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Djukanovic, I. & Peterson, U. (2016). Experiences of the transition intoretirement: An interview study. Nordic journal of nursing research, 36(4), 224-232
Open this publication in new window or tab >>Experiences of the transition intoretirement: An interview study
2016 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 36, no 4, p. 224-232Article in journal (Refereed) Published
Abstract [en]

Retirement is one of the most important transitions in a person's life, which also might affect health and well-being. Adjustment to a life as retiree does not follow a uniform pattern, which emphasizes the importance of an individual perspective. This article uses transition theory as a theoretical perspective. In-depth interviews were conducted with 13 individuals newly retired, focusing on experiences from the last year of work and the time after retirement. Content analysis was used to analyze data. Two themes emerged: ‘become aware of’ and ‘become adapted to’. Nine subthemes describe the individual experiences reflecting positive expectations and outcomes but also feelings of grief and disconnectedness and fears about loss of social network and identity. Transition into retirement should receive more attention from a nursing perspective since experiences such as, for example, grief, disconnectedness and loss of identity if unaddressed could lead to an unhealthy transition.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-63083 (URN)10.1177/2057158516652069 (DOI)
Available from: 2017-05-08 Created: 2017-05-08 Last updated: 2018-05-17Bibliographically approved
Djukanovic, I., Carlsson, J. & Peterson, U. (2016). Group discussions with structured reminiscence and a problem-based method as an intervention to prevent depressive symptoms in older people. Journal of Clinical Nursing, 25(7-8), 992-1000
Open this publication in new window or tab >>Group discussions with structured reminiscence and a problem-based method as an intervention to prevent depressive symptoms in older people
2016 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 7-8, p. 992-1000Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: To evaluate the effect of group discussions, in which structured reminiscence and a problem-based method were used, on depressive symptoms, quality of life and self-rated health among older people. Background: Depressive symptoms in older people have a considerable impact on self-rated health and quality of life, with a high rate of co-morbidity and mortality. As the ageing population is growing, late-life depression is becoming an important public health problem and there is a need to find preventive interventions to avert unnecessary suffering. Design: The study was quasi-experimental, with a one-group pretest-post-test design and follow-up after one year. Methods: Initially, a questionnaire was sent to the total population of 55-80-year-old retirees in a community in the northeast of Sweden, (n=679). The questionnaire concerned demographics and covered areas such as health, depression and quality of life. The intervention consisted of group discussions where structured reminiscence and a problem-based method were used. The participants (n=18) met 10 times under the guidance of a group-leader, a registered nurse educated in the method. Each session had different themes with a focus on positive memories but also on the present situation and the future. Parametric, nonparametric tests and content analysis were used.Results: Participants evaluated the intervention positively, showed a decrease in depressive symptoms, an increase in self-rated health and experienced an increased autonomy. No long- lasting effect was seen. Conclusion: Group discussions where structured reminiscence and a problem-based method are used might be an option to prevent depressive symptoms in older people. Relevance to clinical practice: This method might provide an opportunity for older people with depressive symptoms to improve their quality of life, however, to maintain the positive outcome the intervention should probably be continuous.

Keywords
Depression, Older people, Prevention, Problem based method, Reminiscence
National Category
Nursing
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-50717 (URN)10.1111/jocn.13110 (DOI)000372928900011 ()26813881 (PubMedID)2-s2.0-84961233980 (Scopus ID)
External cooperation:
Available from: 2016-03-15 Created: 2016-03-15 Last updated: 2017-11-30Bibliographically approved
Petersson, C., Peterson, U., Swahnberg, K. & Oscarsson, M. (2016). Health and sexual behavior among exchange students. Scandinavian Journal of Public Health, 44(7), 671-677
Open this publication in new window or tab >>Health and sexual behavior among exchange students
2016 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 44, no 7, p. 671-677Article in journal (Refereed) Published
Abstract [en]

Aim: The objective was to describe the exchange students’ health and sexual behaviour associated with their exchange studies, and examine the extent to which they had received preventive efforts against human immunodeficiency virus (HIV)/sexually transmitted infection (STI) and safer sex before departure. 

Methods: A cross-sectional study was conducted based on a web survey with questions about sexual behaviour, self-esteem and psychological well-being. Data were analysed using descriptive and analytical statistics. 

Results: A total of 136 outgoing exchange students from a Swedish University participated. Most of the exchange students rated their health as good, had psychological well-being and rated their self-esteem as being high. Approximately half of the exchange students had sex with a new partner during the exchange semester, and 87% of them had sexually risky behaviour. More than half (61%) of the exchange students had received preventive efforts before departure. No statistically significant difference regarding preventive information was found between those who reported sexually risky behaviour and those who did not. The group that had sexually risky behaviour desired free condoms and access to clinics for sexual health. 

Conclusions: Exchange students rated their health as good, and the majority of them participated in information sessions that addressed preventive efforts on HIV/STI and safer sex before departure. Sexually risky behaviour during exchange studies was reported and highlights the need for more effective preventive measures; for example, a recollection of reading STI information.

Place, publisher, year, edition, pages
Sage Publications, 2016
Keywords
Exchange students, Health, Sexually risky behaviour, Preventive information
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-58633 (URN)10.1177/1403494816665753 (DOI)000419072900007 ()2-s2.0-85006356918 (Scopus ID)
Available from: 2016-12-05 Created: 2016-12-05 Last updated: 2019-08-29Bibliographically approved
Djukanovic, I., Carlsson, J. & Peterson, U. (2016). Reminiscence and problem-based method as an intervention to prevent depressive symptoms in elderly. Journal of Advanced Nursing, 72, 67-68
Open this publication in new window or tab >>Reminiscence and problem-based method as an intervention to prevent depressive symptoms in elderly
2016 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, p. 67-68Article in journal, Meeting abstract (Other academic) Published
National Category
Nursing
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-58205 (URN)000386081200211 ()
Available from: 2016-11-18 Created: 2016-11-18 Last updated: 2017-11-29Bibliographically approved
Djukanovic, I., Sorjonen, K. & Peterson, U. (2015). Association between depressive symptoms and age, sex, loneliness and treatment among older people in Sweden. Aging & Mental Health, 19(6), 560-568
Open this publication in new window or tab >>Association between depressive symptoms and age, sex, loneliness and treatment among older people in Sweden
2015 (English)In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 19, no 6, p. 560-568Article in journal (Refereed) Published
Abstract [en]

Objectives: The objective of this study was to examine the prevalence of and the association between depressive symptoms and loneliness in relation to age and sex among older people (65–80 years) and to investigate to what extent those who report depressive symptoms had visited a health care professional and/or used antidepressant medication.

Method: A cross-sectional study was conducted in a Swedish sample randomized from the total population in the age group 65–80 years (n = 6659). Chi square tests and logistic regression analyses were conducted.

Results: The data showed that 9.8% (n = 653) reported depressive symptoms and 27.5% reported feelings of loneliness. More men than women reported depressive symptoms, and the largest proportion was found among men in the age group 75–80 years. An association between the odds to have a depressive disorder and loneliness was found which, however, decreased with increasing age. Of those with depressive symptoms a low proportion had visited a psychologist (2.9%) or a welfare officer (4.2%), and one in four reported that they use antidepressant medication. Of those who reported depressive symptoms, 29% considered that they had needed medical care during the last three months but had refrained from seeking, and the most common reason for that was negative experience from previous visits.

Conclusion: Contrary to findings in most of the studies, depressive symptoms were not more prevalent among women. The result highlights the importance of detecting depressive symptoms and loneliness in older people and to offer adequate treatment in order to increase their well-being.

Place, publisher, year, edition, pages
Taylor & Francis, 2015
National Category
Geriatrics
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-37742 (URN)10.1080/13607863.2014.962001 (DOI)000350667500003 ()2-s2.0-84924600756 (Scopus ID)
Available from: 2014-10-20 Created: 2014-10-20 Last updated: 2017-12-05Bibliographically approved
Holmberg, K., Peterson, U. & Oscarsson, M. (2014). A two-decade perspective on mothers’ experiences and feelings related to breastfeeding initiation in Sweden. Sexual & Reproductive HealthCare, 5(3), 125-130
Open this publication in new window or tab >>A two-decade perspective on mothers’ experiences and feelings related to breastfeeding initiation in Sweden
2014 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 5, no 3, p. 125-130Article in journal (Refereed) Published
Abstract [en]

Objective

The purpose was to examine mothers’ experiences and feelings related to breastfeeding initiation from a two-decade perspective.

Methods

A repeated cross-sectional survey was conducted at a maternity ward before and after introduction of Baby Friendly Hospital Initiative (BFHI) and in a follow-up survey. Women participated in 1992 (n = 83), 1993 (n = 74) and 2011 (n = 94).

Results

The duration of time at the first suckling differed; in 2011, the baby sucked 24.4 minutes compared to 12.7 minutes in 1992 (p < .001) and 13.6 minutes in 1993 (p < .001). In 1992, 34.6% of the women reported using supplementary formula compared with 5.9% in 1993 and 9.3% in 2011 (p < .001). The mothers’ contacts with the child or the father as well as their moods did not vary during the years. Mothers rated their feelings towards breastfeeding as being lower in 2011 than in 1992 and 1993 (p = .008). In 2011, mothers experienced breastfeeding as being more difficult and reported a higher degree of tension, insecurity and anxiety.

Conclusions

Supplementation was given to healthy newborn infants, which does not conform to BFHIs intentions. Routines and support in relation to breastfeeding initiation need to be continuously evaluated in order to strengthen and sustain the BFHI.

Place, publisher, year, edition, pages
Elsevier, 2014
Keywords
Breastfeeding; Initiation; Mothers’ experiences; Baby Friendly Hospital Initiative
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-34225 (URN)10.1016/j.srhc.2014.04.001 (DOI)000342889200007 ()2-s2.0-84908207504 (Scopus ID)
Available from: 2014-05-19 Created: 2014-05-19 Last updated: 2017-12-05Bibliographically approved
Besèr, A., Sorjonen, K., Wahlberg, K., Peterson, U., Nygren, Å. & Åsberg, M. (2014). Construction and evaluation of a self rating scale for stress-induced exhaustion disorder, the Karolinska Exhaustion Disorder Scale. Scandinavian Journal of Psychology, 55(1), 72-82
Open this publication in new window or tab >>Construction and evaluation of a self rating scale for stress-induced exhaustion disorder, the Karolinska Exhaustion Disorder Scale
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2014 (English)In: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 55, no 1, p. 72-82Article in journal (Refereed) Published
Abstract [en]

Prolonged stress (≥ six months) may cause a condition which has been named exhaustion disorder (ED) with ICD-10 code F43.8. ED is characterised by exhaustion, cognitive problems, poor sleep and reduced tolerance to further stress. ED can cause long term disability and depressive symptoms may develop. The aim was to construct and evaluate a self-rating scale, the Karolinska Exhaustion Disorder Scale (KEDS), for the assessment of ED symptoms. A second aim was to examine the relationship between self-rated symptoms of ED, depression, and anxiety using KEDS and the Hospital Anxiety and Depression Scale (HAD). Items were selected based on their correspondence to criteria for ED as formulated by the Swedish National Board of Health and Welfare (NBHW), with seven response alternatives in a Likert-format. Self-ratings performed by 317 clinically assessed participants were used to analyse the scale's psychometric properties. KEDS consists of nine items with a scale range of 0-54. Receiver operating characteristics analysis demonstrated that a cut-off score of 19 was accompanied by high sensitivity and specificity (each above 95%) in the discrimination between healthy subjects and patients with ED. Reliability was satisfactory and confirmatory factor analysis revealed that ED, depression and anxiety are best regarded as different phenomena. KEDS may be a useful tool in the assessment of symptoms of Exhaustion Disorder in clinical as well as research settings. There is evidence that the symptom clusters of ED, anxiety and depression, respectively, reflect three different underlying dimensions.

Keywords
Stress, Cognitive problems, Exhaustion disorder, KEDS, Screening, Burnout
National Category
Health Sciences
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-37687 (URN)10.1111/sjop.12088 (DOI)24236500 (PubMedID)
Available from: 2014-10-16 Created: 2014-10-16 Last updated: 2017-12-05Bibliographically approved
Peterson, U. & Åsberg, M. (2014). Depression hos äldre: går det att förebygga? (1ed.). In: Susanne Rolfner Suvanto (Ed.), Äldres psykiska hälsa och ohälsa: prevention, förhållningssätt och arbetsmetoder (pp. 212-223). Stockholm: Gothia Förlag AB
Open this publication in new window or tab >>Depression hos äldre: går det att förebygga?
2014 (Swedish)In: Äldres psykiska hälsa och ohälsa: prevention, förhållningssätt och arbetsmetoder / [ed] Susanne Rolfner Suvanto, Stockholm: Gothia Förlag AB, 2014, 1, p. 212-223Chapter in book (Other academic)
Place, publisher, year, edition, pages
Stockholm: Gothia Förlag AB, 2014 Edition: 1
National Category
Psychiatry
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-37699 (URN)978-91-7205-855-2 (ISBN)
Available from: 2014-10-16 Created: 2014-10-16 Last updated: 2016-11-22Bibliographically approved
Peterson, U., Bergström, G., Demerouti, E., Gustavsson, P., Åsberg, M. & Nygren, Å. (2011). Burnout levels and self-rated health prospectively predict future long-term sickness absence: a study among female health professionals.. Journal of Occupational and Environmental Medicine, 53(7), 788-793
Open this publication in new window or tab >>Burnout levels and self-rated health prospectively predict future long-term sickness absence: a study among female health professionals.
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2011 (English)In: Journal of Occupational and Environmental Medicine, ISSN 1076-2752, E-ISSN 1536-5948, Vol. 53, no 7, p. 788-793Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: This study investigates the predictive validity of the Oldenburg Burnout Inventory (OLBI), and of three health indicators (depression, anxiety, and self-rated health), for long-term sickness absence (LTSA).

METHODS: Questionnaires were sent to all employees in a Swedish County Council (N = 6118), and the overall response rate was 65% (N = 3976). As 82% were women, only women were included in the study. Certified LTSA data were collected.

RESULTS: Logistic regression analyses showed that high scores on exhaustion, depression, and poor self-rated health increased the risk of future LTSA (≥90 days). Support for the proposed two-factorial structure of the OLBI was found, including the dimensions of exhaustion and disengagement from work.

CONCLUSION: Using burnout measures might be useful to identify those at risk for LTSA, and to enable preventive solutions in organizations.

National Category
Medical and Health Sciences
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-37689 (URN)10.1097/JOM.0b013e318222b1dc (DOI)21691218 (PubMedID)2-s2.0-79960834325 (Scopus ID)
Note

The authors thank the County Council of Kalmar and the Afa insurance company for financial support.

Available from: 2014-10-16 Created: 2014-10-16 Last updated: 2017-12-05Bibliographically approved
Peterson, U. (2011). Gruppsamtal på arbetsplatsen kan motverka utbrändhet. Läkartidningen, 108(36), 1700-1702
Open this publication in new window or tab >>Gruppsamtal på arbetsplatsen kan motverka utbrändhet
2011 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 108, no 36, p. 1700-1702Article in journal (Refereed) Published
Abstract [sv]

Anpassningsstörning och reaktion på svår stress är den näst vanligaste diagnosen vid pågående sjukskrivning.

Deltagare i en reflekterande kollegial samtalsgrupp upplevde bättre hälsa, lägre grad av utmattning och mer delaktighet i arbetet än en kontrollgrupp.

Reflekterande kollegiala samtalsgrupper med ett strukturerat arbetssätt kan vara en förhållandevis billig intervention för att förebygga/förhindra utveckling av stress och utmattning.

National Category
Medical and Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Health and Caring Sciences
Identifiers
urn:nbn:se:lnu:diva-37688 (URN)22032014 (PubMedID)
Available from: 2014-10-16 Created: 2014-10-16 Last updated: 2017-12-05Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-3790-1393

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