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Fridell, Mats
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Publications (10 of 82) Show all publications
Pernebo, K., Fridell, M. & Almqvist, K. (2019). Reduced psychiatric symptoms at 6 and 12 months' follow-up of psychotherapeutic and psychoeducative group interventions for children exposed to intimate partner violence. Child Abuse & Neglect, 93, 228-238
Open this publication in new window or tab >>Reduced psychiatric symptoms at 6 and 12 months' follow-up of psychotherapeutic and psychoeducative group interventions for children exposed to intimate partner violence
2019 (English)In: Child Abuse & Neglect, ISSN 0145-2134, Vol. 93, p. 228-238Article in journal (Refereed) Published
Abstract [en]

Background: Long-term follow-up studies of interventions for children exposed to intimatepartner violence are few, and the sustainability of their outcomes often remains unexplored anduncertain. Current research including follow-up assessment suggests that treatment gains may bemaintained or continue post termination. In addition some children may show increased levels ofsymptoms.

Objective: The present effectiveness study investigated the long-term outcomes of two establishedgroup interventions for children exposed to intimate partner violence and their non-offendingparent.

Participants and Setting: The study included 50 children, 24 girls and 26 boys, aged 4 to 13 yearsattending a psychotherapeutic child and adolescent mental health service intervention and apsychoeducative community-based intervention.

Methods: Background information, child and parental mental health problems, trauma symptoms,and exposure to violence were assessed pre- and post treatment and at 6 and 12 months’follow-up.

Results: Sustained treatment gains and late improvements in children’s internalizing and externalizingsymptoms and in symptoms of traumatic stress were recorded from post treatment tothe follow-up assessments (p = .004– .044; d = 0.29–0.67). No significant increase in symptomswas reported. Additionally, very little continued or renewed child exposure to violence was reported.

Conclusions: The results of the study indicate that the children did benefit from the two interventionsstudied and that the outcomes of reduced child symptoms and protection from exposureto violence were sustainable. Children with severe trauma symptoms benefited the most, thoughmaternal psychological problems may for some have hindered recovery. Clinical implications arediscussed.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Children, Intimate partner violence, Post-traumatic stress, Treatment, Group intervention, Follow-up
National Category
Applied Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-82637 (URN)10.1016/j.chiabu.2019.05.002 (DOI)000473123300023 ()31125853 (PubMedID)2-s2.0-85065829855 (Scopus ID)
Available from: 2019-05-21 Created: 2019-05-21 Last updated: 2019-08-29Bibliographically approved
Billsten, J., Fridell, M., Holmberg, R. & Ivarsson, A. (2018). Organizational Readiness for Change (ORC) test used in the implementation of assessment instruments and treatment methods in a Swedish National study. Journal of Substance Abuse Treatment, 84, 9-16
Open this publication in new window or tab >>Organizational Readiness for Change (ORC) test used in the implementation of assessment instruments and treatment methods in a Swedish National study
2018 (English)In: Journal of Substance Abuse Treatment, ISSN 0740-5472, E-ISSN 1873-6483, Vol. 84, p. 9-16Article in journal (Refereed) Published
Abstract [en]

Organizational climate and related factors are associated with outcome and are as such of vital interest for healthcare organizations. Organizational Readiness for Change (ORC) is the questionnaire used in the present study to assess the influence of organizational factors on implementation success. The respondents were employed in one of 203 Swedish municipalities within social work and psychiatric substance/abuse treatment services. They took part in a nationwide implementation project organized by the Swedish Association of Local Authorities and Regions (SALAR), commissioned by the Swedish National Board of Health and Welfare. Aim: The aims were: (a) to identify classes (dusters) of employees with different ORC profiles on the basis of data collected in 2011 and (b) to investigate ORC profiles which predicted the use of assessment instruments, therapy methods and collaborative activities in 2011 and 2013. Design and recruitment: The evaluation study applied a naturalistic design with registration of outcome at consecutive assessments. The participants were contacted via official e-mail addresses in their respective healthcare units and were encouraged by their officials to participate on a voluntary basis. Statistics: Descriptive statistics were obtained using SPSS version 23. A latent profile analysis (LPA) using Mplus 73 was performed with a robust maximum likelihood estimator (MLR) to identify subgroups (clusters) based on the 18 ORC indexes. Results: A total of 2402 employees responded to the survey, of whom 1794 (74.7%) completed the ORC scores. Descriptive analysis indicated that the respondents were a homogenous group of employees, where women (72.0%) formed the majority. Cronbach's alpha for the 18 ORC indexes ranged from alpha = 0.67 to alpha = 0.78. A principal component analysis yielded a four -factor solution explaining 62% of the variance in total ORC scores. The factors were: motivational readiness (alpha = 0.64), institutional resources (alpha = 0.52), staff attributes (alpha = 0.76), and organizational climate (alpha = 0.74). An LPA analysis of the four factors with their three distinct profiles provided the best data fit: Profile 3 (n = 614), Profile 2 (n = 934), and Profile 1 (n = 246). Respondents with the most favorable ORC scores (Profile 3) used significantly more instruments and more treatment methods and had a better collaborating network in 2011 as well as in 2013 compared to members in Profile 1, the least successful profile. Conclusion: In a large sample of social work and healthcare professionals, ORC scores reflecting higher institutional resources, staff attributes and organizational climate and lower motivational readiness for change were associated with a successful implementation of good practice guidelines for the care and treatment of substance users in Sweden. Low motivational readiness as a construct may indicate satisfaction with the present situation. As ORC proved to be an indicator of successful dissemination of evidence-based guidelines into routine and specialist healthcare, it can be used to tailor interventions to individual employees or services and to improve the dissemination of and compliance with guidelines for the treatment of substance users. (C) 2017 Elsevier Inc. All rights reserved.

Place, publisher, year, edition, pages
Pergamon Press, 2018
National Category
Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-69764 (URN)10.1016/j.jsat.2017.10.004 (DOI)000417772900002 ()29195597 (PubMedID)2-s2.0-85031804455 (Scopus ID)
Available from: 2018-01-12 Created: 2018-01-12 Last updated: 2021-02-03Bibliographically approved
Pernebo, K., Fridell, M. & Almqvist, K. (2018). Outcomes of group interventions for children exposed to intimate partner violence, 6- and 12-months follow-up of an effectiveness study. In: : . Paper presented at The 10th Nordic Conference on Child Abuse and Neglect, Tórshavn, Faraoe Islands. 19-21 Aug, 2018..
Open this publication in new window or tab >>Outcomes of group interventions for children exposed to intimate partner violence, 6- and 12-months follow-up of an effectiveness study
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Abstract

Introduction: Intimate partner violence is a global public health problem. Many children worldwide are living with a mother who is a victim of intimate partner violence, a situation associated with a serious risk of short- as well as long-term consequences to children’s health and development.

There is a need for effective interventions for children exposed to intimate partner violence. Existing interventions in Sweden have shown positive but insufficient outcomes. Extended knowledge on lasting outcomes, aiming at improving established interventions is needed.

Method: The current study is an effectiveness study investigating the outcomes of two established group interventions for children exposed to intimate partner violence and their non-offending parent. The study included 50 children, 24 girls and 26 boys, aged 4-13 years. Background information, child and parental mental health problems and trauma symptoms were assessed pre- and post-treatment, as well as 6 and 12 months post treatment.

Results: The results indicate that children benefit from the group interventions, although post intervention a majority of mothers still reported symptoms in their children at clinical levels. Late improvements were registered at the follow-up assessments. The findings indicate that mothers benefit from these primarily child-oriented interventions, showing considerable and lasting reduction of symptoms.

Discussion: Currently data from the 6- and 12-months follow-up assessments are being analyzed. Preliminary results include paths of continuous symptoms reduction for children and mothers. Possible associations between child and maternal levels of symptoms, as well as methodological and clinical implications will be discussed.

National Category
Applied Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-81823 (URN)
Conference
The 10th Nordic Conference on Child Abuse and Neglect, Tórshavn, Faraoe Islands. 19-21 Aug, 2018.
Available from: 2019-04-10 Created: 2019-04-10 Last updated: 2019-04-12Bibliographically approved
Pernebo, K., Fridell, M. & Almqvist, K. (2017). Outcomes of a psychotherapeutic and a psychoeducative group intervention for children exposed to intimate partner violence. In: : . Paper presented at ESTSS 2017 – XV Conference of the European Society for Traumatic Stress Studies, Odense Denmark 31/5 – 4/6 2017.
Open this publication in new window or tab >>Outcomes of a psychotherapeutic and a psychoeducative group intervention for children exposed to intimate partner violence
2017 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Introduction: Experience of violence towards a caregiver during childhood is associated with a risk of negative impact

on children’s health and development, and there is a need for effective interventions in clinical as well as in community

settings. Research has shown that existing interventions in Sweden for children with experience of violence towards a

caregiver are associated with positive but insufficient outcomes. In addition to implementation of new evidence based

interventions expanded knowledge is needed on outcomes of established interventions aiming at identifying possible

needs for improvement.

Method: The current study is an effectiveness study aiming at investigating the outcomes of two established group

interventions for children exposed to intimate partner violence and their non-offending parent, one community based

psychoeducative intervention and one psychotherapeutic treatment intervention. The study included 50 children, 24

girls and 26 boys, aged 4-13 years. Background information, child and parental mental health problems and trauma

symptoms was assessed pre- and post-treatment as well as 6 and 12 months post treatment.

Results: The results indicate that children benefit from both interventions, yet mothers of a majority of the children still

reported child trauma symptoms at clinical levels post treatment. Preliminary results from the follow up assessments will

be presented, such as outcomes in symptoms reduction and possible associations with confounding variables.

Discussion: Theoretical, methodological and clinical implications will be discussed.

National Category
Applied Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-71712 (URN)
Conference
ESTSS 2017 – XV Conference of the European Society for Traumatic Stress Studies, Odense Denmark 31/5 – 4/6 2017
Note

Ej belagd 20180327

Available from: 2018-03-21 Created: 2018-03-21 Last updated: 2018-03-27Bibliographically approved
Fridell, M., Holmberg, R., Billsten, J. & Benderix, Y. (2015). Implementering av Socialstyrelsens riktlinjer för missbruks- och beroendevården: Utvärdering av det nationella utvecklingsarbetet Kunskap till Praktik. Lund: Lunds universitet
Open this publication in new window or tab >>Implementering av Socialstyrelsens riktlinjer för missbruks- och beroendevården: Utvärdering av det nationella utvecklingsarbetet Kunskap till Praktik
2015 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Lund: Lunds universitet, 2015. p. 146
Series
Psykologiska rapporter från Lund, ISSN 1404-8124 ; Vol. 7, no. 1
Keywords
Implementering, Riktlinjer, missbruk, beroende
National Category
Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-42691 (URN)
Funder
Swedish National Board of Health and Welfare
Available from: 2015-04-17 Created: 2015-04-17 Last updated: 2016-05-30Bibliographically approved
Socialstyrelsen, P. (2015). Nationella Riktlinjer för vård och stöd vid missbruk och beroende.: stöd för styrning och ledning. Stockholm: Socialstyrelsen
Open this publication in new window or tab >>Nationella Riktlinjer för vård och stöd vid missbruk och beroende.: stöd för styrning och ledning
2015 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Stockholm: Socialstyrelsen, 2015. p. 166
Keywords
addiction screening drugs alcohol treatment, missbruk alkohol narkotika screening läkemedel psykosocial behandling
National Category
Drug Abuse and Addiction
Research subject
Pedagogics and Educational Sciences, Substance Abuse Treatment
Identifiers
urn:nbn:se:lnu:diva-61302 (URN)9789175552941 (ISBN)
Funder
Swedish National Board of Health and Welfare
Available from: 2017-03-12 Created: 2017-03-12 Last updated: 2025-02-11Bibliographically approved
Pernebo, K., Fridell, M. & Almqvist, K. (2014). Young children’s experiences of participating in group treatment for children exposedto intimate partner violence: A qualitative study. In: : . Paper presented at 8th Nordic Conference on Child Abuse and Neglect, Nuuk, 26-28 august 2014..
Open this publication in new window or tab >>Young children’s experiences of participating in group treatment for children exposedto intimate partner violence: A qualitative study
2014 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Young children’s experiences of participating in group treatment for children exposed

to intimate partner violence: A qualitative study

Karin Pernebo¹, Mats Fridell¹² and Kjerstin Almqvist³

¹Department of Psychology, Linnaeus University, Sweden

²Department of Psychology, Lund University, Sweden

³Department of Psychology, Karlstad University, Sweden

The risk of exposure to Intimate Partner Violence (IPV) between caregivers is increased

during early childhood. The adverse effects on the health and development of the youngest

children may be severe. Effective and promising interventions for children who have

experienced IPV have been developed and evaluated. However, there is a lack in knowledge

about how the children themselves experience the interventions.

The aim of this study was to elucidate young children’s own experiences of participating in

a group-treatment designed to improve their psychological health in the aftermath of family

violence. Nine children, ages four to six, were interviewed after participating in group-programs

specifically designed for children who have been exposed to intimate partner violence. A

semi-structured interviewguide with open-ended questions was used. The interviews were transcribed

and analyzed using interpretative phenomenological analysis toensure focus on the children’s

own views and experiences.

Five master themes embracing the children’s experiences were identified:

Joy - positive emotional experience of participation; Security - feeling safe; Relatedness -

relations within the group; To talk – externalized focus on the violence; and Competence –

new knowledge and skills. Theoretical and clinical implications and the benefit

National Category
Applied Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-39714 (URN)
Conference
8th Nordic Conference on Child Abuse and Neglect, Nuuk, 26-28 august 2014.
Available from: 2015-02-04 Created: 2015-02-04 Last updated: 2017-01-17Bibliographically approved
Gauffin, K., Vinnerljung, B., Fridell, M., Hesse, M. & Hjern, A. (2013). Childhood socio-economic status, school failure and drug abuse: a Swedish national cohort study. Addiction, 108(8), 1441-1449
Open this publication in new window or tab >>Childhood socio-economic status, school failure and drug abuse: a Swedish national cohort study
Show others...
2013 (English)In: Addiction, ISSN 0965-2140, E-ISSN 1360-0443, Vol. 108, no 8, p. 1441-1449Article in journal (Refereed) Published
Abstract [en]

Aim To investigate whether socio-economic status (SES) in childhood and school failure at 15 years of age predict illicit drug abuse in youth and young adulthood. Design setting and participantsRegister study in a Swedish national cohort born 1973-88 (n=1405763), followed from age 16 to 20-35 years. Cox regression analyses were used to calculate hazard ratios (HR) for any indication of drug abuse. Measurements Our outcomes were hospital admissions, death and criminality associated with illicit drug abuse. Data on socio-demographics, school grades and parental psychosocial problems were collected from censuses (1985 and 1990) and national registers. School failure was defined as having mean school grades from the final year in primary school lower than -1standard deviation and/or no grades in core subjects. Findings School failure was a strong predictor of illicit drug abuse with an HR of 5.87 (95% CI: 5.76-5.99) after adjustment for age and sex. Childhood SES was associated with illicit drug abuse later in life in a stepwise manner. The lowest stratum had a HR of 2.28 (95% CI: 2.20-2.37) compared with the highest stratum as the reference, when adjusted for other socio-demographic variables. In the fully adjusted model, the effect of SES was greatly attenuated to an HR of 1.23 (95% CI: 1.19-1.28) in the lowest SES category, while the effect of school failure remained high with an HR of 4.22 (95% CI: 4.13-4.31). Conclusions School failure and childhood socio-economic status predict illicit drug abuse independently in youth and young adults in Sweden.

Keywords
Childhood, cohort study, drug abuse, school failure, social inequity, socio-economic status, Sweden
National Category
Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-28348 (URN)10.1111/add.12169 (DOI)000321616800014 ()2-s2.0-84880315200 (Scopus ID)
Available from: 2013-08-22 Created: 2013-08-22 Last updated: 2017-12-06Bibliographically approved
Olsson, T. M. & Fridell, M. (2013). Women with co-occurring substance abuse and mental disorders in Sweden: a longitudinal study of criminal justice system involvement and costs. Mental Health and Substance Use, 6(3), 219-236
Open this publication in new window or tab >>Women with co-occurring substance abuse and mental disorders in Sweden: a longitudinal study of criminal justice system involvement and costs
2013 (English)In: Mental Health and Substance Use, ISSN 1752-3281, E-ISSN 1752-3273, Vol. 6, no 3, p. 219-236Article in journal (Refereed) Published
Abstract [en]

This study aimed to estimate the cumulative direct criminal justice system costs incurred by age and offending year between 1975 and 2004 by a cohort of women with a co-occurring substance abuse and mental disorder (COD) placed in a compulsory treatment facility for substance abuse between 1997 and 2000. Official register data were obtained for the period 1975–2004 on criminal charges, prosecutions, judgments and sentences by a consecutive sample of 227 women. The 2010 unit price data were applied to resource use and total costs were calculated and reported by age and offending year. A total of 211 women (92.9%) were charged for at least one crime during the period under review. The mean length of criminal career was 8.58 years. Theft and narcotics offenses were the crime categories with the highest number of crimes committed and charges made. The total criminal justice system costs per person averaged 834,897 Swedish crowns (SEK, 2010) over the entire sample. This study provides cost data on the real criminal careers of women with COD which can be used to estimate the potential benefit of targeted interventions at various stages in an individual's criminal career. The results indicate that early, targeted, effective intervention can have substantial benefits.

Place, publisher, year, edition, pages
London: Taylor & Francis Group, 2013
National Category
Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-21045 (URN)10.1080/17523281.2012.708356 (DOI)2-s2.0-84881284330 (Scopus ID)
Available from: 2012-09-25 Created: 2012-08-07 Last updated: 2017-12-07Bibliographically approved
Fridell, M. & Cesarec, Z. (2012). Personlighetstestet. Grundläggande karaktärsdrag.: Basic Character Trait Test (BCT). Stockholm: Statens institutionsstyrelse
Open this publication in new window or tab >>Personlighetstestet. Grundläggande karaktärsdrag.: Basic Character Trait Test (BCT)
2012 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Stockholm: Statens institutionsstyrelse, 2012. p. 135
Series
Statens institutionsstyrelse SiS ; 1
National Category
Psychology
Research subject
Social Sciences, Psychology
Identifiers
urn:nbn:se:lnu:diva-21043 (URN)
Available from: 2012-08-07 Created: 2012-08-07 Last updated: 2012-12-21Bibliographically approved
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