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- Alfredsson, Elin, 1985, et al.
(författare)
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ECR-RC9: A valid self-report measure of attachment among 10- to 17-year-olds
- 2013
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Ingår i: IAC2013.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Note: since the presentation of this poster, the name of the instrument has been changed to ECR-RS. The study examined the validity of the nine-item Security Scale of the ECR-RS using data from 173 mother-adolescent dyads. The attachment instrument was validated through investigating correlations between the ECR-RS Total Security Scale and relevant measures of parenting style, Family climate, Child disclosure and Adolescent mental health. The results indicates that the ECR-RS is a useful instrument to measure attachment security in the age range 10 to 17 years.
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| 2. |
- Axberg, Ulf, 1961, et al.
(författare)
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Barn till föräldrar som har kontakt med vuxenpsykiatrin – hur har de det? Rapport från en nationell studie
- 2020
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Psykisk ohälsa hos vuxna som depression, ångest eller bipolär sjukdom är idag ett be-tydande folkhälsoproblem. Många av de drabbade är föräldrar till minderåriga barn. Psykisk ohälsa hos föräldern påverkar barnens utveckling och välmående, men sam-bandet medieras av föräldraförmågan och relationen mellan barnet och föräldern. Sammantaget finns på gruppnivå en ökad risk att barnen också utvecklar psykiska problem, även om det inte behöver vara så i varje enskilt fall. Barns behov av information, råd och stöd ska enligt Hälso- och sjukvårdslagen beak-tas när en förälder lider av psykisk ohälsa. Det finns idag ett flertal interventioner som kan användas för att tillgodose detta behov. Samtidigt behöver man utvärdera hur dessa interventioner fungerar i Sverige. Denna rapport handlar om en kartläggning av hur barn vars föräldrar är patienter inom den specialiserade vuxenpsykiatrin har det med avseende på psykisk hälsa och generell familjesituation. Kartläggningen ingår i ett större forskningsprojekt vars syfte är att göra en utvärdering av interventioner (Beardslees familjeintervention, Föra barn på tal och reguljär behandling/övriga insatser) för stöd till barn i åldern 8 till 17 år med föräldrar med depression, dystymi, ångeststörning och/eller bipolär sjukdom. Totalt ingår föräldrar, både patienter och deras partners, till 88 barn i studien och 19 barn har gjort egna skattningar. De fick fylla i ett antal frågeformulär, där föräldrarna skattade barnens psykiska hälsa, sitt eget psykiska mående, sin generella livssituation, sin relation till eventuell nuvarande partner, sin upplevelse av att kunna hantera bar-nens beteende och olika aspekter av klimat och funktion i familjen. Barnen skattade sin egen psykiska hälsa samt vissa aspekter av klimat och funktion i familjen. Resultaten visar att föräldrar i vår studie rapporterar signifikant högre nivåer av psy-kisk ohälsa hos barnen än föräldrar i en normgrupp i den vanliga befolkningen. Barn rapporterar större symptombelastning än föräldrarna när det gäller emotionella pro-blem, hyperaktivitet/ouppmärksamhet och total problembelastning. De föräldrar som är patienter rapporterar som väntat lägre psykiskt välmående än sina partners, men även i partnergruppen finns det flera som uppger en egen psykisk problematik på klinisk nivå. Patienter och deras partner ger en samstämmig bedömning av sin re-lation; betydligt fler än i en normalgrupp anger bekymmersamt höga nivåer av stress i relationen. Insatser för barn som anhöriga ses ofta som indikerade preventioner i syfte att minska risken för psykisk ohälsa i vuxenåldern, men det finns utifrån studiens resultat mycket som talar för att det istället kan finnas behov av tidig behandling. Studien pekar på vikten av att man som professionell inom vuxenpsykiatrin i enlighet med lagstiftningen tar reda på om det finns barn i familjen, även ställer frågor om hur patienten upplever att barnet mår psykisk och fysiskt, vilka övriga personer som finns omkring barnet och hur tillgängliga de är som stöd för barnet, hur relationerna mellan olika familjemedlemmar är, samt hur föräldraskapet upplevs.
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| 3. |
- Axberg, Ulf, et al.
(författare)
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Barn till föräldrar som har kontakt med vuxenpsykiatrin - hur har de det? : Rapport från en nationell studie
- 2020
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Ingår i: Nationellt kompetenscentrum anhöriga. - 9789187731631
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Mental illness in adults such as depression, anxiety or bipolar disorder are nowadays a significant public health problem. Many of those with mental illness are parents of underage children. A parents’ mental illness affects children’s development and wellbeing, but this association is mediated by parental skills and the relation between child and parent. In summary, at a group level there is an increased risk that the children also develop mental illness, even if it does not need to be so in every individual case.Children’s need for information, advice and support has to be considered according to the Swedish Health Care Act if a parent is mentally ill. A number of different interventions are available that can be used in order to meet this need. At the same time, it has to be evaluated how these interventions work in a Swedish context.This report is about a study on how children with parents who are patients in adult psychiatry do with regard to mental health and general family situation. The study is part of a larger research project with the aim to evaluate interventions (Beardslee Family Intervention, Let’s talk about children and treatment as usual/other interventions) for support to children at 8 to 17 years of age who have parents with depression, dysthymia, anxiety and/or bipolar disease. In total, parents, both patients and their partners, of 88 children are included in the study and 19 children have also participated. They answered a number of questionnaires. Parents estimated their children’s mental health, their own psychological wellbeing, their life situation in general, their relation to their current partner, their experience of control of their child’s behavior and different aspects of family climate and function. Children reported their own mental health and some aspects of family climate and function.The results show that parents in our study report significantly higher levels of mental ill-health in their children than parents in a non-clinical norm group. Children report higher symptom load than parents concerning emotional problems, hyperactivity/inattention and total problem score. Those parents who are psychiatric patients report as expected lower psychological wellbeing than their partners, but also several partners indicate own psychological problems on a clinical level. Patients and their partners give a consistent estimation of their relation. Considerably more participants as compared to a normal group report concerning high stress levels in their relation.Interventions for children as next of kin are often regarded as indicated preventions that aim to decrease the risk for mental illness in adulthood, but the results of this study indicate that there may be need for early treatment instead.The study points out the importance that practitioners in adult psychiatry in agreement with the law find out if there are children in the family and even ask about how the patients perceive their child’s psychological and physical wellbeing, if there are other significant persons around the child and how available they are as a support for the child, how relations between other family members are and how parenthood is experienced.
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| 5. |
- Wirehag Nordh, Emme-Lina, 1981, et al.
(författare)
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Mental health in children of parents being treated by specialised psychiatric services
- 2022
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Ingår i: Scandinavian Journal of Public Health. - : Sage Publications. - 1403-4948 .- 1651-1905.
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Tidskriftsartikel (refereegranskat)abstract
- Background: One in ten children have a parent diagnosed with a mental illness by specialised psychiatric services. Severe parental mental illness is a well-established risk factor for children's mental health problems, making the identification and support of these children a public health concern. This study investigated the mental health and family context of children of parents diagnosed with depression, anxiety, or bipolar disorder in this clinical setting. Methods: Parental reports on 87 children aged 8-17 years were analysed. The children's mental health was compared with that of a Swedish population-based sample. Multiple linear regression was used to investigate associations between child mental health and child gender, child age, parent symptoms and social status, family functioning, and perceived parental control. Furthermore, a cumulative risk index explored the effect of multiple risk factors on child mental health. Results: The children reportedly had significantly more mental health problems than did the population-based sample and about one-third had scores above the clinical cut-off. A significant multiple linear regression explained 49% of the variance in child mental health, with lower perceived parental control and younger child age being associated with more child mental health problems. With more reported risk factors, children reportedly had more mental health problems. Conclusions: The results underline the importance of identifying a patient's children and assessing multiple relevant risk factors in the child's life. Furthermore, the results indicate that the needs of younger children and of patients in their parenting role are important to address.
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| 6. |
- Wirehag Nordh, Emme-Lina, 1981, et al.
(författare)
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Preventive interventions for children of parents with depression, anxiety, or bipolar disorder : A quasi-experimental clinical trial
- 2023
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Ingår i: Acta Paediatrica. - : John Wiley & Sons. - 0803-5253 .- 1651-2227. ; 112:1, s. 132-142
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Tidskriftsartikel (refereegranskat)abstract
- Aim To investigate the effectiveness of preventive interventions for 8-17-year-old children of patients diagnosed with depression, anxiety, or bipolar disorder. Methods Sixty-two families including 89 children received either the more extensive Family Talk Intervention (FTI; n = 35), the brief Let's Talk about Children (LTC; n = 16), or Interventions as Usual (IAU; n = 38) in routine care in adult psychiatry. Parent-rated questionnaire data were collected at baseline, after 6 and 12 months. We used growth curve models to investigate the effect of intervention on child mental health problems (SDQ-P Total Difficulties) and perceived parental control of child behaviour (PLOC-PPC). Results Parents in the FTI and LTC groups, versus the IAU group, reported more favourable development in terms of preventing increase in child mental health problems with standardised intervention effects of d = -0.86 and -0.88 respectively, by study end, and reported improved perceived parental control, d = 1.08 and 0.71, respectively, by study end. No significant differences in effect were found when FTI and LTC were compared. Conclusions The results support continued use of FTI and LTC in adult psychiatry, and since LTC is a brief intervention, it might be useful as a minimum-level preventive intervention.
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| 7. |
- Wirehag Nordh, Emme-Lina, 1981
(författare)
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The family and the patient An investigation of mental health problems, risk factors, and support for members of the families of psychiatric patients
- 2023
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this thesis was to improve knowledge of the members of the families of patients in contact with psychiatry by investigating mental health problems, risk factors, and support received. The thesis is based on three studies from two clinical research projects, one in adult psychiatry and one in child and adolescent mental health services (CAMHS). Parent-rated questionnaire data were used in all three studies. Study I was cross-sectional and investigated mental health problems and risk factors experienced by 8–17-year-old children (N = 87) of parents in treatment for depression, anxiety, or bipolar disorder in adult psychiatry. Findings indicate more mental health problems in these children than children in the general population, and that one third had symptoms at clinical levels. Risk factors associated with more children’s symptoms were younger child age and exposure to multiple risk factors, as well as parents reporting low perceived parental control relating to how they can handle their child’s behaviour. In Study II, data from three waves of measurement (baseline, 6, and 12 months) were used to evaluate the effectiveness of preventive interventions used in routine care in adult psychiatry to support 8–17-year-old children of parents in treatment for depression, anxiety, or bipolar disorder. Families (N = 62), including 89 children, received the intervention available at the patient’s psychiatry unit: Family Talk Intervention (FTI), n = 35; Let’s Talk about Children (LTC), n = 16; or intervention as usual (IAU), n = 38. Findings indicate that the development of child mental health problems over time differed significantly between groups. Mental health problems did not increase in children receiving the FTI and LTC interventions but did increase in children in the IAU group. Furthermore, parents receiving the FTI and LTC reported strengthened perceived parental control in relation to handling rearing situations with their children, compared with the IAU group. Study III investigated mental health problems in parents (N = 111) of 5–17-year-old children (N = 98) referred to CAMHS. Findings indicate that many parents (41%) experienced elevated levels of mental health problems at the time of the child’s first appointment and that, in these families, children were reported to have more symptoms and the proportion of families experiencing problematic family functioning was higher. Parents with elevated mental health problems reported having received group-based parent training/education to a greater extent during the first year of contact with CAMHS, and they rated participation in treatment planning significantly lower, than did parents below the cut-off for their own mental health problems. Taken together, the studies show that mental health problems in the members of the families of psychiatric patients are common, which underscore the importance of identifying the needs of the whole family when a patient is seen in psychiatry, to ensure that appropriate support is initiated. In adult psychiatry, investigating multiple relevant risk factors relating to the child, parent, and family can provide information about the child’s and family’s needs. Findings support the continued use of two preventive interventions to support the children of patients with depression, anxiety, or bipolar disorder. In child psychiatry, findings underscore the importance of addressing co-occurring parental mental health problems and that families experiencing co-occurring problems could need more extensive support, as the children were reported to have higher levels of mental health problems and more families were reported to have problematic family functioning. To meet the varying needs of families of psychiatric patients, findings indicate that interventions are needed at different levels of prevention and treatment.
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