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Foldemo, Anniqa
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Publikasjoner (10 av 28) Visa alla publikasjoner
Wärdig, R., Foldemo, A., Hultsjö, S., Lindström, T. & Bachrach-Lindström, M. (2016). An intervention with physical activity and lifestyle counseling improves health-related quality of life and shows small improvements in metabolic risk factors in persons with psychosis. Issues in Mental Health Nursing, 37(1), 43-52
Åpne denne publikasjonen i ny fane eller vindu >>An intervention with physical activity and lifestyle counseling improves health-related quality of life and shows small improvements in metabolic risk factors in persons with psychosis
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2016 (engelsk)Inngår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, nr 1, s. 43-52Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

General purpose: To study the effects of a lifestyle intervention on health-related quality of life (HRQoL) and metabolic risk factors in persons with psychosis.

Methodology: A longitudinal intervention study with a matched reference sample.

Results: HRQoL measured by the EQ-VAS improved from 57.6 to 63.3 (17.8) in the intervention group (p=0.05). The HDL cholesterol concentration increased from 1.03 to 1.11 (0.19) mmol/l in the intervention group (p=0.02). There was no significant change in body weight.

Conclusion: A lifestyle intervention based on group meetings improves HRQoL in patients with psychosis. There are also small improvements in metabolic risk factors.

sted, utgiver, år, opplag, sider
Taylor & Francis, 2016
Emneord
Health-related quality of life, lifestyle intervention, metabolic syndrome, physical health, psychosis
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-122367 (URN)10.3109/01612840.2015.1092187 (DOI)000369505500007 ()26818932 (PubMedID)
Tilgjengelig fra: 2015-10-30 Laget: 2015-10-30 Sist oppdatert: 2018-01-08bibliografisk kontrollert
Wärdig, R., Bachrach-Lindström, M., Hultsjö, S., Lindström, T. & Foldemo, A. (2015). Persons with psychosis perceptions of participating in a lifestyle intervention. Journal of Clinical Nursing, 24(13-14), 1815-1824
Åpne denne publikasjonen i ny fane eller vindu >>Persons with psychosis perceptions of participating in a lifestyle intervention
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2015 (engelsk)Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, nr 13-14, s. 1815-1824Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

AIMS AND OBJECTIVES:

To describe how persons with psychosis perceive participation in a lifestyle intervention, and use these perceptions to present factors to for consideration in future interventions.

BACKGROUND:

Metabolic syndrome is common in persons with psychosis. A healthy lifestyle is the primary option for preventing and treating metabolic syndrome, which is why the importance of lifestyle interventions has come into focus among health care professionals. Identifying perceptions of participation in a lifestyle intervention can increase the understanding of how to design future interventions.

DESIGN:

A qualitative, phenomenographic approach was selected, using semi-structured interviews.

METHODS:

The sample consisted of 40 participants with a psychotic disorder, who had undergone a lifestyle intervention focusing on theoretical education in healthy eating and physical activities. The interviews were conducted in 2011 and 2012, six to seven months after the intervention had been completed.

RESULTS:

The findings comprise three categories that emphasise the need for a moderate intervention level that facilitates participation and thereby social interactions among group members. The experience of success in the intervention supported the perception of oneself as a capable individual. However, it could also be the opposite, another experience of failure.

CONCLUSION:

Content in moderation can facilitate participation, and participants can thereby achieve health benefits and find social contacts. In addition to physical activity and lifestyle habits, interventions should have a social focus and be continuous. Professional support is a prerequisite and should facilitate the participants' ability to mirror themselves against healthy people in society by introducing activities that ordinary people do.

RELEVANCE FOR CLINICAL PRACTICE:

Identifying perceptions of participation in a lifestyle intervention can increase the understanding of how to design and manage future interventions. This is also an aspect that is important to consider in everyday clinical practice.

HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-115726 (URN)10.1111/jocn.12782 (DOI)000356872900007 ()25664402 (PubMedID)
Tilgjengelig fra: 2015-03-18 Laget: 2015-03-18 Sist oppdatert: 2017-12-04
Foldemo, A., Wärdig, R., Bachrach-Lindstrom, M., Edman, G., Holmberg, T., Lindström, T., . . . Osby, U. (2014). Health-related quality of life and metabolic risk in patients with psychosis. Schizophrenia Research, 152(1), 295-299
Åpne denne publikasjonen i ny fane eller vindu >>Health-related quality of life and metabolic risk in patients with psychosis
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2014 (engelsk)Inngår i: Schizophrenia Research, ISSN 0920-9964, E-ISSN 1573-2509, Vol. 152, nr 1, s. 295-299Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Improved Health-related quality of life (HRQoL) is an alternative treatment goal for individuals with psychosis, who have up to two times greater prevalence of type 2 diabetes, hypertension and obesity than the general population. Aim: to compare HRQoL in patients with psychosis, especially schizophrenia, with a reference sample and explore the relationship between HRQoL and metabolic risk factors in these patients. Methods: a prospective cohort study was carried out in specialized psychiatric outpatient departments in Sweden. The patients were invited consecutively. A prospective population-based study of public health in the south-east of Sweden served as reference group. Patients were assessed with psychiatric questionnaires that included Global Assessment of Functioning (GAF). Health-related quality of life was assessed using the questionnaire EQ5D, both for patients and the population, and several other health status outcomes were used. Results: At 73%, schizophrenia and schizoaffective disorder were the most common diagnoses in the patient group. The results in patients (n = 903) and population (n = 7238) showed significant differences in lower EQ5D among patients. According to the definition by the International Diabetes Federation (IDF), elevated blood pressure was the only metabolic risk associated with lower HRQoL in patients. Raised LDL-cholesterol levels were also significantly related to lower HRQoL. Conclusion: patients suffering from psychosis had significantly lower HRQoL regarding all components in EQ5D, except for the pain/discomfort component. Almost half of the patient group met the criteria for metabolic syndrome. According to the IDF criteria, elevated blood pressure was the only metabolic risk factor that had an impact on HRQoL.

sted, utgiver, år, opplag, sider
Elsevier, 2014
Emneord
Metabolic syndrome; Schizophrenia; Health-related quality of life; Reference group
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-104125 (URN)10.1016/j.schres.2013.11.029 (DOI)000329217000043 ()
Tilgjengelig fra: 2014-02-07 Laget: 2014-02-07 Sist oppdatert: 2017-12-06
Wärdig, R., Bachrach-Lindström, M., Hultsjö, S., Lindström, T. & Foldemo, A. (2014). Perceptions of participating in a lifestyle intervention - from the perspective of patients with psychosis. In: : . Paper presented at The 4th Biennial Schizophrenia International Research Society Conference, 5-9 April 2014, Florens, Italy.
Åpne denne publikasjonen i ny fane eller vindu >>Perceptions of participating in a lifestyle intervention - from the perspective of patients with psychosis
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2014 (engelsk)Konferansepaper, Poster (with or without abstract) (Annet vitenskapelig)
Abstract [en]

 

 

HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-107561 (URN)
Konferanse
The 4th Biennial Schizophrenia International Research Society Conference, 5-9 April 2014, Florens, Italy
Tilgjengelig fra: 2014-06-16 Laget: 2014-06-16 Sist oppdatert: 2014-08-07
Holmqvist, R., Ström, T. & Foldemo, A. (2014). The effects of psychological treatment in primary care in Sweden—A practice-based study. Nordic Journal of Psychiatry, 68(3), 204-212
Åpne denne publikasjonen i ny fane eller vindu >>The effects of psychological treatment in primary care in Sweden—A practice-based study
2014 (engelsk)Inngår i: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 68, nr 3, s. 204-212Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Practice-based studies have found substantial effects of psychological treatment in routine care, often equivalent between treatment methods. Factors that moderate treatment outcome may be important to assess.

Aim: The purpose of this study was to evaluate treatment outcome in psychological treatment in primary care, and to compare outcome between the most frequently used methods. An additional aim was to study factors that might moderate outcome differences.

Method: The Clinical Outcome in Routine Evaluation (CORE) system was used to evaluate psychological treatment at Swedish primary care centers. Treatment methods were coded by the therapists after treatment. Three major treatment orientations-directive (cognitive, behavioral and CBT), reflective (psychodynamic and relational) and supportive therapy were compared. Patient and therapist variables were studied as treatment moderating factors.

Results: Analyses of 733 therapies, delivered by 70 therapists, showed good results in short psychological treatments (median session number = 6). Forty-three percent of the patients were remitted, 34% recovered. For patients receiving at least five sessions, the figures were 50% and 40%. Directive therapy and reflective therapy had comparable outcome, and better than supportive treatment. Patients in supportive therapy had higher age and received fewer therapy sessions. The patients' motivation, alliance capacity and reflective ability, as rated by the therapist after treatment, were lower for patients in supportive treatment.

Conclusions: Psychological treatment in primary care obtains god results. Supportive therapy should be studied more systematically, particularly with regard to variables that may moderate treatment outcome.

 

sted, utgiver, år, opplag, sider
Informa Healthcare, 2014
Emneord
Patient moderator variables, Practice-based study, Psychological treatment, Supportive therapy
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-96060 (URN)10.3109/08039488.2013.797023 (DOI)000333040700008 ()23758533 (PubMedID)
Tilgjengelig fra: 2013-08-14 Laget: 2013-08-14 Sist oppdatert: 2017-12-06
Wärdig, R., Bachrach-Lindström, M., Foldemo, A., Lindström, T. & Hultsjö, S. (2013). Conditions for a healthy lifestyle - from the perspective of individuals with psychosis. Paper presented at International congress on schizophrenia research,21-25/4 2013, Orlando, USA.
Åpne denne publikasjonen i ny fane eller vindu >>Conditions for a healthy lifestyle - from the perspective of individuals with psychosis
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2013 (engelsk)Konferansepaper, Publicerat paper (Fagfellevurdert)
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-91806 (URN)
Konferanse
International congress on schizophrenia research,21-25/4 2013, Orlando, USA
Tilgjengelig fra: 2013-05-02 Laget: 2013-05-02 Sist oppdatert: 2013-05-02
Josefsson, A., Wiréhn, A.-B., Lindberg, M., Foldemo, A. & Brynhildsen, J. (2013). Continuation rates of oral hormonal contraceptives in a cohort of first-time users: a population-based registry study, Sweden 2005-2010. BMJ Open, 3(10)
Åpne denne publikasjonen i ny fane eller vindu >>Continuation rates of oral hormonal contraceptives in a cohort of first-time users: a population-based registry study, Sweden 2005-2010
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2013 (engelsk)Inngår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 3, nr 10Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objective To investigate if continuation rates in first-time users of oral hormonal contraceptives differed between different formulations and to measure if the rates were related to the prescribing categories, that is, physicians and midwives.                                

Design A longitudinal national population-based registry study.                                

Setting The Swedish prescribed drug register.                                

Participants All women born between 1977 and 1994 defined as first-time users of hormonal contraceptives from 2007 to 2009 (n=226 211).                                

Main outcome measures A tendency to switch the type of hormonal contraceptive within 6 months use and repeated dispensation identical to the first were estimated as percentages and relative risks (RRs). Physicians’ and midwives’ prescription patterns concerning the women's                                    continuation rates of oral hormonal contraceptive type.                                

Results In Sweden, there were 782 375 women born between 1977 and 1994 at the time of the study. Of these, 226 211 women were identified as first-time users of hormonal contraceptives. Ethinylestradiol+levonorgestrel, desogestrel-only and ethinylestradiol+drospirenone were the hormonal contraceptives most commonly dispensed to first-time users at rates of 43.3%, 24.4% and 11.1%, respectively. The overall rate of switching contraceptive types in the first 6 months was 11.3%, which was highest for desogestrel-only (14.3%) and lowest for ethinylestradiol+drospirenone (6.6%). The switching rate for all three products was highest in the 16-year to 19-year age group. Having a repeated dispensation identical to the initial dispensation was highest for users of ethinylestradiol either combined with levonorgestrel or drospirenone, 81.4% and 81.2%, respectively, whereas this rate for the initial desogestrel-only users was 71.5%. The RR of switching of contraceptive type within the first 6 months was 1.35 (95% CI 1.32 to 1.39) for desogestrel-only and 0.63 (0.59 to 0.66) for ethinylestradiol+drospirenone compared with ethinylestradiol+levonorgestrel as the reference category. There were no differences in the women's continuation rates depending on the prescriber categories.                                

Conclusions Desogestrel-only users conferred the highest switcher rate to another hormonal contraceptive within a 6-month period. Users of ethinylestradiol+levonorgestrel were more prone to switch to another product within 6 months than women using ethinylestradiol+drospirenone. These findings may be of clinical importance when tailoring hormonal contraceptives on an individual basis.

sted, utgiver, år, opplag, sider
BMJ Publishing Group, 2013
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-100021 (URN)10.1136/bmjopen-2013-003401 (DOI)000326882800028 ()
Tilgjengelig fra: 2013-10-25 Laget: 2013-10-25 Sist oppdatert: 2019-06-28bibliografisk kontrollert
Wärdig, R., Bachrach-Lindström, M., Foldemo, A., Lindström, T. & Hultsjö, S. (2013). Prerequisites for a healthy lifestyle - experiences of persons with psychosis. Issues in Mental Health Nursing, 34(8), 602-610
Åpne denne publikasjonen i ny fane eller vindu >>Prerequisites for a healthy lifestyle - experiences of persons with psychosis
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2013 (engelsk)Inngår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, nr 8, s. 602-610Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The purpose of this study is to explore prerequisites for a healthy lifestyle as described by individuals diagnosed with psychosis. Forty participants who had performed a lifestyle intervention focusing on physical activities and lifestyle education were interviewed. Conventional content analysis was used. The results are described in two categories: (1) Individual Prerequisites and (2) Being a Part of Society. The individuals said that they got stuck in a state of planning without taking action. It was pointless to make a bigger effort because the psychotic disorder could, at any time, worsen the prerequisites. They also said that they wanted to live like everybody else and therefore tried to adopt a normal lifestyle. Future interventions or professional support by mental health nurses and other health care givers should target the transition from planning to action to achieve a healthy lifestyle, and should help the individual to taking part in society.

sted, utgiver, år, opplag, sider
Informa Healthcare, 2013
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-95907 (URN)10.3109/01612840.2013.790525 (DOI)23909672 (PubMedID)
Tilgjengelig fra: 2013-08-08 Laget: 2013-08-08 Sist oppdatert: 2017-12-06bibliografisk kontrollert
Wärdig, R., Bachrach-Lindström, M., Foldemo, A., Lindström, T. & Hultsjö, S. (2013). Prerequisites for A Healthy Lifestyle: Experiences of Persons with Psychosis. Issues in Mental Health Nursing, 34(8), 602-610
Åpne denne publikasjonen i ny fane eller vindu >>Prerequisites for A Healthy Lifestyle: Experiences of Persons with Psychosis
Vise andre…
2013 (engelsk)Inngår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, nr 8, s. 602-610Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The purpose of this study is to explore prerequisites for a healthy lifestyle as described by individuals diagnosed with psychosis. Forty participants who had performed a lifestyle intervention focusing on physical activities and lifestyle education were interviewed. Conventional content analysis was used. The results are described in two categories: (1) Individual Prerequisites and (2) Being a Part of Society. The individuals said that they got stuck in a state of planning without taking action. It was pointless to make a bigger effort because the psychotic disorder could, at any time, worsen the prerequisites. They also said that they wanted to live like everybody else and therefore tried to adopt a normal lifestyle. Future interventions or professional support by mental health nurses and other health care givers should target the transition from planning to action to achieve a healthy lifestyle, and should help the individual to taking part in society.

sted, utgiver, år, opplag, sider
Taylor & Francis, 2013
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-162646 (URN)10.3109/01612840.2013.790525 (DOI)000209366600006 ()23909672 (PubMedID)2-s2.0-84881402205 (Scopus ID)
Tilgjengelig fra: 2019-12-12 Laget: 2019-12-12 Sist oppdatert: 2019-12-19bibliografisk kontrollert
Bergqvist, A., Karlsson, M., Foldemo, A., Wärdig, R. & Hultsjö, S. (2013). Preventing the development of metabolic syndrome in people with psychotic disorders-difficult, but possible: experiences of staff working in psychosis outpatient care in sweden. Issues in Mental Health Nursing, 34(5), 350-358
Åpne denne publikasjonen i ny fane eller vindu >>Preventing the development of metabolic syndrome in people with psychotic disorders-difficult, but possible: experiences of staff working in psychosis outpatient care in sweden
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2013 (engelsk)Inngår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, nr 5, s. 350-358Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The aim of this study was to explore mental health staffs' experiences of assisting people with psychotic disorders to implement lifestyle changes in an effort to prevent metabolic syndrome. Qualitative interviews were conducted with 12 health care professionals working in psychosis outpatient care in Sweden. Data were analysed using a qualitative content analysis. The results illustrate that implementation of lifestyle changes among people with psychotic disorders was experienced as difficult, but possible. The greatest obstacles experienced in this work were difficulties due to the reduction of cognitive functions associated with the disease. Guidelines available to staff in order to help them identify and prevent physical health problems in the group were not always followed and the content was not always relevant. Staff further described feelings of uncertainty about having to motivate people to take anti-psychotic medication while simultaneously being aware of the risks of metabolic deviations. Nursing interventions focusing on organising daily routines before conducting a more active prevention of metabolic syndrome, including information and practical support, were experienced as necessary. The importance of healthy eating and physical activity needs to be communicated in such a way that it is adjusted to the person's cognitive ability, and should be repeated over time, both verbally and in writing. Such efforts, in combination with empathic and seriously committed community-based social support, were experienced as having the best effect over time. Permanent lifestyle changes were experienced as having to be carried out on the patient's terms and in his or her home environment.

sted, utgiver, år, opplag, sider
Informa Healthcare, 2013
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-92765 (URN)10.3109/01612840.2013.771234 (DOI)23663022 (PubMedID)
Tilgjengelig fra: 2013-05-21 Laget: 2013-05-21 Sist oppdatert: 2017-12-06bibliografisk kontrollert
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