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Bergh Johannesson, Kerstin
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Publications (10 of 36) Show all publications
Cernvall, M., Sveen, J., Bergh Johannesson, K. & Arnberg, F. (2018). A pilot study of user satisfaction and perceived helpfulness of the Swedish version of the mobile app PTSD Coach. European Journal of Psychotraumatology, 9(Suppl 1), Article ID 1472990.
Open this publication in new window or tab >>A pilot study of user satisfaction and perceived helpfulness of the Swedish version of the mobile app PTSD Coach
2018 (English)In: European Journal of Psychotraumatology, ISSN 2000-8066, E-ISSN 2000-8066, Vol. 9, no Suppl 1, article id 1472990Article in journal (Refereed) Published
Abstract [en]

Background: There is a need for accessible interventions in the aftermath of traumatic events with documented efficacy for preventing or reducing negative mental health consequences. The PTSD Coach is a mobile app that has shown to be effective in reducing symptoms of posttraumatic stress (PTSS). Objective: The purpose of the current study was to evaluate the user satisfaction, perceived helpfulness and potential reductions of PTSS and symptoms of depression among participants using the Swedish version of the PTSD Coach. Method: This was an uncontrolled pre-test post-test open trial including participants recruited from the community via advertisement and from an ongoing observational study who had experienced a potentially traumatic event in the last five years. Participants had access to the Swedish PTSD Coach app for four weeks. Results: Eleven participants (mean age = 38.6, female = 8) completed the study. Nine of the participants met criteria for full or partial PTSD. Results from the PTSD Coach Survey indicated that participants found the app slightly to moderately helpful and were slightly to moderately satisfied with the app. Nominal but not statistically significant reductions of medium effect sizes in PTSS (PCL-5) and depression (PHQ-9) from pre- to post-assessment were found. In interviews, participants indicated that they found elements such as learning about PTSD, breathing exercises and monitoring symptoms helpful in managing symptoms. However, several participants indicated that they had not used the app as much as they had intended to. Participants also had suggestions for improvements such as enhanced app structure and better guidance regarding how to use the app. Conclusions: The perceived helpfulness and user satisfaction were slightly lower compared to research on the original version of the app. Experiences from the study are discussed and a future controlled study of the Swedish version of the PTSD Coach is suggested.

Keywords
PTSD Coach, Posttraumatic stress, mobile apps, mobile phone intervention, smartphones, • Participants found the Swedish version of the PTSD Coach slightly to moderately helpful.• There were nominal but statistically non-significant reductions of symptoms of PTSD and depression with medium effect sizes.• Participants had suggestions for improvement of the app.
National Category
Psychiatry
Research subject
Psychiatry; Psychology
Identifiers
urn:nbn:se:uu:diva-357141 (URN)10.1080/20008198.2018.1472990 (DOI)000469464200001 ()29805783 (PubMedID)
Funder
Swedish National Board of Health and Welfare
Available from: 2018-08-13 Created: 2018-08-13 Last updated: 2019-08-19Bibliographically approved
Michel, P.-O., Lundin, T., Bergh Johannesson, K., Nilsson, D. & Arnberg, F. (2018). Psykotraumatologi (3ed.). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Psykotraumatologi
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2018 (Swedish)Book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2018. p. 272 Edition: 3
National Category
Psychiatry Psychology
Identifiers
urn:nbn:se:uu:diva-339987 (URN)9789144119939 (ISBN)
Available from: 2018-01-24 Created: 2018-01-24 Last updated: 2018-02-28Bibliographically approved
Sveen, J., Bergh Johannesson, K., Cernvall, M. & Arnberg, F. (2018). Trajectories of prolonged grief one to six years after a natural disaster. PLoS ONE, 13(12), Article ID e0209757.
Open this publication in new window or tab >>Trajectories of prolonged grief one to six years after a natural disaster
2018 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 13, no 12, article id e0209757Article in journal (Refereed) Published
Abstract [en]

Background

The long-term trajectories of prolonged grief are poorly understood. The aims were to examine the course of grief among bereaved disaster survivors up to six years post loss and factors predicting worse bereavement outcome. A third aim was to explore differences in grief indicators between trajectories.

Methods

Bereaved Swedish tourists who survived the 2004 Indian Ocean tsunamis responded to surveys including the Inventory of Complicated Grief 1 to 6 years after the disaster. Latent growth mixture modeling was used to identify longitudinal trajectories of grief. Multinomial logistic regression analysis was used to examine predictors of class membership.

Results

Three trajectories were identified: resilient (41% of the sample), recovering (48%), and chronic (11%). The strongest predictor of chronic grief was the loss of one’s child. When examining grief indicators, the chronic trajectory was characterized by not accepting the loss, while yearning was common in all trajectories.

Conclusions

This study highlights the importance of considering how traumatically bereaved individuals can be affected by loss for several years after a disaster, especially after losing one’s child. An inability to accept the loss, more so than yearning, appears to characterize bereaved survivors at risk of a chronic trajectory of grief.

National Category
Psychiatry
Research subject
Psychiatry
Identifiers
urn:nbn:se:uu:diva-372693 (URN)10.1371/journal.pone.0209757 (DOI)000454149400078 ()30576369 (PubMedID)
Funder
Swedish National Board of Health and Welfare, 44676/2012
Available from: 2019-01-09 Created: 2019-01-09 Last updated: 2019-01-15Bibliographically approved
Bergh Johannesson, K. & Michel, P.-O. (2017). Krisstöd vid allvarlig händelse (2ed.). In: Sten Lennquist (Ed.), Traumatologi: . Liber
Open this publication in new window or tab >>Krisstöd vid allvarlig händelse
2017 (Swedish)In: Traumatologi / [ed] Sten Lennquist, Liber, 2017, 2Chapter in book (Other academic)
Place, publisher, year, edition, pages
Liber, 2017 Edition: 2
National Category
Psychiatry
Identifiers
urn:nbn:se:uu:diva-363314 (URN)9789147114238 (ISBN)
Available from: 2018-10-16 Created: 2018-10-16 Last updated: 2019-04-11Bibliographically approved
Wahlberg, Å., Sachs, M. A., Bergh Johannesson, K., Hallberg, G., Jonsson, M., Skoog Svanberg, A. & Högberg, U. (2017). Post-traumatic stress symptoms in Swedish obstetricians and midwives after severe obstetric events: a cross-sectional retrospective survey. British Journal of Obstetrics and Gynecology, 124(8), 1264-1271
Open this publication in new window or tab >>Post-traumatic stress symptoms in Swedish obstetricians and midwives after severe obstetric events: a cross-sectional retrospective survey
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2017 (English)In: British Journal of Obstetrics and Gynecology, ISSN 1470-0328, E-ISSN 1471-0528, Vol. 124, no 8, p. 1264-1271Article in journal (Refereed) Published
Abstract [en]

Objective: To examine post-traumatic stress reactions among obstetricians and midwives, experiences of support and professional consequences after severe events in the labour ward.

Design: Cross-sectional online survey from January 7 to March 10, 2014.

Population: Members of the Swedish Society of Obstetrics and Gynaecology and the Swedish Association of Midwives.

Methods: Potentially traumatic events were defined as: the child died or was severely injured during delivery; maternal near-miss; maternal mortality; and other events such as violence or threat. The validated Screen Questionnaire Posttraumatic Stress Disorder (SQ-PTSD), based on DSM-IV (1994) 4th edition, was used to assess partial post-traumatic stress disorder (PTSD) and probable PTSD.

Main outcome measures: Partial or probable PTSD.

Results: The response rate was 47% for obstetricians (n = 706) and 40% (n = 1459) for midwives. Eighty-four percent of the obstetricians and 71% of the midwives reported experiencing at least one severe event on the delivery ward. Fifteen percent of both professions reported symptoms indicative of partial PTSD, whereas 7% of the obstetricians and 5% of the midwives indicated symptoms fulfilling PTSD criteria. Having experienced emotions of guilt or perceived insufficient support from friends predicted a higher risk of suffering from partial or probable PTSD. Obstetricians and midwives with partial PTSD symptoms chose to change their work to outpatient care significantly more often than colleagues without these symptoms.

Conclusions: A substantial proportion of obstetricians and midwives reported symptoms of partial or probable PTSD after severe traumatic events experienced on the labour ward. Support and resilience training could avoid suffering and consequences for professional carers.

Place, publisher, year, edition, pages
WILEY, 2017
Keywords
midwives, obstetricians, perinatal, post-traumatic stress disorder, survey
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-328980 (URN)10.1111/1471-0528.14259 (DOI)000403938600031 ()27562912 (PubMedID)
Funder
AFA Insurance
Available from: 2017-09-12 Created: 2017-09-12 Last updated: 2018-10-22Bibliographically approved
Wahlberg, Å., Andreen Sachs, M., Bergh Johannesson, K., Hallberg, G., Jonsson, M., Skoog Svanberg, A. & Högberg, U. (2017). Self-reported exposure to severe events on the labour ward among Swedish midwives and obstetricians: A cross-sectional retrospective study. International Journal of Nursing Studies, 65, 8-16
Open this publication in new window or tab >>Self-reported exposure to severe events on the labour ward among Swedish midwives and obstetricians: A cross-sectional retrospective study
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2017 (English)In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 65, p. 8-16Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The process of delivery entails potentially traumatic events in which the mother or child becomes injured or dies. Midwives and obstetricians are sometimes responsible for these events and can be negatively affected by them as well as by the resulting investigation or complaints procedure (clinical negligence).

OBJECTIVE: To assess the self-reported exposure rate of severe events among midwives and obstetricians on the delivery ward and the cumulative risk by professional years and subsequent investigations and complaints.

DESIGN: Cross-sectional survey.

PARTICIPANTS: Members of the Swedish Association of Midwives (SFB) and the Swedish Society of Obstetrics and Gynaecology (SFOG).

METHODS: A questionnaire covering demographic characteristics, experiences of self-reported severe events on the delivery ward, and complaints of medical negligence was developed. Potential consequences of the complaint was not reported. A severe event was defined as: 1) the death of an infant due to delivery-related causes during childbirth or while on the neonatal ward; 2) an infant being severely asphyxiated or injured at delivery; 3) maternal death; 4) very severe or life threatening maternal morbidity; or 5) other stressful events during delivery, such as exposure to violence or aggression.

RESULTS: The response rate was 39.9% (n=1459) for midwives and 47.1% (n=706) for obstetricians. Eighty-four percent of the obstetricians and almost 71% of responding midwives had experienced one or more self-reported severe obstetric event with detrimental consequences for the woman or the new-born. Fourteen percent of the midwives and 22.4% of the obstetricians had faced complaints of medical negligence from the patient or the family of the patient.

CONCLUSIONS: A considerable proportion of midwives and obstetricians will, in the course of their working life, experience severe obstetric events in which the mother or the new-born is injured or dies. Preparedness for such exposure should be part of the training, as should managerial and peer support for those in need. This could prevent serious consequences for the health care professionals involved and their subsequent careers.

Keywords
Event, Midwives, Obstetricians, Occupational exposure, Traumatic
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:uu:diva-344013 (URN)10.1016/j.ijnurstu.2016.10.009 (DOI)000390746500003 ()27815987 (PubMedID)
Funder
AFA Insurance
Available from: 2018-03-05 Created: 2018-03-05 Last updated: 2018-09-17Bibliographically approved
Arnberg, F., Cernvall, M. & Bergh Johannesson, K. (2016). Development and Pilot-testing of the Swedish Version of the PTSD Coach. In: : . Paper presented at The International Society for Traumatic Stress Studies 32nd Annual Meeting, Dallas, TX, 10-12 Nov 2016.
Open this publication in new window or tab >>Development and Pilot-testing of the Swedish Version of the PTSD Coach
2016 (English)Conference paper, Oral presentation only (Refereed)
Abstract [en]

In Sweden, four out of five people have smartphones, indicating the potential to increase the reach of low- intensity support after trauma via smartphone-apps to aid recovery. While there are many apps in the mental health field available to the general public, their effects are rarely evaluated. The PTSD Coach smartphone-app was developed by the VA ́s National Center for PTSD—Dissemination and Training Division. A Swedish version was developed by using existing code while making adjustment to the content for a Swedish context with a view for use by both civilians and veterans. A pilot study is underway and the findings will be used to inform a larger efficacy study. To date, 31 participants have been recruited to the pilot study, in which they use the Swedish version of the PTSD Coach for four weeks. Pre- and post- assessments include a structured clinical interview (MINI), PCL-5, PHQ-9 and the Swedish version of the PTSD Coach Survey. The participants’ experiences with using the app are explored in focus groups. During this presentation, the adaptation for the Swedish PTSD Coach will be outlined and experiences from the development and pilot study of the Swedish version will be described. 

National Category
Psychiatry Psychology
Identifiers
urn:nbn:se:uu:diva-339952 (URN)
Conference
The International Society for Traumatic Stress Studies 32nd Annual Meeting, Dallas, TX, 10-12 Nov 2016
Available from: 2018-01-24 Created: 2018-01-24 Last updated: 2018-01-24
Sveen, J., Arnberg, F., Arinell, H. & Johannesson, K. B. (2016). The role of personality traits in trajectories of long-term posttraumatic stress and general distress six years after the tsunami in Southeast Asia. Personality and Individual Differences, 97, 134-139
Open this publication in new window or tab >>The role of personality traits in trajectories of long-term posttraumatic stress and general distress six years after the tsunami in Southeast Asia
2016 (English)In: Personality and Individual Differences, ISSN 0191-8869, E-ISSN 1873-3549, Vol. 97, p. 134-139Article in journal (Refereed) Published
Abstract [en]

The aims were to examine whether trajectories of posttraumatic stress (PTS) and general distress are related to personality traits and to investigate personality's contributing factor to PTS and general distress. The sample was 2549 Swedish tourists who survived the 2004 Indian Ocean tsunami and responded to postal surveys at 1, 3 and 6 years after the tsunami, including assessment of personality traits, PTS and general distress. The sample was categorized into a direct exposure group and an indirect exposure comparison group. For both PTS and general distress, individuals with a resilient trajectory were lower in the trait neuroticism than those in the symptomatic trajectories whereas there were no differences in personality traits between the resilient trajectory and the low exposure comparison group. Neuroticism was strongly related to trajectories of both PTS and general distress even when adjusting for important risk factors such as traumatic bereavement and exposure severity. Other personality traits demonstrated weak associations with the trajectories. The present findings correspond with the notion of neuroticism as a vulnerability factor for symptomatic long-term trajectories of posttraumatic and general distress whereas resiliency was not predicated by particularly low levels of neuroticism.

Keywords
Personality, Posttraumatic stress, Neuroticism, Disaster, Distress, Mental health, Long-term follow-up
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-298054 (URN)10.1016/j.paid.2016.03.046 (DOI)000375813700023 ()
Funder
Swedish National Board of Health and Welfare, 44676/2012
Available from: 2016-07-05 Created: 2016-06-29 Last updated: 2017-11-28Bibliographically approved
Bergh Johannesson, K., Arinell, H. & Arnberg, F. (2015). Six years after the wave: Trajectories of posttraumatic stress following a natural disaster. Journal of Anxiety Disorders, 36, 15-24
Open this publication in new window or tab >>Six years after the wave: Trajectories of posttraumatic stress following a natural disaster
2015 (English)In: Journal of Anxiety Disorders, ISSN 0887-6185, E-ISSN 1873-7897, Vol. 36, p. 15-24Article in journal (Refereed) Published
Abstract [en]

Background

The characteristics of long-term trajectories of distress after disasters are unclear, since few studies include a comparison group. This study examines trajectories of recovery among survivors in comparison to individuals with indirect exposure.

Methods

Postal surveys were sent to Swedish tourists, repatriated from the 2004 Indian Ocean tsunami (= 2268), at 1, 3, and 6 years after the tsunami to assess posttraumatic stress (PTS) and poor mental health. Items were used to ascertain high and moderate disaster exposure groups and an indirect exposure comparison group.

Results

Long-term PTS trajectories were best characterized by a resilient (72.3%), a severe chronic (4.6%), a moderate chronic (11.2%) and a recovering (11.9%) trajectory. Trajectories reported higher levels of PTS than the comparison group. Exposure severity and bereavement were highly influential risk factors.

Conclusions

These findings have implications regarding anticipation of long-term psychological adjustment after natural disasters and need for interventions after a single traumatic event with few secondary stressors.

Keywords
Posttraumatic stress; PTSD; Trajectories; Natural disaster; Longitudinal study; Recovery; General mental health
National Category
Psychiatry
Identifiers
urn:nbn:se:uu:diva-263212 (URN)10.1016/j.janxdis.2015.07.007 (DOI)000366226600003 ()26401968 (PubMedID)
Funder
Swedish National Board of Health and Welfare, 44676/2012
Available from: 2015-09-28 Created: 2015-09-28 Last updated: 2017-12-01Bibliographically approved
Cernvall, M., Bergh Johannesson, K. & Arnberg, F. K. (2015). The Interdependency in Development of Prolonged Grief and Posttraumatic Stress in Individuals Exposed to a Natural Disaster and who Lost a Close Relative: A Latent Growth with Dual Processes Approach. In: : . Paper presented at The International Society for Traumatic Stress Studies 31st Annual Meeting, 5-7 November, New Orleans, Louisiana, USA.
Open this publication in new window or tab >>The Interdependency in Development of Prolonged Grief and Posttraumatic Stress in Individuals Exposed to a Natural Disaster and who Lost a Close Relative: A Latent Growth with Dual Processes Approach
2015 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Psychology
Identifiers
urn:nbn:se:uu:diva-266977 (URN)
Conference
The International Society for Traumatic Stress Studies 31st Annual Meeting, 5-7 November, New Orleans, Louisiana, USA
Available from: 2015-11-16 Created: 2015-11-16 Last updated: 2017-01-25
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