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Adebäck, P., Lundh, L. & Nilsson, D. (2022). Children or adolescents who lost someone close during the Southeast Asia tsunami 2004 – The life as young. Brain and Behavior, 12(5), Article ID e2563.
Open this publication in new window or tab >>Children or adolescents who lost someone close during the Southeast Asia tsunami 2004 – The life as young
2022 (English)In: Brain and Behavior, ISSN 2162-3279, E-ISSN 2162-3279, Vol. 12, no 5, article id e2563Article in journal (Refereed) Published
Abstract [en]

Introduction: To lose a person close suddenly, during childhood or adolescence, can be devastating. Many children or adolescents experienced the 2004 Indonesian tsunami when they were between 10- and 15-years-old. This study, from Stockholm, Sweden, describes the long-term effects of loss, eight- or nine-years post disaster, in young adulthood.

Method: A mixed-method approach was used including statistical analyses (n = 210) and interpretative phenomenological analysis (IPA).

Results: It was shown that there was a significant difference between bereaved (n=34) and nonbereaved (n = 176) respondents concerning, psychological distress, posttraumatic stress symptoms, and self-rated health. Three themes were found by using the IPA approach (n=9): Living in traumas, carrying heavy baggage, and living with change.

Conclusion: The respondents described personal feelings of grief that are not expressed in their outward appearance or behavior in their daily living. When meeting young adults that have lost someone close in childhood or adolescence, this is important to have in mind.

Place, publisher, year, edition, pages
Oxford, United Kingdom: John Wiley & Sons, 2022
Keywords
adolescents, children, loss, mix-method, natural disaster, trauma
National Category
Psychiatry Psychology (excluding Applied Psychology) Nursing
Research subject
Disaster Medicine
Identifiers
urn:nbn:se:liu:diva-183862 (URN)10.1002/brb3.2563 (DOI)000772930300001 ()35333453 (PubMedID)2-s2.0-85127241546 (Scopus ID)
Note

Funding: Kempe Carlgrenska fonden

Available from: 2022-03-28 Created: 2022-03-28 Last updated: 2023-05-04Bibliographically approved
Adebäck, P., Lundh, L. & Nilsson, D. (2022). Late Reminders Nine Years Post Disaster in Adults Who As Children or Adolescents Were Exposed to the 2004 Southeast Asian Tsunami. Child Care in Practice, 28(3), 290-304
Open this publication in new window or tab >>Late Reminders Nine Years Post Disaster in Adults Who As Children or Adolescents Were Exposed to the 2004 Southeast Asian Tsunami
2022 (English)In: Child Care in Practice, ISSN 1357-5279, E-ISSN 1476-489X, Vol. 28, no 3, p. 290-304Article in journal (Refereed) Published
Abstract [en]

Objective: The main aim of this study was to determine if young adults, who as children and adolescents were heavily exposed to the 2004 tsunami in Southeast Asia, had late reminders of this disaster nine years post disaster and, if so, how they handled these late reminders.

Method: The subjects who had been exposed when they were between 10 and 15 years old were interviewed nine years post disaster when they had reached adulthood.

Results: All those interviewed stated that they had experienced different late reminders of the 2004 tsunami even nine years later. They said that they could plan in advance or deal with late reminders should they occur. Two types of reminders were identified, one type designated as external and the other as internal. The interview subjects described how they had handled these reminders by striving for balance by thinking, talking, letting feelings out, doing something else or by avoiding.

Conclusions: These young adults strived to find a balance between their function as adults in society and continued effects from the 2004 tsunami. A person, even if not affected functionally, can be affected in different ways in adulthood by the natural disaster they had experienced during childhood or adolescence. This is something important for anyone to think about when he or she meets persons who have been heavily exposed to a natural disaster many years earlier.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2022
Keywords
Natural disaster; children; adolescents; trauma reminders; handle trauma reminders Objective
National Category
Nursing
Research subject
Disaster Medicine
Identifiers
urn:nbn:se:liu:diva-170276 (URN)10.1080/13575279.2020.1723066 (DOI)000844777600004 ()2-s2.0-85084268635 (Scopus ID)
Available from: 2020-10-07 Created: 2020-10-07 Last updated: 2022-09-15Bibliographically approved
Nilsson, D. (2021). Dissociativa syndrom. In: Ali Sarkohi, Gerhard Andersson (Ed.), Psykisk ohälsa: ett biopsykosocialt perspektiv (pp. 247-268). Lund: Studentlitteratur AB, Sidorna 247-268
Open this publication in new window or tab >>Dissociativa syndrom
2021 (Swedish)In: Psykisk ohälsa: ett biopsykosocialt perspektiv / [ed] Ali Sarkohi, Gerhard Andersson, Lund: Studentlitteratur AB, 2021, Vol. Sidorna 247-268, p. 247-268Chapter in book (Other academic)
Abstract [sv]

Dissociation är ett fenomen som i nyare forskning visat sig finnas över hela världen och inte bara i västvärlden. Dissociation kan vara svårupptäckt och förväxlas med psykotiska tillstånd som vissa somatiska sjukdomstillstånd, såsom epilepsi eller förlamning i någon kroppsdel. Det är dock av stor betydelse att kunna identifiera om en person lider av någon form av dissociation eftersom det medför ett stort lidande för den som dissocierar om det förblir oupptäckt. Dessutom riskerar personen att inte få adekvat behandling. Dissociation har i litteraturen beskrivits ända sedan slutet av 1800-talet och uppmärksammades åter i den psykiatriska forskningslitteraturen i mitten på 1980-talet.

Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2021
Keywords
Psykiska sjukdomar, Dissociationssyndrom
National Category
Psychiatry
Identifiers
urn:nbn:se:liu:diva-178842 (URN)9789144131160 (ISBN)
Available from: 2021-08-31 Created: 2021-08-31 Last updated: 2021-09-09Bibliographically approved
Nilsson, D., Dävelid, I., Ledin, S. & Svedin, C. G. (2021). Psychometric properties of the Child and Adolescent Trauma Screen (CATS) in a sample of Swedish children. Nordic Journal of Psychiatry, 75(4), 247-256
Open this publication in new window or tab >>Psychometric properties of the Child and Adolescent Trauma Screen (CATS) in a sample of Swedish children
2021 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 75, no 4, p. 247-256Article in journal (Refereed) Published
Abstract [en]

Objective

The aim of this study was to investigate the psychometrics of the Swedish version of the Child and Adolescent Trauma Screen (CATS). This was to obtain access to an international instrument to identify symptoms of post-traumatic stress in children and adolescents according to the new Diagnostic and Statistical Manual for Mental Disorders, 5th edition (DSM-5).

Method

A total of 591 young Swedish schoolchildren aged 13–17 years old were given the CATS together with the Trauma Symptom Checklist for Children (TSCC), and the Linköping Youth Life Experience Scale (LYLES-Y). A clinical group of 42 children who had experienced a potential trauma was also given the same questionnaires. Statistical analyses were carried out for the purpose of reliability, different kinds of validity, and confirmatory factor analysis (CFA) concerning the construct of the CATS.

Results

The CATS showed good internal consistency on all four subscales from α = 0.73–0.89 and moderate stability (intra class correlation [ICC] = 0.57–68). The four-factor model for PTSD indicated good fit, reliability, and convergent validity. The CATS correlated strongly with the PTSD subscale on the TSCC (r = 0.82) and there were significant differences between the nonclinical and clinical groups.

Conclusions

The study shows that the Swedish translation of CATS has satisfactory psychometric properties, including acceptable sensitivity and specificity. The CATS could therefore be used as a screening tool both outside and within a clinical setting.

Place, publisher, year, edition, pages
Taylor & Francis, 2021
Keywords
Child and Adolescent Trauma Screen (CATS); PTSD children; adolescents; psychometrics
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-171208 (URN)10.1080/08039488.2020.1840628 (DOI)000587518200001 ()33164607 (PubMedID)2-s2.0-85095746072 (Scopus ID)
Available from: 2020-11-09 Created: 2020-11-09 Last updated: 2022-10-28Bibliographically approved
Wetterlöv, J., Andersson, G., Proczkowska-Björklund, M., Cederquist, E., Rahmi, M. & Nilsson, D. (2021). Shame and Guilt and its Relation to Direct and Indirect Experienceof Trauma in Adolescence, a Brief Report. Journal of family Violence, 36(7), 865-870
Open this publication in new window or tab >>Shame and Guilt and its Relation to Direct and Indirect Experienceof Trauma in Adolescence, a Brief Report
Show others...
2021 (English)In: Journal of family Violence, ISSN 0885-7482, E-ISSN 1573-2851, Vol. 36, no 7, p. 865-870Article in journal (Refereed) Published
Abstract [en]

Exposure to different kinds of traumatic events is common among adolescents. This brief report study examined whether shame proneness and guilt proneness were associated with direct and indirect experience of potentially traumatic events (PTEs). We investigated the relationship between gender, PTEs, shame, and guilt among adolescents (n = 314, age = 15–20 years). We hypothesized that shame proneness and guilt proneness would be associated with direct experience of interpersonal and sexual PTEs, that both direct and indirect experience of potentially traumatic sexual event/s would correlate with female gender, and that potentially traumatic direct and indirect interpersonal event/s would correlate with male gender. Shame was positively associated with having experienced direct sexual trauma and with female gender. Girls had more often experienced potentially traumatic direct sexual events and boys had more often experienced potentially traumatic direct interpersonal events. Indirect experiences of traumatic events were not related to either gender or shame. We conclude that the relation between shame, PTEs, and gender is complex with both types of traumas and gender interact with shame. This study found that shame and direct experience of sexual traumatic events were associated among adolescent girls. Gender and what type of traumatic events adolescents’ direct experience is most likely related but not gender and what type of indirect experienced trauma.

Place, publisher, year, edition, pages
Springer-Verlag New York, 2021
Keywords
Trauma, Shame, Guilt, Adolescent, Gender difference
National Category
Health Sciences
Identifiers
urn:nbn:se:liu:diva-171436 (URN)10.1007/s10896-020-00224-7 (DOI)000590053400001 ()2-s2.0-85096055186 (Scopus ID)
Available from: 2020-11-17 Created: 2020-11-17 Last updated: 2022-10-28Bibliographically approved
Tingberg, B. & Nilsson, D. (2020). Child neglect - still a neglectedproblem in the global world: A review. Journal of Advanced Pediatrics and Child Health, 3, 038-046
Open this publication in new window or tab >>Child neglect - still a neglectedproblem in the global world: A review
2020 (English)In: Journal of Advanced Pediatrics and Child Health, ISSN 2689-9817, Vol. 3, p. 038-046Article in journal (Refereed) Published
Abstract [en]

Child neglect is a global problem that involves large costs for both the individual and forsociety. This article is based on published reviews and meta-analyses in the fi eld of child neglectbetween 1980 and 2018. Of a total of 433 articles, 13 was included, main Data bases has beenPubMed, Scopus, Web of Science, Psych Info, ERIC, CINAHL. The prevalence in the normalpopulation was found to be between 16 and 26 percent, while the prevalence in clinical groupsseem to be signifi cantly higher. For example, was the prevalence of neglect 50% among patientswith eating disorder. It is especially important to know who is reporting neglect. Research showsthat neglect is strongly associated with among other things, depression, one of the most commonillnesses among the general public. The theoretical models that are used are ecological. Riskfactors can be found at all levels when using ecological models. Research shows that factorsinvolving the relationship parent-child are among the most important. Neglect is more common inlow-income countries than in high income countries.Most studies point to the importance of prevention. Existing preventive programs are mostoften of family and parental character.More research is needed, especially as concerns the development of preventive programsthat can identify specifi c types of neglect and present suitable preventive measures, both at thesocietal and family level.Key points1. Neglect is a global problem.2. Prevalence depends on the measurement method and can vary between about 16%and 76%.3. Prevalence is higher when negligence is self-reported than when reported by professionals.4. The most common and most serious risk factors are present in the microsystem. Parentingand interactions between child and parent are considered important.5. There is a link between neglect and, above all, depression, but also anxiety, self-harmand eating disorders.

Place, publisher, year, edition, pages
Flower Mound, TX, United States: Heighten Science Publications Corporation, 2020
Keywords
Child neglect; Child abuse; Mental health; Prevalence; Risk factors
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-170519 (URN)10.29328/journal.japch.1001016 (DOI)
Available from: 2020-10-14 Created: 2020-10-14 Last updated: 2021-09-20Bibliographically approved
Thulin, J., Kjellgren, C. & Nilsson, D. (2020). Children’s disclosure of physical abuse: the process of disclosing and the responses from social welfare workers. Child Care in Practice, 26(3), 285-299
Open this publication in new window or tab >>Children’s disclosure of physical abuse: the process of disclosing and the responses from social welfare workers
2020 (English)In: Child Care in Practice, ISSN 1357-5279, E-ISSN 1476-489X, Vol. 26, no 3, p. 285-299Article in journal (Refereed) Published
Abstract [en]

Children experiencing physical abuse by their parents are left with several difficult decisions. The present study aims at exploring the process of disclosing the abuse and the responses from social welfare workers from a child perspective, in a Swedish context. Data was obtained from in depth interviews with 15 children with a history of child physical abuse. A qualitative content analysis was conducted in order to capture the children's experiences. Disclosing abuse was described as a process including several judgements from the child. Children describe their everyday life before disclosing, with an escalation of violence making them think they have to act in order to prevent further abuse. They made several well-thought decisions and selected a trustworthy recipient. The decision to disclose was often made out of fear, but the fear could remain after the disclosure, not knowing what will happen next. Children seem to lose control over how their abuse narratives are handled after disclosing. The recipient and social welfare worker was acting but not informing or consulting the child. Children emphasize the importance of trustworthy and competent adults when disclosing physical abuse. Ethical issues and implications for practice are discussed.

Practitioner messages

  • Disclosure is to be seen as a process, including several judgements by the child.

  • Children emphasize the importance of trustworthy and competent adults when choosing to disclose physical abuse.

  • Social welfare workers should inform and include children in their decision making.

Place, publisher, year, edition, pages
Routledge, 2020
Keywords
Child physical abuse, disclosure, participation, child welfare service
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-153797 (URN)10.1080/13575279.2018.1555139 (DOI)000844776300006 ()
Funder
Public Health Agency of Sweden
Available from: 2019-01-10 Created: 2019-01-10 Last updated: 2023-09-08Bibliographically approved
Nilsson, D. & Tingberg, B. (2020). Kunskapsöversikt om försummelse. Linköping: Linköping University Electronic Press
Open this publication in new window or tab >>Kunskapsöversikt om försummelse
2020 (Swedish)Report (Other academic)
Abstract [sv]

Syftet med den här kunskapsöversikten har varit att få en överblick och fördjupad kunskap om det aktuella forskningsläget när det gäller försummelse av barn. Försummelse kan i huvudsak delas upp i fysisk försummelse, emotionell försummelse, medicinsk försummelse, försummelse av psykisk hälsa och utbildningsmässig försummelse. Forskningen tar ofta stsin utgångspunkt från Världshälsoorganisationens (WHO) definition av försummelse. För att nå målet med kunskapsöversikten har vi i Linköpings Universitetsbibliotek olika databaser sökt fram översiktsartiklar och metaanalyser där ordet försummelse (engelskans neglect) funnits med. Vi fann 433 artiklar i databaserna. När dubbletter och forskning som inte handlade specifikt om försummelse var exkluderade omfattade kunskapsöversikten 13 artiklar. De teoretiska modeller som man i översikterna och metaanalyserna använder sig av för att förstå resultaten är de ekologiska modellerna. De sätter in försummelse i ett helhetsperspektiv och i process alltifrån individ till samhälle. Sammanfattningsvis framkommer att försummelse är ett globalt problem som medför stora kostnader för både den enskilde och samhället. Prevalensen befanns i normalpopulation ligga på mellan sexton och tjugosex procent, medan prevalensen i kliniska grupper är betydligt högre. Det har stor betydelse vem som rapporterar om försummelse. Självrapporterad försummelse är fem gånger högre än när myndigheter rapporterar. Beroende på vilket mätinstrument och vilken population som använts i forskningen så kan mycket olika prevalenssiffror visa sig. Forskningen visar också att försummelse tycks starkt förknippad med bland annat depression, en av våra vanligaste folksjukdomar. Riskfaktorer kan finnas på samtliga nivåer avseende de ekologiska modellerna. En stor riskfaktor är att vara ett litet barn, och den forskningsom vi har gått igenom visar att faktorer som involverar relationen föräldrar-barn också är en av de största riskfaktorerna. Vi fann att de största riskfaktorerna finns i mikrosystemet. Försummelse är mer vanligt i låginkomstländer än i höginkomstländer. De flesta studierna lyfter fram vikten av prevention, dock framkommer att många av de studier som visar på effektiva preventiva program är utförda i glest befolkade delar av världen. De preventiva program som finns är oftast av familje- och föräldraskapsstödjande karaktär.

Således kan man utifrån den här kunskapsöversikten förstå försummelse som ett viktigt område att lyfta fram i forskningen, att det är ett globalt problem, och att konsekvenserna av försummelse är kostsamma för både den enskilde och för samhället. Mer forskning behövs – framförallt när det gäller att utveckla preventiva program som kan identifiera försummelse och fastställa lämpliga åtgärder, både på samhälls- och familjenivå. I Sverige skulle kunskap kunna utvecklas på barnavårdscentralerna i samarbete med socialtjänsten.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2020. p. 60
Keywords
Barn - sociala aspekter
National Category
Medical and Health Sciences Social Work
Identifiers
urn:nbn:se:liu:diva-166876 (URN)
Available from: 2020-06-22 Created: 2020-06-22 Last updated: 2021-01-21Bibliographically approved
Thulin, J., Nilsson, D., Svedin, C. G. & Kjellgren, C. (2020). Outcomes of CPC-CBT in Sweden Concerning Psychosocial Well-Being and Parenting Practice: Children’s Perspectives. Research on social work practice, 30(1), 65-73
Open this publication in new window or tab >>Outcomes of CPC-CBT in Sweden Concerning Psychosocial Well-Being and Parenting Practice: Children’s Perspectives
2020 (English)In: Research on social work practice, ISSN 1049-7315, E-ISSN 1552-7581, Vol. 30, no 1, p. 65-73Article in journal (Refereed) Published
Abstract [en]

Purpose:

This study explores the outcome of the intervention combined parent child–cognitive behavioral therapy (CPC-CBT) for physically abused children.

Method:

This study includes a clinical sample of children (n = 62) referred to Child Welfare Service due to reports of child physical abuse who completed CPC-CBT. A pretest/posttest design was applied to assess changes on the Trauma Symptom Checklist for Children (TSCC) after treatment and was compared with normative values. In addition, the occurrence of corporal punishment from pre to posttest was explored.

Results:

Children reported a significant decrease in parental use of corporal punishment after treatment and a significant reduction in symptoms associated with trauma (decreased to normal values for TSCC). The positive changes remained at the 6-month follow-up.

Conclusions:

The CPC-CBT intervention seemed to decrease parental use of corporal punishment and increase the well-being of children. Clinical implications are discussed.

Place, publisher, year, edition, pages
Sage Publications, 2020
Keywords
child physical abuse, corporal punishment, CPC-CBT, treatment, intervention, outcome study
National Category
Psychiatry
Identifiers
urn:nbn:se:liu:diva-156473 (URN)10.1177/1049731519843352 (DOI)000501618500005 ()
Funder
Public Health Agency of Sweden
Available from: 2019-04-23 Created: 2019-04-23 Last updated: 2021-05-18Bibliographically approved
Nilsson, D., Lejonclou, A. & Holmqvist, R. (2020). Psychoform and somatoform dissociation among individuals with eating disorders. Nordic Journal of Psychiatry, 74(1), 1-8
Open this publication in new window or tab >>Psychoform and somatoform dissociation among individuals with eating disorders
2020 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 74, no 1, p. 1-8Article in journal (Refereed) Published
Abstract [en]

Objective: This study analyzed the prevalence of psychoform and somatoform dissociation among individuals with the whole spectrum of eating disorder diagnoses and compared it with ratings from a non-clinical group. The relationship between dissociation and severity of eating disturbance was examined as well as differences between the eating disorder diagnosis groups in extent of dissociation. The validity of a new structural dissociation interview suitable for eating disorder patients was analyzed.

Method: Sixty individuals with eating disorder completed three self-report questionnaires: Dissociation Questionnaire Sweden, Somatoform Dissociation Questionnaire and Eating Disorder Examination Questionnaire. The ratings were compared with the scores in a female non-clinical group (N = 245). Twenty patients with eating disorder diagnoses were interviewed with the Interview for Dissociative Disorders and Trauma Related Symptoms. The validity of the interview was tested by comparing the ratings on the interview subscales with the scores on the Dissociation questionnaires and the Somatoform Dissociation Questionnaire.

Results: Participants with eating disorders reported a higher extent of both psychoform and somatoform dissociation compared with the non-clinical individuals. Analyses also showed a correlation between degree of dissociation and severity of eating disorder symptoms. No differences in dissociation were found between the ED subgroups. Participants reporting more dissociation got higher ratings on the interview, indicating convergent validity.

Discussion: Eating disorders seem to be associated with presence and severity of dissociative symptoms. The extent of dissociation needs to be assessed for these individuals as treatment may benefit from a focus on such symptoms in order to increase its effect.

Place, publisher, year, edition, pages
Taylor & Francis, 2020
Keywords
Dissociation; psychoform; somatoform; eating, disorder; young adults
National Category
Psychiatry
Identifiers
urn:nbn:se:liu:diva-160526 (URN)10.1080/08039488.2019.1664631 (DOI)000485377100001 ()31509059 (PubMedID)
Note

Funding agencies: Department of Research and Development, Region Ostergotland; Gyllenstiernska Krapperup stiftelsen

Available from: 2019-09-25 Created: 2019-09-25 Last updated: 2021-04-29Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-7796-0873

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