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  • 1.
    Andersson, Josefin
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Lindhult, Helena
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    SJUK PÅ RIKTIGT?: En litteraturstudie om hur personer med diagnosen depression upplever mötet med sjukvården2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 2.
    Arvidsson, Ulrica
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Östangård, Charlotte
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Familjemedlemmars upplevelser av att vara anhörig till en person med schizofreni.2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Schizophrenia is a serious disease with potential to implicate consequences on both the family and the sick. Nurses have a fundamental responsibility to relieve suffering, and also to offer support to both the individual and the family.

    Aim: To illuminate experiences of being a family member to a person with schizophrenia.

    Method: A systematic literature review was chosen. Nine articles were included. After having analyzed the results six categories were found.

    Result: The family members experienced the disease as fluctuating and stressful. Some felt ashamed for their sick family member and withdrew from the rest of the society. It was also common to grieve over the sick family member as they felt they had lost the person he/she ones was. Most studies showed that family members were disappointed with the psychiatric care. They felt excluded from the caring process and lack of information. Hopefully the result of this study leads to that nurses can offer increased support and understanding to the family.

    Conclusions: Disease and illness may affect on the whole life situation. To support a family in a crisis it is necessary to understand the person’s lifeworld and to be able to change their beliefs.

  • 3.
    Aspegren, Erini
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Lundin, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Upplevelser av att ha växt upp med en psykiskt sjuk förälder: En kvalitativ litteraturstudie baserad på självbiografier2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Psykiska sjukdomar av olika slag är vanligt förekommande i vårt samhälle och i hela världen. Trots detta föreligger ett tabu och ett stigma kring psykisk sjukdom, vilket påverkar såväl den sjuke som de anhöriga negativt. Att växa upp med en psykiskt sjuk förälder kan leda till att barnen inte mår väl och kommer i skymundan.

    Syfte: Syftet var att beskriva vuxna personers upplevelser av att ha växt upp tillsammans med en psykiskt sjuk förälder.

    Metod: Studien är en kvalitativ litteraturstudie med en induktiv ansats, som har utgångspunkt i självbiografier. Data utifrån fem självbiografier har analyserats genom en manifest innehållsanalys.

    Resultat: Barnens upplevelser sammanställdes i tre kategorier och åtta underkategorier. Kategorierna som framkom var Otrygghet, En betungande vardag och Saknad.

    Slutsats: Att som barn ha en förälder som är psykiskt sjuk leder till känslor av ansvarstagande, otrygghet och längtan efter ett vanligt liv. Det är viktigt att sjuksköterskan lyssnar till barnet för att skapa tillit, samt upplyser barnet angående förälderns sjukdom och dess påverkan på familjeförhållandena, för att verka för en bättre hälsa för barnet.

  • 4.
    Björkman, Anna
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Gustavsson, Hanna
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    En vardag full av utmaningar: En litteraturstudie om anhörigas upplevelse av att ha en psykiskt sjuk familjemedlem2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Psykisk sjukdom påverkar inte bara individen som drabbas utan även dennes anhöriga. Alla i familjen berörs och vardagen blir oförutsägbar och full av utmaningar. Sjuksköterskor möter individer med psykisk sjukdom och deras anhöriga oavsett arbetsplats. Syftet med studien var att belysa hur vuxna anhöriga till personer med psykisk sjukdom upplever sin vardag. För att belysa de anhörigas situation genomfördes en litteraturstudie över tidigare utförd empirisk forskning. En kvalitativ manifest innehållsanalys genomfördes och resulterade i följande sex kategorier: En omvälvande förändring, Behov av stöd och kunskap, Att vårda dygnet runt, Känslor av skam, skuld och rädsla, Slitningar i relationer och hur roller förändras samt En oförutsägbar framtid. Genomgående för resultatet var att de anhöriga upplever att vardagen är full av bördor. Att leva med en individ som drabbats av psykisk sjukdom är dock inte bara komplicerat. Anhöriga upplever ofta att de växer som individer och får nya perspektiv på tillvaron. Som sjuksköterska är det viktigt att visa förståelse för den utsatta situation som de anhöriga befinner sig i. Först när de anhöriga får ett bra stöd kan de stödja sin sjuke familjemedlem optimalt.

  • 5.
    Blom, Charlotte
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Abramsson, Zara
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Att leva med barn som har ADHD.: Familjemedlmmars upplevelser av att leva med barn som har diagnosen ADHD.2011Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
  • 6.
    Blomqvist, Marjut
    et al.
    Halmstad University.
    Ivarsson, Andreas
    Halmstad University.
    Carlsson, Ing-Marie
    Halmstad University.
    Sandgren, Anna
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Jormfeldt, Henrika
    Halmstad University.
    Health risks among people with severe mental illness in psychiatric outpatient settings2018In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 39, no 7, p. 585-591Article in journal (Refereed)
    Abstract [en]

    Life expectancy is greatly reduced in patients with schizophrenia, and cardiovascular diseases are a leading cause of mortality. The aim of this cross-sectional study was to investigate the prevalence of overweight, obesity, and cardiovascular disease (CVD) risk and to investigate the relationships between self-rated health, sense of coherence, CVD risk, and body mass index (BMI) among people with severe mental illness (SMI) in psychiatric outpatient settings. Nearly 50% of the participants were exposed to moderate/high risk of CVD and over 50% were obese. The results showed no statistically relationships between the subjective and objective measures (Bayes factor <1) of health. The integration of physical health into clinical psychiatric nursing practice is vital.

  • 7.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Boende2014In: Att leva med psykisk funktionsnedsättning: livssituation och effektiva vård- och stödinsats / [ed] David Brunt och Lars Hansson, Lund: Studentlitteratur AB, 2014, 2, p. 99-116Chapter in book (Other academic)
  • 8.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Socialt nätverk2014In: Att leva med psykisk funktionsnedsättning: livssituation och effektiva vård- och stödinsatser / [ed] David Brunt och Lars Hansson, Lund: Studentlitteratur AB, 2014, 2, p. 171-188Chapter in book (Other academic)
  • 9.
    Brunt, David
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Centre for Evidence-based Psychosocial Interventions for people with severe mental illness CEPI, Sweden.
    Hansson, Lars
    Lund University, Sweden ; Centre for Evidence-based Psychosocial Interventions for people with severe mental illness CEPI, Sweden.
    Att leva med psykisk funktionsnedsättning: livssituation och effektiva vård- och stödinsatser2014 (ed. 2)Book (Other academic)
    Abstract [sv]

    Den psykiatriska vården och det offentliga stödsystemet för personer med psykisk funktionsnedsättning är i dag huvudsakligen ett samhälls­baserat servicesystem med tyngdpunkt i öppna vårdformer. Det finns emellertid uppenbara brister i systemets förmåga att möta vård- och stödbehovet hos dessa personer,liksom det finns övergripande brister i deras livssituation i samhället som helhet. Trots omfattande reformer kännetecknas fortfarande situationen för personer med psykiska funktionshinder i många avseenden av diskriminering och andra former av stigmatisering samt ekonomisk, social och politisk marginalisering och maktlöshet. Upplevelser av bristande medinflytande och kontroll över den egna vård- och stödsituationen påverkar dem också negativt.

    Trots svårigheter att implementera evidensbaserade och effektiva insatser samt starka vetenskapliga belägg för att de reformer som genomdrivits i syfte att förbättra livssituationen i många avseenden inte har nått målen, finns det ändå anledning till optimism. Det här är den andra reviderade upplagan av boken, och här redovisas rehabiliteringsinsatser och andra interventioner som visar att det finns effektiva sätt att förändra situationen.

    Att leva med psykisk funktionsnedsättning vänder sig till studerande inom sociala eller vårdinriktade högskoleutbildningar,men också till personer inom vård- och stödverksamheter som i arbetet möter personer med psykiska funktionsnedsättningar.

  • 10.
    Brunt, David
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Validation of the Verbal and Social Interaction questionnaire: carers' focus in the carer–resident relationship in supported housing facilities for persons with psychiatric disabilities (VSI-SH)2013In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 20, no 3, p. 279-285Article in journal (Refereed)
    Abstract [en]

    A questionnaire to measure the verbal and social interactions between carers and residents in supported housing facilities for persons with psychiatric disabilities has been developed. It is an adaptation of a questionnaire originally used in a forensic psychiatric setting. The aim of the present study was thus to investigate the construct validity and the reliability of this new version of the Verbal and Social Interactions questionnaire for use in supported housing facilities (VSI-SH). Two hundred and twenty-three carers from municipal and privately run housing facilities completed the questionnaire. A factor analysis was performed, which resulted in six factors. The number of items was reduced from the original 47 to 30 in order to minimize factorial complexity and multiple loadings. The reliability was tested with Cronbach's alpha and good internal consistency for the questionnaire and five of the six factors was found. The resulting six factors and the items were compared to the conceptual model and four of the six factors corresponded well with the categories in this original theoretical model. The questionnaire can be a useful contribution to the study of interactions between carers and residents in supported housing facilities for persons with psychiatric disabilities.

  • 11.
    Brunt, David
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Rask, Mikael
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Ward Atmosphere – the Scarlet Pimpernel of psychiatric settings?2007In: Issues in Mental Health Nursing, Vol. 28, no 6, p. 639-656Article in journal (Refereed)
    Abstract [en]

    Patients and staff in a forensic psychiatric setting were requested to name three distinguishing characteristics of the ward atmosphere. The manifest content analysis of the responses revealed the following categories: interpersonal relations and pre-conditions for interpersonal relations, organization, staff, treatment, daily activities, physical environment and feeling good and secure. The patients appeared to have a peripheral role as contributors to the ward atmosphere in the views of the respondents. The easily administered single question format provided valuable information about that intangible element of psychiatric settings – the ward atmosphere.

  • 12.
    Cabalgante, Sandra
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Zapata Pon, Milagros
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Hur sexuella övergreppsupplevelser i barndomen påverkar den vuxna människans möte med vården2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 13.
    Drugge, Ulf
    Umeå universitet.
    Fragile-X syndromet i gången tid1991In: Forskning om utvecklingsstörning och omsorger inför 90-talet: forskningsdag 15 maj 1990, Stockholm: Sävstaholmsföreningen , 1991, p. 37-43Conference paper (Other academic)
  • 14.
    Drugge, Ulf
    Umeå universitet.
    Hur psykisk utvecklingsstörning framträder i historiska källor1991In: Forskning om utvecklingsstörning och omsorger inför 90-talet: forskningsdag 15 maj 1990, Stockholm: Sävstaholmsföreningen , 1991, p. 15-17Conference paper (Other academic)
  • 15.
    Eklund, Mona
    et al.
    Lund University.
    Argentzell, Elisabeth
    Lund University.
    Bejerholm, Ulrika
    Lund University.
    Tjörnstrand, Carina
    Lund University.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Wellbeing, activity and housing satisfaction - comparing residents with psychiatric disabilities in supported housing and ordinary housing with support2017In: BMC Psychiatry, ISSN 1471-244X, E-ISSN 1471-244X, Vol. 17, article id 315Article in journal (Refereed)
    Abstract [en]

    Background: The home is imperative for the possibilities for meaningful everyday activities among people with psychiatric disabilities. Knowledge of whether such possibilities vary with type of housing and housing support might reveal areas for improved support. We aimed to compare people with psychiatric disabilities living in supported housing (SH) and ordinary housing with support (OHS) regarding perceived well-being, engaging and satisfying everyday activities, and perceived meaning of activity in one's accommodation. The importance of these factors and socio-demographics for satisfaction with housing was also explored. Methods: This naturalistic cross-sectional study was conducted in municipalities and city districts (n = 21) in Sweden, and 155 SH residents and 111 OHS residents participated in an interview that included both self-reports and interviewer ratings. T-test and linear regression analysis were used. Results: The SH group expressed more psychological problems, but better health, quality of life and personal recovery compared to the OHS residents. The latter were rated as having less symptom severity, and higher levels of functioning and activity engagement. Both groups rated themselves as under-occupied in the domains of work, leisure, home management and self-care, but the SH residents less so regarding home management and self-care chores. Although the groups reported similar levels of activity, the SH group were more satisfied with everyday activities and rated their housing higher on possibilities for social interaction and personal development. The groups did not differ on access to activity in their homes. The participants generally reported sufficient access to activity, social interaction and personal development, but those who wanted more personal development in the OHS group outnumbered those who stated they received enough. Higher scores on satisfaction with daily occupations, access to organization and information, wanting more social interaction, and personal recovery predicted high satisfaction with housing in the regression model. Conclusion: The fact that health, quality of life and recovery were rated higher by the SH group, despite lower interviewer-ratings on symptoms and level of functioning, might partly be explained by better access to social interaction and personal development in the SH context. This should be acknowledged when planning the support to people who receive OHS.

  • 16.
    Emma, Arvidsson
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Carolina, Högström
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Tvungen att använda tvång: Det var inte mitt beslut2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Ett nationellt projekt pågår i Sverige för att minska användandet av tvångsåtgärder inom barn- och ungdomspsykiatrin. Den tvångsvårdslagstiftning som finns för vuxna gäller även för barn och under 2016 vårdades 257 barn enligt denna lag i Sverige. Att utföra fastspänning ställer höga krav på personal inom psykiatrisk vård och innebär också ett stort ansvar för personalen. Sjuksköterskor upplever beslutet om och genomförandet av fastspänning som etiskt problematiskt.

    Syfte: Studiens syfte är att belysa sjuksköterskors upplevelser av att utföra tvångsåtgärden fastspänning på barn.

    Metod: Studien har en kvalitativ metod med induktiv ansats. Elva semistrukturerade intervjuer har genomförts och analyserats med en kvalitativ innehållsanalys.

    Resultat: Resultatet redovisas utifrån två teman. Vad som krävs för att utföra en fastspänning och förutsättningar i utförandet som beskriver sjuksköterskors behov av att kommunicera, ha rätt kunskap och att ha en tilltro till åtgärden. Att arbetet utförs systematiskt och att det finns varierande förutsättningar samt patientens beteende och vårdpersonals förhållningssätt beskrivs också. Etiska dimensioner vid fastspänning på barn beskriver sjuksköterskors ansvar, känslor av olust, att vara känslomässigt påverkad, att känna sig tvungen, att åtgärden känns onödig eller oundviklig samt att de upplever ett etiskt dilemma.

    Slutsats: Studien visar på hur etiskt svårt det är att utföra fastspänning på ett barn och därför dras slutsatsen att sjuksköterskor behöver ökat stöd i form av utbildning kring fastspänning och få tid till att reflektera över hur man påverkas av att utföra fastspänning på barn. Detta för att framledes kunna ge god vård. Andra alternativ än fastspänning behövs inom barn och ungdomspsykiatrin. Forskning inom barnpsykiatrin om tvångsåtgärder är bristfällig och förhoppningsvis kan studiens resultat vidareutveckla vården genom att uppmärksamma ämnet. 

  • 17.
    Forsell, Erik
    et al.
    Karolinska Institutet, Sweden;Huddinge Hospital, Sweden.
    Jernelov, Susanna
    Karolinska Institutet, Sweden;Huddinge Hospital, Sweden.;Karolinska Inst, Dept Clin Neurosci, Div Psychol, Stockholm, Sweden.
    Blom, Kerstin
    Karolinska Institutet, Sweden;Huddinge Hospital, Sweden.
    Kraepelien, Martin
    Karolinska Institutet, Sweden;Huddinge Hospital, Sweden.
    Svanborg, Cecilia
    Karolinska Institutet, Sweden;Huddinge Hospital, Sweden.
    Andersson, Gerhard
    Karolinska Institutet, Sweden;Huddinge Hospital, Sweden;Linköping University, Sweden.
    Lindefors, Nils
    Karolinska Institutet, Sweden;Huddinge Hospital, Sweden.
    Kaldo, Viktor
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology. Karolinska Institutet, Sweden;Huddinge Hospital, Sweden.
    Proof of Concept for an Adaptive Treatment Strategy to Prevent Failures in Internet-Delivered CBT: A Single-Blind Randomized Clinical Trial With Insomnia Patients2019In: American Journal of Psychiatry, ISSN 0002-953X, E-ISSN 1535-7228, Vol. 176, no 4, p. 315-323Article in journal (Refereed)
    Abstract [en]

    Objective: This study aimed to demonstrate proof of concept for an adaptive treatment strategy in Internet-delivered cognitive-behavioral therapy (ICBT), where risk of treatment failure is assessed early in treatment and treatment for at-risk patients is adapted to prevent treatment failure. Methods: A semiautomated algorithm assessed risk of treatment failure early in treatment in 251 patients undergoing ICBT for insomnia with therapist guidance. At-risk patients were randomly assigned to continue standard ICBT or to receive adapted ICBT. The primary outcome was self-rated insomnia symptoms using the Insomnia Severity Index in a linear mixed-effects model. The main secondary outcome was treatment failure (having neither responded nor remitted at the posttreatment assessment). Results: A total of 102 patients were classified as at risk and randomly assigned to receive adapted ICBT (N=51) or standard ICBT (N=51); 149 patients were classified as not at risk. Patients not at risk had significantly greater score reductions on the Insomnia Severity Index than at-risk patients given standard ICBT. Adapted ICBT for at-risk patients was significantly more successful in reducing symptoms compared with standard ICBT, and it decreased the risk of failing treatment (odds ratio= 0.33). At-risk patients receiving adapted ICBT were not more likely to experience treatment failure than those not at risk (odds ratio= 0.51), though they were less likely to experience remission. Adapted treatment required, on average, 14 more minutes of therapist-patient time per remaining week. Conclusions: An adaptive treatment strategy can increase treatment effects for at-risk patients and reduce the number of failed treatments. Future studies should improve accuracy in classification algorithms and identify key factors that boost the effect of adapted treatments.

  • 18.
    Gustafsson, Maria
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Jonsborg, Helena
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Vårdpersonalens upplevelser i mötet med patienter som skadar sig själva: en systematisk litteraturstudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It appears to be central aspects regarding the care of patients who self-harm and these aspects set requirements on psychiatric health care personnel's ability to relate to the meeting with the patients. Aim: To illustrate psychiatric health care personnel's experiences of meeting with patients who self-harm. Method: A systematic literature review based on a method described by Evans with a result based on 22 articles of qualitative design. Result: To meet patients who self-harm can be seen out of the six themes described in the result of the present study; To be challenged by negative emotions, To disconnect from your empathic ability, To be unsure of what´s to come, A difficult balancing act, A favorably meeting and Professional development.

    Conclusion: The result of the present study shows that the negative emotions were prominent. Continuous further training and tutorial appears necessary conditions to enable favorable meetings with the patient group.

  • 19.
    Hallberg, Julia
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Håkansson, Linnéa
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    TREDJE GRADENS BRÄNNSKADOR I SJÄLEN: En litteraturstudie om kvinnors upplevelser av att leva med Borderline Personlighetsstörning.2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Personer med Borderline Personlighetsstörning (BPS) ses ofta inom sjukvården och är starkt förknippade med hög dödlighet. Återkommande egenskaper i denna patientgrupps liv är instabilitet, impulsivitet, en växlande självbild samt bristande relationer. Tidigare forskning visar att allmänsjuksköterskor besitter bristfälliga kunskaper om borderlinepatienter och deras upplevelser av att leva med BPS.

    Syfte: Studiens syfte är att belysa hur kvinnor med Borderline Personlighetsstörning (BPS) upplever sin livsvärld, för att genom livsvärlden delge allmänsjuksköterskor bättre verktyg för att möta och vårda denna patientgrupp på bästa sätt.

    Metod: Studien genomförs utifrån en kvalitativ ansats, med utgångspunkt från hermeneutiken. Fyra självbiografier analyseras med hjälp av Lundman och Hällgren-Graneheims (2008) kvalitativa innehållsanalys.

    Resultat: Upplevelsen av Borderline Personlighetsstörning beskrivs i studiens resultat genom fyra huvudkategorier: uppväxtens betydelse, behovet av relationer, ett svårthanterligt känsloliv samt synen på sig själv.

    Slutsatser: Ett livsvärldsperspektiv är nödvändigt att ha med sig som allmänsjuksköterska, för att förstå, vårda och möta borderlinepatienter på bästa möjliga sätt. Utifrån livsvärlden kan patientens sanna upplevelse av vad som bidrar till lidande respektive välbefinnande nås. Genom att kartlägga ett mönster av vad som bidrar till lidande respektive välbefinnande kan vårdpersonal vägleda patienterna till ett tillfrisknande samt till en mer hanterbar vardag.

  • 20.
    Hiltunen, Linda
    Linnaeus University, Faculty of Social Sciences, Department of Social Studies.
    Psykisk ohälsa i skolan2015In: När livet känns fel: Ungas upplevelser kring psykisk ohälsa / [ed] Tiina Ekman, Stockholm: Myndigheten för ungdoms- och civilsamhällesfrågor , 2015, , p. 263p. 218-239Chapter in book (Other academic)
  • 21.
    Hultsjö, Sally
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Hjelm, Katarina
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Community health-care staff's experiences of support to prevent type 2 diabetes among people with psychosis: An interview study with health staff.2012In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 21, no 5, p. 480-489Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to describe mental health staff experiences of giving support to prevent type 2 diabetes mellitus (DM) among people with psychosis in community psychiatry. A qualitative interview study with a purposeful sample of 12 community health staff was conducted. Data were analysed using qualitative content analysis. The results show how staff reported continuously supporting people with psychosis to adapt to healthy lifestyles, but stated that support is not given until after a person becomes overweight or is diagnosed with type 2 DM. Support was described as a never-ending process of motivation facing many reverses. Individually-adapted support given in practical situations was perceived as most successful. Cooperation between health-care organizations was seen as essential, but inadequate. Limitations in income and social network, and easy access to fast food and alcohol, were seen as obstacles to support. The results indicate that community health staff are in a position to make a considerable impact in motivating and supporting healthy lifestyle changes in practical situations in daily life among people with psychosis. This study raises awareness of how community health staff's support can be useful when developing nursing skills and health-care plans for people with psychosis.

  • 22.
    Hultsjö, Sally
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Hjelm, Katarina
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Organizing care for persons with psychotic disorders and risk of or existing diabetes mellitus type 22012In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 19, no 10, p. 891-902Article in journal (Refereed)
    Abstract [en]

    This literature review aimed to explore previous knowledge about specific care requirements for persons with psychotic disorders and risk of or existing type 2 diabetes.

    Methods: qualitative and quantitative studies in the area were identified and reviewed. 

    Results: It were indicated that mental health nurses play an important role in motivating people to perform diabetes care as they are often known to and trusted by the patients. A holistic approach to the person's health, with close follow-ups by psychiatric care and cooperation with diabetes care, may have benefits for the person with diabetes. Screening for and treating psychotic symptoms is an important task for the mental health nurse, as these symptoms drain energy from the person and prevent diabetes self-care. Lifestyle and diabetes education needs to be practical, adapted to the individual and focused on maintaining a healthy diet, regular exercise, changing smoking habits and preventing diabetes complications. Treatment with antipsychotic drugs increases the need for follow-ups of glycaemic control.

  • 23.
    Hörberg, Ulrica
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Maktens grepp om det rättspsykiatriska vårdandet2008In: Rättspsykiatriskt vårdande: Vårdande av lagöverträdare med psykisk ohälsa, Stockholm: Studentlitteratur , 2008, 1, , p. 231p. 177-208Chapter in book (Other academic)
  • 24.
    Hörberg, Ulrica
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    'The art of understanding in forensic psychiatric care': from a caring science perspective based on a lifeworld approach2018In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 39, no 9, p. 802-809Article in journal (Refereed)
    Abstract [en]

    Patients in forensic psychiatric clinics are a vulnerable and exposed patient group due to suffering from a severe mental disorder, having committed a crime and being cared for against their will in an institutional environment with a high level of security. The art of understanding in forensic psychiatric care is discussed from a caring science perspective, based on a lifeworld approach. The aim is to contribute knowledge that can support staff, who daily meet patients on forensic psychiatric wards, in applying a caring attitude.

  • 25.
    Hörberg, Ulrica
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Brunt, David
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Axelsson, Åsa
    Clients’ perceptions of client-nurse relationships in local authority psychiatric services:: A qualitative study.2004In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 13, no 1, p. 9-17Article in journal (Refereed)
    Abstract [en]

    The Mental Health Care reform in Sweden aimed, among other things, to improve the possibilities for persons with mental illnesses to experience companionship and participation in society. The aim of the study was to describe how persons suffering from mental illness perceive their relationships with nursing staff in local authority psychiatric services. Data were collected through semi-structured recorded interviews with 17 strategically chosen clients. A qualitative approach inspired by phenomenography was used to analyse the data. The analysis resulted in four main categories and 13 subcategories. The main categories were: security, companionship, confirmation and development.

  • 26.
    Johansson, Maria
    et al.
    Lunds universitet.
    Brunt, David
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    The Physical Environment of Purpose-Built and Non-Purpose Built Supported Housing for Persons with Psychiatric Disabilities in Sweden.2012In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 33, no 4, p. 223-235Article in journal (Refereed)
    Abstract [en]

    The primary aim of the present study was to investigate if methods derived from environmental psychology can be used to study the qualities of the physical environment of supported housing facilities for persons with psychiatric disabilities. Three units of analysis were selected: the private area, the common indoor area, and the outdoor area. Expert assessments of 110 features of the physical environment in these units and semantic environmental description of the visual experience of them consistently showed that purpose-built supported housing facilities  had more physical features important for high quality residential environments than the non-purpose-built supp orted housing facilities. The employed methods were thus seen to be able to describe and discriminate between qualities in the physical environment of supported housing facilities. Suggestions for the development of tools for the assessment of the physical environment in supported housing are made.

  • 27. Jormfeldt, H
    et al.
    Rask, Mikael
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Bengtsson, Agneta
    Svedberg, Petra
    Experiences of a person-centred health education group intervention: A qualitative study among people with a persistent mental illness2012In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 33, no 4, p. 209-216Article in journal (Refereed)
    Abstract [en]

    The main focus of psychoeducative interventions for people with persistent mental illnesses have been on the reduction of noncompliance by providing information about symptoms of disease and its treatment. Social support and supporting group contexts have been described as essential for transforming personal strategies into action and the achievement of personal goals. A qualitative descriptive approach was used in order to explore experiences of a person-centered health education group intervention among persons with a persistent mental illness. The sample consisted of 13 persons with a persistent mental illness who had participated in the group intervention between the autumn 2008 and the autumn 2009. Participants expressed experiences of health processes in terms of stimulating content, development towards personal growth and group context with equality, when participating in the intervention. The findings of the actual study support further investigation on the topic of health promotion approaches emphasizing individual preferences throughout the process of psychoeducation. Further research regarding individual preferences and participation in decision-making processes related to issues of compliance among persons with a persistent mental illness are suggested.

  • 28.
    Kamen, Robin
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Svensson, Sara
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Jag har bestämt mig för att leva!: En litteraturstudie om kvinnors upplevelse av bipolär sjukdom2018Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Bipolär sjukdom är en kronisk psykiatrisk sjukdom som innefattar maniska, hypomaniska, och depressiva episoder. Fler kvinnor än män drabbas av sjukdomen. Med en vardag som i en känslomässig berg- och dalbana står patienterna inför flera utmaningar och självmordsrisken är hög. Okunskap om sjukdomen i samhället försvårar situationen för patienterna och tidigare forskning visar att närstående och sjuksköterskan är ett viktigt stöd som kan bidra med välbefinnande.  

    Syfte: För att få en ökad förståelse och inblick i kvinnornas liv var syftet med studien att belysa kvinnors upplevelse av att leva med bipolär sjukdom.

    Metod: För att besvara syftet användes en kvalitativ ansats som utgick från fem självbiografier. Självbiografierna analyserades med en kvalitativ manifest analysprocess.

    Resultat: Kvinnorna upplevde lidande i sin maktlöshet att hantera sjukdomen och hur sjukdomen påverkade livet. Kvinnorna upplevde att de inte fick någon förståelse från omgivningen för sina ipulsiva beslut i maniska och hypomaniska episoder eller sina isolerande och negativa perioder under depressionens episoder. Omgivningen har för lite kunskap om bipolär sjukdom.  Välbefinnande och energi hämtade kvinnorna genom närståendes stöd och de kände en trygghet i att ha den psykiatriska sjukvården att tillgå. 

    Slutsatser:Kvinnornas livsvärld med bipolär sjukdom är en ständig kamp för att minska lidande och uppnå välbefinnande. Det är främst vardagen som innebär den största utmaningen. För att bemötandet inom sjukvården ska optimeras för patienterna och att deras närstående på bästa möjliga sätt ska kunna finnas som stöd, krävs ökad och utvecklande kunskap för sjuksköterskan och omgivningen om sjukdomen.

  • 29.
    Karlsson, Staffan
    et al.
    Lund University, Sweden;Halmstad University, Sweden.
    Hallberg, Ingalill Rahm
    Lund University, Sweden.
    Midlöv, Patrik
    Lund University, Sweden.
    Fagerström, Cecilia
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Blekinge Centre of Competence, Sweden.
    Trends in treatment with antipsychotic medication in relation to national directives, in people with dementia: a review of the Swedish context2017In: BMC Psychiatry, ISSN 1471-244X, E-ISSN 1471-244X, Vol. 17, p. 1-9, article id 251Article, review/survey (Refereed)
    Abstract [en]

    Background: The aim of this study was to explore trends in treatment with antipsychotic medication in Swedish dementia care in nursing homes as reported in the most recent empirical studies on the topic, and to relate these trends to directives from the national authorities. Methods: The study included two scoping review studies based on searches of electronic databases as well as the Swedish directives in the field. Results: During the past decade, directives have been developed for antipsychotic medication in Sweden. These directives were generic at first, but have become increasingly specific and restrictive with time. The scoping review showed that treatment with antipsychotic drugs varied between 6% and 38%, and was higher in younger older persons and in those with moderate cognitive impairment and living in nursing homes for people with dementia. A decreasing trend in antipsychotic use has been seen over the last 15 years. Conclusions: Directives from the authorities in Sweden may have had an impact on treatment with antipsychotic medication for people with dementia. Treatment with antipsychotic medication has decreased, while treatment with combinations of psychotropic medications is common. National directives may possibly be even more effective, if applied in combination with systematic follow-ups.

  • 30.
    Kastbom, Åsa A.
    et al.
    Linköping University Hospital ; Linköping University.
    Sydsjö, Gunilla
    Linköping University.
    Bladh, Marie
    Linköping University.
    Priebe, Gisela
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology. Lund University.
    Svedin, Carl Göran
    Linköping University.
    Differences in sexual behavior, health, and history of child abuse among school students who had and had not engaged in sexual activity by the age of 18 years: a cross-sectional study2016In: Adolescent Health, Medicine and Therapeutics, ISSN 1179-318X, Vol. 7, p. 1-11Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Empirical research about late sexual debut and its consequences is limited, and further research is needed.

    OBJECTIVE: To explore how students who had not had intercourse by the age of 18 years differed in terms of sociodemographic factors, physical and psychological health, sexual behavior, and history of sexual abuse from those who had.

    MATERIALS AND METHODS: This is a cross-sectional survey involving 3,380 Swedish 18-year-olds. Descriptive analyses were used to investigate different types of sexual behavior. Ordinal data concerning alcohol consumption, self-esteem, sexual and physical abuse, parental relationships, sense of coherence, and health were analyzed, and multiple regression was carried out to identify the most important factors associated with no sexual debut.

    RESULTS: Just under a quarter of the adolescents had not had oral, anal, or vaginal sex by the age of 18 years, and they comprised the index group. They were characterized by being more likely to have caring fathers, parents born outside Europe, lower pornography consumption, lower alcohol and tobacco consumption, less antisocial behavior, and above all lower sexual desire (sometimes, adjusted odds ratio [aOR] 3.8; never/seldom, aOR 13.3) and fewer experiences of sexual abuse (aOR 25.5). Family structure and culture matters when it comes to the age of sexual debut.

    CONCLUSION: Adolescents with no sexual debut at 18 years of age seemed to live a more stable and cautious life than more sexual experienced peers, exemplified by fewer antisocial acts, less smoking and alcohol/drug consumption, less sexual desire, and less experience of sexual abuse.

  • 31.
    Larsson, Tobias
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Öberg, Fia
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Påverkan på relationen efter flytt till HVB-hem: Upplevelser hos närstående till en familjemedlem med psykisk ohälsa 2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Psychiatric care has changed through history. A major change occurred in connection to the psychiatric reform in the 1990s. In relation to this, the relatives also felt that they were taking a more caring role and a greater responsibility for the family member with a mental illness.Previous studies have shown that close relatives to family members with a mental illness, experience a burden related to their family member. This burden is so significant that it affects the relatives own well-being and further influenced their relationship with the family member with mental illness.

    Purpose: The aim of this study was to describe relatives’ experiences of how the relationship to a family member with mental illness is affected when the family member moves to a residential care home.

    Method: The study was conducted as an interview study with a qualitative inductive approach. In the study ten respondents were interviewed and collected material were processed by the authors through a qualitative latent content analysis.Results: The present study revealed that the close relatives find that they are in a complicated situation. The role of being related to a person with mental illness can be experienced as stressful and the relationship, due to various reasons, becomes strained. The result that emerged was that the relationship is characterized by mutual influence and the residential care home can provide security and ease the relation.  

    Conclusion: To increase participation and ease the burden for the close relatives, can reduce their suffer and increase their own well-being. Which, from a holistic perspective, can create conditions for a better relationship and increase the quality of life for all individuals in the system.

  • 32.
    Lundqvist, L. O.
    et al.
    Örebro University.
    Rask, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Brunt, David
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Schröder, Agneta
    Örebro University.
    Quality in community-based day center services for people with psychiatric disabilities from the attendees' perspective2017In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 41, p. S790-S790Article in journal (Other academic)
  • 33.
    Magnusson, Malin
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Lövgren, Elin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    "Spegel, spegel ser du ej? Det du visar förstör mig!": -En litteraturstudie om unga kvinnors upplevelser av att leva med anorexia nervosa. 2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Anorexia nervosa är en ätstörning där man äter eller kontrollerar vikten på ett sätt som leder till att man får problem med sin fysiska och psykiska hälsa. Sjukdomen drabbar främst unga kvinnor i tonåren. Trots att forskning kring ämnet har ökat råder det begränsad kunskap om patienters upplevelser av sjukdomen. Det är därför viktigt att kunskap sprids och utvecklas, samt att sjuksköterskor har kunskap om hur man bäst erbjuder en god omvårdnad till patienterna.  Syfte: Syftet med studien var att belysa unga kvinnors upplevelser av att leva med ätstörningen anorexia nervosa. Metod: En kvalitativ studie med en induktiv ansats har gjorts med hjälp av nio självbiografiska bloggar. Data analyserades utifrån Lundmans och Hällgren- Graneheims (2012) metod för kvalitativ manifest innehållsanalys. Resultat: Resultatet presenteras i två huvudkategorier och sex underkategorier.  Huvudkategorierna är Emotionellt lidande styrt av sjukdomen och tvångsmässiga behov styrt av sjukdomen. Slutsats: Informanterna upplevde att sjukdomen begränsade deras liv och påverkade deras livsvärld, välbefinnande och lidande. Genom ökad kunskap och stöd kan vården förbättras samt tillsätta snabba insatser för att bryta det annars troligen långvariga förloppet av sjukdomen. 

  • 34.
    Marcusdotter, Emma
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    Biverkningsproblematik vid olanzapinbehandling och möjliga åtgärder2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Psykos är ett allvarligt tillstånd där patienten upplever hallucinationer och rubbad verklighetsuppfattning. Ungefär 1-2% av befolkningen är drabbade. En psykos kan komma vid enstaka tillfällen, men ungefär hälften av alla psykotiska episoder utvecklas senare till sjukdomsdiagnosen schizofreni. Psykoser kan också vara en del av andra sjukdomar, t.ex. bipolär sjukdom. Oftast är prognosen god vid rätt behandling. Dagens atypiska antipsykotika kan häva både så kallade positiva som negativa symptom. Olanzapin är ett väl använt läkemedel mot psykossjukdomar i Sverige. Trots detta har Kloka listan (Janusinfo, Stockholm läns landsting) dragit in olanzapin från behandlingsrekommendationen för psykos fr.o.m. 2016, och ersatt det med klozapin. Denna litteraturstudie har som syfte att undersöka problematiken med olanzapin vid psykosbehandling, jämföra biverkningarna med andra antipsykotika samt studera möjliga åtgärder för fortsatt behandling med detta väl använda läkemedel. Totalt hämtades sju meta-analyser från Pubmed och Cochrane Library.

    Resultatet visade att huvudsakliga problemen omfattade metabola biverkningar, och främst viktpåverkan. Även kolesterol-, glukos- och leptinnivåer påverkades av olanzapinbehandling, och nästan alla dessa typer av biverkningar var högre än hos andra atypiska antipsykotika. Det enda läkemedlet som visade jämförbara resultat på metabolismpåverkan var klozapin, som idag finns med i behandlingsrekommendationen speciellt för behandling av terapiresistent psykos. En möjlig åtgärd vid olanzapininducerad viktökning har varit metformin som tilläggsbehandling, men läkemedel som sibutramin kan vara en effektivare behandling. För att upprätthålla olanzapin som en psykosbehandling kan någon av dessa typer av tilläggsbehandling vara en möjlig åtgärd, men fler studier krävs för att styrka denna behandlingsstrategi.

  • 35.
    Mazetti Birath, Malin
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Wallfors, Jennie
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sjuksköterskors erfarenheter av informellt tvång.: En intervjustudie2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In literature, there is not a singular definition of what an informal coercive action is. One of the definitions mentioned however is as follows: “ A informal coercive action is an coercive measure that patients may receive, one that is not regulated by law.” Earlier research also suggests that it can mean under the threat of reprisals should the patients not commit to the predetermined measures, which according to some participants is a good way to make the patients mediate to their care. The literary review done, shows that there are only a handful of studies concluded on the subject of informal coercion.

    Purpose: The purpose of this study is to examine nurses experience of informal coercion.

    Method: The study was accomplished through interviews with qualitative effort. The gathered material was then analysed with Graneheim´s and Lundman´s content analysis.

    Results: The outcome was then presented based on five categories with associated subcategories. Informal coercion as exercised power, Informal coercion based on a will to help, Nurses experiences of informal coercion, Documentation of informal coercion events and its importance and Experiencing informal coercion raises awareness.

    Conclusion: In practice, there are no evident differences between informal coercion. Patients in emergency psychiatric care are exposed to threats of coercion and put to ultimatums regarding their care. Neither are there any clear definitions of what informal coercion is, this needs to be clarified to achive a better understanding of what informal coercion is.

     

  • 36.
    Modig, Sara
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Beijer, Lisa
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    DEN SOCIALA SITUATIONEN OCH RELATIONERS BETYDELSE FÖR ÅTERHÄMTNING: - En kvalitativ litteraturstudie om upplevelser hos personer med allvarlig psykisk störning2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Genom historien har personer med allvarlig psykisk störning ofta tvingats leva avskilda och utstötta från samhället, en stigmatisering som finns kvar än idag.

    Syfte: Syftet med litteraturstudien var att belysa hur personer med allvarlig psykisk störning upplever sin sociala situation samt hur dessa personer upplever att sociala relationer påverkar återhämtningen från allvarlig psykisk störning.

    Metod: Till studien eftersöktes kvalitativa artiklar i relevanta databaser, nio stycken artiklar som passade studiens syfte valdes ut. Artiklarna genomgick manifest innehållsanalys, två huvudkategorier och ett flertal underkategorier kunde urskiljas.

    Resultat: I litteraturstudien framgick att personer med allvarlig psykisk störning känner sig utstötta från samhället och upplever fördomar riktade mot sig. Svårigheter med sociala kontakter leder till ensamhet. Önskan om meningsfulla aktiviteter fanns för att få en mer meningsfull vardag och lättare kunna knyta kontakter med andra. De sociala relationernas betydelse för återhämtningen från allvarlig psykisk störning framkom tydligt i litteraturstudien. Familj, vänner och vårdare bidrog samtliga till återhämtningsprocessen.

    Slutsats: Personerna upplevde en stigmatisering som bidrog till att försämra deras sociala situation, vilket bidrar till ökat lidande. Alla inom vården är en viktig del för att minska detta. Sociala relationer som medför att bli sedd och bekräftad som människa är viktigt för återhämtningen från allvarlig psykisk störning.

  • 37.
    Nilsson, Katarina
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Ekeroth, My
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    NÄR DET VERKLIGA BLIR OVERKLIGT: En litteraturstudie om föräldrars upplevelser av att ha ett barn med schizofreni.2011Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I Sverige finns ca 35 000 personer diagnostiserade med schizofreni. Att insjukna i schizofreni innebär en livsomvälvande katastrof både för den som insjuknar och de närstående. Av de barn och ungdomar som drabbas av schizofreni får hälften ett livslångt handikapp. Deras föräldrar får ofta svårigheter med att möta sina barns lidande, bekymmer, att förstå deras förändrade livsvärld och den problematik som den psykiska störningen omfattar.

    Syfte: Denna litteraturstudies syfte var att beskriva föräldrarnas svårigheter hantera den uppkomna situationen och att förstå sina barns förändrade livsvärld och den problematik som den psykiska störningen innebär. Ett vidare syfte har varit att tydliggöra sjuksköterskans vägledande roll i denna process.

    Metod: En litteraturstudie med kvalitativ ansats som belyser föräldrarnas upplevelser av att ha ett barn med schizofreni.

    Resultat: Studiens resultat visar fem framträdande teman; Att inte förstå vad som händer med sitt barn, Moraliska och praktiska dilemman, Skuld och skam, Att som förälder sörja förlusten av det barn man en gång känt samt Vilken form av stöd/information söker föräldrarna?

    Slutsatser: Allvarlig psykisk störning orsakar ett stort lidande både för barnet som diagnostiserats och dess föräldrar. Det är en komplex situation för hela familjen och det ligger ett stort ansvar på vårdaren att vara öppensinnig i kommunikationen med denna patientgrupp och deras närstående för att kunna hjälpa och stödja.

     

  • 38.
    Peterson, Ulla
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Åsberg, Marie
    Danderyds sjukhus.
    Depression hos äldre: går det att förebygga?2014In: 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)
  • 39.
    Petersson, Malin
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Education, Psychology and Sport Science.
    Perez, Chaly
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Education, Psychology and Sport Science.
    Samarbete ger samordnad behandling: För individer med samsjuklighet2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att undersöka hur samarbetet för individer med samsjuklighet ser ut mellan kommun och landsting samt hur möjligheterna ser ut till samordnad vård och behandling. Frågeställningarna var att ta reda på hur samarbetet ser ut mellan kommun och landsting gällande individer med samsjuklighet samt vilka tillvägagångssätt som finns för att förbättra samordnad vård och behandling mellan kommun och landsting. Studien genomfördes med kvalitativa semistrukturerade intervjuer. Den teoretiska utgångspunkten var Fridolfs (2004) fyra motiv till ett bra samarbete. Utifrån det hermeneutiska synsättet tolkades intervjuerna inför resultatet med hjälp av innehållsanalys. Resultatet visar att det finns ett samarbete mellan kommun och landsting men för förbättring behövs det mer erfarenhet och kunskap om varandras arbetsuppgifter. Slutsatsen av resultatet är att mer forskning fordras om hur och på vilket sätt samarbete mellan kommun och landsting kan förbättras. Kan en gemensam huvudman vara ett alternativ?

  • 40.
    Ranjbar, Vania
    et al.
    Angered Hospital ; University of Gothenburg.
    Näslund, Monika S.
    Stockholm County Council.
    Vingare, Emme-Li
    Linnaeus University, Faculty of Social Sciences, Department of Social Work. Swedish Psychotrauma Society.
    Hagelthorn, Christina
    Swedish Psychotrauma Society.
    Englund, Liselotte
    Karlstad University.
    Karlsson, Ingvar
    Swedish Psychotrauma Society ; University of Gothenburg.
    The Swedish Psychotrauma Society: joining forces for a national psychotrauma platform from a multidisciplinary and holistic approach2015In: European Journal of Psychotraumatology, ISSN 2000-8066, E-ISSN 2000-8066, Vol. 6, no Supplement 3, article id 28546Article in journal (Other academic)
  • 41.
    Rask, Mikael
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    David, Brunt
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Verbal and social interactions in the nurse-patient relationship in forensic psychiatric nursing care: a model and its philosophical and theoretical foundation2007In: Nursing Inquiry, Vol. 14, no 2, p. 169-176Article in journal (Refereed)
    Abstract [en]

    The present paper focuses on the nurse-patient relationship in forensic psychiatric care. From research in the field six categories of nurse-patient interactions are identified: "building and sustaining relationships", "supportive/encouraging interactions", "social skills training", "reality orientation", "reflective interactions" and "practical skills training". The content of each category of interaction in the context of forensic psychiatric care is described. A conceptual model is presented together with an empirical, philosophical and theoretical foundation for the use of verbal and social interactions in nurse-patient interactions in forensic psychiatric nursing care. The implications and possible uses of the model in the practical field of forensic psychiatric care are discussed.

  • 42.
    Rilöv, Sara
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Brunosson, Frida
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Enkomponentsbehandling bestående av sömnrestriktion-sömnkomprimering jämfört med multikomponent KBT för insomni: En benchmark, non-inferiority studie2019Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Insomnia is a common problem and there is a need for increased accessibility to cost-effective treatments. The purpose was to examine if an one-component treatment (EK), consisting of sleep-restriction/sleep-compression, were non-inferior to a multi-component (MK) CBT treatment for insomnia and if there was a difference in symptom reduction. The prestated margins for non-inferiority were d = 0.8, based on previous research, and a stricter margin of d = 0.4. Data from a research study where participants received EK (n = 193) was compared to a benchmark consisting of a CBT treatment in regular health care (MK) (n = 289). Both groups received treatment at the same Internet platform, and Insomnia Severity Index (ISI) was used as outcome measurement. The results showed that EK could not be confirmed as non-inferior to MK directly after treatment or at the one-year follow up when using a strict limit. When a liberal limit was used, EK could be confirmed as non-inferior directly after treatment but not one year later. Directly after treatment and at the one-year follow up both groups showed a significant symptom reduction, but at the one-year follow up MK showed a greater reduction. A large number of missing data at the one-year follow up and more therapeutic support in MK may have affected the results. More RCT-studies with longterm follow ups are needed in the area, and also studies of other populations. MK is preferable, but with limited resources EK can be offered with good effect both short term and long term.

  • 43.
    Ringbom, Sara
    et al.
    University of Kalmar, School of Human Sciences.
    Olsson, Linn
    University of Kalmar, School of Human Sciences.
    Patienters upplevelser av tvångsvård inom psykiatrisk slutenvård2010Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    SAMMANFATTNING

    Bakgrund: Patienters upplevelser av att vårdas inom slutenvården med stöd av Lagen om psykiatrisk tvångsvård. Människor med en allvarlig psykisk störning eller ett oundvikligt behov av vård får med stöd av lagen tvångsvårdas. Patienterna fråntas självbestämmandet och blir tvungna att delta i vård och behandling mot sin vilja. När självbestämmandet fråntas patienterna övertar vårdpersonalen ansvaret vilket kan leda till ett lidande för patienterna (1991:1128).

    Syfte: Syftet var att beskriva patienters upplevelser av tvångsvård inom psykiatrisk slutenvård. 

    Metod: Systematisk litteraturstudie, sex artiklar användes för uppnått resultat.

    Resultat: Både positiva och negativa upplevelser av tvångsvård påvisades. Patienterna beskrev ett möte med vården kantat av upplevelser kring människovärde, delaktighet i sin egen vård, kommunikation, relationer, synen på våld, hot och straff samt upplevt lidande.

    Slutsats: Om patienterna bemöttes med respekt, människovärde samt fick tillräcklig information kring vård och behandling blev upplevelserna av tvångsvården mer positiv. Brist på delaktighet i fråga om vård och behandling och kommunikationsbrister var ett problem då patienterna hade lite sjukdomsinskt samt inte hade förståelse för behovet av tvångsvård.

    Vidare forskning med kvalitativa intervjuer om patienters upplevelser av tvångsvård föreslås för att ge utökad förståelse och kunskap.

  • 44.
    Suvanto, Anna-Liisa
    et al.
    Karolinska institutet.
    Heikkilä, Kristiina
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Att minnas kriget: sverigefinska erfarenheter2014In: Äldres psykiska hälsa och ohälsa: prevention, förhållningssätt och arbetsmetoder / [ed] Susanne Rolfner Suvanto, Stockholm: Gothia Förlag AB, 2014, 1, p. 64-89Chapter in book (Other academic)
  • 45.
    Svedin, Carl Göran
    et al.
    Linköping University.
    Kjellgren, Cecilia
    Linnaeus University, Faculty of Social Sciences, Department of Social Work.
    Barnmisshandel och sexuella övergrepp på barn2015In: Barn- och ungdomspsykiatri / [ed] Christopher Gillberg, Maria Råstam, Elisabeth Fernell, Stockholm: Natur och kultur, 2015, 3, p. 376-395Chapter in book (Other academic)
  • 46.
    Svensson, Frida
    et al.
    Linköpings universitet.
    Fredlund, Cecilia
    Linköpings universitet.
    Svedin, Carl Göran
    Linköping University.
    Priebe, Gisela
    Lunds universitet.
    Wadsby, Marie
    Linköpings universitet.
    Adolescents selling sex: Exposure to abuse, mental health, self-harm behaviour and the need for help and support-a study of a Swedish national sample2013In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 67, no 2, p. 81-88Article in journal (Refereed)
    Abstract [en]

    Background: Selling sex is not uncommon among adolescents and we need to increase our knowledge of how this affects them. Aim: The aim of this study was to investigate adolescents who sell sex regarding sexual, mental and physical abuse, mental health as estimated by using the Hopkins Symptom Check List-25 (HSCL-25), self-harm behaviour and the adolescents’ experience of receiving help and support. Methods: The study was carried out on a national representative sample of adolescents (mean age 18.3 years) in Swedish high schools in the final year of their 3-year programme. The study had 3498 participants and a response rate of 60.4%. Results: Of the adolescents, 1.5% stated that they had sold sexual services. The selling of sex was associated with a history of sexual, mental and physical abuse. Poorer mental health and a higher degree of self-harm behaviour were reported among the adolescents who had sold sex. Help and support was sought to a greater extent by adolescents who had sold sex but these adolescents were not as satisfied with this help and support as the other adolescents. Conclusions: Adolescents that sell sex are a group especially exposed to sexual, mental and physical abuse. They have poorer mental health and engage in more self-harm behaviour than other adolescents. They are in need of more help and support than other adolescents and it is reasonable to assert that more resources, research and attention should be directed to this group to provide better help and support in the future.

  • 47.
    Söderquist, Linda
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Nilsson, Linda
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Anhörigas upplevelser av mötet med vården när en familjemedlem har diagnosen ADHD.2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Attention deficit hyperactivity disorder (ADHD) is a neuropsychiatric disability characterized of hyperactivity, inattentive and impulsiveness. When a person with a neuropsychiatric disability need help from the healthcare, it´s common that relatives often feel a fault and judges themselves. The relatives desired that health professionals would listen and give the relatives a feeling of being important.

    Aim: The aim of this study where to examine how relatives experiences the meeting with healthcare when a family member has ADHD.  

    Method: This study has a qualitative starting point and are made with nine interviews of relatives with a family member with ADHD. The analyze has been done by qualitative content analysis.

    Result:  The relatives experienced that the healthcare where missing a point of context, continuity and lack of knowledge which result in a big responsibility for the relatives themselves. It was a variation of access to support and help from the healthcare according to the relatives. The relatives also experienced that the healthcare didn’t see the whole family and how the person with ADHD affected all the family members and their everyday life. Experiences of focus on medication instead of the family’s everyday life where described. The environment and treatment from the health professionals where important to.

    Conclusion: Based on the initial literature review and the present study, the authors can assume that healthcare should involve a more systematic approach when working with these relatives and their family members. Knowledge of family-focused nursing care staff might have benefited during the meeting of the relatives and their family members with ADHD, so that healthcare could meet the need for support of the whole family.

  • 48.
    Takács, Johanna
    et al.
    Semmelwies University, Hungary.
    Bódizs, Róbert
    Semmelwies University, Hungary;Pázmány Péter Catholic University, Hungary.
    Przemyslaw Ujma, Péter
    Semmelwies University, Hungary.
    Horváth, Klára
    Semmelwies University, Hungary.
    Rajna, Péter
    Semmelwies University, Hungary.
    Harmat, László
    Karolinska Institutet.
    Reliability and Validity of the Hungarian version of the Pittsburgh Sleep Quality Index (PSQI-HUN): comparing psychiatric patients with control subjects2016In: Sleep and Breathing, ISSN 1520-9512, E-ISSN 1522-1709, Vol. 20, no 3, p. 1045-1051Article in journal (Refereed)
    Abstract [en]

    Purpose

    The Pittsburgh Sleep Quality Index is used to evaluate subjective sleep quality, and it is commonly used in clinical research. Subjective sleep quality is also an important clinical measure in patients with psychiatric disorders. The aim of the present study was to evaluate the reliability and validity of the Hungarian version of the Pittsburgh Sleep Quality Index (PSQI-HUN) in both clinical and non-clinical samples.

    Methods

    The original version of PSQI was translated into Hungarian according to standard guidelines. The PSQI-HUN and the Athens Insomnia Scale (AIS) were subsequently administered to 53 psychiatric patients (schizophrenia, recurrent depressive disorder, mixed anxiety, and depressive disorder) and 178 healthy controls.

    Results

    Internal consistency as measured by Cronbach’s alpha in the whole sample was 0.79. Pearson’s product-moment correlations between component scores and the global scores were high (0.59–0.88) in the PSQI-HUN indicating the homogeneity of the scale. PSQI-HUN global and component scores differed significantly between psychiatric patients and control subjects. In the psychiatric patient subsample, schizophrenics had lower global scores compared to the other two patient groups. The analysis of convergent validity showed significant correlations between the AIS and the global as well as the component scores of the PSQI-HUN (except the component of sleep latency).

    Conclusions

    The present study concludes that the PSQI-HUN is a reliable, valid, and standardized measure for assessment of the subjective sleep quality in clinical and research settings.

  • 49.
    Torstensson, Susann
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Ericson, Michael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Den vårdande relationen till patienter med självskadebeteende: en intervjustudie ur ett sjuksköterskeperspektiv2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Introduktion: Inom den allmänpsykiatriska vården är patienter med självskadebeteende vanligt förekommande. Dessa patienter har ofta olika diagnoser som påverkar patienternas dagliga liv, vilket kan göra att det finna olika faktorer som har betydelse för hur den vårdande relationen skapas. Detta gör också att det ställs högre krav på sjuksköterskor som arbetar med dessa patienter. 

    Syfte: Syftet är att belysa hur allmänsjuksköterskor inom den psykiatriska vården skapar en vårdande relation till patienter med självskadebeteende.                                                                   

    Metod: Studien är en kvalitativ intervjustudie. Genom att genomföra intervjuer med allmänsjuksköterskor har vi fått ta del av sjuksköterskornas upplevelser, tankar, åsikter och personliga erfarenheter av patienter med självskadebeteende och hur en vårdande relation skapas med dem.               

    Resultat: Resultatet presenteras i tre kategorier som är av stor betydelse för hur en vårdande relation till patienter med självskadebeteende skapas: sjuksköterskans förhållningssätt, sjuksköterskornas upplevelser av patienterna och kompetensutveckling.  

    Slutsats: Ur sjuksköterskors perspektiv är ett öppet förhållningssätt till patienten en förutsättning för att skapa en vårdande relation. Grunden i relationen handlar även om trygghet och tillit. Enligt sjuksköterskorna är reflektion i arbetsgrupp och vidare utbildning i kontext viktiga för att kunna möta behov från patienter med självskadebeteende. 

  • 50.
    Vumma, Ravi
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    Johansson, Jessica
    Örebro University.
    Venizelos, Nikolaos
    Örebro University.
    Proinflammatory cytokines and oxidative stress decrease the transport of dopamine precursor tyrosine in human fibroblasts2017In: Neuropsychobiology, ISSN 0302-282X, E-ISSN 1423-0224, Vol. 75, no 4, p. 178-184Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Proinflammatory cytokines and oxidative stress responses have been extensively implicated in the pathophysiology of neuropsychiatric disorders over the past 2 decades. Moreover, disturbed transport of the dopamine precursor (i.e., the amino acid tyrosine) has been demonstrated, in different studies, across fibroblast cell membranes obtained from neuropsychiatric patients. However, the role and influences of proinflammatory cytokines and oxidative stress, and the reasons for disturbed tyrosine transport in neuropsychiatric disorders, are still not evaluated.

    AIMS: The present study aimed to assess the role of proinflammatory cytokines and oxidative stress, indicated in many neuropsychiatric disorders, in tyrosine transportation, by using human skin-derived fibroblasts.

    METHODS: Fibroblasts obtained from a healthy control were used in this study. Fibroblasts were treated with proinflammatory cytokines (IL-1β, IFN-γ, IL-6, TNF-α), their combinations, and oxidative stress, optimized for concentrations and incubation time, to analyze the uptake of 14C-tyrosine compared to untreated controls.

    RESULTS AND CONCLUSION: This study demonstrates that proinflammatory cytokines and oxidative stress decrease the transport of tyrosine (47% and 33%, respectively), which can alter dopamine synthesis. The functionality of the tyrosine transporter could be a new potential biomarker to target for discovering new drugs to counteract the effects of proinflammatory cytokines and oxidative stress in the pathophysiology of neuropsychiatric disorders.

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