| 1. |
- Malm, Ulf, et al.
(författare)
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Resource group ACT (RACT) - A review of an integrative approach to psychoeducation of individual families involving the patient
- 2015
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Ingår i: International Journal of Mental Health. - : Routledge. - 0020-7411 .- 1557-9328. ; 44:4, s. 269-276
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Tidskriftsartikel (refereegranskat)abstract
- The implementation of evidence-based treatment methods for patients with severe mental illness must be deeply rooted in clinical case management and an ACT service delivery model, where the patient user can be involved in shared-decision making in the cycle of "assess-plan-act-follow up-feedback". In order to prepare and empower the client for the new role as a participating decision maker in the management of his/her own illness, various psychoeducational strategies are employed. The original family unit in the community of the Integrated Mental Health Care program (IC) was developed step-by-step through practice-based evidence and clinical expertise to include significant others as resource persons in a so called Resource Group, and therefore the program was subsequently named as "Resource group ACT" (RACT). The service delivery by community mental health teams involving the patient by way of resource groups as well as the psychoeducational treatment conditions involving both individual patients and family groups may contribute to the understanding of how RACT added clinical effectiveness in functioning and satisfaction. © 2015 Copyright © Taylor & Francis Group, LLC.
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| 2. |
- Nordén, T, et al.
(författare)
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Resource Group Assertive Community Treatment (RACT) as a Tool of Empowerment for Clients with Severe Mental Illness: A Meta-Analysis
- 2012
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Ingår i: Clinical practice and epidemiology in mental health : CP & EMH. - : Bentham Science Publishers Ltd.. - 1745-0179. ; 8, s. 144-51
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the current meta-analysis was to explore the effectiveness of the method here labeled Resource Group Assertive Community Treatment (RACT) for clients with psychiatric diagnoses as compared to standard care during the period 2001 – 2011. Included in the meta-analysis were 17 studies comprising a total of 2263 clients, 1291 men and 972 women, with a weighted mean age of 45.44 years. The diagnoses of 86 % of the clients were within the psychotic spectrum while 14 % had other psychiatric diagnoses. There were six randomized controlled trials and eleven observational studies. The studies spanned between 12 and 60 months, and 10 of them lasted 24 months. The results indicated a large effect-size for the ”grand total measure” (Cohen´sd= 0.80). The study comprised three outcome variables: Symptoms, Functioning, and Well-being. With regard to Symptoms, a medium effect for both randomized controlled trials and non-randomized studies was found, whereas Functioning showed large effects for both types of design. Concerning Well-being both large and medium effects were evident. The conclusions of the meta-analysis were that the treatment of clients with Resource Group Assertive Community Treatment yields positive effects for clients with psychoses and that the method may be of use for clients within the entire psychiatric spectrum.
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| 3. |
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| 4. |
- Norlander, T, et al.
(författare)
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Effects of experimental Mycoplasma pulmonis infection on sensory neuropeptides and airway mucosa in the rat
- 1997
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Ingår i: The European respiratory journal. - : European Respiratory Society (ERS). - 0903-1936 .- 1399-3003. ; 10:10, s. 2334-2342
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Tidskriftsartikel (refereegranskat)abstract
- The effect of airway infection on neurogenic inflammation is not known. The present study examines the effect of Mycoplasma pulmonis infection on the sensory neuropeptides substance P (SP) and calcitonin gene-related peptide (CGRP) in the trigeminal ganglion and in the mucosa of the nose and trachea in rats. We compared germ-free (GF), conventionally raised (CV) and specific pathogen-free (SPF) rats. The concentrations of SP and CGRP in the nasal mucosa were assessed with immunohistochemistry, and their prohormonal transcripts in the trigeminal ganglion were assessed with Northern blot. Mucosa was also processed for light microscopy and electron microscopy. SP-like immunoreactivity was greater in the nasal mucosa of infected animals than in uninfected controls. CGRP-like immunoreactivity was greater in the nasal septum, but not in the nasal turbinate, of infected than uninfected animals. In contrast, no change was evident in the expression levels of the prohormonal transcripts in the trigeminal ganglion. Infected nasal and tracheal mucosa was oedematous and locally infiltrated with inflammatory cells. In the nose of uninfected GF rats, subepithelial lymphoid aggregations were scarce and appeared inactive. We conclude that Mycoplasma pulmonis infection results in increased immunoreactivity of substance P, probably within nerves. There was no clear evidence of increased synthesis of the precursors of substance P and calcitonin gene-related peptide.
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| 5. |
- Norlander, T., et al.
(författare)
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The Experience of Floatation-REST as a Function of Setting and Previous Experience of Altered States of Consciousness
- 2001
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Ingår i: Imagination, Cognition and Personality, 20, 161 - 178.
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Tidskriftsartikel (refereegranskat)abstract
- AbstractThe purpose of this study was to investigate if experiences induced by flotation-REST (in flotation-tank) are affected by settings or subjects earlier experiences of altered states of consciousness (ASC). No such significant differences were found. Significant effects owing to flotation-REST were found regarding reduction in experienced pain and enhancement of mood. Flotation-REST was considered a pleasurable technique. Different kinds of visual and acoustic effects, altered time perception and a sense of weightlessness have been reported. Also deep transpersonal experiences were quite common, these could be distinguished into three types: experiences of one's own childbirth/delivery, feeling of cosmic unity and experiences of losing contact with the body or out-of-body-experiences. Flotation-REST must be regarded as a consciousness-altering method with promising potential for clinical and therapeutic use.Key words: Flotation-REST - Setting - Drug experience - Pain - Mood - Verbal analysis - Altered state of consciousness.
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| 6. |
- Norlander, T, et al.
(författare)
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The Hourglass Model: Are There Structural Problems with the Scarcity of Positive Results for Flexible ACT?
- 2015
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Ingår i: Clinical practice and epidemiology in mental health : CP & EMH. - : Bentham Science Publishers Ltd.. - 1745-0179. ; 11, s. 155-7
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the present article was to discuss the commentary by van Veldhuizen, Delespaul and Mulder (2015) regarding the review by Nordén and Norlander (2014) based on five empirical articles about Flexible Assertive Community Treatment (FACT). Veldhuizen et al. agree on that there is insufficient evidence for the effectiveness of FACT. However, van Veldhuizen et al. avoid a discussion of the lack of positive results despite extensive research during several years and therefore an analysis of why FACT did not fare better is missing. According to FACT it is an advantage that one single team spans the entire chain of care and rehabilitation, but no evidence is given for such an opinion. Instead there may be difficulties for the staff to shift between psychiatric care and psychiatric rehabilitation and the clients perhaps don’t want to encounter the same professional team during all phases of care and rehabilitation.
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| 7. |
- Berglof, A, et al.
(författare)
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Association of bronchopneumonia with sinusitis due to Bordetella bronchiseptica in an experimental rabbit model
- 2000
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Ingår i: American journal of rhinology. - : SAGE Publications. - 1050-6586 .- 1539-6290. ; 14:2, s. 125-130
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Tidskriftsartikel (refereegranskat)abstract
- An animal model for rhinogenic sinusitis was developed in rabbits naturally colonized with Bordetella bronchiseptica. It was found that ostial occlusion predisposes the sinus to invasion with this opportunistic bacterium and subsequent sinusitis as a result of reduced local host defense. In addition to the inflammatory lesions in the sinus, bronchitis and pneumonia were found in 84% of the experimental rabbits, suggesting that ostial dysfunction can also contribute to infectious disease of the lower respiratory tract. In such a model it is possible to study the significance of asymptomatic carriage of potential pathogens after ostial occlusion.
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| 8. |
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| 9. |
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| 10. |
- Ehnhage, A, et al.
(författare)
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Corrigendum
- 2016
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Ingår i: Acta oto-laryngologica. - : Informa UK Limited. - 1651-2251 .- 0001-6489. ; 136:9, s. 982-982
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Tidskriftsartikel (refereegranskat)
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