| 1. |
- Cruce, Gunilla, et al.
(författare)
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Recovery-promoting Care as Experienced by Persons with Severe Mental Illness and Substance Misuse
- 2012
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Ingår i: International Journal of Mental Health and Addiction. - : Springer Science and Business Media LLC. - 1557-1874 .- 1557-1882. ; 10:5, s. 660-669
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Tidskriftsartikel (refereegranskat)abstract
- This paper explores recovery-promoting care as experienced by persons with concomitant severe mental illness and substance misuse. Sixteen in-depth interviews, based on an interview guide concerning their experiences of health, life situation and care, were held with eight participants in an outpatient treatment programme. The analysis aimed to identify themes reflecting the diversity and complexity of the phenomenon recovery-promoting care. Six themes emerged: "entirety", "participation and reciprocal relations", "stability", "symptom control", "mindfulness", and "dignity and autonomy". The participants reported that care conveying experiences of meaningfulness and providing empowerment increased their motivation and their capacity to take an active part in the recovery process. The findings of the study underscore the importance of incorporating the patients' perspectives on what promotes recovery when offering mental health services.
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| 2. |
- Swahnberg, Katarina, et al.
(författare)
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Minimizing human dignity : staff perception of abuse in health care
- 2012
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Ingår i: Clinical Ethics. - : SAGE Publications. - 1477-7509 .- 1758-101X. ; 7:1, s. 33-38
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Tidskriftsartikel (refereegranskat)abstract
- In earlier studies we have shown that abuse in health care (AHC) is commonly reported among both male and female patients. In this study, we present an evaluation of an intervention against AHC based on Forum Play. The evaluation was conducted by means of pre- and postintervention interviews with the staff at a woman's clinic. The interviews were analysed using the constant comparative method. The results of this postintervention study stand out in loud contrast to the results of the preintervention studies. Staff had moved from a distant and fluctuating awareness of AHC to a standpoint characterized by both moral imagination and a sense of responsibility.
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| 3. |
- Binde, Per, 1956
(författare)
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A mutual support group for young problem gamblers
- 2012
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Ingår i: International Journal of Mental Health and Addiction. - : Springer Science and Business Media LLC. - 1557-1874 .- 1557-1882. ; 10:4, s. 524-536
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Tidskriftsartikel (refereegranskat)abstract
- A Swedish mutual support group for young problem gamblers is described and discussed. During the study period, 116 weekly meetings occurred, usually involving six to ten participants; in total, 69 problem gamblers (66 male and three female), aged 17–25, and 23 partners and friends attended the meetings. Half the gamblers had problems with Internet poker, one fifth with electronic gambling machines, and the rest with other forms of gambling and computer gaming. Nearly half the problem gamblers participated in under five mutual support meetings, while just over a third attended ten or more meetings. Gambling problems ceased or lessened among most participants in ten or more meetings. In some cases, attending just one or a few meetings had a positive impact on the problems. This mutual support group provides relatively effective help to adolescents and young adults with gambling problems, offering a valuable alternative and complement to professional treatment.
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| 4. |
- Binde, Per, 1956
(författare)
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A Swedish mutual support society of problem gamblers
- 2012
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Ingår i: International Journal of Mental Health and Addiction. - : Springer Science and Business Media LLC. - 1557-1874 .- 1557-1882. ; 10:4, s. 512-523
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Tidskriftsartikel (refereegranskat)abstract
- Mutual support societies for problem gamblers have existed in Sweden for 20 years. They have helped more people with gambling problems than any other institution inside or outside the Swedish health care system. This paper outlines the background of these societies and describes the meetings of one of them. Data come from interviews with members of a local society and participation in mutual support meetings. It is argued that these mutual support societies provide help in a variety of ways and in all phases of recovery from gambling problems. In particular, they help people form personal narratives about the origin, progression, and resolution of their problems, narratives that give insight and guide recovery. These mutual support societies are valuable complements and alternatives to professional treatment.
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| 5. |
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Spelberoendes riksförbund 10 år: En jubileumsskrift
- 2010
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Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- Den svenska spelmarknaden har förändrats och växt kraftigt den senaste tioårsperioden. Vi har fått statliga kasinon och på Internet går det att spela på det mesta från bingo till poker. Så gott som dagligen rapporterar massmedia om spelpolitik och spelberoende. Medvetenheten om spelberoende har ökat och starkt bidragande till det är Spelberoendes riksförbund. Förbundet har i tio år informerat om spelberoende och gett stöd till människor med spelproblem och deras anhöriga. Den här jubileumsskriften ger en bild av spelproblem i Sverige och kamratstödet i spelberoendes föreningar. Ungas spelande och de anhörigas situation tas upp av flera författare. Läsaren får också veta hur medvetenheten om spelberoende växte fram i Sverige och ta del av diskussioner om hur framtidens spelande kan gestalta sig. I boken medverkar aktiva inom förbundet, eldsjälar från lokalföreningar och spelberoende som har fått hjälp. Även spelforskare och personer som på olika sätt arbetat med spelfrågor har bidragit med kapitel. Skriften är utgiven med stöd av Statens folkhälsoinstitut.
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| 6. |
- Lundgren, Lena, et al.
(författare)
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Integrating addiction and mental health treatment within a national addiction treatment system : Using multiple statistical methods to analyze client and interviewer assessment of co-occurring mental health problems
- 2014
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Ingår i: Nordic Studies on Alcohol and Drugs. - : SAGE Publications. - 1455-0725 .- 1458-6126. ; 31:1, s. 59-79
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Tidskriftsartikel (refereegranskat)abstract
- AIMS - For a Swedish national sample of 12,833 individuals assessed for a substance use disorder (SUD) (2002-2008) in the Swedish welfare system, client self-report and clinical staff Addiction Severity Index (ASI) assessment data were used to assess mental health problem severity and needs. METHODS - Analysis of client self-report data using regression methods identified demographic characteristics associated with reporting significant mental health problems. Clinical staff assessment data from the ASI Interviewer Severity Rating (ISR) score were used to develop a K-means cluster analysis with three client cluster profiles: Narcotics (n=4795); Alcohol (n=4380); and Alcohol and Psychiatric Problems (n=3658). Chi-square and one-way ANOVA analyses identified self-reported mental health problems for these clusters. RESULTS - 44% of clients had a history of using outpatient mental health treatment, 45% reported current mental health symptoms, and 19% reported significant mental health problems. Women were 1.6 times more likely to report significant mental health problems than men. Staff assessed that 74.8% of clients had current mental health problems and that 13.9% had significant mental health problems. Client and staff results were congruent in identifying that clients in the Alcohol profile were less likely (5%) to report having significant mental health problems compared to the other two profiles (30% each). CONCLUSIONS - About 19% of clients with SUDs reported significant mental health problems, need integrated addiction and mental health treatment, and these clients are clustered in two population groups. An additional 25% of the addiction treatment population report current mental health symptoms and have at some point used mental health treatment. This national level assessment of the extent and severity of co-occurring disorders can inform decisions made regarding policy shifts towards an integrated system and the needs of clients with co-occurring disorders.
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| 7. |
- Elam, Mark, 1960
(författare)
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From the Birth of the Smokers' Clinic to the Invention of Nicorette: Problematizing Smoking as Addiction in Sweden 1955-1971
- 2014
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Ingår i: Nordic Studies on Alcohol and Drugs. - : SAGE Publications. - 1455-0725 .- 1458-6126. ; 31:5-6, s. 473-484
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Tidskriftsartikel (refereegranskat)abstract
- To discuss how scientific confirmation of cigarette smoking as a major contemporary drug problem during the 1980s was preceded by a rising tide of clinical and pharmaceutical innovation dedicated to treating smoking as a problem of addiction. Background This current of innovation, commencing already in the 1950s, carried the smokers' clinic and nicotine replacement therapies (NRTs) into the world, both of which were originally invented and pioneered in Sweden. It is argued that both of these inventions were vital for advancing the problematization of smoking as a matter of nicotine addiction. While the British doctor Lennox Johnston is well-known for his early attempts to demonstrate the reality of smoking as nicotine addiction through auto-experimentation, the historical significance of Börje Ejrup's founding of the first smokers' clinics in Stockholm in the late 1950s has not been widely commented upon. Attempting to remedy this situation, the rise and fall of Ejrup's clinics deploying lobeline substitution therapy as a cure for ‘nicotinism’ is outlined in the main body of the paper. Findings Although the clinical treatment of smoking as addiction lost momentum during the 1960s, the invention of Nicorette gum in southern Sweden at the end of the decade provided renewed impetus. Commencing in Helsingborg and Lund in 1970, the smokers' clinic and NRTs entered into the long-term service of each other; a new combination that in just over a decade would succeed in propagating the reality of smoking as nicotine addiction on to a global stage.
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| 8. |
- Binde, Per, 1956
(författare)
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Att bedöma spelformers riskfylldhet: En metodologisk diskussion i ett regleringsperspektiv
- 2012
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Ingår i: Lotteriinspektionens skriftserie. ; :2, s. 1-14
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Forskning och praktisk erfarenhet visar att vissa spelformer är mer riskfyllda än andra. Med ”riskfylld” avses här en spelform där en jämförelsevis stor andel av deltagarna har spelproblem. Risken kan vara dels att spelformen skapar problem hos åtskilliga av dem som börjar delta i den, dels att den är särskilt attraktiv för personer som sedan tidigare har spelproblem och därigenom vidmakthåller eller förvärrar deras problem. Artikeln ger en orientering om de tre huvudsakliga metoder som finns för att bedöma spelformers riskfylldhet - data från befolkningsstudier, statistik över dem som söker hjälp för spelproblem, och riskbedömningsinstrument. Metodernas styrkor och svagheter diskuteras, liksom generella komplikationerna med riskbedömning av spelformer. Slutsatsen är att det inte finns någon perfekt metod för att bedöma spelformers riskfylldhet. Alla metoder har alla sina starka och svaga sidor och det är därför önskvärt att i regleringssammanhang utnyttja alla till buds stående metoder för att göra en så god riskbedömning som möjligt.
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| 9. |
- Birath, Christina Scheffel, et al.
(författare)
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Women with Substance Abuse Problems Exposed to Men's Violence - A Public Mental Health Challenge
- 2013
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Ingår i: Journal of Addiction Research & Therapy. - : OMICS Publishing Group. - 2155-6105. ; 4:2, s. 1-7
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To explore self-rated physical and psychological health in two groups of women with substance misuse problems, subjected to male violence.Methods: An examination of the health situation for women with substance dependence being exposed to male violence during life. The study took place in a Swedish context exploring data from 35 women with housing (WwH) and 44 homeless women (HW), regarding posttraumatic stress disorder symptoms, psychological and physical problems. Mann-Whitney U-test and Pearson’s correlation coefficient were used to calculate differences between groups and correlations.Results: The proportion of women being exposed to male violence during life for the studied group was 91% (72 of 79 women; WwH 29; HW 43). It was found that the WwH had physical health problems but compared to the HW, significantly less frequent. Regarding psychological health problems, both groups were suffering from self-reported problems, most notably in variables measuring stress susceptibility and embitterment, where both WwH and HW had scores markedly above norm mean scores. The HW had overall a poorer mental health profile as compared to the WwH. The WwH still maintained a foundation in the society compared to the HW regarding housing (100/0%), and custody over their children (91/0%).Conclusion: The study indicated that women with substance dependence and those who are victims of male violence have major problems with both their psychological and physical health. Particularly vulnerable are the HW. Past experiences of violence that have not been processed can further aggravate the women’s health. Thus, we suggest initiating the process of asking women if they have experienced violence in order to then be able to provide appropriate treatment interventions. For the WwH, this process may lead to a prevention of serious consequences for both their housing situation and for their health.
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| 10. |
- Fröberg, Frida, 1973-, et al.
(författare)
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Psychosocial health and gambling problems among men and women aged 16–24 years in the Swedish National Public Health Survey
- 2013
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Ingår i: European Journal of Public Health. - : Oxford University Press. - 1101-1262 .- 1464-360X. ; 23:3, s. 427-433
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Tidskriftsartikel (refereegranskat)abstract
- Background: This study aimed to explore the association between psychosocial health, gambling and gambling problems in a nationally representative sample of Swedish youth aged 16–24 years. Another aim was to examine whether these associations were different between young men and women.Methods: Data were from the cross-sectional Swedish National Public Health Survey in 2004–07. With a response rate of 60.1%, the sample consisted of 19 016 youth. Using a sex-stratified multinomial logistic regression, we estimated associations between psychosocial health variables and gambling and gambling problems.Results: Among males, we found that the higher the alcohol consumption, the higher the likelihood of gambling and gambling problems. Men with high alcohol consumption had an almost four times higher likelihood of gambling problems than men with no or low alcohol consumption (OR 3.94, 95% CI: 2.17–7.14). Moreover, young male victims of violence were more than twice as likely to have gambling problems than non-victims (OR 2.35, 95% CI: 1.39–3.99). Among young women, we found an inverse association between high alcohol consumption and gambling problems (OR 0.15, 95% CI: 0.05–0.44), opposite that of the young men. Furthermore, psychological distress (OR 6.15, 95% CI: 2.15–17.60) and suicidality (OR 2.88, 95% CI: 1.16–7.17) were associated with higher probabilities of gambling problems among young women.Conclusion: Alcohol use, violence victimization and poor mental health are associated with gambling problems among Swedish youth, however, with important sex differences. Prevention of youth gambling should consider sex differences and psychosocial health in addition to gambling.
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