| 1. |
- Berglund, Johan, et al.
(author)
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5-y follow-up study of patients with neuroborreliosis
- 2002
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In: Scandinavian Journal of Infectious Diseases. - : Taylor & Francis. - 0036-5548 .- 1651-1980. ; 34:6, s. 421-425
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Journal article (peer-reviewed)abstract
- The objective of this follow-up study was to determine the long-term outcome of strictly classified cases of neuroborreliosis treated with antibiotics. A one-year prospective population-based survey of Lyme borreliosis was conducted in southern Sweden, between 1992 and 1993. A total of 349 identified cases with suspected neuroborreliosis were followed up 5 years later. Medical records were reviewed and all participants filled in a questionnaire. Of those classified with definite neuroborreliosis 114/130 completed the follow-up, of whom 111 had completed the initial antibiotic treatment. Of the 114 patients followed up, 86 (75%) had recovered completely and 70 (61%) had recovered within 6 months. Residual neurological symptoms such as facial palsy, concentration disorder, paresthesia and/or neuropathy were reported by 28/114. No significant differences between different antibiotic treatments were observed in terms of occurrence of sequelae. To conclude, we found that 25% (95% confidence interval 17-33%) of the patients suffered from residual neurological symptoms 5 years post-treatment. However, the clinical outcome of treated neuroborreliosis is favourable as only 14/114 (12%) of the patients had sequelae that influenced their daily activity post-treatment. Early diagnosis and treatment would seem to be of great importance in order to avoid such sequelae.
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| 2. |
- Perseius, Kent-Inge, et al.
(author)
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Treatment of suicidal and deliberate self-harming patients with borderline personality disorder using dialectical behavioral therapy : the patients’ and the therapists’ perceptions.
- 2003
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In: Archives of Psychiatric Nursing. - : Saunders Elsevier. - 0883-9417 .- 1532-8228. ; 17:5, s. 218-227
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Journal article (peer-reviewed)abstract
- The aim was to investigate patients and therapists perception of receiving and giving dialectical behavioral therapy (DBT). Ten deliberate self-harm patients with borderline personality disorder and four DBT-therapists were interviewed. The interviews were analyzed with qualitative content analysis. The patients unanimously regard the DBT-therapy as life saving and something that has given them a bearable life situation. The patients and the therapists are concordant on the effective components of the therapy: the understanding, respect, and confirmation in combination with the cognitive and behavioral skills. The experienced effectiveness of DBT is contrasted by the patient's pronouncedly negative experiences from psychiatric care before entering DBT.
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| 3. |
- Saboonchi, Fredrik, et al.
(author)
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Perfectionism, anger, somatic health, and positive affect
- 2003
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In: Personality and Individual Differences. - 0191-8869 .- 1873-3549. ; 35:7, s. 1585-99
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Journal article (peer-reviewed)abstract
- The associations between perfectionism, anger, somatic health, and positive affect were examined in 184 Swedish adults from a randomly selected population sample. Somewhat unexpectedly, trait anger was found to be associated with self-oriented perfectionism rather than with socially prescribed perfectionism. Both socially prescribed perfectionism and self-oriented perfectionism showed weak positive correlations with self-reported somatic complaints, particularly symptoms of tension and fatigue, and more clearly in women than in men, whereas other-oriented perfectionism appeared as a predictor of whether the participants were undergoing medical treatment or not. Finally, the results did not support the notion of self-oriented perfectionism representing a positive, adaptive dimension of perfectionism; on the contrary, this dimension was found to be negatively associated with positive affect.
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| 4. |
- Stjernberg, Louise
(author)
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Epidemiological aspects of tick borne diseases with focus on risk and prevention
- 2004
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Doctoral thesis (other academic/artistic)abstract
- The incidence and variety of diseases associated with ticks have increased world-wide and ticks are currently considered to be second only to mosquitoes as vectors of human infectious diseases in the world. In the northern hemisphere, Ixodes ricinus, the most common tick, transmits diseases caused by several infectious pathogens, including different types of bacteria, virus and protozoa. In Sweden, Lyme borreliosis, tick-borne encephalitis and erlichiosis are established, and more than 10.000 people are infected each year. This thesis focuses on aspects of risks associated with tick bites, the risk of contracting tick borne diseases including long-term outcome, and preventive measures and behaviour among people living in tick endemic areas. The first study describes the long-term outcome in patients treated with antibiotics due to neuroborreliosis. At the follow up, 75% of the patients had recovered completely and 25% (95% confidence interval; 17% - 33%) suffered from residual neurological symptoms such as facial palsy, concentration disorder, paresthesia and/or neuropathy. In order to avoid sequelae, early diagnosis and treatment are of great importance. The second study investigated the exposure and contraction of tick-bites with the risk of developing Lyme borreliosis from these tick-bites. Results showed that among people well aware of tick-borne diseases and who inspect their skin daily for ticks, the monthly rate of being tick bitten was 0.04 (95% confidence interval; 0.02-0.06) per 10 hours spent out of doors. Within six months, 3% had contracted Lyme borreliosis, i.e. the risk of developing this disease was 0.5% (95% confidence interval; 0.44-0.56) per tick-bite. The third (experimental) study was aimed at determining whether light-coloured or dark-coloured clothing had the least attractive effect on Ixodes ricinus. The overall found ticks between the both colours differed significantly, with 62% (95% confidence interval; 59% - 65%) of the ticks found on light-coloured clothing. Dark-coloured clothing seems to attract fewer ticks. The fourth study describes tick preventive measures, and their predictors, taken among highly exposed people. In total, 69% of the participants regularly took preventive measures, personally and/or in the environment. When analysing gender and preventive measure solely, women took more preventive measures compared to men. When analysing all risk variables together, spending less time in tick endemic area and being tick bitten the same tick season significantly increased the probability of taking any preventive measures. After being tick bitten, men increased their performance of preventive measures more than women.
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