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Andersson, Y., Holmqvist, R. & Nilsson, D. (2019). Child Evacuations During World War II: This ShouldNot Happen Again. Journal of Loss and Trauma
Open this publication in new window or tab >>Child Evacuations During World War II: This ShouldNot Happen Again
2019 (English)In: Journal of Loss and Trauma, ISSN 1532-5024Article in journal (Refereed) Epub ahead of print
Abstract [en]

There is little research about the long-term effects on childrenthat were separated from their parents and moved fromFinland to Sweden during World War II. The aim of this studywas to capture these now-lifelong reflections, and so questionnaireswere sent to 14 potential participants. Ten personsaged 7381 responded. The themes that emerged concernedpride over professional achievements, the pain of separation,and feelings of alienation and loneliness. The informantsemphasized the importance of sibling relationships. The conclusionwas that the participants, despite the hardships connectedwith the migration, had successfully lived a good lifein Sweden.ARTICLE HISTORYReceived 16 July 2018Accepted 11 May 2018KEYWORDSFinnish war children; childseparations; childevacuation; importance ofsibling relationsAt

Place, publisher, year, edition, pages
UK: Routledge, 2019
Keywords
Finish warchildren, child separations, childevacuation, imprtance of siblingrelations
National Category
Nursing
Identifiers
urn:nbn:se:liu:diva-155074 (URN)10.1080/15325024.2018.1549198 (DOI)000465767700001 ()
Available from: 2019-03-13 Created: 2019-03-13 Last updated: 2019-06-04Bibliographically approved
Thulin, J., Kjellgren, C. & Nilsson, D. (2019). Children’s disclosure of physical abuse: the process of disclosing and the responses from social welfare workers. Child Care in Practice
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
2019 (English)In: Child Care in Practice, ISSN 1357-5279, E-ISSN 1476-489XArticle in journal (Refereed) Epub ahead of print
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, 2019
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)
Funder
Public Health Agency of Sweden
Available from: 2019-01-10 Created: 2019-01-10 Last updated: 2019-01-17Bibliographically approved
Thulin, J., Kjellgren, C. & Nilsson, D. (2019). Children's experiences with an intervention aimed to prevent further physical abuse. Child & Family Social Work, 24(1), 17-24
Open this publication in new window or tab >>Children's experiences with an intervention aimed to prevent further physical abuse
2019 (English)In: Child & Family Social Work, ISSN 1356-7500, E-ISSN 1365-2206, Vol. 24, no 1, p. 17-24Article in journal (Refereed) Published
Abstract [en]

Although many children across cultures are victims of physical abuse, few treatment models target these children and their parents. In Sweden, Combined Parent–Child Cognitive Behavioural Therapy for families at risk for child physical abuse has been successfully used according to pretreatment and posttreatment studies. However, few studies have explored how physically abused children experience treatment. This study includes 20 physically abused children aged 9–17 who completed Combined Parent–Child Cognitive Behavioural Therapy. Children had a positive overall impression of the treatment and highlighted addressing the abuse, as well as processing their experiences as particularly essential. Children described a positive transformation in their family life as a result of treatment, including violence cessation and bonding among family members. Children experienced the intervention as inclusive and child‐friendly. The implications of the promising findings are discussed.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2019
Keywords
child interviews, child physical abuse, CPC-CBT, experiences of treatment, participation
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-147992 (URN)10.1111/cfs.12476 (DOI)000455514400003 ()
Projects
Kibbprojektet
Funder
The Swedish Crime Victim Compensation and Support Authority
Note

Funding agencies: Swedish Crime Victim Compensation and Support Authority [08614/2012]

Available from: 2018-05-22 Created: 2018-05-22 Last updated: 2019-01-29Bibliographically approved
Thulin, J., Nilsson, D., Svedin, C. G. & Kjellgren, C. (2019). Outcomes of CPC-CBT in Sweden Concerning Psychosocial Well-Being and Parenting Practice: Children’s Perspectives. Research on social work practice, 1-9
Open this publication in new window or tab >>Outcomes of CPC-CBT in Sweden Concerning Psychosocial Well-Being and Parenting Practice: Children’s Perspectives
2019 (English)In: Research on social work practice, ISSN 1049-7315, E-ISSN 1552-7581, p. 1-9Article in journal (Refereed) Epub ahead of print
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, 2019
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)
Funder
Public Health Agency of Sweden
Available from: 2019-04-23 Created: 2019-04-23 Last updated: 2019-04-29Bibliographically approved
Nilsson, D., Green, S., Svedin, C. G. & Dahlström, Ö. (2019). Psychoform and somatoform dissociation among children and adolescents: An evaluation of a new short screening instrument for dissociation, DSQ-12. European journal of trauma and dissociation, 1-8
Open this publication in new window or tab >>Psychoform and somatoform dissociation among children and adolescents: An evaluation of a new short screening instrument for dissociation, DSQ-12
2019 (English)In: European journal of trauma and dissociation, ISSN 2468-7499, p. 1-8Article in journal (Refereed) In press
Abstract [en]

Introduction

Today's assessment instruments for dissociation among adolescents are either relatively extensive or are specifically designed to identify either psychoform or somatoform dissociation.

Objective

A questionnaire that is shorter than any of the existing questionnaires and is concerned with both forms of dissociation would be helpful for both clinicians and researchers.

Method

Existing data from 462 adolescents who had answered Dis-Q Sweden and SDQ-20 were used to create a new questionnaire consisting of 12 items. A pilot study with 42 participants 15-19 years old, was carried out to test this new instrument, Dissociation Screening Questionnaire 12 (DSQ-12). DSQ-12 was then tested on 451 adolescents 10 to 20 years old. A matched clinical group of 25 adolescents in the same age range was used, in order to test the classification performance of DSQ-12.

Results

Results showed good reliability, convergent and construct validity was satisfactory, and dissociation differed between age groups as well as between genders.

Conclusions

Conclusions are that the developed DSQ-12 performed well psychometrically, was reliable and valid. DSQ-12 is easy to answer and is suitable for clinical screening purposes and future research.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
DSQ-12; psycho and somatoform dissociation; children and adolescents, ; psychometrics  
National Category
Other Medical Sciences not elsewhere specified
Identifiers
urn:nbn:se:liu:diva-160532 (URN)10.1016/j.ejtd.2019.07.001 (DOI)
Available from: 2019-09-25 Created: 2019-09-25 Last updated: 2019-10-02Bibliographically approved
Nilsson, D., Lejoonclou, A. & Holmqvist, R. (2019). Psychoform and somatoform dissociation amongindividuals with eating disorders. Nordic Journal of Psychiatry, 1-8
Open this publication in new window or tab >>Psychoform and somatoform dissociation amongindividuals with eating disorders
2019 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, p. 1-8Article in journal (Refereed) Epub ahead of print
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, 2019
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: 2019-10-24Bibliographically approved
Thulin, J., Nilsson, D. & Kjellgren, C. (2019). Youth Reports of Parental Strategies and sense of Coherence: Are experienced of Being Victim of Physical Abuse Reflected. Young - Nordic Journal of Youth Research, 27(5), 502-519
Open this publication in new window or tab >>Youth Reports of Parental Strategies and sense of Coherence: Are experienced of Being Victim of Physical Abuse Reflected
2019 (English)In: Young - Nordic Journal of Youth Research, ISSN 1103-3088, E-ISSN 1741-3222, Vol. 27, no 5, p. 502-519Article in journal (Refereed) Published
Abstract [en]

This article explores adolescent’s reports of parental strategies and sense of coherence (SOC). Building on the suggested impact of child physical abuse, this study compares reports from a group of physically abused youth and a group of non-abused youth. Independent t-test, correlations and hierarchical linear regression analysis were computed. Findings indicate that parents’ use of corporal punishment could affect how youth report their parent’s parental strategies. Physically abused youth report less parental involvement and positive parenting as well as more inconsistent parenting than non-abused youth. Furthermore, physically abused youth report a significant lower SOC than non-abused youth. Being a victim of physical abuse had a unique contribution on SOC, even after controlling for other parental strategies. Taken together, the results suggest that child physical abuse affects both the youth’s inner SOC as well as their reports of parental strategies in several ways. Implications for practice are discussed in this article.

Place, publisher, year, edition, pages
SAGE Publications India, 2019
Keywords
Child physical abuse, parental strategies, sense of coherence, Alabama parenting Qustionnaire(APQ) comparision
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-152450 (URN)10.1177/1103308818801724 (DOI)000485994500005 ()
Funder
Public Health Agency of Sweden
Available from: 2018-11-01 Created: 2018-11-01 Last updated: 2019-11-14Bibliographically approved
Nilsson, D., Dahlström, Ö., Wadsby, M. & Bergh Johannesson, K. (2018). Evaluation of the Swedish Trauma Symptom Inventory -2 in a clinical and a studnet population. European Journal of Trauma and Dissociation, 2(2), 71-82
Open this publication in new window or tab >>Evaluation of the Swedish Trauma Symptom Inventory -2 in a clinical and a studnet population
2018 (English)In: European Journal of Trauma and Dissociation, ISSN 2468-7499, Vol. 2, no 2, p. 71-82Article in journal (Refereed) Published
Abstract [en]

Introduction. – The Trauma Symptom Inventory-2 (TSI-2) is a broad-spectrum assessment instrumentdesigned to identify symptoms that can appear in the aftermath of potentially traumatic experiences.

Objective. – This study aimed to evaluate the external and internal validity of this newly reconstructedinstrument.Method. – In total, 696 individuals participated in the study, including 83 psychiatric outpatients. Participants answered the TSI-2, together with a trauma history questionnaire, and other questionnairesassumed to correlate with the different scales included in the TSI-2.

Results. – Validity was evaluated by correlations between the TSI-2 and the other instruments and bythe differences between clinical and non-clinical populations. Reliability was calculated by testinginternal consistency and test-re-test reliability. A confirmatory factor analysis (CFA) was computed totest the postulated four-factor structure. Cronbach’s alpha was found to be good and ranged froma = .77 to .91 and test-retest reliability was strong. Strong to satisfactory correlations were foundbetween the TSI-2 and the other instruments. The student sample scored significantly lower than theclinical group on all clinical scales. Sensitivity and specificity were calculated with different cut-offscores.

Conclusion. – Despite the CFA demonstrating a questionably good model of fit, most of the scales provedto be sound and the TSI-2 could be recommended as a broad-spectrum assessment instrument.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
Trauma Symptom Inventory-2, Adults, Validity, Reliability, Trauma, Psychiatry
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-151016 (URN)10.1016/j.ejtd.2017.10.006 (DOI)
Available from: 2018-09-11 Created: 2018-09-11 Last updated: 2019-05-02Bibliographically approved
Michel, P.-O. (2018). Psykotraumatologi (3ed.). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Psykotraumatologi
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2018 (English)Book (Other academic)
Abstract [sv]

Människosläktet har genom årtusenden exponerats för olyckor och naturkatastrofer. Transportolyckor och andra tekniska katastrofer, krig och flyktingtrauman, terrorhändelser liksom interpersonellt våld och traumatiska övergrepp under uppväxten kan utgöra påfrestningar under människors liv samt leda till svåra hälsoeffekter.

Denna tredje upplaga av Psykotraumatologi riktar sitt fokus mot den utveckling som skett under senaste decenniet när det gäller forskningen inom området. Sålunda beskrivs hur människor reagerar på hot och på faktorer som både kan öka risken för och motverka utvecklingen av traumatisk stress. Komplicerade sorgereaktioner och traumarelaterade tillstånd beskrivs ingående både när det gäller barn och vuxna. Vidare är avsnitten om neurobiologi, krisstöd i akutfas och behandling uppdaterade.

Syftet med Psykotraumatologi är att utgöra en samlad kunskapskälla för den som behöver det i sin utbildning och fortbildning. På så sätt kan alla som i sin profession kommer i kontakt med potentiellt traumatiserade individer, till exempel inom hälso- och sjukvården, skolväsendet samt inom kommunernas socialtjänst ha nytta av boken.

Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2018. p. 272 Edition: 3
Keywords
Psykiska trauman
National Category
Psychiatry Public Health, Global Health, Social Medicine and Epidemiology Nursing
Identifiers
urn:nbn:se:liu:diva-153812 (URN)9789144119939 (ISBN)
Note

Tredje upplagan

Available from: 2019-01-11 Created: 2019-01-11 Last updated: 2019-01-11Bibliographically approved
Eckhardt, A., Aguilar Zambrano, E. & Nilsson, D. (2018). Traumatic experiences and dissociation in a non-clinical group of university students in Ecuador: a cross-sectional study. Journal of Child and Adolescent Mental Health, 30(3), 191-202
Open this publication in new window or tab >>Traumatic experiences and dissociation in a non-clinical group of university students in Ecuador: a cross-sectional study
2018 (English)In: Journal of Child and Adolescent Mental Health, ISSN 1728-0583, E-ISSN 1728-0591, Vol. 30, no 3, p. 191-202Article in journal (Refereed) Published
Abstract [en]

Background: In Ecuador, as in most Latin American countries, scientific research on trauma and dissociation is scarce. The aim of this study was to examine the prevalence of potentially traumatic experiences and dissociative symptoms in adolescents and young adults who were students at the Central University in Quito, Ecuador.

Methods: A cross-sectional study in which 144 students completed a self-administrated questionnaire consisting of Linköping Youth Life Experience Scale (LYLES), Adolescent-Dissociation Experience Scale (A-DES ) and background variables. Data collection was conducted in autumn 2012. Standard multiple regression analysis was used to analyse the data.

Results: All students reported a history of a minimum of five potentially traumatic experiences with a mean of 14.8. Eight participants (5.6%) scored above 3.7 on the Adolescent-Dissociation Experience Scale, which is considered clinically significant dissociation. No correlation was found between high scores on LYLES and A-DES.

Conclusions: The prevalence of potentially traumatic experiences in the study population is very high compared to studies conducted in high-income settings. The low prevalence of dissociation suggests high resilience in the study population but more research on morbidity is needed to draw conclusions about mental health outcomes. Further research should include study populations in less advantageous contexts.

Place, publisher, year, edition, pages
Routledge, 2018
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:liu:diva-153571 (URN)10.2989/17280583.2018.1553780 (DOI)000453867100004 ()2-s2.0-85058968241 (Scopus ID)
Available from: 2018-12-20 Created: 2018-12-20 Last updated: 2019-01-09Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-7796-0873

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