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Nilsson, A., Orwelius, L., Sveen, J., Willebrand, M., Ekselius, L., Gerdin, B. & Sjoberg, F. (2019). Anxiety and depression after burn, not as bad as we think-A nationwide study. Burns, 45(6), 1367-1374
Åpne denne publikasjonen i ny fane eller vindu >>Anxiety and depression after burn, not as bad as we think-A nationwide study
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2019 (engelsk)Inngår i: Burns, ISSN 0305-4179, E-ISSN 1879-1409, Vol. 45, nr 6, s. 1367-1374Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objective: A history of psychiatric disorders is more common among patients who have had burns than in the general population. To try and find out the scale of the problem we have assessed self-reported symptoms of anxiety and depression after a burn. Methods: Consecutive patients with burns measuring more than 10% total body surface area or duration of stay in hospital of seven days or more were included. Personal and clinical details about the patients were extracted from the database at each center. Data were collected from the Hospital Anxiety and Depression Scale, as well as Health-Related Quality of Life (HRQoL; Short Form-36, SF-36) and questionnaires about socioeconomic factors. All results were obtained 12 and 24 months after the burn, and compared with those from a reference group. Results: A total of 156 patients responded to the questionnaires. Mean (SD) age and TBSA (%) were 46 (16.4) years and 23.6 (19.2) %, respectively. There were no differences in incidence between the burn and reference groups in anxiety or depression either 12 or 24 months after the burn. Those who reported higher anxiety and depression scores also had consistently poorer HRQoL as assessed by the SF-36. Conclusion: Seen as a group, people who have had burns report anxiety and depression the same range as a reference group. Some patients, however, express more anxiety and depression, and concomitantly poorer HRQoL. These patients should be identified, and offered additional support. (C) 2019 Elsevier Ltd and ISBI. All rights reserved.

sted, utgiver, år, opplag, sider
ELSEVIER SCI LTD, 2019
Emneord
Burns, Quality of life, Anxiety, Depression, Follow-up studies
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-394054 (URN)10.1016/j.burns.2019.03.014 (DOI)000483339500013 ()31378623 (PubMedID)
Tilgjengelig fra: 2019-10-03 Laget: 2019-10-03 Sist oppdatert: 2019-10-03bibliografisk kontrollert
Bondjers, K., Roberts, N., Bisson, J., Hyland, P., Willebrand, M. & Arnberg, F. (2019). Reliability and validity of the Swedish international trauma interview for posttraumatic stress disorders in the ICD-11. In: European Journal of Psychotraumatology: Trauma in Transition: Building Bridges. Paper presented at The 16th ESTSS Conference, 14-16 June 2019, Rotterdam, Netherlands. , 10, Article ID 1613836.
Åpne denne publikasjonen i ny fane eller vindu >>Reliability and validity of the Swedish international trauma interview for posttraumatic stress disorders in the ICD-11
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2019 (engelsk)Inngår i: European Journal of Psychotraumatology: Trauma in Transition: Building Bridges, 2019, Vol. 10, artikkel-id 1613836Konferansepaper, Oral presentation with published abstract (Fagfellevurdert)
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-391173 (URN)10.1080/20008198.2019.1613836 (DOI)
Konferanse
The 16th ESTSS Conference, 14-16 June 2019, Rotterdam, Netherlands
Tilgjengelig fra: 2019-08-20 Laget: 2019-08-20 Sist oppdatert: 2019-08-20
Bondjers, K., Willebrand, M. & Arnberg, F. (2018). A Prospective Study of ICD-11 and DSM-5 PTSD, Functional Disability and Quality of Life. In: : . Paper presented at The International Society for Traumatic Stress Studies 34th Annual Meeting, Washington D.C., USA, November 8-10.
Åpne denne publikasjonen i ny fane eller vindu >>A Prospective Study of ICD-11 and DSM-5 PTSD, Functional Disability and Quality of Life
2018 (engelsk)Konferansepaper, Oral presentation only (Fagfellevurdert)
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-382954 (URN)
Konferanse
The International Society for Traumatic Stress Studies 34th Annual Meeting, Washington D.C., USA, November 8-10
Tilgjengelig fra: 2019-05-07 Laget: 2019-05-07 Sist oppdatert: 2019-05-07
Bäckström, J., Willebrand, M., Sjöberg, F. & Haglund, K. (2018). Being a family member of a burn survivor –: Experiences and needs. Paper presented at 2018/11/29. Burns Open, 2(4), 193-198
Åpne denne publikasjonen i ny fane eller vindu >>Being a family member of a burn survivor –: Experiences and needs
2018 (engelsk)Inngår i: Burns Open, ISSN 2468-9122, Vol. 2, nr 4, s. 193-198Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background

Family members are important in the recovery process of persons with severe burns; however, few previous studies have focused on how this group experiences care and rehabilitation.

Objective

To explore family members’ experiences and needs, during the time in hospital and after discharge.

Methodology

Explorative study with a qualitative descriptive design. Ten semi-structured interviews with family members of injured persons treated at the national burn centres were recorded digitally, transcribed verbatim, and analysed using content analysis.

Findings

Five categories were related to experiences during care: Experiencing excellent treatment and support, Experiencing mistrust and a rejecting attitude, Feelings of chaos and shock, Being the hub of the family network, Feeling hope and thankfulness. Three categories were related to experiences during rehabilitation: Ambiguous feelings, Multifaceted support and Handling the situation.

Conclusion

The experiences of the time in hospital and during rehabilitation are individual and comprise a mixture of positive and negative experiences and a diversity of needs. The results suggest that healthcare professionals should be proactive and identify specific needs for support as well as provide individualized treatment of family members.

sted, utgiver, år, opplag, sider
Elsevier, 2018
Emneord
Burns, Critical care, Family centred care, Family members, Needs, Experiences
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-367302 (URN)10.1016/j.burnso.2018.07.001 (DOI)
Konferanse
2018/11/29
Tilgjengelig fra: 2018-11-29 Laget: 2018-11-29 Sist oppdatert: 2019-01-23bibliografisk kontrollert
Löfving-Gupta, S., Willebrand, M., Koposov, R., Blatny, M., Hrdlicka, M., Schwab-Stone, M. & Ruchkin, V. (2018). Community violence exposure and substance use: cross-cultural and gender perspectives. European Child and Adolescent Psychiatry, 27(4), 493-500
Åpne denne publikasjonen i ny fane eller vindu >>Community violence exposure and substance use: cross-cultural and gender perspectives
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2018 (engelsk)Inngår i: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 27, nr 4, s. 493-500Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The negative effects of community violence exposure on child and adolescent mental health are well documented and exposure to community violence has been linked both to a number of internalizing and externalizing symptoms. Our aim was, therefore, to investigate cross-cultural and gender differences in the relationship between community violence exposure and substance abuse. A self-report survey was conducted among 10,575, 12-18 year old adolescents in three different countries, Czech Republic (N = 4537), Russia (N = 2377) and US (N = 3661). We found that in all three countries both substance use and problem behavior associated with it increased similarly along with severity of violence exposure and this association was not gender-specific. It was concluded that in spite of the differences in the levels of violence exposure and substance use cross-culturally and by gender, the pattern of their association is neither culturally nor gender bound.

sted, utgiver, år, opplag, sider
SPRINGER, 2018
Emneord
Community violence exposure, Substance use, Gender, Adolescents
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-358568 (URN)10.1007/s00787-017-1097-5 (DOI)000429661700010 ()29264649 (PubMedID)
Tilgjengelig fra: 2018-09-17 Laget: 2018-09-17 Sist oppdatert: 2018-09-17bibliografisk kontrollert
Sveen, J. & Willebrand, M. (2018). Feelings of guilt and embitterment in parents of children with burns and its associations with depression. Burns, 44(5), 1135-1140
Åpne denne publikasjonen i ny fane eller vindu >>Feelings of guilt and embitterment in parents of children with burns and its associations with depression
2018 (engelsk)Inngår i: Burns, ISSN 0305-4179, E-ISSN 1879-1409, Vol. 44, nr 5, s. 1135-1140Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objectives: The aim was to examine guilt and embitterment in mothers and fathers of children with burns and its associations with depression and burn severity. Methods: Parents (N=61, mothers n=41, fathers n=20) completed self-report questionnaires on guilt and embitterment, 0.8-5.6 years after their child's burn. Burn severity and sociodemographic variables were obtained from medical records and symptoms of depression were assessed with the Montgomery-Asberg Depression Rating Scale (MADRS). Results: The parents reported low levels of guilt, embitterment and depression. Burn-specific and general guilt were higher in mothers than fathers, but there were no differences in embitterment or symptoms of depression. General guilt was associated with depression, whereas burn-specific guilt and embitterment were not. Conclusions: Parents with general guilt may suffer from symptoms of depression. An implication is that clinicians should address guilt feelings among parents in order to alleviate distress and to identify any need for further counseling.

sted, utgiver, år, opplag, sider
ELSEVIER SCI LTD, 2018
Emneord
Guilt, Embitterment, Depression, Pediatric burns, Mothers, Fathers
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-359870 (URN)10.1016/j.burns.2018.02.005 (DOI)000436791900011 ()29929898 (PubMedID)
Forskningsfinansiär
Swedish Research Council, 2010-3033
Tilgjengelig fra: 2018-09-07 Laget: 2018-09-07 Sist oppdatert: 2018-09-07bibliografisk kontrollert
Willebrand, M., Sjöberg, F., Huss, F. & Sveen, J. (2018). Parents' perceived quality of pediatric burn care.. Journal of critical care, 43, 256-259
Åpne denne publikasjonen i ny fane eller vindu >>Parents' perceived quality of pediatric burn care.
2018 (engelsk)Inngår i: Journal of critical care, ISSN 0883-9441, E-ISSN 1557-8615, Vol. 43, s. 256-259Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

PURPOSE: To describe parents' perceived quality of pediatric burn care and evaluate factors associated with differences in perceived quality among parents.

METHODS: 62 parents of children with burns were recruited on a Swedish national basis 0.8 to 5.6years after the child's injury. Measures were an adaptation of the Quality of Care Indices - Parent questionnaire consisting of 8 subscales and one overall question, the Impact of Event Scale -Revised, Montgomery Åsberg Depression Rating Scale, and Injury-specific fear-avoidance.

RESULTS: Ratings of quality of care were high, especially regarding Staff Attitudes, Medical Treatment, and Caring Processes. Overall satisfaction rated from 1 to 10 was on average 9.1 (SD=1.2). Overall satisfaction and specific indices of Quality of care were not associated with burn severity, parent gender, or parent age. However, Quality of care was associated with current symptoms of posttraumatic stress and depression, and parents of girls expressed being less satisfied with Participation.

CONCLUSIONS: Parents' perceived quality of care is associated with psychological health, but not with characteristics of the child's injury or age. The results suggest that burn care can improve by involving parents of girls more and by being more attentive towards parents who themselves appear stressed or worried.

Emneord
Burns, Care, Child, Pediatric, Quality
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-334009 (URN)10.1016/j.jcrc.2017.08.037 (DOI)000418522800042 ()28946104 (PubMedID)
Forskningsfinansiär
Swedish Research Council, 2010-3033
Tilgjengelig fra: 2017-11-20 Laget: 2017-11-20 Sist oppdatert: 2018-01-25bibliografisk kontrollert
Bondjers, K., Willebrand, M. & Arnberg, F. (2018). Similarity in symptom patterns of posttraumatic stress among disaster-survivors: a three-step latent profile analysis. European Journal of Psychotraumatology, 9(1), Article ID 1546083.
Åpne denne publikasjonen i ny fane eller vindu >>Similarity in symptom patterns of posttraumatic stress among disaster-survivors: a three-step latent profile analysis
2018 (engelsk)Inngår i: European Journal of Psychotraumatology, ISSN 2000-8066, E-ISSN 2000-8066, Vol. 9, nr 1, artikkel-id 1546083Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Individuals express symptoms of posttraumatic stress in various ways, noted for example in the many symptom combinations in the diagnostic manuals. Studies aiming to examine differences of symptom presentations by extracting latent classes or profiles indicate both the presence of subtypes with differing symptomatology and subtypes distinguished by severity levels. Few studies have examined subtype associations with long-term outcomes. Objective: The current study aimed to apply latent profile analysis on posttraumatic stress (PTS) in a highly homogenous sample of Swedish tourists exposed to the 2004 Southeast Asia tsunami and to examine if classes differed in their long-term outcome. Methods: An latent profile analysis was conducted using self-report data collected one year after the disaster from 1638 highly exposed survivors that endorsed 1 symptom of PTS. Associations were examined between the classes and predictors of PTS (loss of a relative or friend, subjective life threat) and levels of PTS at a three-year follow up. Results: The latent profile analysis indicated four classes: minimal, low, moderate, and severe symptoms. The classes were distinguished mainly by their levels of PTS. Loss of a relative or friend and subjective life threat were associated with a higher likelihood of belonging to any other class than the minimal class. The severity level of the classes at one year were predictive of PTS severity at the three-year follow-up. Conclusions: Homogeneous profiles of posttraumatic stress differing mainly in symptom severity were found in this sample of disaster survivors. Profile diversity may be related to sample variation and unmeasured confounders rather than reflect qualitatively different disorders.

Emneord
PTSD, posttraumatic stress, trauma, latent profile analysis, natural disaster, longitudinal study
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-369456 (URN)10.1080/20008198.2018.1546083 (DOI)000450666500001 ()30479702 (PubMedID)
Forskningsfinansiär
Swedish National Board of Health and Welfare
Tilgjengelig fra: 2018-12-13 Laget: 2018-12-13 Sist oppdatert: 2019-01-07bibliografisk kontrollert
Edvinsson, Å., Skalkidou, A., Hellgren, C., Gingnell, M., Ekselius, L., Willebrand, M. & Sundström Poromaa, I. (2017). Different patterns of attentional bias in antenatal and postpartum depression. Brain and Behavior, 7(11), Article ID e00844.
Åpne denne publikasjonen i ny fane eller vindu >>Different patterns of attentional bias in antenatal and postpartum depression
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2017 (engelsk)Inngår i: Brain and Behavior, ISSN 2162-3279, E-ISSN 2162-3279, Vol. 7, nr 11, artikkel-id e00844Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

BackgroundBiased information processing in attention, memory, and interpretation is proposed to be central cognitive alterations in patients with major depressive disorder, but studies in women with peripartum depression are scarce. Because of the many similarities with depression in nonperipartum states as regards symptom profile and risk factors, we hypothesized that women with antenatal and postpartum depression would display attentional bias to negatively and positively valenced words. MethodsOne hundred and seventy-seven pregnant and 157 postpartum women were included. Among these, 40 suffered from antenatal depressive disorder and 33 from postpartum depressive disorder. An emotional Stroop task with neutral, positive, negative, and negatively valenced obstetric words was used. ResultsNo significant difference in emotional interference scores was noted between women with antenatal depression and nondepressed pregnant women. In contrast, women with postpartum depression displayed shorter reaction times to both positive (p=.028) and negative (p=.022) stimuli, compared with neutral words. Pregnant women on antidepressant treatment displayed longer reaction times to negatively valenced obstetric words in comparison with untreated depressed women (p=.012), and a trend toward greater interference in comparison with controls (p=.061). ConclusionsIn contrast with the hypothesis, we found no evidence of attentional bias to emotionally valenced stimuli in women with untreated peripartum depression. However, the shorter reaction times to emotional stimuli in women with postpartum depression may indicate emotional numbing, which in turn, is a functional impairment that may have repercussions for child development and well-being. Our findings emphasize the need to identify and treat women with postpartum depression at the earliest possible time point to ensure swift recovery and support for the family.

Emneord
antenatal depression, attentional bias, emotional Stroop, postpartum depression, pregnancy, women
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-342913 (URN)10.1002/brb3.844 (DOI)000416063200009 ()29201545 (PubMedID)
Forskningsfinansiär
Swedish Research Council
Tilgjengelig fra: 2018-02-26 Laget: 2018-02-26 Sist oppdatert: 2018-12-05bibliografisk kontrollert
Bondjers, K., Arnberg, F. & Willebrand, M. (2017). DSM-5 and ICD-11 symptom profiles in a diverse sample of trauma victims. In: : . Paper presented at The 15th European Society for Traumatic Stress Studies Conference, Odense, Denmark, June 2-4.
Åpne denne publikasjonen i ny fane eller vindu >>DSM-5 and ICD-11 symptom profiles in a diverse sample of trauma victims
2017 (engelsk)Konferansepaper, Oral presentation only (Fagfellevurdert)
HSV kategori
Identifikatorer
urn:nbn:se:uu:diva-382947 (URN)
Konferanse
The 15th European Society for Traumatic Stress Studies Conference, Odense, Denmark, June 2-4
Tilgjengelig fra: 2019-05-07 Laget: 2019-05-07 Sist oppdatert: 2019-05-07
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0003-2506-6527