| 1. |
- Blomdahl, Christina, et al.
(författare)
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Art therapy for patients with depression: expert opinions on its main aspects for clinical practice
- 2016
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 0963-8237 .- 1360-0567. ; 25:6, s. 527-535
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Tidskriftsartikel (refereegranskat)abstract
- Background: Art therapy is based mainly on clinical experience and is rarely described and evaluated scientifically. There is a need for further exploration of its use in patients with depression. Aim: The aim of this study was to explore what experts consider to be the main aspects of art therapy in clinical practice for patients with depression. Method: Eighteen occupational therapists experienced and educated in art therapy participated. The experts answered three rounds of Delphi questionnaires and ranked their agreement with 74 assertions. Consensus was defined as 70% or higher. Results: The experts agreed more on assertions about theoretical frames of reference than about clinical practice. The main aspects of art therapy were agreed to be the patients’ opportunity to express themselves verbally and through making art. It was equally important that art tasks provided an opportunity to address depressive thoughts, feelings, life experiences, and physical symptoms. Conclusions: Experts in the field of art therapy considered that the main aspect of clinical practice in art therapy for patients with depression is that art themes should promote expression related to both to depression and personal history.
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| 2. |
- Blomdahl, Christina, et al.
(författare)
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A Manual-Based Phenomenological Art Therapy for Individuals Diagnosed With Moderate to Severe Depression (PATd): A Randomized Controlled Study
- 2018
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Ingår i: Psychiatric Rehabilitation Journal. - : American Psychological Association (APA). - 1095-158X .- 1559-3126. ; 41:3, s. 169-182
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Tidskriftsartikel (refereegranskat)abstract
- This study investigated the effects of manual-based Phenomenological Art Therapy for individuals living with depression in addition to treatment as usual (PATd/TAU) compared with only treatment as usual (TAU) for individuals diagnosed with moderate to severe depression. Method: 79 adults (men = 29.1%) were included in this randomized-controlled-trial (RCT), multicenter study in Sweden with an intention-to-treat design. Participants were randomized into either the PATd/TAU-group (n = 43) or TAU-group (n = 36). Data were collected at baseline and at end of treatment. The main outcomes were depression levels and self-esteem. Secondary outcomes were suicide ideation and sickness absence. Results: The PATd/TAU-group showed a significant decrease of depression levels. The PATd/TAU-group returned to work to a higher degree than the TAU-group. Self-esteem significantly improved in both groups. Suicide ideation was unaffected. Conclusion and Implications for Practice: Manual-based PATd works as expected, being an effective treatment, and contributes to recovery for individuals with moderate to severe depression. This outcome needs to be confirmed and its long-term effects examined in further studies.
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| 3. |
- Blomdahl, Christina, et al.
(författare)
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Meeting oneself in inner dialogue: a manual-based Phenomenological Art Therapy as experienced by patients diagnosed with moderate to severe depression
- 2018
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Ingår i: The Arts in Psychotherapy. - : Elsevier BV. - 0197-4556. ; 59, s. 17-24
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Tidskriftsartikel (refereegranskat)abstract
- Manual-based Phenomenological Art Therapy for patients with depression (PATd) is a program developed for patients with depression. This study aimed to explore and describe the significance of PATd for patients diagnosed with moderate to severe depression. The study adopted a phenomenological approach according to Reflective Lifeworld Research. Ten participants were interviewed. The interviews were transcribed and a meaning-oriented analysis was conducted: the transcribed text was read repeatedly to gain an initial sense of the material; meaning-bearing units were identified and related meanings were grouped together in clusters; and the invariant element, the essence of the phenomenon, was described with its various aspects. PATd facilitates meeting oneself in an inner dialogue between that which is evident and that which is outside of awareness. Both processes of making art and describing the experience makes oneself and the situation visible, opening up and altering understanding through the inner dialogue. This study contributes further information by deepening understandings of the importance of the meeting with oneself in an inner dialogue that occurs through the patient's engagement with the image, the art materials, and in the process of making art. The outer dialogue with the therapist elucidates and deepens the inner dialogue.
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| 4. |
- Blomdahl, C., et al.
(författare)
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Recovery From Depression-A 6-Month Follow-up of a Randomized Controlled Study of Manual-Based Phenomenological Art Therapy for Persons With Depression
- 2022
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Ingår i: Art Therapy. - : Informa UK Limited. - 0742-1656 .- 2159-9394. ; 39:1, s. 13-23
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Tidskriftsartikel (refereegranskat)abstract
- Manual-based phenomenological art therapy (PATd) was developed to facilitate recovery from depression. The study's aim was to investigate whether improvements were maintained 6 months after PATd was completed. In a randomized controlled study design, persons diagnosed with moderate or severe depression (n = 85) were invited to take part; n = 79 participated and were allocated either to intervention (n = 43) or control (n = 36). The control group received treatment as usual, while the intervention received PATd in addition to treatment as usual. Wilcoxon Signed Rank tests, t-tests, and regression models were employed. Reduced depression, improvements in self-esteem, suicide ideation, and returning to work were sustained in the 6-month follow-up. This study indicates that PATd supports more rapid recovery, while improvement is sustained over time.
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| 5. |
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| 6. |
- Carlsson-Lalloo, Ewa, et al.
(författare)
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People living with HIV in Sweden report high levels of sexual satisfaction in a registry-based cohort study
- 2021
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Ingår i: AIDS Care. - : Routledge. - 0954-0121 .- 1360-0451.
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Tidskriftsartikel (refereegranskat)abstract
- Sexual satisfaction can be challenging for people living with HIV (PLWH). To investigate self-reported sexual satisfaction in PLWH and its association with HIV-related biomarkers, a retrospective observational cohort study with data on sociodemographic characteristics and changes in PLWH’s assessment of their sexual satisfaction over time were retrieved from the Swedish National Quality Assurance Registry (InfCareHIV) where patient-related outcomes are reported annually. PLWH who had assessed self-reported sexual satisfaction 2011–2016 were included. Sexual satisfaction was dichotomized into sexual “satisfaction and dissatisfaction” and associations were analysed. In total, 3798 patients (66% men) answered 8202 questionnaires. Overall, 67% reported sexual satisfaction, with women more satisfied than men (72% vs 64%, p < 0.0001). Sexual satisfaction did not differ between patients on antiretroviral treatment (ART) >6 months whether the viral load was suppressed or not. Overall, the probability of reporting sexual satisfaction increased by 4% annually (p < 0.001). This increase may be explained by evolving knowledge about the minimal risks of sexual HIV transmission when on ART together with Sweden’s concomitant revision of legal restrictions. The use of patient-related outcomes in clinical practice is an important tool for facilitating conversations about sexuality in order to promote the health and well-being of PLWH. © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
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| 7. |
- Carlsson-Lalloo, Ewa, 1976, et al.
(författare)
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Sexual satisfaction and its associations with patient-reported outcomes in a cohort of women living with human immunodeficiency virus in Sweden
- 2022
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Ingår i: International Journal of Std & Aids. - : SAGE Publications. - 0956-4624 .- 1758-1052. ; 33:8
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Tidskriftsartikel (refereegranskat)abstract
- Background: Sexual satisfaction is an important dimension of health-related quality of life that needs to be addressed. Various factors may influence sexual satisfaction in women living with HIV (WLHIV); however, research in this area is limited. The aim of this study was to investigate patients' self-reported sexual satisfaction and its associations with patient-reported outcomes in WLHIV in Sweden. Methods: Data was retrieved from the InfCareHIV registry for the years 2011-2016. The registry includes a self-reported validated 9-item health questionnaire to assess patient-reported outcomes, side effects and adherence. In total, 1292 WLHIV aged >= 18 years were included, corresponding to 42.8% of the female Swedish InfCareHIV cohort 2011-2016. A total of 2444 questionnaires were included in the study. The patient-reported outcomes used were satisfaction with physical health and psychological health, sexual satisfaction, and experiencing side effects from HIV-medication. Associations were tested in univariable and multivariable models. Results: The study shows that there was a significant association between sexual satisfaction and satisfaction with psychological health (p <= 0.0001). There was a lower probability of reporting sexual satisfaction in women who were of an older age when they received an HIV-diagnosis (p = 0.033), who had lived for more years with HIV (p = 0.0004), or who had experienced side effects (p = 0.028). Conclusions: This national register-based study identified that sexual satisfaction in WLHIV is associated with psychological health and with having experienced side-effects. Patient-reported outcomes can provide valuable information so that the care of WLHIV covers all aspects of health and supports sexual satisfaction, which is an important part of quality of life.
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| 8. |
- Carlsson-Lalloo, Ewa, 1976, et al.
(författare)
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Sexuality and childbearing as it is experienced by women living with HIV in Sweden: a lifeworld phenomenological study
- 2018
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Ingår i: International Journal of Qualitative Studies on Health and Well-Being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 13:1
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Tidskriftsartikel (refereegranskat)abstract
- The effectiveness of antiretroviral treatment has reduced sexual HIV transmission and motherto-child-transmission. To optimally support women living with HIV, health care providers need deepened knowledge about HIV, sexuality and childbearing. The aim of this study was to describe the phenomenon sexuality and childbearing as experienced by women living with HIV in Sweden. Data were collected by phenomenon-oriented interviews with 18 HIV-positive women. A reflective lifeworld analysis based on phenomenological philosophy was conducted, describing the meaning structure of the phenomenon. The essence of the phenomenon is that perceptions about HIV and its contagiousness profoundly influence sexual habits and considerations in relation to pregnancy and childbearing. These perceptions are formed in combination with knowledge and interpretations about HIV by the women themselves and by their environments. The essence is further described by its constituents: Risk of transmission imposes demands on responsibility; The contagiousness of HIV limits sexuality and childbearing; Knowledge about HIV transmission provides confident choices and decisions; and To re-create sexuality and childbearing. Although HIV has a low risk of transmission if being well treated, our study shows that HIV-positive women feel more or less contagious, which influences sexuality and decision-making in relation to become pregnant and give birth.
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| 9. |
- Carlsson-Lalloo, Ewa, 1976, et al.
(författare)
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Sexuality and Reproduction in HIV-Positive Women: A Meta-Synthesis
- 2016
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Ingår i: AIDS Patients Care and STDs. - : Mary Ann Liebert Inc. - 1087-2914 .- 1557-7449. ; 30:2, s. 56-69
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Tidskriftsartikel (refereegranskat)abstract
- The increased access to effective antiretroviral treatment (ART) has made HIV comparable to a chronic disease in terms of life expectancy. Needs related to sexuality and reproduction are central to overall health and well-being. An interpretative meta-synthesis was performed to synthesize and assess how HIV-positive women’s experiences of sexuality and reproduction have been described in qualitative studies. A total of 18 peer-reviewed qualitative studies were included, which comprised a total of 588 HIV-positive interviewed women. The studies originated from resource-rich countries outside the Asian and African continents. The analysis, resulting in a lines-ofargument synthesis, shows that HIV infection was a burden in relation to sexuality and reproduction. The weight of the burden could be heavier or lighter. Conditions making the HIV burden heavier were: HIV as a barrier, feelings of fear and loss, whereas motherhood, spiritual beliefs, and supportive relationships made the HIV burden lighter. The findings are important in developing optimal health care by addressing conditions making the burden of HIV infection lighter to bear. In future research there is a need to focus not only on examining how HIV-positive women’s sexual and relationships manifest themselves, but also on how health care professionals should provide adequate support to the women in relation to sexuality and reproduction.
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| 10. |
- Carlsson-Lalloo, Ewa, 1976, et al.
(författare)
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Supportive conditions for sexual and perinatal wellbeing in women living with HIV in Sweden: A phenomenological study.
- 2021
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Ingår i: Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives. - : Elsevier BV. - 1877-5764 .- 1877-5756. ; 29
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Tidskriftsartikel (refereegranskat)abstract
- Women living with HIV have specific needs regarding sexuality, pregnancy, and childbirth. However, there is lack of knowledge about how these needs can be met. The aim of this study was to identify supportive conditions for sexual and perinatal wellbeing in women living with HIV in Sweden.A phenomenological reflective lifeworld research approach was used. Transcribed interviews with 18 women living with HIV in Sweden were analyzed focusing on the meanings of the study phenomenon.When living with HIV, "feeling safe with oneself and in relationships with others" is essential for sexual and perinatal wellbeing. This is constituted by having good overall health, being in a caring context, having access to high quality information about HIV, and being ensured the same rights as other women.The study shows that women living with HIV have specific needs for the support of their sexual and perinatal wellbeing. This knowledge can be used by all those engaged in HIV care and HIV prevention in order to improve and implement supportive conditions for women living with HIV. It is important that all those involved in the care of women living with HIV constantly update their knowledge about HIV and women's experiences of living with HIV in order to provide safe arenas and caring contexts that support the wellbeing of these women.
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