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Berglund, Anna
Publications (10 of 16) Show all publications
Salih Joelsson, L., Tydén, T., Wanggren, K., Georgakis, M. K., Stern, J., Berglund, A. & Skalkidou, A. (2017). Anxiety and depression symptoms among sub-fertile women, women pregnant after infertility treatment, and naturally pregnant women. European psychiatry, 45, 212-219
Open this publication in new window or tab >>Anxiety and depression symptoms among sub-fertile women, women pregnant after infertility treatment, and naturally pregnant women
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2017 (English)In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 45, p. 212-219Article in journal (Refereed) Published
Abstract [en]

Background

Infertility has been associated with psychological distress, but whether these symptoms persist after achieving pregnancy via assisted reproductive technology (ART) remains unclear. We compared the prevalence of anxiety and depressive symptoms between women seeking for infertility treatment and women who conceived after ART or naturally.

Methods

Four hundred and sixty-eight sub-fertile non-pregnant women, 2972 naturally pregnant women and 143 women pregnant after ART completed a questionnaire in this cross-sectional study. The Anxiety subscale of the Hospital Anxiety and Depression Scale (HADS-A≥8) and Edinburgh Postnatal Depression Scale (EPDS≥12) were used for assessing anxiety and depressive symptoms, respectively. Multivariate Poisson regression models with robust variance were applied to explore associations with anxiety and depressive symptoms.

Results

The prevalence of anxiety and depressive symptoms among sub-fertile, non-pregnant women (57.6% and 15.7%, respectively) were significantly higher compared to women pregnant after ART (21.1% and 8.5%, respectively) and naturally pregnant women (18.8% and 10.3%, respectively). History of psychiatric diagnosis was identified as an independent risk factor for both anxiety and depressive symptoms. The presence of at least one unhealthy lifestyle behavior (daily tobacco smoking, weekly alcohol consumption, BMI≥25, and regular physical exercise < 2 h/week) was also associated with anxiety (Prevalence Ratio, PR: 1.24; 95%CI: 1.09–1.40) and depressive symptoms (PR: 1.25; 95%CI: 1.04–1.49).

Conclusions

Women pregnant after ART showed no difference in anxiety and depressive symptoms compared to naturally pregnant women. However, early psychological counseling and management of unhealthy lifestyle behaviors for sub-fertile women may be advisable, particularly for women with a previous history of psychiatric diagnosis.

Keyword
anxiety, depression, infertility, assisted reproductive technology, pregnancy
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
urn:nbn:se:uu:diva-338378 (URN)10.1016/j.eurpsy.2017.07.004 (DOI)000414461300029 ()28957789 (PubMedID)
Funder
Swedish Research Council
Available from: 2018-01-08 Created: 2018-01-08 Last updated: 2018-02-12Bibliographically approved
Berglund, A. & Heimer, G. (2016). Att ha varit utsatt för våld ökar risken för ohälsa senare i livet: Kunskap om våldets förekomst och konsekvenser behövs i hela vården – anamnesen bör innefatta fråga om våld. Läkartidningen, 113
Open this publication in new window or tab >>Att ha varit utsatt för våld ökar risken för ohälsa senare i livet: Kunskap om våldets förekomst och konsekvenser behövs i hela vården – anamnesen bör innefatta fråga om våld
2016 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 113Article in journal (Other academic) Published
Abstract [en]

Violence is a common problem in society worldwide, and recent research has shown links to various signs of ill-health among victims. In a Swedish population based study, 46 per cent of women and 38 per cent of men had, at some point, been subjected to severe sexual, physical or emotional violence. The respondents were also asked about their present health. The study showed a significant over-representation of respondents subjected to serious violence in all ill-health indicators (PTSD, depression, psychosomatic symptoms, self-harm behaviour, risky alcohol intake, low self-rated physical health and heart attacks in the older age group). Several other Swedish studies have addressed abuse and future health. In a study among young people attending youth clinics the last year prevalence of sexual, physical and emotional violence was high, as expected. Young women were to a higher extent than young men exposed to sexual (14 and 4 per cent, respectively) and emotional violence (33 and 18 per cent respectively) and young men more to physical violence than young women (27 and 18 per cent respectively). Those who had been exposed to more than two types of violence were significantly more likely to resort to self-harm behaviour and suicide ideation and rated their psychological wellbeing lower than others. In one study the violence victimization and self-reported physical and mental ill-health among young women belonging to a sexual minority and heterosexual young women was assessed. Being subjected to two or more types of violence was significantly more frequent among the minority women compared to heterosexual women. However all victimized women had significantly higher risk for ill-health in all outcomes (PTSD, sleeping difficulties, and recurrent bowel problems). The impact of being subjected to more than one type of violence has been shown to be even more strongly linked to mental ill-health also in adult patients. Hence, research supports that violence victimisation is associated with various symptoms and conditions for which people seek medical care. Therefore questions about violence victimization should routinely be included in the medical history.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-278537 (URN)
Available from: 2016-02-24 Created: 2016-02-24 Last updated: 2017-11-30Bibliographically 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?
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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
Berglund, A. & Lindmark, G. (2016). Preconception health and care (PHC)a strategy for improved maternal and child health. Upsala Journal of Medical Sciences, 121(4), 216-221
Open this publication in new window or tab >>Preconception health and care (PHC)a strategy for improved maternal and child health
2016 (English)In: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 121, no 4, p. 216-221Article, review/survey (Refereed) Published
Abstract [en]

Maternal health status before pregnancy is a decisive factor for pregnancy outcomes and for risk for maternal and infant complications. Still, maternity care does not start until the pregnancy is established and in most low-income settings not until more than half of the pregnancy has passed, which often is too late to impact outcomes. In Western societies preconception care (PCC) is widely recognized as a way to optimize women's health through biomedical and behavioural changes prior to conception with the aim of improving pregnancy outcomes. But the content of PCC is inconsistent and limited to single interventions or preconception counselling to women with chronic illnesses. It has been suggested that PCC should be extended to preconception health and care (PHC), including interventions prior to pregnancy in order to optimize women's health in general, and thereby subsequent pregnancy outcomes, the well-being of the family, and the health of the future child. With this definition, almost every activity that can improve the health of girls and women can be included in the concept. In the World Health Report of 2005 a longitudinal approach to women's wellness and reproductive health was highlighted, and the World Health Organization has proposed a more comprehensive maternal and child health care, also including psychosocial issues and intimate partner violence. The present article gives an overview of the recent literature and discusses contents and delivery of PCC/PHC in Western as well as low-income countries. The article puts special emphasis on why violence against women is an issue for PHC.

Keyword
Intimate partner violence, maternal and child health, preconception care, provision of care
National Category
Public Health, Global Health, Social Medicine and Epidemiology Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:uu:diva-311097 (URN)10.1080/03009734.2016.1191564 (DOI)000387292600005 ()27320774 (PubMedID)
Available from: 2016-12-21 Created: 2016-12-21 Last updated: 2017-11-29Bibliographically approved
Drevin, J., Stern, J., Annerbäck, E.-M., Peterson, M., Butler, S., Tydén, T., . . . Kristiansson, P. (2015). Adverse childhood experiences influence development of pain during pregnancy.. Acta Obstetricia et Gynecologica Scandinavica, 94(8), 840-846
Open this publication in new window or tab >>Adverse childhood experiences influence development of pain during pregnancy.
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2015 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 94, no 8, p. 840-846Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To investigate the association between adverse childhood experiences (ACE) and pain with onset during pregnancy.

DESIGN: Cross-sectional study.

SETTING: Eighteen antenatal clinics in southern Mid-Sweden.

SAMPLE: Of 293 women invited to participate, 232 (79%) women agreed to participate in early pregnancy and were assessed in late pregnancy.

METHODS: Questionnaires were distributed in early and late pregnancy. The questionnaires sought information on socio-demography, ACE, pain location by pain drawing and pain intensity by visual analogue scales. Distribution of pain was coded in 41 predetermined areas.

MAIN OUTCOME MEASURES: Pain in third trimester with onset during present pregnancy: intensity, location and number of pain locations.

RESULTS: In late pregnancy, 62% of the women reported any ACE and 72% reported any pain location with onset during the present pregnancy. Among women reporting any ACE the median pain intensity was higher compared with women without such an experience (p = 0.01). The accumulated ACE displayed a positive association with the number of reported pain locations in late pregnancy (rs  = 0.19, p = 0.02). This association remained significant after adjusting for background factors in multiple regression analysis (p = 0.01). When ACE was dichotomized the prevalence of pain did not differ between women with and without ACE. The subgroup of women reporting physical abuse as a child reported a higher prevalence of sacral and pelvic pain (p = 0.0003 and p = 0.02, respectively).

CONCLUSIONS: Adverse childhood experiences were associated with higher pain intensities and larger pain distributions in late pregnancy, which are risk factors for transition to chronic pain postpartum.

National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:uu:diva-256150 (URN)10.1111/aogs.12674 (DOI)000357983900005 ()25965273 (PubMedID)
Available from: 2015-06-22 Created: 2015-06-22 Last updated: 2018-01-19Bibliographically approved
Heimer, G. & Berglund, A. (2014). Kunskap om våld borde vara en självklarhet. Uppsala Nya Tidning
Open this publication in new window or tab >>Kunskap om våld borde vara en självklarhet
2014 (Swedish)In: Uppsala Nya TidningArticle in journal, News item (Other (popular science, discussion, etc.)) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-279337 (URN)
Available from: 2016-02-29 Created: 2016-02-29 Last updated: 2016-02-29
Berglund, A. & Witkowski, Å. (2014). Våld mot kvinnor: tar ortopedin sitt ansvar?. Ortopediskt Magasin (1), 8-10
Open this publication in new window or tab >>Våld mot kvinnor: tar ortopedin sitt ansvar?
2014 (Swedish)In: Ortopediskt Magasin, ISSN 0349-733X, no 1, p. 8-10Article in journal (Other academic) Published
Place, publisher, year, edition, pages
Stockholm: Medlemsföreskrift för Svensk Ortopedisk Förening och Sveriges Ortopedingenjörers Förening, 2014
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-276346 (URN)
Available from: 2016-02-11 Created: 2016-02-11 Last updated: 2017-04-13Bibliographically approved
Berglund, A., Dahlgren, P., Enander, V., Eriksson, M., Gottzén, L., Göransson, B., . . . Witkowski, Å. (2014). Våldsutsatta kvinnor- samhällets ansvar (3ed.). In: Gun Heimer, Annika Björck och Chrystal Kunosson (Ed.), Lärobok, tredje upplagan, framtagen av Nationellt centrum för kvinnofrid, Uppsala universitet: . Uppsala: Studentlitteratur AB
Open this publication in new window or tab >>Våldsutsatta kvinnor- samhällets ansvar
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2014 (Swedish)In: Lärobok, tredje upplagan, framtagen av Nationellt centrum för kvinnofrid, Uppsala universitet / [ed] Gun Heimer, Annika Björck och Chrystal Kunosson, Uppsala: Studentlitteratur AB, 2014, 3, , p. 304Chapter in book (Other academic)
Place, publisher, year, edition, pages
Uppsala: Studentlitteratur AB, 2014. p. 304 Edition: 3
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-276343 (URN)9789144094441 (ISBN)
Available from: 2016-02-11 Created: 2016-02-11 Last updated: 2016-02-11
Granfors, M., Åkerud, H., Berglund, A., Skogo, J., Sundström Poromaa, I. & Wikström, A.-K. (2013). Thyroid Testing and Management of Hypothyroidism During Pregnancy: A Population-based Study. Journal of Clinical Endocrinology and Metabolism, 98(7), 2687-2692
Open this publication in new window or tab >>Thyroid Testing and Management of Hypothyroidism During Pregnancy: A Population-based Study
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2013 (English)In: Journal of Clinical Endocrinology and Metabolism, ISSN 0021-972X, E-ISSN 1945-7197, Vol. 98, no 7, p. 2687-2692Article in journal (Refereed) Published
Abstract [en]

Context: There are international guidelines on thyroid function testing and management of hypothyroidism during pregnancy. Few studies have evaluated how they are implemented into clinical practice. Objective: In this descriptive study, we assessed the implementation of international guidelines in this field into local guidelines and also into clinical practice. Design and Participants: In a nationwide survey, all guidelines in Sweden were collected (n = 29), and the adherence of the local guidelines to The Endocrine Society Guidelines 2007 was evaluated. In a follow-up in 1 district, 5254 pregnant women with an estimated date of delivery between January 1, 2009, and December 31, 2011, were included for subsequent review of their medical reports. Results: All but 1 district had guidelines on the subject. All local guidelines included fewer than the 10 listed reasons for thyroid testing recommended by The Endocrine Society Guidelines. Furthermore, most guidelines recommended additional types of thyroid function tests to TSH sampling and lower trimester-specific TSH upper reference limits for women on levothyroxine treatment (P < .001). In the follow-up, the thyroid testing rate was 20%, with an overall frequency of women with trimester-specific elevated TSH of 18.5%. More than half of the women (50.9%) who were on levothyroxine treatment at conception had an elevated TSH level at thyroid testing according to The Endocrine Society Guidelines. Conclusions: The local guidelines are variable and poorly compliant with international guidelines. Performance of thyroid testing is not optimal, and rates of elevated TSH at testing are extremely high in subgroups.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-208672 (URN)10.1210/jc.2013-1302 (DOI)000322780600030 ()
Available from: 2013-10-07 Created: 2013-10-07 Last updated: 2017-12-06Bibliographically approved
Heimer, G. & Berglund, A. (2013). Våld mot kvinnor med funktionsnedsättning. Uppsala
Open this publication in new window or tab >>Våld mot kvinnor med funktionsnedsättning
2013 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Uppsala: , 2013
Series
NCK-rapport, ISSN 1654-7195 ; 1
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-223759 (URN)
Available from: 2014-04-24 Created: 2014-04-24 Last updated: 2016-02-08
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