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1.
  • Malmquist, Anna, et al. (författare)
  • Hbtq+ och psykologi i en historisk tillbakablick
  • 2017
  • Ingår i: HBTQ+ : Psykologiska perspektiv och bemötande - Psykologiska perspektiv och bemötande. - 9789127147430 ; , s. 13-34
  • Bokkapitel (refereegranskat)abstract
    • De individer, identiteter, uttryck och samlevnadsformer som idag kan sammanfogas under akronymen hbtq+ har genom historien betraktas på många olika vis. Psykologin har varit central för hur hbtq+ har förståtts, definierats och behandlats. I detta kapitel betraktas hbtq+historien därför med psykologiska glasögon.
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2.
  • Malmquist, Anna, 1981-, et al. (författare)
  • ‘A daddy is the same as a mummy’ : Swedish children in lesbian households talk about fathers and donors
  • 2014
  • Ingår i: Childhood. - : Sage Publications. - 0907-5682 .- 1461-7013. ; 21:1, s. 119-133
  • Tidskriftsartikel (refereegranskat)abstract
    • The present article discusses how 12 children (five to eight years) in planned lesbian familiestalk about families, parents and specifically ‘daddies’ as such and not having a father themselves.Findings from child interviews demonstrate that the children described daddies as ‘the same’ asmummies, i.e. as having the same functions. This contrasts with previous research showing howchildren of heterosexuals often describe mothers and fathers as different. The children varied interms of how they labelled donors. Some children adopted the denomination ‘daddy’, drawing ona paternity discourse, while others simply referred to him as ‘a man’.
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6.
  • Andersson, Hanna, et al. (författare)
  • Trauma-informed support after a complicated childbirth - An early intervention to reduce symptoms of post-traumatic stress, fear of childbirth and mental illness
  • 2024
  • Ingår i: Sexual & Reproductive HealthCare. - : ELSEVIER IRELAND LTD. - 1877-5756 .- 1877-5764. ; 41
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: Women who experience obstetric interventions and complications during childbirth have an increased risk of developing postnatal post-traumatic stress and mental illness. This study aimed to test the effect of a trauma-informed support programme based on psychological first aid (PFA) to reduce the mothers ' symptoms of stress, fear of childbirth (FOC), anxiety and depression after a complicated childbirth. Methods: The study population consisted of women >= 18 years old who had undergone a complicated childbirth (i.e. acute or emergency caesarean section, vacuum extraction, child in need of neonatal care, manual placenta removal, obstetric anal sphincter injury, shoulder dystocia or major haemorrhage ( >1000 ml)). A total of 101 women participated in the study, of whom 43 received the intervention. Demographic questions and three self-assessment instruments measuring stress symptoms, FOC, anxiety and depression were answered one to three months after birth. Results: The women in the intervention group scored significantly lower on the stress symptom scale, with a halved median score compared to the control group. There was no significant difference between the groups regarding FOC, depression and anxiety. Conclusion: Our results indicate that this PFA-based support programme might reduce post-traumatic stress symptoms in women who have gone through a complicated childbirth. With further studies in a larger population, this support programme has the potential to contribute to improved maternal care optimizing postnatal mental health.
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7.
  • Anna, Malmquist, et al. (författare)
  • Föräldraskap
  • 2017
  • Ingår i: HBTQ. - Stockholm : Natur och kultur. - 9789127147430 ; , s. 227-244
  • Bokkapitel (populärvet., debatt m.m.)
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8.
  • Berg, Matilda, et al. (författare)
  • Knowledge gain and usage of knowledge learned during internet-based CBT treatment for adolescent depression : a qualitative study
  • 2020
  • Ingår i: BMC Psychiatry. - : BioMed Central. - 1471-244X. ; 20:1
  • Tidskriftsartikel (refereegranskat)abstract
    • BackgroundThe role of explicit learning of treatment content in internet-based cognitive-behavioural treatment (ICBT) is an emerging field of research. The objective of this study was to explore clients experiences of their ICBT treatment for depression with a focus on knowledge gain and usage of knowledge learned during treatment.MethodsA strategic sample of ten adolescents, aged between 15 and 19 years, who had received ICBT for major depression within a clinical controlled trial were recruited for the study. Semi-structured interviews were conducted 6 months following trial completion. Data were transcribed and analysed using thematic analysis. The participants had a general adherence rate of 6–8 opened modules out of 8 possible.ResultsTwo main themes were identified; “Active agents of CBT” and “Passive agents of CBT”, with each theme consisting of three and two sub-themes. Active agents of CBT reflect a tendency to specifically remember and actively apply specific CBT principles in present life situations. Passive agents of CBT reflect a tendency to remember CBT treatment principles vaguely and express a passive or reactive usage of learned therapy content.ConclusionThe findings suggest that young clients can remember and apply CBT principles 6 months after their treatment. However, while experiencing benefits of treatment, clients recall and application of treatment strategies vary. The study emphasizes the importance of exploring client recall of CBT components and how valuable it is to explicitly remember contents of a treatment in order to improve and maintain improvement. Further studies on the role of knowledge and memory of ICBT for adolescent populations are warranted.
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9.
  • Bernstad, Anna, et al. (författare)
  • Need for improvements in physical pretreatment of source-separated household food waste.
  • 2013
  • Ingår i: Waste Management: international journal of integrated waste management, science and technology. - : Elsevier BV. - 1879-2456. ; 33:3, s. 746-754
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of the present study was to investigate the efficiency in physical pretreatment processes of source-separated solid organic household waste. The investigation of seventeen Swedish full-scale pretreatment facilities, currently receiving separately collected food waste from household for subsequent anaerobic digestion, shows that problems with the quality of produced biomass and high maintenance costs are common. Four full-scale physical pretreatment plants, three using screwpress technology and one using dispergation technology, were compared in relation to resource efficiency, losses of nitrogen and potential methane production from biodegradable matter as well as the ratio of unwanted materials in produced biomass intended for wet anaerobic digestion. Refuse generated in the processes represent 13-39% of TS in incoming wet waste. The methane yield from these fractions corresponds to 14-36Nm(3)/ton separately collected solid organic household waste. Also, 13-32% of N-tot in incoming food waste is found in refuse. Losses of both biodegradable material and nutrients were larger in the three facilities using screwpress technology compared to the facility using dispersion technology.(1) Thus, there are large potentials for increase of both the methane yield and nutrient recovery from separately collected solid organic household waste through increased efficiency in facilities for physical pretreatment. Improved pretreatment processes could thereby increase the overall environmental benefits from anaerobic digestion as a treatment alternative for solid organic household waste.
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10.
  • Della Casa, Veronica, et al. (författare)
  • Minority Stress, Self-Awareness, and Coping Strategies during the COVID-19 Pandemic among Italian Transgender Young Adults
  • 2024
  • Ingår i: Healthcare. - : MDPI. - 2227-9032. ; 12:2
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: The security measures implemented in response to the COVID-19 emergency have caused complex consequences. The aim of the present study is to examine the repercussions of the pandemic on individuals belonging to gender identity minority groups, who have experienced heightened levels of stress in comparison to the general population. Methods: Online interviews with 12 transgender participants who resided in Italy during the pandemic were conducted and subsequently analyzed following the thematic analysis methodology. Results: The majority of the participants reported an increase in stress levels primarily attributed to the lack of acceptance and support within their familial environments, obstacles encountered in accessing specialized healthcare services, and a lack of support from the broader LGBTQ+ community. Despite these challenges, several participants developed effective coping strategies and a subset of them also benefited from multiple resilience factors, including familial support and assistance from mental health professionals. Conclusions: The outcomes of the present study indicate that the COVID-19 pandemic, while fostering certain protective factors within this population, has also given rise to new and critical mental health concerns. These findings hold significant implications for professionals working with transgender populations, highlighting the necessity of addressing these emerging mental health issues.
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11.
  • Della Casa, Veronica, et al. (författare)
  • The Role of Family Support for the Well-Being of Italian LGBTQ plus Young Adults During the COVID-19 Pandemic: A Qualitative Study
  • 2024
  • Ingår i: LGBTQ FAMILY-AN INTERDISCIPLINARY JOURNAL. - : ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD. - 2770-3371.
  • Tidskriftsartikel (refereegranskat)abstract
    • Family acceptance or rejection has mediating effects on the mental health of LGBTQ + young adults. Restrictive measures imposed during the COVID-19 pandemic forced many of these individuals to exclusively interface with their family of origin, with significant consequences on their psychological well-being. This study aims to explore, from a qualitative perspective, the subjective experience of Italian LGBTQ + young adults during the COVID-19-related home isolation. An online semi-structured interview with 13 questions was administered to a sample of 25 participants. Inclusion criteria consisted of being aged 18 years or older and having spent at least one of the three pandemic waves with the family of origin in Italy. The interviews have been processed using the Thematic Analysis methodology. The findings of the present work showed that Italian LGBTQ + young adults perceived increased distress due to a lack of privacy and acceptance from their family members, which led to forced coming-out and repression of free expression. However, some participants perceived greater psychological well-being because they experienced the family environment as safe and supportive to explore their minority identities. The presence of coping strategies also emerged, such as resilience and avoidance.
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12.
  • Di Luigi, Guendalina, et al. (författare)
  • Psychometric Exploration of the Swedish Translation of the Sexual Orientation Microaggressions Scale (SOMS), and a Commentary on the Validity of the Construct of Microaggressions
  • 2023
  • Ingår i: Journal of Homosexuality. - : Haworth Press. - 1540-3602 .- 0091-8369.
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of the present study was to assess the psychometric properties of a Swedish translation of the Sexual Orientation Microaggressions Scale (SOMS) in a convenience sample of 267 Swedish LGB+ people (Mean age = 36.41). Testing suggested some strengths in terms of factor structure and 2-week test-retest reliability (ICC > .79). Also, internal consistency (α = .80–.91) and convergent validity were supported for most subscales. However, the Assumption of Deviance subscale was associated with low response variability and internal consistency (α = .35), and the correlational pattern between the Environmental Microaggressions subscale and mental health variables diverged from the overall trend. Furthermore, measurement invariance between homo- and bisexual participants was not supported for most subscales, and although microaggressions would be theoretically irrelevant to a small comparison sample of heterosexual people (N = 76, Mean age = 40.43), metric invariance of the Environmental Microaggressions subscale was supported in comparison to LGB+ people. We argue that these limitations suggest a restricted applicability of the SOMS in a Swedish context, and this has consequences for the definition and operationalization of the construct of microaggressions as a whole. Therefore, more research on the latent properties of microaggressions in Swedish as well as in other contexts is required.
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13.
  • Ekeblad, Annika, 1955-, et al. (författare)
  • "What shall we focus on?" - A thematic analysis of what characterizes cognitive-behavior therapy sessions with high or low quality of working alliance
  • 2022
  • Ingår i: Psychotherapy Research. - : Taylor & Francis Group. - 1050-3307 .- 1468-4381. ; 32:8, s. 1003-1015
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: Several studies have shown that the quality of the working alliance predicts symptomatic improvement sessionby-session, including in cognitive-behavioral therapy (CBT). We wanted to explore what characterizes CBT sessions with high and low alliances further using qualitative analysis. Method: Ten CBT-sessions were selected from eight patients' therapies in a larger research project on psychotherapy for patients with major depression. Five sessions were chosen from high- and five from low-alliance sessions, based on therapist- and patient-reported Working Alliance Inventory scores. Transcripts of these sessions were analyzed using thematic analysis. Results: The analysis yielded four themes, each structured into two sub-themes: Therapist style, Person in focus, Content focus, and Therapeutic direction. In contrast to low-alliance sessions, high-alliance sessions were characterized by a more exploring as opposed to expert therapist style; a focus on the patient's thoughts, feelings, and behavior, rather than a diffuse focus or a focus on other people's actions/external events; and a sense of moving forward rather than stagnation. Conclusion: Our qualitative analysis showed theoretically and clinically meaningful processes in CBT sessions of high- vs low working alliance. This method is a useful complement to quantitative within-patient analyses, to expand on the meaning of quantitative findings.
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14.
  • Evertsson, Marie, 1969-, et al. (författare)
  • Division of Care and Leave Arrangements in Gay Father Families in Sweden
  • 2023
  • Ingår i: Sexuality Research & Social Policy. - : Springer Science and Business Media LLC. - 1868-9884 .- 1553-6610. ; 20:1, s. 242-256
  • Tidskriftsartikel (refereegranskat)abstract
    • Introduction This study analyses the division of parental leave and the income development in gay father families through surrogacy in Sweden, seen as one of the most family-friendly and egalitarian countries in the world.Methods Based on longitudinal population register data, descriptive and bivariate regression models are estimated to analyse the parental leave uptake and income development of married partners becoming (first-time) parents in 2006–2015 (in total 53 couples). Retrospective in-depth interviews with 23 gay men in 12 couples, conducted in 2010 and 2018 are analysed thematically to study how fathers discussed and decided how to divide the leave.Results The process of establishing legal parenthood delays the fathers’ access to reimbursed parental leave. Despite this, the fathers’ earnings were not considerably affected by the addition of a child to the family. Once the fathers had access to reimbursed leave, they generally shared this equally, with a tendency for the genetic father to take leave first and for a slightly longer period.Conclusions The fathers becoming parents via surrogacy arrangements are a well-off group, able to counter the negative financial consequences of becoming parents. Swedish family policies enable parents to share the leave equally. Less impacted by gender and parenthood norms creating difference between parents, gay father families are in a better position to realise ideals of shared care and sameness.Policy Implications The delayed access to reimbursed parental leave structures the ability of gay couples to become parents and contributes to class inequalities in the transition to parenthood.
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15.
  • Gato, Jorge, et al. (författare)
  • Psychosocial Effects of the COVID-19 Pandemic and Mental Health Among LGBTQ plus Young Adults : A Cross-Cultural Comparison Across Six Nations
  • 2022
  • Ingår i: International Journal of Sexual Health. - : Taylor & Francis. - 1931-7611 .- 1931-762X. ; 34:Suppl. 1, s. 105-105
  • Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
    • Across the world, people have seen their lives interrupted by the COVID-19 pandemic. Using an online survey, we explored how the psychosocial effects of the pandemic affected the mental health of LGBTQþ young adults who were confined with their parents during the lockdown period (N ¼ 1,934), from six countries: Portugal, UK, Italy, Brazil, Chile, and Sweden.South American participants experienced more negative psychosocial effects of the pandemic. Depression and anxiety were higher among participants who were younger, not working, living in Europe and who reported feeling more emotionally affected by the pandemic, uncomfortable at home, or isolated from non-LGBTQ friends.Not attending higher education predicted depression while not being totally confined at home, residing habitually with parents, and fearing more future infec-tion predicted anxiety. LGBTQþ community groups, as well as health and educational services should remain particularly attentive to the needs of LGBTQþ young adults during health crises.Conflict of Interest and Disclosure Statement: No conflict of interest
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16.
  • Gato, Jorge, et al. (författare)
  • Psychosocial Effects of the COVID-19 Pandemic and Mental Health among LGBTQ+ Young Adults : A Cross-Cultural Comparison across Six Nations
  • 2021
  • Ingår i: Journal of Homosexuality. - : Haworth Press. - 0091-8369 .- 1540-3602. ; 68:4, s. 612-630
  • Tidskriftsartikel (refereegranskat)abstract
    • Across the world, people have seen their lives interrupted by the COVID-19 pandemic. Using an online survey, we explored how the psychosocial effects of the pandemic affected the mental health of LGBTQ+ young adults who were confined with their parents during the lockdown period (N = 1,934), from six countries: Portugal, UK, Italy, Brazil, Chile, and Sweden. South American participants experienced more negative psychosocial effects of the pandemic. Depression and anxiety were higher among participants who were younger, not working, living in Europe and who reported feeling more emotionally affected by the pandemic, uncomfortable at home, or isolated from non-LGBTQ friends. Not attending higher education predicted depression while not being totally confined at home, residing habitually with parents, and fearing more future infection predicted anxiety. LGBTQ+ community groups, as well as health and educational services should remain particularly attentive to the needs of LGBTQ+ young adults during health crises.
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17.
  • Grundström, Hanna, et al. (författare)
  • Factors related to a positive childbirth experience - a cross-sectional study
  • 2024
  • Ingår i: Journal of Reproductive and Infant Psychology. - : ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD. - 0264-6838 .- 1469-672X.
  • Tidskriftsartikel (refereegranskat)abstract
    • Background/aimsGiving birth is a life-changing experience for women. Most previous studies have focused on risk factors for a negative childbirth experience. The primary aim of this study was to assess childbirth experience in a sample of postnatal Swedish women. The secondary aim was to analyse demographic and clinical determinants associated with a positive birth experience.Design/MethodsA digital survey including the instrument Childbirth Experience Questionnaire 2 (CEQ2) was answered by 619 women six to 16 weeks postpartum. Regression analyses were made assessing the impact that different factors had on the overall childbirth experience and the four subscales of CEQ2: Own Capacity, Perceived Safety, Professional Support and Participation.ResultsOverall, women were satisified with their birthing experience. Several factors contributed to a positive childbirth experience. Having a vaginal mode of birth (without vacuum extraction) together with not having ongoing mental health problems were the factors with the most influence on the total childbirth experience. Not having maternal complications postpartum and receiving much support from a trusted birth companion were two other important factors.ConclusionAlthough Swedish women tend to express satisfaction with their childbirth experiences, there is a necessity to advocate for a childbirth approach that optimises the chance of giving birth vaginally rather than with vacuum extraction or acute caesarean section, and reduces the risk for complications whenever possible. During pregnancy, mental health problems should be appropriately addressed. Healthcare professionals could also more actively involve the birth companion in the birthing process and equip them with the necessary tools to effectively support birthing women.
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18.
  • Grundström, Hanna, et al. (författare)
  • Fear of childbirth postpartum and its correlation with post-traumatic stress symptoms and quality of life among women with birth complications - a cross-sectional study
  • 2022
  • Ingår i: Archives of Women's Mental Health. - Wien : Springer. - 1434-1816 .- 1435-1102. ; 25:2, s. 485-491
  • Tidskriftsartikel (refereegranskat)abstract
    • The primary aim of the study was to analyze differences in post-traumatic stress symptoms (PTSS) and quality of life (QoL) between women with and without severe fear of childbirth postpartum (PP FOC). The secondary aims were to analyze the correlation between PP FOC and PTSS, and PP FOC and QoL, in women undergoing complicated childbirth. This cross-sectional study was conducted in South-East Sweden. Women aged >= 18 years who had undergone complicated childbirth (i.e., acute or emergency cesarean section, vacuum extraction, child in need of neonatal care, manual placenta removal, sphincter rupture, shoulder dystocia, or hemorrhage >= 1000 ml) were invited. Seventy-six women answered demographic questions and three validated instruments measuring PP FOC, PTSS, and QoL. The study population was divided into two sub groups: severe PP FOC or no severe PP FOC. Statistical analyses were conducted using Mann-Whitney U-test, chi-square test or Fishers exact test, and Spearmans rank-order correlation. Severe PP FOC was reported by 29% of the women, and 18% reported PTSS indicating post-traumatic stress disorder. Women with severe PP FOC reported significantly higher levels of PTSS, and significantly lower QoL in five dimensions: physical role functioning, emotional role functioning, energy/fatigue, emotional well-being, and social functioning. There was a positive significant correlation between level of PP FOC and PTSS. There were also significant negative correlations between level of PP FOC and most of the QoL dimensions. In conclusion, almost one-third of the women with complicated childbirth reported severe PP FOC, and almost one-fifth reported PTSS indicating post-traumatic stress disorder. PP FOC correlated with PTSS and deteriorated QoL.
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19.
  • Grundström, Hanna, et al. (författare)
  • Perceived Professional Support During Pregnancy, Childbirth, and Postpartum Among Women Reporting Severe Fear of Childbirth Postpartum
  • 2021
  • Ingår i: Journal of reproductive medicine. - : SCI PRINTERS & PUBL INC. - 0024-7758 .- 1943-3565. ; 66:3-4, s. 89-96
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVE: To describe how women with severe fear of childbirth postpartum recall the professional support they received before, during, and after childbirth. STUDY DESIGN: This is a qualitative study based on telephone interviews with 10 women reporting fear of childbirth postpartum and who had given birth in 2018. They were interviewed using a semi-structured interview guide. The interviews were digitally recorded, transcribed verbatim, and analyzed using thematic analysis according to Braun and Clarke. RESULTS: The results showed that most women expressed satisfaction with the support they received from the healthcare professionals before, during, and after childbirth, and most of them could not identify any lacking support. The experiences were categorized into 3 themes: "validation and trust," "guidance," and "being in control." CONCLUSION: In summary, the womens reported fear of childbirth postpartum did not seem related to any perceived lack of professional support. The supposed association between fear of childbirth, negative childbirth experiences, and perceived support may need further illumination.
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20.
  • Grundström, Hanna, et al. (författare)
  • Previous Trauma Exposure and Its Associations with Fear of Childbirth and Quality of Life among Pregnant Lesbian, Bisexual, Transgender, and Queer People and Their Partners
  • 2023
  • Ingår i: LGBTQ FAMILY-AN INTERDISCIPLINARY JOURNAL. - : ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD. - 2770-3371 .- 2770-338X. ; 19:2, s. 175-185
  • Tidskriftsartikel (refereegranskat)abstract
    • The primary aim of this study was to determine the prevalence of previous trauma exposure among expectant birth-giving parents and their partners within a LBTQ population. The secondary aims were to compare fear of childbirth (FOC) and quality of life (QoL) in relation to previous trauma exposure in pregnant LBTQ people and their partners. A further aim was to analyze associations between severe FOC and clinical and demographic factors in this population. Data was collected from a Swedish LGBTQ competent antenatal clinic. Trauma-exposed pregnant (n = 32) and non-pregnant (n = 21) individuals and pregnant (n = 48) and non-pregnant (n = 30) individuals without previous trauma experiences responded to instruments measuring FOC (Wijma Delivery Expectancy Questionnaire) and QoL (EuroQol 5 D-index/-visual analogue scale, VAS). Differences between groups were assessed using non-parametric tests. The proportion of trauma exposure was similar among pregnant responders and their partners (40.0% vs. 41.2%). Trauma-exposed pregnant respondents had a significantly higher prevalence of severe FOC compared to the pregnant respondents without previous trauma. Pregnant trauma-exposed respondents scored lower on EQ5D-VAS than pregnant respondents without trauma, as did non-pregnant trauma exposed respondents compared with non-pregnant -respondents without trauma. Furthermore, trauma-exposed non-pregnant respondents scored lower on the EQ5D-index compared to non-pregnant respondents without trauma. Previous trauma was the only clinical and demographic factor that had any significant association withto severe FOC in the regression analysis. In conclusion, our results suggest that previous trauma exposure may contribute to the risk of suffering from severe FOC and lower QoL among LBTQ-identifying prospective parents.
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21.
  • Grundström, Hanna, et al. (författare)
  • Supporting womens reproductive capabilities in the context of childbirth : Empirical validation of a midwifery theory synthesis
  • 2022
  • Ingår i: Midwifery. - : Elsevier Science Ltd. - 0266-6138 .- 1532-3099. ; 110
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: To conduct an empirical validation of the theoretical model of midwifery care suggested by Peters et al. (2020). Design: A qualitative deductive methodology was used to validate the theoretical model of aims and objectives of midwifery care. The existing model was validated for midwifery care before, during and after childbirth by interviewing women who had reported high satisfaction with childbirth and low fear of childbirth postpartum. Setting: Data were collected via interviews with women who had given birth from January to March 2018 at a middle-sized hospital in south-east Sweden. Participants: Swedish-speaking women aged > 18 years, were invited by midwives to participate at a postpartum maternal healthcare ward, and they received oral and written information. They filled in a demographic questionnaire, a grading of their birth experience on a 0-10 numeric rating scale (NRS) and the Wijma Delivery Experience Questionnaire Version B (W-DEQ B). We used >7 as the cut-off for high satisfaction with childbirth (NRS), and a sum score <= 60 for low fear of childbirth (W-DEQ B). Of 172 women, 28 were eligible, of whom 20 were interviewed 8-13 months postpartum. The interviews were analysed using qualitative content analysis with a directed approach. Findings: All of the models levels and their aspects were found in the interviews. All women had experienced a trusting relationship, including individual and woman-centred care, communication, choice and continuity, prompt attention and an empathic attitude. A majority described midwifery in terms of promoting security, and almost all had experienced aspects of personal control. The objective of midwifery care, described as the facilitation of womens reproductive capabilities, was described as being met by half of the women. The importance of pep talks and coaching was emphasized, and partner support could be added to the model. Key conclusions and implications for practice: Our findings indicate that the theoretical model proposed by Peters et al. (2020) is mainly applicable to midwifery care of women reporting high satisfaction with their birth experience and low postpartum fear of childbirth. Our findings suggest that this model may serve as a clarification of the unique objective of midwifery care, and could be used by midwives in daily clinical work and in midwifery education programs.
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22.
  • Grundström, Hanna, et al. (författare)
  • Translation and validation of the Swedish version of the Birth Satisfaction Scale-Revised (BSS-R)
  • 2023
  • Ingår i: Midwifery. - : ELSEVIER SCI LTD. - 0266-6138 .- 1532-3099. ; 124
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Optimizing womens childbirth experience is essential for development of quality mother infant relationships. The Birth Satisfaction Scale-Revised ( BSS-R ) can be used to measure birth satisfaction. Aim: The current investigation sought to translate and validate a Swedish version of the BSS-R. Method: Following translation, a comprehensive psychometric validation of the Swedish - BSS-R ( SW-BSS-R ) was carried out using a multi-model, cross-sectional, between- and within-subjects design. Participants: A total of 619 Swedish-speaking women participated, from which 591 completed SW-BSS-R and were eligible for analysis. Data analysis: Discriminant, convergent, divergent and predictive validity, internal consistency, test-retest reliability, and factor structure were evaluated. Results: The SW-BSS-R was found to have excellent psychometric properties and hence is a valid translation of the original UK(English)-BSS-R . Important insights into relationships between mode of birth, posttraumatic stress disorder (PTSD), and postnatal depression (PND) were observed. Conclusions and implications for practice: The SW-BSS-R is a psychometrically valid translation of the original BSS-R and is suitable for use in a Swedish-speaking population of women. The study has also highlighted important dynamics between birth satisfaction and areas of significant clinical concern (i.e., mode of birth, PTSD and PND) in Sweden.
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23.
  • Hallström, Sofia, et al. (författare)
  • Fear of childbirth and mental health among lesbian, bisexual, transgender and queer people : a cross-sectional study
  • 2022
  • Ingår i: Journal of Psychosomatic Obstetrics and Gynaecology. - : Taylor & Francis Ltd. - 0167-482X .- 1743-8942. ; 43:4, s. 526-531
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Most studies of fear of childbirth (FOC) are conducted on heterosexual cisgender pregnant populations of birth-giving parents. Among lesbian and bisexual women, as well as transgender and queer people (LBTQ), minority stress can add an extra layer to FOC. Gender binary and cisnormative assumptions leave it to the patient to educate and navigate healthcare providers, which can increase mental health problems. Objective: The aim of this study is to compare FOC and mental illness among expecting birth-giving parents and their partners in an LBTQ population. Materials and methods: This cross-sectional study recruited 80 self-identified pregnant LBTQ persons and their 54 non-pregnant partners at a LBTQ specialized antenatal clinic in a large Swedish city of over one million inhabitants. The survey included socio-demographic characteristics, sexual and gender orientation, obstetric history, previous mental health, previous trauma exposure and measures of FOC and mental health. Results: Levels of FOC were significantly higher for the pregnant participants (median W-DEQ 67.5) than for partners (median W-DEQ 60.0). The proportion of severe FOC was higher for pregnant participants (20.3%) than for partners (9.4%), although this difference was not statistically significant. Mental illness was significantly associated with FOC. Conclusion: The results add valuable information to our understanding of the specific needs of pregnant LBTQ people and their partners and may help us to develop healthcare in the future.
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24.
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25.
  • HBTQ+ : psykologiska perspektiv och bemötande
  • 2017. - 1
  • Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
    • Heteronormen, cisnormen och mononormen – varför bör vi känna till dem? Hur kan behandlare skapa ett samtalsklimat där klienterna kan känna sig trygga? Vilken kunskap om hbtq+-personers livsvillkor behövs för ett professionellt bemötande? Och varför räcker inte bara empati?Den här boken tar ett omfattande grepp om frågor som rör homo, bi, trans, queer och en rad andra identitetskategorier som alla relaterar till sexualitet, relationsbildning, kön och könsuttryck – i boken samlade under akronymen hbtq+. Trots en positiv utveckling i samhället leder minoritetsstress fortfarande till ökad ohälsa hos hbtq+-personer, och kunskapsluckorna är stora inom samhälls- och vårdinstanser. Författarna sätter in dessa frågor i ett historiskt och teoretiskt ramverk och gör en grundläggande genomgång av aspekter som rör hälsa och ohälsa i relation till hbtq+. Fördjupande kapitel rör områden som barn och ungdomar, föräldraskap och migration. Praktisk kunskap om professionellt bemötande tas upp och handfasta råd vägleder läsaren. Boken vänder sig till dig som är studerande eller verksam inom ett människovårdande yrke.HBTQ+ är skriven av flera av Sveriges mest kunniga psykologer och forskare inom området. Antologins redaktörer är Tove Lundberg, leg. psykolog, fil.dr och forskare vid Lunds universitet; Anna Malmquist, leg. psykolog, fil.dr och forskare vid Linköpings universitet; Matilda Wurm, examinerad psykolog och doktorand i psykologi vid Örebro universitet.
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