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  • 1.
    Ahlström, Richard
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Savemark, Mattias
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Dödsfall under och efter skuldsanering2010Report (Other academic)
    Abstract [sv]

    Konsumentverket har enligt skuldsaneringslagen (SFS 2006:548) uppdrag att stödja och vägleda den budget- och skuldrådgivning som kommunerna skall svara för. Detta innefattar bland annat utbildning, metodutveckling, kunskapsbyggande och information samt utvärdering. Som ett led i detta har verket initierat en utvärdering av verksamheten från, såväl ett gäldenärsperspektiv som ur ett samhällsekonomiskt perspektiv. Föreliggande rapport är en del av en kommande större rapport rörande bl.a. ekonomi och hälsoaspekter i samband med överskuldsättning och skuldrådgivning i kommunerna. Författare är docent Richard Ahlstöm och forskningsassistent Mattias Savemark. De slutsatser och ståndpunkter som redovisas här är författarnas egna och de ansvarar för delrapportens riktighet och innehåll.

  • 2.
    Almén, Niclas
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    KBT-rehabilitering för stress, ångest och depression: Preliminära resultat2012Conference paper (Other academic)
  • 3.
    Almén, Niclas
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Rehabilitering enligt kognitiv beteendeterapeutisk modell2002In: Svensk Rehabilitering, ISSN 1403-4468, no 2, p. 38-41Article in journal (Other academic)
  • 4.
    Almén, Niclas
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Stress- och utmattningsproblem: Kognitiva och beteendeinriktade metoder2017 (ed. 2)Book (Other academic)
  • 5.
    Almén, Niclas
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Stress- och utmattningsproblem: Kognitiva och beteendeterapeutiska metoder2007 (ed. 1)Book (Other academic)
  • 6.
    Almén, Niclas
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Åreklinikens rehabiliteringsprogram för stressymtom och utbrändhet.: En utvärdering.2001In: Åreklinikens rehabiliteringsprogram för stressymtom och utbrändhet.: En utvärdering, 2001Conference paper (Refereed)
  • 7.
    Almén, Niclas
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Återhämtningsfokuserad stresshantering: Praktiskt och teoretisk bakgrund, samt två pilotstudier2012Conference paper (Other academic)
  • 8.
    Almén, Niclas
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Lisspers, Jan
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Sundin, Örjan
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Effects of a Recovery-Focused Intervention for Stress Management: A Randomized Controlled Trial2015Conference paper (Refereed)
    Abstract [en]

    Abstract

    INTRODUCTION

    Stress symptoms, burnout, poor mental health and long-term sick leave related to these are major problems in Sweden and elsewhere. Evidence-based prevention and treatment efforts are lacking. Research indicates that stress related health problems primarily could be conceptualized as deficiencies in recovery responses between stress periods rather than high level of stress responses per se. Therefore it is relevant to examine whether it is effective to intervene the recovery behavior – instead of the stress behavior - of people with stress symptoms.

    OBJECTIVES

    The primary purpose of this study was to investigate if a behavioral oriented recovery management intervention could enhance “recovery behaviors” and experiences of recovery and reduce stress related ill health.

    METHODS A group based intervention program focusing exclusively on “recovery behavior” in everyday life (earlier developed and tested in two pilot studies) was evaluated in an experimental group study. The intervention consisted of seven group sessions of 2.5 hours over a period of approximately 10 weeks supplemented by an internet based treatment support system. Self- referred subjects with scores above 24.4 on the Perceived stress scale were randomized to the intervention (n=26) or a waiting-list (n=33).

    RESUL T

    Statistically significant and clinically relevant effects were achieved for the intervention group compare to the waiting-list group: recovery behaviors and experiences of recovery were increased, and levels of perceived stress, worry, anxiety, depression and exhaustion were decreased.

    DISCUSSION These results are in line with two previous pilot studies that we have done. A behavioral and recovery oriented intervention seems to be effective to increase the recovery of the individual and decrease stress related ill health. There are reasons to continue to explore the potential of recovery-oriented interventions for example for different populations (such as people with more extensive clinical health problems) and in different contexts. 

  • 9.
    Arriaga, Patricia
    et al.
    Instituto Universitário de Lisboa (ISCTE-IUL), CIS-IUL.
    Zillmann, Dolf
    University of Alabama.
    Esteves, Francisco
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    The Promotion of Violence by the Mainstream Media of Communication2016In: The Social Developmental Construction of Violence and Intergroup Conflict / [ed] J. Vala, S. Waldzus, M. Calheiros, Springer, 2016, p. 171-195Chapter in book (Refereed)
    Abstract [en]

    This chapter gives a comprehensive state-of-the-art review on the effects that exposure to or enactment of violence in mainstream media has on aggressive behavior, emotions, and empathy. In line with contemporary technological developments, the authors also cover the more and more widespread consumption of violent video games, which put the player in a more active role than traditional media (such as television) put their viewers. As the field is extremely controversial, the authors are careful in their analysis of the actually existing evidence as well as in their conclusions and recommendations for future research. Despite all controversy, and after reviewing existing literature, as well as a large number of own empirical work, the authors come to the conclusion that there is evidence for increased aggressive motivation and impulsivity as a result of exposure to media violence, but that it is not clear yet how much it affects people’s real-life behavior. Nevertheless, it is clear that there is no evidence for cathartic effects, a conclusion that is similar in research on the effects of filmed violence, and an idea that had been present in the controversy for decades but can now be abandoned.

  • 10.
    Christiansson, Reine
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Ignatiansk retreat som kriminalvård: En kvalitativ studie om fångars personliga utveckling2012Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med undersökningen har varit att undersöka om positiva förändringar och inre resurser utvecklas för intagna under en 30 dagars Ignatiansk klosterretreat på en av Sveriges högsäkerhetsanstalter. Deltagarna var dömda män i åldrarna 23 – 55 år med straff på fyra år till livstid.

    Studien har tillämpat en kvalitativ ansats med semistrukturerade intervjuer av deltagare och personal, observationer och dokumentanalyser. För ytterligare djuplodande kunskaper och information har studien också använt sig av ett autoetnografiskt perspektiv för att undersöka upplevelser och förändringsprocesser från retreaten.

    Resultaten påvisade att deltagarna utvecklat och förstärkt inre resurser, som emotionell kompetens, inre styrka och en positiv andlig utveckling. Resurserna har vidare legat till grund för den positiva posttraumatiska personlighetsutveckling deltagarna uppvisade.

    Slutsatserna i studien är att deltagarna erhåller en ökad positiv framtidstro och ökad reflektion över värderingar och vad som är viktigt i deras liv. Upplevelsen av retreaten resulterade i viktiga livsstilsförändringar och resurser för fortsatt främjande av personlighetsutveckling för framtiden.

  • 11.
    Ekdahl, Johanna
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Sexualitet och sexuella problem: bedömning och behandling enligt KBT2017 (ed. 1:1)Book (Other academic)
  • 12.
    Ekdahl, Johanna
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Flink, Ida
    Örebro Universitet.
    Engman, Linnea
    Örebro Universitet.
    Linton, Steven James
    Örebro Universitet.
    Vulvovaginal pain from a fear-avoidance perspective: a prospective study among female university students in Sweden2018In: International Journal of Sexual Health, ISSN 1931-7611, E-ISSN 1931-762X, Vol. 30, no 1, p. 49-59Article in journal (Refereed)
    Abstract [en]

    Objectives: To examine how fear-avoidance influences vulvovaginal pain and sexual function over time.

    Method: At baseline and at 10-month follow-up, self-report measures for sexual- and fear avoidance factors were obtained from 483 female university students with and without self-reported vulvovaginal pain.

    Results: individuals with pain at both times reported lower sexual function, and higher levels of fear-avoidance compared to the pain-free group. Fear-avoidance beliefs predicted the occurrence of vulvovaginal pain at follow up and the level of pain intensity.

    Conclusion: The results points to the relevance of the components of the fear-avoidance model in vulvovaginal pain over time.

  • 13.
    Elmerstig, Eva
    et al.
    Malmö Högskola.
    Thomtén, Johanna
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Vulvar pain: associations between first-time vaginal intercourse, tampon insertion and later experiences of pain2016In: Journal of sex & marital therapy, ISSN 0092-623X, E-ISSN 1521-0715, Vol. 42, no 8, p. 707-720Article in journal (Refereed)
    Abstract [en]

    This study examines associations between the first experience ofvaginal intercourse/tampon insertion and later experiences of vul-var pain. The study is based on questionnaire data from 1,259Swedish female senior high-school students, aged 18 to 22 yearsold. Of these, 592 women reported present vulvar pain. Presentvulvar pain was associated with first-time experiences of vaginalintercourse (pain, negative experience, against will) and with painat tampon insertion. First-time experiences were also related totemporal aspects of present vulvar pain during vaginal intercourse(at the beginning, after a while during, and after). Implications offirst-time experiences of vaginal intercourse for future symptomsof vulvar pain are discussed.

  • 14.
    Engman, Linnea
    et al.
    Örebro University.
    Flink, Ida
    Örebro University.
    Ekdahl, Johanna
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Boersma, Katja
    Örebro University.
    Linton, S.J.
    Örebro University.
    Avoiding or enduring painful sex?: A prospective study of coping and psychosexual function in vulvovaginal pain2018In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 22, no 8, p. 1388-1398Article in journal (Refereed)
    Abstract [en]

    Background

    Recurring vulvovaginal pain is common, with evident effects on affected women's lives. Little is known about how affected women cope with painful sexual activities and how coping relates to pain intensity and psychosexual functioning over time. This prospective study explored the impact of avoidance and endurance on sexual function over time. Additionally, patterns of coping were studied on an individual level to increase knowledge about coping and its relation to psychosexual functioning.

    Methods

    One hundred and seventeen women, 18–35 years old, with recurring vulvovaginal pain answered questionnaires at two measurement points, five months apart, assessing avoidance and endurance coping, pain intensity and psychosexual functioning. A multiple regression model explored the predictive value of avoidance and endurance on sexual function over time. Cluster analyses investigated patterns of coping and stability within the clusters. These subgroups were compared on psychosexual outcomes.

    Results

    Avoidance at baseline was the only significant predictor of sexual function five months later. Distinct and stable subgroups with different patterns of coping were identified, where avoidance and endurance coping were used both separately and combined. Women who both avoided and endured had the most unfavourable outcomes in terms of psychosexual functioning.

    Conclusions

    Avoidance of sexual activities was related to reduced sexual function over time, which calls for attention and clinical interventions targeting avoidance. Additionally, women who both avoid and endure sexual activities despite pain possibly need tailored interventions, as women with this coping pattern reported the lowest levels of psychosexual functioning.

    Significance

    In this prospective study, avoidance of sexual activities predicted sexual function over time, when controlling for pain intensity. Subgroups of women using distinct patterns of coping were identified. Those who both avoided and endured had the lowest levels of psychosexual functioning.

  • 15.
    Engman, Linnea
    et al.
    Center for Health and Medical Psychology (CHAMP), Örebro University.
    Flink, Ida
    Center for Health and Medical Psychology (CHAMP), Örebro University.
    Thomtén, Johanna
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Linton, Steven
    Center for Health and Medical Psychology (CHAMP), Örebro University.
    Avoiding or enduring painful sex?: A longitudinal study of coping patterns and sexual function in women with vulvovaginal pain2017Conference paper (Refereed)
  • 16.
    Engman, Linnea
    et al.
    Örebro universitet.
    Flink, Ida
    Örebro universitet.
    Thomtén, Johanna
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Linton, Steven
    Örebro universitet.
    When sex hurts: Avoid, endure or try something different?2016Conference paper (Refereed)
  • 17.
    Engman, Linnea
    et al.
    Örebro University.
    Johansson, Åsa
    Örebro University.
    Majonen, Linda
    Örebro University.
    Flink, Ida
    Örebro University.
    Thomtén, Johanna
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Linton, Steven
    Örebro University.
    A longitudinal study of coping strategies in women with vulvovaginal pain2016Conference paper (Refereed)
  • 18.
    Flink, Ida
    et al.
    Örebro Universitet.
    Engman, Linnea
    Örebro Universitet.
    Ter Kuile, Monique
    Leiden University, Netherlands.
    Ekdahl, Johanna
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Linton, Steven James
    Örebro Universitet.
    Coping with pain in intimate situations: applying the avoidance-endurance model to women with vulvovaginal pain2017In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 17, no October 2017, p. 302-308Article in journal (Refereed)
    Abstract [en]

    Background and aims

    Chronic vulvovaginal pain is strikingly common and has a serious impact on women's lives. Nevertheless, there are few longitudinal studies focusing on mechanisms involved in the pain development. One area of interest is how women cope with sexual activities and how this affects their pain. In this study, avoidance and endurance coping behaviors were explored as possible mediators of the relation between catastrophizing and pain, cross-sectionally and longitudinally.

    Methods

    251 women (18–35 years old) with vulvovaginal pain were recruited in university settings and filled out questionnaires about their pain, catastrophizing and coping behaviors at two occasions, with five months in between. Multiple mediation models were tested, exploring avoidance and endurance as mediators of the relation between catastrophizing and pain.

    Results

    The results showed that avoidance was an influential mediator of the link between catastrophizing and pain. Using multiple mediation models we found that although the indirect effects of both avoidance and endurance were significant cross-sectionally, only avoidance was a significant mediator in the combined model exploring associations over time.

    Conclusions

    This study indicates that the strategies women with vulvovaginal pain use for coping with sexual activities are important for the course of pain. Avoidance and, to a lesser degree, endurance strategies were identified as important mediators of the effects of catastrophizing on pain. When exploring the links over time, only avoidance emerged as a significant mediator.

    Implications

    In this longitudinal study, catastrophizing was linked to vulvovaginal pain, via avoidance and endurance of sexual activities. Hence, targeting catastrophizing early on in treatment, as well as addressing coping, may be important in clinical interventions.

  • 19.
    Gustafsson, Henrik
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Holmberg, Hans-Christer
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Psykofysiologisk träningsmonitorering - en förutsättning för optimal prestationsutveckling och en lyckad formtopp2008In: Svensk Idrottsforskning: Organ för Centrum för Idrottsforskning, ISSN 1103-4629Article in journal (Other academic)
  • 20.
    Hendry, Melissa C.
    et al.
    Department of Psychology, Simon Fraser University, 8888 University Drive, Burnaby, BC V5A 1S6, Canada .
    Douglas, Kevin S.
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences. Department of Psychology, Simon Fraser University, Burnaby, Canada .
    Winter, Elizabeth A.
    Department of Psychology, Simon Fraser University, Burnaby, Canada .
    Edens, John F.
    Department of Psychology, Texas A and M University, College Station, TX, United States .
    Construct Measurement Quality Improves Predictive Accuracy in Violence Risk Assessment: an Illustration Using the Personality Assessment Inventory2013In: Behavioral sciences & the law (Print), ISSN 0735-3936, E-ISSN 1099-0798, Vol. 31, no 4, p. 477-493Article in journal (Refereed)
    Abstract [en]

    Much of the risk assessment literature has focused on the predictive validity of risk assessment tools. However, these tools often comprise a list of risk factors that are themselves complex constructs, and focusing on the quality of measurement of individual risk factors may improve the predictive validity of the tools. The present study illustrates this concern using the Antisocial Features and Aggression scales of the Personality Assessment Inventory (Morey, 1991). In a sample of 1,545 prison inmates and offenders undergoing treatment for substance abuse (85% male), we evaluated (a) the factorial validity of the ANT and AGG scales, (b) the utility of original ANT and AGG scales and newly derived ANT and AGG scales for predicting antisocial outcomes (recidivism and institutional infractions), and (c) whether items with a stronger relationship to the underlying constructs (higher factor loadings) were in turn more strongly related to antisocial outcomes. Confirmatory factor analyses (CFAs) indicated that ANT and AGG items were not structured optimally in these data in terms of correspondence to the subscale structure identified in the PAI manual. Exploratory factor analyses were conducted on a random split-half of the sample to derive optimized alternative factor structures, and cross-validated in the second split-half using CFA. Four-factor models emerged for both the ANT and AGG scales, and, as predicted, the size of item factor loadings was associated with the strength with which items were associated with institutional infractions and community recidivism. This suggests that the quality by which a construct is measured is associated with its predictive strength. Implications for risk assessment are discussed. 

  • 21.
    Holmberg, Hans-Christer
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Gustafsson, Henrik
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Tänk dig uthålligare2008In: Glid, ISSN 1652-2737, Vol. 1, p. 49-51Article in journal (Other (popular science, discussion, etc.))
  • 22.
    Karlsson, Lena
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    The effects of mindfulness and self-esteem on adolescents´ perceived stress and symptoms of burnout2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Perceived stress and stress-related illness as symptoms of burnout have increased in adolescents. The aim of the present study was to investigate if mindfulness, global- and competence-based self-esteem are potential predictors for perceived stress and symptoms of burnout in adolescents. 143 upper secondary students participated in the study. The results of hierarchical regression analyses showed that higher levels of mindfulness and global-self-esteem were associated with decreased levels of perceived stress and symptoms of burnout. Competence-based self-esteem was only trend-significant associated with symptoms of burnout. Mediation analysis revealed that global self-esteem was a fully mediator for the relationship between competence-based self-esteem and perceived stress. The results were discussed in terms of the importance of individual factors, such as, mindfulness and self-esteem to predict perceived stress and symptoms of burnout.

  • 23.
    Leiler, Anna
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology and Social Work.
    Bjärtå, Anna
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology and Social Work.
    Ekdahl, Johanna
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology and Social Work.
    Wasteson, Elisabet
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology and Social Work.
    Mental Health and Quality of Life among Asylum Seekers and Refugees Living in Refugee Housing Facilities in Sweden2019In: Social Psychiatry and Psychiatric Epidemiology, ISSN 0933-7954, E-ISSN 1433-9285, Vol. 54, no 5, p. 543-551Article in journal (Refereed)
    Abstract [en]

    In 2015, there was a high influx of refugees to Sweden, creating an extreme situation where individuals were forced to remain in large housing facilities for long periods. The present study aims to describe the mental health and quality of life of these individuals. 

    Methods. Data, based on 510 individuals, were obtained by means of a questionnaire at open screenings conducted at or nearby refugee housing facilities. Of the participating refugees, 367 were asylum seekers and 143 had received a residence permit but were still awaiting a more permanent housing solution. The questionnaire included measures of depressive symptoms (PHQ-9), symptoms of anxiety (GAD-7), risk of having post traumatic stress disorder (PC-PTSD), and quality of life (WHOQOL-BREF).

    Results. Of the total sample, 56-58.4% reported clinically significant levels of symptoms of depression, anxiety and risk of having PTSD. Prevalence estimates were higher among asylum seekers than among those who had received their residence permit. Quality of life was generally rated below population norms and correlated negatively with mental health outcomes.

    Conclusions. Individuals residing in refugee housing facilities show high levels of psychological distress and rate their quality of life as low. Asylum seekers score higher than those having received a residence permit. These results are troublesome since the wait time for asylum decisions has lengthened considerably after 2015. The results of the present study calls for the urgency of societal actions to shorten the asylum process wait time and improve conditions at the housing facilities.  

  • 24.
    Lisspers, Jan
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Almén, Niclas
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Föllingemodellen: En KBT-inriktad och internatsbaserad interventionsmodell för beteendeförändring vid livsstils- och stressrelaterad ohälsa2009Report (Other academic)
  • 25.
    Löfdahl, Tomas
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Wretman, Mattias
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Effekter av en internetbaserad återhämtningsfokuserad stressintervention: En pilotstudie2013Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna pilotstudie var att skapa hypoteser om vilken påverkan en internetbaserad återhämtningsfokuserad stressintervention kan ha på beteendemönster och generellt hälsotillstånd. 22 vuxna svenskar rekryterades initialt till studien. 15 individer valde att fullfölja hela interventionsprogrammet. Mätningar med internetbaserade frågeformulär genomfördes innan interventionens start och efter interventionens slut. De primära ändpunkterna för mätningarna utgjordes av beteendeförändringar (frekvens av återhämtningsbeteenden) och kliniska effekter (upplevelser av stress och återhämtning). Resultatet visade att deltagarna vid interventionens avslut hade ökat frekvensen återhämtningsbeteenden samt förbättrat sina upplevelser av stress och återhämtning. Majoriteten av resultaten frambringade stora effektstyrkor. Resultatet visade även att inga signifikanta effektskillnader av interventionen kunde observeras mellan könen sett över studiens två primära ändpunkter. Rekommendationer gjordes till framtida forskning om att tydligare klargöra hur internetbaserade metoder med primärt fokus mot beteendeförändringar inom domänen återhämtningsbeteenden på bästa sätt kan bidra till prevention och behandling av stressrelaterad ohälsa.

  • 26.
    Löfdahl, Tomas
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Wretman, Mattias
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Långsammare igenkänning av emotioner i ansiktsuttryck hos individer med utmattningssyndrom: En pilotstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna pilotstudie var att skapa hypoteser om och hur utmattningssyndrom påverkar förmågan att känna igen emotioner i ansiktsuttryck. En grupp patienter med utmattningssyndrom jämfördes med en matchad frisk kontrollgrupp (N=14). Grupperna undersöktes med ett datorbaserat test beståendes av färgbilder av autentiska ansiktsuttryck som gradvis i steg om 10% förändrades från ett neutralt ansiktsuttryck till någon av de fem grundemotionerna ilska, avsky, rädsla, glädje och ledsenhet. Mätningarna gjordes i termer av igenkänningsprecision och responshastighet. Resultatet visade att patientgruppen responderade signifikant långsammare än kontrollgruppen sett över samtliga emotioner i testet. Inga emotionsspecifika skillnader såväl som skillnader i igenkänningsprecision kunde påvisas mellan grupperna. Orsakerna till diskrepansen i responshastighet diskuterades utifrån fyra tänkbara förklaringsområden: ansiktsperceptuell funktion, visuell uppmärksamhet, självfokuserad uppmärksamhet samt noggrannhet/oro. Rekommendationer gjordes till framtida forskning om att utforska dessa områden närmare.

  • 27.
    Partanen, Petri
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Assessment and Remediation for Children with Special Educational Needs: The role of Working Memory, Complex Executive Function and Metacognitive Strategy Training2016Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of this thesis was to explore the role of different assessment tools and training regimens in assessment and remediation for children with special educational needs in school. A central purpose of assessment explored was that it should inform remediation, teaching and instruction. The concepts of working memory, complex executive function and metacognitive strategy training for children with special educational needs were specifically explored in relation to this purpose of assessment. Complex executive function refers to planning and metacognitive ability, that many children with special educational needs struggle with, and which they are expected to handle in learning during school day. Of particular interest in the thesis was the contrast between working memory and complex executive function and how these concepts inform assessment and remediation practices. In this context, special attention was given to mathematical learning difficulties.

    The thesis was based on four studies (I‑IV). Study I explored the prevalence of different assessment tools, and dilemmas and challenges as perceived by assessment professionals, teachers and parents, in the work with children with special educational needs in Europe. In Study II, a metacognitive strategy training framework was developed as a training regimen, guided by research on complex executive function, and applied on working memory training. Effects of working memory training were compared between the two training regimens, with and without metacognitive strategy training, and also the overall effect of working memory training on cognitive functioning and the school related skills of reading, writing and arithmetic. In Study III, different types of measures of working memory and their predictive capacities in relation to mathematics achievement in national curriculum assessments were explored, as well as the effects of working memory training on mathematics achievement. In Study IV the role of working memory and complex executive function in identifying risk for mathematical learning difficulties in children with special educational needs was explored.

    The results from Study I suggested that assessment and remediation practices can contribute to a deficiency‑oriented outlook on children with special educational needs. In contrast parents and teachers in Sweden also reported that assessment could help them to better understand the needs of the child. Results from studies II-IV showed that only the use of a metacognitive strategy training regimen targeting complex executive function resulted in improvements following working memory training. The results also indicated that working memory training strongly predicted mathematical performance in national curriculum assessments of mathematics in school, and that a more complex change measure of working memory was a better predictor than simple working memory measures in this regard. Finally, the results also showed that complex executive function, defined as planning ability, was a better predictor than simple working memory in the assessment of risk for mathematical learning difficulties.

    The results from the studies were discussed in relation to the purpose of assessment to inform remediation, teaching and instruction for children with special educational needs. It was concluded that, in addition to working memory, as complex executive function – planning and metacognitive ability - seems to be an important cognitive function related to learning, this should be addressed both in the assessment of children with special educational needs as well as in the remediation when designing training regimens and interventions for children with special educational needs in general, and children at risk for mathematic learning difficulties in particular. It was also highlighted that in remediation, the role of the teacher as a mediator of metacognition and complex executive function seems vital.

  • 28.
    Partanen, Petri
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Att utveckla elevhälsa2012Book (Other (popular science, discussion, etc.))
  • 29.
    Partanen, Petri
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology and Social Work.
    Att utveckla förmågor på vetenskaplig grund i skolan2019 (ed. 1)Book (Other (popular science, discussion, etc.))
  • 30. Partanen, Petri
    Creating Zones of Change: Consultation based on Vygotskian Theory1999In: Proceeding of the VI European Congress of Psychology, EFPA , 1999Conference paper (Refereed)
  • 31.
    Partanen, Petri
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Educational Assessment as a Learning Process2011In: With a Different Glance: Dynamic Assessment of Functioning of Children Oriented at Development & Inclusive Learning / [ed] Jo Lebeer, Adelinda Candeias & Luísa Grácio, Garant, 2011, p. 147-151Chapter in book (Other academic)
  • 32.
    Partanen, Petri
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology and Social Work.
    Hälsa för lärande - lärande för hälsa2019Report (Other academic)
    Abstract [sv]

    Forskning visar entydigt att det finns ett starkt dubbelriktat samband mellan studieresultat och hälsa. Goda resultat leder till bättre hälsa samti-digt som god hälsa ger bättre förutsättningar att nå kunskapsmålen. Vad innebär detta samband mellan hälsa och lärande för undervisningen, för en förskolas eller skolas samlade hälsofrämjande och förebyggande arbete, för utformande av lärmiljöer, för rektorns roll i ledarskapet och för personal som möter barn och unga i vardagen? Vilka frisk- eller skyddsfaktorer kan förskolan och skolan främja och hur kan förekomsten av olika riskfaktorer minskas genom förebyggande arbete?

    Syftet med Hälsa för lärande – lärande för hälsa är att inspirera till diskussion och egen fördjupning kring hur hälsa och välbefinnande kan främjas och hur problem och svårigheter kan förebyggas av alla som arbetar i skola och förskola.

  • 33.
    Partanen, Petri
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Jansson, Billy
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Sundin, Örjan
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Exploring the relation between working memory and national curriculum performance in mathematics in children with special educational needsArticle in journal (Refereed)
  • 34.
    Partanen, Petri
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Jansson, Billy
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Sundin, Örjan
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    The role of working memory and complex executive function in assessment of risk for mathematical learning difficulties in children with special educational needsArticle in journal (Refereed)
  • 35.
    Rad, Alexander
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Business, Economics and Law.
    Wahlberg, Olof
    Mid Sweden University, Faculty of Human Sciences, Department of Business, Economics and Law.
    Öhman, Peter
    Mid Sweden University, Faculty of Human Sciences, Department of Business, Economics and Law.
    How Lending Officers Construe Assessments of Small and Medium-Sized Enterprise Loan Applications: A Repertory Grid Study2013In: Journal of constructivist psychology, ISSN 1072-0537, E-ISSN 1521-0650, Vol. 26, no 4, p. 262-279Article in journal (Refereed)
    Abstract [en]

    Repertory grid technique and principal component analysis were used to map and analyze how 75 lending officers (LOs) viewed their assessments of small and medium-sized enterprises’ loan applications in one bank and region. A standard set of elements and constructs, derived during pre- and pilot studies, was used. Analysis of individual grids demonstrated that the principal components indicated the existence of similarities in LOs’ construing at an aggregated level. Analysis of the mean grid of all respondents indicated that the LOs were encouraged by the bank's lending strategy and supporting system(s) to perform “procedural lending” with a focus on hard and future-oriented information. At the same time, the LOs deemphasized relationship lending, in particular, personal relationships.

  • 36.
    Rondung, Elisabet
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Psychological perspectives on fear of birth: heterogeneity, mechanisms and treatment2018Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Although it is medically safe to give birth in most western countries, the vast majority of pregnant women experience some kind of anxiety, fear or worry in relation to their pregnancy or the upcoming childbirth. Most pregnant women find ways of coping with these issues but, for many, fear of birth is a significant source of distress during pregnancy, with negative consequences both when giving birth and in the postpartum period.

    Previous research on fear of birth has for the most part had a medical perspective, investigating risk factors and consequences of this form of fear or anxiety, along with studies evaluating different forms of interventions. The general aim of this thesis was to approach fear of birth from a psychological perspective, by exploring the role of psychological factors in this form of fear, worry or anxiety.

    Four studies are included in the thesis. The first study is a randomized controlled trial, in which we compared a guided Internet-delivered self-help program, based on cognitive behavior therapy (guided ICBT), with standard care (midwife led fear of birth specific counseling), for the treatment of fear of birth. Despite poor adherence to the guided ICBT, the results showed a similar reduction in fear levels during pregnancy in both groups, with lower levels of fear of birth in the guided ICBT group one year after birth. The second study is a narrative literature review. This study adopted a psychological perspective on the existing literature describing fear of birth, with a special focus on the specificity of this form of fear or anxiety, the pathways of fear acquisition, and the physiological, cognitive and behavioral aspects of fear of birth. Using systematic procedures for the literature search, inclusion and exclusion, 89 original research papers were included and summarized in the study. The aim of the third study was to explore possible heterogeneity among pregnant women reporting high levels of fear of birth. Comparisons between primiparous and multiparous women revealed that these groups were very similar in their levels of fear of birth as well as in the psychological variables investigated. Using a series of hierarchical and non-hierarchical cluster analyses, five possible subgroups based on psychological characteristics were identified, pointing to psychological heterogeneity among women fearing birth. In the fourth study, our aim was to take a first step in trying to identify psychological mechanisms relevant to the understanding of fear of birth. In this study, pain catastrophizing and intolerance of uncertainty were clear predictors of fear of birth, while parity was not.

    Taken together, the results of the four studies included in this thesis indicate that fear of birth is a concept in need of further investigation, and that psychological perspectives could offer an important contribution to our understanding of this form of fear or anxiety. Women fearing birth seem to be a heterogeneous group, and psychological characteristics (e.g. pain catastrophizing, or catastrophizing in general, and intolerance of uncertainty) might be of greater importance than parity in both describing this diversity and understanding the development and maintenance of fear of birth. Treating fear of birth using guided ICBT can be challenging, and before introducing this form of treatment as an alternative, further refinement and evaluation of the methods are needed.

  • 37.
    Rondung, Elisabet
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Ekdahl, Johanna
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Hildingsson, Ingegerd
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences. Uppsala University.
    Rubertsson, Christine
    Uppsala University; Lund University.
    Sundin, Örjan
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Heterogeneity in childbirth related fear or anxiety2018In: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 59, no 6, p. 634-643Article in journal (Refereed)
    Abstract [en]

    Many pregnant women experience fear, worry or anxiety relating to the upcoming childbirth. The aim of this cross-sectional study was to investigate possible subgroups in a sample of 206 pregnant women (mean age 29.4 years), reporting fear of birth in mid-pregnancy. Comparisons were made between nulliparous and parous women. In a series of cluster analyses, validated psychological instruments were used to cluster women based on their psychological profiles. A five-cluster solution was suggested, with the clusters characterized by: overall low symptom load, general high symptom load, medium symptom load with high performance-based self-esteem, blood- and injection phobic anxiety, and specific anxiety symptoms. Nulliparous women were more likely to report clinically relevant levels of blood- and injection phobia (OR = 2.57, 95% CI 1.09–6.01), while parous women more often reported previous negative experiences in health care (OR 1.93, 95% CI 1.09–3.39) or previous trauma (OR 2.90, 95% CI 1.58–5.32). The results indicate that women reporting fear of birth are a heterogeneous group. In order to individualize treatment, psychological characteristics may be of greater importance than parity in identifying relevant subgroups. 

  • 38.
    Rondung, Elisabet
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology and Social Work.
    Ekdahl, Johanna
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology and Social Work.
    Sundin, Örjan
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology and Social Work.
    Potential mechanisms in fear of birth: The role of pain catastrophizing and intolerance of uncertainty.2019In: Birth, ISSN 0730-7659, E-ISSN 1523-536X, Vol. 46, no 1, p. 61-68Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Although many pregnant women experience fear, worry, or anxiety relating to the upcoming birth, little is known regarding the psychological mechanisms contributing to these experiences. In this study, we wanted to take a first step in trying to identify mechanisms of potential interest. The objective of this cross-sectional study was thus to investigate pain catastrophizing, intolerance of uncertainty, positive worry beliefs, and cognitive avoidance as potential mechanisms predicting fear of birth among pregnant women.

    METHODS: A sample of 499 pregnant women, recruited in antenatal health care settings in 2 Swedish regions, completed the Fear of Birth Scale, along with measurements of the mechanisms of interest. Linear and logistic hierarchical regression analyses were used to investigate the extent to which pain catastrophizing, intolerance of uncertainty, positive worry beliefs, and cognitive avoidance predicted fear of birth, both as a continuous and a dichotomous measure.

    RESULTS: Logistic regression analysis showed high levels of pain catastrophizing and intolerance of uncertainty to be the best predictors of fear of birth, OR 3.49 (95% CI 2.17-5.61) and OR 3.25 (95% CI 2.00-5.27), respectively. Positive beliefs about worry and cognitive avoidance were both correlated with fear of birth as a continuous measure, but did not contribute to the logistic regression model.

    CONCLUSIONS: Pain catastrophizing and intolerance of uncertainty were the most evident predictors of fear of birth. Although preliminary, the findings suggest that interventions targeting catastrophic cognitions and intolerance of uncertainty might be relevant to psychological treatment for fear, worry, or anxiety relating to giving birth.

  • 39.
    Rondung, Elisabet
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Ternström, Elin
    Uppsala University.
    Hildingsson, Ingegerd
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences. Uppsala University.
    Haines, Helen M
    The University of Melbourne, Victoria, Australia.
    Sundin, Örjan
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Ekdahl, Johanna
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Karlström, Annika
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Larsson, Birgitta
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Segeblad, Birgitta
    Uppsala University.
    Baylis, Rebecca
    Uppsala University.
    Rubertsson, Christine
    Uppsala University; Lund University.
    Comparing Internet-Based Cognitive Behavioral Therapy With Standard Care for Women With Fear of Birth: Randomized Controlled Trial.2018In: JMIR mental health, ISSN 2368-7959, Vol. 5, no 3, article id e10420Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Although many pregnant women report fear related to the approaching birth, no consensus exists on how fear of birth should be handled in clinical care.

    OBJECTIVE: This randomized controlled trial aimed to compare the efficacy of a guided internet-based self-help program based on cognitive behavioral therapy (guided ICBT) with standard care on the levels of fear of birth in a sample of pregnant women reporting fear of birth.

    METHODS: This nonblinded, multicenter randomized controlled trial with a parallel design was conducted at three study centers (hospitals) in Sweden. Recruitment commenced at the ultrasound screening examination during gestational weeks 17-20. The therapist-guided ICBT intervention was inspired by the Unified protocol for transdiagnostic treatment of emotional disorders and consisted of 8 treatment modules and 1 module for postpartum follow-up. The aim was to help participants observe and understand their fear of birth and find new ways of coping with difficult thoughts and emotions. Standard care was offered in the three different study regions. The primary outcome was self-assessed levels of fear of birth, measured using the Fear of Birth Scale.

    RESULTS: We included 258 pregnant women reporting clinically significant levels of fear of birth (guided ICBT group, 127; standard care group, 131). Of the 127 women randomized to the guided ICBT group, 103 (81%) commenced treatment, 60 (47%) moved on to the second module, and only 13 (10%) finished ≥4 modules. The levels of fear of birth did not differ between the intervention groups postintervention. At 1-year postpartum follow-up, participants in the guided ICBT group exhibited significantly lower levels of fear of birth (U=3674.00, z=-1.97, P=.049, Cohen d=0.28, 95% CI -0.01 to 0.57). Using the linear mixed models analysis, an overall decrease in the levels of fear of birth over time was found (P≤ .001), along with a significant interaction between time and intervention, showing a larger reduction in fear of birth in the guided ICBT group over time (F1,192.538=4.96, P=.03).

    CONCLUSIONS: Fear of birth decreased over time in both intervention groups; while the decrease was slightly larger in the guided ICBT group, the main effect of time alone, regardless of treatment allocation, was most evident. Poor treatment adherence to guided ICBT implies low feasibility and acceptance of this treatment.

    TRIAL REGISTRATION: ClinicalTrials.gov NCT02306434; https://clinicaltrials.gov/ct2/show/NCT02306434 (Archived by WebCite at http://www.webcitation.org/70sj83qat).

  • 40.
    Rondung, Elisabet
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Thomtén, Johanna
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Sundin, Örjan
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Psychological perspectives on fear of childbirth2016In: Journal of Anxiety Disorders, ISSN 0887-6185, E-ISSN 1873-7897, Vol. 44, p. 80-91Article in journal (Refereed)
    Abstract [en]

    The objective of this narrative review was to examine the literature on fear of childbirth from a psychological perspective, addressing the specificity of childbirth fear, the pathways of fear acquisition, and the physiological, cognitive and behavioral aspects of fear. Systematic procedures for literature search, inclusion and exclusion left 86 original research papers for analysis. Findings summarize the body of knowledge for each area of interest, as well as the number of studies addressing each theme. Overall, few studies adopt a clear-cut psychological perspective, leaving the psychological mechanisms of childbirth fear largely unexplored. Although methodological limitations make conclusions difficult, results give a hint of etiological diversity and possible psychological mechanisms commonly described as transdiagnostic features in anxiety. Systematic investigations of psychological mechanisms, longitudinal studies exploring possible vicious circles of fear, and studies comparing psychological characteristics within the group of women fearing childbirth are identified as research areas of high priority.

  • 41.
    Sarkadi, Anna
    et al.
    Uppsala Universitet.
    Bjärtå, Anna
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Leiler, Anna
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Salari, Raziye
    Uppsala Universitet.
    Is the refugee health screener a useful tool when screening 14-18 year old refugee adolescents for emotional distress?2018In: The Journal of Refugee Studies, ISSN 0951-6328, E-ISSN 1471-6925Article in journal (Refereed)
    Abstract [en]

    The high number of asylum seekers in Sweden has highlighted the need for structured assessment tools to screen for refugee mental health problems in clinical services. We examined the utility of the Refugee Health Screener (RHS) in refugee adolescents, aged 14-18, attending routine clinical examinations or staying in group homes/refugee centres (N=29). Participants completed a survey, including the RHS, administered through iPads in their native language. The RHS showed excellent internal consistency (α = .96) and correlated moderately with symptoms of PTSD (r=0.41, p=.025). Mean scores and prevalence rates were comparable to a study of adult refugees in Sweden. Unaccompanied refugee minors (URM) scored significantly higher (M=32.0, SD=12.9) compared to youth staying with their families (M=7.5, SD=8.2, p<.001, d=2.27). Our findings confirm that the RHS can be used in the adolescent population in Sweden.  These findings moreover suggest that URMs are a particularly vulnerable group with a large burden of mental health problems.

  • 42.
    Silva, Teresa
    et al.
    University of Montréal, Canada.
    Graña, José Luis
    Complutense University of Madrid, Spain.
    González-Cieza, Luis
    Community of Madrid, Spain.
    Self-report physical and emotional abuse among youth offenders and their association with internalizing and externalizing psychopathology. A preliminary study.2014In: International journal of offender therapy and comparative criminology, ISSN 0306-624X, E-ISSN 1552-6933, Vol. 58, no 5, p. 590-606Article in journal (Refereed)
  • 43.
    Sundin, Örjan
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Strategier vid behandling av dubbla störningar1998In: Dubbla störningar - nya rön och erfarenheter i diagnos och behandling av samtidigt beroende och psykisk störning, Örebro: Rustung , 1998, p. 90-102Chapter in book (Other academic)
  • 44. Sundin, Örjan
    et al.
    Burell, Gunilla
    Uppsala universitet.
    Öhman, Arne
    Karolinska institutet.
    Ström, Gunnar
    Uppsala universitet.
    Heart and lifestyle: a type A treatment program for myocardial infarction patients.1986In: Scandinavian Journal of Behaviour Therapy, ISSN 0284-5717, Vol. 15, p. 87-93Article in journal (Refereed)
  • 45. Sundin, Örjan
    et al.
    Fagerström, Karl Olov
    Uppsala Universitet.
    Raynauds disease1978In: Scandinavian Journal of Behaviour Therapy, ISSN 0284-5717, p. 247-251Article in journal (Refereed)
  • 46.
    Thomtén, Johanna
    Mid Sweden University, Faculty of Human Sciences, Department of Social Sciences.
    Pain among women: Prospective population studies from a biopsychosocial perspective on pain2012Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    This thesis focuses on the role of different psychosocial factors in the course of pain over time in a general population sample of women in Sweden. The main aim was to identify and quantify such factors as predictors of pain, pain-related disability and quality of life within a biopsychosocial framework for the understanding of the pain experience over time.  The studies were based on baseline (BL) and follow-up (FU) measures with 12 months apart among 2,300 women living in Sweden, and included physical and psychological health and socio-economic status.

    Study I investigated associations between socio-economic status (SES) at baseline and pain and pain-related disability at follow-up, and additionally a possible mediating role of depressive symptoms in such associations. The results indicated that educational level, financial strain and occupational level were associated with pain over time. Symptoms of depression were related to all pain-and SES factors, and might be understood as a mediating factor within this context. The results of Study II showed a link between symptoms of burnout at baseline and several pain-locations. Additionally, among women with pain, the characteristics of the pain experience and pain-related disability were associated with level of burnout over time. Study III focused on the sub sample of women reporting pain at follow-up, and examined possible predictors of their perceptions of quality of life (QOL). Several psychosocial factors were associated with QOL, and seemed to be more important predictors than the characteristics of pain in terms of intensity and frequency. These factors were burnout, emotional distress, and social support. Study IV was an attempt to sum up the results of the previous studies by analysing predictors of the course of pain, i.e. by comparing women that developed pain from BL to FU with those that remained pain-free and to compare women with sustained pain with those who recovered from pain during the assessment period. These analyses showed symptoms of posttraumatic stress (PTSD) to be associated with reporting emerging pain, while pain variables, educational level and social support were related to sustained pain.

    The results of the four studies in this thesis indicate that psychosocial factors and their interplay with the characteristics of pain can be identified and described in a female sample, with a broad definition of pain, and that these factors play a central role in the experience of pain and its impact on the everyday life of these women. There may be several possible paths leading to the development of persistent pain among women and the identification of risk factors is complicated by never-ending interactions between biological, psychological and social processes. At an early stage, prior to pain development, several risk factors may cluster together (e.g. SES, depression), and work as indicators of, e.g. dysfunctional coping in relation to pain. In the first contact with health care and among primary care personnel the identification of such indicators is crucial so as to find women at risk for prolonged pain conditions. General indicators might then be more easily distinguishable than certain individual behaviour characteristics widely accepted as risk factors for pain and disability (e.g. fear-avoidance). To spread the knowledge of general factors in the first line of health care is therefore of great importance in preventive work.

    Finally, the results demonstrated that many women report pain with characteristics that to a great extent affect their lives and through interactions with psychological and social health might have grave consequences for perceptions of quality of life.

     

  • 47.
    Thomtén, Johanna
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Boersma, Katja
    Örebro universitet.
    Flink, Ida
    Örebro universitet.
    Tillfors, Maria
    Örebro universitet.
    Social Anxiety, Pain Catastrophizing and Return to Work Self-efficacy in chronic pain: A Cross-sectional Study2016In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 11, no April, p. 98-103Article in journal (Refereed)
    Abstract [en]

    Background and aims

    Returning to work after periods of sick-leave due to chronic pain problems, involve a number of situations of interpersonal nature (e.g. meeting supervisors/insurance companies to adapt work setting to present functional level, receive help from colleagues, express pain, etc.). Since chronic pain has shown co-morbidity with social anxiety, it is of interest to investigate restraining factors in return to work among chronic pain sufferers from a social perspective. Catastrophizing is identified in both pain and social anxiety as a mechanism that might fuel a continuous bias in how situations are perceived (threat) and by hindering the development of functional behavior strategies. The presence of social anxiety in chronic pain patients might be seen as a stressor that limits the individuals’ ability to effectively communicate pain-related needs to colleagues, and/or employers and therefore act as a hindering factor in return-to-work. Hence, the overall aim of this study was to examine the relationship between social anxiety, pain catastrophizing, and perceived ability to communicate pain-related needs to the work environment in a clinical pain population.

  • 48.
    Thomtén, Johanna
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology. Örebro University.
    Linton, Steven
    Örebro University.
    A psychological view of sexual pain among women: applying the fear-avoidance model2013In: Women's Health, ISSN 1745-5057, Vol. 9, no 3, p. 251-263Article in journal (Refereed)
    Abstract [en]

    Aim: The purpose of this paper is to examine how well research findings on dyspareunia (intercourse pain) fit the fear-avoidance (FA) model on pain. Results: The evidence suggests that the experience of pain in dyspareunia functions similarly to the pain reported in other pain conditions. There are also accumulating data showing that the central mechanisms of the FA model, such as catastrophizing, fear, hypervigilance and disability, are central to the experience of sexual pain. However, there are also some potential differences between sexual pain and other pain conditions that demand further attention in terms of the role of the partner, specific emotional consequences of avoidance and the effect of hypervigilance on sexual arousal. Conclusion: The results demonstrate the relevance of the FA model in sexual pain. They also imply that treatment methods for fear and avoidance in other pain conditions offer new avenues for treating sexual pain problems in the clinic. Future studies should focus on expanding how the mechanisms in the FA model contribute to sexual pain, as well as how treatments based on the model may be applied clinically.

  • 49.
    Thomtén, Johanna
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology. Center for Health and Medical Psychology (CHAMP), School of Law, Psychology and Social Work: Psychology, Örebro University, Sweden.
    Lundahl, Rebecka
    Center for Health and Medical Psychology (CHAMP), School of Law, Psychology and Social Work: Psychology, Örebro University, Sweden.
    Stigenberg, Karin
    Center for Health and Medical Psychology (CHAMP), School of Law, Psychology and Social Work: Psychology, Örebro University, Sweden.
    Linton, Steven
    Center for Health and Medical Psychology (CHAMP), School of Law, Psychology and Social Work: Psychology, Örebro University, Sweden.
    Fear avoidance and pain catastrophizing among women with sexual pain2014In: Women's health, ISSN 1745-5057, Vol. 10, no 6, p. 571-581Article in journal (Refereed)
    Abstract [en]

    Aim: Among women under 30 years of age, around 20% report recurrent sexual pain. Although the amount of studies investigating sexual pain has increased, little is known about the role of psychosocial factors. The present study used the fear-avoidance model from musculoskeletal pain as a theoretical frame of reference, and examined fear-avoidance beliefs, avoidance behaviors, pain catastrophizing and symptoms of anxiety and depression among women (18-35 years) reporting sexual pain. Methods: The study was cross-sectional, based on a sample of 133 women, where 37 women (27.8%) reported sexual pain often or always. Results: Women with pain reported higher levels of fear avoidance and pain catastrophizing as well as depression and anxiety, with fear avoidance and pain catastrophizing reaching similar levels as has been reported in other long-term pain populations. The level of anxiety and depression did not reach clinical levels. Fear-avoidance beliefs and pain catastrophizing were related to sexual pain and to pain intensity in the regression analysis. Conclusion: The data are in line with, and give further support to, a fear-avoidance perspective in female sexual pain, emphasizing the role of fear and avoidance of pain/sex.

  • 50.
    Thomtén, Johanna
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Rondung, Elisabet
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Sundin, Örjan
    Mid Sweden University, Faculty of Human Sciences, Department of Psychology.
    Kognitiv beteendeteapi vid förlossningsrädsla: en internetbaserad självhjälpsbehandling2013Other (Other academic)
12 1 - 50 of 51
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