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Publications (10 of 58) 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: 2019-10-28Bibliographically approved
Terp, U., Bisholt, B. & Hjärthag, F. (2019). Not Just Tools to Handle It: A Qualitative Study of Nursing Students' Experiences From Participating in a Cognitive Behavioral Stress Management Intervention. Health Education & Behavior
Open this publication in new window or tab >>Not Just Tools to Handle It: A Qualitative Study of Nursing Students' Experiences From Participating in a Cognitive Behavioral Stress Management Intervention
2019 (English)In: Health Education & Behavior, ISSN 1090-1981, E-ISSN 1552-6127Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background. Stress-related problems are an increasing challenge within nurse education since it affects learning, professional development, and mental health negatively. Despite this, knowledge is scarce regarding nursing students' experiences of being in stress management interventions. Aim. This study aimed to describe how nursing students experienced a preventive cognitive behavioral therapy-based stress management intervention. Method. Data were collected through 14 semistructured interviews with nursing students who had participated in a stress management intervention, and analyzed using inductive qualitative content analysis. Results. The analysis yielded one theme, Turning points, which consisted of four categories: (1) more in touch with reality, (2) increased self-confidence, (3) improved communication skills, and (4) a new way of reflecting. Discussion. Findings emphasize the importance of both theoretical and structural aspects when planning a stress management training intervention. A group format delivery in combination with a multicomponent cognitive behavioral intervention can be interrelated elements for positive stress-related changes. Conclusion. Our findings indicate that participants developed new and more adaptive coping strategies, which were attributed to the intervention. The participants expressed that they had increased their ability to reflect, which led to increased insight and self-reflection. The intervention constitutes an example of a contribution to stress management research and provides information for stress management training initiatives in nurse education.

Place, publisher, year, edition, pages
Thousand Oaks, CA, USA: Sage Publications, 2019
Keywords
health promotion, higher education, nursing students, prevention, qualitative content analysis, stress management
National Category
Nursing Psychology (excluding Applied Psychology)
Research subject
Psychology; Nursing Science
Identifiers
urn:nbn:se:kau:diva-74570 (URN)10.1177/1090198119865319 (DOI)000481300300001 ()31394927 (PubMedID)
Available from: 2019-08-29 Created: 2019-08-29 Last updated: 2019-10-28Bibliographically approved
Olsson, A.-K., Hjärthag, F. & Helldin, L. (2019). Overestimated function in patients with schizophrenia: A possible risk factor for inadequate support?. Schizophrenia Research, 206, 194-199
Open this publication in new window or tab >>Overestimated function in patients with schizophrenia: A possible risk factor for inadequate support?
2019 (English)In: Schizophrenia Research, ISSN 0920-9964, E-ISSN 1573-2509, Vol. 206, p. 194-199Article in journal (Refereed) Published
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, 2019
Keywords
Functional capacity, Introspective accuracy, Neurocognition, Real-world functional outcomes, Schizophrenia, Self-awareness
National Category
Psychology Psychiatry
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-70680 (URN)10.1016/j.schres.2018.11.027 (DOI)000467810100028 ()30514644 (PubMedID)
Available from: 2019-01-08 Created: 2019-01-08 Last updated: 2019-09-12Bibliographically approved
Draxler, H., Hjärthag, F. & Almqvist, K. (2019). 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, 25(4), 367-382
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
2019 (English)In: Child Care in Practice, ISSN 1357-5279, E-ISSN 1476-489X, Vol. 25, no 4, p. 367-382Article in journal (Refereed) Published
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.

Place, publisher, year, edition, pages
Routledge, 2019
Keywords
Feasibility study, parenting, domestic violence, social work, children’s psychological symptoms
National Category
Psychology (excluding Applied Psychology)
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-70309 (URN)10.1080/13575279.2018.1463968 (DOI)
Available from: 2018-11-27 Created: 2018-11-27 Last updated: 2019-09-12Bibliographically approved
Olsson-Tall, M., Hjärthag, F., Marklund, B., Kylén, S., Carlström, E. & Helldin, L. (2019). 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, 25(3), 189-199
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
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2019 (English)In: Journal of the American Psychiatric Nurses Association, ISSN 1078-3903, E-ISSN 1532-5725, Vol. 25, no 3, p. 189-199Article in journal (Refereed) Published
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, 2019
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)000469395200006 ()2-s2.0-85048037656 (Scopus ID)
Available from: 2018-06-26 Created: 2018-06-26 Last updated: 2019-06-13Bibliographically 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, 55(4), 663-671
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 1573-2789, Vol. 55, no 4, p. 663-671Article in journal (Refereed) Published
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)000463787900014 ()2-s2.0-85051706863 (Scopus ID)
Available from: 2018-09-07 Created: 2018-09-07 Last updated: 2019-04-25Bibliographically 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?
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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?
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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
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
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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
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Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1088-9793

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