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Nilsson, Doris
Alternative names
Publications (10 of 31) Show all publications
Thulin, J., Kjellgren, C. & Nilsson, D. (2018). Children's experiences with an intervention aimed to prevent further physical abuse. Child & Family Social Work
Open this publication in new window or tab >>Children's experiences with an intervention aimed to prevent further physical abuse
2018 (English)In: Child & Family Social Work, ISSN 1356-7500, E-ISSN 1365-2206Article 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.

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)
Projects
Kibbprojektet
Funder
The Swedish Crime Victim Compensation and Support Authority
Available from: 2018-05-22 Created: 2018-05-22 Last updated: 2018-05-30Bibliographically approved
Nilsson, D., Nordås, E., Priebe, G. & Svedin, C. G. (2017). Child physical abuse: High school students’ mental health and parental relations depending on who perpetrated the abuse. International Journal of Child Abuse & Neglect, 70, 28-38
Open this publication in new window or tab >>Child physical abuse: High school students’ mental health and parental relations depending on who perpetrated the abuse
2017 (English)In: International Journal of Child Abuse & Neglect, ISSN 0145-2134, E-ISSN 1873-7757, Vol. 70, p. 28-38Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to contribute to the research of child physical abuse (CPA) by examining if there were any differences in high school students’ mental health (in this study symptoms of depression and anxiety, self-esteem and sense of coherence) and/or, in how they perceive their parents, depending on whether or not they had been subjected to CPA during childhood. In addition, if high school students reported different mental health and/or, relationships with their parents, depending on if their mother, father or both parents were the perpetrators of CPA.

A representative national sample of high school students (N = 3288, data collected 2009) participated in the study. Participants completed the following: questions about CPA and alleged perpetrators, the Hopkins Symptom Checklist, Rosenberg Self-Esteem Scale, the Sense of Coherence Scale and Parental Bonding Instrument.

The results showed students who reported experiences of CPA were more likely to report symptoms of mental illness and negative perceptions of their parents’ parenting. However, there were no mental health differences depending on whether their mother, father or both parents were the perpetrators of CPA. Still, there were differences in perceived parenting indicating that mothers’ parenting was perceived as more negative when mothers only or both parents were perpetrators of the abuse than when only fathers were perpetrators.

Place, publisher, year, edition, pages
Elsevier, 2017
Keywords
Child physical abuse; mental health, adolescence, parent child relations, maltreatment
National Category
Psychiatry
Identifiers
urn:nbn:se:liu:diva-141238 (URN)10.1016/j.chiabu.2017.05.007 (DOI)000411781200003 ()28551459 (PubMedID)2-s2.0-85019626976 (Scopus ID)
Projects
Barnafrid
Note

Funding agencies: Swedish National Board for Youth Affairs

Available from: 2017-09-27 Created: 2017-09-27 Last updated: 2018-03-28Bibliographically approved
Arnison, T., Menon, J., Malambo, C. & Nilsson, D. (2017). Posttraumatic Stress among women with HIV in Zambia. The Medical Journal of Zambia, 44(2), 100-105
Open this publication in new window or tab >>Posttraumatic Stress among women with HIV in Zambia
2017 (English)In: The Medical Journal of Zambia, ISSN 0047-651X, Vol. 44, no 2, p. 100-105Article in journal (Refereed) Published
Abstract [en]

Objective: To examine whether HIV-positive women in Lusaka District, Zambia, displays a higher degree of PTSD-symptoms than a HIV-negative control group.

Method: The study targeted 50 HIV-positive women from four ART-clinics and 42 HIV-negative women from corresponding VCT-units. All sites were located in Lusaka District, Zambia. The HIV-positive women were compared with the control group in regard for PTSD, PTSD-symptoms, dissociative symptoms and history of traumatic experiences. The instruments used were PCL-C, DES-T and LYLES-A. Prior to the main study, the validity of the instruments were assessed with a pilot-sample.

Results: Three participants in the HIV-positive group fulfilled the criteria for clinical PTSD (10.7 %), as compared to none in the control group. The HIV-positive group also displayed a significantly higher degree of PTSD-symptoms and previous traumatic experiences, with strong effect sizes, but not for dissociative symptoms. The significant difference in PTSD-symptoms remained while trauma-history was controlled for.

Conclusions: The results of this study clearly indicates that women with HIV are vulnerable to PTSD and that contracting HIV in itself can constitute a psychological trauma in itself. Since PTSD among persons with HIV has been associated with transmission risk behaviours, reduced treatment adherence and a faster disease progression, these findings are important to consider in actions against HIV and AIDS. 

Place, publisher, year, edition, pages
Lusaka, Zambia: Zambia Medical Association, 2017
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
urn:nbn:se:liu:diva-141240 (URN)
Available from: 2017-09-27 Created: 2017-09-27 Last updated: 2018-04-03Bibliographically approved
Nilsson, D., Johansson, E., Larsson, K. & Näslund, J. (2017). The experience of internal and external supporting objects from the perspective of six young women who have lost a parent to cancer: An interpretative phenomenological analyisis. Annals of Psychiatry and Treatment, 2((2)), 24-32
Open this publication in new window or tab >>The experience of internal and external supporting objects from the perspective of six young women who have lost a parent to cancer: An interpretative phenomenological analyisis
2017 (English)In: Annals of Psychiatry and Treatment, Vol. 2, no (2), p. 24-32Article in journal (Refereed) Published
Abstract [en]

Background: Adolescents losing a parent are a risk group for future complications in their ongoing live such as higher rate of mortality, self- harm and other mental health problems. There is a lack of knowledge in what, how and when to offer help as well as no concluding theoretical model to understand the whole process of losing a parent. The objective of this study was to examine how the relationships of some young people are affected by the loss of a parent to cancer during their teenage years.

Method: Six women aged between 18 and 25 participated in the study. An Interpretative Phenomenological Analysis (IPA) method was used.

Result: The theme of loneliness was cemented with the two main themes, into loneliness and out of loneliness and sub-themes such as, cancer comes along, silence, hold on to and miss, those closest, the supporters, independence, closeness and distance.

Conclusion: The parent who has died lives on as an inner object and the support from the remaining parent is viewed very important. The process to be back on track seems diverse and continues for a long time and outside help needs to tune in with this.

Keywords
Adolescent, bereavement, cancer mourning, process
National Category
Psychology (excluding Applied Psychology)
Identifiers
urn:nbn:se:liu:diva-141239 (URN)
Available from: 2017-09-27 Created: 2017-09-27 Last updated: 2018-05-14Bibliographically approved
Waller, R., Tholander, M. & Nilsson, D. (2017). "You will have these ones!": Six women's experiences of being pressured to make a contraceptive choice that did not feel right. Social Sciences, 6(4), Article ID 114.
Open this publication in new window or tab >>"You will have these ones!": Six women's experiences of being pressured to make a contraceptive choice that did not feel right
2017 (English)In: Social Sciences, ISSN 2076-0760, E-ISSN 2076-0760, Vol. 6, no 4, article id 114Article in journal (Refereed) Published
Abstract [en]

This study aims to contribute to an understanding of women’s experiences of contraceptive counselling, and of being pressured to make a contraceptive choice that did not feel right. Six women in Sweden participated insemi-structured interviews, which were analysed through interpretative phenomenological analysis. The results were organised into three themes: (1)The normalisation process, i.e., the ways in which the women experienced using the contraceptive were being promoted as a natural part of womanhood; (2)Drawing the shortest straw, i.e., the women’s experiences of encountering insensitive caregivers; and (3) Feeling like a guinea pig,i.e., the women’s sense of not being allowed to control the situation and make their own choices. In conclusion, the experience of not being respected in the healthcare system could lead to consequences not only for women’s sense ofself-efficacy with regard to contraceptives, but also for their willingness to engage in renewed counselling. The caregivers’ communicative skills are, therefore, of prime importance.

Place, publisher, year, edition, pages
Basel, Switzerland: M D P I AG, 2017
Keywords
contraceptive choice; contraceptive counselling; communicative skills; self-efficacy; interpretative phenomenological analysis
National Category
Social Work
Identifiers
urn:nbn:se:liu:diva-141219 (URN)10.3390/socsci6040114 (DOI)
Available from: 2017-09-27 Created: 2017-09-27 Last updated: 2017-11-07Bibliographically approved
Nilsson, D. & Ängarne-Lindberg, T. (2016). Children who lose a parent suddenly: what kind of assistance do they feel provides relief?: a content analysis study of children and their parents. Child Care in Practice, 22(2), 197-209
Open this publication in new window or tab >>Children who lose a parent suddenly: what kind of assistance do they feel provides relief?: a content analysis study of children and their parents
2016 (English)In: Child Care in Practice, ISSN 1357-5279, E-ISSN 1476-489X, Vol. 22, no 2, p. 197-209Article in journal (Refereed) Published
Abstract [en]

There are few studies that have investigated children and adolescents’ own perceptions of early intervention following the death of a parent, and even fewer that focus on children and adolescents who have lost a parent suddenly. The aim of this study was to use interviews to identify what children and the surviving parent perceived to be helpful or unhelpful in terms of the interventions they received when a parent died suddenly. The children and young people in the study had received help from a team whose work involves early intervention for children and adolescents affected by the sudden death of a parent. Fourteen adolescents and 15 parents were interviewed for this purpose. The interview material was analysed using qualitative content analysis. The results identified one theme (perception of support), two categories (feeling confident and secure; and receiving help to bring about order), and six subcategories (a feeling of being noticed and attended to; a feeling that they knew what they were doing; a feeling of being able to hand over; a feeling of being in a free zone; a feeling of recovery and inner order; and a feeling of clarity and structure).

Place, publisher, year, edition, pages
Taylor & Francis Group, 2016
Keywords
Breavement, sudden parental death, children and adolecents; assistance; content analysis
National Category
Nursing
Identifiers
urn:nbn:se:liu:diva-141236 (URN)10.1080/13575279.2015.1118014 (DOI)2-s2.0-84954151570 (Scopus ID)
Funder
Swedish National Board of Health and Welfare
Available from: 2017-09-27 Created: 2017-09-27 Last updated: 2017-10-05Bibliographically approved
Nilsson, D., Nordenstam, C., Green, S., Wetterhall, A., Lundin, T. & Svedin, C. G. (2015). Acute stress among adloescents and female rape victims measured by ASC-Kids: A pilot study. Nordic Journal of Psychiatry, 69(7), 539-545
Open this publication in new window or tab >>Acute stress among adloescents and female rape victims measured by ASC-Kids: A pilot study
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2015 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 69, no 7, p. 539-545Article in journal (Refereed) Published
Abstract [en]

Background: Rape is considered a stressful trauma and often with durable consequences. How the aftermath of rape is for young adolescents' girls considering acute stress is an overlooked field and remains to be studied. Aims: In this study, we wanted to investigate acute stress among adolescent victims of rape and the psychometric properties of the Acute Stress Checklist for Children (ASC-Kids). Methods: A clinical sample (n = 79) of raped girls, 13-17 years old who had turned to a special rape victim unit for treatment, answered the ASC-Kids. ASC-Kids was also given to a group of minor stressed, non-raped adolescents in the same age range (n = 154) together with the University of California at Los Angeles Post-traumatic Stress Disorder Reaction Index (UCLA PTSD RI), and the Sense of Coherence Scale 13 (SOC-13). Results: The scores from the groups were compared and showed significant differences in mean values on all the diagnostic criteria of acute stress disorder. In the clinical group, 36.7% obtained full ASD criteria. ASC-Kids could discriminate well between groups. Cronbach's alpha was found to be excellent, and the correlation between the UCLA PTSD RI and ASC-Kids found to be good; both ASC-Kids and UCLA PTSD RI had a good and moderate negative correlation with SOC-13. Conclusion: Adolescent female rape victims were shown to have a very high level of acute stress, and the ASC-Kids was found to have sound psychometrics and can be a valuable screening instrument to support clinicians in their assessments of an indication of adolescents after potentially stressful events such as rape.

Place, publisher, year, edition, pages
Taylor & Francis, 2015
Keywords
ASC-Kids, acute stress, adolescents, rape psychometrics
National Category
Psychiatry
Identifiers
urn:nbn:se:liu:diva-115261 (URN)10.3109/08039488.2015.1013056 (DOI)000369972000007 ()25732866 (PubMedID)
Projects
Rubinen
Available from: 2015-03-11 Created: 2015-03-11 Last updated: 2017-12-04
Nilsson, D., Dahlström, Ö., Pribe, G. & Svedin, C. G. (2015). Polytraumatization in an adult national sample and its association with psychological distress and self-esteem. Brain and Behavior, 5(1), 62-74
Open this publication in new window or tab >>Polytraumatization in an adult national sample and its association with psychological distress and self-esteem
2015 (English)In: Brain and Behavior, ISSN 2162-3279, E-ISSN 2162-3279, Vol. 5, no 1, p. 62-74Article in journal (Refereed) Published
Abstract [en]

AbstractObjective

The objective of this study was to examine the prevalence of self-reported experiences of potential childhood traumas and polytraumatization, and to find cut-off values for different kinds of potential traumatic events in a national representative sample of adults in Sweden. In addition, to analyse the association between polytraumatization and both psychological distress and global self-esteem.

Method

A web-based survey - containing SCL-25 and Rosenberg Self-Esteem Scale, and Linköping Difficult Life Events Scale - Adult - was sent out to a nationally reprative sample and 5062 people chose to participate in the study.

Results

Results showed that almost everyone (97%) has experienced at least one potential traumatic event and that polytraumatization (the 10% of the participants with most reported traumas) was significantly (Z = 12.57, P < 0.001, r = 0.18) associated with psychological distress and global self-esteem. Gender differences were significant (Z = 8.44, P < 0.001, r = 0.12), in that men experience more noninterpersonal traumas but women report more symptoms. The effect sizes regarding the impact of potential trauma on self-esteem were largest for women with experience of polytraumatization in the age group 18–25 (r = 0.48). There was almost linear increase in psychological distress and linear decrease in self-esteem with increasing number of traumatic events experienced.

Conclusion

Experience of polytrauma can be considered an important factor to take into account in psychiatric settings as well.

Place, publisher, year, edition, pages
John Wiley & Sons, 2015
Keywords
Adults, anxiety, depression, polytraumatization, self-esteem
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-112751 (URN)10.1002/brb3.298 (DOI)000349034700007 ()25722950 (PubMedID)
Available from: 2014-12-12 Created: 2014-12-12 Last updated: 2018-04-07
Nilsson, D., Lejonclou, A., Jonsson, M., Svedin, C. G. & Holmqvist, R. (2015). Somatoform dissociation among Swedish adolescents and young adults: The psychometric properties of the Swedish versions of the SDQ-20 and SDQ-5. Nordic Journal of Psychiatry, 69(2), 152-160
Open this publication in new window or tab >>Somatoform dissociation among Swedish adolescents and young adults: The psychometric properties of the Swedish versions of the SDQ-20 and SDQ-5
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2015 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 69, no 2, p. 152-160Article in journal (Refereed) Published
Abstract [en]

Background: Somatoform dissociation is supposed to be a vital aspect of the general concept of dissociation. The Somatoform Dissociation Questionnaire-20 (SDQ-20) and the brief version SDQ-5 are self-report instruments constructed to identify somatic dissociation. Aim: In the present study, the psychometric qualities of the Swedish version of the SDQ-20 and its brief version, the SDQ-5, were examined among adolescents and young adults. Reliability and concurrent validity were investigated. Methods: A total of 512 adolescents and young adults participated in the study: 461 adolescents from a non-clinical sample and 50 adolescents and young adults from a clinical eating disorder outpatient unit. They completed the self-report instruments the SDQ-20, the SDQ-5 (part of SDQ-20), the Linköping Youth Life Experience Scale (LYLES, a trauma history scale) and the Dissociation Questionnaire-Sweden (Dis-Q-Sweden). Results: Both internal consistency and test-retest reliability of the Swedish version of SDQ-20 were good in both the non-clinical (α = 0.83) and the clinical groups (α = 0.84); the reliability for the SDQ-5 was, however, lower (non-clinical α = 0.50, clinical α = 0.64). Significant differences were found between the clinical and non-clinical groups on both somatoform and psychoform dissociation. Correlations between the Dis-Q-Sweden, SDQ-20 and SDQ-5 were generally high. The criterion and convergent validity was acceptable for both scales but somewhat better for SDQ-20 than for SDQ-5. Conclusion: The advantage with both the SDQ-20 and the SDQ-5 is that they are short questionnaires, but the results suggests that SDQ-20 is preferable based on the higher-quality psychometric properties of the SDQ-20.

Place, publisher, year, edition, pages
Informa Healthcare, 2015
Keywords
Adolescents; Psychometrics; Self-assessment; SDQ-20; Somatoform dissociation
National Category
Other Medical Sciences not elsewhere specified
Identifiers
urn:nbn:se:liu:diva-110440 (URN)10.3109/08039488.2014.949851 (DOI)000346904900010 ()25142431 (PubMedID)
Available from: 2014-09-11 Created: 2014-09-11 Last updated: 2017-12-05
Mauritzson, M., Bergendahl Odby, E., Holmqvist, R. & Nilsson, D. (2015). The Fog Is Lifting; Veils of Mist Come and Go: An Interpretative Phenomenological Analysis of the Experiences of Six Women Recovering From Pathological Dissociation. Journal of Interpersonal Violence, 30(1), 45-61
Open this publication in new window or tab >>The Fog Is Lifting; Veils of Mist Come and Go: An Interpretative Phenomenological Analysis of the Experiences of Six Women Recovering From Pathological Dissociation
2015 (English)In: Journal of Interpersonal Violence, ISSN 0886-2605, E-ISSN 1552-6518, Vol. 30, no 1, p. 45-61Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to illuminate experiences of the process of recovering from pathological dissociation. The study used data from interviews with six female participants diagnosed with pathological dissociative disturbances. All the women had a history of having been sexually abused. Data were analyzed using Interpretative Phenomenological Analysis (IPA). Two main themes emerged in the analysis: social and relational change and self in movement. The themes mirror the interplay in the recovery process that took place both intrapsychically and with regard to the relational interplay between self and other significant people. The recovery process was dependent on an incipient sense of security in relational interaction, and this process was hindered by insecurity and ambivalence in relationships. Each patient’s relationship with her therapist also played a crucial role for the participants.

Place, publisher, year, edition, pages
Sage Publications, 2015
Keywords
pathological dissociation, trauma, sexual abuse, recovery, self-states, identity
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-106642 (URN)10.1177/0886260514532528 (DOI)000345464800003 ()24825866 (PubMedID)
Available from: 2014-05-16 Created: 2014-05-16 Last updated: 2017-12-05
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