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- Birgegård, Andreas, et al.
(författare)
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Quality assurance of specialised treatment of eating disorders using large-scale Internet-based collection systems : methods, results and lessons learned from designing the Stepwise database.
- 2010
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Ingår i: European eating disorders review. - : Wiley. - 1072-4133 .- 1099-0968. ; 18:4, s. 251-9
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Tidskriftsartikel (refereegranskat)abstract
- Computer-based quality assurance of specialist eating disorder (ED) care is a possible way of meeting demands for evaluating the real-life effectiveness of treatment, in a large-scale, cost-effective and highly structured way. The Internet-based Stepwise system combines clinical utility for patients and practitioners, and provides research-quality naturalistic data. Stepwise was designed to capture relevant variables concerning EDs and general psychiatric status, and the database can be used for both clinical and research purposes. The system comprises semi-structured diagnostic interviews, clinical ratings and self-ratings, automated follow-up schedules, as well as administrative functions to facilitate registration compliance. As of June 2009, the system is in use at 20 treatment units and comprises 2776 patients. Diagnostic distribution (including subcategories of eating disorder not otherwise specified) and clinical characteristics are presented, as well as data on registration compliance. Obstacles and keys to successful implementation of the Stepwise system are discussed, including possible gains and on-going challenges inherent in large-scale, Internet-based quality assurance.
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- Björk, Tabita, et al.
(författare)
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The impact of different outcome measures on estimates of remission in a 3-year follow-up of eating disorders
- 2011
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Ingår i: European eating disorders review. - : John Wiley & Sons. - 1072-4133 .- 1099-0968. ; 19:1, s. 2-11
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To examine the impact of using different outcome measures on estimates of remission rates in eating disorders (ED).Method: Adult ED patients (n = 334) included in a naturalistic, longitudinal project were assessed 3 years after intake. Remission was operationally defined using six different measures of outcome. Pairwise analyses of agreement between outcome measures were also calculated.Results: Remission rates for the entire group varied considerably from 24.3 to 77.8% depending on how remission was defined and who made the assessment (experts or patients). Outcome measures performed differently depending on diagnosis, and agreement between measures varied from none to very good.Conclusion: The impact of different definitions of outcome on remission estimates is considerable. There is a need to validate different estimates of remission by examining them in relation to multiple domains of outcome over time and by critically examining their relative merits both empirically and clinically.
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- Bravender, T., et al.
(författare)
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Classification of Eating Disturbance in Children and Adolescents: Proposed Changes for the DSM-V
- 2010
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Ingår i: European Eating Disorders Review. - : Wiley. - 1072-4133 .- 1099-0968. ; 18:2, s. 79-89
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Tidskriftsartikel (refereegranskat)abstract
- Childhood and adolescence are critical periods of neural development and physical growth. The malnutrition and related medical complications resulting from eating disorders such as anorexia nervosa (AN), bulimia nervosa (BN) and eating disorder not otherwise specified may have more severe and potentially more protracted consequences during youth than during other age periods. The consensus opinion of an international workgroup of experts on the diagnosis and treatment of child and adolescent eating disorders is that (a) lower and more developmentally sensitive threshold's of symptom seventy (e.g lower frequency of purging behaviours, significant deviations from growth curves as indicators of clinical seventy) be used as diagnostic boundaries for children and adolescents, (b) behavioural indicators of psychological features of eating disorders be considered even in the absence of direct self-report of such symptoms and (C) multiple informants (e.g parents) be used to ascertain symptom profiles. Collectively, these recommendations will permit earlier identification and intervention to prevent the exacerbation of eating disorder symptoms. Copyright (C) 2010 John Wiley & Sons, Ltd and Eating Disorders Association
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- Carrard, I, et al.
(författare)
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Evaluation of a guided internet self-treatment programme for bulimia nervosa in several European countries.
- 2010
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Ingår i: European eating disorders review : the journal of the Eating Disorders Association. - : Wiley. - 1099-0968.
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The purposes of this study were to evaluate the use of an online guided self-treatment programme for bulimia nervosa (BN) and to determine predictors of outcome. Data were collected in four European countries where the programme was simultaneously used. METHOD: One hundred and twenty-seven BN or subthreshold BN female patients (mean age of 24.7 years) participated in a 4-month intervention using a CBT based online-guided self-help programme. Contact during the treatment period included weekly e-mails with a coach. ASSESSMENT: Measures included the Eating Disorders Inventory-2 (EDI-2) and the Symptom Check List-Revised (SCL-90R). RESULTS: Severity of eating disorders symptoms and general psychopathology improved significantly. Twenty-three per cent of patients were symptom free at the end of treatment. The dropout rate was 25.2%. A better score of general psychological health was a predictor of a better outcome. CONCLUSIONS: This study encourages further developments and research on innovative therapy approaches, particularly for those disorders such as BN, with difficult therapy and unclear prognosis. Copyright © 2010 John Wiley & Sons, Ltd and Eating Disorders Association.
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- Casula Vifell, Åsa, et al.
(författare)
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Organizing matters : how ‘the social dimension’ gets lost in sustainability projects
- 2012
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Ingår i: Sustainable Development. - : John Wiley & Sons. - 0968-0802 .- 1099-1719. ; 20:1, s. 18-27
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Tidskriftsartikel (refereegranskat)abstract
- This paper explores the conditions for taking the social dimension into consideration when trying to aim for increased sustainability through activities organized in projects. Among the three commonly accepted pillars of sustainable development – economic, ecological and social – the social dimension is often the most vague and least explicit in practical attempts to shape sustainable development. The aim with this study is to explore the role of organizing in shaping the balance between the pillars. The two cases examined are projects explicitly related to sustainable development goals set by the national government or parliament and implemented by other actors. The cases concern two topics: food production and electromagnetic fields. On the basis of relevant organizational dimensions and case analyses, the paper shows how the organization of sustainability shapes the ways in which the projects articulate the social dimension. This leads to practical advice for organizing new projects in the future.
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- Cerin, Pontus, et al.
(författare)
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Energy performance and housing prices
- 2014
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Ingår i: Sustainable Development. - : Wiley-Blackwell. - 0968-0802 .- 1099-1719. ; 22:6, s. 404-419
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Tidskriftsartikel (refereegranskat)abstract
- We investigate whether mandatory energy performance certificates of existing residential properties contribute to property price premiums after the implementation of the EU directive on the energy performance of buildings in the Swedish private housing market. Analysing mandatory energy performance certificates of the 2009–2010 private housing transactions, we find that energy performance is associated with transaction price in situations when it is conditional on a reference benchmark. We also document property price premiums for energy performance within housing segments built before 1960 and those with a lower transaction price per square metre. Our results suggest that the property market values energy performance, and we make recommendations on which housing segments need policy support to encourage energy improvements.
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- Cerin, Pontus, et al.
(författare)
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Linking Responsible Investments to Societal Influence : Motives, Assessments and Risks
- 2011
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Ingår i: Sustainable Development. - : Wiley. - 0968-0802 .- 1099-1719. ; 19:2, s. 71-76
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- This introduction of the special issue about responsible investments deals with the main theoretical, methodological and empirical challenges. It also highlights the key features of the papers in this special issue.
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