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Sydsjö, Gunilla
Publications (10 of 164) Show all publications
Kassymova, G., Sydsjö, G., Borendal Wodlin, N., Nilsson, L. & Kjölhede, P. (2023). Effect of nurse-led telephone follow-up on postoperative symptoms and analgesics consumption after benign hysterectomy: a randomized, single-blinded, four-arm, controlled multicenter trial. Archives of Gynecology and Obstetrics, 307(2), 459-471
Open this publication in new window or tab >>Effect of nurse-led telephone follow-up on postoperative symptoms and analgesics consumption after benign hysterectomy: a randomized, single-blinded, four-arm, controlled multicenter trial
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2023 (English)In: Archives of Gynecology and Obstetrics, ISSN 0932-0067, E-ISSN 1432-0711, Vol. 307, no 2, p. 459-471Article in journal (Refereed) Published
Abstract [en]

Purpose The study aimed to determine if planned telephone follow-up, especially when adding structured, oriented coaching, reduces the intensity of postoperative symptoms and decreases analgesics consumption after benign hysterectomy. Methods A randomized, single-blinded, four-armed, controlled multicenter trial of 525 women scheduled for hysterectomy was conducted in 5 hospitals in the southeast health region of Sweden. The women were allocated 1:1:1:1 into four follow-up models: (A) no telephone follow-up (control group); (B) one planned, structured, telephone follow-up the day after discharge; (C) as B but with additional telephone follow-up once weekly for 6 weeks; and (D) as C but with oriented coaching telephone follow-up on all occasions. Postoperative symptoms were assessed using the Swedish Postoperative Symptoms Questionnaire. Analgesic consumption was registered. Unplanned telephone contacts and visits were registered during the 6 weeks of follow-up. Results In total, 487 women completed the study. Neither pain intensity, nor symptom sum score or analgesic consumption differed between the intervention groups. Altogether, 224 (46.0%) women had unplanned telephone contacts and 203 (41.7%) had unplanned visits. Independent of intervention, the women with unplanned telephone contacts had higher pain intensity and symptom sum scores, particularly if an unplanned telephone contact was followed by a visit, or an unplanned visit was preceded by an unplanned telephone contact. Conclusion Telephone follow-up did not seem to affect recovery regarding symptoms or analgesic consumption after benign hysterectomy in an enhanced recovery after surgery (ERAS) setting. Unplanned telephone contacts and visits were associated with more postoperative symptoms, especially pain. Trial registration The study is registered in ClinicalTrial.gov: NCT01526668 retrospectively from January 27; 2012. Date of enrolment of first patient: October 11; 2011.

Place, publisher, year, edition, pages
Springer Heidelberg, 2023
Keywords
Coaching; ERAS; Hysterectomy; Postoperative symptoms; Telephone follow-up
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:liu:diva-188422 (URN)10.1007/s00404-022-06722-x (DOI)000849308000001 ()36050542 (PubMedID)2-s2.0-85137343979 (Scopus ID)
Note

Funding Agencies|Linkoping University; Medical Research Council of Southeast Sweden [FORSS-155141, FORSS-222211, FORSS308441, FORSS-387761]; ALF Grants Region Ostergotland [RO-276871, RO-356651, RO-448391RO 607891, RO-794531]; Futurum the Academy of Health and Care; Region Jonkoping Council [FUTURUM-487481, FUTURUM 579171]

Available from: 2022-09-14 Created: 2022-09-14 Last updated: 2023-08-16
Lampic, C., Svanberg, A. S., Gudmundsson, J., Leandersson, P., Solensten, N.-G., Thurin-Kjellberg, A., . . . Sydsjö, G. (2022). National survey of donor-conceived individuals who requested information about their sperm donor-experiences from 17 years of identity releases in Sweden. Human Reproduction, 37(3), 510-521
Open this publication in new window or tab >>National survey of donor-conceived individuals who requested information about their sperm donor-experiences from 17 years of identity releases in Sweden
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2022 (English)In: Human Reproduction, ISSN 0268-1161, E-ISSN 1460-2350, Vol. 37, no 3, p. 510-521Article in journal (Refereed) Published
Abstract [en]

STUDY QUESTION What characterizes the group of donor-conceived (DC) individuals who request information about their identity-release sperm donor in Sweden, and what are their experiences of disclosure, information receipt and donor contact? SUMMARY ANSWER Following three decades of identity-release donation in Sweden, few DC individuals have requested donor information with varying experiences of information receipt and donor contact. WHAT IS KNOWN ALREADY In 1985, Sweden was the first country worldwide to enact legislation that gave DC individuals the right to obtain identifying information about their donor. Since then, identity-release gamete donation has become available in many countries but there is limited knowledge about the individuals who request donor information. STUDY DESIGN, SIZE, DURATION A nation-wide cross-sectional survey study was performed at all seven University hospitals that provided donation treatment in Sweden during 1985-2002. During this period only donor insemination to heterosexual couples was permitted. Inclusion criteria were being 18 years of age or older, conceived with donor sperm and having requested information about the donor by December 2020. Recruitment was performed during 2016-2020. PARTICIPANTS/MATERIALS, SETTING, METHODS A total of 60 individuals had requested information about their donor. Of these, 53 were approached and 40 individuals, representing 34 families, accepted study participation (75% response rate). Participants completed a postal survey with the WHO-10 well-being index and study-specific questions about experiences of disclosure, motivations for requesting donor information, receipt of information, as well as intentions and experiences of donor contact. Independent t-test and chi-square tests were used to compare ratings of participants with early and late disclosure. MAIN RESULTS AND ROLE OF CHANCE Of similar to 900 DC individuals who had reached adult age, a total of 60 (approximate to 7%) had requested information about the donor. Most of the 40 study participants (78%) made their requests within 2 years after reaching 18 years of age, or following disclosure at later ages (up to 32 years). Several participants had adult DC siblings in the family who had not requested any donor information. All except five participants received identifying information about the donor from the clinic. However, some donors had died or lacked contact information. Among those participants who were able to contact their donor, 41% had done so at the time of the study, while a third of the participants were unsure about potential contact. Several had met the donor in person and a few were in regular contact. About half of the participants had been informed about their donor conception in adolescence or adulthood (age 12-32), and there were significant differences between participants based on age at disclosure. Compared to those with early disclosure, participants with late disclosure were significantly more likely to be dissatisfied with the timing of their disclosure (P = 0.021), to react with negative emotions (P < 0.001), and to subsequently contact the donor (P = 0.047). LIMITATIONS, REASONS FOR CAUTION The limited population available for inclusion resulted in a small sample size, despite a high response rate. In addition, mens lower participation rate must be taken into consideration when interpreting the results. WIDER IMPLICATIONS OF THE FINDINGS The small number of individuals requesting information about their identity-release sperm donor is surprising. While not all DC individuals appear to be interested in donor information, it is reasonable to assume that some are unaware of their donor conception and thus unable to make informed decisions regarding their genetic origins. During the coming years, young women and men in many countries will become eligible to access identifying information about their donor. In order to meet the needs of these individuals, and to support positive outcomes for all involved parties, it is essential that adequate protocols and resources are developed.

Place, publisher, year, edition, pages
Oxford University Press, 2022
Keywords
donor conception; donor insemination; disclosure; identity release; donor
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-183255 (URN)10.1093/humrep/deab275 (DOI)000756722300001 ()34918081 (PubMedID)
Note

Funding Agencies|Swedish Research CouncilSwedish Research CouncilEuropean Commission [2013-2712]

Available from: 2022-03-04 Created: 2022-03-04 Last updated: 2023-03-02Bibliographically approved
Martinez-Serrano, C., Marteinsdottir, I., Josefsson, A., Sydsjö, G., Theodorsson, E. & Rodriguez-Martinez, H. (2022). Prenatal stress, anxiety and depression alter transcripts, proteins and pathways associated with immune responses at the maternal-fetal interface. Biology of Reproduction, 106(3), 449-462
Open this publication in new window or tab >>Prenatal stress, anxiety and depression alter transcripts, proteins and pathways associated with immune responses at the maternal-fetal interface
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2022 (English)In: Biology of Reproduction, ISSN 0006-3363, E-ISSN 1529-7268, Vol. 106, no 3, p. 449-462Article in journal (Refereed) Published
Abstract [en]

During pregnancy, the immune system is modified to allow developmental tolerance of the semi-allogeneic fetus and placenta to term. Pregnant women suffering from stress, anxiety, and depression show dysfunctions of their immune system that may be responsible for fetal and/or newborn disorders, provided that placental gene regulation is compromised. The present study explored the effects of maternal chronic self-perceived stress, anxiety, and depression during pregnancy on the expression of immune-related genes and pathways in term placenta. Pregnancies were clinically monitored with the Beck Anxiety Inventory (BAI) and Edinburgh Postnatal Depression Scale (EPDS). A cutoff threshold for BAI/EPDS of 10 divided patients into two groups: Index group (>10, n = 11) and a Control group (<10, n = 11), whose placentae were sampled at delivery. The placental samples were subjected to RNA-Sequencing, demonstrating that stress, anxiety, and depression during pregnancy induced a major downregulation of placental transcripts related to immune processes such as T-cell regulation, interleukin and cytokine signaling, or innate immune responses. Expression differences of main immune-related genes, such as CD46, CD15, CD8 alpha & beta ILR7 alpha, and CCR4 among others, were found in the Index group (P < 0.05). Moreover, the key immune-like pathway involved in humoral and cellular immunity named "Primary immunodeficiency" was significantly downregulated in the Index group compared with Controls. Our results show that mechanisms ruling immune system functions are compromised at the maternal-fetal interface following self-perceived depressive symptoms and anxiety during pregnancy. These findings may help unveil mechanisms ruling the impact of maternal psychiatric symptoms and lead to new prevention/intervention strategies in complicated pregnancies. Summary Sentence Mechanisms ruling immune system functions are compromised at the maternal-fetal interface following self-perceived depressive symptoms and anxiety during pregnancy.

Place, publisher, year, edition, pages
Oxford University Press, 2022
Keywords
antenatal stress; immune system; term-placentae; RNA-Seq; human
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:liu:diva-183253 (URN)10.1093/biolre/ioab232 (DOI)000756755300001 ()34935902 (PubMedID)
Available from: 2022-03-04 Created: 2022-03-04 Last updated: 2023-12-28Bibliographically approved
Sydsjö, G. & Skoog Svanberg, A. (2022). Psykiska komplikationer i samband med förlossningen (2ed.). In: Helena Lindgren, Kyllike Christensson, Anna-Karin Dykes (Ed.), Reproduktiv hälsa: barnmorskans kompetensområde (pp. 875-881). Lund: Studentlitteratur AB, Sidorna 875-881
Open this publication in new window or tab >>Psykiska komplikationer i samband med förlossningen
2022 (Swedish)In: Reproduktiv hälsa: barnmorskans kompetensområde / [ed] Helena Lindgren, Kyllike Christensson, Anna-Karin Dykes, Lund: Studentlitteratur AB, 2022, 2, Vol. Sidorna 875-881, p. 875-881Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2022 Edition: 2
Keywords
Förlossning, Psykiska sjukdomar
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:liu:diva-188664 (URN)9789144138237 (ISBN)
Available from: 2022-09-20 Created: 2022-09-20 Last updated: 2022-09-20Bibliographically approved
Thorup, E., Sydsjö, G. & Lampic, C. (2022). Same-sex mothers experiences of equal treatment, parenting stress and disclosure to offspring: a population-based study of parenthood following identity-release sperm donation. Human Reproduction, 37(11), 2589-2598
Open this publication in new window or tab >>Same-sex mothers experiences of equal treatment, parenting stress and disclosure to offspring: a population-based study of parenthood following identity-release sperm donation
2022 (English)In: Human Reproduction, ISSN 0268-1161, E-ISSN 1460-2350, Vol. 37, no 11, p. 2589-2598Article in journal (Refereed) Published
Abstract [en]

STUDY QUESTION What are the experiences of same-sex mothers following identity-release sperm donation regarding equal treatment in society, parenting stress and disclosure to child? SUMMARY ANSWER Mothers predominantly reported equal treatment in society, low levels of parenting stress and early disclosure of the donor conception to the child, and half of the couples had also informed the child of his/her right to obtain the donors identity. WHAT IS KNOWN ALREADY The number of two-mother families is increasing, and previous studies have reported about challenges related to heteronormativity, discrimination and the status of the non-birth mother. Same-sex mothers have been found to disclose the childs donor conception earlier than different-sex parents, but little is known regarding disclosure of the childs right to obtain identifying information about the donor. STUDY DESIGN, SIZE, DURATION The present study concerns the fourth wave of data collection of a nation-wide longitudinal study. A total of 143 same-sex mothers (73% response rate) following identity-release sperm donation completed individual surveys when their donor-conceived child had reached age 7. These women represent a total of 82 couples who had undergone sperm donation treatment. PARTICIPANTS/MATERIALS, SETTING, METHODS The study is part of the longitudinal Swedish Study on Gamete Donation (SSGD). Couples accepted for gamete donation treatment at seven Swedish University hospitals were recruited between 2005 and 2008 and were requested to complete postal surveys during four waves of data collection. The present study sample includes same-sex mothers who completed a survey when their donor-conceived child had reached 7 years of age. Data were collected with the Swedish Parenting Stress Questionnaire (SPSQ), and study-specific items on experiences of treatment in society and disclosure behavior. Group comparisons (birth mothers vs non-birth mothers) were conducted using Chi(2)-tests, independent t-tests and Mann-Whitney U-tests, and written comments provided for open-response items were analyzed by qualitative content analysis. MAIN RESULTS AND ROLE OF CHANCE The mothers were generally open about the childs donor conception and the large majority (>80%) reported being treated positively and in the same way as other parents. However, satisfaction with treatment in health care settings was significantly lower than that reported in contacts with the childs school and recreational activities (P < 0.001) and open-response comments indicate that this may be related predominantly to heteronormative language and assumptions. Birth mothers and non-birth mothers reported similar treatment in society and similar levels of parenting stress. All but one couple had already talked with their 7-year-old child about his/her conception with donor sperm. Half of the couples had also informed the child about his/her opportunity to obtain identifying information about the donor, and remaining couples planned later disclosure. Childrens reactions were generally described as neutral, positive or characterized by interest and curiosity. LIMITATIONS, REASONS FOR CAUTION The present study was performed within the context of the Swedish legislation on identity-release donation, which limits the generalizability to same-sex couples using anonymous or known sperm donors. Although no evidence of attrition bias was found, it is possible that those couples who initially declined participation in the SSGD (23%) or dropped out at the fourth wave of data collection (27%) differ from the study sample in terms of variables that we were unable to control for. WIDER IMPLICATION OF THE FINDINGS The present finding that most same-sex mothers in a population-based sample experience equal treatment in society is encouraging and validates previous results from predominantly qualitative studies. Nevertheless, the fact that a subgroup experiences discrimination and less favorable treatment indicates that further action is needed, particularly in child health care settings. The present study is the first to report on the timing of parents disclosure of the childs right to identifying donor information and suggests that disclosure during preschool ages is feasible and does not appear to be related to negative consequences. In view of the increased availability and use of identity-release donation, there is a pressing need to investigate parents intentions, behaviors and needs with regard to talking with their child about his/her opportunity to obtain the donors identity. STUDY FUNDING/COMPETING INTEREST(S) Financial support from the Swedish Research Council (2013-2712) and the Swedish Research Council for Health, Working Life and Welfare (2014-00876). There are no conflicts of interest to declare.

Place, publisher, year, edition, pages
Oxford University Press, 2022
Keywords
gamete donation; disclosure; parenting stress; equal treatment; same-sex parenting; lesbian
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-188582 (URN)10.1093/humrep/deac194 (DOI)000853179100001 ()36099155 (PubMedID)
Note

Funding Agencies|Swedish Research Council [2013-2712]; Swedish Research Council for Health, Working Life and Welfare [2014-00876]

Available from: 2022-09-19 Created: 2022-09-19 Last updated: 2023-03-02Bibliographically approved
Kassymova, G., Sydsjö, G., Borendal Wodlin, N., Nilsson, L. & Kjölhede, P. (2021). The Effect of Follow-Up Contact on Recovery After Benign Hysterectomy: A Randomized, Single-Blinded, Four-Arm, Controlled Multicenter Trial. Journal of Women's Health, 30(6), 872-881
Open this publication in new window or tab >>The Effect of Follow-Up Contact on Recovery After Benign Hysterectomy: A Randomized, Single-Blinded, Four-Arm, Controlled Multicenter Trial
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2021 (English)In: Journal of Women's Health, ISSN 1540-9996, E-ISSN 1931-843X, Vol. 30, no 6, p. 872-881Article in journal (Refereed) Published
Abstract [en]

Background: The objective of this trial was to analyze the effect of follow-up programs using standard follow-up protocol and structured coaching on recovery after hysterectomy in an enhanced recovery after surgery setting. Materials and Methods: A randomized, four-armed, single-blinded, controlled multicenter trial comprising 487 women was conducted at five hospitals in the southeast region of Sweden. The women were allocated (1:1:1:1) to Group A: no planned follow-up contact; Group B: a single, planned, structured, broadly kept, follow-up telephone contact with the research nurse the day after discharge; Group C: planned, structured, broadly kept follow-up telephone contact with the research nurse the day after discharge and then once weekly for 6 weeks; and Group D: as Group C, but with planned, structured, coaching telephone contact. Recovery was assessed by the health-related quality of life (HRQoL) questionnaires EuroQoL-5 Dimension with three levels (EQ-5D-3L) and Short-Form-Health Survey with 36 items (SF-36) and duration of sick leave. Results: Neither the recovery of HRQoL as measured by the EQ-5D-3L and the SF-36 nor the duration of sick leave (mean 26.8-28.1 days) differed significantly between the four intervention groups. Irrespective of mode of follow-up contact used, the women had recovered to their baseline EQ-5D-3L health index 4 weeks after surgery. The occurrence of unplanned telephone contact was significantly lower (by nearly 30%) in the women who had structured coaching. Conclusion: Follow-up contact, including coaching, did not seem to expedite the postoperative recovery in HRQoL or reduce the sick leave after hysterectomy, but the coaching seemed to reduce unplanned telephone contact with the health care services. ClinicalTrial.gov (NCT01526668).

Place, publisher, year, edition, pages
MARY ANN LIEBERT, INC, 2021
Keywords
coaching; enhanced recovery after surgery; follow-up; hysterectomy; health-related quality of life; recovery
National Category
Other Clinical Medicine
Identifiers
urn:nbn:se:liu:diva-171936 (URN)10.1089/jwh.2020.8752 (DOI)000593314100001 ()33232628 (PubMedID)
Note

Funding Agencies|Medical Research Council of Southeast Sweden [FORSS-155141, FORSS-222211, FORSS-308441, FORSS-387761]; Futurum-the Academy of Health and Care, Region Jonkoping Council [FUTURUM-487481, FUTURUM 579171]; Region Ostergotland Council; Linkoping University

Available from: 2020-12-16 Created: 2020-12-16 Last updated: 2023-08-16
Wolgast, E., Lilliecreutz, C., Sydsjö, G., Bladh, M. & Josefsson, A. (2021). The impact of major depressive disorder and antidepressant medication before and during pregnancy on obstetric and neonatal outcomes: A nationwide population-based study. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 257, 42-50
Open this publication in new window or tab >>The impact of major depressive disorder and antidepressant medication before and during pregnancy on obstetric and neonatal outcomes: A nationwide population-based study
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2021 (English)In: European Journal of Obstetrics, Gynecology, and Reproductive Biology, ISSN 0301-2115, E-ISSN 1872-7654, Vol. 257, p. 42-50Article in journal (Refereed) Published
Abstract [en]

Objective: To investigate the impact of major depressive disorder (MDD) and antidepressant medication before and during pregnancy on obstetric and neonatal outcomes. Study design: A national register-based cohort study of pregnant women born in Sweden, and their first child born in 2012-2015 (n = 262 329). Women diagnosed with MDD and who had redeemed an antidepressant one year before becoming pregnant ("before pregnancy") and women who were diagnosed with MDD and who had redeemed an antidepressant both before and during pregnancy ("before and during pregnancy") were compared with each other and with women who had neither been diagnosed with MDD nor been prescribed antidepressants (population controls). Results: In comparison to population controls, the "before pregnancy" and the "before and during pregnancy" groups had increased likelihoods of operative childbirth (aOR = 1.19, 95 % CI 1.12-1.27, aOR = 1.38, 95 % CI 1.28-1.48 respectively), and with an increased likelihood for the child being admitted to a neonatal intensive care unit (NICU) (aOR = 1.51, 95 % CI 1.17-1.95, aOR = 1.55, 95 % CI 1.14-2.11). Children born to mothers in the "before and during pregnancy" group had an increased likelihood of preterm birth (aOR = 1.72, 95 % CI 1.52-1.95,), while children to mothers in the "before pregnancy" group had an increased likelihood of low birthweight (aOR = 1.15, 95 % CI 1.00-1.33) compared to population controls. Women in the "before and during pregnancy" group had an increased likelihood for hyperemesis during pregnancy (aOR =1.93, 95 % CI = 1.60-2.32), having an operative childbirth (aOR =1.17, 95 % CI = 1.06-1.29) or a preterm birth (aOR = 1.53, 95 % CI = 1.28-1.81) compared to the "before pregnancy" group. Conclusions: Women with MDD and antidepressant medication prior to becoming pregnant are at increased risk for adverse obstetric and neonatal outcomes compared to women without an MDD. Continuation of antidepressant medication during pregnancy somewhat increased the risk for adverse obstetric and neonatal outcomes. (C) 2020 Published by Elsevier B.V.

Place, publisher, year, edition, pages
Elsevier, 2021
Keywords
Pregnancy; Antidepressant medication; Selective serotonin reuptake inhibitors; Antenatal; Depression; Discontinuation
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:liu:diva-173395 (URN)10.1016/j.ejogrb.2020.11.062 (DOI)000609227800007 ()33359923 (PubMedID)2-s2.0-85097915102 (Scopus ID)
Note

Funding Agencies|FORSS Grants, Region Ostergotland, Sweden [FORSS-385451]; ALF, Region Ostergotland, Sweden [LIO-35 9731]

Available from: 2021-02-20 Created: 2021-02-20 Last updated: 2024-01-10Bibliographically approved
Armuand, G., Skoog Svanberg, A., Lampic, C., Elenis, E. & Sydsjö, G. (2020). Attitudes among paediatric healthcare professionals in Sweden towards sperm donation to single women: a survey study. Fertility research and practice, 6
Open this publication in new window or tab >>Attitudes among paediatric healthcare professionals in Sweden towards sperm donation to single women: a survey study
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2020 (English)In: Fertility research and practice, ISSN 2054-7099, Vol. 6Article in journal (Refereed) Published
Abstract [en]

The number of families conceived through sperm donation to single women is increasing. However, there is limited knowledge about health care professionals attitudes towards solo-mothers by choice, and there is some indication that professionals personal opinions influence their care of individuals who use alternate ways to build a family. The primary aim of the study was to investigate attitudes towards, and experiences of, families following sperm donation to single women among healthcare professionals working in primary child healthcare.

Place, publisher, year, edition, pages
BioMed Central, 2020
Keywords
Attitudes; Donor assisted conception; Healthcare professionals; Pediatric; Reproductive medicine; Sperm donation
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:liu:diva-174230 (URN)10.1186/s40738-020-00078-z (DOI)32391162 (PubMedID)
Note

Funding agencies: Swedish Research Council for Health, WorkingLife and Welfare. Open access funding provided by Linköping University.

Available from: 2021-03-17 Created: 2021-03-17 Last updated: 2021-03-17
Leijon, I., Bladh, M., Finnström, O., Gäddlin, P.-O., Hammar, M., Nelson, N., . . . Sydsjö, G. (2020). God prognos för unga vuxna med mycket låg födelsevikt [Follow-up study of very low birthweight children in Sweden at the age of 27-28]. Läkartidningen, 117
Open this publication in new window or tab >>God prognos för unga vuxna med mycket låg födelsevikt [Follow-up study of very low birthweight children in Sweden at the age of 27-28]
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2020 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 117Article in journal (Refereed) Published
Abstract [en]

Studies show that very low birthweight can be an important risk factor for mental problems, disturbed fertility and neuroendocrine dysregulation. In a regional long-term study 56 of 86 adult individuals 27 to 28 years of age with a very low birthweight were compared with normal birthweight controls. Analyses of self-reported mental health, socio-demographic factors, sex hormone levels, and hair cortisol levels showed no significant differences between the groups. However, in order to analyse subgroups with different risk factors from the newborn period or children with a variety of social background factors, larger patient groups are needed.

Place, publisher, year, edition, pages
Stockholm, Sweden: Sveriges Läkarförbund, 2020
National Category
Pediatrics
Identifiers
urn:nbn:se:liu:diva-174497 (URN)33259050 (PubMedID)
Note

Självskattning av mental hälsa, psykosociala förhållanden och könshormonnivåer hos unga vuxna kvinnoroch män med mycket låg födelsevikt skilde sig inte från respektive kontroller med normal födelsevikt.

Kvinnorna med mycket låg födelsevikt undersökta i tonåren hade mindre grad av utagerande beteende än kontrollerna, skillnader som var utjämnade i vuxen ålder.

Kvinnorna med mycket låg födelsevikt uppvisade högre koncentrationer av morgonkortisol i saliv än kvinnorna i kontrollgruppen. Den kliniska relevansen är osäker, då inget samband med beteendeskalorna kunde påvisas och på grund av att spridningen av kortisolnivåerna var stor.

Available from: 2021-03-22 Created: 2021-03-22 Last updated: 2024-01-10Bibliographically approved
Tordön, R., Bladh, M., Sydsjö, G. & Svedin, C. G. (2020). Improved Intelligence, Literacy and Mathematic Skills Following School-Based Intervention for Children in Foster Care. Frontiers in Psychology, 11
Open this publication in new window or tab >>Improved Intelligence, Literacy and Mathematic Skills Following School-Based Intervention for Children in Foster Care
2020 (English)In: Frontiers in Psychology, E-ISSN 1664-1078, Vol. 11Article in journal (Refereed) Published
Abstract [en]

Interventions aimed at improving school performance for children in foster care are few and are generally not implemented. By preventing failure in school, the prospect of reducing the risk for future poor health, substance abuse, unemployment, and other detrimental social conditions are met. This paper focuses on the change of preconditions for compulsory school performance in out-of-home care children, following an intervention called “Skolfam” that aims to improve school performance by individual assessments and school-based interventions. In this study, data were compiled from prospective repeated tests of 475 children in foster care in Sweden. Educational preconditions were analysed for compulsory school performance, such as intelligence (WISC-IV), psychosocial (SDQ) and adaptive behavior (ABAS-II), literacy (Reading Chains) and mathematical skills (Magne Mathematic Diagnoses) before and after the first 2 years of the “Skolfam” intervention. All tests were age-standardized and performed by experienced professionals. The results showed improved skills in complex aspects of literacy, mathematics, and cognitive performance, but no improvement in less complex literacy skills, adaptive behavior or mental health symptoms. In conclusion, higher-order cognitive functions can develop positively when appropriate school support is provided. Affective function, adaptive behavior, and psychosocial well-being present a more pervasive challenge for children in foster care. Implications for future research, practice in social services, and school is that further development of methods to aid future prospects for children in out-of-home care should aim to improve both cognitive higher-order executive-, and affective functions.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2020
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-165505 (URN)10.3389/fpsyg.2020.00718 (DOI)000533562500001 ()
Note

Funding agencies: Childrens Welfare Foundation [2019-255]; FORTE, the Swedish Research Council for Health, Working Life and Welfare [2015-01009]

Available from: 2020-05-05 Created: 2020-05-05 Last updated: 2024-01-10Bibliographically approved
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