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- Rydwik, E., et al.
(författare)
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ReCOV : recovery and rehabilitation during and after COVID-19-a study protocol of a longitudinal observational study on patients, next of kin and health care staff
- 2021
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Ingår i: BMC Sports Science, Medicine and Rehabilitation. - : Springer Science and Business Media LLC. - 2052-1847. ; 13:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: The knowledge of the long-term consequences of covid-19 is limited. In patients, symptoms such as fatigue, decreased physical, psychological, and cognitive function, and nutritional problems have been reported. How the disease has affected next of kin, as well as staff involved in the care of patients with covid-19, is also largely unknown. The overall aim of this study is therefore three-fold: (1) to describe and evaluate predictors of patient recovery, the type of rehabilitation received and patients’ experiences of specialized rehabilitation following COVID-19 infection; (2) to study how next of kin experienced the hospital care of their relative and their experiences of the psychosocial support they received as well as their psychological wellbeing; (3) to describe experiences of caring for patients with COVID-19 and evaluate psychological wellbeing, coping mechanisms and predictors for development of psychological distress over time in health care staff.Methods: This observational longitudinal study consists of three cohorts; patients, next of kin, and health care staff. The assessments for the patients consist of physical tests (lung function, muscle strength, physical capacity) and questionnaires (communication and swallowing, nutritional status, hearing, activities of daily living, physical activity, fatigue, cognition) longitudinally at 3, 6 and 12 months. Patient records auditing (care, rehabilitation) will be done retrospectively at 12 months. Patients (3, 6 and 12 months), next of kin (6 months) and health care staff (baseline, 3, 6, 9 and 12 months) will receive questionnaires regarding, health-related quality of life, depression, anxiety, sleeping disorders, and post-traumatic stress. Staff will also answer questionnaires about burnout and coping strategies. Interviews will be conducted in all three cohorts.Discussion: This study will be able to answer different research questions from a quantitative and qualitative perspective, by describing and evaluating long-term consequences and their associations with recovery, as well as exploring patients’, next of kins’ and staffs’ views and experiences of the disease and its consequences. This will form a base for a deeper and better understanding of the consequences of the disease from different perspectives as well as helping the society to better prepare for a future pandemic.
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- Frodi, Ann, et al.
(författare)
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Current attachment representations of incarcerated offenders varying in degree of psychopathy
- 2001
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Ingår i: Attachment & Human Development. - : Informa UK Limited. - 1461-6734 .- 1469-2988. ; 3:3, s. 269-283
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Tidskriftsartikel (refereegranskat)abstract
- The present study sought to examine the current mental representations of early attachment relationships in 24 psychopathic criminal offenders, incarcerated in a forensic psychiatric hospital or a medium-security prison. The participants had been assessed on Hare's Psychopathy Checklist, Revised: Screening Version (PCL-R, sv, 1997) and scored either high or low. They were interviewed with the Main and Goldwyn Adult Attachment Interview (1998) and completed the EMBU, a Swedish self-report questionnaire tapping memories of the parent's rearing techniques. The results pointed to an extensive over-representation of individuals who were dismissing of attachment and attachment-related experiences (close to three times as many as in the normal population), no secure individuals, and with the remainder being either unclassifiable or unresolved with regard to severe early abuse/trauma. In addition, an examination of the EMBU data revealed an association between a higher psychopathy score and a family constellation of a rejecting father and an emotionally very warm (idealized) mother. The discussion will focus on the unique discourse of the dismissing individuals and on clinical implications.
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- Bragesjö, Maria, et al.
(författare)
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Primary prevention and epidemiology of trauma and stress related disorders
- 2020. - 3
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Ingår i: The New Oxford Textbook of Psychiatry. - Oxford, UK : Oxford University Press. ; , s. 860-868
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Bokkapitel (refereegranskat)abstract
- Post-traumatic stress disorder and acute stress disorder are mental health conditions with a known onset, and prevention strategies can therefore be used to try to prevent the emergence of the full-blown disorder. This chapter provides an overview of the current evidence-based prevention strategies for post-traumatic stress disorder and acute stress disorder. In the first part, diagnostic and epidemiological features of these disorders are considered. The second part of the chapter reviews the evidence base of current preventive psychological and pharmacological interventions. Although some early trials on primary intervention have shown promising effects, it appears too soon to provide any definite recommendation in clinical practice. Importantly, many current widely disseminated treatments lack evidence, and some interventions (for example, debriefing) may, in fact, have a negative impact on the natural recovery after trauma. This chapter highlights the importance of using science-driven interventions to prevent post-traumatic stress disorder and acute stress disorder.
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