| 1. |
- Boström, Magnus, 1972-, et al.
(author)
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Conditions for Transformative Learning for Sustainable Development : A Theoretical Review and Approach
- 2018
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In: Sustainability. - : MDPI. - 2071-1050. ; 10:12
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Journal article (peer-reviewed)abstract
- Continued unsustainability and surpassed planetary boundaries require not only scientific and technological advances, but deep and enduring social and cultural changes. The purpose of this article is to contribute a theoretical approach to understand conditions and constraints for societal change towards sustainable development. In order to break with unsustainable norms, habits, practices, and structures, there is a need for learning for transformation, not only adaption. Based on a critical literature review within the field of learning for sustainable development, our approach is a development of the concept of transformative learning, by integrating three additional dimensions—Institutional Structures, Social Practices, and Conflict Perspectives. This approach acknowledges conflicts on macro, meso, and micro levels, as well as structural and cultural constraints. It contends that transformative learning is processual, interactional, long-term, and cumbersome. It takes place within existing institutions and social practices, while also transcending them. The article adopts an interdisciplinary social science perspective that acknowledges the importance of transformative learning in order for communities, organizations, and individuals to be able to deal with global sustainability problems, acknowledging the societal and personal conflicts involved in such transformation.
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| 2. |
- Annerbrink, Kristina, 1974, et al.
(author)
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Associations between the angiotensin-converting enzyme insertion/deletion polymorphism and monoamine metabolite concentrations in cerebrospinal fluid
- 2010
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In: Psychiatry Research. - : Elsevier BV. - 1872-7123 .- 0165-1781. ; 179:2, s. 231-234
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Journal article (peer-reviewed)abstract
- Angiotensin II has been suggested to influence central dopamine and serotonin turnover. Since the angiotensin-converting enzyme (ACE) plays a key role in angiotensin regulation by converting inactive angiotensin 1 to active angiotensin II, we hypothesised that the functional insertion/deletion (I/D) polymorphism in the ACE gene, which has previously been suggested to be associated with, depression and panic disorder, may influence monoamine activity. A well-established technique for assessing brain monoamine turnover in humans is to measure concentrations of monoamine metabolites in the cerebrospinal fluid (CSF). We thus investigated possible associations between the ACE I/D polymorphism and CSF monoamine metabolite concentrations in a population of healthy male subjects. After having found such an association between the ACE I/D polymorphism and CSF levels of the dopamine metabolite homovanillic acid and the serotonin metabolite 5-hydroxyindoleacetic acid in this sample, I carriers displaying lower levels, we tried to replicate this observation in a population of violent male offenders from which also both CSF and DNA were available. Also in this sample, the same associations were found. Our results suggest that the ACE I/D polymorphism may play a role in the modulation of serotonergic and dopaminergic turnover in men. (C) 2009 Elsevier Ireland Ltd. All rights reserved.
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| 3. |
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| 4. |
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| 5. |
- Olsson, Erik, 1956-, et al.
(author)
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Made in Swedish : diasporisation and lifestyle orientation among Swedish migrant networks in Southern Spain
- 2021
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In: Social Identities. - : Informa UK Limited. - 1350-4630 .- 1363-0296. ; 27:2, s. 197-211
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Journal article (peer-reviewed)abstract
- The article demonstrates how large social associations are operating at the locus of a community-making related to the networks of Swedish migrants in Southern Spain. The associations are selectively targeting relatively wealthy older (ethnic) Swedish individuals, offering them a home-like social arena with access to a club equipped with well-known facilities and activities from the Swedish tradition. In addition, these associations offers valuable information and services that ensure their members a comfortable lifestyle in Spain but also facilitates a life with close connection to the Swedish society. In this social space, the Swedish migrants meet, socialise and to some extent, consume, rather than making efforts to participate and becoming integrated in Spanish society. It is also obvious how this environment becomes a hub for maintaining links and societal life with the Swedish society. The article argues that the practices used by the social associations in their mobilisation, are becoming part of a ‘diasporisation’ of Swedes in Southern Spain. It is also argued that these practices are both reflecting assumed needs and requests from the individuals in the migrant networks as well as orientating them into a lifestyle that promotes comfort and transnational links with their country of origin.
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| 6. |
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Etnicitetens mångfald och gränser
- 2000
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Editorial collection (peer-reviewed)abstract
- Under det senaste åren har en våg av etnisk medvetenhet sköljt över världen. Av världens befolkning lever idag fler än hundra miljoner människor utanför sina födelseländer. Samtidigt som broar byggs mellan länder, dras ofta skarpa gränser mellan olika grupper. Här ger sex forskare från olika discipliner sin syn på vårt etniska samhälle.Medverkar gör: Etnicitetsforskaren Erik Olsson, som också är bokens redaktör. Sociologen Aleksandra Ålund Historikern Rune Johansson Historikern Heléne Lööw Kulturgeografen Ali B. Najib Pedagogen Elsie C. Franzén Förord av Göran Graninger, professor vid Linköpings universitet.
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| 7. |
- Grönqvist, Helena, 1975-, et al.
(author)
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Fifteen Challenges in Establishing a Multidisciplinary Research Program on eHealth Research in a University Setting : A Case Study
- 2017
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In: Journal of Medical Internet Research. - : JMIR Publications Inc.. - 1438-8871. ; 19:5
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Journal article (peer-reviewed)abstract
- BACKGROUND:U-CARE is a multidisciplinary eHealth research program that involves the disciplines of caring science, clinical psychology, health economics, information systems, and medical science. It was set up from scratch in a university setting in 2010, funded by a governmental initiative. While establishing the research program, many challenges were faced. Systematic documentation of experiences from establishing new research environments is scarce.OBJECTIVE:The aim of this paper was to describe the challenges of establishing a publicly funded multidisciplinary eHealth research environment.METHODS:Researchers involved in developing the research program U-CARE identified challenges in the formal documentation and by reflecting on their experience of developing the program. The authors discussed the content and organization of challenges into themes until consensus was reached.RESULTS:The authors identified 15 major challenges, some general to establishing a new research environment and some specific for multidisciplinary eHealth programs. The challenges were organized into 6 themes: Organization, Communication, Implementation, Legislation, Software development, and Multidisciplinarity.CONCLUSIONS:Several challenges were faced during the development of the program and several accomplishments were made. By sharing our experience, we hope to help other research groups embarking on a similar journey to be prepared for some of the challenges they are likely to face on their way.
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| 8. |
- Humphries, Sophia, et al.
(author)
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Association between β-blocker dose and quality of life after myocardial infarction : a real-world Swedish register-linked study
- 2022
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In: European Heart Journal. - : Oxford University Press. - 2048-8726 .- 2048-8734. ; 11:6, s. 491-500
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Journal article (peer-reviewed)abstract
- Background β-blockers are routinely administered to patients following myocardial infarction (MI), yet their potential effect on health-related quality of life (HRQoL) is not entirely understood. We investigated the relationship between two different doses of β-blockers with HRQoL following MI.Methods and results This nationwide observational study used Swedish national registries to collate sociodemographic, clinical, medication, and HRQoL {the latter operationalized using EuroQol [European Quality of Life Five Dimensions Questionnaire (EQ-5D)]}. Estimates at 6–10 weeks and 12–14 months post-MI follow-up from pooled linear and logistic models were calculated after multiple imputation. We identified 35 612 patients with first-time MI, discharged with β-blockers, and enrolled in cardiac rehabilitation between 2006 and 2015. Upon discharge, patients were either dispensed <50% [24 082 (67.6%)] or ≥50% [11 530 (32.4%)] of the target dosage, as defined in previous trials. After adjusting for pre-defined covariates, neither the EQ-5D Index nor the Emotional Distress items were statistically different between groups. The EQ-VAS score was significantly lower in patients treated with ≥50% target β-blocker dose than those treated with <50% of the target dose [−0.87 [−1.23, −0.46], P < .001]. Results were similar at the 12-month follow-up and across sub-groups separated by sex and age.Conclusion No difference in HRQoL was found among patients taking <50% vs. ≥50% of the target β-blocker dose, except for the EQ-VAS in which higher scores were reported in those taking a lower dose. The clinical meaningfulness of this statistical significance is likely low.
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| 9. |
- Humphries, Sophia, et al.
(author)
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Designing a Web-Based Psychological Intervention for Patients With Myocardial Infarction With Nonobstructive Coronary Arteries : User-Centered Design Approach
- 2020
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In: Journal of Medical Internet Research. - : JMIR Publications Inc.. - 1438-8871. ; 22:9
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Journal article (peer-reviewed)abstract
- BACKGROUND: The involvement of patient research partners (PRPs) in research aims to safeguard the needs of patient groups and produce new interventions that are developed based on patient input. Myocardial infarction with nonobstructive coronary arteries (MINOCA), unlike acute myocardial infarction (MI) with obstructive coronary arteries, is presented with no significant obstructive coronary artery disease. Patients with this diagnosis are a subset of those diagnosed with traditional MI and often need more psychological support, something that is presently not established in the current treatment scheme in Swedish health care or elsewhere, to our knowledge. An internet-delivered intervention might offer patients with MINOCA the opportunity to access a psychological treatment that is tailored to their specific needs after MINOCA and could therefore supplement the existing medical care in an easily accessible format.OBJECTIVE: This paper aims to describe the development of a therapist-guided, internet-delivered psychological intervention designed specifically for patients with MINOCA.METHODS: The study used a participatory design that involved 7 PRPs diagnosed with MINOCA who collaborated with a team consisting of researchers, cardiologists, and psychologists. Intervention content was developed iteratively and presented to the PRPs across several prototypes, each continually adjusted and redesigned according to the feedback received. The intervention and experience of it were discussed by PRPs in a final meeting and then presented to a panel of 2 clinical psychologists and a cardiologist for further input.RESULTS: The outcome of the collaboration between PRPs and the research group produced a web-based psychological 9-step program focusing on stress, worry, and valued action. The input from PRPs contributed substantially to the therapy content, homework tasks, interactive activities, multimedia, and design presentation.CONCLUSIONS: Working with PRPs to develop an intervention for people with MINOCA produced a web-based intervention that can be further evaluated with the goal of offering a new psychological treatment option to a patient group currently without one. Direct contribution from PRPs enabled us to obtain relevant, insightful, and valuable feedback that was put towards the overall design and content of the intervention.
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| 10. |
- Humphries, Sophia, et al.
(author)
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Internet-Based Cognitive Behavioral Therapy for Patients Reporting Symptoms of Anxiety and Depression After Myocardial Infarction : U-CARE Heart Randomized Controlled Trial Twelve-Month Follow-up
- 2021
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In: Journal of Medical Internet Research. - : JMIR Publications. - 1438-8871. ; 23:5
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Journal article (peer-reviewed)abstract
- Background: The U-CARE Heart trial was one of the first randomized controlled trials to evaluate the effect of internet-based cognitive behavioral therapy on self-reported symptoms of anxiety or depression for patients with a recent myocardial infarction. While the effects of internet-based cognitive behavioral therapy on Hospital Anxiety and Depression Scale (HADS) scores at 14 weeks postbaseline were not significant, in this study, we investigated possible long-term effects of treatment.Objective: The aim of this study was to evaluate the long-term effectiveness of internet-based cognitive behavioral therapy on self-reported symptoms of anxiety and depression in patients 12 months after a myocardial infarction and to explore subsequent occurrences of cardiovascular disease events.Methods: Shortly after acute myocardial infarction, 239 patients (33% female, mean age 59.6 years) reporting mild-to-moderate symptoms of anxiety or depression were randomized to 14 weeks of therapist-guided internet-based cognitive behavioral therapy (n=117) or treatment as usual (n=122). Data from national registries were used to explore group differences in clinical outcomes such as cardiovascular disease and cardiovascular-related mortality for a follow-up period of up to 5 years: group differences in HADS total score 1 year post-myocardial infarction, the primary outcome, was analyzed using multiple linear regression. Secondary outcomes, such as HADS anxiety and depression subscales and the Cardiac Anxiety Questionnaire total score (CAQ), which measures heart-focused anxiety, were analyzed in the same way. Multiple imputation was used to account for missing data, and a pooled treatment effect was estimated. Adjusted Cox proportional hazards models were used to estimate hazard ratios (HRs) for data pertaining to registry outcomes.Results: Both groups reported lower HADS total scores 1 year after myocardial infarction than those at baseline. HADS total scores were not significantly different between the treatment and control groups 1 year after myocardial infarction (beta=-1.14, 95% CI -2.73 to 0.45, P=.16). CAQ was the only measure improved significantly by internet-based cognitive behavioral therapy when compared with treatment as usual ( beta=-2.58, 95% CI -4.75 to -0.42, P=.02) before adjusting for multiple comparisons. The composite outcome of nonfatal cardiovascular events and cardiovascular-related mortality did not differ between groups but was numerically higher in the internet-based cognitive behavioral therapy group, who were at slightly greater risk (HR 1.8, 95% CI 0.96 to 3.4, P=.07). Adjusting for previous myocardial infarction and diabetes attenuated this estimate (HR 1.5, 95% CI 0.8 to 2.8, P=.25).Conclusions: Internet-based cognitive behavioral therapy was not superior in reducing self-reported symptoms of depression or anxiety compared to treatment as usual at the 1-year follow-up after myocardial infarction. A reduction in cardiac-related anxiety was observed but was not significant after adjusting for multiple comparisons. There was no difference in risk of cardiovascular events between the treatment groups. Low treatment adherence, which might have affected treatment engagement and outcomes, should be considered when interpreting these results.
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| 11. |
- Humphries, Sophia, et al.
(author)
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Randomized evaluation of routine beta-blocker therapy after myocardial infarction quality of life (RQoL) : design and rationale of a multicentre, prospective, randomized, open, blinded endpoint study
- 2023
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In: European Heart Journal Open. - : Oxford University Press. - 2752-4191. ; 3:3
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Journal article (peer-reviewed)abstract
- AimsMost cases of acute myocardial infarction (MI) in Sweden are treated with long-term β-blocker therapy as secondary prevention. Case studies and patient reports have indicated negative effects of β-blockers including symptoms of depression, fatigue, sexual dysfunction, and general low mood, all related to reduced quality of life (QoL). To date, no recent large-scale, randomized trial has explored the effects of β-blockers on these factors.Methods and resultsThe ongoing Randomized Evaluation of Decreased Usage of beta-bloCkErs after myocardial infarction (REDUCE): quality of life (RQoL) study is a multicentre, prospective, randomized pre-specified substudy aiming to evaluate the effects of β-blockers on self-reported measures of QoL. Following randomized allocation to long-term β-blocker or no β-blocker treatment, patients complete a total of six baseline measures pertaining to QoL, sexual functioning, and perceived side effects. Data collection is optionally carried out online through a unique and secure portal and repeated again at two follow-up time points. Recruitment began in July 2018. Data from the first 100 patients showed that at the first follow-up, 93% had completed the questionnaires, which decreased to 81% at the second follow-up. The method of digital data collection was utilized by over half of the patients recruited so far.ConclusionData from the first 100 patients indicate success in terms of study design and recruitment. The RQoL substudy investigates the effects of β-blockers on self-reported measures of QoL in MI patients and will potentially contribute to the limited knowledge of QoL-related side effects reported in conjunction with β-blocker use.Clinical trial registrationEudra CT number, 2017-002336-17; Clinical trial.gov identifier, NCT03278509
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| 12. |
- Humphries, Sophia
(author)
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Taking mind matters to heart : E-health methods to assess and treat psychological distress associated with myocardial infarction and Takotsubo syndrome
- 2022
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Doctoral thesis (other academic/artistic)abstract
- This thesis comprises five studies investigating psychological distress in patients with myocardial infarction (MI) and Takotsubo syndrome (TS), with a focus on using e-health methods for data collection and delivery of psychological interventions. The aim of study 1 was to explore the long-term (12 month) effect of an internet-delivered intervention for MI patients experiencing self-reported symptoms of anxiety or depression compared to a control group without access to the treatment intervention. Using data from several Swedish national registers we also investigated whether the intervention had any effect on risk for adverse cardiovascular (CV) events, including recurrent MI and CV-related mortality. Effect of treatment was not significant between groups on lowering symptoms of anxiety or depression nor for risk of CV events or CV-related mortality. Low treatment adherence is discussed as a probable reason for these findings. Study 2 aimed to build from the lessons learned in study 1, as well as the existing literature and continuous input and collaboration with patient research partners (PRPs) to develop an internet intervention designed for patients experiencing high levels of anxiety or stress following MI with non-obstructed coronary arteries (MINOCA) or TS. We present the processes involved during the development and creation of this novel internet intervention. Following on from this, in Study 3 we tested the feasibility of this intervention using pre-specified progression criteria that was aimed to assess whether the intervention and study protocol were feasible in a randomised controlled trial (RCT). We screened patients for eligibility and offered participation in the study to those who met the pre-defined inclusion criteria. We collected both psychometric and qualitative data and assessed progression criteria that covered: recruitment, time and resources, proportion of participants completing the intervention and, participant experiences of the intervention. Study 4 used data from the Swedish national registers to estimate the association of health-related quality of life (HRQoL) with high vs low dose of β-blocker, prescribed after MI. The aim was to investigate, in advance of an ongoing register-based RCT, whether there is any association of β-blocker dose on patient reported HRQoL. Since there are many reasons for a patient to receive a high or low dose respectively, controlling for possible confounding was crucial. We used the European Quality of Life Five Dimensions questionnaire (EQ-5D) to assess HRQoL using data from over 35000 unique, first-time MI patients in Sweden.Study 5 presents the trial design, rationale and baseline data from the first 100 patients recruited into a registry-based RCT sub-study focussed on investigating several psychological-related outcomes in patients randomised to receive β-blocker treatment or no treatment. The feasibility, strengths and challenges of using digitalised in-hospital data collection techniques are also evaluated.
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| 15. |
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| 16. |
- Leissner, Philip, et al.
(author)
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Association of anxiety and recurrent cardiovascular events : investigating different aspects of anxiety
- 2024
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In: European Journal of Cardiovascular Nursing. - : Oxford University Press (OUP). - 1474-5151 .- 1873-1953.
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Journal article (peer-reviewed)abstract
- Aims While elevated levels of anxiety are associated with worse prognosis of cardiovascular disease (CVD), this association may vary between different aspects of anxiety. The aim of this study was to analyse self-reported behavioural, physiological, affective, and cognitive aspects of anxiety and their relation to the risk of recurrent CV events.Methods and results This prospective cohort study utilized data from the U-CARE Heart trial. Participants (N = 935, post myocardial infarction) answered the Hospital Anxiety and Depression Scale (HADS: Anxiety subscale) and the Cardiac Anxiety Questionnaire (CAQ: Fear, Avoidance & Attention subscales). HADS Anxiety reflected physiological aspects, CAQ Fear reflected cognitive and affective aspects, CAQ Avoidance reflected behavioural aspects, and CAQ Attention reflected cognitive aspects of anxiety. Cox regression was used to estimate the risk between anxiety and recurrent major adverse cardiac event (MACE). During the follow-up period (mean 2.9 years), 124 individuals (13%) experienced a specified MACE endpoint. HADS Anxiety and CAQ Total were both associated with increased risk of MACE [hazard ratio (HR) = 1.52, 95% confidence interval (CI): 1.15-2.02 and HR = 1.30, 95% CI: 1.04-1.64, respectively]. Among the CAQ subscales, there was support for an association between Avoidance and risk of MACE (HR = 1.37, 95% CI 1.15-1.64), but not for Attention and Fear.Conclusion The results support that anxiety is associated with an increased risk of recurrent MACE in post-myocardial infarction patients. The association between anxiety and risk was strong for the aspects of anxiety relating to behaviour and physiology, while the support for an association with cognitive and affective aspects was lacking.
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| 17. |
- Leissner, Philip, et al.
(author)
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The factor structure of the cardiac anxiety questionnaire, and validation in a post-MI population
- 2022
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In: BMC Medical Research Methodology. - : BioMed Central (BMC). - 1471-2288. ; 22
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Journal article (peer-reviewed)abstract
- Background: CVD-patients with higher levels of cardiac anxiety suffer psychologically, as well as being at increased risk for cardiac morbidity and mortality. Therefore it is important to be able to assess CA in a clinical setting. It is currently measured with the Cardiac Anxiety Questionnaire, which has conflicting findings regarding its factor structure, and it has not been validated in a Swedish population. This study aimed to examine the factor structure of CAQ and its psychometric properties in a Swedish CVD-population.Methods: Nine hundred thirty patients post-MI were recruited at different Swedish hospitals and completed the CAQ, along with several other questionnaires. Exploratory factor analysis and confirmatory factor analysis were conducted to explore factor structure and to inspect various factor solutions from previous research. Standard psychometric tests were performed for the CAQ to test its validity and reliability.Results: The exploratory analysis found a model with the factors Fear/Worry, Avoidance and Attention. The confirmatory factor analysis indicated that a 3-factor solution best fitted the data, but with certain items removed. Additionally, psychometric properties turned out acceptable in a Swedish post-MI population.Conclusions: We conclude that the original 3-factor structure of the CAQ is valid, but that the questionnaire could be revised in regard to some items. A shorter 10-items version could also be considered. We also confirm that the CAQ is a valid instrument to measure CA in a Swedish MI-population.
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| 18. |
- Liljeroos, Thea, et al.
(author)
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Self-perceived cognitive status and cognitive challenges associated with cardiac rehabilitation management : experiences of elderly myocardial infarction patients.
- 2022
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In: Disability and Rehabilitation. - : Taylor & Francis Group. - 0963-8288 .- 1464-5165. ; 44:15, s. 3834-3842
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Journal article (peer-reviewed)abstract
- PURPOSE: The study aimed to explore the self-perceived cognitive status and cognitive challenges associated with lifestyle changes in cardiac rehabilitation among elderly myocardial infarction (MI) patients (≥65 years). Further, the study explored coping strategies developed to manage these challenges in the everyday life.METHODS: Nine patients were included in the study. Data were collected by telephone or in person, between 6 and 12 weeks post MI, using semi-structured interviews. Data were analysed inductively, using thematic analysis.RESULTS: Four major themes were identified, highlighting elderly MI patients' experiences of their cognitive status and cardiac rehabilitation management: (1) A change in cognition over time, (2) Situating the MI within a challenging and changing life context, (3) Navigating the hurdles of cardiac rehabilitation, and (4) Being seen within the healthcare system.CONCLUSION: Elderly MI patients are situated in a complex life context, dealing with a transition to retirement, multiple health issues and age-related cognitive decline. In this context, the MI experience is marginalised, and cognitive decline normalized. By adopting individually tailored interventions and improving healthcare provider continuity and accessibility, cognitive challenges associated with cardiac rehabilitation could be easier to overcome.IMPLICATIONS FOR REHABILITATIONSelf-perceived cognitive impairment, in particular regarding memory, seems fairly common among elderly MI patients and should likely be identified prior to hospital discharge in order to optimize the prospects of self-care.There seems to exist an unmet need to implement the practice of individually adapted education and information further, in accordance with current recommendations for elderly cardiac patients.The overall health and cognitive status, social network and the objective living conditions (e.g., distance from service and housing) should be taken into account when planning the patient's cardiac rehabilitation management.Healthcare providers likely need to strengthen the continuity of care and increase its accessibility for elderly MI patients, in particular following the transfer from hospital care to local health centres.
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| 19. |
- Lissåker, Claudia, et al.
(author)
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Persistent emotional distress after a first-time myocardial infarction and its assocation to late cardiovascular and non-cardiovascular mortality
- 2019
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In: European Journal of Preventive Cardiology. - : Oxford University Press (OUP). - 2047-4873 .- 2047-4881. ; 26:14, s. 1510-1518
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Journal article (peer-reviewed)abstract
- BACKGROUND:Patients with symptoms of depression and/or anxiety - emotional distress - after a myocardial infarction (MI) have been shown to have worse prognosis and increased healthcare costs. However, whether specific subgroups of patients with emotional distress are more vulnerable is less well established. The purpose of this study was to identify the association between different patterns of emotional distress over time with late cardiovascular and non-cardiovascular mortality among first-MI patients aged <75 years in Sweden.METHODS:We utilized data on 57,602 consecutive patients with a first-time MI from the national SWEDEHEART registers. Emotional distress was assessed using the anxiety/depression dimension of the European Quality of Life Five Dimensions questionnaire two and 12 months after the MI, combined into persistent (emotional distress at both time-points), remittent (emotional distress at the first follow-up only), new (emotional distress at the second-follow up only) or no distress. Data on cardiovascular and non-cardiovascular mortality were obtained until the study end-time. We used multiple imputation to create complete datasets and adjusted Cox proportional hazards models to estimate hazard ratios.RESULTS:Patients with persistent emotional distress were more likely to die from cardiovascular (hazard ratio: 1.46, 95% confidence interval: 1.16, 1.84) and non-cardiovascular causes (hazard ratio: 1.54, 95% confidence interval: 1.30, 1.82) than those with no distress. Those with remittent emotional distress were not statistically significantly more likely to die from any cause than those without emotional distress.DISCUSSION:Among patients who survive 12 months, persistent, but not remittent, emotional distress was associated with increased cardiovascular and non-cardiovascular mortality. This indicates a need to identify subgroups of individuals with emotional distress who may benefit from further assessment and specific treatment.
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| 20. |
- Lissåker, Claudia T., et al.
(author)
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Emotional Distress as a Predictor of Statin Non-adherence among Swedish First-Time Myocardial Infarction Patients, 2006–2013
- 2017
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In: Journal of Psychosomatic Research. - : Elsevier BV. - 0022-3999 .- 1879-1360. ; 97, s. 30-37
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Journal article (peer-reviewed)abstract
- Background: Emotional distress (depression and anxiety) has been known to affect mortality after a myocardial infarction (MI). One possible mechanism is through medication non-adherence. Few studies have investigated the link between statin adherence and emotional distress, and results are not consistent. We aimed to explore whether emotional distress affects adherence among first-time MI patients younger than 75 years old receiving a prescription for the first time.Methods: We identified first-MI individuals younger than 75 years from the SWEDEHEART national quality registers discharged with a statin prescription. The main exposure was the anxiety/depression portion of the EQ-5D from Interview 1 (6-10 weeks post -MI) and Interview 2 (12-14 months post -MI). We calculated adherence from the Swedish Prescribed Drugs Register during three observation periods (OP): [1] Interview 1 to Interview 2, [2] one year post Interview 2, and [3] two years post Interview 1.Results: Emotional distress at Interview 1 was not associated with statin adherence for OP1 (RR: 0.99, 95% CI: 0.98, 1.01). Emotional distress at Interview 2 was associated with lower adherence one year later (RR: 0.95, 95% CI: 0.93, 0.98). Emotional distress at Interview 1 was associated with a small decrease in adherence in the complete OP for adherence (RR: 0.98, 95% CI: 0.96, 0.99).Conclusion: Emotional distress was marginally, but independently, associated with lower adherence to statin two years after the MI. Our study suggests that emotional distress may be an important factor for long-term statin adherence, and, thus, may play a clinically important role in long-term outcome.
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| 21. |
- Lundqvist, Catarina, et al.
(author)
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Beyond a Swedish horizon : Young migrants in Sweden and their transnational prospects
- 2012
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In: Nordic Journal of Migration Research. - : Helsinki University Press. - 1799-649X. ; 2:2, s. 124-132
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Journal article (peer-reviewed)abstract
- This article examines the way in which young people of migrant descent in Sweden account for their future prospects and career plans. The article demonstrates how both their position as “migrants” in Sweden and their attachment to a transnational network has a significant impact on how young migrants express ideas and talk about future opportunities. The main conclusion is that from the perspective of young migrants, the transnational social network is a significant social reality to which they position themselves consciously. The network is also attributed a social capital that could extend the subjects’ horizon of action beyond the nation-state boundaries. In this sense, transnationality is a vivid dimension in the young migrants’ life prospects.
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| 22. |
- Mars, Katarina, et al.
(author)
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Association between β-blocker dose and cardiovascular outcomes after myocardial infarction : insights from the SWEDEHEART registry
- 2020
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In: European Heart Journal. - : Oxford University Press (OUP). - 2048-8726 .- 2048-8734. ; 10:4, s. 372-379
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Journal article (peer-reviewed)abstract
- AimsDose-dependent effects of β-blockers on survival and cardiovascular outcomes after myocardial infarction (MI) are not well understood. We investigated the long-term risk of cardiovascular events in patients with different doses of β-blockers after MI.Methods and resultsThis was a nationwide observational study linking morbidity, mortality, socioeconomic, and medication data from Swedish national registries. Between 2006 and 2015, 97 575 unique patients with first-time MI were included. In total, 33 126 (33.9%) patients were discharged with ≥50% of the target β-blocker dose and 64 449 (66.1%) patients with <50% of the target β-blocker dose used in previous randomized trials. The primary composite endpoint was re-infarction or all-cause death within 1 year from discharge. Multivariable adjusted 1-year follow-up estimates using mixed effects Cox regression [HR (95% CI)] showed that patients treated with ≥50% of the target dose had a similar risk of the composite endpoint [1.03 (0.99–1.08)] and a somewhat higher risk when stroke, atrial fibrillation, or heart failure hospitalization were added to the composite endpoint [1.08 (1.04–1.12)], compared with patients on <50% of the target β-blocker dose. Results remained similar up to 5 years of follow-up and consistent across relevant patient subgroups, including patients who developed heart failure during the index hospitalization.ConclusionsIn contrast to doses of β-blockers used in previous trials, ≥50% of the target β-blocker dose was not associated with superior cardiovascular outcomes up to 5 years as compared with <50% of the target dose. Contemporary randomized clinical trials are needed to clarify the optimal dose of β-blockers after MI.
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| 23. |
- Norlund, Fredrika, et al.
(author)
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Factors associated with emotional distress in patients with myocardial infarction : Results from the SWEDEHEART registry
- 2018
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In: European Journal of Preventive Cardiology. - : Oxford University Press (OUP). - 2047-4873 .- 2047-4881. ; 25:9, s. 910-920
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Journal article (peer-reviewed)abstract
- Background: Emotional distress, symptoms of depression and anxiety, is common among patients after a myocardial infarction (MI), and is associated with an increased risk of cardiovascular morbidity. Real world population data on factors associated with emotional distress in MI patients are scarce. The aim was to determine factors associated with incident emotional distress two and 12 months post MI respectively, and with persistent emotional distress, versus remittent, in patients <75 years old.Design: This was a registry-based observational study.Methods: Data from the national SWEDEHEART registry on 27,267 consecutive patients with a first-time MI, followed up at two and 12 months post MI ( n = 22,911), were included in the analyses. Emotional distress was assessed with the EuroQol-5D questionnaire. Several candidate sociodemographic and clinical factors were analysed for their association with emotional distress in multivariate models.Results: Symptoms of emotional distress were prevalent in 38% and 33% at two and 12 months post MI respectively. At both time-points, previous depression and/or anxiety, readmission for new cardiovascular event, female gender, younger age, born outside the neighbouring Nordic countries, smoking and being neither employed nor retired showed the strongest associations with emotional distress. Other factors related to medical history, the MI and its care or were only modestly associated with emotional distress. Persistent emotional distress was associated with younger age, female gender, smoking and being born outside of the Nordic countries.Conclusion: Previous depression/anxiety, female gender, younger age, smoking, born outside of the Nordic countries, neither employed nor retired and readmission due to cardiovascular events were strongly associated with emotional distress post MI. These factors may be of relevance in tailoring rehabilitation programmes.
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| 24. |
- Norlund, Fredrika, et al.
(author)
-
Internet-based Cognitive Behavior Therapy for Symptoms of Depression and Anxiety among Patients with a Recent Myocardial Infarction : The U-CARE Heart Randomized Trial
- 2018
-
In: Journal of Medical Internet Research. - : JMIR Publications Inc.. - 1438-8871. ; 20:3
-
Journal article (peer-reviewed)abstract
- Background: Symptoms of depression and anxiety are common after a myocardial infarction (MI). Internet-based cognitivebehavioral therapy (iCBT) has shown good results in other patient groups.Objective: The aim of this study was to evaluate the effectiveness of an iCBT treatment to reduce self-reported symptoms ofdepression and anxiety among patients with a recent MI.Methods: In total, 3928 patients were screened for eligibility in 25 Swedish hospitals. Of these, 239 patients (33.5%, 80/239women, mean age 60 years) with a recent MI and symptoms of depression or anxiety were randomly allocated to a therapist-guided,14-week iCBT treatment (n=117), or treatment as usual (TAU; n=122). The iCBT treatment was designed for post-MI patients.The primary outcome was the total score of the Hospital Anxiety and Depression Scale (HADS) 14 weeks post baseline, assessedover the internet. Treatment effect was evaluated according to the intention-to-treat principle, with multiple imputations. For themain analysis, a pooled treatment effect was estimated, controlling for age, sex, and baseline HADS.Results: There was a reduction in HADS scores over time in the total study sample (mean delta=−5.1, P<.001) but no differencebetween the study groups at follow-up (beta=−0.47, 95% CI −1.95 to 1.00, P=.53). Treatment adherence was low. A total of46.2% (54/117) of the iCBT group did not complete the introductory module.Conclusions: iCBT treatment for an MI population did not result in lower levels of symptoms of depression or anxiety comparedwith TAU. Low treatment adherence might have influenced the result.Trial Registration: ClinicalTrials.gov NCT01504191; https://clinicaltrials.gov/ct2/show/NCT01504191 (Archived at Webciteat http://www.webcitation.org/6xWWSEQ22)
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| 25. |
- Norlund, Fredrika, et al.
(author)
-
Web-Based Cognitive Behavior Therapy for Depression and Anxiety among Patients with a recent Myocardial Infarction : The U-CARE Heart Randomized Trial
- 2018
-
In: Journal of the American College of Cardiology. - : ELSEVIER SCIENCE INC. - 0735-1097 .- 1558-3597. ; 71:11, s. 1884-1884
-
Journal article (other academic/artistic)abstract
- BackgroundSymptoms of depression and anxiety are common after a myocardial infarction (MI). Web-based cognitive behavioral therapy (wCBT) may improve access to effective psychological treatment to reduce these symptoms. The aim of this prospective randomized trial was to evaluate the effectiveness of a wCBT intervention to reduce self-reported symptoms of depression and anxiety among patients with a recent MI.MethodsIn total, 3928 patients were assessed for eligibility in routine care setting at 25 hospitals. Of these, 239 patients (33% women, mean age 60 years) with a recent MI (< 3 months) and symptoms of depression and/or anxiety assessed with Hospital Anxiety and Depression Scale (HADS) were randomly allocated to a therapist-supported 14 week wCBT program (n=117) or standard of care (n=122). The wCBT program was a tailored intervention with 10 different eligible modules, especially designed for MI patients. Treatment was evaluated according to the intention-to-treat principle. The primary outcome was group difference in HADS total score (HADS-T) at follow-up. Multiple imputation was performed. The pooled treatment effect was thereafter estimated in a multiple linear model, controlling for baseline HADS, age and sex.ResultsThere was a reduction in HADS-T over time in the total study sample (delta = -5.1; P < .0001). The difference at follow-up between the wCBT group and the control group with regard to HADS-T was non-significant (-0.47, [-1.95, 1.00], P=0.53). Treatment adherence was low. In the treatment group, 54% completed the introductory module and 15% completed additional modules.ConclusionThis wCBT program did not reduce symptoms of depression and/or anxiety in post-MI patients as compared to standard of care. Low treatment adherence was observed and reasons for this needs to be further explored.
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| 26. |
- Olsson, Erik, 1956-
(author)
-
Bortom exilen - diasporiseringen av chilenare i Sverige
- 2007. - 1
-
In: Transnationella rum - diaspora, migration och gränsöverskridande relationer. - Umeå : Boréa. - 9789189140523 ; , s. 217-246
-
Book chapter (other academic/artistic)abstract
- Internationell migration och ökade etniska spänningar har skapat förutsättningar för utvecklingen av sociala, politiska och ekonomiska relationer som överskrider nationsgränser. Gränslösa gemenskaper uppstår där människor och platser knyts samman i ett globalt rum. De båda begreppen transnationalism och diaspora är centrala inom detta nydanande forskningsområde."Transnationella rum" ger nya insikter och perspektiv på identiteter och kulturella processer i en värld som länkats ihop av globaliseringen.Författare: Minoo Alinia, Tobias Hübinette, Ingemar Grandin, Per Gustafson, Sara Johnsdotter, Mirjaliisa Lukkarinen Kvist, Catarina Lundqvist, Erik Olsson, Maja Povrzanovic Frykman, Tünde Puskás, Annika Rabo, Lena Sawyer, Östen Wahlbeck, Lisa Åkesson.
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| 27. |
- Olsson, Erik, 1956-
(author)
-
Delad gemenskap : Identitet och institutionellt tänkande i ett multietniskt servicehus
- 1995
-
Doctoral thesis (other academic/artistic)abstract
- Avhandlingen bygger på en studie av ett servicehus med en mångetnisk sammansättning vad avser servicehusets hyresgäster och personalgrupper. Studiens tyngdpunkt ligger på hur denna etniska mångfald avspeglar sig i servicehusets sociala praktik. Syftet är att visahur individers identitet produceras och reproduceras inom ramen för denna praktik samt att visa när var och hur en viss identitet framträder. Analyserna är grundade i ett etnografiskt fältarbete, kombinerat med olika typer av intervjuer, i en av servicehusets personalgrupper och bland en grupp spanskspriliga hyresgäster med ursprung i Latinamerika och Spanien. Denna grupp har konstruerats på basis av individernas språkliga bakgrund (spanskan). Hur denna konstruktion går till och vilka konsekvenser den har, ägnas särskilt stort intresse i avhandlingen.Studiens fokus är på den sociala praktiken som en arena för hemtjänstinstitutionens planering och organisering av omsorg för äldre och etnisk eller socio-kulturell mångfald samt individers interaktioner på denna arena. I analysen visas hur en institutionell typifiering av det institutionella handlingsområdet förmedlas i aktörernas roller och rollutövande - det institutionella tänkandet. I detta tänkande genereras en spansktalande identitet som är kontextualiserad till den sociala praktikens grundläggande premisser: att som myndighetsrepresentant tillhandahålla ett skyddsnät för hyresgästerna. Denna identitet tonas fram i interaktionssituationer där invandrarnas bakgrunder ges betydelse av institutionens eller gruppens representanter. I dessa situationer organiseras interaktioner mellan olika sociala kategorier på basis av de -språkliga gränserna. De spanskspråkigas responser på denna organisation kan tolkas som ett identitetsarbete i vilket gruppen samlas visavi hemtjänstinstitutionen och får den att framstå som homogen och som grundad i en essentiell kulturell eller etnisk gemenskap. Identitetsprocessen framstår utifrån denna synvinkel som spiralformad dialektik mellan social struktur och subjekt uttryckt i en diskursiv praktik.De individer som tillskrivs denna spansktalande identitet deltar i de flesta fall också i t ex latinamerikanska sammanhang. Beroende på vilken situationsdefinition som görs relevant kan en och samma individ skifta identitet mellan olika sammanhang. Identiteten som spansktalande i servicehuset är inte bara ett resultat av ett institutionellt tänkande ochindividers responser på detta, utan också en dynamisk interaktion mellan två sociala strukturer: en struktur som utgörs av hemtjänstinstitutionen och en som utgörs av det latinamerikanska exilsammanhanget I mötet mellan dessa båda skapas ett socialt utrymme för mellanhänder, vars uppgifter blir att förmedla kontaktema mellan dessa båda strukturer.Analysen visar att identitet är ett situationellt fenomen. Den visar också att etniskliknande identiteter - i denna kontext konstruerade utifrån språklig gemenskap - kan uppstå som effekter av t ex institutioners pragmatiska organiserande av social och kulturell mångfald.
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| 28. |
- Olsson, Erik, 1956-
(author)
-
Diaspora : ett begrepp i utveckling
- 2016
-
Reports (other academic/artistic)abstract
- Kunskapsöversikten visar att det finns ett stort policyintresse för frågor som har med diaspora att göra och särskilt de sidor av diaspora som handlar om relationer med och engagemang för hemlandet. Det finns också starka forskningsmiljöer – inte minst i Danmark och Norge – som kan bidra med kunskap om diasporors engagemang i hemlandet och remitteringarnas betydelse för utveckling och återuppbyggnad. Det finns i en del fall en påtaglig optimism både bland forskare och politiska beslutsfattare kring diasporans betydelse inom framförallt utvecklingsoch återuppbyggnadsverksamhet. Ett exempel som tas upp i kunskapsöversikten är hemortsföreningarna och deras bidrag till hemorterna. De diasporiska organisationernas bidrag till att bygga upp lokalsamhällena i det krigsdrabbade Somalia (inklusive Somaliland och Puntland) är ett annat. Ett tredje exempel är de somaliska transnationella nätverkens välfärdsinsatser och system för självhjälp som också har en påtaglig transnationell förankring. Trots många ”goda” exempel och värderingar från forskarhåll har diaspora ingen patentlösning på utvecklingsproblemen att erbjuda politiska beslutsfattare. Den kritiska granskningen av diaspora kan ställa en rad frågor om t ex vad diasporornas ekonomiska och politiska intressen i hemlandet har för betydelse och hur detta påverkar de insatser som de ger. Det finns också kritiska frågor att ställa kring diasporornas demokratiska mandat bland migrantbefolkningen. Dessutom finns ofta ett intresse från hemlandets sida av att kontrollera sin befolkning i diaspora och i vissa fall också använda sina diasporor som brickor i mellanstatliga spel. Många politiska beslutsfattare och policyprofessionella är tveksamma till samverkan med diasporiska organisationer. Osäkerheten kan förmodligen förstärkas om man uteslutande tittar på diasporornas instrumentella förmåga att leverera t ex bistånd på ett effektivt, korrekt och rättssäkert sätt. Diasporor är inga hjälporganisationer – inte ens när diaspora representeras av föreningar – och det är inte i första hand professionell administration, expertis och stora samt beständiga finansiella resurser som är diasporans varumärke. En slutsats som kan dras från denna kunskapsöversikt är att diaspora istället ska sättas i ett sammanhang som mer liknar en civilsamhällelig rörelse än en organisation med fasta strukturer. Diaspora ska snarare ses som en rörelse där engagemanget för det egna folket kan ta sig många uttryck. Med tanke på omfattningen av alla de olika remitteringar som når migranternas hemländer finns här en stor potential. Det finns ett stort värde i att diaspororna utvecklar stödjande praktiker till migranter och hemlandsbefolkning. Det är viktigt för dem som behöver hjälpen att sådana praktiker får utvecklas och fortleva. Särskilt med tanke på att diasporor många gånger lyckas nå fram med hjälp där andra organisationer misslyckats.
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| 29. |
- Olsson, Erik, 1956-
(author)
-
Efter exilen? : Historien om chilenare i Sverige
- 2010
-
In: Arbetarhistoria. - Stockholm : ARAB. - 0281-7446. ; 34:2-3, s. 23-31
-
Journal article (other academic/artistic)abstract
- Sverige blev efter militärkuppen 1973 ett relativt betydande exilland för chilenare. De chilenska flyktingarna formade tillsammans med framförallt andra latinamerikanska flyktingar under 1970- och 1980-talen en gemenskap som bland annat präglades av ett rikt politiskt och kulturellt liv.
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| 30. |
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| 31. |
- Olsson, Erik, 1956-
(author)
-
Framgång på tur. Kapital och sociala strategier i migranters berättelser om framgångsrika karriärer
- 2020
-
In: ARKIV. Tidskrift för samhällsanalys. - : Arkiv Forlag & Tidskrift. - 2000-6225 .- 2000-6217. ; :12, s. 141-174
-
Journal article (peer-reviewed)abstract
- Artikeln baseras på intervjuer med 32 framgångsrika personer inom affärsvärlden och högskolan som alla invandrat till Sverige från Mellanöstern. Deras berättelser handlar om framgång trots att ursprunget gett dem sämre utgångslägen. De berättar om en uppväxt i samhällen med stor respekt för utbildning och om vikten av att ha ett bra kontaktnät. Detta kapital hade emellertid liten betydelse efter migrationen och en framgångsrik strategi var i stället att pragmatiskt mobilisera nytt kapital i form av ny utbildning, nya nätverk, hårt arbete och kunskap om spelets regler inom respektive profession. Eftersom framgångsrika karriärer på detta sätt ensidigt betingas av villkoren i det nya samhället, blir framgång för migranter beroende av att individerna anlägger en pragmatisk inställning till skillnader mellan samhällen. Detta innebär bland annat att migranter ofta får bortse från olika slags orättvisor och diskriminering.
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| 32. |
- Olsson, Erik, 1956-
(author)
-
From diaspora with dreams, dreaming about diaspora : narratives on a transnational Chilean community
- 2008
-
In: Diaspora. - Toronto : University of Toronto Press. - 1044-2057 .- 1911-1568. ; 17:3, s. 362-384
-
Journal article (peer-reviewed)abstract
- This article examines the realization of "projects" to return to the country of origin for Chilean migrants who lived in the Swedish diaspora and how they relate to the social context in which these migrants lived as exiles. Drawing on long-term ethnographic research and the analysis of returnees' narratives, it argues that the return project is not just the undertaking of isolated individuals, manifested in the decision to move, but rather an expression of discourses and practices embedded in the social context of migrants. The implementation of a return project serves as a "programmed act" of the discourses dominating in exile and becomes, with time, a journey back to "roots" that has different connotations depending on the circumstances of return. The study demonstrates that returnees tend to continue to position themselves as part of their diasporic network even after return. It is concluded that the transnational practices of the diaspora maintain social networks even after people have launched their return projects and moved back to their country of origin. The Swedish-Chilean return projects demonstrate how the idea of people's cultural and territorial roots serves the diasporic networks' efforts to bridge seemingly disparate social worlds and refigures that social space.
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| 33. |
- Olsson, Erik, 1956-
(author)
-
From Exile to Post-Exile : The diasporisation of Swedish Chileans in historical contexts
- 2009
-
In: Social Identities. - Abingdon, UK : Routledge: Taylor & Francis. - 1350-4630 .- 1363-0296. ; 15:5, s. 659-676
-
Journal article (peer-reviewed)abstract
- The main focus of this article is how a set of practices revolve around the formation of an imagined community in dispersion – diasporisation. The study discusses the case of the Chilean diaspora in Sweden and its transformation from an exile context to a post-exile context facing a drastically altered historical situation. This transformation is analysed as a matter of agency where practices are framed differently as a response to the demand perceived in the context. The outcome of this argument speaks in favour of a diaspora concept that focuses on practices and how these are framed in order to mobilise a putative dispersed population.
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| 34. |
- Olsson, Erik, 1956-
(author)
-
Guiden till Spaniensverige : Diaspora, integration och transnationalitet bland svenska föreningar i södra Spanien
- 2018
-
Book (peer-reviewed)abstract
- Hur blir de svenska migranterna i södra Spanien en livsstilsdiaspora? Huvudaktören i denna bok är de stora nordiska sociala föreningarna i södra Spanien och de verksamheter de utvecklar för att främja svenskarnas sammanhållning. Studien visar att föreningarna går i spetsen för en diasporisk mobilisering av en svensk gemenskap. Detta görs genom att erbjuda de svenska migranterna sociala arenor, innehållsrika aktiviteter och service av olika slag. Föreningarna kan på så sätt underlätta migranternas förverkligande av sina livsstilsprojekt samtidigt som de också snitslar en väg in i Spaniensverige. Boken handlar om hur diasporagemenskap görs genom en mobilisering kring livsstilsprojektet där ålder, klass och transnationalitet är viktiga ingredienser.
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| 35. |
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| 36. |
- Olsson, Erik, 1956-, et al.
(author)
-
Introduction: Diasporic Return
- 2008
-
In: Diaspora. - Toronto : University of Toronto Press. - 1044-2057 .- 1911-1568. ; 17:3, s. 255-261
-
Journal article (peer-reviewed)
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| 37. |
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| 38. |
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| 39. |
- Olsson, Erik, 1956-
(author)
-
Med väskorna packade : identitetsrum mellan Chile och Sverige
- 2003. - 1
-
In: Moderna människor. Antropologiska perspektiv på samtiden. - Stockholm : Liber. - 9147072806 - 9789147072804 ; , s. 191-215
-
Book chapter (other academic/artistic)abstract
- I Moderna människor får vi en rad exempel på vad antropologer studerar idag och vilka perspektiv som kan anläggas på världen. Samtliga författare i boken bedriver sin forskning i västerländska samhällen och i miljöer där en mängd kulturella influenser samspelar. I boken får vi bland annat möta hemlösa i S:t Petersburg, feminister i Spanien, shamaner i Sibirien och arbetstagare på den nya flexibla arbetsmarknaden. De olika kapitlen visar på nya forskningsfronter och verksamhetsfält som kräver delvis nya begrepp och metoder.
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| 40. |
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| 41. |
- Olsson, Erik, 1956-, et al.
(author)
-
North-Europeans in Spain : Practices of community in the context of migration, mobility and transnationalism
- 2017
-
In: Nordic Journal of Migration Research. - : Helsinki University Press. - 1799-649X. ; 7:3, s. 133-138
-
Journal article (peer-reviewed)abstract
- The focus of this special issue is the migration of North-Europeans to the Spanish coastal areas which are known to be tourist destinations. This is a kind of mobility that most commonly has been conceptualised as Lifestyle Migration (cf. Benson & O’Reilly 2009a, 2009b). The concept of lifestyle migration has been developed and widely employed as a way of thinking about mainly relatively affluent and relatively privileged forms of migration around the world. The authors of this special issue are moving away from the view of Lifestyle Migrants as a distinct category of migrant, and away from an emphasis on fluid migration forms in the context of privilege. Here, instead we focus on the human-being-ness of all migrations, the ubiquitous search for community and belonging, and the work of inhabitance (Ahmed et al 2003: 1). We also draw attention to the new structures or sedimented forms of social life that emerge from this work of inhabitance. And we also draw attention to the lack of actual privilege for some of these supposedly privileged migrants. In this special issue, we explore the processes of settlement, belonging and home-making for Lifestyle Migrants that are evident in all migration trends (Walsh & Näre 2016). We wish to emphasise that, although Lifestyle Migrants have tended to be treated as a specific type or category of migrant, they are indeed migrants, just as refugees, asylum seekers, labour migrants, and returnee migrants are migrants. Similar processes are at play here even though theconditions of migration might differ. The people who moved to the coastal areas of southern Spain as permanent residents, seasonal visitors and long-stayers are as much mobile human beings as a category of Lifestyle Migrants. So, in this special issue, rather than focus on what is unique about Lifestyle Migration, we examine in depth the social life, the community makings and the everyday realities of British and Swedish lifestyle migrants as examples of global and diverse migrations. We hope the debates and empirical evidence presented here will thus contribute to a richer understanding of the processes of migration in the context of diverse conditions. Further, having been often subjected to an emphasis on fluidity, mobility, and flux (e.g., Cohen 2015), the papers in this special issue draw more attention than previously to the sedimented practices and outcomes of these migrations. The work that the migrants put into community, belonging, routines, patterns, and means of coping and living in everyday life leads to new forms of community, new ways of living, and new sedimented practices that, in turn, shape future lives and practices (cf. O’Reilly 2012).
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| 42. |
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| 43. |
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| 44. |
- Olsson, Erik, 1956-, et al.
(author)
-
Rutten till Brasilien : Svenska emigranters texter om migrationsindustri och nätverk
- 2022
-
In: RIG. - 0035-5267 .- 2002-3863. ; :3, s. 147-168
-
Journal article (peer-reviewed)abstract
- During the 1800s until the First World War, the migration to Brazil by Swedish citizens reached several thousands. The majority of these migrants were poor laborers or peasants traveling in the hope of finding a prosperous life in the new country. The Swedish migrants migrated to the new country with minimal economic resources at their disposal and with limited opportunities to decide on their own situation. This article is concerned with the migrants’ representation of their routes in different Swedish newspapers or booklets at the time of their migration. These texts provide insights into the conditions the migrants experienced while traveling to the new country and establishing themselves there, as well as the confinements they experienced when encountering a powerful migration regime linked to the Brazilian government and the migration industry that consisted of agents that organized and administered the travel as well as ex-migrants of Swedish or other Scandinavian origin that offered different kinds of services. The article discusses how the Swedish migrants accounted for their attempts to improve their life-situation while dependent on the migration industry for their survival. However, their strategies also included networking with their friends and neighbors for both community and instrumental reasons. In this perspective, the migrants’ interest in publishing their experiences on the routes fits into their attempts to reclaim social agency and expand their social networks to include the broader Swedish society. One conclusion of the study is that the transatlantic migration of the 1800s seemingly had a resemblance to the current migration from the Global South toward the Global North; the migrants are struggling against exploitation and a powerful migration regime by investing their engagement in a larger social network.
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| 45. |
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| 46. |
- Olsson, Erik, 1967-, et al.
(author)
-
The e-mental health treatment in Stockholm myocardial infarction with non-obstructive coronaries or Takotsubo syndrome study (E-SMINC) : a study protocol for a randomised controlled trial
- 2022
-
In: Trials. - : Springer Science and Business Media LLC. - 1745-6215. ; 23:1
-
Journal article (peer-reviewed)abstract
- Background: In the aftermath of a myocardial infarction with non-obstructive coronary arteries (MINOCA) or Takotsubo syndrome (TS), patients commonly express high levels of stress and anxiety. Current treatment alternatives rarely address these issues. Methods: The study is a randomised controlled trial, where 90 patients with a discharge diagnosis of MINOCA or TS who also report symptoms of stress or anxiety will be randomised 2–6 weeks after their cardiac event. The treatment consists of 10 weeks of Internet-based cognitive behaviour therapy (CBT) and starts immediately after randomisation for the treatment group. The control group receives usual care. Main outcomes are symptoms of anxiety measured with the Hospital Anxiety and Depression scale, anxiety subscale, and perceived stress measured with the Perceived Stress Scale, 14-item version, 10 weeks after randomisation. Secondary measures include cardiac specific anxiety, symptoms of post-traumatic stress, quality of life, cortisol measured in hair and physiological stress responses (heart rate variability, blood pressure and saliva cortisol) during a stress procedure. Ten weeks after randomisation, the control group will also receive treatment. Long-term follow-up in the self-report measures mentioned above will be conducted 20 and 50 weeks after randomisation where the total group’s development over time is followed, and the groups receiving intervention early versus late compared. Discussion: At present, there are no randomised studies evaluating psychological treatment for patients with MINOCA or TS. There is an urgent need for treatment alternatives aiming at relieving stress and anxiety considering the high mental stress and anxiety levels observed in MINOCA and TS, leading to decreased quality of life. CBT aiming at reducing mental stress has been shown to be effective regarding prognosis in patients with coronary artery disease. The current protocol describes a randomised open-label controlled trial evaluating an Internet-based CBT program for reduction of stress and anxiety in patients with increased mental stress and/or anxiety with a discharge diagnosis of either MINOCA or TS. Trial registration: ClinicalTrials.govNCT04178434. Registered on 26 November 2019.
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| 47. |
- Olsson, Erik, 1967-, et al.
(author)
-
The effect of group-based cognitive behavioral therapy on inflammatory biomarkers in patients with coronary disease : results from the SUPRIM-trial
- 2018
-
In: Upsala Journal of Medical Sciences, Supplement. - : Uppsala Medical Society. - 0300-9726 .- 0300-9734 .- 2000-1967. ; 123:3, s. 167-173
-
Journal article (peer-reviewed)abstract
- Background: The Secondary Prevention in Uppsala Primary Healthcare Project (SUPRIM) is a prospective randomized controlled trial of a group-based cognitive behavioral therapy (CBT) stress management program for coronary heart disease (CHD) patients. The intervention reduced the risk of fatal or non-fatal first recurrent cardiovascular (CV) events. The aim of the present study was to analyze if the positive effects of the CBT program on clinical outcomes could have been mediated by changes in biomarkers for inflammation.Methods: Altogether 362 patients with CHD were randomly assigned to intervention or usual care. The inflammatory biomarkers (VCAM-1, TNF-R1, TNF-R2, PTX3, and hs-CRP) were serially assessed at five time points every six months from study start until 24 months later, and analyzed with linear mixed models.Results: Baseline levels of the inflammatory markers were near normal, indicating a stable phase. The group-based CBT stress management program did not significantly affect the levels of inflammatory biomarkers in patients with CHD. Three out of five (VCAM-1, TNF-R2, and PTX3) inflammatory biomarkers showed a slight increase over time in both study groups, and all were positively associated with age.Conclusion: Group-based CBT stress management did not affect biomarkers for inflammation in patients with CHD. It is therefore unlikely that inflammatory processes including these biomarkers were mediating the effect the CBT program had on the reduction in CV events. The close to normal baseline levels of the biomarkers and the lack of elevated psychological distress symptoms indicate a possible floor effect which may have influenced the results.Keywords: Biomarkers, CBT, CHD, inflammation, stress management
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| 48. |
- Olsson, Erik, 1956-
(author)
-
The Guide to Comfort : The Diasporic Practices of Swedish Clubs in Southern Spain
- 2017
-
In: Nordic Journal of Migration Research. - 1799-649X. ; 7:3, s. 156-164
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Journal article (peer-reviewed)abstract
- This article demonstrates how large social clubs are operating at the locus of an ethnic community-making of Swedish migrants in Southern Spain. The clubs are selectively targeting the relatively wealthy (ethnic) Swedish individuals of older age, offering them a home-like social arena ‘in Swedish’ in which the mediation of information and services is just one of the ‘guidelines’ the clubs offer to ensure the members a comfortable lifestyle in Spain. In this social space, the Swedish migrants meet, socialise and, to some extent, also consume, rather than participating and integrating in Spanish society. The article argues that the practices used by the social clubs are becoming part of the infrastructure guiding migrants towards a Swedish diasporic lifestyle in Southern Spain.
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| 49. |
- Olsson, Erik, et al.
(author)
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U-CARE : a research program on psychosocial care via the internet
- 2012
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Conference paper (peer-reviewed)abstract
- U-CARE is one of the Swedish government’s strategic research programs atUppsala University. The overarching goal is to promote psychosocial healthamong patients suffering from somatic disease and their significant others by means of self-help programs delivered via an internet platform. Another goal is to reduce costs for individuals and the society caused by emotional distress in response to somatic disease. Professionals within clinical psychology, health economics, and information systems collaborate to reach this goal.Approximately 20% of patients suffering from somatic disease as well as theirsignificant others experience a clinically relevant level of emotional distress in response to disease and treatment. This is in itself alerting, but becomes even moreproblematic since physicians and nurses show low sensitivity and specificityin detecting patients and significant others experiencing a clinically relevant level of distress. This can result in persistent distress causing human suffering as well as costs for individuals and the society.During 2010-2011 an internet platform: www.u-care.se to provide interactive support and cognitive behavioral therapy has been constructed within the U-CARE program. The platform supports, among other things, rule-based unfolding of self-help material for participants, interaction between participants and therapists, interaction within a participant community, and research including a detailed log of participants’ behaviors on the platform. In addition self-help programs of interactive support and cognitive behavioural therapy for adolescents with cancer: U-CARE: TeenCan, adults with cancer: U-CARE: AdultsCan, and adults having had a myocardial infarct: U-CARE: Heart to be provided via www.u-care.se have been constructed.Through a multi-disciplinary and design-oriented approach, the U-CARE program aims at developing new evidence-based knowledge in basic and applied psychosocial health care,and actively promoting its implementation in health care practice as well as in undergraduate and advanced education.
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| 50. |
- Rondung, Elisabet, 1980-, et al.
(author)
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Reducing stress and anxiety in patients with myocardial infarction with non-obstructive coronary arteries or Takotsubo syndrome : A non-randomized feasibility study
- 2022
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In: Internet Interventions. - : Elsevier. - 2214-7829. ; 29
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Journal article (peer-reviewed)abstract
- Background and aim: In the aftermath of a myocardial infarction with non-obstructive coronary arteries (MINOCA) or Takotsubo syndrome (TS), patients commonly express high levels of stress and anxiety. Current treatment alternatives rarely address these issues. The planned E-health Treatment of Stress and Anxiety in Stockholm Myocardial Infarction With Non-obstructive Coronaries Study (e-SMINC) aims to evaluate the effects of an internet-based intervention, building on cognitive behavioral therapy (CBT) by comparison with treatment as usual using an RCT approach. This was a small-scale single arm study designed to test the feasibility of the RCT, addressing uncertainties regarding recruitment, data collection, and intervention delivery.Methods: Participant recruitment and screening took place before discharge from the coronary care unit at a large Swedish hospital. Eligible patients were invited to a nine-step psychologist guided, internet-based CBT intervention. The sample size was set in advance to 10 participants completing the intervention. The recruitment and flow of participants were documented and evaluated in relation to seven pre-defined progression criteria. Self-reports of anxiety (HADS-A), stress (PSS-14), cardiac anxiety (CAQ), posttraumatic stress (IES-6) and quality of life (Rand-36), collected at screening, pre-intervention and post-intervention, were analysed descriptively and by effect sizes (Cohen's d). Individual interviews targeting participant experiences were conducted.Results: Six out of seven progression criteria yielded no concerns. Out of 49 patients with a working diagnosis of MINOCA or TS, 31 were eligible for screening, 26 consented to participate, and 14 were eligible with regard to symptoms of stress and/or anxiety. Eleven completed the pre-assessment and were given access the intervention, and 9 completed the intervention. Only the number of patients screened prior to eligibility assessment was slightly lower than expected, indicating possible concerns. Self-reports of anxiety, stress, cardiac anxiety, posttraumatic stress, and quality of life all indicated symptom reduction from pre- to post-intervention, generally showing large effect sizes (d = 0.6–2.6). The general consensus among participants was that the programme was helpful and relevant, and that the personal contact with the psychologist was highly valued. Setting aside time to complete assignments was found critical.Conclusion: Conducting a full scale RCT was found feasible. Inclusion of more study sites and minor amendments to the protocol and intervention were decided to improve feasibility further.
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