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- Sverker, Annette, 1958, et al.
(författare)
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Sharing life with a gluten-intolerant person--the perspective of close relatives.
- 2007
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Ingår i: Journal of human nutrition and dietetics : the official journal of the British Dietetic Association. - 0952-3871 .- 1365-277X. ; 20:5, s. 412-22
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Several studies indicate the importance of social support in the case of chronic disease. AIM: The aim was to explore dilemmas experienced by close relatives living with a person suffering from coeliac disease, and to describe the strategies they used to deal with these dilemmas. METHODS: Twenty-three informants were interviewed. A systematic inductive qualitative method, the critical incident technique was used. RESULTS: Disease-related worries included having bad conscience about not being affected by the disease, experiencing anxiety and witnessing the vulnerability of the affected relative in social situations. Dilemmas related to manage daily life were connected with increased domestic work, restricted freedom of action and the diseased person's preferential right of interpretation of health risks associated with the coeliac disease and deviations from the diet restrictions. Dilemmas related to disturbances in social life, concerned lack of information, knowledge and understanding. Different strategies were described to manage daily life. CONCLUSIONS: Close relatives experienced a variety of dilemmas that affected the situation of the whole family. The role of relatives in handling the coeliac disease with the diseased person in the everyday life might be underestimated, and to provide relatives with better knowledge regarding the disease might improve the situation also for patients.
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- Östlund, Anette, 1966, et al.
(författare)
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A cross-sectional study of personality traits in women previously treated or untreated for alcohol use disorders.
- 2007
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Ingår i: Subst Abuse Treat Prev Policy.. ; Aug 06:2
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Tidskriftsartikel (refereegranskat)abstract
- Background A better understanding of the relationship between treatment-seeking for alcohol problems and personality traits could give useful insight in factors promoting or hindering treatment for alcohol use disorders (AUD). The aim of this study was to analyze the associations between treatment-seeking for AUD, personality traits, and psychiatric co-morbidity in women. The study was based on pooled cross-sectional data from three population based samples and one clinical sample (n = 1,339). Comparisons were made between treated and untreated women with AUD, and between those with resolved and unresolved AUD. Results A stepwise logistic regression model showed that treatment-seeking for AUD was not associated with personality traits. Among women with lifetime AUD (n = 217), those who had been treated (n = 42) had significantly higher scores than untreated women (n = 175) on three personality traits of the Karolinska Scales of Personality (KSP); somatic anxiety, muscular tension, and guilt. Women with resolved AUD, who had received treatment (n = 23) had significantly higher scores on scales measuring somatic anxiety, psychic anxiety, muscular tension, irritability, and guilt than untreated women with resolved AUD. The latter group resembled women without AUD on most personality traits. There were no differences in occurrence of lifetime psychiatric disorders between the treated and the untreated women, whereas treated women with current AUD had increased risk of lifetime anxiety (OR: 3.1, 95% CI: 1.1–8.7). Conclusion Treatment-seeking was not associated with personality traits in this study. Still, it can be concluded that women with resolved AUD who had received treatment had high scores on the KSP-scales measuring psychic and somatic anxiety, tension, irritability, and feelings of guilt. This suggests that personality assessment might be a useful tool in tailoring individual treatment programs for women with AUD. Future studies need to explore if women who do not seek treatment have special needs which are not met in usual treatment settings.
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- Östlund, Anette, 1966, et al.
(författare)
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Changes in some personality traits after recovery from alcohol dependence/abuse, anxiety and depression--results of a 5-year follow-up in a general population sample of women.
- 2007
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Ingår i: Nordic journal of psychiatry. - : Informa UK Limited. - 0803-9488 .- 1502-4725. ; 61:4, s. 279-87
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to analyse stability of and change in personality traits in a general population sample of women over 5 years. Specific questions were how personality traits changed after a first episode of alcohol dependence/abuse (ADA), anxiety or depression disorders and after remission of an episode. The study was based on data from a longitudinal general population-based survey titled, "Women and alcohol in Göteborg (WAG)". A total of 641 women were interviewed in 1990 or 1995 and re-interviewed after 5 years. Personality traits were assessed with the Karolinska Scales of Personality (KSP) and lifetime psychiatric diagnoses given according to the Diagnostic and Statistical Manual of Mental Disorders, 3rd revised edition (DSM-III-R). Mean T-scores (KSP) for the general population sample were stable between initial assessment and follow-up 5 years later. Correlations between assessments were high for most KSP scores, indicating high individual stability. For women with resolved ADA, KSP scores were normalized to five scales at the follow-up assessment: somatic anxiety, muscular tension, monotony avoidance, social desirability and irritability. Women who recovered from anxiety disorders during the follow-up had decreased scores in somatic anxiety and muscular tension and increased scores in verbal aggression. Women who developed ADA during follow-up had increased scores on the scales impulsiveness and verbal aggression. Women who developed depression during follow-up had increased monotony avoidance. Personality traits were generally stable in this adult female population but some personality traits changed in association with changes in psychiatric disorders. This knowledge could be useful in evaluation of treatment needs and treatment outcome.
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| 7. |
- Östlund, Gunnel, 1956-
(författare)
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Rehabilitering efter sjukfrånvaro ur ett genus- och lekmannaperspektiv
- 2006. - 1
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Ingår i: Den komplexa sjukfrånvaron. - Lund : Studentlitteratur. - 9144007221 - 9789144007229 ; , s. 109-116
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- En lättillgänglig bok som sammanfattar patientens, läkarens och försäkringskassans aspekter på sjukfrånvaron. Boken behandlar rehabilitering, förtidspension, hälsoekonomi, och hur de olika välfärdssystemen fungerar gentemot varandra och övriga inblandade. Det sista kapitlet belyser medikalisering som en tänkbar orsak till ökad sjukfrånvaro. Boken är ingen traditionell lärobok som bara bygger på fakta. Den ska i stället ses som en hjälp att öka den allmänna kompetensen och det kritiska tänkandet inför olika typer av beslut. Boken riktar sig till högskolestuderande i utbildningar inom vård, folkhälsovetenskap, socialt arbete, sociologi och personalområdet. Den lämpar sig också för vidareutbildning av anställda/förtroendevalda inom försäkringskassan, socialtjänsten, arbetsförmedlingen och sjukvården. Även politiker och den som är allmänt samhällsintresserad och som önskar bättre förstå komplexiteten bakom den svårförklarliga sjukfrånvaron har utbyte av boken.
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| 9. |
- Östlund, Gunnel, 1956-, et al.
(författare)
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Vad innebär ett "serviceinriktat" förhållningssätt? : Pilotstudie i Linköpings kommun
- 2008
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Detta är en rapport om en pilotstudie som genomfördes under våren 2006 i Linköpings kommun inom individ- och familjeomsorgen och äldreomsorgen. Syftet var att ringa in områden/verksamheter där ett serviceinriktat förhållningssätt är lämpligt att studera. Inom individ- och familjeomsorg är de verksamheter som ges som service mer varierade än inom äldre- och handikappomsorgen. På så sätt blir avtrycken där otydligare än inom äldreomsorgen och det serviceinriktade förhållningssättet blir också svårare att studera. I rapporten ges förslag på några specifika fält som är möjliga att fördjupa i framtida studier. Rapporten kan ses som en inspirationskälla till pågående, planerad eller kommande forskning med ett särskilt intresse av nya former för organisering av socialt välfärdsarbete inom socialtjänst.
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