| 1. |
- Ambrus, Livia, et al.
(författare)
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Coping and suicide risk in high risk psychiatric patients
- 2020
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Ingår i: Journal of Mental Health. - : Taylor & Francis. - 0963-8237 .- 1360-0567. ; 29:1, s. 27-32
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Tidskriftsartikel (refereegranskat)abstract
- Background: A dysfunctional use of coping strategies has repeatedly been linked to suicidal behaviour in non-psychiatric populations. However, data regarding association between coping strategies and suicidal behaviour in psychiatric populations are limited. Aims: The aim of the study was to investigate the possible relationship between self-reported suicide risk, suicidal ideation and coping strategies in three psychiatric cohorts. Method: Three cohorts of psychiatric patients were involved in the study; recent suicide attempters (n = 55), suicide attempters at follow-up 12 years after a suicide attempt (n = 38) and patients with ongoing depression without attempted suicide (n = 72). Patients filled in the self-rating version of The Suicide Assessment Scale (SUAS-S) from which items no. 17–20 addressing current suicidal ideation were extracted. To investigate coping strategies, the Coping Orientation of Problem Experience Inventory (COPE) was used. Results: In all cohorts, regression analyses showed that only avoidant coping was significantly correlated with the scores of SUAS-S adjusted for covariates. The items no. 17–20 correlated significantly to avoidant coping but not with other coping strategies in all cohorts. Conclusion: The results of this study indicate that among coping strategies only avoidant coping may be associated with suicide risk in psychiatric patients independently of history of attempted suicide.
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| 2. |
- Andersson, Gerhard, et al.
(författare)
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A 3.5-year follow-up of Internet-delivered cognitive behavior therapy for major depression
- 2013
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Ingår i: Journal of Mental Health. - London, UK : Informa Healthcare. - 0963-8237 .- 1360-0567. ; 22:2, s. 155-164
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundInternet-delivered cognitive behavior therapy (ICBT) for major depression has been tested in several trials, but only with follow-ups up to 1.5 years.AimThe aim of this study was to evaluate the outcome of ICBT 3.5 years after treatment completion.MethodsA total of 88 people with major depression were randomized to either guided self-help or e-mail therapy in the original trial. One-third was initially on a waiting-list. Treatment was provided for eight weeks and in this report long-term follow-up data were collected. Also included were data from post-treatment and six-month follow-up. A total of 58% (51/88) completed the 3.5-year follow-up. Analyses were performed using a random effects repeated measures piecewise growth model to estimate trajectory shape over time and account for missing data.ResultsResults showed continued lowered scores on the Beck Depression Inventory (BDI). No differences were found between the treatment conditions. A large proportion of participants (55%) had sought and received additional treatments in the follow-up period. A majority (56.9%) of participants had a BDI score lower than 10 at the 3.5-year follow-up.ConclusionsPeople with mild to moderate major depression may benefit from ICBT 3.5-years after treatment completion.
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| 3. |
- Bengtsson Tops, Anita, et al.
(författare)
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Mental health users' experiences of being interviewed by another user in a research project : a qualitative study
- 2010
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Ingår i: Journal of Mental Health. - 0963-8237 .- 1360-0567. ; 19:3, s. 237-242
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Although user involvement in research is an area of high priority there is a lack of knowledge about how users of the mental health system perceive participation in studies carried out by other users.AIM: The aim of the study was to describe how users experience participation in research interviews performed by other users.METHOD: A varied sample of 17 mental health users with experience of being interviewed in a research project by another user was thematically interviewed in this qualitative study. Data was subject to content analysis.RESULTS: Being interviewed by another user was a special experience including both negative and positive aspects, and took place in an atmosphere of comradeship. However, being interviewed by another user could generate feelings of insecurity. This finding indicates requirements from the informants how to perform user-involved research in the future.CONCLUSIONS: In planning for user-involved research education, it is necessary to consider training and issues related to secure ethical principals concerning the informants.
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| 4. |
- Bengtsson-Tops, A., et al.
(författare)
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Mental health users' experiences of being interviewed by another user in a research project. A qualitative study
- 2010
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 1360-0567 .- 0963-8237. ; 19:3, s. 234-242
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Tidskriftsartikel (refereegranskat)abstract
- Aim: The aim of the study was to describe how users experience participation in research interviews performed by other users. Method: A varied sample of 17 mental health users with experience of being interviewed in a research project by another user was thematically interviewed in this qualitative study. Data was subject to content analysis. Results: Being interviewed by another user was a special experience including both negative and positive aspects, and took place in an atmosphere of comradeship. However, being interviewed by another user could generate feelings of insecurity. This finding indicates requirements from the informants how to perform user-involved research in the future. Conclusions: In planning for user-involved research education, it is necessary to consider training and issues related to secure ethical principals concerning the informants.
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| 5. |
- Bergman, Henrik, et al.
(författare)
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The use of physical exercise in forensic psychiatric care in Sweden: a nationwide survey.
- 2021
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Ingår i: Journal of mental health (Abingdon, England). - : Informa UK Limited. - 1360-0567 .- 0963-8237. ; , s. 1-9
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Tidskriftsartikel (refereegranskat)abstract
- Exercise protects against somatic comorbidities and positively affects cognitive function and psychiatric symptoms in patients with severe mental illness. In forensic psychiatry, exercise is a novel concept. Staff at inpatient care facilities may be important resources for successful intervention. Little is known about staff's knowledge, attitudes and behaviors regarding exercise in forensic psychiatric care.To translate, culturally adapt and test the feasibility of the Exercise in Mental Health Questionnaire-Health Professionals Version (EMIQ-HP) in the Swedish context, and to use this EMIQ-HP-Swedish version to describe staff's knowledge, attitudes and behaviors regarding exercise.The EMIQ-HP was translated, culturally adapted, pilot-tested and thereafter used in a cross-sectional nationwide survey.Ten of 25 clinics and 239 health professionals (50.1%) participated. Two parts of the EMIQ-HP-Swedish version showed problems. Most participants considered exercise to be a low-risk treatment (92.4%) that is beneficial (99.2%). Training in exercise prescription was reported by 16.3%. Half of participants (52.7%) prescribed exercise and 50.0% of those undertook formal assessments prior to prescribing.Creation of the EMIQ-HP-Swedish version was successful, despite some clarity problems. Exercise appears to be prescribed informally by non-experts in Swedish forensic psychiatric care and does not address treatment goals.
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| 6. |
- Blomdahl, Christina, et al.
(författare)
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Art therapy for patients with depression: expert opinions on its main aspects for clinical practice
- 2016
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 0963-8237 .- 1360-0567. ; 25:6, s. 527-535
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Tidskriftsartikel (refereegranskat)abstract
- Background: Art therapy is based mainly on clinical experience and is rarely described and evaluated scientifically. There is a need for further exploration of its use in patients with depression. Aim: The aim of this study was to explore what experts consider to be the main aspects of art therapy in clinical practice for patients with depression. Method: Eighteen occupational therapists experienced and educated in art therapy participated. The experts answered three rounds of Delphi questionnaires and ranked their agreement with 74 assertions. Consensus was defined as 70% or higher. Results: The experts agreed more on assertions about theoretical frames of reference than about clinical practice. The main aspects of art therapy were agreed to be the patients’ opportunity to express themselves verbally and through making art. It was equally important that art tasks provided an opportunity to address depressive thoughts, feelings, life experiences, and physical symptoms. Conclusions: Experts in the field of art therapy considered that the main aspect of clinical practice in art therapy for patients with depression is that art themes should promote expression related to both to depression and personal history.
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| 7. |
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| 8. |
- Brunt, David, et al.
(författare)
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The social networks of severely mentally ill persons in inpatient settings and sheltered community settings
- 2002
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 1360-0567 .- 0963-8237. ; 11:6, s. 611-621
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Tidskriftsartikel (refereegranskat)abstract
- The social networks of individuals with severe mental illness admitted to long-term in-patient settings and living in two types of supported housing, small congregate community residences and independent living with support, were compared. The Interview Schedule for Social Interaction (ISSI) was used. The results showed no substantial differences in social networks between the two types of supported community residences. These were pooled for further analyses and comparisons between in-patient settings and supported community settings. No differences were found between the two settings either for the four subscales of ISSI or for the overall ISSI score. Stepwise regression analysis revealed a positive association between perceived quality of life and social network and an inverse relation between negative symptoms and social network. Other factors possibly influencing social networks across housing settings are discussed. More qualitative data is called for in the study of social networks of persons with severe mental illness.
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| 9. |
- Brännlund, Annica, et al.
(författare)
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Mental-health and educational achievement : The link between poor mental-health and upper secondary school completion and grades
- 2017
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Ingår i: Journal of Mental Health. - : Taylor & Francis Group. - 0963-8237 .- 1360-0567. ; 26:4, s. 318-325
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Tidskriftsartikel (refereegranskat)abstract
- Background: Education profoundly affects adult socioeconomic status, so it is important to ensure that all children have the capability and opportunity to achieve educational goals.Aims: The study aimed to examine the relationship between mental-health during adolescence and upper secondary school completion and grades, which has received comparatively little research attention to date.Method: Longitudinal administrative and registered data were used to analyse the relationship between school achievement and prescriptions of psycholeptic and psycho-analeptic drugs. The sample consisted of all children born in Sweden in 1990 (n=109223), who were followed from birth to age 20. Logistic and OLS regressions were performed separately for boys and girls, controlling for birth health and family characteristics.Results: A negative relationship between mental-health problems and educational outcomes was found; this result was almost independent of the controls. Only minor differences between the sexes were detected.Conclusions: Poor mental-health during childhood correlated negatively with educational attainment. Given the strong link between educational success and adult life, more resources are needed to support children with mental-health problems.
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| 10. |
- Chung, Man Cheung, et al.
(författare)
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Posttraumatic stress disorder and psychiatric co-morbidity among Syrian refugees : the role of trauma exposure, trauma centrality, self-efficacy and emotional suppression
- 2021
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Ingår i: Journal of Mental Health. - : Taylor & Francis. - 0963-8237 .- 1360-0567. ; 30:6, s. 681-689
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundThe devastation of the Syrian war can lead to a drastic re-evaluation of oneself and alteration in self-capacities. Yet, little is known regarding its impact on these domains among Syrian refugees.AimsTo investigate the inter-relationship between trauma characteristics, trauma centrality, self-efficacy, emotional suppression, PTSD and psychiatric co-morbidity among Syrian refugees.Methods1197 refugees from Turkey and Sweden completed the Harvard Trauma Questionnaire, General Health Questionnaire-28, Centrality of Event Scale, Generalized Self-Efficacy Scale and Courtauld Emotional Control Scale.ResultsUsing the DSM-IV criteria for PTSD from the Harvard Trauma Questionnaire, 43% met the criteria. The PTSD group reported significantly higher levels of trauma characteristics, trauma centrality and psychiatric co-morbidity but a lower level of self-efficacy than the non-PTSD group. Trauma characteristics were positively associated with trauma centrality; trauma centrality was negatively correlated with self-efficacy. Contrary to hypothesis, self-efficacy was positively correlated with emotional suppression which was positively correlated with psychiatric co-morbidity but not PTSD.ConclusionsThe experience of war can lead to the emergence of PTSD among Syrian refugees. Exposure to war can alter self-perception, belief of personal mastery over one’s future and the way emotion is expressed, all of which can have specific effects on general psychological symptoms.
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| 11. |
- Daoud, Nihaya, et al.
(författare)
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Sense of coherence and depressive symptoms among low-income Bedouin women in the Negev Israel
- 2014
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 0963-8237 .- 1360-0567. ; 23:6, s. 307-311
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Tidskriftsartikel (refereegranskat)abstract
- Background: Higher sense of coherence (SOC) has been associated with lower depression in Western societies; however, it is not clear whether this association manifests similarly in non-Western cultural contexts.Aims: To examine the associations between different levels of SOC and depressive symptoms (DS) among indigenous-minority Arab Bedouin women in Israel and explore possible explanatory variables for this association.Methods: We conducted face-to-face interviews with 464 women (aged 18–49 years). DS was measured based on the Center for Epidemiologic Studies Depression Scale. We used the SOC-13 questionnaire and conducted path analysis using Structural Equation Modeling to examine the contribution of two levels of SOC (low/high) to predict DS beyond psychological resources and socioeconomic position.Results: The mean score of SOC was 3.42, standard deviation (SD) = 1.15. While high SOC (mean = 4.38, SD = 0.66, range = 3.5–6.38) was positively and significantly associated with DS (r = 0.46), SOC was not associated (r = 0.02) with DS in the low SOC group (mean = 2.4, SD = 0.56, range = 1–3.42).Conclusions: Relationships between high versus low SOC and DS among Bedouin women differ from those found in Western societies. This raises questions about the use of SOC as a universal tool in different cultural contexts.
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| 12. |
- Eberhard, Sophia, et al.
(författare)
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Hazardous alcohol use in general psychiatric outpatients.
- 2015
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 1360-0567 .- 0963-8237. ; 24:3, s. 162-167
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Tidskriftsartikel (refereegranskat)abstract
- Hazardous alcohol use in psychiatric patients may increase the risk of the development of a substance use disorder and negatively affect the course of the psychiatric disorder.
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| 13. |
- Farahani, Mohammad-Naghy, et al.
(författare)
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The relations between conscientiousness and mental health in a North-European and a West-Asian culture
- 2019
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Ingår i: Journal of Mental Health. - : Taylor & Francis. - 0963-8237 .- 1360-0567. ; 28:2, s. 112-118
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The relationship between conscientiousness, mental health and mental illness has been an issue for the last two decades.AIMS: By using a dual model of mental health, the present study examined a non-linear relationship between conscientiousness and healthy or non-healthy symptoms in two different cultures.METHOD: Participants in this study were 296 Iranian and 310 Swedish university students (18-24 years of age). We used two different conscientiousness scales; the 12-item conscientiousness subscale of the NEO/FFI as an imported (etic) scale, and a 10-item Iranian conscientiousness scale as an indigenous (emic) and culture-dependent scale.RESULTS: In both conscientiousness scales, multivariate analysis of variance showed that conscientiousness differentiated among four mental health groups (languishing, troubled, symptomatic and flourishing), although languishing and troubled individuals were less conscientious than flourishing and symptomatic individuals. Furthermore, the non-healthy symptomatic individuals were more conscientiousness than flourishing individuals. The results showed no significant differences between the two cultures in terms of the four mental health categories.CONCLUSIONS: It was concluded that the relationship between conscientiousness and mental health/mental illness is more a non-linear relationship than a linear one.
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| 14. |
- Ghafouri, Nazdar, et al.
(författare)
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Mental health in genocide: Balancing between posttraumatic distress and growth among displaced Yazidi mothers
- 2024
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Ingår i: Journal of Mental Health. - : TAYLOR & FRANCIS INC. - 0963-8237 .- 1360-0567.
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Tidskriftsartikel (refereegranskat)abstract
- Background. The Islamic State of Iraq and Syria (ISIS) committed genocide of the Yazidis in Sinjar 2014, resulting in dispersion and enslavement. Research shows severe mental health problems, such as posttraumatic stress disorder (PTSD) among survivors, but less is known about their resources and strengths, conceptualized as posttraumatic growth (PTG). Aims. are to examine the balance between symptoms and strengths among Yazidi women caring for their infants by identifying groups differing in PTSD and PTG, and analyze how demographic, obstetric, and infant-related factors associate with the groups. Method. Participants were 283 Yazidi mothers with their 1-18-month-old infants displaced in Kurdish Region of North Iraq. PTSD symptoms were measured by Harvard Trauma Questionnaire and PTG by the Posttraumatic Growth Inventory. Results. identified four groups: "Severe symptoms and low growth" (39%), "Low symptoms and moderate growth" (38%), "Moderate symptoms and very high growth" (13%), and "Moderate symptoms and low growth" (10%). Low education, economic difficulties and obstetric problems related to the "Severe symptoms and low growth" group, whereas newborn and infant health problems did not have an impact. Conclusion. Effective help for genocide survivors should both alleviate suffering and encourage resources through tools of recreating a sense of cultural security and pride.
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| 15. |
- Lexén, Annika, et al.
(författare)
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Mental health professional experiences of the flexible assertive community treatment model : a grounded theory study
- 2016
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 0963-8237 .- 1360-0567. ; 25:4, s. 379-384
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Tidskriftsartikel (refereegranskat)abstract
- Background: Despite the lack of evidence for effectiveness of the Flexible Assertive Community Treatment (Flexible ACT), the model is considered feasible and is well received by mental health professionals. No current studies have adequately examined mental health professional experiences of working with Flexible ACT. Aims: The aim of this study was to explore mental health professional experiences of working with the Flexible ACT model compared with standard care. Method: The study was guided by grounded theory and based on the interviews with 19 theoretically chosen mental health professionals in Swedish urban areas primarily working with consumers with psychosis, who had worked with the Flexible ACT model for at least 6 months. Results: The analysis resulted in the core category: “Flexible ACT and the shared caseload create a common action space” and three main categories: (1) “Flexible ACT fills the need for a systematic approach to crisis intervention”; (2) “Flexible ACT has advantages in the psychosocial working environment”; and (3) “Flexible ACT increases the quality of care”. Conclusions: Mental health professionals may benefit from working with the Flexible ACT model through decreased job-strain and stress, increased feeling of being in control over their work situation, and experiences of providing higher quality of care.
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| 16. |
- Ljungberg, Amanda, et al.
(författare)
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Non-helpful relationships with professionals : aliterature review of the perspective of persons with severe mental illness
- 2016
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 0963-8237 .- 1360-0567. ; 25:3, s. 267-277
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Forskningsöversikt (refereegranskat)abstract
- Background: The relationship with professionals has proved to be important with regard to outcome for persons with severe mental illness (SMI). The understanding of non-helpful relationships is important complementary knowledge to that regarding helpful relationships.Aim: To review the available qualitative research providing knowledge of non-helpful relationships from the perspective of persons with SMI.Method: A review of qualitative studies, based on an earlier systematic search, analyzed through thematic analysis.Results: The main themes were non-helpful professionals, organization versus relation and the consequences of non-helpful relationships with professionals. Examples of professionals described as non-helpful were pessimistic and uncaring professionals who were paternalistic and disrespectful. Discontinuity, insufficient time and coercion were some of the contextual factors described as non-helpful. These sorts of relationships were non-helpful because they hindered helpful relationships from developing and contributed to further suffering, instilling hopelessness and hindering personal growth.Conclusions: Non-helpful relationships with professionals can be understood as impersonal relationships that contain no space for negotiation of the relationship nor of the support and treatment provided through it. It is important that organizations provide professionals with favorable conditions to negotiate the organizational framework and to treat persons with SMI as whole human beings.
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| 17. |
- Markström, Urban, 1969-, et al.
(författare)
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What influences a sustainable implementation of evidence-based interventions in community mental health services? : development and pilot testing of a tool for mapping core components
- 2018
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Ingår i: Journal of Mental Health. - : Routledge. - 0963-8237 .- 1360-0567. ; , s. 395-401
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Tidskriftsartikel (refereegranskat)abstract
- Background: An important aspect of research regarding the implementation of evidence-based practice is the sustainability and long-term stability of a programme. There is a need to measure these critical components for establishing successful programmes.Aim: The aim was to develop and pilot test the sustainable implementation scale (SIS) for measuring the critical components in the sustainable implementation of community mental health services.Method: The scale was based on implementation research and consisted of three subscales regarding (1) the organisational level, (2) the team level and (3) continuous support. Data from interviews and documents were collected from 14 programmes implementing the Individual Placement and Support model of supported employment.Results: Internal consistency was acceptable for all subscales and for the scale as a whole. Regarding the scale, an analysis of the differences between fully established programmes and the programmes that were not established or were or only partially established after three years showed statistically significant differences, indicating that a greater number of implementation components were present in the fully established programmes.Conclusions: SIS showed both good reliability and acceptable internal consistency as well as the ability to predict programme survival.
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| 18. |
- Oliveira, Sandra E. H., et al.
(författare)
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Internalized stigma and quality of life domains among people with mental illness : the mediating role of self-esteem
- 2016
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 0963-8237 .- 1360-0567. ; 25:1, s. 55-61
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Tidskriftsartikel (refereegranskat)abstract
- Background: People with mental illness who internalize stigma often experience reduced self-esteem and impaired quality of life (QOL).Aims: To propose a theoretical model in which self-esteem mediates the effects of internalized stigma on the multidimensional domains comprising QOL.Method: In 403 inpatients and outpatients (DSM-IV, American Psychiatric Association, 1994), from hospital-based and community mental health facilities, self-report measures of internalized stigma (ISMI), self-esteem (RSES) and QOL (WHOQOL-Bref) were administrated.Results: Structural equation modeling results supported the proposed model. Self-esteem fully mediated the relation between internalized stigma and the physical and the social relationships domains, and partially mediated the relationship between internalized stigma and psychological, environment and level of independence QOL domains. Such results provided empirical support and shed light upon previous research. Specifically the results emphasize the mediating role that self-esteem plays in the degree to which internalized stigma exerts a negative effect on specific QOL domains.Conclusions: Self-esteem appears to be a core element in reducing the negative effects of internalized stigma on aspects of QOL among people with mental illness. These findings suggest there is a crucial impact regarding clinical mental health interventions along with important theoretical implications.
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| 19. |
- Olsson, Helén, 1961-, et al.
(författare)
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Reducing violence in forensic care : How does it resemble the domains of a recovery-oriented care?
- 2016
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 0963-8237 .- 1360-0567. ; 25:6, s. 506-511
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Tidskriftsartikel (refereegranskat)abstract
- Background: Forensic psychiatry is characterized by involuntary treatment and risk of violence. The concept of recovery is rarely in focus as the primary focus is on risk assessment, violence prevention and reducing coercion in care.Aim: To determine what resources forensic staff use to avoid or prevent violent situations, and to explore how these practices resemble the domains of recovery-oriented care.Method: Semi-structured interviews with staff who were identified by forensic patients as key workers in their recovery process. Interview texts were analyzed using interpretive content analysis.Results: Staff prevent violent situations using tacit knowledge and experience, and through a shared collegial responsibility. Staff safeguard patients, encourage patient participation, and provide staff consistency.Conclusions: The results have implications for forensic care as well as psychiatry regarding the process of making recovery a reality for patients in the forensic care setting.
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| 20. |
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| 21. |
- Ringer, Noam, 1977-
(författare)
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Utilizing the Common-Sense model of illness representations to explore children’s perceptions of, and coping with ADHD
- 2021
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 0963-8237 .- 1360-0567. ; 30:2, s. 216-223
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Tidskriftsartikel (refereegranskat)abstract
- Background: Attention Deficit Hyperactivity Disorder (ADHD) among children is associated with difficulties in everyday functioning. According to the Common-Sense Model of Illness Representations (CSM), individuals’ beliefs about their illness condition guide their attempts to cope with it. The model suggests five dimensions of illness representations: beliefs regarding the identity of the symptoms, its duration, causes, consequences, and one’s ability to achieve control over it.Aims: The study aimed to explore the validity of the CSM-dimensions of illness representations for children with ADHD, while also exploring the possible relationships between types of beliefs and coping strategies.Method: A deductive qualitative content analysis was used for analyzing data constructed from semi-structured individual interviews with 14 children diagnosed with ADHD.Results: The results have shown that there is a variation in children’s beliefs regarding their ADHD. Those beliefs are, for the most part, captured by the five CSM-dimensions. An additional dimension of ‘Uniqueness’ is suggested, which reflects children’s beliefs on the way ADHD distinguishes them from other children. Patterns regarding types of beliefs and types of coping strategies were identified.Conclusions: The CSM is a useful theoretical model to understand children’s beliefs of, and coping with their ADHD.
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| 22. |
- Rosenberg, David, 1957-, et al.
(författare)
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Shared decision making in community mental health services - an evaluation of three self-reporting instruments
- 2017
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Ingår i: Journal of Mental Health. - Abingdon, Oxon : Routledge. - 0963-8237 .- 1360-0567. ; 26:2, s. 142-149
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Tidskriftsartikel (refereegranskat)abstract
- Background: Despite the potential impact of shared decision making on users satisfaction with care and quality in health care decisions, there is a lack of knowledge and skills regarding how to work with shared decision making among health care providers.Aim: The aim of this study was to evaluate the psychometric properties of three instruments that measure varied dimensions of shared decision making, based on self-reports by clients, in a Swedish community mental health context.Method: The study sample consisted of 121 clients with experience of community mental health care, and involved in a wide range of decisions regarding both social support and treatment. The questionnaires were examined for face and content validity, internal consistency, test-retest reliability and construct validity.Results: The instruments displayed good face and content validity, satisfactory internal consistency and a moderate to good level of stability in test-retest reliability with fair to moderate construct correlations, in a sample of clients with serious mental illness and experience of community mental health services in Sweden.Conclusions: The questionnaires are considered to be relevant to the decision making process, user-friendly and appropriate in a Swedish community mental health care context. They functioned well in settings where non-medical decisions, regarding social and support services, are the primary focus. The use of instruments that measure various dimensions of the self-reported experience of clients, can be a key factor in developing knowledge of how best to implement shared decision making in mental health services.
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| 23. |
- Rosenberg, David, 1957-, et al.
(författare)
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Shared decision making in Swedish community mental health services : an evaluation of three self-reporting instruments
- 2017
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Ingår i: Journal of Mental Health. - : Taylor & Francis. - 0963-8237 .- 1360-0567. ; 26:2, s. 142-149
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Tidskriftsartikel (refereegranskat)abstract
- Background: Despite the potential impact of shared decision making on users satisfaction with care and quality in health care decisions, there is a lack of knowledge and skills regarding how to work with shared decision making among health care providers. Aim: The aim of this study was to evaluate the psychometric properties of three instruments that measure varied dimensions of shared decision making, based on self-reports by clients, in a Swedish community mental health context. Method: The study sample consisted of 121 clients with experience of community mental health care, and involved in a wide range of decisions regarding both social support and treatment. The questionnaires were examined for face and content validity, internal consistency, test-retest reliability and construct validity. Results: The instruments displayed good face and content validity, satisfactory internal consistency and a moderate to good level of stability in test-retest reliability with fair to moderate construct correlations, in a sample of clients with serious mental illness and experience of community mental health services in Sweden. Conclusions: The questionnaires are considered to be relevant to the decision making process, user-friendly and appropriate in a Swedish community mental health care context. They functioned well in settings where non-medical decisions, regarding social and support services, are the primary focus. The use of instruments that measure various dimensions of the self-reported experience of clients, can be a key factor in developing knowledge of how best to implement shared decision making in mental health services.
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| 24. |
- Schön, Ulla-Karin, 1970-
(författare)
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How men and women in recovery make meaning to severe mental illness
- 2009
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 0963-8237 .- 1360-0567. ; 18:5, s. 433-440
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Tidskriftsartikel (refereegranskat)abstract
- Background: Creating a new meaning of the illness, changing values and expectations due to the illness are seen as important factors in recovery from mental illness.Aims: In this study, conducted in Sweden, male and female meaning making of severe mental illness is explored and how these meanings compass the recovery process.Method: Through 30 in-depth interviews male and female meaning of mental illness are explored through a grounded theory analysis. Results: In the process of making meaning illness reason emerged as the core category. But the reasons differed both in relation to gender and within the two genders. Four patterns of response were found in the analysis of the material. These four patterns influenced how the recovery process was encompassed. Three of the four groups were restructing the meaning of the illness in a more favorable way contributing to a redirection of life towards authenticity.Conclusions: The results underline a demand for further research on recovery achievements connected to meaning making and changes in attitude. One such area is to create a meaning in one’s life where gender is reconsidered in relation to the individual’s capacity and life situation.
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| 25. |
- Schön, Ulla-Karin
(författare)
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Recovery in involuntary psychiatric care : is there a gender difference?
- 2013
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Ingår i: Journal of Mental Health. - : Informa Healthcare. - 0963-8237 .- 1360-0567. ; 22:5, s. 420-427
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Tidskriftsartikel (refereegranskat)abstract
- Background: Research on recovery from mental illness and the influence of compulsory psychiatric institutional care has revealed the complexity of this concept. There is also limited knowledge regarding the impact of gender-role expectations in these contexts, and how such expectations may influence both the care and individuals’ recovery processes.Aim: To explore women’s and men’s perceptions of the impact of compulsory inpatient care on recovery from severe mental illness.Method: Grounded theory was used to analyse 30 first-person accounts of recovery from mental illness, elicited via interviews with individuals who had been compulsorily treated in hospital and diagnosed with a severe mental illness.Results: Inpatient care at an early stage was crucial for the informants’ recovery. However, there was ambivalence in their perceptions of the impact of compulsory inpatient care. The narratives confirmed gender differences as well as gender stereotypes.Conclusions: The results have implications for recovery research, in that they emphasise the importance of understanding recovery as a gender-influenced process.
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| 26. |
- Schön, Ulla-Karin, 1970-, et al.
(författare)
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Transplanting recovery? : Research and practice in the Nordic countries
- 2013
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 0963-8237 .- 1360-0567. ; 22:6, s. 563-569
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Tidskriftsartikel (refereegranskat)abstract
- Background: The conceptual framework which describes recovery from mental illness is based primarily on studies conducted in English-speaking countries. Knowledge and development of recovery orientation within other cultures and mental health systems is still limited.Aim: The aim of this study was to compile, describe, and discuss the research on personal recovery and recovery-oriented practice within the psychiatric and social fields in the Nordic countries. Method: A systematic literature review of Nordic research on recovery from mental illness. Results: The research literature is limited, and primarily replicates designs and confirms findings first presented in studies conducted in the USA and Great Britain.The majority of the studies are qualitative, and point to the importance of social relations, environmental factors, and peer support. Conclusions: There is a need to identify and describe factors in Nordic mental health systems that may influence the recovery process. A corresponding challenge will be to translate and further develop outcome indicators that can promote a recovery-oriented health system.
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| 27. |
- Svedberg, Petra, 1973-
(författare)
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Attitudes to health promotion interventions among patients in mental health services : Differences in relation to socio-demographic clinical and health-related variables
- 2011
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Ingår i: Journal of Mental Health. - : Informa Healthcare. - 0963-8237 .- 1360-0567. ; 20:2, s. 126-135
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Tidskriftsartikel (refereegranskat)abstract
- Background: Increasing evidence about the high social and economic costs of poor mental health has contributed to a growing recognition of the need for health promotion interventions in mental health services. In spite of this, little empirical research has been performed investigating patients' attitudes to health promotion interventions. Aims: The aim of the present study was to investigate differences in patients' attitudes to health promotion interventions with regard to socio-demographic, clinical and health-related variables. Methods: The study has a cross-sectional design. The participants were recruited randomly and consisted of 141 outpatients, 91 women and 50 men. The participants rated their attitudes in accordance to the Health Promotion Intervention Questionnaire (HPIQ). Results: The result showed a clear indication that there are gender differences in attitudes of health promotion interventions in mental health services. The main significant differences were that, females rated overall health promotion interventions as well as alliance and empowerment as more important than males did. Conclusions: It is suggested that gender issues have to be considered in health promotion interventions in mental health services and taken into account in the assessment, planning and delivery of the interventions as well as the evaluation of outcomes.
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| 28. |
- Sørgaard, KW, et al.
(författare)
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Self-esteem in persons with schizophrenia. A Nordic multicentre study
- 2002
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 1360-0567 .- 0963-8237. ; 11:4, s. 405-415
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Tidskriftsartikel (refereegranskat)abstract
- Background: Deinstitutionalisation has led to many people with serious mental illness spending most of their time outside psychiatric institutions. Not much is known about their subjective life. The paper presents the results of analysis of self-esteem in a group of non-institutionalised people with schizophrenia. Methods: Interviews were conducted with random samples of people with schizophrenia receiving out-patient services in ten psychiatric centres in the five Nordic countries. The following instruments were used: The Interview Schedule for Social Interaction (ISSI), Camberwell Assessment of Needs, Lancashire Quality of Life Profile and the Rosenberg self-esteem scale, GAF and BPRS. The Rosenberg scale provided the main data for this paper and three different measures of self-esteem were used (positive self-esteem, negative self-esteem and overall self-esteem). Results: A total of 418 people took part in the study. Total participation rate was 55%. Multiple regression analysis showed the three self-esteem measurements to be mainly related to mental health and other subjective variables, and to lesser extent to social network. Demography played a negligible role, only (female) sex being associated with positive and gross self-esteem. Anxiety/depression and affect balance were the strongest predictors of positive, negative and gross self-esteem, and having at least one close friend was associated with positive and gross self-esteem. Conclusion: variations in self-esteem were mainly explained by differences in anxiety/depression and affect balance, and to extent also with satisfaction with the relations to one's family. Having at least one friend was the strongest social network predictor and sex the only significant demographic variable.
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| 29. |
- Topor, Alain, et al.
(författare)
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"You have to be careful who you talk to and what you say..." : on psychosis and making rational choices
- 2010
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 0963-8237 .- 1360-0567. ; 19:6, s. 553-561
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Tidskriftsartikel (refereegranskat)abstract
- Background: People who have been diagnosed with schizophrenia are regarded as being no longer capable of making rational choices.Method: Fifteen users with psychosis diagnosis participated to 10 focus group sessions about different aspects of everyday life. The discussions were tape recorded and the transcript analyzed using a grounded theory inspired methodology. A core category that emerged was making choices in crises situations.Results: Users have to choose whether or not they want help, to whom to turn for help, and how to describe their problems so as to get the kind of help they seek. The choices were based on past experiences in connection with the choices available. They were constantly making quality judgements of the care workers they came into contact with. Experiencing a sense of comradeship emerged as a vital criterion.Conclusions: The ability to make rational choices often existed parallel with hallucinations and delusions. This ability could form the basis for a true collaboration between users and professionals. The findings of this study indicate that such collaboration is possible, but that it requires a reassessment of our traditional knowledge base.
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| 30. |
- Wirsén, Erik, et al.
(författare)
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Burdens experienced and perceived needs of relatives of persons with SMI : A systematic meta-synthesis
- 2020
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Ingår i: Journal of Mental Health. - : Taylor & Francis. - 0963-8237 .- 1360-0567. ; 29:6, s. 712-721
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Forskningsöversikt (refereegranskat)abstract
- BACKGROUND: Close relatives of people with severe mental illness (SMI) experience problems known as family burdens. In addition, they may have their own needs for support, something often overlooked by the healthcare system. Meta-syntheses in this area may help explore the meaning of the experience of living with someone who has a SMI.AIM: Our aim was to describe the burdens experienced and needs perceived on a daily basis by relatives to someone who has a SMI.METHODS: The databases PubMed, CINAHL, and PsychInfo were searched using a systematic search strategy. Studies were screened for relevance and quality was appraised. A meta-synthesis of nine qualitative studies was then conducted.RESULTS: The nine studies discerned the following themes. Burden themes; Forced to carry a sometimes unbearable burden; Burdened by own ill-health and disrupted relationships; Distressed and stigmatized by society. Needs themes; strengthening protective factors; Skills and practical support greatly appreciated.CONCLUSIONS: The burdens and needs of relatives of persons with SMI strongly influence their lives. They require relief from both practical and emotional burdens. Family interventions and other programs to support relatives should be encouraged with this knowledge in mind.
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| 31. |
- Östberg, David, et al.
(författare)
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Three-year prediction of depression and anxiety with a single self-rated health item
- 2022
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Ingår i: Journal of Mental Health. - : Taylor & Francis. - 0963-8237 .- 1360-0567. ; 31:3, s. 402-409
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Tidskriftsartikel (refereegranskat)abstract
- Background: Self-rated health (SRH) is a single question with which general health status is assessed.Aims: To study whether SRH (i) is associated with depression and anxiety symptoms, concurrently and after three years, (ii) predicts the course over time for meeting a cutoff for depression and anxiety, and (iii) predicts development of depression and anxiety after three years.Method: Population-based questionnaire data from northern Sweden were used. In total, 2336 individuals participated at baseline and three-year follow-up. The Hospital Anxiety and Depression Scale was used to quantify symptoms of depression and anxiety. Categorical and continuous data were used for analyses to complement each other.Results: Regarding prevalence, the analyses showed three- to four-fold increased odds for depression and anxiety at three-year follow-up, and two- to three-fold odds for their development at three-year follow-up. SRH at baseline was also found to be a significant, but weak, predictor of depression and anxiety severity and worsening at follow-up as well as being a predictor over time for meeting a cutoff for depression and anxiety.Conclusions: Assessment of SRH may be used in general practice to identify individuals who qualify for further evaluation of depression and anxiety.
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| 32. |
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