| 1. |
- Arvidsson, Hans, 1947, et al.
(författare)
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Effects of the Two-Way Communication Checklist (2-COM): A one-year cluster randomized study in a group of severely mentally ill persons
- 2014
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Ingår i: International Journal of Social Psychiatry. - : SAGE Publications. - 0020-7640 .- 1741-2854. ; 60:1, s. 95-102
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Tidskriftsartikel (refereegranskat)abstract
- In a health-care service with the emphasis on improvement related to functioning and well-being, the communication process between patient and professionals is essential. There is a lack of research on this matter. Aim: The aim was to investigate, in a group of severely mentally ill persons, whether the use of a simple communication tool could influence the sense of empowerment, satisfaction with care, therapeutic alliance and unmet needs. Method: The study had a cluster randomized design. The intervention was a communication tool (2-COM) applied in two teams during one year. In a comparison group of two other teams, the treatment was as usual. At baseline, after six months, and after one year, assessments were made. Results: After one year the 2-COM groups seemed to have a larger reduction in unmet needs compared to the treatment-as-usual group. However, there were large problems with attrition in the study, and it was not possible to draw relevant conclusions. Conclusions: The methodological problems were substantial, and the study may be considered as a pilot study. In a main study the researchers ought to take control over the selection of patients on the basis of the experiences from this study.
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| 2. |
- Boström, Petra, 1972, et al.
(författare)
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Children and parents with psychosis—Balancing between relational attunement and protection from parental illness
- 2021
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Ingår i: Journal of Child and Adolescent Psychiatric Nursing. - : Wiley. - 1073-6077 .- 1744-6171. ; 34:1
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Tidskriftsartikel (refereegranskat)abstract
- Background Few studies have explored the experiences of young children and their parents with psychosis. The aim of the present study was to explore parent and child mental health and the parent–child relationship from the perspectives of children and their parents with psychosis. Methods The present study had a multiperspectival qualitative design. Seven children (aged 8–15 years) and their six parents with psychosis were interviewed individually. Data were analyzed according to interpretative phenomenological analysis. Results Children were found to have a limited understanding of the parent's illness. While both parents and children described the illness as part of ordinary life and focused on improvements, there was incoherence both within and between interviews. Parent–child relationships appeared to be nonhierarchical and to vary in terms of attunement and distance, which in turn seemed to be associated with the child's well‐being. Conclusion The findings contribute multiperspectival insights into lived experiences of young children and parents with psychosis. Nurses are in a key position to recognize the children's needs for continuous adult support and to promote communication about the illness.
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| 3. |
- Boström, Petra, 1972, et al.
(författare)
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Children and Their Parents with Psychosis
- 2019
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Ingår i: Nordic Attachment Network, Gothenburg, Sweden.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Parental psychosis appears to interfere with parenting practices that may, in turn, affect the child’s mental health. The aim of the present study was to explore parent and child mental health, and of the parent – child relationship from the perspectives of children and their parents with psychosis. Seven children 8-15 years old, and their six parents with psychosis were interviewed individually. Data were analyzed by means of Interpretative Phenomenological Analysis. Results showed that children appeared to have a limited understanding of the parent’s illness. While both parents and children showed attempts to preserve normality focusing on improvements, the internal turmoil of some children was expressed through incoherencies of speech and narrative structure. The parent-child relationship appeared to be non-hierarchical and vary in terms of attunement and distance, which in turn seemed to be associated with child wellbeing. The findings contribute unique multiperspectival insights into the relationship between young children and their parents by exploring their sometimes veiled accounts. The study highlights children’s needs for continuous support from other adults, and parents needs for support with caregiving and in finding ways to talk about their illness that reduces the child’s sense of responsibility.
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| 4. |
- Boström, Petra, 1972, et al.
(författare)
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Parents' Perspectives on Adverse Effects of Pharmacological Treatment of Depression on Parental Functioning
- 2020
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Ingår i: Ethical Human Psychology and Psychiatry : an International Journal of Critical Inquiry. - 1559-4343. ; 22:1
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Tidskriftsartikel (refereegranskat)abstract
- Background A substantial number of parents receive pharmacological treatment for depression. Pharmacological treatment is known to reduce symptoms, but has also various side effects. Aim The present study aimed to explore possible adverse effects of pharmacological treatment for depression on parental functioning. Method Six mothers and four fathers, diagnosed with depression, of children younger than 13 years were recruited via outpatient psychiatric clinics. Data was collected through individual semi-structured interviews and analyzed using thematic analysis. Results Parents described how anxiety suppressants made them fatigued and drowsy which diminished their attention and ability to focus on the child. Moreover, antidepressants and anxiety suppressants were described to cause fatigue, emotional blunting, and restlessness, which made play and stimulation difficult. Emotional blunting, in turn, affected the parents' sense of commitment, empathy, and love for the child. Finally, parents raised concerns about child safety as hypnotics and anxiety suppressants made them unable to wake up at night. Conclusions Considering the substantial adverse effects described, parents of minor aged children within psychiatric care needs to be identified in order to offer systematic follow-ups of the effects of pharmacological treatment on parental functioning, and to make adjustments that are feasible from a parent and child perspective.
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| 5. |
- Brannstrom, E., et al.
(författare)
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A patient perspective on recurrent or prolonged contact with psychiatric inpatient care for affective disorder
- 2018
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Ingår i: International Journal of Mental Health Systems. - : Springer Science and Business Media LLC. - 1752-4458. ; 12:29
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Tidskriftsartikel (refereegranskat)abstract
- Background: The aim of this qualitative study was to explore why some patients receive recurrent or prolonged psychiatric inpatient care, based on the experiences of the patients themselves. Methods: The participants were recruited at an outpatient clinic at the department of psychiatry for patients with affective disorders at Sahlgrenska University Hospital, Sweden. Ten patients, nine women and one man, aged 22-61 years, agreed to participate. A semi-structured interview guide was used during the interviews, which were audiotaped, transcribed, and analyzed using interpretative phenomenological analysis. Results: The four themes that emerged were Difficulties in affective regulation, where the informants reported difficulty in managing their emotions, with the possible consequence of admission to inpatient care; Relational sensitivity, concerning a sensitivity to relationships with healthcare professionals and a need for a secure therapeutic rapport; Resignation, characterized by passivity and depression; and Ambivalence towards responsibility, where ambivalence about their responsibility could lead to failure to initiate change. Conclusions: More options beside inpatient care should be available in cases of an urgent need for help. A stable care structure, good cooperation, and long-term planning based on individual needs are pivotal. In the planning of psychiatric care, consideration must be given to the patient's relational sensitivity. By encouraging patients to actively seek help, we can counteract their resistance and achieve a more effective contact with psychiatric services.
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| 6. |
- Granås, Janne, et al.
(författare)
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A patient perspective on non-attendance for psychotherapy in psychiatric outpatient care for patients with affective disorders
- 2023
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Ingår i: Nordic Psychology. - : Informa UK Limited. - 1901-2276 .- 1904-0016. ; 75:4, s. 313-327
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Tidskriftsartikel (refereegranskat)abstract
- To explore the phenomenon of non-attendance for psychotherapy in psychiatric outpatient care for patients with affective disorders. Ten patients, seven women and three men, aged 25–51 years, agreed to participate in the study. The participants were recruited from a psychiatric outpatient clinic for patients with affective disorders at Sahlgrenska University Hospital, Sweden. A semi-structured interview guide was used during the interviews, which were audiotaped, transcribed and analyzed using content analysis. All informants expressed concern that they had been absent from booked appointments. The main reason given was that the mental illness that caused the need for treatment also caused the absence. They expressed ambiguity about the goals and method of treatment and showed ambivalence regarding the possibility of being helped and achieving change. The participants also highlighted shortcomings in communication with the psychologist regarding their non-attendance. Four themes were generated: A vicious circle, Processes without direction, Ambivalence and Inadequate communication. The study shows that missed appointments have a negative effect on the treatment process. If the patient and the psychologist jointly decide to start psychotherapy, it is thus important that the psychologist promptly addresses the problem of missed appointments and takes a professional responsibility for limiting the risk of another failed attempt at psychotherapy. In some cases, it is necessary to consider whether psychotherapy is an appropriate form of treatment or not. Practitioner points The study shows the importance of a careful assessment phase, where questions about motivation, goals and previous experiences of missed appointments are examined. The informants were not able to raise the issue of missed appointments in a larger perspective; their but focus was rather on the current symptom burden. It is therefore the responsibility of the psychologist to raise the issue and maintain a dialogue about goals, direction and evaluation of the psychotherapy. The psychologist bears a professional responsibility to limit the risk of another failed attempt to provide psychotherapy.
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| 7. |
- Kamal, Lana, et al.
(författare)
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Perceptions and Experiences of an Attachment-Based Intervention for Parents Troubled by Intimate Partner Violence
- 2017
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Ingår i: Clinical social work journal. - : Springer Science and Business Media LLC. - 0091-1674 .- 1573-3343. ; 45:4, s. 311-319
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Tidskriftsartikel (refereegranskat)abstract
- It is known that intimate partner violence (IPV) negatively affects both parental capacity and children’s well-being, but few studies have focused on the experiences of those taking part in family interventions focused on IPV. In this study, 26 parents (16 mothers and 10 fathers) with a history of IPV participated in focus groups concerning their attachment-based group intervention experience in the program Parenting and Violence. The transcripts, subjected to thematic analysis, showed that participants experienced the intervention as supportive and confirming of their role as parents. Parents described feeling more in control, more self-confident, more skilled in communicating, and more able to provide security for their children. However, they also expressed a need for continuing support to maintain their improved parenting strategies.
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| 8. |
- Norberg, A. L., et al.
(författare)
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"We have to be the link between everyone": A discursive psychology approach to defining registered nurses' professional identity
- 2022
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Ingår i: Nursing Open. - : Wiley. - 2054-1058. ; 9:1, s. 222-232
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Tidskriftsartikel (refereegranskat)abstract
- Background: The occupational health and safety of registered nurses is unsatisfactory, often including high work demands in combination with insufficient acknowledgement. Implicit expectations influence their working conditions, many of which are set by the nurses themselves. Therefore, we aimed to explore how professional identity was discursively constructed by Swedish registered nurses in research interviews about night shift work. Design and Methods: Ten semi-structured interviews with registered nurses were analysed using a discursive psychology approach. The Standards for reporting qualitative research guided the reporting. Results: The professional identity of registered nurses included a theoretical professional aspect as well as a unique experience-based competence. With their overview and breadth of competence, registered nurses constitute the hub of healthcare activities, also mastering tasks in the fields of other health professions. This opacity of professional boundaries is associated with boundless expectations of the registered nurse. Additionally, the professional identity stipulates always putting the patient's best interests first, and one's own needs second.
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| 9. |
- Onsjö, Marja, 1979, et al.
(författare)
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Children subjected to family violence: A retrospective study of experiences of trauma-focused treatment
- 2023
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Ingår i: Clinical Child Psychology and Psychiatry. - 1359-1045 .- 1461-7021. ; 28:3
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Tidskriftsartikel (refereegranskat)abstract
- Exposure to adverse childhood experiences is a risk factor for the development of serious psychiatric and somatic illness. Although trauma-focused therapy is effective in reducing symptoms, not all children benefit from it. To improve treatment efficacy, the children’s perspective on what they perceive as helpful versus hindering is necessary. This study aimed, retrospectively, to explore how children exposed to family violence experienced treatment at the Child and Adolescent Mental Health Service. Seventeen children and youths were interviewed 4–5 years after treatment. The thematic analysis resulted in five themes: confusion, the need to feel heard, fear of consequences, feelings of pain, and identifying oneself as an agent. The results emphasize the importance of the therapeutic relationship, and that trust, genuine interest, and reciprocity are necessary for the child to engage in treatment. However, neither the child’s own agency nor external obstacles such as continuous exposure to abuse should be underestimated in terms of the child’s engagement.
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| 10. |
- Onsjö, Marja, 1979, et al.
(författare)
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No child is an island – The life situation before and during treatment for children exposed to family violence
- 2022
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Ingår i: Human Systems - Therapy, Culture and Attachments. - : SAGE Publications. - 2634-4041. ; 2:2, s. 64-81
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Tidskriftsartikel (refereegranskat)abstract
- Compelling evidence indicates that child maltreatment is a risk factor for developing serious psychopathology. Trauma-focused treatment has been found to be effective, but not all children benefit from it. Interventions that consider multiple aspects of treatment that could improve the efficacy need to be developed. The present study explored how children exposed to family violence described their life situation before and during their contact with the child and adolescent mental health service. Thirteen children and adolescents were interviewed and we analysed the material using thematic analysis. Several of the participants reported continued violence, conflict and insecurity at home, in school and in other contexts. These results indicate how important it is never to assume that because children exposed to family violence are in treatment, they are safe in their homes. Interventions should therefore include continuous assessment of ongoing victimization and safety planning, considering children, not as isolated units, but in the context of complex life situations in which their well-being is affected by their parents, siblings and friends.
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