• Depressive symptoms during pregnancy and postpartum in women and use ...
  Sunnqvist, Charlotta; Sjöström, Karin; Finnbogadóttir, Hafrún   Journal article in International Journal of Women's Health; : Dove (2019)	Journal article

  

  

  English abstract:

  Objective; The aim of this study was to investigate whether women, who reported “symptoms of depression” during pregnancy and up to 1.5 years postpartum, who reported domestic violence or not, were treated with antidepressant medication. Material and Methods; A prospective longitudinal cohort study recruited primi- and multiparous women (n=1939). The Edinburgh Postnatal Depression Scale (EPDS), the NorVold Abuse Questionnaire, and a questionnaire about medication during pregnancy were distributed and administered three times, during early, late pregnancy and during the postpartum period. Antidepressant medication was compared between women with EPDS scores < 13 and scores EPDS ≥ 13 as the optimal cut-off for lower and higher symptoms of depression. Results; EPDS scores > 13 were detected in 10.1 % of the women during the whole pregnancy, of those 6.2 % had depressive symptoms already in early pregnancy and 10.0 % during the postpartum period. Women with EPDS scores ≥ 13 and non-exposure to domestic violence were more often non-medicated (p < 0.001). None of the women with EPDS scores ≥ 13 exposed to domestic violence had received any antidepressant medication, albeit the relationship was statistically non-significant. Conclusion; Pregnant women who experienced themselves as having several depressive symptoms, social vulnerability and even a history of domestic violence, did not receive any antidepressant treatment during pregnancy nor postpartum. This study shows the importance of detecting depressive symptoms already during early pregnancy and a need for standardized screening methods.

  ijwh-185930-dep ... partum-in-women-020519.pdf   (403.3Kb)

• Lifestyle factors, self-reported health and sense of coherence among ...
  Finnbogadóttir, Hafrún; Persson, Eva K   Journal article in Scandinavian Journal of Caring Science; : Wiley (2018)	Journal article

  

  

  English abstract:	Background Father's health is important for mothers and unborn/newborn children and knowledge about expectant fathers’ health in relation to lifestyle and psychosocial aspects is essential. Aims To determine sociodemographic and lifestyle factors, self‐reported health and sense of coherence among fathers and partners in relation to their risk for depression and anxiety in early pregnancy. Methods A cross‐sectional design, descriptive statistics, chi‐squared analysis, T‐test, binary logistic regression, multiple logistic regression with OR and 95% CI were used. Results A total of 532 prospective fathers/partners constituted the cohort (mean age 31.55, SD 5.47 years). Nearly, one in ten (9.8%) had a statistically high risk for depression; mainly those who were unemployed (p = 0.043), had financial distress (0.001), reported ‘very or fairly bad’ health (p = 0.002), had a ‘very or fairly bad’ sexual satisfaction (p = 0.006) and scored low on the SOC scale (p < 0.001). They smoked more often (p = 0.003) were hazardous users of alcohol (p = 0.001) and slept with difficulties (p = 0.001). Those with sleeping difficulties were 5.7 times more likely to have several symptoms of depression (p = 0.001). Hazardous users of alcohol and smokers had 3.1 respectively 3.0 times higher risk for depression (p = 0.001 respectively 0.003). The single strongest risk factor was a low score on the SOC‐scale which gave 10.6 (AOR 10.6; 95% CI 5.4–20.6) higher risk for depression. High‐anxiety ‘just now’ was reported by 8.9% and ‘in general’ by 7.9%, and those who had sleeping difficulties reported ‘very or fairly bad’ health (p < 0.001). Conclusions Allocating more resources and introducing more family‐focused care with depression and anxiety screening in early pregnancy for both expecting parents at antenatal care should be strongly considered by actors and policymakers, as this is a step in maintaining a family's well‐being.
  Note:	Scand J Caring Sci

• Psychosocial Work Environment, Stress Factors and Individual Characte...
  Tuvesson, Hanna; Eklund, Mona   Journal article in International Journal of Environmental Research and Public Health;1 : MDPI (2014)	Journal article

  

  

  English abstract:

  The psychosocial work environment is an important factor in psychiatric in-patient care, and knowing more of its correlates might open up new paths for future workplace interventions. Thus, the aims of the present study were to investigate perceptions of the psychosocial work environment among nursing staff in psychiatric in-patient care and how individual characteristicsMastery, Moral Sensitivity, Perceived Stress, and Stress of Conscienceare related to different aspects of the psychosocial work environment. A total of 93 nursing staff members filled out five questionnaires: the QPSNordic 34+, Perceived Stress Scale, Stress of Conscience Questionnaire, Moral Sensitivity Questionnaire, and Mastery scale. Multivariate analysis showed that Perceived Stress was important for Organisational Climate perceptions. The Stress of Conscience subscale Internal Demands and Experience in current units were indicators of Role Clarity. The other Stress of Conscience subscale, External Demands and Restrictions, was related to Control at Work. Two types of stress, Perceived Stress and Stress of Conscience, were particularly important for the nursing staff's perception of the psychosocial work environment. Efforts to prevent stress may also contribute to improvements in the psychosocial work environment.

  ijerph-11-01161.pdf   (208.4Kb)

  https://doi.org/10.3390/ijerph110101161

• Evaluating a Breakthrough Series Collaborative in a Swedish Health Ca...
  Andersson, Ann-Christine; Idvall, Ewa; Perseius, Kent-Inge; Elg, Mattias   Journal article in Journal of Nursing Care Quality;2 : Lippincott Williams & Wilkins (2014)	Journal article

  

  

  English abstract:

  This study evaluated the use of the Breakthrough Series Collaborative methodology in a Swedish county council improvement program, comparing measurements at the beginning and after 6 months. A questionnaire was used, and improvement processes and outcomes were analyzed. The results showed an overall large engagement in improvements, although the methodology and facilitators were seen as only moderately supportive.

• Conceptual development of "at-homeness'' despite illness and disease ...
  Ohlen, Joakim; Ekman, Inger; Zingmark, Karin; Bolmsjö, Ingrid; Benzein, Eva   Review article in International Journal of Qualitative Studies On Health and Well-Being;1 : Co-Action Publishing (2014)	Review article

  

  

  English abstract:

  Only one empirical study, the one by Zingmark, Norberg and Sandman published in 1995, explicitly focuses on at-homeness, the feeling of being metaphorically at-home, as a particular aspect of wellness. However, other studies reveal aspects of at-homeness, but if or how such aspects of at-homeness are related to each other is unclear. For this reason, the aim was to review Scandinavian nursing research related to at-homeness in the context of wellness-illness in severe and long-term conditions in order to take a step towards conceptual clarification of "at-homeness.'' The review included interpretive studies related to severe and long-term illness conducted in Sweden: 10 original articles and 5 doctoral theses. "At-homeness'' was found to be a contextually related meaning of wellness despite illness and disease embedded in the continuum of being metaphorically at-home and metaphorically homeless. This was characterized by three interrelated aspects and four processes: being safe through expanding-limiting experiences of illness and time, being connected through reunifying-detaching ways of relating, and being centred through recognition-non-recognition of oneself in the experience and others giving-withdrawing a place for oneself. This conceptualization is to be regarded as a step in conceptual clarification. Further empirical investigation and theoretical development of "at-homeness'' are needed. The conceptualization will be a step of plausible significance for the evaluation of interventions aimed at enhancing wellness for people with severe long-term illness, such as the frail elderly, and people with chronic illness or palliative care needs.

  Conceptual deve ... s and disease A review.pdf   (605.7Kb)

  https://doi.org/10.3402/qhw.v9.23677

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