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| 2. |
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| 3. |
- Almqvist, Kjerstin, 1953-, et al.
(författare)
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Barn, unga och trauma : Att uppmärksamma, förstå och hjälpa
- 2019. - 1
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- Detta är en gedigen grundbok om barn, unga och trauma. Tre av Sveriges mest erfarna kliniker och forskare inom området delar här med sig av sin kunskap och sina erfarenheter.Författarna beskriver utförligt reaktionsmönster och symtombilder, samt samspel mellan barn och föräldrar efter traumatiska påfrestningar. Boken tar bland annat upp barn och unga som har misshandlats, utsatts för sexuella övergrepp, bevittnat våld mot sin förälder, förlorat en närstående och barn som har utsatts för organiserat våld i sina hemländer. Författarna berättar även om olika insatser och behandlingsmetoder som har stöd i forskning.Boken riktar sig till studerande och yrkesverksamma som vill lära sig mer om hur de ska förstå, möta och hjälpa traumatiserade barn och unga, till exempel inom hälso- och sjukvården, skolan, socialtjänsten och kriminalvården.
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| 4. |
- Almqvist, Kjerstin, 1953-
(författare)
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Barns behov och föräldrars omsorgsförmåga
- 2013. - 2
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Ingår i: Familjehemsboken. - Stockholm : Gothia Förlag AB. - 9789172059146 ; , s. 46-66
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Bokkapitel (populärvet., debatt m.m.)
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| 5. |
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| 6. |
- Almqvist, Kjerstin, 1953-
(författare)
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Etnicitet, liv och hälsa
- 2009
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Ingår i: Värmlänningarnas liv & hälsa 2008. - Karlstad : Karlstad University Press. - 9789185335947 ; , s. 75-83
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 7. |
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| 8. |
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| 9. |
- Almqvist, Kjerstin, 1953-, et al.
(författare)
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Mothers’ opinions on being asked about exposure to intimate partner violence in child healthcare centres in Sweden
- 2018
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Ingår i: Journal of Child Health Care. - : Sage Publications. - 1367-4935 .- 1741-2889. ; 22:2, s. 228-237
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Tidskriftsartikel (refereegranskat)abstract
- Intimate partner violence (IPV) constitutes a hidden health risk for exposed mothers and children. In Sweden, screening for IPV in healthcare has only been routine during pregnancy, despite an increase in IPV following childbirth. The arguments against routine questions postpartum have concerned a lack of evidence of beneficial effects as well as fear of stigmatizing women or placing abused women at further risk. Increased understanding of women’s attitudes to routine questions may allay these fears. In this study, 198 mothers in 12 child healthcare centres (CHCs) filled in a short questionnaire about their exposure and received information on IPV at a regular baby check-up visit. The mothers’ lifetime prevalence of exposure to IPV was 16%. One hundred and twenty-eight mothers participated in a telephone interview, giving their opinion on the screening experience. The intervention was well-received by most of the mothers who reported that questions and information on IPV are essential for parents, considering the health risks for children, and that the CHC is a natural arena for this. Necessary prerequisites were that questioning be routine to avoid stigmatizing and be offered in privacy without the partner being present.
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| 10. |
- Almqvist, Kjerstin, 1953-, et al.
(författare)
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Project Support : En genomförbarhetsstudie av ett individuellt föräldrastöd i socialtjänsten för våldsutsatta föräldrar
- 2016
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Genomförbarheten av Project Support (PS), ett individuellt föräldrastöd för våldsutsatta mammor utvecklat i USA, utvärderas inom ramen för svensk socialtjänst i denna studie. Sammanlagt trettio behandlare har utbildats i metoden, som anpassats till svenska förhållanden i samarbete med upphovsmännen. Tjugonio familjer hade inkluderats i behandling vid sttudiens avslut. Såväl behandlare som mammor uppskattade metoden och bedömde att den var en lämplig insats som förbättrade föräldrarnas samspel med sina barn. Mammornas självskattade föräldraförmåga förbättrades signifikant, och barnens symtomnivåer sänktes. Vissa svårigheter för implementering identifierades, dels metodspecifika, dels relaterade till omständigheter i socialtjänsten.
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| 11. |
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| 12. |
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| 13. |
- Anderzen-Carlsson, Agneta, et al.
(författare)
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Child healthcare nurses' experiences of asking new mothers about intimate partner violence
- 2018
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Ingår i: Journal of Clinical Nursing. - : John Wiley & Sons. - 0962-1067 .- 1365-2702. ; 27:13-14, s. 2752-2762
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Tidskriftsartikel (refereegranskat)abstract
- Aims and objectives: To investigate child healthcare nurses' experiences of asking mothers of 8-month-old children about intimate partner violence using a two-step questionnaire. Background: Exposure to intimate partner violence is detrimental to women and to their children, and its early detection is vital. Child health care is a promising setting for detecting intimate partner violence. Design: The overall project had a quasi-experimental design and was employed in 2015 at 12 child healthcare centres in Sweden. The project aimed to test a two-step method for talking about intimate partner violence with mothers (n = 198) at the child healthcare centre. In this article, we disclose the experiences of the intervention from the perspective of the nurses (n = 13) who were educated and involved in the intervention. Methods: Data were collected by semi-structured interviews, analysed by thematic analysis. Results: Five categories emerged: using the two-step questionnaire method, asking about IPV as an important issue, being comfortable in the professional role and with asking about IPV, the importance of time and place in asking about IPV and spillover effects. Conclusions: Asking mothers visiting the child health clinic about their experiences of intimate partner violence was seen as an important task. Using a questionnaire could facilitate asking, but the questionnaire must be short and easy to use. Furthermore, the time and place for initiating a talk about this sensitive topic must be carefully chosen. Relevance to clinical practice: The Violence in Families questionnaire was regarded as a useful tool and could thus be implemented in practice. However, it is important to offer education to the nurses prior to implementing a routine of asking about intimate partner violence in the child healthcare setting.
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| 14. |
- Anderzen-Carlsson, Agneta, et al.
(författare)
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The professional relationship forms the base : Swedish child health care nurses' experiences of encountering mothers exposed to intimate partner violence
- 2021
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 16:1
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Tidskriftsartikel (refereegranskat)abstract
- Purpose This study aimed to explore child health care nurses' clinical experiences from encounters with mothers exposed to intimate partner violence (IPV), as little research has explored this topic. Method Nine child health care nurses from two Swedish regions were interviewed. The interviews were analysed using thematic analysis. Results The narratives depicted the nurses' strong commitment to, and professional relationship with, the exposed mothers. The experience of working as a nurse and having encountered IPV in clinical practice made the nurses more confident, which impacted their performance and attitude towards this topic. The ability to uphold the professional relationship was threatened by lack of support and interprofessional collaborations. Conclusions The professional relationship was central to the encounters, yet could impose an emotional burden on the nurses. While the nurses wanted to improve their knowledge of the process around the mother and child, they were happy to pass the primary responsibility over to other professionals. The findings highlight the challenge in establishing sustainable support for nurses, and building a transparent collaboration process between the health care sector and the social services, serving the well-being and safety of the mother and child.
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| 15. |
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| 16. |
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| 17. |
- Bäccman, Charlotte, 1973-, et al.
(författare)
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A comparison of applicants' and incumbents' mean scores on health constructs and personality constructs. : A follow-up study of military recruits in a selection setting
- 2015
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Ingår i: International Journal of Selection and Assessment. - Oxford, UK : John Wiley & Sons. - 0965-075X .- 1468-2389. ; 23:2, s. 120-130
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Tidskriftsartikel (refereegranskat)abstract
- This study looked at the effects of self-enhancement in a real recruitment setting, and included both personality constructs, and the more infrequently studied, health constructs. The participants (N = 202) were assessed first as applicants, and later as incumbents. The result revealed that self-enhancement was more ubiquitous on the personality constructs than on the health constructs. However, the effect sizes were stronger for the latter, and it was twice as likely for the participants to confirm having experienced previous traumatic/stressful events as incumbents compared to as applicants. Implications for self-enhancement on personality and health constructs in military recruitment situations are discussed.
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| 18. |
- Bäccman, Charlotte, 1973-, et al.
(författare)
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Improved resiliency and well-being among military personnel in a Swedish Naval Force after a counter-piracy operation off the coast of Somalia
- 2016
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Ingår i: Scandinavian Journal of Psychology. - : Wiley. - 0036-5564 .- 1467-9450. ; 57:4, s. 350-358
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore: (1) how the psychological health of the members of the first European Union Naval Force (ME01) was affected by international deployment off the coast of Somalia; and (2) if and how organizational and personal factors (e.g., type of personnel category, previous experiences, and resilience) affected their psychological health and well-being post-deployment. The study had an exploratory longitudinal design, where the participants were assessed both before and after deployment (i.e., T1 and T2). The participants (n=129, 120 men, 9 women) were equally distributed between officers (n=68; 64 men, 4 women) and sailors (n=61; 56 men, 5 women). The members' average age was 31years, ranging from 20 to 61. For the majority (78%) ME01 was their first international deployment and officers were, in general, more experienced than sailors. The overall results showed that the members' reported a positive experience with improved resilience and well-being (e.g., sense of coherence). However, the result also showed that type of personnel category (i.e., officer or sailor) affected their psychological health. Why and how these differences among military personnel arise is discussed, but deserves further attention.
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| 19. |
- Draxler, Helena, 1977-, et al.
(författare)
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Changes in Psychiatric Symptoms in Swedish Mothers Who Took Part in Project Support : An Intervention for Mothers Exposed to Intimate Partner Violence With Children Who Have Developed Conduct Problems
- 2023
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Ingår i: Violence against Women. - : Sage Publications. - 1077-8012 .- 1552-8448.
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Tidskriftsartikel (refereegranskat)abstract
- Project Support (PS) is an evidence-based individual support and parenting program developed for mothers exposed to intimate partner violence (IPV) whose children have developed conduct disorders. This Swedish feasibility study focuses on changes in the mothers' psychiatric symptoms, in relation to social and emotional support received as part of PS. In a within-subject design in a naturalistic setting (i.e., 10 social service units), mothers (n = 35) reported a significant decrease in symptoms, but from an individual perspective, most mothers still suffered from clinical levels of psychiatric symptoms. The need for additional interventions for mothers exposed to IPV is discussed.
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| 20. |
- Draxler, Helena, 1977-, et al.
(författare)
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From doubt to trust : Swedish mothers' and counsellors' experience testing a parenting programme for mothers exposed to intimate partner violence whose children have developed behavioural problems
- 2020
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Ingår i: Clinical Child Psychology and Psychiatry. - : Sage Publications. - 1359-1045 .- 1461-7021.
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Tidskriftsartikel (refereegranskat)abstract
- Many countries seek evidence-based interventions for children who have been exposed to domestic violence, and they frequently turn to interventions developed in the US and disseminated to Europe as a solution. Societal and cultural differences may, however, pose barriers to successful implementation. Project Support (PS), piloted in this study through social services agencies in Sweden, has shown positive effects in the US for families with children who have been exposed to intimate partner violence (IPV). The aim of this study was to investigate counselors' and caregivers' experiences when giving/receiving PS in Sweden. The study was based on interviews conducted with 11 mothers and 13 counselors with experience in the programme. A thematic analysis showed three themes (Initial doubts, Confidence from positive change, and Flexibility- challenge for the organization) and the study adds information about obstacles for implementation of PS in Sweden. Cultural and organizational differences between Sweden and the US in practice and child-rearing attitudes are highlighted, as well as the importance of making adjustments while maintaining treatment fidelity, and promoting the dissemination of the approach.
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| 21. |
- Draxler, Helena, 1977-
(författare)
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Initial transfer of Project Support from the US to Sweden : Feasibility and clinical aspects as viewed by counsellors and parents
- 2022
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Project Support (PS) is a parenting programme developed and studied in the US for parents and children exposed to intimate partner violence (IPV) and for these children with subsequent behavioural problems. By examining feasibility aspects and using qualitative and quantitative methods, the study aimed to explore the transferability of PS to a new naturalistic context, i.e., Swedish social services. In the qualitative Study I, IPV-exposed mothers and counsellors who received/conducted PS were interviewed about their experiences. Study II explored whether the effects of PS in the US, i.e., reduced children’s psychological symptoms and improved parenting capacity among parents and children exposed to IPV, could be replicated in Sweden. Study III explored group and individual impacts of PS on parents regarding aspects of IPV, global psychiatric symptoms, and post-traumatic stress symptoms. Study IV is a qualitative follow-up study where counsellors were interviewed about how the PS work was or was not continued. The results indicate cultural differences between the US and Sweden in practising parenting skills though role-playing and in how to address and understand child misbehaviour, necessitating adaptation to Swedish values and norms. Results further indicate that PS is a promising intervention for Swedish IPV-exposed parents and their children with behavioural problems, leading to improved parental capacity and decreased child behavioural problems, supporting prior research in an American context. PS generally seems to improve parents’ psychiatric symptoms, but examining each individual revealed that most parents still had dysfunctional levels of symptoms post treatment. Maintenance and use of PS was inconsistent, due to lack of organisational support. The study indicates that PS can be further implemented and evaluated in Sweden, and stresses the importance of conducting feasibility studies when an intervention is to be transferred to a new context.
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| 22. |
- Draxler, Helena, 1977-, et al.
(författare)
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Replicability of effect when transferring a supportive programme for parents exposed to intimate partner violence and their children from the US to Sweden
- 2019
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Ingår i: Child Care in Practice. - : Routledge. - 1357-5279 .- 1476-489X. ; 25:4, s. 367-382
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Tidskriftsartikel (refereegranskat)abstract
- Transferring an evidence-based parenting programme for parents exposed to intimate partner violence (IPV) and their children with emotional and behavioural problems reveals the extent to which cultural and social aspects can interfere with the programme’s effectiveness. Feasibility studies are of value in such circumstances, and the aim of the present feasibility study was to explore, on a small scale and in its natural context, whether the effects of the parenting programme, Project Support, were replicable when transferred to another country. In this study, the programme, which was originally designed for parents exposed to IPV and their children who had developed psychological symptoms in the United States, was evaluated in an equivalent population receiving Swedish social services. Parents (n = 35) self-assessed their parenting capacity and their children’s (n = 35) psychological symptoms. The results indicate that the parents improved their parenting capacity, and feelings of helplessness and fear regarding parenting their children decreased. Those feelings were also associated with the children’s psychological symptoms. The promising results are similar to the findings of previous research from the US, and further implementation and evaluation of Project Support in Sweden are indicated.
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| 23. |
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| 24. |
- Georgsson, Anna, 1964, et al.
(författare)
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Naming the unmentionable: How children exposed to intimate partner violence articulate their experiences
- 2011
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Ingår i: Journal of Family Violence. - : Springer Science and Business Media LLC. - 0885-7482 .- 1573-2851. ; 26:2, s. 117-129
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Tidskriftsartikel (refereegranskat)abstract
- Witnessing intimate partner violence (IPV) is a frightening experience that affects children’s development and well-being. This study examines experiences of IPV from the perspective of children. Interviews with 14 children between 8 and 12 years old were analyzed using a thematic method. Three main themes were identified: how children talked about abuse of their mother, described their own actions, and related to or handled memories of violence. Most children confirmed that their mother had been the victim of abuse, but had difficulties describing these experiences. Narratives were often incoherent and difficult to fully understand. In contrast, most of the children seemed to find it easier to describe their own actions during violence and conflicts. Not thinking about IPV was a strategy that aimed at reducing unwanted memories; it is also a strategy that may obstruct creating a narrative.
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| 25. |
- Georgsson Staf, Anna, et al.
(författare)
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How children with experiences of intimate partner violence towards the mother understand and relate to their father
- 2015
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Ingår i: Clinical Child Psychology and Psychiatry. - : SAGE Publications. - 1359-1045 .- 1461-7021. ; 20:1, s. 148-163
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe how, in the aftermath of intimate partner violence against the mother, children understand and relate to their father. Face-to-face interviews with four girls and four boys, aged between eight and twelve, were analysed using an interpretative phenomenological approach. All of the children had been exposed to the father's violence towards the mother. Two super ordinate themes were identified in the analysis: the disjunctive image of the father and being entangled in a conflict. The children's understanding of the father and their relationship with him was built on different versions of the father and his actions; those experienced by the child and those recounted to them. The situational context surrounding the described experience pervaded the image of the father. An ambiguity appeared to exist in the sense of different versions of the father and children described different emotions that could both hinder and elicit other feelings connected to the father. Children also conveyed the sense of being trapped or entangled in a conflict where their own needs and desires could be deemed as unsafe to express, and that they felt responsibility for dealing with the father's influence.
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| 26. |
- Grip, Karin K, et al.
(författare)
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Children exposed to intimate partner violence and the reported effects of psychosocial interventions
- 2013
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Ingår i: Violence and Victims. - 0886-6708 .- 1945-7073. ; 28:4, s. 635-655
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Tidskriftsartikel (refereegranskat)abstract
- Using a repeated measures design posttraumatic stress (PTS), psychological and behavioral problems significantly decreased following intervention in children exposed to intimate partner violence (IPV), with use of traditional group analyses. Analyses using the reliable change index (RCI), however, revealed that few children were improved or recovered, implying that interventions in common use should be evaluated for their significant impact on the individual level in addition to group level statistics. Positive changes in children's behavioral problems were related to the mother's improvement of their own mental health. Direct victimization by the perpetrator was not associated with treatment changes but with higher symptom levels at study entry. Amount of contact with the perpetrator was neither related to symptom load nor to changes following treatment.
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| 27. |
- Grip, Karin, 1973, et al.
(författare)
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Maternal report on child outcome after a community-based program following intimate partner violence
- 2012
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Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 0803-9488 .- 1502-4725. ; 66:4, s. 239-247
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Tidskriftsartikel (refereegranskat)abstract
- Background: This study examined the perceived effectiveness of a 15-week community-based program for 46 children exposed to intimate partner violence (IPV) and their mothers. Aims: The primary aims were to describe the children who entered one of the existing community-based programs in terms of behavioral problems and to evaluate the impact of the program on children's general behavioral functioning as assessed by their mothers. Results: Children's rated behavioral problems (SDQ) dropped following treatment; the effect size was in the medium range. The social impairment caused by the problems decreased as well. The effect regarding behavioral problems was not related to the degree of exposure to IPV or the mothers own changes in trauma symptoms following treatment. Results were analyzed as well at the individual level with the Reliable Change Index (RCI), which showed that the majority of children were unchanged following treatment. Conclusions: One implication from the study is the need for baseline screening and assessment. About half of the current sample had a clinical symptom picture indicating the need for specialized psychiatric/psychotherapeutic treatment. Furthermore, the reduction in behavioral problems was significant but many children still had high levels of behavioral problems after treatment, indicating a need of a more intense or a different type of intervention.
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| 28. |
- Grip, Karin, 1973, et al.
(författare)
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Perceived Quality of Life and Health Complaints in Children Exposed to Intimate Partner Violence
- 2014
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Ingår i: Journal of family Violence. - : Springer. - 0885-7482 .- 1573-2851. ; 29:6, s. 681-692
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Tidskriftsartikel (refereegranskat)abstract
- Children 9 to 13 years old exposed to intimate partner violence (IPV) reported on their violence exposure, attachment to both parents, temperament (negative emotionality and emotion regulation), perceived quality of life, and health complaints. Half of the children perceived their quality of life as good and did not have recurrent health complaints. When controlling for socioeconomic status, health complaints were associated with higher IPV exposure and negative emotionality, whereas quality of life was associated with attachment security, higher capacity for emotion regulation, and lower negative emotionality. These results underscore the importance of increasing and supporting the capacity of children exposed to IPV to handle and express their emotions, as well as making school nurses and other primary care practitioners more attentive to IPV as a possible background factor in children's health complaints.
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| 29. |
- Lindgren, Ola, et al.
(författare)
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On the importance of the therapist in psychotherapy : A summary of current research
- 2010
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Ingår i: International Forum of Psychoanalysis. - : Routledge. - 0803-706X .- 1651-2324. ; 19:4, s. 224-229
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Tidskriftsartikel (refereegranskat)abstract
- The American Psychological Association's Presidential Task Force on Evidence-Based Practice articulates a decision-making process based on the integration of the best available research, clinical expertise, and patient characteristics. The treatment method, the individual psychotherapist, the treatment relationship, and the patient are all vital contributors to successful psychotherapy. Several studies have shown that the variation in treatment effect among psychotherapists using the same method is greater than the variation in treatment effect among different methods. This outcome pleads for a comprehensive psychotherapist-related g-factor of psychotherapy. In terms of decision-making for health-care institutions and clinical practices, it would seem wise not to separate the psychotherapist, the patient, or the relationship from the method as there seem to be extensive effects relative to the interaction among these parameters. Parallel to a growing knowledge of evidence-based methods, there is still a decisive lack of scientific knowledge about these interactions
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| 30. |
- Lindgren, Ola, et al.
(författare)
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Renewing experience : Therapists' Thoughts on What is Effective in Psychotherapy
- 2012
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Ingår i: European journal for qualitative research in psychotherapy. - 1756-7599. ; :6, s. 1-7
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Tidskriftsartikel (refereegranskat)abstract
- In this qualitative study, nine psychotherapists with different theoretical approaches were interviewed about their thoughts on what is effective in their work. Data was collected and analyzed according to Grounded Theory. The results are presented as a grounded theory of therapists' thoughts on what is effective in psychotherapy. The theory consists of a core category, Renewing Experience, its subcategories and their subsequent properties. The therapists' efforts in psychotherapy are to use the relationship with the patient as well as psychotherapy techniques available to cause the patient to experience something new. New experiences in psychotherapy add to and place earlier life experiences in a new perspective. If the new experiences are related to the patient's central issues, they can modify and renew existing and maladaptive conceptions of reality and make new life alternatives available to patients. Renewing Experience is a cumulative process where the therapist's ability to individualize interplay is decisive.
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| 31. |
- Lindgren, Ola, 1953-
(författare)
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Terapeuters och patienters tankar om vad som är verksamt i individuell psykoterapi
- 2011
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Det övergripande syftet för denna licentiatuppsats är att utforska psykoterapeuters och patienters tankar om vad som är verksamt i individuell psykoterapi med fokus på deras egna erfarenheter av psykoterapeutiskt arbete. Som metod för datainsamling och analys valdes grounded theory i båda de ingående studierna.I studie 1 intervjuades psykoterapeuter, legitimerade för individuell psykoterapi. Sammanlagt nio informanter deltog i studien, både män och kvinnor med olika yrkesbakgrund och med olika psykoterapeutisk inriktning.Ett centralt begrepp, förnyande erfarenhet, utvecklades ur data. Förnyande erfarenhet är en process där terapeuten och patienten i samarbete och dialog försöker att skapa situationer där patienten gör erfarenheter som ifrågasätter eller utmanar tidigare erfarenheter som patienten har eller ger ett nytt perspektiv på tidigare erfarenheter som gör dem mer begripliga och hanterbara. Förnyande erfarenhet leder till att patientens upplevelsevärld och beteende förändras i riktning mot ett ökat psykiskt välbefinnande.I studie 2 intervjuades åtta personer som gått i individuell psykoterapi av olika längd och teoretisk inriktning hos legitimerad psykoterapeut. De bidrog med data om sexton psykoterapier eftersom flera av dem hade erfarenhet av mer än en psykoterapi.Det centrala begrepp som utvecklades ur data var terapeutens lyhörda acceptans. Lyhördhet innebär att terapeuten har en förmåga att visa sig känslig för patientens behov och känslomässiga tillstånd och att ge gensvar på ett adekvat och konstruktivt sätt. Acceptans representerar en stödjande och icke-dömande atmosfär och terapeutens tolerans, välvilja och förstående inställning.
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| 32. |
- Lindgren Fändriks, Anna, et al.
(författare)
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Child health care nurses' experience of language screening for 2.5-year-old children : A qualitative study
- 2023
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Ingår i: Nursing Open. - : John Wiley & Sons. - 2054-1058. ; 10:9, s. 6583-6591
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To investigate the experience of Child Health Care Nurses (CHCNs) using language screening for 2.5-year-old children.Design: An exploratory qualitative design with an inductive approach.Method: Data were collected through semi-structured, interviews with Swedish CHCNs who regularly performed language screening for children. The interviews were analysed by thematic analysis.Results: Four themes were identified: 'The difficult visit', 'Explanations for language delay', 'Language screening across cultures' and 'Language screening with children exposed to adverse life events'.Patient or Public Contribution: Our findings suggest that in routine care a modified procedure is used for the language screening of children aged 2.5 to secure the child's cooperation and to preserve an alliance with the parents. Consequently, the validity of the screening is called into question, particularly when it comes to children from families with origins outside the dominant culture and children exposed to adverse life events.
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| 33. |
- Norlén, Anna, et al.
(författare)
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The Effectiveness of Child-Parent Psychotherapy on Traumatized Preschoolers and Their Caregivers : A Swedish Multi-Site Study
- 2024
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Ingår i: Evidence-Based Practice in Child and Adolescent Mental Health. - : Routledge. - 2379-4925.
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Trauma affects a child’s mental health and appears to be associated with challenges in caregiver-child dynamics. Nearly half of child trauma victims are under the age of six, yet few interventions are designed for this age group. Child-Parent Psychotherapy (CPP) is an attachment-based trauma treatment for preschool-aged victims of adversities and their caregivers. This study examines the effectiveness of CPP when implemented in a Swedish naturalistic multi-site clinical setting. Method: 57 children (age 2–6 years) with potentially traumatic experiences and their caregivers participated. They were recruited from 12 mental health services providing child treatment. The study has a one-group, pretest-posttest design. Outcome measures covered posttraumatic stress and general psychological symptoms in children and caregivers and caregivers’ perceptions of their relationship with their child. Paired t-tests were used to calculate within-group differences. Effect sizes were computed as Cohen’s d and associations between child and caregiver outcomes as Pearson’s correlation coefficient (r). A hierarchical regression analysis was tested to explore the correlation analysis. Results: Reductions in posttraumatic stress and general psychological symptoms with small-to-medium effect sizes were found in children and caregivers. Caregivers reported perceived improvements in their relationship with their child, with associations to findings in child posttraumatic stress reduction. Discussion: Findings support earlier results that CPP may be a suitable choice of treatment for preschoolers exposed to potentially traumatic events, such as violence. The dyadic treatment model seems to address the association between child traumatic stress and caregivers’ perceptions of the caregiving relationship. Further dissemination testing is suggested.
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| 34. |
- Pernebo, Karin, et al.
(författare)
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Outcomes of psychotherapeutic and psychoeducative group interventions for children exposed to intimate partner violence
- 2018
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Ingår i: International Journal of Child Abuse & Neglect. - : Elsevier Ltd. - 0145-2134 .- 1873-7757. ; 79, s. 213-223
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Tidskriftsartikel (refereegranskat)abstract
- Witnessing violence toward a caregiver during childhood is associated with negative impact on children's health and development, and there is a need for effective interventions for children exposed to intimate partner violence in clinical as well as in community settings. The current effectiveness study investigated symptom reduction after participation in two established group interventions (one community-based psychoeducative intervention; one psychotherapeutic treatment intervention) for children exposed to intimate partner violence and for their non-offending parent. The study included 50 children—24 girls and 26 boys—aged 4–13 years and their mothers. Child and maternal mental health problems and trauma symptoms were assessed pre- and post-treatment. The results indicate that although children showed benefits from both interventions, symptom reduction was larger in the psychotherapeutic intervention, and children with initially high levels of trauma symptoms benefited the most. Despite these improvements, a majority of the children's mothers still reported child trauma symptoms at clinical levels post-treatment. Both interventions substantially reduced maternal post-traumatic stress. The results indicate a need for routine follow-up of children's symptoms after interventions.
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| 35. |
- Pernebo, Karin, et al.
(författare)
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Reduced Posttraumatic Stress in Mothers Taking Part in Group Interventions for Children Exposed to Intimate Partner Violence
- 2023
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Ingår i: Violence and Victims. - : Springer. - 0886-6708 .- 1945-7073. ; 38:1, s. 130-147
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Tidskriftsartikel (refereegranskat)abstract
- This study investigated whether interventions for children exposed to intimate partner violence combining parallel groups for children and mothers contribute to positive outcomes for partaking mothers. The study included 39 mothers in a long-term within-subject design without a control group in a Swedish naturalistic setting. Maternal psychological health was assessed pre-and posttreatment and at 6-month and 12-month follow-up. Mothers reported medium-to large-sized decrease in psychological symptoms, including symptoms of posttraumatic stress, postintervention (p = < .001 d = 0.45–0.96). During the follow-up period, sustained and further decrease of symptoms was reported (p = < .001 d = 0.58–1.60). Mothers also reported decreased exposure to violence. Results indicate that these child-focused programs have major and sustainable positive effects on mothers’ psychological health.
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| 36. |
- Pernebo, Karin, et al.
(författare)
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Reduced psychiatric symptoms at 6 and 12 months’ follow-up of psychotherapeutic and psychoeducative group interventions for children exposed to intimate partner violence
- 2019
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Ingår i: International Journal of Child Abuse & Neglect. - : Elsevier. - 0145-2134 .- 1873-7757. ; 93, s. 228-238
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Tidskriftsartikel (refereegranskat)abstract
- Background: Long-term follow-up studies of interventions for children exposed to intimate partner violence are few, and the sustainability of their outcomes often remains unexplored and uncertain. Current research including follow-up assessment suggests that treatment gains may be maintained or continue post termination. In addition some children may show increased levels of symptoms. Objective: The present effectiveness study investigated the long-term outcomes of two established group interventions for children exposed to intimate partner violence and their non-offending parent. Participants and Setting: The study included 50 children, 24 girls and 26 boys, aged 4 to 13 years attending a psychotherapeutic child and adolescent mental health service intervention and a psychoeducative community-based intervention. Methods: Background information, child and parental mental health problems, trauma symptoms, and exposure to violence were assessed pre- and post treatment and at 6 and 12 months’ follow-up. Results: Sustained treatment gains and late improvements in children's internalizing and externalizing symptoms and in symptoms of traumatic stress were recorded from post treatment to the follow-up assessments (p =.004–.044; d = 0.29–0.67). No significant increase in symptoms was reported. Additionally, very little continued or renewed child exposure to violence was reported. Conclusions: The results of the study indicate that the children did benefit from the two interventions studied and that the outcomes of reduced child symptoms and protection from exposure to violence were sustainable. Children with severe trauma symptoms benefited the most, though maternal psychological problems may for some have hindered recovery. Clinical implications are discussed.
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| 37. |
- Pernebo, Karin, et al.
(författare)
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Young Children Exposed to Intimate Partner Violence Describe their Abused Parent : A Qualitative Study
- 2017
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Ingår i: Journal of family Violence. - : Springer. - 0885-7482 .- 1573-2851. ; 32:2, s. 169-178
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Tidskriftsartikel (refereegranskat)abstract
- The negative impact of intimate partner violence (IPV) begins early in the child’s relationship with a caregiver. Children’s relationships with, and internal working models of, abused parents have rarely been documented. The aim of this study was to collect and interpret young children’s accounts of their abused parent. Interviews were conducted with 17 children aged 4 to 12 years who had witnessed IPV. Thematic analysis identified three main themes and seven sub-themes: “Coherent accounts of the parent” (sub-themes of “general benevolence”, “provision of support, protection, and nurture”, and “parental distress”); “Deficient accounts of the parent” (“vague accounts” and “disorganized narrations”); and “The parent as a trauma trigger” (“avoidance” and “breakthrough of intrusive memories and thoughts”). The results indicate these children may hold integrated, deficient, or blocked internal representations of an abused parent, and they illustrate the benefit of including young children as informants in research.
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| 38. |
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| 39. |
- Pernebo, Karin, et al.
(författare)
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Young children's experiences of participating in group treatment for children exposed to intimate partner violence : A qualitative study
- 2016
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Ingår i: Clinical Child Psychology and Psychiatry. - New York : SAGE Publications. - 1359-1045 .- 1461-7021. ; 21:1, s. 119-132
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Tidskriftsartikel (refereegranskat)abstract
- The risk of exposure to intimate partner violence (IPV) between caregivers is increased during early childhood. The adverse effects on the health and development of the youngest children may be severe. Effective and promising interventions for children who have experienced IPV have been developed and evaluated. However, there is a lack in knowledge about how the children themselves experience the interventions. The aim of this study was to contribute to the evaluation of group treatment designed to improve the psychological health of young children in the aftermath of family violence by elucidating the children's experiences of participating. Nine children, aged 4 to 6 years, were interviewed after participating in group programmes specifically designed for children who have been exposed to intimate partner violence. A semi-structured interview guide with open-ended questions was used. The interviews were transcribed and analysed using interpretative phenomenological analysis, to ensure a focus on the children's own views and experiences. Five master themes embracing the children's experiences were identified: joy - positive emotional experience of participation; security - feeling safe; relatedness - relationships within the group; to talk - externalised focus on the violence; and competence - new knowledge and skills. Theoretical and clinical implications and the benefit of including very young children's views and experiences in research are discussed.
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| 40. |
- Selvin, Mikael, 1978-, et al.
(författare)
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Patient and staff experiences of quality in Swedish forensic psychiatric care : a repeated cross-sectional survey with yearly sampling at two clinics
- 2019
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Ingår i: International Journal of Mental Health Systems. - : BMC. - 1752-4458. ; 13
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Tidskriftsartikel (refereegranskat)abstract
- Background: Systematic efforts to improve the quality, safety and value of health care have increased over the last decades. Even so, it is hard to choose priorities and to know when the desired results are reached, especially in forensic psychiatric care where there can be a discrepancy between patient and staff expectations of what good quality of care is and how it should be reached. The aim of the present study was to describe and compare patient and staff experiences of quality of care in two forensic psychiatric clinics over a period of 4years.Methods: A quantitative design was used and yearly between 2011 and 2014, a total of 105 questionnaires were answered by patients and 598 by staff.Results: The sample consisted of four different groups; patient and staff in Clinic A and Clinic B respectively. The repeated measurements showed that quality of care, as described by the patients, varied over time, with significant changes over the 4years. The staff evaluations of the quality of care were more stable over time in both clinics compared with the patients. Generally, the staff rated the quality as being better than the patients but these differences tended to decrease when efforts were made to improve the care.Conclusions: It is important to highlight both what staff and patients perceive as both high and low quality care. With regular measurements and sufficient resources, training, support and leadership, the chances of successful improvement work increase. This knowledge is important in forensic nursing practice, for teaching and for management and decision makers in the constant work of improving forensic psychiatric care.
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| 41. |
- Selvin, Mikael, 1978-, et al.
(författare)
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Patient participation in forensic psychiatric care : Mental health professionals' perspective
- 2020
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Ingår i: International Journal of Mental Health Nursing. - : John Wiley & Sons. - 1445-8330 .- 1447-0349. ; 30:2, s. 461-468
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Tidskriftsartikel (refereegranskat)abstract
- Patient participation is a central concept in modern health care and an important factor in theories/models such as person-centred care, shared decision-making, human rights approaches, and recovery-oriented practice. Forensic psychiatric care involves the treatment of patients with serious mental illnesses who also have committed a crime, and there are known challenges for mental health staff to create a health-promoting climate. The aim of the present study was to describe mental health professionals' perceptions of the concept of patient participation in forensic psychiatric care. Interviews were conducted with 19 professionals and were analysed with a phenomenographic approach. The findings are presented as three descriptive categories comprising five conceptions in an hierarchic order: 1. create prerequisites – to have good communication and to involve the patient, 2. adapt to forensic psychiatric care conditions – to take professional responsibility and to assess the patient’s current ability, and 3. progress – to encourage the patient to become more independent. The findings highlight the need for professionals to create prerequisites for patient participation through good communication and involving the patient, whilst adapting to forensic psychiatric care conditions by taking professional responsibility, assessing the patient’s ability, and encouraging the patient to become more independent without adding any risks to the care process. By creating such prerequisites adapted to the forensic psychiatric care, it is more likely that the patients will participate in their care and take more own responsibility for it, which also may be helpful in the patient recovery process.
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| 42. |
- Selvin, Mikael, 1978-, et al.
(författare)
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Patient Participation in Forensic Psychiatric Care : The Initial Development and Content Validity of a New Instrument
- 2023
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Ingår i: Journal of Forensic Nursing. - : Wolters Kluwer Health, Inc. - 1939-3938 .- 1556-3693. ; 19:3, s. 204-213
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Tidskriftsartikel (refereegranskat)abstract
- Patient participation is central in modern health care. However, it is a complex phenomenon that lacks a clear definition, and what constitutes participation varies depending on the context and theoretical perspective. It is known that patient participation in forensic psychiatric care is often rated as low by both patients and professionals, and it can be assumed that interventions to increase it are beneficial. In this process, management and staff could benefit from assessing perceived patient participation, and reliable and valid measurement instruments are essential. The aim of this study was to develop an instrument that could be used to measure experiences of participation in forensic psychiatric care from a patient perspective and test it for content validity. A definition of patient participation in forensic psychiatric care was formulated and operationalized in an instrument that an expert group, consisting of patients with ongoing care, evaluated for content validity. In total, 50 items were sorted into five different dimensions: to have good communication, to be involved, to have mutual trust, to trust the care, and to take responsibility. After psychometric testing, the instrument has the potential to become a tool to use in research, clinical work, and development work in the field of forensic psychiatric care. In addition to being used as a measure, the Patient Participation in Forensic Psychiatric Care can also be used to encourage a dialogue about their care and to make both patients and staff more aware of patient participation.
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| 43. |
- Selvin, Mikael, 1978-, et al.
(författare)
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The Concept of Patient Participation in Forensic Psychiatric Care : The Patient Perspective
- 2016
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Ingår i: Journal of Forensic Nursing. - Philadelphia, USA : Lippincott Williams & Wilkins. - 1939-3938 .- 1556-3693. ; 12:2, s. 57-63
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Tidskriftsartikel (refereegranskat)abstract
- The importance of patient participation is advocated in medical treatment and nursing care and has been linked to increased quality of care, increased patient satisfaction, and treatment adherence. Still, patients in forensic psychiatric care often report being unhappy with their experienced level of participation. The concept of patient participation is complex and has several definitions, thus it is important to investigate it from different perspectives in different contexts. The aim of this study was to describe patients' perceptions of the concept of patient participation in forensic psychiatric care. A qualitative design with a phenomenographic approach was used, and interviews with 19 participants in a Swedish setting were completed. The participants described the concept of patient participation in forensic psychiatric care as follows: influence, to have good communication and to be involved; confidence, to trust the treatment and to have mutual trust; and own responsibility, to participate in activities and to take the initiative. On the basis of the results of this study, improved patient participation in forensic psychiatric care may be achieved with active communication, by building up and maintaining trust for the professional competence and by encouraging patients' own responsibility. It is important that knowledge about patients' views of the concept of patient participation is included in the planning and improvement of forensic care.
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