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Stenström, Ulf
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Publications (10 of 22) Show all publications
Bratt, A. S., Stenström, U. & Rennemark, M. (2018). Exploring the Most Important Negative Life Events in Older Adults Bereaved of Child, Spouse, or Both. Omega, 76(3), 227-236
Open this publication in new window or tab >>Exploring the Most Important Negative Life Events in Older Adults Bereaved of Child, Spouse, or Both
2018 (English)In: Omega, ISSN 0030-2228, E-ISSN 1541-3764, Vol. 76, no 3, p. 227-236Article in journal (Refereed) Published
Abstract [en]

Losing a child or a spouse is described as the worst of experiences. However, it is not known whether older adults bereaved of a child, spouse, or both child and spouse experience these losses as among the most important negative events in their life- time. The aim of this study was to investigate whether the 1,437 older adults bereaved of a child, spouse, or both included in the southern part of the Swedish National Study of Aging and Care mentioned these losses when asked about their three most important negative life events. Gender differences in their choices of important negative life events were also explored. About 70% of those bereaved of a child or a spouse mentioned these losses as among their three most important negative life experiences. In the child-and-spouse-bereaved group, 48% mentioned both the loss of their child and spouse, while 40% mentioned either the loss of a child or a spouse. Gender differences were only found in the child-and-spouse-bereaved group, with a few more women mentioning the loss of the child but not the spouse, and the men showing the opposite pattern. 

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
negative life events, child and spouse loss, bereavement, older adults
National Category
Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-52677 (URN)10.1177/0030222816642453 (DOI)000418863000002 ()
Available from: 2016-05-26 Created: 2016-05-26 Last updated: 2018-01-12Bibliographically approved
Johansson, M., Svensson, I., Stenström, U. & Massoudi, P. (2017). Depressive Symptoms and Parental Stress in Mothers and Fathers 25 Months after birth. Journal of Child Health Care, 21(1), 65-73
Open this publication in new window or tab >>Depressive Symptoms and Parental Stress in Mothers and Fathers 25 Months after birth
2017 (English)In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 21, no 1, p. 65-73Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to determine the prevalence of depressive symptoms, feelings of incompetence and spouse relationship problems and their mutual relations. Data from a Swedish parent–infant population-based cohort 25 months after childbirth was used. A questionnaire containing Edinburgh Postnatal Depression Scale (EPDS) and a modified Swedish Parental Stress Questionnaire (SPSQ) regarding depression and parental stress was answered by 646 fathers and 700 mothers. Parents with depressive symptoms experienced more feelings of incompetence and spouse relationship problems than parents without depressive symptoms. The prevalence of depressive symptoms (EPDS 􏰀 12) was more than11% for mothers and nearly 5% for fathers in the sample, 25 months after childbirth. The result indicated that feelings of incompetence and spouse relationship problems could be important constructs for understanding parental stress and depressive symptoms in the parents of young children. In conclusion, it is important that Child Health Care is attentive to both mothers’ and fathers’ depressive symptoms and parental stress after the first year.

Place, publisher, year, edition, pages
Sage Publications, 2017
Keywords
Depressive symptoms, parent–child relationship, parent–spouse, parental stress
National Category
Applied Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-59549 (URN)10.1177/1367493516679015 (DOI)000397413600008 ()
Available from: 2016-12-29 Created: 2016-12-29 Last updated: 2018-02-06Bibliographically approved
Bratt, A. S., Stenström, U. & Rennemark, M. (2017). Effects on life satisfaction of older adults after child and spouse bereavement. Aging & Mental Health, 21(6), 602-608
Open this publication in new window or tab >>Effects on life satisfaction of older adults after child and spouse bereavement
2017 (English)In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 21, no 6, p. 602-608Article in journal (Refereed) Published
Abstract [en]

Background: Few studies have compared the impact of different familial losses on life satisfaction (LS). Furthermore, there is a lack of research on the effect of having lost both a child and a spouse among older adults. Sample: A random sample of 1402 individuals, 817 women and 585 men, aged 60–96 years from the Blekinge part of the Swedish National Study of Aging and Care (SNAC-B) participated in this cross-sectional study. Aims: The first aim was to compare the effects of child or spouse or both child and spouse bereavement on LS and, the second aim, to investigate if there were gender differences within the bereaved groups. Results: The results showed that having lost a child, spouse or both child and spouse had a negative association with LS, although this effect was small. Having experienced multiple losses did not predict more variance than a single child or spouse loss. Gender differences were found within all the bereaved groups with bereaved men having lower LS than bereaved women. Longer time since the loss was associated with higher LS. Conclusions: Bereaved older adults have somewhat lower LS than non-bereaved and bereaved men seem more affected than bereaved women. Future research needs to address older men´s experiences after the loss of a loved one.

Place, publisher, year, edition, pages
Routledge, 2017
Keywords
Child and spouse bereavement, life satisfaction, older age
National Category
Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-51482 (URN)10.1080/13607863.2015.1135874 (DOI)000400171200004 ()26768164 (PubMedID)
Available from: 2016-03-28 Created: 2016-03-28 Last updated: 2017-05-24Bibliographically approved
Bratt, A. S., Stenström, U. & Rennemark, M. (2016). The Role of Neuroticism and Conscientiousness on Mortality Risk in Older Adults After Child and Spouse Bereavement. Aging & Mental Health, 20(6), 559-566
Open this publication in new window or tab >>The Role of Neuroticism and Conscientiousness on Mortality Risk in Older Adults After Child and Spouse Bereavement
2016 (English)In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 20, no 6, p. 559-566Article in journal (Refereed) Published
Abstract [en]

Objective: Bereavement effects on mortality risk were investigated in 1150 randomly selected participants, aged 60-104, in the Swedish National Study of Aging and Care.

Method: Cox proportional hazards models, controlling for age, gender, functional ability, the personality traits neuroticism and conscientiousness as well as time since the latest loss were used to predict mortality risk.

Results: Having lost a child, spouse or both child and spouse did not predict mortality risk. An indirect link between bereavement and mortality was found showing for each year since loss the mortality risk decreased by about 1%. Neuroticism, but not conscientiousness, was associated with mortality risk, with a small-effect size.

Conclusions: The different bereavements did not predict mortality risk while an indirect link was found showing that mortality risk decreased with time.

Place, publisher, year, edition, pages
Routledge, 2016
Keywords
loss/bereavement/life events, mortality risk, personality
National Category
Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-42899 (URN)10.1080/13607863.2015.1031638 (DOI)000372119100001 ()25856539 (PubMedID)2-s2.0-84961212316 (Scopus ID)
External cooperation:
Available from: 2015-04-28 Created: 2015-04-28 Last updated: 2017-12-04Bibliographically approved
Skoog, P. & Stenström, U. (2012). Självundersökning med hjälp av video bra för melanompatienter. Läkartidningen, 109(22), 1094-1095
Open this publication in new window or tab >>Självundersökning med hjälp av video bra för melanompatienter
2012 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 109, no 22, p. 1094-1095Article in journal (Refereed) Published
Abstract [sv]

Självundersökning efter operation för malignt melanom kan reducera mortaliteten.

44 patienter, varav hälften förutom muntlig information fick en video om självundersökning efter malignt melanom, kontrollerades sex månader efter operation avseende kunskap om hur en korrekt självundersökning ska utföras. De fick även skatta sitt välbefinnande före och efter operation.

Resultatet visade att de som erhöll videon hade bättre resultat vid kunskapskontrollen och förbättrade sitt välbefinnande jämfört med dem som erhöll endast muntlig information.

Videon tycks vara ett verktyg i vården av dessa patienter som bidrar till att minska återbesöken och frigöra tid för nybesök.

National Category
Nursing Cancer and Oncology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-21267 (URN)
Available from: 2012-08-23 Created: 2012-08-23 Last updated: 2017-12-07Bibliographically approved
Lindmark, U., Stenström, U., Gerdin, E. W. & Hugoson, A. (2010). The distribution of ‘‘sense of coherence’’ among Swedish adults: A quantitative cross-sectional population study. Scandinavian Journal of Public Health, 38(1), 1-8
Open this publication in new window or tab >>The distribution of ‘‘sense of coherence’’ among Swedish adults: A quantitative cross-sectional population study
2010 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 38, no 1, p. 1-8Article in journal (Refereed) Published
Abstract [en]

Background: Antonovsky’s concept of ‘‘sense of coherence’’ (SOC) has been shown to be related to health. The aim of this study was to describe the distribution of SOC scores and their components in an adult Swedish population aged 20—80 years. Methods: A random sample of 910 individuals from Jönköping, Sweden, aged 20, 30, 40, 50, 60, 70 and 80 years, of which 589 agreed to participate in an oral health examination. The participants answered Antonovsky’s 13-item version of ‘‘the life orientation questionnaire scale’’. The response to the items and the distribution of the three components of comprehensibility, manageability and meaningfulness were analyzed for different age groups and genders using mean values and standard deviations, Student’s t-test and ANOVA. Results: A total of 526 individuals, 263 men and 263 women, answered all 13 questions and constituted the final material for the study (response rate 89%). The individual SOC score increased with age. The 20 year olds had a statistically significantly lower SOC score compared with the other age groups and 55% of them had a low SOC (≤66 points) compared with 17% of the 80 year olds. Men in the 60 and 70 year age groups had a statistically significantly higher SOC score compared with women of the same age. Conclusions: The individual distribution of SOC varied with age and gender. Twenty year olds had a significantly lower SOC score compared with elderly age groups. Elderly men had a statistically significantly higher SOC score compared with women of the same age.

National Category
Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:vxu:diva-6432 (URN)10.1177/1403494809351654 (DOI)
Available from: 2009-12-17 Created: 2009-12-17 Last updated: 2017-12-12Bibliographically approved
Stenström, U., Einarson, S., Jacobsson, B., Lindmark, U., Wenander, A. & Hugoson, A. (2009). The Importance of Psychological Factors in the Maintenance of Oral Health: A Study of Swedish University Students. Oral Health & Preventive Dentistry, 7(3), 225-233
Open this publication in new window or tab >>The Importance of Psychological Factors in the Maintenance of Oral Health: A Study of Swedish University Students
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2009 (English)In: Oral Health & Preventive Dentistry, ISSN 1602-1622, E-ISSN 1757-9996, Vol. 7, no 3, p. 225-233Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim of this study was to investigate the predictive value of the traditional multidimensional health locus of control (MHLC) scale, a corresponding dental health locus of control (DHLC) scale and dental health values (DHVs) regarding students' dental health before and after a video programme that presented information about dental diseases and instructions on oral hygiene. Materials and Methods: A group of 217 university students participated in this study Before the video programme was presented, assessments were made of MHLC, DHLC and DHVs Plaque and gingival indices were obtained in a clinical examination conducted before (plaque index [PLI] 1 and gingival index [GI] 1) and 10 weeks after (PLI 2 and GI 2) the presentation of the programme. Results: The percentage of tooth surfaces exhibiting plaque and of sites involving gingivitis decreased and was statistically significant between baseline and re-examination for both males and females. The females exhibited statistically significant better PLI 1 and GI 1 values and stronger DHVs than males Also, better GI 1 values were found to be statistically significant and related to stronger DHVs for females. A stronger trust in the dental health personnel regarding the dental health was related to more gingivitis at the initial examination (GI 1). For males, stronger internal DHLC was related to more plaque at the final examination (PLI 2). Conclusion: The only psychological scales that showed some relationship to the measures of dental health were DHLC and DHVs Gender was the strongest related variable to dental health.

National Category
Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:vxu:diva-6433 (URN)000280926000003 ()
Available from: 2009-12-17 Created: 2009-12-17 Last updated: 2017-12-12Bibliographically approved
Rolander, B., Stenström, U. & Jonker, D. (2008). Relationships between psychosocialwork environmental factors, personality, physical work demands and workload in a group of Swedish dentists. Swedish Dental Journal, 32(4), 197-203
Open this publication in new window or tab >>Relationships between psychosocialwork environmental factors, personality, physical work demands and workload in a group of Swedish dentists
2008 (English)In: Swedish Dental Journal, ISSN 0347-9994, Swedish Dental Journal, Vol. 32, no 4, p. 197-203Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to investigate, in a group of 77 Swedish dentists (36 males, 41 females) working in dental clinics, possible effects of psychosocial work environmental factors, personality traits, and social desirability tendencies on their reporting of their workload and of the physical demands placed on them.

Participants were given questionnaires for assessing their workload, the physical and psychosocial demands of their job, their social support at work, and their control over their work situation, using a 10-cm visual analogue scale (V.A.S.). The Eysenck Personality Questionnaire (EPQ) was also given to assess neuroticism and extraversion and the Marlowe-Crown SD-scale to measure tendencies to answer questions in a socially desirable manner.

As in two earlier studies of ours, very high assessments were made of workload, physical work demands and social support. Higher assessments of workload and of physical work demands were found in those assessing the psychosocial work demands placed on them to be higher. Those assessing the work load of their job as higher also considered themselves to have less control over their work situation and were less extraverted.

Despite these dentists perceiving themselves as being faced with a stressful work situation involving a high workload, strong physical and psychosocial demands being placed on them and their having a low degree of control over their work situation, the high degree of social support they experienced may have made their work situation less stressful.

Keywords
Workload, Physical demands, psychosocial work factors, personality, dentists
National Category
Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:vxu:diva-4199 (URN)
Available from: 2009-01-19 Created: 2009-01-19 Last updated: 2017-12-13Bibliographically approved
Stenström, U. (2007). Hälsopsykologi: psykologiska aspekter på häls och sjukdom. Bonnier utbildning
Open this publication in new window or tab >>Hälsopsykologi: psykologiska aspekter på häls och sjukdom
2007 (Swedish)Book (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Bonnier utbildning, 2007. p. 240
National Category
Applied Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:vxu:diva-2712 (URN)
Available from: 2007-12-05 Created: 2007-12-05 Last updated: 2010-03-09Bibliographically approved
Stenström, U., Nilsson, A.-K., Stridh, C., Nijm, J., Nyrinder, I., Jonsson, A., . . . Jonasson, L. (2005). Denial in patients with a first-time myocardial infarction: relations to pre-hospital delay and attendance to a cardiac rehabilitation programme.. European Journal of Cardiovascular Prevention & Rehabilitation, 12(6), 568-71
Open this publication in new window or tab >>Denial in patients with a first-time myocardial infarction: relations to pre-hospital delay and attendance to a cardiac rehabilitation programme.
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2005 (English)In: European Journal of Cardiovascular Prevention & Rehabilitation, ISSN 1741-8267, E-ISSN 1741-8275, Vol. 12, no 6, p. 568-71Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Survival of a myocardial infarction and subsequent prognosis are highly dependent on the time between onset of symptoms and medical intervention.

DESIGN: This cross-sectional study examines whether patients who used the psychological defence mechanism of denial when faced with symptoms of a first-time myocardial infarction tended to also show a prolonged delay in going to the hospital and to be less willing to participate in a cardiac rehabilitation programme.

METHODS: One hundred and seven patients, 78 men and 29 women, were enrolled in this study. The sample was divided into two groups depending on whether the patients sought medical help within 4 h after they began experiencing myocardial infarction symptoms (non-delayers) or whether they waited longer (delayers). Denial was measured with the Hackett and Cassem semi-structured interview 3-5 days after the patients entered the hospital. Data on participation (attenders) or not (non-attenders) in the rehabilitation programme was also obtained.

RESULTS: Forty-nine patients exhibited a prolonged delay and 76 patients did not attend the rehabilitation programme. Both prolonged delay and a lesser readiness to attend the rehabilitation programme that was offered were related to a greater use of denial. In addition, the great majority of the patients categorized as being high deniers were found to also be both delayers and non-attenders.

CONCLUSIONS: The results suggest denial to increase the health risks of persons potentially prone to myocardial infarction. If our knowledge about this psychological defence mechanism is increased, we might be able to reach more patients in alternative and individually based cardiac rehabilitation programmes.

National Category
Medical and Health Sciences
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-15359 (URN)16319547 (PubMedID)
Available from: 2011-10-31 Created: 2011-10-31 Last updated: 2017-12-08Bibliographically approved
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