Change search
Link to record
Permanent link

Direct link
BETA
Publications (10 of 54) Show all publications
Terp, U., Hjärthag, F. & Bisholt, B. (2019). Effects of a Cognitive Behavioral-Based Stress Management Program on Stress Management Competency, Self-efficacy and Self-esteem Experienced by Nursing Students. Nurse Educator, 44(1), E1-E5
Open this publication in new window or tab >>Effects of a Cognitive Behavioral-Based Stress Management Program on Stress Management Competency, Self-efficacy and Self-esteem Experienced by Nursing Students
2019 (English)In: Nurse Educator, ISSN 0363-3624, E-ISSN 1538-9855, Vol. 44, no 1, p. E1-E5Article in journal (Refereed) Published
Abstract [en]

Nursing students' exposure to stress negatively affects both academic and clinical performance and potentially their future as professional nurses. This pilot study measured the effects of a 10-week cognitive behavioral therapy-based stress management program, using a quasi-experimental design. Independent t tests showed positive effects of the training program compared with a control group. Students' perceived stress management competency, self-efficacy, and self-esteem were higher 1 year after the intervention.

Place, publisher, year, edition, pages
Wolters Kluwer, 2019
Keywords
cognitive behavioral training; group intervention, health promotion, nursing students, stress management
National Category
Psychology (excluding Applied Psychology)
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-70307 (URN)10.1097/NNE.0000000000000492 (DOI)000453438300001 ()29286989 (PubMedID)
Available from: 2018-11-27 Created: 2018-11-27 Last updated: 2019-04-04Bibliographically approved
Persson, K., Östman, M., Ingvarsdotter, K. & Hjärthag, F. (2018). A Mismatch of Paradigms Disrupts the Introduction of Psycho-Educative Interventions for Families of Persons with SMI: An Interview Study with Staff from Community Services. Community mental health journal
Open this publication in new window or tab >>A Mismatch of Paradigms Disrupts the Introduction of Psycho-Educative Interventions for Families of Persons with SMI: An Interview Study with Staff from Community Services
2018 (English)In: Community mental health journal, ISSN 0010-3853, E-ISSN 1573-2789Article in journal (Refereed) Epub ahead of print
Abstract [en]

Treatment and support of people diagnosed with severe mental illness in Sweden takes place in out-patient psychiatric services or municipality services. Most of the responsibility for support in daily life are provided by the close family. One crucial matter is how to support these families. This research project aimed to investigate the Swedish construction with shared responsibility between county psychiatric care and municipality social care for consumers with severe mental illness affects actions in municipalities in relation to family support. Ten representatives from five municipality settings were interviewed. Five semi-structured interviews were analysed using a thematic analysis. The following themes emerged; One overarching theme, “a mismatch of paradigms”, and sub-themes: (a) “accentuating differences”, (b) “doubts about including the entire family in the same session” and (c) “lack of a uniform family support policy”. We conclude that a shared mandate needs a dialogue between psychiatric and municipality services concerning this mismatch.

Place, publisher, year, edition, pages
Springer-Verlag New York, 2018
Keywords
Family support, Municipality support, Psycho-pedagogic models, Severe mental illness
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-69111 (URN)10.1007/s10597-018-0307-z (DOI)2-s2.0-85051706863 (Scopus ID)
Available from: 2018-09-07 Created: 2018-09-07 Last updated: 2018-09-21Bibliographically approved
Olsson-Tall, M., Hjärthag, F., Olsson, A.-K., Johansson, M., Moradi, H. & Helldin, L. (2018). Can Insight Lead To Remission - For Patients With Schizophrenia?. Paper presented at 6th Biennial Conference of the Schizophrenia-International-Research-Society (SIRS), APR 04-08, 2018, Florence, ITALY. Schizophrenia Bulletin, 44, S265-S265
Open this publication in new window or tab >>Can Insight Lead To Remission - For Patients With Schizophrenia?
Show others...
2018 (English)In: Schizophrenia Bulletin, ISSN 0586-7614, E-ISSN 1745-1701, Vol. 44, p. S265-S265Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Oxford University Press, 2018
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-67192 (URN)000429541800642 ()
Conference
6th Biennial Conference of the Schizophrenia-International-Research-Society (SIRS), APR 04-08, 2018, Florence, ITALY
Available from: 2018-04-26 Created: 2018-04-26 Last updated: 2018-06-25Bibliographically approved
Olsson, A.-K., Olsson-Tall, M., Moradi, H., Hjärthag, F. & Helldin, L. (2018). Less symptoms in schizophrenia a risk factor for impaired insight of functioning?. Paper presented at 6th Biennial Conference of the Schizophrenia-International-Research-Society (SIRS), APR 04-08, 2018, Florence, ITALY. Schizophrenia Bulletin, 44, S263-S264
Open this publication in new window or tab >>Less symptoms in schizophrenia a risk factor for impaired insight of functioning?
Show others...
2018 (English)In: Schizophrenia Bulletin, ISSN 0586-7614, E-ISSN 1745-1701, Vol. 44, p. S263-S264Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Oxford: Oxford University Press, 2018
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-67190 (URN)10.1093/schbul/sby017.643 (DOI)000429541800638 ()
Conference
6th Biennial Conference of the Schizophrenia-International-Research-Society (SIRS), APR 04-08, 2018, Florence, ITALY
Note

Background

People with schizophrenia demonstrate deficits in insight and the ability to self-evaluate their functioning. Research about patients’ ability to recognize their psychotic symptoms is well established, but recent findings show that there are still unexplored fields regarding how patients perceive their level of functioning A previous study showed that patients who overestimate their functioning, also consistently get high scores in interview-based assessment regarding real-world functional performance. The possible consequences of patients’ ability to correctly estimate their function need to be further investigated. The aim of the present study was to examine how the perception of one’s own capacity relate to symptoms in patients with schizophrenia spectrum disorders.

Methods

Data collection took place within the ongoing project Clinical Long-term Investigation of Psychosis in Sweden (CLIPS), which examines psychiatric outpatients. In this study, 222 patients with schizophrenia participated. They were divided into four groups based on their results on the UPSA-B and their self-perceived function; two groups with ordinary function (accurate estimators and under -estimators) and two groups with low function (accurate estimators and over-estimators). The groups were compared regarding psychiatric symptoms, examined using the Positive and Negative Syndrome Scale (PANSS). Non-parametric statistics were used to analyze differences in their symptoms.

Results

There were statistically significant differences in the total score of PANSS across the four groups of function. The following analyses showed significant differences in the negative and general domain. Results from the post hoc examination revealed identical patterns in these two symptom domains. The group with Low function accurate estimators have significantly more severe symptoms compared to the other three groups.

Discussion

The result in the present study showed that patients with low function who overestimate their function have less or the same level of symptoms as patients in the two groups with ordinary functioning. In further studies it is important to investigate if this actually is a result of lower symptom level or if it is due to the impaired insight. This is important since the result in the present study mirror previous results where patients who overestimate a low function also, by clinicians, will be perceived as patients with a higher capacity and less difficulties.

Available from: 2018-04-26 Created: 2018-04-26 Last updated: 2018-04-30Bibliographically approved
Olsson, A.-K., Hjärthag, F. & Helldin, L. (2018). Overestimated function in patients with schizophrenia: A possible risk factor for inadequate support?. Schizophrenia Research, Article ID S0920-9964(18)30678-9.
Open this publication in new window or tab >>Overestimated function in patients with schizophrenia: A possible risk factor for inadequate support?
2018 (English)In: Schizophrenia Research, ISSN 0920-9964, E-ISSN 1573-2509, article id S0920-9964(18)30678-9Article in journal (Refereed) Epub ahead of print
Abstract [en]

People with schizophrenia often demonstrate an impaired ability to assess and report aspects of their everyday functioning, and the aim of this study is to investigate how patients' self-rating ability regarding functional performance relates to neurocognitive performance and real-world functional performance. A total of 222 outpatients with a schizophrenia spectrum disorder participated in this study. They were divided into groups based on their self-rating ability (determined using self-rating questions) and their observed functional capacity (the UCSD Performance-Based Skills Assessment-Brief, UPSA-B). The results showed that patients with impaired functional capacity perform at a similar cognitive level, regardless of their self-rating ability. When comparing patients with unimpaired function to those with impaired function, we found differences in two cognitive domains; premorbid functioning and executive functioning. The results also reveal that clinicians seem to have greater difficulty assessing patients who over-estimate their functioning. Consequently, when clinicians assessed the patients with the Specific Levels of Functioning Scale (SLOF) no significant differences were found between the group with unimpaired function and the group of overestimators. Patients who overestimate their functioning risk receiving inadequate treatment and support.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Functional capacity, Introspective accuracy, Neurocognition, Real-world functional outcomes, Schizophrenia, Self-awareness
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-70680 (URN)10.1016/j.schres.2018.11.027 (DOI)30514644 (PubMedID)
Available from: 2019-01-08 Created: 2019-01-08 Last updated: 2019-01-16Bibliographically approved
Draxler, H., Hjärthag, F. & Almqvist, K. (2018). Replicability of effect when transferring a supportive programme for parents exposed to intimate partner violence and their children from the US to Sweden. Child Care in Practice, 1-17
Open this publication in new window or tab >>Replicability of effect when transferring a supportive programme for parents exposed to intimate partner violence and their children from the US to Sweden
2018 (English)In: Child Care in Practice, ISSN 1357-5279, E-ISSN 1476-489X, p. 1-17Article in journal (Refereed) Epub ahead of print
Abstract [en]

Transferring an evidence-based parenting programme for parents exposed to intimate partner violence (IPV) and their children with emotional and behavioural problems reveals the extent to which cultural and social aspects can interfere with the programme’s effectiveness. Feasibility studies are of value in such circumstances, and the aim of the present feasibility study was to explore, on a small scale and in its natural context, whether the effects of the parenting programme, Project Support, were replicable when transferred to another country. In this study, the programme, which was originally designed for parents exposed to IPV and their children who had developed psychological symptoms in the United States, was evaluated in an equivalent population receiving Swedish social services. Parents (n = 35) self-assessed their parenting capacity and their children’s (n = 35) psychological symptoms. The results indicate that the parents improved their parenting capacity, and feelings of helplessness and fear regarding parenting their children decreased. Those feelings were also associated with the children’s psychological symptoms. The promising results are similar to the findings of previous research from the US, and further implementation and evaluation of Project Support in Sweden are indicated. (PsycINFO Database Record (c) 2018 APA, all rights reserved) (Source: journal abstract)

Place, publisher, year, edition, pages
Routledge, 2018
Keywords
Feasibility study, parenting, domestic violence, social work, children’s psychological symptoms, No terms assigned, article, 2956:Childrearing & Child Care
National Category
Psychology (excluding Applied Psychology)
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-70309 (URN)10.1080/13575279.2018.1463968 (DOI)
Note

Copyright - © 2018, The Author(s); Date revised - 20180507; Publication note - Open access; Number of references - 41; Last updated - 2018-05-08; SubjectsTermNotLitGenreText - No terms assigned

Available from: 2018-11-27 Created: 2018-11-27 Last updated: 2019-01-30Bibliographically approved
Olsson-Tall, M., Hjärthag, F., Marklund, B., Kylén, S., Carlström, E. & Helldin, L. (2018). The Impact of Repeated Assessments by Patients and Professionals: A 4-Year Follow-Up of a Population With Schizophrenia. Journal of the American Psychiatric Nurses Association
Open this publication in new window or tab >>The Impact of Repeated Assessments by Patients and Professionals: A 4-Year Follow-Up of a Population With Schizophrenia
Show others...
2018 (English)In: Journal of the American Psychiatric Nurses Association, ISSN 1078-3903, E-ISSN 1532-5725Article in journal (Refereed) Epub ahead of print
Abstract [en]

The needs of people with schizophrenia are great, and having extensive knowledge of this patient group is crucial for providing the right support. The aim of this study was to investigate, over 4 years, the importance of repeated assessments by patients with schizophrenia and by professionals. Data were collected from evidence-based assessment scales, interviews, and visual self-assessment scales. The data processing used descriptive statistics, correlation and regression analyses. The results showed that the relationships between several of the patients’ self-rating assessments were stronger at the 4-year follow-up than at baseline. In parallel, the concordance rate between patient assessments and case manager assessments increased. The conclusions drawn are that through repeated assessments the patients’ ability to assess their own situation improved over time and that case managers became better at understanding their patients’ situation. This, in turn, provides a safer basis for assessments and further treatment interventions, which may lead to more patients achieving remission, which can lead to less risk for hospitalization and too early death.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
case manager, patient, remission, repeated assessment, schizophrenia
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-68064 (URN)10.1177/1078390318777785 (DOI)2-s2.0-85048037656 (Scopus ID)
Available from: 2018-06-26 Created: 2018-06-26 Last updated: 2018-06-26Bibliographically approved
Hawar, M., Olsson, A.-K., Hjärthag, F., Johansson, M., Olsson-Tall, M. & Helldin, L. (2018). Traditional Risk Factors Not Enough To Explain The Short Lifetime Expectancy In Patients With Schizophrenia. Paper presented at 6th Biennial Conference of the Schizophrenia-International-Research-Society (SIRS), APR 04-08, 2018, Florence, ITALY. Schizophrenia Bulletin, 44, S159-S159
Open this publication in new window or tab >>Traditional Risk Factors Not Enough To Explain The Short Lifetime Expectancy In Patients With Schizophrenia
Show others...
2018 (English)In: Schizophrenia Bulletin, ISSN 0586-7614, E-ISSN 1745-1701, Vol. 44, p. S159-S159Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Oxford University Press, 2018
National Category
Psychology (excluding Applied Psychology)
Research subject
Psychology with an emphasis on medical psychology
Identifiers
urn:nbn:se:kau:diva-67191 (URN)000429541800385 ()
Conference
6th Biennial Conference of the Schizophrenia-International-Research-Society (SIRS), APR 04-08, 2018, Florence, ITALY
Available from: 2018-04-26 Created: 2018-04-26 Last updated: 2018-06-25Bibliographically approved
Johansson, M., Hjärthag, F. & Helldin, L. (2018). What could be learned from a decade with standardized remission criteria in schizophrenia spectrum disorders: An exploratory follow-up study. Schizophrenia Research, 195(May), 103-109
Open this publication in new window or tab >>What could be learned from a decade with standardized remission criteria in schizophrenia spectrum disorders: An exploratory follow-up study
2018 (English)In: Schizophrenia Research, ISSN 0920-9964, E-ISSN 1573-2509, Vol. 195, no May, p. 103-109Article in journal (Refereed) Published
Abstract [en]

A decade has passed since the standardized remission criteria of schizophrenia spectrum disorders-the Andreasen Criteria-were defined. Over 2000 studies have been published, but only a few describe symptomatic remission over time. In this prospective study we followed patients for 3 and 5 years, respectively. The aim was to investigate how different symptoms affect the occurrence of remission and how the remission cut-off level affects remission sustainability. The participants were patients diagnosed with schizophrenia spectrum disorders (DSM-IV). First, the importance of each core symptom for remission was examined using the Positive and Negative Syndrome Scale (n = 274). Second, we investigated which items affect patients to either go in and out of remission or never achieve remission (n = 154). Third, we investigated how the sustainability of remission is affected by a cut-off set to 2 (minimal) and 3 (mild) points, respectively (n = 154). All core symptoms affected the occurence of remission, to a higher or lesser extent. Delusions and Hallucinatory behavior contributed the strongest to fluctuation between remission and non-remission, while the contribution of Mannerism and posturing was very marginal. Negative symptoms were enhanced when remission was never achieved. Moreover, the study found that remission duration was significantly longer for the cut-off score 2 rather than 3. The study shows that, over time, remission criteria discriminate between being stable, unstable, or never in remission. Patients with only a minimal occurrence of symptom intensity exhibit a significantly longer remission duration compared to patients with mild symptom intensity, indicating that the treatment goal should be minimal symptom intensity.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Symptomatic remission; Sustainability; Schizophrenia spectrum disorders
National Category
Psychiatry
Identifiers
urn:nbn:se:kau:diva-67421 (URN)10.1016/j.schres.2017.09.007 (DOI)000432466700015 ()28899583 (PubMedID)
Available from: 2018-05-31 Created: 2018-05-31 Last updated: 2018-07-11Bibliographically approved
Wirsén, E., Åkerlund, S., Ingvarsdotter, K., Hjärthag, F., Östman, M. & Persson, K. (2017). Burdens experienced and perceived needs of relatives of persons with SMI: A systematic meta-synthesis.. Journal of Mental Health, 1-11
Open this publication in new window or tab >>Burdens experienced and perceived needs of relatives of persons with SMI: A systematic meta-synthesis.
Show others...
2017 (English)In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, p. 1-11Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: Close relatives of people with severe mental illness (SMI) experience problems known as family burdens. In addition, they may have their own needs for support, something often overlooked by the healthcare system. Meta-syntheses in this area may help explore the meaning of the experience of living with someone who has a SMI.

AIM: Our aim was to describe the burdens experienced and needs perceived on a daily basis by relatives to someone who has a SMI.

METHODS: The databases PubMed, CINAHL, and PsychInfo were searched using a systematic search strategy. Studies were screened for relevance and quality was appraised. A meta-synthesis of nine qualitative studies was then conducted.

RESULTS: The nine studies discerned the following themes. Burden themes; Forced to carry a sometimes unbearable burden; Burdened by own ill-health and disrupted relationships; Distressed and stigmatized by society. Needs themes; strengthening protective factors; Skills and practical support greatly appreciated.

CONCLUSIONS: The burdens and needs of relatives of persons with SMI strongly influence their lives. They require relief from both practical and emotional burdens. Family interventions and other programs to support relatives should be encouraged with this knowledge in mind.

Place, publisher, year, edition, pages
Taylor & Francis, 2017
Keywords
Family burden, meta-synthesis, needs, qualitative research, severe mental illness, stigma
National Category
Nursing Psychology
Identifiers
urn:nbn:se:kau:diva-70308 (URN)10.1080/09638237.2017.1370632 (DOI)28853618 (PubMedID)
Available from: 2018-11-27 Created: 2018-11-27 Last updated: 2018-12-06Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1088-9793

Search in DiVA

Show all publications