liu.seSearch for publications in DiVA
Change search
Link to record
Permanent link

Direct link
BETA
Nilsson, Doris
Alternative names
Publications (10 of 36) Show all publications
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. (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., 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: 2019-01-17Bibliographically approved
Michel, P.-O. (2018). Psykotraumatologi (3ed.). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Psykotraumatologi
Show others...
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
Thulin, J., Nilsson, D. & Kjellgren, C. (2018). Youth Reports of Parental Strategies and sense of Coherence: Are experienced of Being Victim of Physical Abuse Reflected. Young - Nordic Journal of Youth Research, 1-17
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
2018 (English)In: Young - Nordic Journal of Youth Research, ISSN 1103-3088, E-ISSN 1741-3222, p. 1-17Article in journal (Refereed) Epub ahead of print
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, 2018
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)
Funder
Public Health Agency of Sweden
Available from: 2018-11-01 Created: 2018-11-01 Last updated: 2018-11-07Bibliographically 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
Organisations

Search in DiVA

Show all publications