| 1. |
- Soares, Joaquim, et al.
(författare)
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Prevention av smärttillstånd
- 2008. - 2
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Ingår i: Preventiv medicin. - Lund : Studentlitteratur. - 9789144040158 ; , s. 261-272
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Information om boken "Preventiv medicin: Teori och praktik"Är det möjligt att förebygga sjukdom och främja hälsa - och är det lönsamt? Med dagens snabba medicinska landvinningar och ökande vårdbehov hos en åldrande befolkning blir den kurativa medicinen allt dyrare. Samtidigt krymper sjukvårdsekonomin, utrymmet för god och mänsklig vård minskar, individens sociala utsatthet och sårbarhet för kronisk sjukdom tilltar. Den preventiva medicinen har förvånande nog fått liten plats i detta scenario. När vi nu effektivt kan förebygga allt fler sjukdomar, borde vi inte då bättre kunna bespara människor deras lidande och samhället dess sjukvårdskostnader? Preventivt arbete kräver en gränsöverskridande och multidisciplinär ansats, där medicin, epidemiologi, statistik, ekonomi, sociologi, psykologi, och andra vetenskaper samverkar. I denna nya och utvidgade utgåva presenterar 29 expterter sina samlade kunskaper och erfarenheter om hur vi kan begränsa och tygla de stora folksjukdomarna. Boken behandlar skilda områden från tobaksbruk, alkoholanvändning, matvanor, motion och sömn över stressrelaterade livsproblem till en diskussion om våra vanligaste folksjukdomar som hjärt-kärlsjukdomar, cancer och olika tillstånd av psykisk ohälsa med syftet att visa fram var vi kan påverka genom konsekvent prevention - och hur vi kan utvärdera de förebyggande insatserna. Preventiv medicin vänder sig såväl till studerande inom medicin, folkhälso- och vårdvetenskaper som till praktiskt verksamma inom vården, men även till aktörer och organisationer utanför vårdapparaten med förebyggande och hälsofrämjande arbete på sitt program.
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| 2. |
- Ahlborg, Tone, 1950, et al.
(författare)
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Sensual and sexual marital contentment in parents of small children--a follow-up study when the first child is four years old.
- 2008
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Ingår i: Journal of sex research. - : Informa UK Limited. - 0022-4499 .- 1559-8519. ; 45:3, s. 295-304
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Tidskriftsartikel (refereegranskat)abstract
- This follow-up study explored parents' (N=452) intimate relationships when their firstborn child was 6 months old and then 4 years later. The measurement used was a modified version of the Dyadic Adjustment Scale, DAS. The present results show that most parents responding were content sensually at 6 months postpartum in 2002 and 4 years later, in 2006. More parents had changed from being sensually content in 2002 to discontent in 2006, than the contrary, however, and the sexual contentment remained low. The average sexual frequency was low both at 6 months and at 4 years for both parents with and without additional children. Experiencing tiredness as a hindrance to having sex was perceived as a greater problem among those parents without additional children. Prospective regression analyses indicated that sexuality was significantly related to both sensual and sexual contentment 4 years later. Sexuality was also one of the most significant covariates in the cross-sectional regression analysis for sensual contentment. Since sexuality plays a central role in partner well-being, it may be an important target for helping parents with small children.
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| 3. |
- Boersma, Katja, professor, 1973-, et al.
(författare)
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Expectancy, fear and pain in the prediction of chronic pain and disability : A prospective analysis
- 2006
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Ingår i: European Journal of Pain. - : John Wiley & Sons. - 1090-3801 .- 1532-2149. ; 10:6, s. 551-557
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Tidskriftsartikel (refereegranskat)abstract
- Studies with (sub) acute back pain patients show that negative expectancies predict pain and disability at a one-year follow up. Yet, it is not clear how expectations relate to other factors in the development of chronic disability such as pain and fear. This study investigates the relationship between expectations, pain-related fear and pain and studies how these variables are related to the development of chronic pain and disability. Subjects (N = 141) with back and/or neck pain (duration <1 year) were recruited via primary care. They completed measures on pain, expectancy, pain-related fear (pain-related negative affect and fear avoidance beliefs) and function. A one-year follow up was conducted with regard to pain and function. It was found that pain, expectancy, pain-related fear and function were strongly interrelated. In the cross-sectional analyses negative expectancies were best explained by frequent pain and a belief in an underlying and serious medical problem. Prospectively, negative expectancy, negative affect and a belief that activity may result in (re) injury or increased pain, explained unique variance in both pain and function at one-year follow up. In conclusion, expectancy, negative affect and fear avoidance beliefs are interrelated constructs that have predictive value for future pain and disability. Clinically, it can be helpful to inquire about beliefs, expectancy and distress as an indication of risk as well as to guide intervention. However, the strong interrelations between the variables call for precaution in treating them as if they were separate entities existing in reality.
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| 4. |
- Flink, Ida, 1980-, et al.
(författare)
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Hantera smärta
- 2009
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Ingår i: Smärtguide för dig med whiplashskada. - Stockholm : Personskadeförbundet RTP. - 9189064216 ; , s. 23-28
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 5. |
- Flink, Ida, 1980-, et al.
(författare)
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Hantera smärta
- 2007
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Ingår i: Smärtguide för dig med polioskada. - Stockholm : Riksförbundet för trafik- och polioskadade (RTP). - 9189064224 - 9189064259 ; , s. 23-28
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 6. |
- Flink, Ida K., et al.
(författare)
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Pain in childbirth and postpartum recovery : the role of catastrophizing
- 2009
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Ingår i: European Journal of Pain. - Amsterdam : Elsevier. - 1090-3801 .- 1532-2149. ; 13:3, s. 312-316
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Tidskriftsartikel (refereegranskat)abstract
- This prospective study investigated how pain catastrophizing was related to labor pain intensity and physical recovery after childbirth. Eighty-eight women giving birth for the first time completed the first questionnaire before delivery. Eighty-two of those returned the second questionnaire after delivery. Participants were classified as catastrophizers (n=38) or non-catastrophizers (n=44) based on their scores on the Pain Catastrophizing Scale. Comparison of the groups showed that catastrophizers anticipated and experienced more intense pain (p<.0125) and had poorer physical recovery (p<.0125), measured as the level of self-reported functioning in activities of daily living, than non-catastrophizers. These results extend the association between catastrophizing and pain, to pain and recovery in childbirth and provide support for the fear-avoidance model. It is concluded that pain catastrophizing plays a role in the experience of pain in childbirth and postpartum recovery. Further research is needed to identify appropriate interventions for catastrophizing women during the latter part of pregnancy.
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| 7. |
- Fredrikson, Mats, et al.
(författare)
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Forskningsresultaten inom KBT är otvetydiga : Replik
- 2009
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Ingår i: Läkartidningen. - Stockholm : Sveriges läkarförbund. - 0023-7205 .- 1652-7518. ; 106:18-19, s. 1294-1296
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 8. |
- Fredrikson, Mats, et al.
(författare)
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Regeringens storsatsning mot psykisk ohälsa äventyrar patientsäkerheten
- 2009
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Ingår i: Läkartidningen. - Stockholm : Sveriges läkarförbund. - 0023-7205 .- 1652-7518. ; 106:13, s. 946-947
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Regeringens rehabiliteringsgaranti kan få förödande konsekvenser för tilltron till kognitiv beteendeterapi som behandlingsmetod och för den enskilda patienten som tror sig få KBT av en kompetent behandlare. Orsaken är regeringens lågt ställda krav på behandlarnas kompetens. Rehabiliteringsgarantin bör omformuleras, anser nio KBT-företrädare.
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| 9. |
- Linton, Steven J., 1952-, et al.
(författare)
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The Effects of Cognitive-Behavioral and Physical Therapy Preventive Interventions on Pain-Related Sick Leave : A Randomized Controlled Trial
- 2005
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Ingår i: The Clinical Journal of Pain. - : Lippincott Williams & Wilkins. - 0749-8047 .- 1536-5409. ; 21:2, s. 109-119
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Recent recommendations suggest that reassuring patients with an acute bout of low back pain and encouraging a return to normal activities may be helpful in preventing the development of chronic disability. There is also a question as to whether psychologic or physical therapy interventions actually add anything to such reassurance and advice in terms of preventing chronicity. This study aimed to ascertain the preventive effects on future sick leave and health-care utilization of adding on a cognitive-behavioral group intervention or a cognitive-behavioral group intervention and preventive physical therapy (focused on activity and exercise) relative to a minimal treatment group (examination, reassurance, and activity advice).Subjects: A total of 185 patients seeking care for nonspecific back or neck pain who were employed and at risk for developing long-term disability volunteered to participate in the study. Of these 185, 158 (85%) completed the pre- and 1-year follow-up assessments.Results: Significant differences were observed on the key outcome variables of future health-care utilization and work absenteeism. For health-care utilization, the cognitive-behavioral intervention group and preventive physical therapy group had significantly fewer healthcare visits than did the Minimal Treatment Group. For work absenteeism, the cognitive-behavioral intervention group and cognitive-behavioral intervention and preventive physical therapy group had fewer days during the 12-month follow-up than did the Minimal Treatment Group. The risk for developing long-term sick disability leave was more than five-fold higher in the Minimal Group as compared with the other 2 groups. However, there was no difference between the cognitive-behavioral intervention group and cognitive-behavioral intervention and preventive physical therapy group on sick leave.Conclusion: Taken as a whole, this study shows that adding cognitive-behavioral intervention and cognitive-behavioral intervention and preventive physical therapy can enhance the prevention of long-term disability. There was no substantial difference in the results between the cognitive-behavioral intervention group and cognitive-behavioral intervention and preventive physical therapy group.
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| 10. |
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Understanding Pain for Better Clinical Practice : A Psychological Perspective
- 2005. - 1
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Samlingsverk (redaktörskap) (refereegranskat)abstract
- A comprehensive review of the current state of thinking and research in relation to the management of the psychological aspects of pain. Written in a style and at a level which is relevant and accessible to the practising clinician and also to students. Addresses the common clinical problems relating to the psychological aspects of pain management and gives practical guidance based on the latest research as to how those problems should be dealt with. Includes an appendix which may be used as a session manual by therapists using cognitive-behavioural therapy with groups for early intervention in pain management. May be used as a textbook as well as a clinical reference.
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