lnu.sePublications
Change search
Refine search result
1 - 22 of 22
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 1. Andersson, P O
    et al.
    Wikby, A
    Stenström, U
    Hörnquist, J O
    Pen injection and change in metabolic control and quality of life in insulin dependent diabetes mellitus.1997In: Diabetes Research and Clinical Practice, ISSN 0168-8227, E-ISSN 1872-8227, Vol. 36, no 3, p. 169-72Article in journal (Refereed)
    Abstract [en]

    A second follow-up of metabolic control and quality of life in insulin dependent diabetes mellitus (IDDM) patients who had switched 3 years before from syringe to multiple pen injection treatment, was carried out. A total of 73 consecutive outpatients were enrolled in the initial follow-up study in 1988, 1 year after their changeover to insulin pen, with their metabolic control and quality of life examined. The present study concerns the reexamination of 65 of them in 1990. Their HbA(1c) level was recorded yearly, already from 1987, on. After an enhancement of metabolic control in 1988, exhibited primarily by patients with fewer syringe injections before pen treatment, control up to 1990 was found to have regressed to about baseline level or to have gradually declined. Patients who perceived their ability to self-test blood glucose to have decreased exhibited the least satisfactory course of metabolic control. This is seen to indicate that maintaining self-testing in multiple injection insulin treatment is a very real challenge to this regimen.

  • 2.
    Bratt, Anna S.
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Stenström, Ulf
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Rennemark, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology. Blekinge Institute of Technology.
    Effects on life satisfaction of older adults after child and spouse bereavement2017In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 21, no 6, p. 602-608Article in journal (Refereed)
    Abstract [en]

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

  • 3.
    Bratt, Anna S.
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Stenström, Ulf
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Rennemark, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology. Blekinge Institute of Technology.
    Exploring the Most Important Negative Life Events in Older Adults Bereaved of Child, Spouse, or Both2018In: Omega, ISSN 0030-2228, E-ISSN 1541-3764, Vol. 76, no 3, p. 227-236Article in journal (Refereed)
    Abstract [en]

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

  • 4.
    Bratt, Anna S.
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Stenström, Ulf
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Rennemark, Mikael
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    The Role of Neuroticism and Conscientiousness on Mortality Risk in Older Adults After Child and Spouse Bereavement2016In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 20, no 6, p. 559-566Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 5. Hörnquist, J O
    et al.
    Wikby, A
    Stenström, U
    Andersson, P O
    Change in quality of life along with type 1 diabetes.1995In: Diabetes Research and Clinical Practice, ISSN 0168-8227, E-ISSN 1872-8227, Vol. 28, no 1, p. 63-72Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to recurrently follow quality of life in type 1 diabetes patients who have switched from syringe to multiple pen injection treatment. The insulin pen is a simpler automatically preset device for self-injection. Seventy-three consecutive outpatients were initially examined in 1988, 66 of whom were re-examined in 1990. Quality of life was defined as perceived well-being and life satisfaction, globally as well as within key domains and functions. Various status and retrospective change ratings were repeatedly performed by patients and significant others. For a great majority, quality of life status was fairly stable between 1988 and 1990. Nine subjects with recent incidences of severe socio-medical complications accounted for a great deal (41%) of the decline in composite quality of life status recorded. Future-orientation and the conduct of the multiple regimen declined in the major fairly stable patient group as well. Contrary to the change-in-status outcome referred to, the direct retrospective change ratings in 1990 indicated a certain continuing consistent improvement over the last 2 years. It was minor, though, in comparison with the preceding enhancement attributed to the pen. In spite of the divergent mean outcome, the disparate change parameters correlated. The self-rated life quality trends were corroborated by ratings by significant others. To a certain extent, the mean change bias may reflect coping strategies released by and adopted against the strain of the illness. Probably, these primarily coloured the more sensitive direct retrospective change ratings. Some bias may also be due to a lack of sensitivity of the status ratings. However, the differential change assessments may also tease out and illustrate two separate, equally valid, patient perspectives, one on their current situation and another one on how it has changed. The diabetes illness appears reasonably stable in a majority of the subjects over the study interval. There seem to be some remaining satisfactory quality of life effects of the pen therapy. The study underscores the benefit of undertaking combined retro-/prospective and sufficiently longitudinal analyses with simultaneous dual rating operations, to get the most nuanced overview.

  • 6. Hörnquist, J O
    et al.
    Wikby, A
    Stenström, U
    Andersson, P O
    Akerlind, I
    Type II diabetes and quality of life: a review of the literature.1995In: PharmacoEconomics (Auckland), ISSN 1170-7690, E-ISSN 1179-2027, Vol. 8 Suppl 1, p. 12-6Article in journal (Refereed)
    Abstract [en]

    In this review, an attempt was made to describe how non-insulin-dependent diabetes mellitus (NIDDM, type II diabetes) affects the life of the ill person. Patients are affected by and cope with this complex disease in different ways, depending on its severity and complications. Influences on well-being therefore also vary--from none to major deterioration. A substantial proportion of patients are primarily affected with fatigue, anxiety, and depression. Deteriorations in cognitive function have also been documented, although diverging evidence exists. Some negative social circumstances have also been noted. Social support, particularly specific support, appears to be helpful, although self-efficacy and health practices seem to be as important. Resistance to compliance with diabetes regimens together with reactions to the demands for increased levels of physical activity are often seen. Systematic focused studies examining how patients and significant others perceive the impact of the disease in retrospect are still awaited. There is a great need for more research on type II diabetes; broad prospective longitudinal follow-up studies monitoring natural disease progression, as well as examining the predictive significance of quality of life, would be welcome.

  • 7.
    Johansson, Maude
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Svensson, Idor
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Stenström, Ulf
    Linnaeus University, Faculty of Health and Life Sciences, Department of Psychology.
    Massoudi, Pamela
    University of Gothenburg.
    Depressive Symptoms and Parental Stress in Mothers and Fathers 25 Months after birth2017In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 21, no 1, p. 65-73Article in journal (Refereed)
    Abstract [en]

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

  • 8. Lindmark, Ulrika
    et al.
    Stenström, Ulf
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Education, Psychology and Sport Science.
    Gerdin, Elisabeth Wärnberg
    Hugoson, Anders
    The distribution of ‘‘sense of coherence’’ among Swedish adults: A quantitative cross-sectional population study2010In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 38, no 1, p. 1-8Article in journal (Refereed)
    Abstract [en]

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

  • 9.
    Ozolins, Andrejs R
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Social Sciences.
    Stenström, Ulf
    Validation of health locus of control patterns in Swedish adolescents.2003In: Adolescence, ISSN 0001-8449, Vol. 38, no 152, p. 651-7Article in journal (Refereed)
    Abstract [en]

    The purpose of the present study was to investigate the relationships between Health Locus of Control (HLOC) questionnaire subscales (Internal, Powerful Others, Chance) and self-esteem in Swedish adolescents (N = 506). Results from traditional correlational analyses were compared with findings using an alternative method of clustering individuals according to their pattern of scores on the three HLOC subscales. One-way analysis of variance, with eight possible groupings of high and/or low scores on the three subscales, indicated that those with a combination of strong belief in internal control of health, high degree of belief that health is determined by powerful others, and low degree of belief that health is a function of chance/luck had better self-esteem than those with a quite opposite pattern, involving high belief in chance and low belief in internal control. The potential benefit to researchers and clinicians of using this method of combining the HLOC subscales, instead of the traditional correlational method, is discussed.

  • 10. Rolander, Bo
    et al.
    Stenström, Ulf
    Växjö University, Faculty of Humanities and Social Sciences, School of Social Sciences. Psykologi.
    Jonker, Dirk
    Relationships between psychosocialwork environmental factors, personality, physical work demands and workload in a group of Swedish dentists2008In: Swedish Dental Journal, ISSN 0347-9994, Swedish Dental Journal, Vol. 32, no 4, p. 197-203Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 11. Skoog, Peter
    et al.
    Stenström, Ulf
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Education, Psychology and Sport Science.
    Självundersökning med hjälp av video bra för melanompatienter2012In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 109, no 22, p. 1094-1095Article in journal (Refereed)
    Abstract [sv]

    Självundersökning efter operation för malignt melanom kan reducera mortaliteten.

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

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

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

  • 12.
    Stenström, U
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Social Sciences.
    Wikby, A
    Hörnquist, J O
    Andersson, P O
    Recent life events, gender, and the control of diabetes mellitus.1993In: General Hospital Psychiatry, ISSN 0163-8343, E-ISSN 1873-7714, Vol. 15, no 2, p. 82-8Article in journal (Refereed)
    Abstract [en]

    Sixty-six outpatients with insulin-dependent diabetes mellitus (IDDM) filled in a life event questionnaire reflecting positive and negative life events perceived to have occurred over the past year. The difference in glycosylated hemoglobin (HbA1C) measures obtained before and after the 1-year period in question (Delta-HbA1C) served as a proxy measure of change in metabolic control. Among males, those reporting predominantly negative life events showed poorer metabolic control than those reporting few negative life events or none. Among females, the greater the number of events reported, especially positive ones, the greater the change for the better in HbA1C over the event year studied. These results suggest that life events may be significant to metabolic control in insulin-dependent diabetes. This only becomes apparent, however, when the two genders are analyzed separately, as various relationships found in one sex may be lacking or even opposite to the other sex. The findings also suggest the importance to the diabetic of learning of life events both the relative lack and preponderance of positive as well as negative events.

  • 13.
    Stenström, Ulf
    Växjö University, Faculty of Humanities and Social Sciences, School of Social Sciences.
    Hälsopsykologi: psykologiska aspekter på häls och sjukdom2007Book (Other (popular science, discussion, etc.))
  • 14.
    Stenström, Ulf
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Social Sciences.
    Andersson, P
    Smoking, blood glucose control, and locus of control beliefs in people with type 1 diabetes mellitus.2000In: Diabetes Research and Clinical Practice, ISSN 0168-8227, E-ISSN 1872-8227, Vol. 50, no 2, p. 103-7Article in journal (Refereed)
    Abstract [en]

    The relations between blood glucose control (HbA(1c)), smoking, and health-related diabetes locus of control beliefs were studied in a consecutive adult sample of 187 patients with Type 1 diabetes who were free of diabetes complications. Those who were smokers (n=32) had poorer HbA(1c) values than non-smokers [7.5+/-1.4 (S.D.) vs 6. 8+/-1.2%, P=0.017]. When the patients were compared according to HbA(1c) quartiles, 17 of the smokers (53%) were found among those with worst blood glucose control. The smokers showed a lesser belief than the non-smokers in powerful others such as physicians and diabetes nurses in regards as diabetes control and the course of the disease [23.5+/-4.4 (S.D.) vs 25.8+/-5.5 (S.D.), P=0.05]. The group as a whole exhibited strong beliefs that their own behaviour was important for diabetes control. This belief appears incongruent with smoking behaviour. The results have implications for possible coping and defence strategies used by the smokers. Due to their worse blood glucose control, weaker beliefs in health care professionals, and possible denial-like coping strategies, smokers clearly need special attention in diabetes care, particularly in the view of their risk of developing long-term complications.

  • 15.
    Stenström, Ulf
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Social Sciences.
    Einarson, S
    Jacobsson, B
    Lindmark, U
    Wenander, A
    Hugoson, A
    The Importance of Psychological Factors in the Maintenance of Oral Health: A Study of Swedish University Students2009In: Oral Health & Preventive Dentistry, ISSN 1602-1622, E-ISSN 1757-9996, Vol. 7, no 3, p. 225-233Article in journal (Refereed)
    Abstract [en]

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

  • 16.
    Stenström, Ulf
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Social Sciences.
    Göth, Alvar
    Carlsson, Christina
    Andersson, Per-Olof
    Stress management training as related to glycemic control and mood in adults with Type 1 diabetes mellitus.2003In: Diabetes Research and Clinical Practice, ISSN 0168-8227, E-ISSN 1872-8227, Vol. 60, no 3, p. 147-52Article in journal (Refereed)
    Abstract [en]

    Relationships between attending a stress management and relaxation-training program, glycemic control (HbA(1c)) and mood were examined in two randomised groups of 31 persons with Type 1 diabetes. The program involved group-education 2 h a week for 14 weeks. Whereas one group received the program, the other acted as a control group and received the program later. HbA(1c) was measured and subjects filled out a mood adjective checklist before the start of intervention and both 1 month and 1 year after completing it. In both groups, significant positive mood changes were obtained, but no significant changes in HbA(1c) values occurred. No significant relationship was found between measures of change in HbA(1c) and of changes in mood. For those attending the group-sessions less frequently, the HbA(1c) values were significantly worse on each of the three measurement occasions than the values of those attending more frequently. The effectiveness of the program, with its failure to improve glycemic control but enhancing the mood of participants, is discussed in terms of characteristics of the sample and various methodological issues as well as in comparison with results of similar studies involving Type 1 and Type 2 diabetes.

  • 17.
    Stenström, Ulf
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Social Sciences.
    Nilsson, Anna-Karin
    Stridh, Camilla
    Nijm, Johnny
    Nyrinder, Ingela
    Jonsson, Asa
    Karlsson, Jan-Erik
    Jonasson, Lena
    Denial in patients with a first-time myocardial infarction: relations to pre-hospital delay and attendance to a cardiac rehabilitation programme.2005In: European Journal of Cardiovascular Prevention & Rehabilitation, ISSN 1741-8267, E-ISSN 1741-8275, Vol. 12, no 6, p. 568-71Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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

  • 18.
    Stenström, Ulf
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Social Sciences.
    Wikby, A
    Andersson, P.-O.
    Rydén, O
    Relationship between locus of control beliefs and metabolic control in insulin-dependent diabetes mellitus1998Other (Other academic)
    Abstract [en]

    Objectives. To examine the relationship between diabetes-specific health locus of control patterns and metabolic control (HbA1C). The validity and reliability of the Diabetes Locus of Control Scale (DLOC) used were also examined. Methods. Study participants were 312 consecutive adult Swedish out-patients with insulin-dependent diabetes mellitus (IDDM). The participants completed the DLOC at their regular clinic visit and data on metabolic control (HbA1C) and background factors were gathered. Results. The Diabetes Locus of Control Scale was found to have adequate psychometric properties. Participants with strong beliefs that their own behaviour is responsible for the course of the disease and weak beliefs in chance and luck were metabolically better regulated than participants who exhibited other health locus of control patterns. Conclusions. The diabetes locus of control patterns examined appear to have explanatory power in accounting for metabolic control. The data suggest that, in planning treatment of IDDM patients, clinicians could make use of knowledge concerning the patients' health locus of control patterns.

  • 19.
    Stenström, Ulf
    et al.
    Växjö University, Faculty of Humanities and Social Sciences, School of Social Sciences.
    Wikby, A
    Hörnqvist, J O
    Andersson, P O
    Recent life events, gender differences, and the control of insulin-dependent diabetes mellitus. A 2-year follow-up study.1995In: General Hospital Psychiatry, ISSN 0163-8343, E-ISSN 1873-7714, Vol. 17, no 6, p. 433-9Article in journal (Refereed)
    Abstract [en]

    In an earlier study of patients with insulin-dependent diabetes mellitus (IDDM), males who reported predominantly negative life events over the previous year and had a poorer social support situation showed poorer HbA1C values than those who reported fewer or no negative life events. For the females it was found that the greater the number of life events reported, especially positive ones, the greater the change for the better was HbA1C over the event year studied. The present study aimed at following up, during the next event year period, various gender-specific patterns obtained in the previous study. For the males, negative life events and HbA1C values were found to be positively related this second event year as well. In addition, more negative life events were reported by those males who, in the previous study, were defined as high-negative eventers. In contrast, for the females, no significant correlations were obtained between life events and HbA1C values for the second event year. The results are discussed in terms of possible differences in psychosocial environment and coping strategies between males and females.

  • 20.
    Wikby, A
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Education, Psychology and Sport Science.
    Hörnquist, J O
    Stenström, Ulf
    Växjö University, Faculty of Humanities and Social Sciences, School of Social Sciences.
    Andersson, P O
    Background factors, long-term complications, quality of life and metabolic control in insulin dependent diabetes.1993In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 2, no 4, p. 281-6Article in journal (Refereed)
    Abstract [en]

    Sixty-six of 74 adults with Insulin Dependent Diabetes Mellitus (IDDM) examined earlier (1988), were followed up two years later (1990) with the aim of studying the influence of sociodemographic factors, long-term complications and quality of life on metabolic control. It was found that both non-cohabitance and a major discrepancy between quality of life change ratings made prospectively (difference in current QOL ratings made 1990 vs 1988) and retrospectively (assessed in 1990 and covering the same period) were associated with poorer metabolic control, and also that perceived somatic health was linked with better metabolic control. A majority of the persons with a major discrepancy in their quality of life ratings, seen as suggestive of difficulties in their realistically assessing their own life situation, was also found to be non-cohabitant and/or to have incipient nephropathy, indicating these persons to constitute a risk group. In addition, well-regulated subjects were found to rate their bodily health as higher than they did their quality of life, whereas for poorly regulated persons the opposite was the case. The results were seen as pointing to the need of paying special attention clinically to the group of persons characterized here by a major discrepancy in their quality of life change ratings and also as emphasizing the fact that living with IDDM is a balancing act for the individual between satisfying bodily demands to be well-regulated and living in such a way as to perceive quality of life.

  • 21. Wikby, A
    et al.
    Stenström, U
    Andersson, P O
    Hörnquist, J
    Metabolic control, quality of life, and negative life events: a longitudinal study of well-controlled and poorly regulated patients with type 1 diabetes after changeover to insulin pen treatment.1998In: The diabetes educator, ISSN 0145-7217, E-ISSN 1554-6063, Vol. 24, no 1, p. 61-6Article in journal (Refereed)
    Abstract [en]

    In a previous study of a group of 74 patients with Type I diabetes, quality of life was found to be consistently enhanced a year after transition to multiple injection therapy with the insulin pen, whereas metabolic control (HbA1C) only improved moderately. The aim of the present investigation was to examine quality of life, recent life events, and metabolic control longitudinally in this original study group over a 5-year period beginning 1 year after transition to the insulin pen. Multiple analysis of variance with a repeated-measures design was used to analyze the data longitudinally and compare metabolic control in subgroups of well-controlled and poorly regulated patients during the study period. For the group as a whole, quality of life was found to change only moderately, whereas metabolic control deteriorated significantly across time following transition to the insulin pen. The two subgroups exhibited distinct differences, however, in quality of life, recent life events, and metabolic control patterns. These findings are discussed in terms of the clinical suitability of a multiple injection regimen.

  • 22. Wikby, A
    et al.
    Stenström, U
    Hörnquist, J O
    Andersson, P O
    Coping behaviour and degree of discrepancy between retrospective and prospective self-ratings of change in quality of life in type 1 diabetes mellitus.1993In: Diabetic Medicine, ISSN 0742-3071, E-ISSN 1464-5491, Vol. 10, no 9, p. 851-4Article in journal (Refereed)
    Abstract [en]

    Quality of life and metabolic control were examined in 74 adults with Type 1 diabetes mellitus in 1988. Sixty-six of the persons were followed up in 1990 with the aim of studying more closely the subgroup that showed a 'major' discrepancy between 'retrospective' and 'prospective' quality of life change ratings. 'Prospective' quality of life change was defined as the difference in assessed quality of life status between 1990 and 1988. 'Retrospective' quality of life change was assessed directly by subjects in 1990 covering the same time period. Data on quality of life, well-being, sociodemographics and metabolic control were collected on both occasions. Recent life-change events and long-term complications were also recorded in 1990. Subjects with 'major' discrepancy reported greater retrospective quality of life improvement, higher quality of life, and greater well-being, as well as lesser occurrence of negative and greater occurrence of positive recent life-change events, than did those with 'minor' discrepancy, despite their exhibiting poorer metabolic control and a higher prevalence of incipient nephropathy. The results are discussed in terms of possible coping and defence strategies.

1 - 22 of 22
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf