| 1. |
- Finnström, Orvar, 1938-, et al.
(författare)
-
Very-low-birth-weight children at school age : Academic achievement, behavior and self-esteem and relation to risk factors
- 2003
-
Ingår i: The Journal of Maternal-Fetal & Neonatal Medicine. - 1476-7058 .- 1476-4954. ; 14:2, s. 75-84
-
Tidskriftsartikel (refereegranskat)abstract
- Objective: To investigate school performance, behavior and self-esteem of children with very low birth weight (VLBW). Methods: All children with birth weight below 1501 g (VLBW) and normal birth weight controls, born in the south-east region of Sweden during a 15-month period in 1987-88, were enrolled in a prospective follow-up study. At the age of 9 years, 81% and 82%, respectively, were re-examined regarding growth, neurofunctional classification, academic achievement tests, need for special education and behavioral problems. At 12 years, 89% and 76%, respectively, were re-examined regarding growth, neurofunctional classification, visual acuity and self-esteem. Results: VLBW children were shorter and lighter, and differed from the controls with regard to neurological functional classification. They produced poorer results in most academic achievement tests. When the comparison was restricted to children with normal intelligence, almost all the differences in other academic achievements disappeared. VLBW children had more reading difficulties but were less often than expected defined as dyslexics compared to control children. We did not find any major disparity in visual acuity and self-esteem between the groups. Low Apgar scores, intracranial hemorrhage and the need for mechanical ventilation neonatally were associated with poorer results in most outcome measures. Neurofunctional assessments in early childhood were associated with most outcome measures. The mother's education was related to delayed reading skills and need for special education. Conclusions: Although VLBW children performed less well in most academic achievement tests and on some behavioral subscales, those who had a normal intellectual capacity did not differ in any important aspects from the controls.
|
|
| 2. |
- Fredlund, Cecilia, 1984-, et al.
(författare)
-
Adolescents' motives for selling sex in a welfare state - A Swedish national study
- 2018
-
Ingår i: International Journal of Child Abuse & Neglect. - : Elsevier. - 0145-2134 .- 1873-7757. ; 81, s. 286-295
-
Tidskriftsartikel (refereegranskat)abstract
- In addition to money or other compensation, other motives for selling sex may be important in a welfare country such as Sweden. The aim of this study was to carry out an exploratory investigation of adolescents' motives for selling sex in a population-based survey in Sweden. A total of 5839 adolescents from the third year of Swedish high school, mean age 18.0 years, participated in the study. The response rate was 59.7% and 51 students (0.9%) reported having sold sex. Exploratory factor analysis and hierarchical cluster analysis were used to identify groups of adolescents according to underlying motives for selling sex. Further analyses were carried out for characteristics of selling sex and risk factors. Three groups of adolescents were categorized according to their motives for selling sex: Adolescents reporting; 1) Emotional reasons, being at a greater risk of sexual abuse, using sex as a means of self-injury and having a non-heterosexual orientation. 2) Material but no Emotional reasons, who more often receive money as compensation and selling sex to a person over 25 years of age, and 3) Pleasure or no underlying motive for selling sex reported, who were mostly heterosexual males selling sex to a person under 25 years of age, the buyer was not known from the Internet, the reward was seldom money and this group was less exposed to penetrative sexual abuse or using sex as a means of self-injury. In conclusion, adolescents selling sex are a heterogeneous group in regard to underlying motives.
|
|
| 3. |
- Fredlund, Cecilia, 1984-
(författare)
-
Adolescents Selling Sex and Sex as Self-Injury
- 2019
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- There are today only a few population-based studies in the world investigating the prevalence of and associated risk-factors with adolescents selling sex and so far no earlier population-based study has been found investigating adolescents motives for selling sex. Further, to use sex in means of self-injury (SASI) is a behaviour that has been highlighted in Sweden the last years but it is a new field of research and a behaviour in need of conceptualization.The aim of this thesis was to investigate the prevalence of, associated risk factors with, motives for and manifestations of adolescents selling sex and the use of sex as self-injury (SASI). For the thesis, two nationally representative cross-sectional population surveys with third year students at Swedish high schools were collected in 2009 (n = 3498, mean age 18.3 +/- 0.6 years, response rate 60.4%) and in 2014 (n = 5839, mean age 18.0 +/- 0.6 years, response rate 59.7%). Further, the motives and manifestations of SASI were investigated in an anonymous self-selected, open-ended questionnaire published on websites of non-governmental organizations offering help and support to women and adolescents (n = 199, mean age 27.9 +/- 9.3 years). Quantitative and qualitative methods were used for data analyses.In the 2009 population-based survey, 1.5% (n = 51) of the adolescents reported having sold sex on at least one occasion, but in 2014 the prevalence was slightly lower at 0.9% (n = 51). SASI was reported by 3.2% of girls (n = 100) and 0.8% of boys (n = 20). Both selling sex and SASI were associated with various adverse factors such as experience of sexual abuse, emotional and physical abuse, poor mental health and self-injury. Adolescents selling sex had sought help and support for different problems and worries to a greater extent compared to peers. Contact with healthcare for various psychiatric problems such as suicide attempts, depression and eating disorders was common for adolescents using SASI. Further analysis showed that adolescents selling sex are a heterogeneous group in regard to underlying motives for selling sex, which included emotional and material reasons as well as pleasure. Depending on their underlying motives, adolescents selling sex were found to differ in regard to compensation received, age of the buyer, means of contact with the buyer, sexual orientation, experience of sexual abuse and the use of SASI. By using data from an open-ended questionnaire, SASI was described as deliberate or self-inflicted sexual situations that could include psychological and physical harm. SASI was used as a way to regulate negative feelings, such as anxiety, or to get positive or negative confirmation and the behaviour could be hard to stop.In conclusion, selling sex and SASI occurs among Swedish adolescents and the behaviours are associated with sexual, physical and emotional abuse and poor mental health, including trauma symptoms. In regard of the motives and manifestations of SASI, the behaviour could be compared to direct self-injurious behaviours. Data from this thesis suggest that more attention should be paid in healthcare to recognizing adolescents selling sex and SASI in order to prevent further traumatization and victimization.
|
|
| 4. |
- Fredlund, Cecilia, 1984-, et al.
(författare)
-
Self-reported frequency of sex as self-injury (SASI) in a national study of Swedish adolescents and association to sociodemographic factors, sexual behaviors, abuse and mental health
- 2017
-
Ingår i: Child and Adolescent Psychiatry and Mental Health. - : BioMed Central. - 1753-2000. ; 11
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Sex as self-injury has become a concept in Swedish society; however it is a largely unexplored area of research, not yet conceptualized and far from accepted in the research field. The use of sex as a way of affect regulation is known in the literature and has, in interviews with young women who sell sex, been compared to direct selfinjury, such as cutting or burning the skin. The aim of this study was to investigate the self-reported frequency of sex as self-injury and the association to sociodemographic factors, sexual orientation, voluntary sexual experiences, sexual risk-taking behaviors, sexual, physical and mental abuse, trauma symptoms, healthcare for psychiatric disorders and non-suicidal self-injury. Methods: A representative national sample of 5750 students in the 3rd year of Swedish high school, with a mean age of 18 years was included in the study. The study was questionnaire-based and the response rate was 59.7%. Mostly descriptive statistics were used and a final logistic regression model was made. Results: Sex as self-injury was reported by 100 (3.2%) of the girls and 20 (. 8%) of the boys. Few correlations to sociodemographic factors were noted, but the group was burdened with more experiences of sexual, physical and emotional abuse. Non-heterosexual orientation, trauma symptoms, non-suicidal self-injury and healthcare for suicide attempts, depression and eating disorders were common. Conclusions: Sex used as self-injury seems to be highly associated with earlier traumas such as sexual abuse and poor mental health. It is a behavior that needs to be conceptualized in order to provide proper help and support to a highly vulnerable group of adolescents.
|
|
| 5. |
- Hellgren, K., et al.
(författare)
-
Visual and cerebral sequelae of very low birth weight in adolescents
- 2007
-
Ingår i: Arch Dis Child Fetal Neonatal Ed. - : BMJ. - 1359-2998 .- 1468-2052. ; 92:4
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To describe the visual functions and relate them to MRI findings and the intellectual level in adolescents born with very low birth weight (VLBW). DESIGN: Population-based case-control study. PATIENTS: 59 15-year-old VLBW adolescents and 55 sex and age-matched controls with normal birth weight. MAIN OUTCOME MEASURES: Objective clinical findings (visual acuity, stereo acuity and cycloplegic refraction) were recorded. Structured history taking was used to identify visual difficulties. The intellectual level was assessed with the Wechsler Intelligence Scale for Children (WISC). All VLBW adolescents underwent MRI of the brain. RESULTS: Significant differences were found between the VLBW adolescents and controls regarding visual acuity (median -0.11 and -0.2, respectively; p=0.004), stereo acuity (median 60'' and 30'', respectively; p<0.001), prevalence of astigmatism (11/58 and 0/55, respectively; p<0.001) and in full-scale IQ (mean IQ 85 and 97, respectively; p<0.001) and performance IQ (mean 87 and 99, respectively; p=0.002). The structured history also revealed a borderline significant difference between the groups (mean problems 0.46 and 0.15 respectively; p=0.051). 30% (17/57) of the VLBW adolescents had abnormal MRI findings and performed worse in all tests, compared with both the VLBW adolescents without MRI pathology and the normal controls. CONCLUSION: This study confirms previous observations that VLBW adolescents are at a disadvantage regarding visual outcome compared with those with normal birth weight. In 47%, visual dysfunction was associated with abnormal MRI findings and in 33% with learning disabilities. The adolescents with abnormal MRI findings had more pronounced visual and cognitive dysfunction. The findings indicate a cerebral causative component for the visual dysfunction seen in the present study.
|
|
| 6. |
- Jonsson, Linda, 1975-, et al.
(författare)
-
Online sexual abuse of adolescents by a perpetrator met online : a cross-sectional study
- 2019
-
Ingår i: Child and Adolescent Psychiatry and Mental Health. - : BioMed Central. - 1753-2000. ; 13:1, s. 1-10
-
Tidskriftsartikel (refereegranskat)abstract
- Background The current study aimed at exploring adolescents' experiences of online sexual contacts leading to online sexual abuse by a perpetrator whom the victim had first met online. Associations with socio demographic background, experience of abuse, relation to parents, health and risk behaviors were studied. Methods The participants were a representative national sample of 5175 students in the third year of the Swedish high school Swedish (M age = 17.97). Analyses included bivariate statistics and stepwise multiple logistic regression models. Results In total 330 (5.8%) adolescents had gotten to know someone during the preceding 12 months for the purpose of engaging in some kind of sexual activity online. Thirty-two (9.7%) of those, the index group, had felt that they had been persuaded, pressed or coerced on at least one occasion. Sexual interaction under pressure was seen as constituting sexual abuse. These adolescent victims of online sexual abuse, the index group, did not differ with respect to socio-demographic background from the adolescents without this experience, the reference group. The index group had significantly more prior experiences of different kind of abuse, indicating that they belong to a polyvictimized group. More frequent risk behavior, poorer psychological health, poorer relationships with parents and lower self-esteem also characterized the index group. Online sexual abuse, without experiences of offline abuse, was associated with a poorer psychological health, at least at the same level as offline sexual abuse only. Conclusions The study made clear the importance of viewing online sexual abuse as a serious form of sexual abuse. Professionals meeting these children need to focus not only on their psychological health such as symptoms of trauma and depression but also need to screen them for online behavior, online abuse and other forms of previous abuse.
|
|
| 7. |
- Jonsson, Linda, 1975-, et al.
(författare)
-
Similarities and Differences in the Functions of Nonsuicidal Self-Injury (NSSI) and Sex as Self-Injury (SASI)
- 2019
-
Ingår i: Journal of Suicide and Life-threatening Behaviour. - : John Wiley & Sons. - 0363-0234 .- 1943-278X. ; 49:1, s. 120-136
-
Tidskriftsartikel (refereegranskat)abstract
- Differences and similarities were studied in the functions of two different self-injurious behaviors (SIB): nonsuicidal self-injury (NSSI) and sex as self-injury (SASI). Based on type of SIB reported, adolescents were classified in one of three groups: NSSI only (n=910), SASI only (n=41), and both NSSI and SASI (n=76). There was support for functional equivalence in the two forms of SIB, with automatic functions being most commonly endorsed in all three groups. There were also functional differences, with adolescents in the SASI only group reporting more social influence functions than those with NSSI only. Adolescents reporting both NSSI and SASI endorsed the highest number of functions for both behaviors. Clinical implications are discussed, emphasizing the need for emotion regulation skills.
|
|
| 8. |
- Leijon, Ingemar, 1942-, et al.
(författare)
-
Use of healthcare resources, family function, and socioeconomic support during the first four years after preterm birth
- 2003
-
Ingår i: Archives of Disease in Childhood. - 0003-9888 .- 1468-2044. ; 88:5
-
Tidskriftsartikel (refereegranskat)abstract
- Objectives: To assess the use of healthcare resources for preterm infants and to evaluate family function and socioeconomic support in a defined population from birth to 4 years of age. Methods: In a prospective case-control study, 39 singleton preterm infants without prenatal abnormalities born during an 18 month period were studied together with their families. The population consisted of 19 very preterm infants (less than 32 weeks) and 20 randomised moderate preterm infants (32-35 weeks), and the control group comprised 39 full term infants. Contacts with medical services, child health services, and the social welfare system were registered, and family function and life events were studied. Results: The preterm children were more often readmitted to hospital (odds ratio (OR) 6.6, 95% confidence interval (CI) 2.0 to 22.1) and had more outpatient attendances (OR 5.6, 95% CI 2.1 to 15.0) during their first year of life. Mothers in the preterm group more often used temporary parental allowance than the control mothers (p < 0.001). The number of contacts with the child health services and the social welfare system did not differ significantly from the controls. Neither was there any significant difference with regard to family function or life events at 4 years of age. Conclusions: A large proportion of the premature children used specialist care during the first years of life. However, the families of the preterm infants were socially well adapted up to four years after birth compared with the control families.
|
|
| 9. |
- Nilsson, Doris, 1952-, et al.
(författare)
-
Evaluation of the Swedish Trauma Symptom Inventory-2 in a clinical and a student population
- 2018
-
Ingår i: European Journal of Trauma & Dissociation. - : Elsevier BV. - 2468-7499. ; 2:2, s. 71-82
-
Tidskriftsartikel (refereegranskat)abstract
- Introduction The Trauma Symptom Inventory-2 (TSI-2) is a broad-spectrum assessment instrument designed to identify symptoms that can appear in the aftermath of potentially traumatic experiences.Objective This study aimed to evaluate the external and internal validity of this newly reconstructed instrument.Method In total, 696 individuals participated in the study, including 83 psychiatric outpatients. Participants answered the TSI-2, together with a trauma history questionnaire, and other questionnaires assumed to correlate with the different scales included in the TSI-2.Results Validity was evaluated by correlations between the TSI-2 and the other instruments and by the differences between clinical and non-clinical populations. Reliability was calculated by testing internal consistency and test-re-test reliability. A confirmatory factor analysis (CFA) was computed to test the postulated four-factor structure. Cronbach's alpha was found to be good and ranged from α = .77 to .91 and test-retest reliability was strong. Strong to satisfactory correlations were found between the TSI-2 and the other instruments. The student sample scored significantly lower than the clinical group on all clinical scales. Sensitivity and specificity were calculated with different cut-off scores.Conclusion Despite the CFA demonstrating a questionably good model of fit, most of the scales proved to be sound and the TSI-2 could be recommended as a broad-spectrum assessment instrument.
|
|
| 10. |
- Nilsson, Doris, 1952-, et al.
(författare)
-
The psychometric properties of the Trauma Symptom Checklist For Children (TSCC) in a sample of Swedish children
- 2008
-
Ingår i: International Journal of Child Abuse & Neglect. - : Elsevier BV. - 0145-2134 .- 1873-7757. ; 32:6, s. 627-636
-
Tidskriftsartikel (refereegranskat)abstract
- Objective: To evaluate the psychometric properties of the Swedish version of the Trauma Symptom Checklist for Children (TSCC) and to study traumatic symptoms in a normative group of Swedish children and adolescents. Method: A normative group of 728 children and adolescents age 10-17 and a clinical group of 91 children and adolescents known to have experienced sexual abuse participated in the study. A test-retest procedure was conducted with 79 participants from the normative group. Results: Good reliability such as internal consistency (Cronbach's alpha) for the total scale .94 (ranging in the clinical scales .78-.83) and test-retest for the total scale r = .81 (ranging in the clinical scales .67-.81) were found. The confirmatory 6-factor analysis explained 50.7% of the variance. Other validity measures such as concurrent validity and criterion related validity were also shown to be satisfactory. The normative sample of Swedish children and adolescents showed lower means on the subscales than has been reported in previous studies from a number of other countries. Conclusion: The Swedish version of TSCC has been shown to be a screening instrument with satisfactory psychometric qualities that is capable to identify trauma symptoms among children and adolescents who have themselves self-reported experiencing trauma or for whom clinicians have identified traumatic experiences. © 2008 Elsevier Ltd. All rights reserved.
|
|
| 11. |
- Samuelsson, Stefan, 1964-, et al.
(författare)
-
A longitudinal study of reading skills among very-low-birthweight children : Is there a catch-up?
- 2006
-
Ingår i: Journal of Pediatric Psychology. - : Oxford University Press (OUP). - 0146-8693 .- 1465-735X. ; 31:9, s. 967-977
-
Tidskriftsartikel (refereegranskat)abstract
- Objective: To examine the development of reading skills among very-low-birthweight (VLBW) children and to what extent reading difficulties at 9 years of age persist unchanged, are attenuated, or are enhanced at 15 years of age. Methods: Fifty-six VLBW and 52 normal birthweight (NBW) children were assessed on word decoding, word recognition, and reading comprehension at 9 and 15 years of age. Results: VLBW children showed deficits in reading skill at 9 years of age, while most differences obtained at 15 years of age did not reach significance. VLBW children improved their reading comprehension between 9 and 15 years of age more than NBW children, and when controlling for individual differences in IQ, VLBW children improved both their reading comprehension and word-recognition skill. Conclusion: The results suggest that VLBW children display positive changes over time in reading skills. © The Author 2006. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved.
|
|
| 12. |
- Svedin, Carl-Göran, et al.
(författare)
-
Day school treatment in Sweden : A 4-year follow-up study of maladjusted pupils
- 2000
-
Ingår i: Children and youth services review. - 0190-7409 .- 1873-7765. ; 22:6, s. 465-486
-
Tidskriftsartikel (refereegranskat)abstract
- Day schools have developed as an important psychoeducational resource in the Swedish school system since the middle of the 1960's. Day schools provide a combination of special education and training in small groups, as well as supervised free time activities for pupils exhibiting very pronounced adjustment problems. In an earlier national study, 108 pupils in the first three grades were examined. The majority of the day school pupils exhibited symptoms and behavioural disturbances associated with poor prognosis. Their families exhibited a pattern usually associated with "at risk families", which affects the development of children and their adjustment to society. In the follow-up study, four years later, 104 pupils (95 boys/9 girls) and their families were re-examined with semi-structured interviews. The study also included interviews with day school staff and teachers from the ordinary school. At the time of the follow-up, 88% of the pupils had been discharged to a regular school after spending an average of two years at the day school. The symptom interview showed that mental health had improved significantly, especially with regard to social and emotional out acting behaviour. Sixty percent were now symptom-free or had only mild symptoms. On the other hand, two thirds were still slow performers and in need of special education and the children were still more disturbed compared to normal children. The most common diagnoses, according to DSM-III-R, were oppositional defiant disorders (53%) and conduct disorders (21%). All diagnostic groups did improve, but the children with conduct disorders were the most disturbed on both occasions. The majority of the parents had a positive attitude towards the day school and wanted to recommend day school placement to other parents. The ability of the day schools to intervene early and treat (secondary prevention) children with adjustment disorders was found to be an important resource.
|
|
| 13. |
- Svedin, Carl Göran, et al.
(författare)
-
Mental health, behaviour problems and incidence of child abuse at the age of 16 years : A prospective longitudinal study of children born at psychosocial risk
- 2005
-
Ingår i: European Child and Adolescent Psychiatry. - : Springer Science and Business Media LLC. - 1018-8827 .- 1435-165X. ; 14:7, s. 386-396
-
Tidskriftsartikel (refereegranskat)abstract
- Of the 1,575 pregnant women registered at the public Antenatal Health Care Service in the city of Linköping, Sweden during 1983, an index group of 78 women was identified that met specific well-defined psychosocial risk criteria related to drug addiction, mental insufficiency, and particular social circumstances of possible relevance to problems of pregnancy and early child development. A further 78 pregnant women who did not meet the inclusion criteria were used as a reference group. The present study is a 16-year follow-up in which 43 (57%) of the original index children and 63 (82%) of the original reference children were examined on indices of mental health, and the presence of child abuse. Their mental health was assessed with the Child Behaviour Checklist (CBCL) completed by the mothers and the Youth Self-Report (YSR) completed by the adolescents. The incidence of child abuse and Social Welfare interventions was obtained from Social Welfare records. The index children, especially the boys, displayed significantly poorer mental health as assessed by both CBCL (p<0.05) and YSR (p<0.02). Being an index child increased the odds ratio 16-27 times for different Social Welfare interventions, and child abuse had been investigated in 27% of the index children compared to 1% of the reference children. © Steinkopff Verlag 2005.
|
|
| 14. |
- Sydsjö, Gunilla, 1956-, et al.
(författare)
-
Life development for 20 pairs of children with and without psychosocial problems - A 16-year-long study with follow-up
- 2007
-
Ingår i: Nordic Journal of Psychiatry. - : Informa UK Limited. - 1502-4725 .- 0803-9488. ; 61:1, s. 19-26
-
Tidskriftsartikel (refereegranskat)abstract
- The objective of the study was to describe 20 matched pairs of children born to psychosocial risk mothers who have been followed from early pregnancy through their first 16 years of life. Interviews and standardized behavior measurements with a focus on the children's development were used. When considering the overall data from the different measurements done over the 16-year study period, the study group has significantly more negative results. Nine of the families in the study group had been investigated for abuse, neglect and inadequate parenting during the 16 years. In the rest of the 11 families from the study group, two siblings had been placed in foster care because of maltreatment. The study group mothers' characteristics from the start had a significantly negative impact on the children's behavior and mental health throughout their lives and when they reached 16 years.
|
|
| 15. |
- Sydsjö, Gunilla, 1956-, et al.
(författare)
-
Period prevalence and types of psychosocial risk factors in pregnant women in an urban Swedish community
- 2003
-
Ingår i: International Journal of Social Welfare. - : Wiley. - 1369-6866 .- 1468-2397. ; 12:4, s. 302-306
-
Tidskriftsartikel (refereegranskat)abstract
- During a three-year period a total population of pregnant women attending antenatal clinics in Link÷ping, Sweden was screened for being at psychosocial risk. The prevalence of different psychosocial risk factors was compared with the corresponding prevalence in women referred to and accepting or declining to take part in a specialised training programme at a parent-baby clinic. In general, the present study showed that there was a constant proportion of about 4-5% of pregnant women with psychosocial risk factors. Psychiatric problems and social problems of relevance for pregnancies/parenthood were about equally frequent (i.e. 44 and 45%), while drug-addiction problems were at 11%. Only one in three women with risk factors were eventually referred to the parent-baby clinic, and every second woman referred finally took part in the programme. With the knowledge that an early intervention in families with psychosocial risk factors may alleviate some adverse or disadvantageous developments in children, it is a challenge to identify and to motivate these women to enrol in various support and training programmes. There are still too few pregnant women at risk who are ready to accept the further support that they may need, and the rationale for their reluctance must be better known.
|
|
| 16. |
- Sydsjö, Gunilla, 1956-, et al.
(författare)
-
Psychosocial risk mothers : Early mother-child interaction and behavioural disturbances in children at 8 years of age
- 2001
-
Ingår i: Journal of Reproductive and Infant Psychology. - : Informa UK Limited. - 0264-6838 .- 1469-672X. ; 19:2, s. 135-146
-
Tidskriftsartikel (refereegranskat)abstract
- Mother-child interaction in a group of women with psychosocial risks, identified during pregnancy, was assessed at birth, when the infants were 6 months old, and again when they were 18 months old. Presence of behavioural disturbances in the children was assessed when they were 8 years of age. The at-risk index group was comprised of 45 mothers and their children, with the risk criteria consisting of alcohol/drug abuse, psychiatric problems, and disadvantageous social circumstances. Another 57 mother-child pairs lacking in risk criteria comprised a reference group. Most aspects of mother-child interaction were shown to be significantly poorer in the index group than in the reference group at the three points of assessment during infancy. At 8 years of age, the index children, especially the boys, were found to display significantly more behavioural disturbances than the reference children. A significant correlation was also found in the index group, but not in the reference group, between the quality of mother-infant interaction at birth and the extent of behavioural disturbance in children at 8 years of age. Overall, the results suggest that identification can be made, even during pregnancy, of children who are at risk of poor interaction with mothers during infancy and at risk of behavioural problems later in development.
|
|
| 17. |
- Sydsjö, Gunilla, 1956-, et al.
(författare)
-
Relationships and parenthood in couples after assisted reproduction and in spontaneous primiparous couples : A prospective long-term follow-up study
- 2002
-
Ingår i: Human Reproduction. - 0268-1161 .- 1460-2350. ; 17:12, s. 3242-3250
-
Tidskriftsartikel (refereegranskat)abstract
- Background: The aim of this study was to analyse relationships and parenthood in primiparous IVF couples and spontaneous primiparous couples. Method: In total, 110 consecutive IVF couples were studied. The control group was matched for women's age and selected out of the total spontaneous pregnant population in the study area. Questionnaires and semi-structured telephone interviews were used to gain information about sociodemographic data, couples' relationships, and the children's health, temperament and behaviour. Obstetrical variables concerning the course and outcome of pregnancy and delivery as well as the health status of the new-borns were obtained from standardized antenatal care and delivery files. Results: There weere no differences concerning gestational age, mode of delivery or neonatal health between the two groups. The IVF couples were more stable over time - from pregnancy until the child was 1 year old - in their relationship, while the control group experienced a decrease in marital satisfaction. The children in the IVF group were assessed by their parents as being more regular/habitual, sensitive and manageable than the control children. Conclusion: The differences present between the groups were in favour of the IVF families, and the effects of the infertility crisis were not notable when the children were 1 year old.
|
|
| 18. |
- Sydsjö, Gunilla, 1956-, et al.
(författare)
-
Relationships in couples after failed IVF treatment : A prospective follow-up study
- 2005
-
Ingår i: Human Reproduction. - : Oxford University Press (OUP). - 0268-1161 .- 1460-2350. ; 20:7, s. 1952-1957
-
Tidskriftsartikel (refereegranskat)abstract
- Background: There are few studies of couples that analyse satisfaction with treatment, adoption plans and relationships in couples after unsuccessful IVF. Methods: ENRICH marital inventory was used to describe marital dynamics and to gain information about treatment and adoption plans. A specially designed questionnaire was used. Of the 51 couples without previous children who were asked to participate after their first failed IVF cycle, 45 participated. The next stage of the study was carried out when the couples had reached the 6 months point after the first IVF cycle, and the last stage after the couples had been through one to three treatments, 1 1/2 years after the last treatment. Results: The couples displayed a stable relationship from the start as well as 1 year after the last IVF cycle. The vast majority of the couples had decided to go through with an adoption. Seventy-three percent of the women were interested in more IVF treatment compared to 33% of the men. Conclusion: The stresses associated with IVF treatment did not have a negative impact on the couples' appreciation of their relationships during and after the treatment period. After treatment had been completed, the couples seemed to have reoriented themselves toward other solutions to childlessness.
|
|
| 19. |
|
|
| 20. |
- Wadsby, Marie, 1954-
(författare)
-
Children of divorce and their parents
- 1993
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Behavioural disturbances and symptoms of poor mental health in Swedish children were examined in conjunction with parental divorce and 2 years later, and in a group of immigrant and refugee children of divorced parents, on the basis of a semi-structured interview-instrument. The association between children's mental well-being and a number of background variables was analyzed. Children's self-image, charted by astandardized instrument, school achievement as assessed by final grades from compulsory school, and reactions to and experiences of divorce were studied. The reasons for the divorce, and differences in men's and women's experiences of changes a consequence of divorce were also studied. The study was based on a one-year-sample of divorcing couples and their young children, and 27 divorced irnmigranl/refugee families.The presence of behavioural disturbances and symptoms of poor mental health was similar in children of divorce and in children of intact homes, although Swedish boys <5 years of age at the time of the divorce emerged a vulnerable group two years following the event Compared to Swedish children of divorce, immigrant children and especially refugee children of divorce displayed poorer mental health. Children 7-12 years of age reacted strongest to the divorce compared to younger and older children. Parental psychiatric vulnerability alcohol abuse, and a heart-rending divorce were factors associated with children's mental well-being. Especially a heart-rending divorce was noted to be a crucial variable in predicting the mental well-being of young boys at the time of divorce.The self-image of children of divorce was similar to that of children of intact homes as assessed by standardized norms. Academic achievement was similar in' children of divorce and in children of intact homes.Children devoted more thoughts to the divorce than their parents had realized, and boys and young children accepted the divorce less than the parents believed. The results indicated a lack of information and communication about the divorce between children and parents.The divorce experience differed between men and women in several areas, especially with regard to the financial situation, relations with friends, work, physical health, mental well-being, and self-confidence, mostly favouring the women.The main conclusion of the study was that the mental health of children of divorce is similar to children of intact homes at the time of divorce and two years later.
|
|
| 21. |
- Wadsby, Marie, 1954-, et al.
(författare)
-
Children of mothers at psychosocial risk growing up: A follow up at the age of 16
- 2007
-
Ingår i: Journal of Adolescence. - : Wiley. - 1095-9254 .- 0140-1971. ; 30:1, s. 147-164
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of the present Study was to make a 16-year follow-up of children of psychosocial risk mothers as concerns emotional/behavioural problems, self-esteem, life events, and academic grades. Forty-three teenagers (index group) and 61 reference teenagers were personally interviewed and asked to answer the Youth Self-report (YSR), the Self-image questionnaire I Think I Am, and a Life Event questionnaire. Their final grades from the 9-year compulsory school were Studied. The results showed that boys, especially the sons from families with alcohol/drug problems, displayed poorer mental health, a more negative self-image, had experienced more negative life events, and had to a greater extent not successfully completed the 9-year compulsory school. More teenagers in the index group had been placed in foster care, had a less positive outlook about their future, were more often smokers, and more of them (girls) had seriously considered committing suicide than the teenagers in the reference group. It was concluded that boys of psychosocial risk mothers are less well off than teenagers of non-risk mothers at the age of 16 as concerns psychosocial well being. It is of great importance to devote attention to these children at an early stage of life in order to be able to provide them with the support that may prevent development of future problems. (c) 2006 The Association for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.
|
|
| 22. |
- Wadsby, Marie, 1954-, et al.
(författare)
-
Evaluation of an intervention programme to support mothers and babies at psychosocial risk : Assessment of mother/child interaction and mother's perceptions of benefit
- 2001
-
Ingår i: Health & Social Care in the Community. - : Hindawi Limited. - 0966-0410 .- 1365-2524. ; 9:3, s. 125-133
-
Tidskriftsartikel (refereegranskat)abstract
- The outcome of a short-term intervention programme for mothers at psychosocial risk was evaluated. The study included 63 mothers and their 0-6-month-old babies who participated in a 6-week intensive treatment programme. Mother-child interaction was assessed in the beginning and at the end of treatment by two independent staff members based on direct observation, and by two control raters who observed video recordings which were arranged in blind order. The mothers were interviewed about the treatment retrospectively. A positive change in several aspects of mother-child interaction, according to the assessments made by the raters and according to the mothers themselves. The number of mothers who were positive toward the treatment rose from 34 in the beginning of the treatment to 56 at the end. In conclusion, a short but intensive intervention seems to have a positive outcome on mother-child interaction, and was in most cases linked to a positive attitude.
|
|
| 23. |
|
|
| 24. |
- Wadsby, Marie, 1954-, et al.
(författare)
-
Skilsmässa : bakgrund, orsaker och följder
- 1993
-
Ingår i: Modernt familjeliv och familjeseparationer. - Stockholm : Socialvetenskapliga forskningsrådet. - 9138133954 ; , s. 177-186
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)
|
|
| 25. |
- Zetterqvist, Maria, 1970-, et al.
(författare)
-
Validation of the Systemic Clinical Outcome and Routine Evaluation (SCORE-15) self-report questionnaire: index of family functioning and change in Swedish families
- 2020
-
Ingår i: Journal of Family Therapy. - : WILEY. - 0163-4445 .- 1467-6427. ; 42:1, s. 129-148
-
Tidskriftsartikel (refereegranskat)abstract
- Instruments for evaluating the progress and outcome of systemic therapeutic treatments in clinical practice need to be easily administered and have sound psychometric properties. The Systemic Clinical Outcome and Routine Evaluation, 15-item version (SCORE-15), is a self-report instrument that measures aspects of family functioning. This study investigates the psychometric qualities of a Swedish version of SCORE-15. Seventy Swedish families with healthy children and 159 families with children with psychiatric or behavioural problems were included in the study, resulting in a total of 397 individuals. Results showed that SCORE-15 differentiated clinical from non-clinical families with acceptable psychometric properties for test-retest, internal consistency, convergent and construct validity, as well as sensitivity to change for the clinical sample. The three-factor solution of strengths, difficulties and communication was tested. Results imply preliminary psychometric support for the use of the Swedish version of SCORE-15 to evaluate progress and outcome in clinical practice. Practitioner points SCORE-15 is an easily administered questionnaire suitable for use in clinical practice to evaluate systemic therapeutic progress and outcome The Swedish version of SCORE-15 has acceptable psychometric properties
|
|
| 26. |
- Ängarne-Lindberg, Teresia, 1968-, et al.
(författare)
-
Psychiatric and somatic health in relation to expereince of parental divorce in childhood
- 2012
-
Ingår i: International Journal of Social Psychiatry. - : Sage Publications. - 0020-7640 .- 1741-2854. ; 58:1, s. 16-25
-
Tidskriftsartikel (refereegranskat)abstract
- Background: The outcome of studies about experience of parental divorce and effects on mental and physical health differs in result possibly caused by the use of different questionnaires and instruments, varying length of time since the divorce and divergent drop-off of participants. Aims: To study the presence of psychiatric records and number of diagnosed somatic and mental health care visits in a group of young adults with childhood experience of parental divorce in comparison to a group without this experience. Methods: The presence of a record at the public psychiatric clinics and ten years of administrative health care data (somatic and mental) was checked for both groups. Results: Significantly more persons from the divorce group occurred in child and adolescent psychiatric care, most pronounced women. However, no significant difference between the groups in number of persons seeking adult psychiatry, or in number of psychiatric consultations was present. Experience of parental divorce was not either found to be an indicator of larger somatic health problems. Conclusion: Experience of parental divorce in childhood is not an indicator of adult psychiatric or somatic need of care.
|
|
| 27. |
- Ängarne-Lindberg, Teresia, 1968-, et al.
(författare)
-
Sense of coherence in young adults with and without childhood experience of parental divorce
-
Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Aim: A number of studies show variability in children’s response to parental divorce. The intent of the present study was to look at personal resources as one possible factor explaining differences in mental health among young adults with childhood experience of parental divorce. This factor is examined by also taking into account the effect of traumatic experiences other than the possibly traumatic parental divorce. Method: A group of persons with childhood experience of parental divorce (divorce group) was compared to a group without this experience, a non-divorce group consisting of persons of the same gender and age and living in the same locations as those in the divorce group. Personal resources were defined in this study as “Sense of Coherence” (SOC) measured with SOC-29, and mental health was assessed by the SCL-90 index General Severity Index (GSI). Traumatic life events were accounted for by using Life Incidence of Traumatic Events (LITE). Results: The results showed a significant connection between a strong SOC-29 and good mental health SCL-90/GSI, but no significant connection between SOC-29 and LITE, and the same pattern was seen in both the divorce and the non-divorce group. Conclusion: Personal resources measured as strong sense of coherence seem to be important in retaining a good mental health and the capacity to deal with life incidences such as parental divorce. .
|
|
| 28. |
- Ängarne-Lindberg, Teresia, 1968-, et al.
(författare)
-
Young adults with childhood experience of parental divorce: Disappointment and contentment
- 2009
-
Ingår i: Journal of Divorce and Remarriage. - : Routledge. - 1050-2556 .- 1540-4811. ; 50:3, s. 172-184
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to use in-depth interviews to identify and describe experiences of parental divorce among adult children whose parents divorced 15 years earlier. Ten out of 76 interviews were recorded and transcribed verbatim, and data were analyzed using qualitative content analysis. Two categories of experiences were identified: disappointment and contentment. Two subcategories of disappointment were distinguished: disappointment toward mother, father, or both, and disappointment with relatives and other surrounding persons. Four subcategories of contentment were distinguished: contentment in the belief that the members of the original family received a good or even better life after the divorce, contentment with how the divorce was handled by the parents, contentment and inner strength as a part of the child's own personality, and contentment with receiving adequate help during and after the parental divorce.
|
|
