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'Girls need to strengthen each other as a group' : experiences from a gender-sensitive stress management intervention by youth-friendly Swedish health services: a qualitative study

Strömbäck, Maria (author)
Umeå universitet,Sjukgymnastik,Psykiatri,Umeå centrum för genusstudier (UCGS),Stress and Health in Youth (Umeå SHY)
Malmgren-Olsson, Eva-Britt (author)
Umeå universitet,Sjukgymnastik,Stress and Health in Youth (Umeå SHY)
Wiklund, Maria (author)
Umeå universitet,Sjukgymnastik,Umeå centrum för genusstudier (UCGS),Stress and Health in Youth (Umeå SHY)
 (creator_code:org_t)
2013-10-01
2013
English.
In: BMC Public Health. - : BioMed Central. - 1471-2458. ; 13:907, s. 1-17
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Mental health problems among young people, and girls and young women in particular, are a well-known health problem. Such gendered mental health patterns are also seen in conjunction with stress-related problems, such as anxiety and depression and psychosomatic complaints. Thus, intervention models tailored to the health care situation experienced by young women within a gendered and sociocultural context are needed. This qualitative study aims to illuminate young women's experiences of participating in a body-based, gender-sensitive stress management group intervention by youth-friendly health services in northern Sweden.A physiotherapeutic body-based, health-promoting, gender-sensitive stress management intervention was created by youth-friendly Swedish health services. The stress management courses (n = 7) consisted of eight sessions, each lasting about two hours, and were led by the physiotherapist at the youth centre. The content in the intervention had a gender-sensitive approach, combining reflective discussions; short general lectures on, for example, stress and pressures related to body ideals; and physiotherapeutic methods, including body awareness and relaxation. Follow-up interviews were carried out with 32 young women (17--25 years of age) after they had completed the intervention. The data were analysed with qualitative content analysis.The overall results of our interview analysis suggest that the stress management course we evaluated facilitated 'a space for gendered and embodied empowerment in a hectic life', implying that it both contributed to a sense of individual growth and allowed participants to unburden themselves of stress problems within a trustful and supportive context. Participants' narrated experiences of 'finding a social oasis to challenge gendered expectations', 'being bodily empowered', and 'altering gendered positions and stance to life' point to empowering processes of change that allowed them to cope with distress, despite sometimes continuously stressful life situations. This intervention also decreased stress-related symptoms such as anxiousness, restlessness, muscle tension, aches and pains, fatigue, and impaired sleep.The participants' experiences of the intervention as a safe and exploratory space for gendered collective understanding and embodied empowerment further indicates the need to develop gender-sensitive interventions to reduce individualisation of health problems and instead encourage spaces for collective support, action, and change.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Physiotherapy (hsv//eng)
SAMHÄLLSVETENSKAP  -- Annan samhällsvetenskap -- Genusstudier (hsv//swe)
SOCIAL SCIENCES  -- Other Social Sciences -- Gender Studies (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Keyword

Stress
Mental health
Psychiatry
Physiotherapy
Gender
Gender-sensitive intervention
stress management
group intervention
young women
adolescents
girls
qualitative method
interviews
Stress
Psykisk hälsa
Genus
genusmedveten intervention
stresshantering
gruppintervention
sjukgymnastik
psykiatri
unga kvinnor tonårsflickor
kvalitativ metod
intervjuer
folkhälsa
Public health
sjukgymnastik
Physiotherapy
Psychiatry
psykiatri
hälso- och sjukvårdsforskning
health services research

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art (subject category)

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Strömbäck, Maria
Malmgren-Olsson, ...
Wiklund, Maria
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SOCIAL SCIENCES
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and Other Social Sci ...
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