral problems in Swedish adolescents
- 2017
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Ingår i: Child Abuse and Neglect. - : Elsevier BV. - 0145-2134 .- 1873-7757. ; 67, s. 249-259
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Tidskriftsartikel (refereegranskat)abstract
- Emotional maltreatment is a common form of child abuse with a powerful negative impact on mental health. The aim of this study was to examine the effect of emotional maltreatment on mental health and mental well-being in a general population of Swedish 12- to 13-year old girls and boys. Data was collected via self-report questionnaires in classroom settings from 1134 students. Emotional maltreatment had significant effects on mental health and mental well-being for both girls and boys. Moreover, there were significant interaction effects between gender and levels of emotional maltreatment. Girls reported decreased mental health and mental well-being at lower degrees of emotional maltreatment compared to boys. Furthermore, girls reported larger decreases in mental health in response to exposure of emotional maltreatment. For internalizing symptoms, mental well-being and psychosomatic symptoms, exposure level of emotional maltreatment seemed to magnify the gender differences. For externalizing symptoms, there were no differences between girls and boys in the group reporting no emotional maltreatment and the increase in externalizing symptoms were of equal magnitude for both genders. Given the impact of emotional maltreatment on mental health in the general population, results from this study implies that a trauma-informed perspective is necessary in understanding gender differences in mental health in early adolescence. Further research is needed in order to understand the underlying processes generating the differences in girls and boys responses to emotional maltreatment.
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| 8. |
- Melander Hagborg, Johan, et al.
(författare)
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Prosecution Rate and Quality of the Investigative Interview in Child Sexual Abuse Cases
- 2012
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Ingår i: Journal of Investigative Psychology and Offender Profiling. - : Wiley. - 1544-4759. ; 9:2, s. 161-173
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Tidskriftsartikel (refereegranskat)abstract
- One suggested reason for the low prosecution rate in child sexual abuse cases is the poor quality of the interviews. The present study examined the extent to which a number of aspects of interview quality were used by interviewers at a Children's Advocacy Centre in Sweden. Furthermore, the relationship between aspects of interview quality and the prosecution rate was examined. Transcripts of investigative interviews with 3-year-old to 16-year-old children who all reported on sexual abuse were assessed (n?=?32). There were no effects found concerning the relationship between prosecution rate on the one hand, and interview quality, age, and the child's relationship with the suspected offender on the other. The interviews with older children were, on several aspects, scored as higher in quality. The relationships between these findings and child sexual abuse investigations and interviews are discussed. Copyright (c) 2012 John Wiley & Sons, Ltd.
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| 9. |
- Melander Hagborg, Johan, et al.
(författare)
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The Childhood Trauma Questionnaire-Short Form (CTQ-SF) used with adolescents - methodological report from clinical and community samples
- 2022
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Ingår i: Journal of Child & Adolescent Trauma. - : Springer Science and Business Media LLC. - 1936-1521 .- 1936-153X. ; 15, s. 1199-1213
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Tidskriftsartikel (refereegranskat)abstract
- Purpose The Childhood Trauma Questionnaire-Short Form (CTQ-SF) is a widely used retrospective screening tool for childhood maltreatment in adults. Its properties are less known in adolescents. The objective was to investigate acceptability and psychometric properties when used in adolescents. Method A community sample of adolescents (n=1885) in four waves (from 13 or 14 to 17 years old) and a clinical sample (n=74, mean age 18), both from Sweden, were used to assess acceptability and different aspects of validity and reliability. Results The CTQ-SF was found to be well-accepted. As expected, the community sample scored lower than the clinical sample on all maltreatment-scales and showed stability over-time. In the community sample, internal consistencies were substantial or excellent for all scales except Physical neglect, and in the clinical sample this was found for all scales. One-year test-retest consistencies of subscales were substantial or almost perfect, and for all scales, they increased from early to mid-adolescence. Directed inconsistencies on item level decreased from early to mid-adolescence. Convergent validity was shown in relation to scales on family climate, parental relations, and emotional health also from early adolescence. Discriminant analyses showed more moderate discriminatory ability although almost seven times better than by-chance. Conclusions The CTQ is well accepted and can be trusted to provide consistent and valid self-reports from the age of 14 on childhood maltreatment. Some caution is advised when used with younger adolescents, since the test-retest stability is then weaker, and the interpretation of the M/D scale is more ambiguous.
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| 10. |
- Punzi, Elisabeth, 1968, et al.
(författare)
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Minnen och berättelser om flykt och identitet
- 2024
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Ingår i: Shmues! Judiskt kulturarv i Sverige. - : Göteborgs universitet. ; :4
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Lisa Granér föddes i Wien 1934 och kom som fyraåring till Sverige som flykting 1939. I detta avsnitt delar hon med sig av minnen, berättelser och livserfarenheter tillsammans med poddens moderator Elisabeth Punzi och Johan Melander Hagborg. Johan är klinisk psykolog, forskare och lärare vid psykologiska institutionen vid Göteborgs universitet som har arbetat mycket med barn och familjer som genomlevt flykt och trauman. Lisa Granér berättar hur livet förändrades efter Tysklands annektering av Österrike 1938 (kallat ”Anschluss”). Hur det fick direkta effekter på livet för henne, hennes familj och andra judiska familjer i landet. Vi pratar trauman, medmänsklighet och motstånd, men främst upplevelser och minnen. Vi reflekterar över ting, känslan av hemma och barns reaktioner på trauman.
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