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  • 1.
    Almqvist, Kjerstin
    et al.
    Karlstad University, Sweden.
    Bäccman, Charlotte
    Karlstad University, Sweden.
    Anderzén-Carlsson, Agneta
    Norlén, Anna
    Pernebo, Karin
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY). Region Kronoberg, Sweden.
    Massoudi, Pamela
    Region Kronoberg, Sweden.
    iRiSk II: Utveckling av bedömningsinstrument och stödinsatser för våldsutsatta barn - rapport fråm två delprojekt2018Rapport (Övrigt vetenskapligt)
  • 2.
    Lindgren Fändriks, Anna
    et al.
    Karlstad University, Sweden;Region Värmland, Sweden.
    Almqvist, Kjerstin
    Karlstad University, Sweden.
    Hjärthag, Fredrik
    Karlstad University, Sweden.
    Pernebo, Karin
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY). Region Kronoberg, Sweden.
    Child health care nurses' experience of language screening for 2.5-year-old children: A qualitative study2023Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 10, nr 9, s. 6583-6591Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To investigate the experience of Child Health Care Nurses (CHCNs) using language screening for 2.5-year-old children.Design: An exploratory qualitative design with an inductive approach.Method: Data were collected through semi-structured, interviews with Swedish CHCNs who regularly performed language screening for children. The interviews were analysed by thematic analysis.Results: Four themes were identified: 'The difficult visit', 'Explanations for language delay', 'Language screening across cultures' and 'Language screening with children exposed to adverse life events'.Patient or Public Contribution: Our findings suggest that in routine care a modified procedure is used for the language screening of children aged 2.5 to secure the child's cooperation and to preserve an alliance with the parents. Consequently, the validity of the screening is called into question, particularly when it comes to children from families with origins outside the dominant culture and children exposed to adverse life events.

  • 3.
    Pernebo, Karin
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY). Region Kronoberg, Sweden.
    Barn utsatta för våld i sin familj2020Ingår i: Barn & unga i utsatta livssituationer: perspektiv från forskning och praktik / [ed] Linnéa Bruno;Zulmir Bečević, Stockholm: Liber, 2020, s. 103-122Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 4.
    Pernebo, Karin
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY).
    Children in group interventions after exposure to violence toward a caregiver: Experiences, needs, and outcomes2018Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [sv]

    Att som barn bevittna våld mot en förälder är förknippat med negativ påverkan på barns hälsa och utveckling, vilket medför att det finns ett behov av verksamma interventioner för barn som exponerats för våld mot en förälder. Denna avhandling innehåller tre empiriska studier som alla är del av ett sammanhållet forskningsprojekt. Det övergripande syftet är att undersöka interventioner för barn som exponerats för våld mot en förälder.

    Studie I syftade till att belysa små barns upplevelser och erfarenheter av att delta i gruppinterventioner riktade till barn som bevittnat våld mot en förälder. Nio barn, 4 till 6 år gamla, intervjuades efter att de deltagit i gruppverksamhet för barn som bevittnat våld i sina familjer. Intervjuerna analyserades med interpretativ fenomenologisk analys, och fem huvudteman identifierades: glädje, trygghet, att vara i relation, att prata och kompetens.

    Syftet med studie II var att undersöka hur barn berättar om en våldsutsatt förälder. Intervjuer genomfördes med 17 barn mellan 4 och 13 år som bevittnat våld mot en förälder. Tematisk analys identifierade tre huvudteman: sammanhängande berättande om föräldern, bristfälligt berättande om föräldern och föräldern som trigger för traumareaktioner.

    Studie III var en utfallsstudie som undersökte utfallet av två olika gruppinterventioner för barn som bevittnat våld mot en förälder, en psykoedukativ och en psykoterapeutisk. Studien inkluderade 50 barn mellan 4 och 13 år och deras mammor. Symtom på psykisk ohälsa och posttraumatisk stress skattades före och efter interventionerna. Resultaten tyder på att barnen drog nytta av båda interventionerna, men förbättring av symtom var störst för de barn som deltagit i den psykoterapeutiska gruppinterventionen. Trots symtomförbättringarna rapporterade en majoritet av barnens mammor kvarstående symtom på klinisk nivå efter interventionerna. Mammorna visade signifikant lägre nivåer av egna symtom på posttraumatisk stress efter båda interventionerna.

    Resultaten tyder på att barnen uppskattade och drog nytta av båda de studerade interventionerna, men en majoritet uppvisade symtom på klinisk nivå även efter behandling och ett möjligt behov av kompletterande och/eller alternativt stöd och behandling. Dessa resultat tydliggör såväl behovet av rutiner för att bedöma barns symtom under och efter behandling som värdet av att inkludera barn som informanter i forskning.

    Ladda ner fulltext (pdf)
    Doctoral Thesis (Comprehensive Summary)
    Ladda ner (jpg)
    Front Page
  • 5.
    Pernebo, Karin
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY).
    Psykoterapeutisk behandling för små barn och deras omsorgspersoner efter svåra livshändelser2021Ingår i: Svensk Familjeterapi, ISSN 1100-3421, nr 1, s. 26-33Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 6.
    Pernebo, Karin
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY).
    Almqvist, Kjerstin
    Karlstad University, Sweden.
    Children with Experience of Intimate Partner Violence describe their Abused Parent.2019Konferensbidrag (Refereegranskat)
    Abstract [en]

    Introduction: It has been shown that negative impact of intimate partner violence (IPV) on the child begins early in the realm of the relationship between child and caregiver. Understanding how children experience and relate to an abused parent is essential for theory and to optimize interventions. The aim of this study was to elucidate how children describe their abused parent in the aftermath of IPV. Method: Face-to face interviews were conducted with 17 children with experience of IPV, aged 4 to 12 years. The interviews were analyzed using thematic analysis. Results: Three main themes were identified: Coherent telling about parent; Deficient telling about parent, and Parent as trauma trigger. The results indicate that children may carry integrated as well as deficient or blocked inner representations of the abused parent. Discussion: The finding that for some of the children talking about the abused parent seemed to serve as a trigger for trauma reactions carry theoretical as well as clinical implications. One challenge in clinical work is to help turn a relationship that at times is associated with danger into a calm and secure source of new experiences of trust, nurturance and protection. In this work it will be necessary to pay attention to and recognize signs of trauma reactions within the relationship and to address this in treatment.

  • 7.
    Pernebo, Karin
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY). Department of Research and Development, Region Kronoberg.
    Almqvist, Kjerstin
    Karlstad University.
    Children with experience of intimate partner violence describe their abused parent: A qualitative study.2015Konferensbidrag (Refereegranskat)
    Abstract [en]

    Children with experience of intimate partner violence describe their abused parent: A qualitative study.

     

    Karin Pernebo¹² and Kjerstin Almqvist³

    ¹ Department of Psychology, Linnaeus University, Sweden

    ² Department of Research and Development, Region Kronoberg

    ³ Department of Psychology, Karlstad University, Sweden

     

    Abstract

    It has been shown that negative impact of intimate partner violence (IPV) on the child begins early in the realm of the relationship between child and caregiver. Understanding how children experience and relate to an abused parent is essential for theory and to optimize interventions. The aim of this study was to elucidate how children describe their abused parent in the aftermath of IPV. Face-to face interviews were conducted with 17 children with experience of IPV, aged 4 to 12 years, using a semi-structured interview guide. The interviews were analyzed using thematic analysis. Three main themes were identified: Coherent telling about parent; Deficient telling about parent and Parent as trauma trigger. The results indicate that children may carry integrated as well as deficient or blocked inner representations of the abused parent and illustrate the benefit of including young children in research. Theoretical and clinical implications are discussed.

  • 8.
    Pernebo, Karin
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY).
    Almqvist, Kjerstin
    Karlstad university, Sweden.
    Description of how Child-Parent Psychotherapy was implemented in Sweden and Norway through a Clinical and Academic Training Collaborative, Research and the Formation of a Nordic Network.2019Konferensbidrag (Refereegranskat)
    Abstract [en]

    Introduction: Effective and evidenced based treatments targeting young children exposed to domestic violence are scarce in Sweden and Norway. Child-Parent Psychotherapy (CPP) is a treatment model validated for work with young children and their caregiver(s) suffering from the consequences of domestic violence. CPP was introduced in Sweden as part of a research project concerning treatment methods for children exposed to violence, financed by the Swedish Board of Health and Welfare. CPP was not previously practiced in Sweden. 

    Method: The implementation process of CPP in Sweden and Norway has included training of therapists, training of trainers and research. During 2013 – 2015 the first training of therapists in was realized in cooperation with the Child Trauma Research Program, University of California, San Francisco. A feasibility study, conducted in conjunction with the training, indicated that the dissemination of CPP was appropriate without particular adjustments to the Swedish cultural context, and that the method was appreciated by clinicians and families. The observed effects from the feasibility study indicated that the positive results from international (US) studies may be replicated in a Swedish context. The results from this study contributed to the decision in 2016 from the Swedish National Board of Health and Welfare to support the implementation of CPP in Sweden.

    Results: To date three cohorts of clinicians have been trained in Sweden and training of Swedish trainers has been completed. The second cohort included participants from Norway, and subsequently a first training of clinicians has been completed in Norway. An effectiveness study is ongoing. Additionally a Nordic network has been established to scaffold training, implementation and sustainability of CPP in the Nordic countries.

    Discussion: It was evident that CPP fills a gap in child and adolescent psychiatry in Sweden and Norway. Challenges and facilitators in the process of implementation will be discussed.

  • 9.
    Pernebo, Karin
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY). Region Kronoberg, Sweden.
    Almqvist, Kjerstin
    Karlstad University, Sweden.
    Reduced Posttraumatic Stress in Mothers Taking Part in Group Interventions for Children Exposed to Intimate Partner Violence2023Ingår i: Violence and Victims, ISSN 0886-6708, E-ISSN 1945-7073, Vol. 38, nr 1, s. 130-147Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study investigated whether interventions for children exposed to intimate partner violence combining parallel groups for children and mothers contribute to positive outcomes for partaking mothers. The study included 39 mothers in a long-term within-subject design without a control group in a Swedish naturalistic setting. Maternal psychological health was assessed pre- and posttreatment and at 6-month and 12-month follow-up. Mothers reported medium- to large-sized decrease in psychological symptoms, including symptoms of posttraumatic stress, postintervention (p = < .001 d = 0.45-0.96). During the follow-up period, sustained and further decrease of symptoms was reported (p = < .001 d = 0.58-1.60). Mothers also reported decreased exposure to violence. Results indicate that these child-focused programs have major and sustainable positive effects on mothers' psychological health.

  • 10.
    Pernebo, Karin
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY). Region Kronoberg.
    Almqvist, Kjerstin
    Karlstad University.
    Young Children Exposed to Intimate Partner Violence Describe their Abused Parent: A Qualitative Study2017Ingår i: Journal of family Violence, ISSN 0885-7482, E-ISSN 1573-2851, Vol. 32, nr 2, s. 169-178Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The negative impact of intimate partner violence (IPV) begins early in the child’s relationship with a caregiver. Children’s relationships with, and internal working models of, abused parents have rarely been documented. The aim of this study was to collect and interpret young children’s accounts of their abused parent. Interviews were conducted with 17 children aged 4 to 12 years who had witnessed IPV. Thematic analysis identified three main themes and seven sub-themes: “Coherent accounts of the parent” (sub-themes of “general benevolence”, “provision of support, protection, and nurture”, and “parental distress”); “Deficient accounts of the parent” (“vague accounts” and “disorganized narrations”); and “The parent as a trauma trigger” (“avoidance” and “breakthrough of intrusive memories and thoughts”). The results indicate these children may hold integrated, deficient, or blocked internal representations of an abused parent, and they illustrate the benefit of including young children as informants in research.

  • 11.
    Pernebo, Karin
    et al.
    Kronoberg County Council.
    Almqvist, Kjerstin
    Karlstad University.
    Young children's experiences of participating in group treatment for children exposed to intimate partner violence: A qualitative study2016Ingår i: Clinical Child Psychology and Psychiatry, ISSN 1359-1045, E-ISSN 1461-7021, Vol. 21, nr 1, s. 119-132Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The risk of exposure to intimate partner violence (IPV) between caregivers is increased during early childhood. The adverse effects on the health and development of the youngest children may be severe. Effective and promising interventions for children who have experienced IPV have been developed and evaluated. However, there is a lack in knowledge about how the children themselves experience the interventions. The aim of this study was to contribute to the evaluation of group treatment designed to improve the psychological health of young children in the aftermath of family violence by elucidating the children's experiences of participating. Nine children, aged 4 to 6 years, were interviewed after participating in group programmes specifically designed for children who have been exposed to intimate partner violence. A semi-structured interview guide with open-ended questions was used. The interviews were transcribed and analysed using interpretative phenomenological analysis, to ensure a focus on the children's own views and experiences. Five master themes embracing the children's experiences were identified: joy - positive emotional experience of participation; security - feeling safe; relatedness - relationships within the group; to talk - externalised focus on the violence; and competence - new knowledge and skills. Theoretical and clinical implications and the benefit of including very young children's views and experiences in research are discussed.

  • 12.
    Pernebo, Karin
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY).
    Almqvist, Kjerstin
    Karlstad University, Sweden.
    Fridell, Mats
    Lund University, Sweden.
    Six and 12-month follow-up of group interventions for children exposed to intimate partner violence2019Konferensbidrag (Refereegranskat)
    Abstract [en]

    Introduction: Children exposed to intimate partner violence are at risk of long-term consequences on their health and development as well as of continued or renewed exposure to witnessing violence and of being subjected to physical child abuse.

    There is a need for effective interventions for children exposed to intimate partner violence. Existing interventions in Sweden have shown positive but insufficient outcomes. Long term health effects and children’s protection from violence are often not investigated. Extended knowledge on lasting outcomes, aiming at improving established interventions is needed.

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

    Results: The results indicate that children benefit from the group interventions. Late improvements were registered at the follow-up assessments. The findings indicate that children’s exposure to violence decreased, with physical maltreatment decreasing prior to exposure to psychological maltreatment.

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

  • 13.
    Pernebo, Karin
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY). Region Kronoberg, Sweden.
    Alåsen, Mary
    Region Kalmar County, Sweden.
    Axhed, Anna
    Region Jönköping County, Sweden.
    Massoudi, Pamela
    Region Kronoberg, Sweden;University of Gothenburg, Sweden.
    Facilitators and barriers to the implementation and sustainability of child-parent psychotherapy in Sweden: Clinicians’ experiences2024Ingår i: Children and youth services review, ISSN 0190-7409, E-ISSN 1873-7765, Vol. 159, artikel-id 107526Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Trauma-informed evidence-based treatments for the youngest children are insufficiently and unevenly implemented, and access to effective interventions for young children and their families is scarce in Sweden and internationally. Child-parent psychotherapy (CPP) is one of only a few treatment models for trauma-exposed children under the age of 6 years. The aim of this study was to explore the extent to which clinicians trained in CPP continued to work with the model after training and how they experienced its implementation and sustainability over time. We distributed a survey to all 66 clinicians in Sweden trained in CPP and conducted qualitative interviews with a sample of 12 from various organizations.

    About two of three clinicians continued to work with the model post training, but few had treated enough cases to have acquired extended experience or expertise. Using a mixed methods model including thematic analysis, we identified four main themes (three with two subthemes): Work with trauma-exposed young children (sub-themes “Clinicians’ access to young trauma-exposed children” and “Complexity in providing services to trauma-exposed children”); Organizational and systems level aspects (sub-themes “Sociopolitical decisions, unclear responsibilities, and other external conditions” and “Like running my own little business—the clinician within the organization”); Support to deliver child-parent psychotherapy” (sub-themes “Collegial support—it makes all the difference” and “Continued learning and fidelity—the importance of methodological support to deliver the CPP model”); and The clinician and Child-Parent Psychotherapy” (no subthemes). Implementation and sustainability of the CPP model seemed to be both facilitated and hindered by interplay among systems-level, within-organization, and individual factors. The simultaneous need of treatment for young children affected by trauma and the lack of access to such treatment is particularly worrying.

  • 14.
    Pernebo, Karin
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY).
    Fridell, Mats
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY).
    Almqvist, Kjerstin
    Outcomes of a psychotherapeutic and a psychoeducative group intervention for children exposed to intimate partner violence2017Konferensbidrag (Refereegranskat)
    Abstract [en]

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

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

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

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

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

    needs for improvement.

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

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

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

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

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

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

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

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

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

  • 15.
    Pernebo, Karin
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY). Region Kronoberg, Sweden.
    Fridell, Mats
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY). Lund University, Sweden.
    Almqvist, Kjerstin
    Karlstad University, Sweden.
    Outcomes of group interventions for children exposed to intimate partner violence, 6- and 12-months follow-up of an effectiveness study2018Konferensbidrag (Refereegranskat)
    Abstract [en]

    Abstract

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

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

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

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

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

  • 16.
    Pernebo, Karin
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY). Region Kronoberg, Sweden.
    Fridell, Mats
    Lund university, Sweden.
    Almqvist, Kjerstin
    Karlstad university, Sweden.
    Outcomes of psychotherapeutic and psychoeducative group interventions for children exposed to intimate partner violence.2018Ingår i: International Journal of Child Abuse & Neglect, ISSN 0145-2134, E-ISSN 1873-7757, Vol. 79, s. 213-223Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Witnessing violence toward a caregiver during childhood is associated with negative impact on children's health and development, and there is a need for effective interventions for children exposed to intimate partner violence in clinical as well as in community settings. The current effectiveness study investigated symptom reduction after participation in two established group interventions (one community-based psychoeducative intervention; one psychotherapeutic treatment intervention) for children exposed to intimate partner violence and for their non-offending parent. The study included 50 children-24 girls and 26 boys-aged 4-13 years and their mothers. Child and maternal mental health problems and trauma symptoms were assessed pre- and post-treatment. The results indicate that although children showed benefits from both interventions, symptom reduction was larger in the psychotherapeutic intervention, and children with initially high levels of trauma symptoms benefited the most. Despite these improvements, a majority of the children's mothers still reported child trauma symptoms at clinical levels post-treatment. Both interventions substantially reduced maternal post-traumatic stress. The results indicate a need for routine follow-up of children's symptoms after interventions.

  • 17.
    Pernebo, Karin
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY). Region Kronoberg, Sweden.
    Fridell, Mats
    Lund university, Sweden.
    Almqvist, Kjerstin
    Karlstad University, Sweden.
    Reduced psychiatric symptoms at 6 and 12 months' follow-up of psychotherapeutic and psychoeducative group interventions for children exposed to intimate partner violence2019Ingår i: Child Abuse & Neglect, ISSN 0145-2134, Vol. 93, s. 228-238Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

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

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

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

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

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

    Ladda ner fulltext (pdf)
    fulltext
  • 18.
    Pernebo, Karin
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY).
    Fridell, Mats
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY).
    Almqvist, Kjerstin
    Karlstad Universitet, Institutionen för Psykologi.
    Young children’s experiences of participating in group treatment for children exposedto intimate partner violence: A qualitative study2014Konferensbidrag (Refereegranskat)
    Abstract [en]

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

    to intimate partner violence: A qualitative study

    Karin Pernebo¹, Mats Fridell¹² and Kjerstin Almqvist³

    ¹Department of Psychology, Linnaeus University, Sweden

    ²Department of Psychology, Lund University, Sweden

    ³Department of Psychology, Karlstad University, Sweden

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

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

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

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

    about how the children themselves experience the interventions.

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

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

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

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

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

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

    own views and experiences.

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

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

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

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

  • 19.
    Pernebo, Karin
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY). Department of Research and Development, Region Kronoberg.
    Fridell, Mats
    Lund University.
    Svensson, Idor
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY).
    Almqvist, Kjerstin
    Karlstad University.
    Utvärdering av två svenska gruppinterventioner för barn med erfarenhet av våld i föräldrarnas nära relation.2016Konferensbidrag (Refereegranskat)
    Abstract [sv]

    Utvärdering av två svenska gruppinterventioner för barn med erfarenhet av våld i föräldrarnas nära relation.

    Karin Pernebo¹², Mats Fridell 3, Idor Svensson1 and Kjerstin Almqvist4

    ¹ Department of Psychology, Linnaeus University, Sweden

    ² Department of Research and Development, Region Kronoberg

    3 Department of Psychology, Lund University, Sweden

    4 Department of Psychology, Karlstad University, Sweden

     

    Abstract

    Erfarenhet av våld mot primär omsorgsgivare medför risk för negativ påverkan på barns hälsa och utveckling och det finns ett behov av genomförbara och verksamma interventioner för dessa barn. Tidigare studier visar att befintliga insatser i Sverige till barn med erfarenhet av våld i föräldrarnas nära relation är uppskattade av barn och föräldrar samt är förknippade med positivt men otillräckligt utfall. Ökad kunskap behövs för att bättre förstå vad som är verksamt och hur insatser kan förbättras. I en pågående studie granskas två väletablerade och manualiserade gruppinterventioner som erbjuds inom ramen för ordinarie etablerad klinisk verksamhet för barn med erfarenhet av våld mot primär omsorgsgivare. Den ena interventionen är tydligt psykoedukativ och den andra har sin grund i utvecklingspsykologi, traumateori och psykodynamisk teori. Interventionerna innehåller parallella grupper för barn och för den våldsutsatta föräldern med ett besök per vecka, vid 12-15 tillfällen. 50 barn i åldern 4-13 år ingår i studien. Barn och föräldrar har inkluderats kontinuerligt under en tvåårsperiod. Kontextuella faktorer, förekomst av våld (dvs. förälderns utsatthet, barnets exponering för våld mot föräldern och barnets egen våldsutsatthet), generell symtombelastning samt symtom på posttraumatisk stress hos barnen och generell symtombelastning samt symtom på posttraumatisk stress hos den våldsutsatta föräldern mäts före och efter intervention, samt efter 6 månader och efter 1 år.

     

    Preliminära resultat från före och eftermätning presenteras vad gäller traumasymtom och generella symtom på psykisk ohälsa hos barnen. Eventuella samband med exempelvis typ av gruppintervention, barnets egen våldsutsatthet, förälders psykiska ohälsa, pågående rättsliga tvister och umgänge diskuteras.

  • 20.
    Pernebo, Karin
    et al.
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för pedagogik, psykologi och idrottsvetenskap, PPI.
    Ulmestig, Rickard
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för socialt arbete, SA. Jönköping university, Sweden.
    Eriksson, Sandor
    Konsultationer från specialistnivå till basnivå: en utvärdering av ett projekt inom barn- och ungdomspsykiatrin2010Rapport (Övrig (populärvetenskap, debatt, mm))
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