uu.seUppsala University Publications
Change search
Link to record
Permanent link

Direct link
BETA
Aarts, Clara
Publications (10 of 20) Show all publications
Kerstis, B., Aarts, C., Tillman, C., Persson, H., Engström, G., Edlund, B., . . . Skalkidou, A. (2016). Association between parental depressive symptoms and impaired bonding with the infant. Archives of Women's Mental Health, 19(1), 87-94
Open this publication in new window or tab >>Association between parental depressive symptoms and impaired bonding with the infant
Show others...
2016 (English)In: Archives of Women's Mental Health, ISSN 1434-1816, E-ISSN 1435-1102, Vol. 19, no 1, p. 87-94Article in journal (Refereed) Published
Abstract [en]

Impaired bonding with the infant is associated with maternal postpartum depression but has not been investigated extensively in fathers. The primary study aim was to evaluate associations between maternal and paternal depressive symptoms and impaired bonding with their infant. A secondary aim was to determine the associations between parents’ marital problems and impaired bonding with the infant. The study is part of a population-based cohort project (UPPSAT) in Uppsala, Sweden. The Edinburgh Postnatal Depression Scale (EPDS) at 6 weeks and 6 months postpartum and the Postpartum Bonding Questionnaire at 6 months postpartum were completed by 727 couples. The prevalence of impaired bonding was highest among couples in which both spouses had depressive symptoms. Impaired bonding was associated with higher EPDS scores in both mothers and fathers, as well as with experiencing a deteriorated marital relationship. The association between maternal and paternal impaired bonding and the mothers’ and fathers’ EPDS scores remained significant even after adjustment for relevant confounding factors. Depressive symptoms at 6 weeks postpartum are associated with impaired bonding with the infant at 6 months postpartum for both mothers and fathers. It is critical to screen for and prevent depressive symptoms in both parents during early parenthood.

Place, publisher, year, edition, pages
Springer, 2016
National Category
Other Medical Sciences Pediatrics Applied Psychology
Research subject
Caring Sciences
Identifiers
urn:nbn:se:uu:diva-237090 (URN)10.1007/s00737-015-0522-3 (DOI)000369012400012 ()25854998 (PubMedID)
Available from: 2014-11-26 Created: 2014-11-26 Last updated: 2017-12-05Bibliographically approved
Stern, J., Salih Joelsson, L., Tydén, T., Berglund, A., Ekstrand, M., Hegaard, H., . . . Kristiansson, P. (2016). Is pregnancy planning associated with background characteristics and pregnancy planning behavior?. Acta Obstetricia et Gynecologica Scandinavica, 95(2), 182-189
Open this publication in new window or tab >>Is pregnancy planning associated with background characteristics and pregnancy planning behavior?
Show others...
2016 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 95, no 2, p. 182-189Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Prevalence of planned pregnancies varies between countries but is often measured in a dichotomous manner. The aim of this study was to investigate to what level pregnant women had planned their pregnancies and whether pregnancy planning was associated with background characteristics and pregnancy planning behavior.

MATERIAL AND METHODS: A cross-sectional study that utilized the baseline measurements from the Swedish Pregnancy Planning (SWEPP) study. Pregnant women (n= 3390) recruited at antenatal clinics answered a questionnaire. Data were analyzed with multinomial logistic regression, Kruskal-Wallis H and χ(2) tests.

RESULTS: Three out of four pregnancies were very or fairly planned and 12 % fairly or very unplanned. Of women with very unplanned pregnancies, 32 % had considered an induced abortion. Women with planned pregnancies were more likely to have a higher level of education, higher household income, to be currently working ≥50 %, and to have longer relationships than women with unplanned pregnancies. The level of pregnancy planning was associated with planning behavior, such as information seeking and intake of folic acid, but without a reduction in alcohol consumption. One third of all women took folic acid one month prior to conception, 17 % used tobacco daily and 11 % used alcohol weekly three months before conception.

CONCLUSIONS: A majority rated their pregnancy as very or fairly planned, with socio-economic factors as explanatory variables. The level of pregnancy planning should be queried routinely to enable individualized counselling, especially for women with unplanned pregnancies. Preconception recommendations need to be established and communicated to the public to increase health promoting planning behavior.

Keyword
Planned pregnancy; unplanned pregnancy; preconception care; folic acid; health behavior
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-270500 (URN)10.1111/aogs.12816 (DOI)000368004300007 ()26566076 (PubMedID)
Available from: 2015-12-29 Created: 2015-12-29 Last updated: 2018-01-19Bibliographically approved
Tydén, T., Hegaard, H., Hedegaard, M., Kristiansson, P., Stern, J., Aarts, C., . . . Rosenblad, A. (2015). Pregnancy planning and among women attending antenatal care in Sweden and Denmark. Paper presented at 31st Annual Meeting of the European-Society-of-Human-Reproduction-and-Embryology (ESHRE), JUN 14-17, 2015, Lisbon, PORTUGAL. Human Reproduction, 30(Suppl. 1), 444-444
Open this publication in new window or tab >>Pregnancy planning and among women attending antenatal care in Sweden and Denmark
Show others...
2015 (English)In: Human Reproduction, ISSN 0268-1161, E-ISSN 1460-2350, Vol. 30, no Suppl. 1, p. 444-444Article in journal, Meeting abstract (Other academic) Published
Keyword
pregnancy planning, folic acid supplement, pregnancy outcome
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:uu:diva-264925 (URN)000359740303124 ()
Conference
31st Annual Meeting of the European-Society-of-Human-Reproduction-and-Embryology (ESHRE), JUN 14-17, 2015, Lisbon, PORTUGAL
Note

Meeting Abstract: P-754

Available from: 2015-11-02 Created: 2015-10-19 Last updated: 2018-01-19Bibliographically approved
Kerstis, B., Berglund, A., Engström, G., Edlund, B., Sylven, S. & Aarts, C. (2014). Depressive symptoms postpartum among parents are associated with marital separation: A Swedish cohort study. Scandinavian Journal of Public Health, 42(7), 660-668
Open this publication in new window or tab >>Depressive symptoms postpartum among parents are associated with marital separation: A Swedish cohort study
Show others...
2014 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 42, no 7, p. 660-668Article in journal (Refereed) Published
Abstract [en]

Aims: To study whether there is an association between dyadic consensus, depressive symptoms, and parental stress during early parenthood and marital separation 6–8 years after childbirth, among couples in Sweden.

Methods: At baseline, 393 couples were included. The couples answered three questionnaires, including: Dyadic consensus at 1 week post-partum, depressive symptoms at 3 months post-partum and parental stress at 18 months post-partum. The parents’ addresses were followed up after 6–8 years, to study the marital separation rate.

Results: We found, 6–8 years after childbirth, that 20% of study couples were separated. Separation was associated with less dyadic consensus (mothers p < 0.001; fathers p < 0.001), depressive symptoms (mothers p = 0.022; fathers p = 0.041) and parental stress (mothers p = 0.002; fathers p = 0.040). The hazard ratio (HR) for marital separation was related to dyadic consensus for fathers (HR 0.51; 95% CI 0.28–0.92), depressive symptoms for mothers (HR 1.69; 95% CI 1.01–2.84) and fathers (HR 1.92; 95% CI 1.12–3.28), and the mother’s parental stress (HR 2.16; 95% CI 1.14–4.07).

Conclusions: Understanding how dyadic consensus, depressive symptoms and parental stress are associated with marital separation is important for health professionals. It could be useful in developing interventions to provide parents with adequate support during pregnancy and early parenthood. This knowledge is also important for the public. Parents should get support in pregnancy and while bringing up children, which may help prevent marital separation and optimize conditions for the children.

National Category
Other Health Sciences
Research subject
Caring Sciences
Identifiers
urn:nbn:se:uu:diva-237085 (URN)10.1177/1403494814542262 (DOI)000344066600016 ()25053465 (PubMedID)
Available from: 2014-11-26 Created: 2014-11-26 Last updated: 2017-12-05Bibliographically approved
Hemingway, A., Aarts, C., Koskinen, L., Campbell, B. & Chassé, F. (2013). A European Union and Canadian Review of Public Health Nursing Preparation and Practice. Public Health Nursing, 30(1), 58-69
Open this publication in new window or tab >>A European Union and Canadian Review of Public Health Nursing Preparation and Practice
Show others...
2013 (English)In: Public Health Nursing, ISSN 0737-1209, E-ISSN 1525-1446, Vol. 30, no 1, p. 58-69Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: This study explores the preparation and role of the public health nurse (PHN) across European Union (EU) countries (Finland, Sweden, and the United Kingdom) and Canadian provinces (Alberta, New Brunswick, and Prince Edward Island).

METHODS: A literature review including relevant peer reviewed articles from 2000 on, in conjunction, with critical debate was undertaken. The results were considered in relation to the three essential areas of PHN practice, outlined in the World Health Organization (Moving on from Munich: A reference guide to the implementation of the declaration on nurses and midwives: A force for health, 2001b) recommendations, family oriented care, public health action, and policy making.

RESULTS: The major challenge the review revealed across a variety of international education and practice environments was the lack of consistent preparation for and engagement with leadership and policy making in practice.

National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-191707 (URN)10.1111/j.1525-1446.2012.01048.x (DOI)000313261000009 ()23294388 (PubMedID)
Available from: 2013-01-11 Created: 2013-01-11 Last updated: 2017-12-06Bibliographically approved
Kerstis, B., Engstrom, G., Edlund, B. & Aarts, C. (2013). Association between mothers' and fathers' depressive symptoms, sense of coherence and perception of their child's temperament in early parenthood in Sweden. Scandinavian Journal of Public Health, 41(3), 233-239
Open this publication in new window or tab >>Association between mothers' and fathers' depressive symptoms, sense of coherence and perception of their child's temperament in early parenthood in Sweden
2013 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 41, no 3, p. 233-239Article in journal (Refereed) Published
Abstract [en]

Aims: To examine whether there was any association between mothers' and fathers' post-partum depressive symptoms and sense of coherence and perception of their child's temperament. The hypotheses were that parents with depressive symptoms: 1) have more often a poor sense of coherence, and 2) perceive their child's temperament to be more difficult than parents without depressive symptoms. Methods: A total of 401 Swedish-speaking couples, who were the parents of children born through the years 2004-2006 in the northern part of the county of Vastmanland, Sweden, were invited to participate in the study. The parents answered 3 questionnaires including: at inclusion of the study: demographic data (n = 393 couples); at 3 months: the Edinburgh Postnatal Depression Scale and the Sense of Coherence Scale (n = 308 couples); and at 18 months: the Infant Characteristics Questionnaire (n = 272 couples). Results: Depressive symptoms measured at 3 months, were reported by 17.7% of mothers and 8.7% of fathers, and correlated significantly between mothers and fathers within couples (rho = 0.165, p = 0.003). Mothers and fathers with depressive symptoms had a poorer sense of coherence (p < 0.001, p < 0.001) and perceived their child's temperament as more difficult than mothers and fathers without depressive symptoms at 3 (p = 0.028, p < 0.001) and 18 months (p = 0.145, p = 0.012 respectively). Conclusions: Early parenthood has been studied thoroughly in mothers, but few studies have included fathers. Identifying problems in early parenthood could help predict later problems exhibited by the preschool child, which might be prevented by supportive programmes.

Keyword
Child temperament, fathers, mothers, post-partum depression, sense of coherence
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-201811 (URN)10.1177/1403494812472006 (DOI)000318632100003 ()
Available from: 2013-06-17 Created: 2013-06-17 Last updated: 2017-12-06Bibliographically approved
Akbarin, M. & Aarts, C. (2013). Being a close relative of a patient with a left ventricular assist device. European Journal of Cardiovascular Nursing, 12(1), 64-68
Open this publication in new window or tab >>Being a close relative of a patient with a left ventricular assist device
2013 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 12, no 1, p. 64-68Article in journal (Refereed) Published
Abstract [en]

Background: Every year in Sweden, between five and ten patients receive a mechanical heart pump due to grave heart failure. One such pump is the left ventricle assist device (LVAD). At home they need much support from their family. Aim: To investigate the close relatives' experience of their role in relation to patients with an LVAD. Methods: An exploratory study using unstructured interviews with six close relatives of patients with an LVAD. The interviews consisted of one open question: 'What is it like to be the close relative of a patient with an LVAD?' The interviews were analysed using thematic content analysis. Results: The time before LVAD surgery was described as a time of emotional ups and downs, and compared to 'being on an emotional rollercoaster ride'. The nearest relatives were in shock, felt anxiety and uncertainty, and wished to be near the patient. The time after surgery was described as a period in which they had to 'cope with the new situation.' During this period, the staff was experienced as a resource and the relatives described feelings of gratitude, willpower, and acceptance. The stay at home with a person with an LVAD was described as a 'new orientation phase' with limited freedom and the need for respite care. The interviewees expressed the need for support, especially once the patient was at home. Conclusion: It is important to also offer long-term professional support to the nearest relatives of patients with an LVAD.

Keyword
Bridge to heart transplant, family, left ventricle assist device (LVAD), quality of life, relative
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-194855 (URN)10.1177/1474515111432996 (DOI)000317854600009 ()
Available from: 2013-02-20 Created: 2013-02-19 Last updated: 2017-12-06Bibliographically approved
Tydén, T., Stern, J., Nydahl, M., Berglund, A., Larsson, M., Rosenblad, A. & Aarts, C. (2011). Pregnancy planning in Sweden: a pilot study among 270 women attending antenatal clinics. Acta Obstetricia et Gynecologica Scandinavica, 90(4), 408-412
Open this publication in new window or tab >>Pregnancy planning in Sweden: a pilot study among 270 women attending antenatal clinics
Show others...
2011 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 90, no 4, p. 408-412Article in journal (Refereed) Published
Abstract [en]

Objective

Health status and lifestyle before and at the time of conception could affect the health of both mother and child, but there is a lack of knowledge about the degree to which pregnancies are planned. The aim of this pilot study was to investigate whether and how women plan their pregnancies.

Material and methods

The main outcome measures were use of timetables, ovulation tests and lifestyle changes. Women (n = 322) visiting four antenatal clinics were asked to fill out a questionnaire (participation rate = 83.9%, n = 270).

Results

Three of four pregnancies (n = 202) were very or rather well planned, whereas 4.4% (n = 12) were totally unplanned. During the planning period, 37.1% (n = 100) made up a timetable for getting pregnant, 23% (n = 62) used ovulation tests, 20.7% (n = 56) took folic acid and 10.4% (n = 28) changed alcohol consumption.

Conclusion

Although a majority of these women had planned pregnancies, only one in five had taken folic acid during the planning period.

Keyword
Pregnancy planning, ovulation test, lifestyle change, folic acid, abortion
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-152943 (URN)10.1111/j.1600-0412.2010.01055.x (DOI)000289515500018 ()21306316 (PubMedID)
Available from: 2011-05-03 Created: 2011-05-03 Last updated: 2018-02-06Bibliographically approved
Aarts, C. & Holm, M. (2010). Barnhälsoteam: ett exempel på framgångsfaktorer för god samverkan kring förebyggande arbete för barn. Socialmedicinsk Tidskrift, 87(4), 274-281
Open this publication in new window or tab >>Barnhälsoteam: ett exempel på framgångsfaktorer för god samverkan kring förebyggande arbete för barn
2010 (Swedish)In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 87, no 4, p. 274-281Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Stockholm: , 2010
National Category
Other Medical Sciences
Research subject
Social Medicine
Identifiers
urn:nbn:se:uu:diva-170899 (URN)
Available from: 2012-03-13 Created: 2012-03-13 Last updated: 2017-12-07Bibliographically approved
Aarts, C., Nordstrom, P. M., Koskinen, L., Juhansoo, T., Mitchell, M. P., Marquis, F., . . . Hemingway, A. (2010). Enabling nursing students to focus on the Ottawa Charter and the nurses role in tackling inequalities in health through international exchange. Nurse Education Today, 30(5), 448-452
Open this publication in new window or tab >>Enabling nursing students to focus on the Ottawa Charter and the nurses role in tackling inequalities in health through international exchange
Show others...
2010 (English)In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 30, no 5, p. 448-452Article in journal (Refereed) Published
Abstract [en]

Student nurses in a transatlantic exchange program explored the role of registered nurses in five countries' public health systems. The Ottawa Charter provided a framework for students to examine the nurse's responsibilities in public health. Students took practice placements in geographically rural areas on another continent and explored inequalities in health care. If nurses are to understand their role in the health care system then they must be taught the scope of their practice including their role in health promotion, public health practice and community development. For this project nursing instructors developed an assignment relevant to the aims and suitable for students in all five nursing programs. Only three of 48 students offered an assignment which focused on building healthy public policy. Nurse educators need to explore this further to ensure nurses of the future are aware of their role and responsibilities in this area and have skills to work effectively to influence and build healthy policy. The international student exchange supported the students' developing understanding of the breadth of initiatives around the globe where nurses are actively engaged in addressing inequalities of health. Findings from an analysis of their assignments are presented in this evaluative report.

Keyword
Ottawa Charter, Health inequalities, Curriculum development, Student nurses, International
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-135805 (URN)10.1016/j.nedt.2009.10.005 (DOI)000279689300012 ()
Available from: 2010-12-09 Created: 2010-12-08 Last updated: 2017-12-11Bibliographically approved
Organisations

Search in DiVA

Show all publications