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  • 1.
    Ericsson, Elisabeth
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Oto-Rhiono-Laryngology and Head & Neck Surgery . Linköping University, Faculty of Health Sciences.
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry . Linköping University, Faculty of Health Sciences.
    Hultcrantz, Elisabeth
    Linköping University, Department of Clinical and Experimental Medicine, Oto-Rhiono-Laryngology and Head & Neck Surgery . Linköping University, Faculty of Health Sciences.
    Pre-surgical Child Behavior Ratings and Pain Management after Two Different Techniques of Tonsil Surger2006In: International Journal of Pediatric Otorhinolaryngology, ISSN 0165-5876, E-ISSN 1872-8464, Vol. 70, no 10, p. 1749-1758Article in journal (Refereed)
    Abstract [en]

    Objective

    The purpose of this investigation was to compare child behavior before surgery with experience of pain and anxiety in relation to two techniques of tonsil surgery, to relate previous experiences of surgery/tonsillitis with anxiety and pain, and to compare the children's, parent's and nurse's rating of pain.

    Method

    Ninety-two children (5–15 years) with sleep-disordered breathing (SDB) and with or without recurrent tonsillitis were randomized to partial tonsil resection/tonsillotomy (TT) or full tonsillectomy (TE). Measures: Parents: Child Behavior Checklist (CBCL). Children: State-Trait-Anxiety Inventory for Children (STAIC) and seven-point Faces Pain Scale (FPS). Parents/staff: seven-point Verbal Pain Rating Scale (VPRS). Pain relievers were opoids, paracetamol and diclophenac.

    Results

    These children with SDB scored significantly higher on CBCL than did normative groups, but no connection was observed between CBCL rating and experience of pain. There was no relation between pre-operative anxiety and pain. The post-operative anxiety level (STAIC) correlated with pain. The TE-group scored higher on STAIC after surgery. Previous experience of surgery or tonsillitis did not influence post-operative pain. The TE-group rated higher experience of pain despite more medication. The nurses scored pain lower than the parents/children and under-medicated.

    Conclusion

    SDB may influence children's behavior, but with no relation to post-operative pain. The surgical method predicts pain better than does the child's behavior rating. The nurses underestimated the pain experienced by the child.

  • 2.
    Finnström, Orvar
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Pediatrics. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Barn.
    Gäddlin, Per-Olof
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Pediatrics.
    Leijon, Ingemar
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Pediatrics. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Barn.
    Samuelsson, S
    Wadsby, Marie
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Child and Adolescent Psychiatry.
    Very-low-birth-weight children at school age: Academic achievement, behavior and self-esteem and relation to risk factors2003In: The Journal of Maternal-Fetal & Neonatal Medicine, ISSN 1476-7058, E-ISSN 1476-4954, Vol. 14, no 2, p. 75-84Article in journal (Refereed)
    Abstract [en]

    Objective: To investigate school performance, behavior and self-esteem of children with very low birth weight (VLBW). Methods: All children with birth weight below 1501 g (VLBW) and normal birth weight controls, born in the south-east region of Sweden during a 15-month period in 1987-88, were enrolled in a prospective follow-up study. At the age of 9 years, 81% and 82%, respectively, were re-examined regarding growth, neurofunctional classification, academic achievement tests, need for special education and behavioral problems. At 12 years, 89% and 76%, respectively, were re-examined regarding growth, neurofunctional classification, visual acuity and self-esteem. Results: VLBW children were shorter and lighter, and differed from the controls with regard to neurological functional classification. They produced poorer results in most academic achievement tests. When the comparison was restricted to children with normal intelligence, almost all the differences in other academic achievements disappeared. VLBW children had more reading difficulties but were less often than expected defined as dyslexics compared to control children. We did not find any major disparity in visual acuity and self-esteem between the groups. Low Apgar scores, intracranial hemorrhage and the need for mechanical ventilation neonatally were associated with poorer results in most outcome measures. Neurofunctional assessments in early childhood were associated with most outcome measures. The mother's education was related to delayed reading skills and need for special education. Conclusions: Although VLBW children performed less well in most academic achievement tests and on some behavioral subscales, those who had a normal intellectual capacity did not differ in any important aspects from the controls.

  • 3.
    Fredlund, Cecilia
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Center for Social and Affective Neuroscience. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Dahlström, Örjan
    Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences. Linköping University, The Swedish Institute for Disability Research.
    Svedin, Carl Göran
    Linköping University, Department of Clinical and Experimental Medicine, Barnafrid. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Center for Social and Affective Neuroscience. Linköping University, Faculty of Medicine and Health Sciences.
    Jonsson, Linda
    Linköping University, Department of Clinical and Experimental Medicine, Barnafrid. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Pribe, Gisela
    Linköping University, Department of Clinical and Experimental Medicine, Barnafrid. Linköping University, Faculty of Medicine and Health Sciences. Lund Univ, Sweden.
    Adolescents motives for selling sex in a welfare state - A Swedish national study2018In: International Journal of Child Abuse & Neglect, ISSN 0145-2134, E-ISSN 1873-7757, Vol. 81, p. 286-295Article in journal (Refereed)
    Abstract [en]

    In addition to money or other compensation, other motives for selling sex may be important in a welfare country such as Sweden. The aim of this study was to carry out an exploratory investigation of adolescents motives for selling sex in a population-based survey in Sweden. A total of 5839 adolescents from the third year of Swedish high school, mean age 18.0 years, participated in the study. The response rate was 59.7% and 51 students (0.9%) reported having sold sex. Exploratory factor analysis and hierarchical cluster analysis were used to identify groups of adolescents according to underlying motives for selling sex. Further analyses were carried out for characteristics of selling sex and risk factors. Three groups of adolescents were categorized according to their motives for selling sex: Adolescents reporting; 1) Emotional reasons, being at a greater risk of sexual abuse, using sex as a means of self-injury and having a non-heterosexual orientation. 2) Material but no Emotional reasons, who more often receive money as compensation and selling sex to a person over 25 years of age, and 3) Pleasure or no underlying motive for selling sex reported, who were mostly heterosexual males selling sex to a person under 25 years of age, the buyer was not known from the Internet, the reward was seldom money and this group was less exposed to penetrative sexual abuse or using sex as a means of self-injury. In conclusion, adolescents selling sex are a heterogeneous group in regard to underlying motives.

    The full text will be freely available from 2021-05-05 00:01
  • 4.
    Fredlund, Cecilia
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Center for Social and Affective Neuroscience. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Svedin, Carl Göran
    Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping. Linköping University, Department of Clinical and Experimental Medicine, Barnafrid. Linköping University, Faculty of Medicine and Health Sciences.
    Pribe, Gisela
    Linköping University, Department of Clinical and Experimental Medicine, Barnafrid. Linköping University, Faculty of Medicine and Health Sciences.
    Jonsson, Linda
    Linköping University, Department of Clinical and Experimental Medicine, Barnafrid. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Center for Social and Affective Neuroscience. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Self-reported frequency of sex as self-injury (SASI) in a national study of Swedish adolescents and association to sociodemographic factors, sexual behaviors, abuse and mental health2017In: Child and Adolescent Psychiatry and Mental Health, ISSN 1753-2000, E-ISSN 1753-2000, Vol. 11, no 1Article in journal (Refereed)
    Abstract [en]

    Sex as self-injury has become a concept in Swedish society; however it is a largely unexplored area of research, not yet conceptualized and far from accepted in the research field. The use of sex as a way of affect regulation is known in the literature and has, in interviews with young women who sell sex, been compared to direct self-injury, such as cutting or burning the skin. The aim of this study was to investigate the self-reported frequency of sex as self-injury and the association to sociodemographic factors, sexual orientation, voluntary sexual experiences, sexual risk-taking behaviors, sexual, physical and mental abuse, trauma symptoms, healthcare for psychiatric disorders and non-suicidal self-injury.

  • 5.
    Fredlund, Cecilia
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
    Svensson, Frida
    Linköping University, The Institute of Technology.
    Göran Svedin, Carl
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
    Priebe, Gisela
    Lund University, Sweden .
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
    Adolescents Lifetime Experience of Selling Sex: Development Over Five Years2013In: Journal of Child Sexual Abuse, ISSN 1053-8712, E-ISSN 1547-0679, Vol. 22, no 3, p. 312-325Article in journal (Refereed)
    Abstract [en]

    Lifetime experience of selling sex among adolescents was investigated together with sociodemographic correlates, parentchild relationship, and the existence of people to confide in. Changes over time regarding the selling of sex were investigated through a comparison of data from 2004 and 2009. This study was carried out using 3,498 adolescents from a representative sample of Swedish high school students with a mean age 18.3 years. Of these adolescents, 1.5% stated that they had given sexual services for reimbursement and both male and female buyers existed. The adolescents who had sold sex had a poorer parentchild relationship during childhood and had fewer people to confide in about problems and worries. Changes over time were found especially regarding the Internet as a contact source and also immigrant background.

  • 6.
    Gäddlin, Per-Olof
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Pediatrics . Linköping University, Faculty of Health Sciences.
    Finnström, Orvar
    Linköping University, Department of Clinical and Experimental Medicine, Pediatrics . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Paediatrics in Linköping.
    Samuelsson, Stefan
    Linköping University, Department of Behavioural Sciences and Learning. Linköping University, Faculty of Arts and Sciences.
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry . Linköping University, Faculty of Health Sciences.
    Wang, Chen
    Department of Neuroradiology, Karolinska University Hospital, Stockholm, Sweden.
    Leijon, Ingemar
    Linköping University, Department of Clinical and Experimental Medicine, Pediatrics . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Paediatrics in Linköping.
    Academic achievement, behavioural outcomes and MRI findings at 15 years of age in very low birthweight children2008In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 97, no 10, p. 1426-1432Article in journal (Refereed)
    Abstract [en]

    Aim: To assess cognitive, academic, and behavioural functions in 15-year-old very low birthweight (VLBW) children and relate results to gender, neonatal risk factors, growth, and Magnetic Resonance Imaging (MRI) findings.

    Methods: 61/86 VLBW children and 57/86 term controls born in the south-east region of Sweden were assessed regarding cognition (WISC III), school outcome, behaviour, and growth. VLBW children were examined using cerebral MRI.

    Results: VLBW children performed significantly lower than their term controls on WISC III and 49% had IQ lower than 85. Ten VLBW children with IQ <70 had not been clinically identified earlier and a majority of these children attended mainstream school. VLBW girls had significantly lower total problems scores. Using MRI, white matter damage (WMD) was detected in 16 (27%) children. VLBW boys with WMD had significantly lower IQ than those without. Small occipito-frontal circumference correlated with low IQ. Mechanical ventilation and intraventricular haemorrhage (IVH) showed significant correlations with lower IQ and reading skills.

    Conclusion: VLBW children achieved poorer results compared with their controls in cognitive tests. Mechanical ventilation and IVH were related to poorer academic outcome. Many of the children with low IQ had not been identified earlier. Therefore, we recommend that VLBW children undergo an IQ test before beginning school in order to receive adequate support.

  • 7.
    Hellgren, K
    et al.
    KI.
    Hellström, A
    GU.
    Jacobson, L
    KI.
    Flodmark, O
    Ki.
    Wadsby, Marie
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Child and Adolescent Psychiatry.
    Martin, L
    KI.
    Visual and cerebral sequelae of very low birth weight in adolescents2007In: Archives of Disease in Childhood, ISSN 0003-9888, E-ISSN 1468-2044, Vol. 92, no 4Article in journal (Refereed)
    Abstract [en]

    Objective: To describe the visual functions and relate them to MRI findings and the intellectual level in adolescents born with very low birth weight (VLBW). Design: Population-based case-control study. Patients: 59 15-year-old VLBW adolescents and 55 sex and age-matched controls with normal birth weight. Main outcome measures: Objective clinical findings (visual acuity, stereo acuity and cycloplegic refraction) were recorded. Structured history taking was used to identify visual difficulties. The intellectual level was assessed with the Wechsler Intelligence Scale for Children (WISC). All VLBW adolescents underwent MRI of the brain. Results: Significant differences were found between the VLBW adolescents and controls regarding visual acuity (median -0.11 and -0.2, respectively, p = 0.004), stereo acuity (median 60″ and 30″, respectively, p<0.001), prevalence of astigmatism (11/58 and 0/55, respectively, p<0.001) and in full-scale IQ (mean IQ 85 and 97, respectively, p<0.001) and performance IQ (mean 87 and 99, respectively, p = 0.002). The structured history also revealed a borderline significant difference between the groups (mean problems 0.46 and 0.15 respectively, p = 0.051). 30% (17/57) of the VLBW adolescents had abnormal MRI findings and performed worse in all tests, compared with both the VLBW adolescents without MRI pathology and the normal controls. Conclusion: This study confirms previous observations that VLBW adolescents are at a disadvantage regarding visual outcome compared with those with normal birth weight. In 47%, visual dysfunction was associated with abnormal MRI findings and in 33% with learning disabilities. The adolescents with abnormal MRI findings had more pronounced visual and cognitive dysfunction. The findings indicate a cerebral causative component for the visual dysfunction seen in the present study.

  • 8.
    Jonsson, Linda
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Barnafrid. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Svedin, Carl Göran
    Linköping University, Department of Clinical and Experimental Medicine, Barnafrid. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Pribe, Gisela
    Department of Psychology, IKV, Lund University, Lund, Sweden.
    Fredlund, Cecilia
    Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping. Linköping University, Department of Clinical and Experimental Medicine, Center for Social and Affective Neuroscience. Linköping University, Faculty of Medicine and Health Sciences.
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Center for Social and Affective Neuroscience. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Zetterqvist, Maria
    Linköping University, Department of Clinical and Experimental Medicine, Center for Social and Affective Neuroscience. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Similarities and differences in the functions of nonsuicidal self-injury (NSSI) and sex as self-injury (SASI)2019In: Journal of Suicide and Life-threatening Behaviour, ISSN 0363-0234, E-ISSN 1943-278X, no 1, p. 120-136Article in journal (Refereed)
    Abstract [en]

    Differences and similarities were studied in the functions of two different self-injurious behaviors (SIB): nonsuicidal self-injury (NSSI) and sex as self-injury (SASI). Based on type of SIB reported, adolescents were classified in one of three groups: NSSI only (n = 910), SASI only (n = 41), and both NSSI and SASI (n = 76). There was support for functional equivalence in the two forms of SIB, with automatic functions being most commonly endorsed in all three groups. There were also functional differences, with adolescents in the SASI only group reporting more social influence functions than those with NSSI only. Adolescents reporting both NSSI and SASI endorsed the highest number of functions for both behaviors. Clinical implications are discussed, emphasizing the need for emotion regulation skills.

    The full text will be freely available from 2019-10-26 15:38
  • 9.
    Landberg, Åsa
    et al.
    Stiftelsen Allmänna Barnhuset, Stockholm.
    Svedin, Carl Göran
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Priebe, Gisela
    Lunds universitet.
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences.
    Jonsson, Linda
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Fredlund, Cecilia
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences.
    Det gäller en av fem: fakta om barn, sexuella övergrepp och sexuell exploatering i Sverige 20142014Report (Other academic)
    Abstract [sv]

    Det här är den tredje stora undersökningen som gjorts om av samma forskargrupp. De tidigare undersökningarna genomfördes 2004 och 2009. Det gör att vi kan jämföra svaren och se utveckling över tid. Undersökningen har genomförts av forskare från Linköpings och Lunds universitet på uppdrag av Stiftelsen Allmänna Barnhuset och har finansierats av regeringen. Den här skriften sammanfattar delar av undersökningen från 2014. Den som är intresserad av att läsa mer om resultaten eller om hur undersökningen är upplagd, kan ta del av den fullständiga rapporten, Unga, sex och internet - i en föränderlig värld, via Stiftelsen Allmänna Barnhusets hemsida www.allmannabarnhuset.se eller via Linköpings universitet www.barnafrid.se.

    Statistiska Centralbyrån har gjort ett urval av skolor som är representativt. Några av de utvalda skolorna föll bort för att de lagt ned, inte ville delta eller inte svarade. Det var frivilligt att delta, och det fanns elever som valde att avstå, eller helt enkelt inte var i skolan den dag som undersökningen genomfördes.

    Sammanlagt medverkade 5 873 elever från 171 skolor. Eleverna besvarade enkäten under lektionstid, med en av skolan utvald, ansvarig person i klassrummet. Elever, ansvariga lärare och rektor fick information om studien i form av ett informationsbrev. Där fanns också uppgifter om vart eleverna kunde vända sig för att få stöd och hjälp.

    Vi ställde frågor på en rad olika områden. Det gör att vi vet mycket om de elever som svarade. Frågorna handlade om sociodemografi (bakgrundsfaktorer som till exempel ålder, kön, födelseland, ekonomi eller föräldrarnas utbildningsnivå), sport/idrottsutövande, sexualitet, erfarenhet av frivilligt sex, alkohol och droganvändning, antisocialt beteende, fysiska, psykiska och sexuella övergrepp, erfarenheter av vård för psykiatriska besvär, självskadebeteende, självskada genom sex, sälja sex, människohandel, kontakt med socialtjänsten, mobbning samt användande av internet, mobiler och pornografi.

    Enkäten innefattade även ett antal standardiserade mätinstrument som mäter hur eleverna uppfattar relationen till sina föräldrar, deras självkänsla, symtom på posttraumatisk stress och självskadebeteende. De ungdomar som svarat gick tredje året på gymnasiet 2014. Åldern varierade mellan 16 och 23 år med en medelålder på knappt 18 år. Något fler tjejer än killar deltog och en grupp på 0,9 procent tyckte inte att indelningen kille/tjej passade dem. Vad den grupp som inte tycker att könsindelningen passar dem har svarat på frågorna redovisas på några områden.

  • 10.
    Leijon, Ingemar
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Pediatrics. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Barn.
    Finnström, Orvar
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Pediatrics. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Barn.
    Sydsjö, Gunilla
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology.
    Wadsby, Marie
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Child and Adolescent Psychiatry.
    Use of healthcare resources, family function, and socioeconomic support during the first four years after preterm birth2003In: Archives of Disease in Childhood, ISSN 0003-9888, E-ISSN 1468-2044, Vol. 88, no 5Article in journal (Refereed)
    Abstract [en]

    Objectives: To assess the use of healthcare resources for preterm infants and to evaluate family function and socioeconomic support in a defined population from birth to 4 years of age. Methods: In a prospective case-control study, 39 singleton preterm infants without prenatal abnormalities born during an 18 month period were studied together with their families. The population consisted of 19 very preterm infants (less than 32 weeks) and 20 randomised moderate preterm infants (32-35 weeks), and the control group comprised 39 full term infants. Contacts with medical services, child health services, and the social welfare system were registered, and family function and life events were studied. Results: The preterm children were more often readmitted to hospital (odds ratio (OR) 6.6, 95% confidence interval (CI) 2.0 to 22.1) and had more outpatient attendances (OR 5.6, 95% CI 2.1 to 15.0) during their first year of life. Mothers in the preterm group more often used temporary parental allowance than the control mothers (p < 0.001). The number of contacts with the child health services and the social welfare system did not differ significantly from the controls. Neither was there any significant difference with regard to family function or life events at 4 years of age. Conclusions: A large proportion of the premature children used specialist care during the first years of life. However, the families of the preterm infants were socially well adapted up to four years after birth compared with the control families.

  • 11.
    Leijon, Ingemar
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, Department of Paediatrics in Linköping.
    Ingemansson, Fredrik
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Barn- och ungdomskliniken, Ryhovs sjukhus, Jönköping, Sverige.
    Nelson Follin, Nina
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, Department of Paediatrics in Linköping. Karolinska University Hospital, Sweden.
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences.
    Samuelsson, Stefan
    Linköping University, Department of Behavioural Sciences and Learning, Education, Teaching and Learning. Linköping University, Faculty of Educational Sciences.
    Reading deficits in very low birthweight children are associated withvocabulary and attention issues at the age of seven2016In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 105, no 1, p. 60-68Article in journal (Refereed)
    Abstract [en]

    AimThis Swedish study compared reading skills between seven-year-old children with a very low birthweight (VLBW) and controls with a normal birthweight, exploring associations between reading variables and cognition, parent-rated behaviour, perinatal factors and family factors. MethodsWe studied 51 VLBW children, with no major neurodevelopmental impairments and attending their first year at a regular school, and compared them with the 51 sex- and age-matched controls. The test battery, carried out at 7.80.4years of age, included reading skills, the Wechsler Intelligence Scale for Children - III and the Child Behaviour Checklist. ResultsVery low birthweight children with a mean birthweight of 1105g (+/- 291g) and a gestational age of 28.8 (+/- 2.2) weeks scored significantly lower in all reading subtests and cognition and demonstrated more behavioural problems than normal birthweight controls. We also found significant associations between poor vocabulary, combined with attention problems, and phonological awareness, rapid naming and spelling control. Perinatal factors had no association with reading function, and socio-economic factors had very few. ConclusionVery low birthweight children demonstrated deficits in all reading domains and had poorer cognition and more behavioural problems at the age of seven, with reading ability related to vocabulary and attention.

  • 12.
    Nilsson, Doris
    et al.
    Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Dahlström, Örjan
    Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences. Linköping University, The Swedish Institute for Disability Research.
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Center for Social and Affective Neuroscience. Linköping University, Faculty of Medicine and Health Sciences.
    Bergh Johannesson, Kerstin
    National centre for disaster psychiatry, department of neuroscience, Uppsala university, Uppsala, Sweden.
    Evaluation of the Swedish Trauma Symptom Inventory -2 in a clinical and a studnet population2018In: European Journal of Trauma and Dissociation, ISSN 2468-7499, Vol. 2, no 2, p. 71-82Article in journal (Refereed)
    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.

  • 13.
    Nilsson, Doris
    et al.
    Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Dahlström, Örjan
    Linköping University, Department of Behavioural Sciences and Learning, Disability Research. Linköping University, Faculty of Arts and Sciences. Linköping University, The Swedish Institute for Disability Research.
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences.
    Bergh Johannesson, Kerstin
    Uppsala Psykoterapimottagning, Smedsgränd.
    Trauma Symptom Inventory™ -2 TSI-2: Svensk Version2015Book (Other academic)
    Abstract [sv]

    TSI-2 är ett självrapporteringsformulär som mäter posttraumatisk stress och relaterade symptom och beteenden. TSI-2 syftar till att identifiera symptom som kvarstår hos individen efter en eller flera svåra livshändelser. Mer specifikt är instrumentet avsett att användas för vuxna som har upplevt traumatiska händelser i livet såsom exempelvis fysiska eller sexuella övergrepp, olyckor, katastrofhändelser, traumatiska förluster, dödsfall av närstående, medicinska trauman eller bevittnat hot och våld. TSI-2 mäter ett brett spektrum av traumatiska symptom och lämpar sig framförallt för screening men kan också användas för att utvärdera effekter av psykoterapeutiska interventioner.

    TSI-2 består av 136 påståenden som ger resultat på:

    Två validitetsskalor

    Underrapportering eller förnekande av symptom, samt en skala gällande överrapportering av traumarelaterade symptom.

    Fyra faktorer

    Självförvirring, Posttraumatisk stress, Externalisering och Somatisering.

    Tolv kliniska skalor

    Ångestfylld spändhet, Depression, Ilska, Invaderande återupplevande, Undvikande, Dissociation, Somatisk upptagenhet, Sexuella svårigheter, Självmordsbenägenhet, Osäker anknytning, Skadad självkänsla, Spänningsreducerande beteende.

    Den svenska versionen av TSI-2 är standardiserad och normerad vid Linköpings universitet och Uppsala universitet under åren 2012-2014. Normgruppen består av sammanlagt 693 individer i åldrarna 18-65 år. En klinisk grupp med 83 individer ingår också i valideringen av den svenska versionen av TSI-2. Utvecklingsarbetet och den svenska versionens psykometriska egenskaper beskrivs i manualen, som även innehåller anvisningar för administrering, poängsättning och tolkning samt köns- och åldersspecifika normtabeller.

  • 14.
    Nilsson, Doris
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry.
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry . Linköping University, Faculty of Health Sciences.
    Symboldrama, a Psychotherapeutic Method for Adolescents with Dissociative and PTSD Symptoms: A Pilot Study2010In: Journal of Trauma & Dissociation, ISSN 1529-9732, E-ISSN 1529-9740, Vol. 11, no 3, p. 308-321Article in journal (Refereed)
    Abstract [en]

    A total of 15 clinically referred adolescents who had been sexually or physically abused participated in this pilot study of the use of symboldrama psychotherapy. Symboldrama is a psychotherapeutic method that uses imagery as the major psychotherapeutic tool. All adolescents reported to be suffering from a high level of dissociative symptoms and other symptoms such as anxiety, depression, posttraumatic stress, and anger after their traumas. The objective of the study was to test the hypothesis that symboldrama psychotherapy in addition to psycho-education of the non-offending parent would significantly reduce the reported symptoms. Before treatment, the participants answered three questionnaires: (a) the Life Incidence of Traumatic Events Scale, (b) the Trauma Symptom Checklist for Children, and (c) the Dissociation Questionnaire-Swedish version. After treatment, the participants once again filled out the Trauma Symptom Checklist for Children and the Dissociation Questionnaire-Swedish version. The scores from before and after treatment were compared, and the results showed that the symptoms had been statistically significantly reduced.

  • 15.
    Nilsson, Doris
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry . Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry.
    Wadsby, Marie
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry .
    Svedin, Carl Göran
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry .
    The psychometric properties of the Trauma Symptom Checklist For Children (TSCC) in a sample of Swedish children2008In: International Journal of Child Abuse & Neglect, ISSN 0145-2134, E-ISSN 1873-7757, Vol. 32, no 6, p. 627-636Article in journal (Refereed)
    Abstract [en]

    Objective: To evaluate the psychometric properties of the Swedish version of the Trauma Symptom Checklist for Children (TSCC) and to study traumatic symptoms in a normative group of Swedish children and adolescents. Method: A normative group of 728 children and adolescents age 10-17 and a clinical group of 91 children and adolescents known to have experienced sexual abuse participated in the study. A test-retest procedure was conducted with 79 participants from the normative group. Results: Good reliability such as internal consistency (Cronbach's alpha) for the total scale .94 (ranging in the clinical scales .78-.83) and test-retest for the total scale r = .81 (ranging in the clinical scales .67-.81) were found. The confirmatory 6-factor analysis explained 50.7% of the variance. Other validity measures such as concurrent validity and criterion related validity were also shown to be satisfactory. The normative sample of Swedish children and adolescents showed lower means on the subscales than has been reported in previous studies from a number of other countries. Conclusion: The Swedish version of TSCC has been shown to be a screening instrument with satisfactory psychometric qualities that is capable to identify trauma symptoms among children and adolescents who have themselves self-reported experiencing trauma or for whom clinicians have identified traumatic experiences. © 2008 Elsevier Ltd. All rights reserved.

  • 16.
    Samuelsson, Stefan
    et al.
    Linköping University, Faculty of Arts and Sciences. Linköping University, Department of Behavioural Sciences, Teaching and Learning in School, Teacher Education and other Educational Settings.
    Finnström, Orvar
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Pediatrics. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Paediatrics in Linköping.
    Flodmark, Olof
    Dept of Neuroradiology, KS, Stockholm .
    Gäddlin, Per-Olof
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Pediatrics.
    Leijon, Ingemar
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Pediatrics. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Paediatrics in Linköping.
    Wadsby, Marie
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Child and Adolescent Psychiatry.
    A longitudinal study of reading skills among very-low-birthweight children: Is there a catch-up?2006In: Journal of Pediatric Psychology, ISSN 0146-8693, E-ISSN 1465-735X, Vol. 31, no 9, p. 967-977Article in journal (Refereed)
    Abstract [en]

    Objective: To examine the development of reading skills among very-low-birthweight (VLBW) children and to what extent reading difficulties at 9 years of age persist unchanged, are attenuated, or are enhanced at 15 years of age. Methods: Fifty-six VLBW and 52 normal birthweight (NBW) children were assessed on word decoding, word recognition, and reading comprehension at 9 and 15 years of age. Results: VLBW children showed deficits in reading skill at 9 years of age, while most differences obtained at 15 years of age did not reach significance. VLBW children improved their reading comprehension between 9 and 15 years of age more than NBW children, and when controlling for individual differences in IQ, VLBW children improved both their reading comprehension and word-recognition skill. Conclusion: The results suggest that VLBW children display positive changes over time in reading skills. © The Author 2006. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved.

  • 17.
    Svedin, Carl Göran
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Priebe, Gisela
    Institutionen för psykologi, Lunds universitet.
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences.
    Jonsson, Linda
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Fredlund, Cecilia
    Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences.
    Unga sex och Internet – i en föränderlig värld2015Report (Other academic)
    Abstract [sv]

    Avdelningen för barn och ungdomspsykiatri vid Linköpings universitet fick i uppdrag av Stiftelsen Allmänna Barnhuset att tillsammans med Statistiska Centralbyrån (SCB) genomföra en kvantitativ studie bland unga i gymnasieskolans år 3. Avtalets huvudfokus var att samla in kunskap om ungdomars sexualitet, erfarenheter av övergrepp, sexuell exponering, sexuell exponering via digitala medier i enlighet med Regeringsbeslut S2013/8825/FST. Inom ramen för uppdraget skulle samråd med Ungdomsstyrelsen och Folkhälsomyndigheten tas och undersökningen skulle ske i samarbete med Lunds Universitet.

    Samtidigt med detta gavs ett uppdrag från socialförvaltnings utvecklingsenhet i Stockholms stad, om en komplettering genom en vidgad datainsamling i Stockholms stad. Detta uppdrag skulle framför allt fokusera på barn och ungdomar i sexhandel/prostitution samt de som skadar sig själva med sex. Då de två studierna använt en identisk enkät och det i analyserna av materialet visat sig vara väldigt små skillnader mellan de två dataseten så redovisas i denna rapport det sammanlagda materialet.

    Detta är den tredje stora nationella studien på området om ungdomars sexualitet och utsatthet för sexuella övergrepp och sexuell exploatering. Den första studien Ungdomars sexualitet –attityder och erfarenheter (Svedin &Priebe, 2004) var ett uppdrag inom ramen för den statliga utredningen Sexuell exploatering av barn i Sverige (SOU, 2004:71). Den andra undersökningen Unga, sex och internet (Svedin & Priebe, 2009) genomfördes på uppdrag av Ungdomsstyrelsen i avsikt att genomföra en kvantitativ studie bland unga i gymnasieskolans år 3 samt bland Riksförbundet för homosexuella, bisexuella och transpersoners rättigheters (RFSL) medlemmar i relevant ålder. Dessa två studier, vars vetenskapliga publikationer presenteras i bilaga 1, har inom centrala områden använt samma enkät vilket möjliggör en jämförelse med den aktuella studien men också att studera trender över tid. Att just kunna jämföra olika undersökningar med varandra och över tid är tämligen unikt vilket ofta rekommenderas från olika håll. Samtidigt som centrala frågeområden som t.ex. sexuella övergrepp och sexuell exploatering behållits så har andra områden bytts ut. I denna rapport är områden som själskadebeteende, sex som självskadebeteende, människohandel för sexuella syften samt mobbing nya (enkäten bilaga 2).

  • 18.
    Svedin, Carl Göran
    et al.
    Lund .
    Wadsby, Marie
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Child and Adolescent Psychiatry.
    Sydsjö, Gunilla
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Mental health, behaviour problems and incidence of child abuse at the age of 16 years: A prospective longitudinal study of children born at psychosocial risk2005In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 14, no 7, p. 386-396Article in journal (Refereed)
    Abstract [en]

    Of the 1,575 pregnant women registered at the public Antenatal Health Care Service in the city of Linköping, Sweden during 1983, an index group of 78 women was identified that met specific well-defined psychosocial risk criteria related to drug addiction, mental insufficiency, and particular social circumstances of possible relevance to problems of pregnancy and early child development. A further 78 pregnant women who did not meet the inclusion criteria were used as a reference group. The present study is a 16-year follow-up in which 43 (57%) of the original index children and 63 (82%) of the original reference children were examined on indices of mental health, and the presence of child abuse. Their mental health was assessed with the Child Behaviour Checklist (CBCL) completed by the mothers and the Youth Self-Report (YSR) completed by the adolescents. The incidence of child abuse and Social Welfare interventions was obtained from Social Welfare records. The index children, especially the boys, displayed significantly poorer mental health as assessed by both CBCL (p<0.05) and YSR (p<0.02). Being an index child increased the odds ratio 16-27 times for different Social Welfare interventions, and child abuse had been investigated in 27% of the index children compared to 1% of the reference children. © Steinkopff Verlag 2005.

  • 19.
    Svedin, Carl-Göran
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of health and environment. Östergötlands Läns Landsting, CPS - Centrum för psykiatri och samhällsmedicin, BUP - Barn- och ungdomspsykiatri.
    Wadsby, Marie
    Linköping University, Faculty of Health Sciences. Linköping University, Department of health and environment. Östergötlands Läns Landsting, CPS - Centrum för psykiatri och samhällsmedicin, BUP - Barn- och ungdomspsykiatri.
    Day school treatment in Sweden: A 4-year follow-up study of maladjusted pupils2000In: Children and youth services review, ISSN 0190-7409, E-ISSN 1873-7765, Vol. 22, no 6, p. 465-486Article in journal (Refereed)
    Abstract [en]

    Day schools have developed as an important psychoeducational resource in the Swedish school system since the middle of the 1960's. Day schools provide a combination of special education and training in small groups, as well as supervised free time activities for pupils exhibiting very pronounced adjustment problems. In an earlier national study, 108 pupils in the first three grades were examined. The majority of the day school pupils exhibited symptoms and behavioural disturbances associated with poor prognosis. Their families exhibited a pattern usually associated with "at risk families", which affects the development of children and their adjustment to society. In the follow-up study, four years later, 104 pupils (95 boys/9 girls) and their families were re-examined with semi-structured interviews. The study also included interviews with day school staff and teachers from the ordinary school. At the time of the follow-up, 88% of the pupils had been discharged to a regular school after spending an average of two years at the day school. The symptom interview showed that mental health had improved significantly, especially with regard to social and emotional out acting behaviour. Sixty percent were now symptom-free or had only mild symptoms. On the other hand, two thirds were still slow performers and in need of special education and the children were still more disturbed compared to normal children. The most common diagnoses, according to DSM-III-R, were oppositional defiant disorders (53%) and conduct disorders (21%). All diagnostic groups did improve, but the children with conduct disorders were the most disturbed on both occasions. The majority of the parents had a positive attitude towards the day school and wanted to recommend day school placement to other parents. The ability of the day schools to intervene early and treat (secondary prevention) children with adjustment disorders was found to be an important resource.

  • 20.
    Svensson, Frida
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
    Fredlund, Cecilia
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
    Svedin, Carl Göran
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
    Priebe, Gisela
    Lunds universitet.
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
    Adolescents selling sex: Exposure to abuse, mental health, self-harm behaviour and the need for help and support - a study of a Swedish national sample2013In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 67, no 2, p. 81-88Article in journal (Refereed)
    Abstract [en]

    Selling sex is not uncommon among adolescents and we need to increase our knowledge of how this affects them. The aim of this study was to investigate adolescents who sell sex regarding sexual, mental and physical abuse, mental health as estimated by using the Hopkins Symptom Check List-25 (HSCL-25), self-harm behaviour and the adolescents' experience of receiving help and support. The study was carried out on a national representative sample of adolescents (mean age 18.3 years) in Swedish high schools in the final year of their 3-year programme. The study had 3498 participants and a response rate of 60.4%. Of the adolescents, 1.5% stated that they had sold sexual services. The selling of sex was associated with a history of sexual, mental and physical abuse. Poorer mental health and a higher degree of self-harm behaviour were reported among the adolescents who had sold sex. Help and support was sought to a greater extent by adolescents who had sold sex but these adolescents were not as satisfied with this help and support as the other adolescents. Adolescents that sell sex are a group especially exposed to sexual, mental and physical abuse. They have poorer metnal health and engage in more self-harm behaviour than other adolescents. They are in need of more help and support than other adolescents ant it is reasonable to assert that more resources, research and attention should be directed to this group to provide better help and support in the future.

  • 21.
    Sydsjö, Gunilla
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Ekholm, Katarina
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology.
    Wadsby, Marie
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Child and Adolescent Psychiatry.
    Kjellberg, Svante
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Sydsjö, Adam
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Relationships in couples after failed IVF treatment: A prospective follow-up study2005In: Human Reproduction, ISSN 0268-1161, E-ISSN 1460-2350, Vol. 20, no 7, p. 1952-1957Article in journal (Refereed)
    Abstract [en]

    Background: There are few studies of couples that analyse satisfaction with treatment, adoption plans and relationships in couples after unsuccessful IVF. Methods: ENRICH marital inventory was used to describe marital dynamics and to gain information about treatment and adoption plans. A specially designed questionnaire was used. Of the 51 couples without previous children who were asked to participate after their first failed IVF cycle, 45 participated. The next stage of the study was carried out when the couples had reached the 6 months point after the first IVF cycle, and the last stage after the couples had been through one to three treatments, 1 1/2 years after the last treatment. Results: The couples displayed a stable relationship from the start as well as 1 year after the last IVF cycle. The vast majority of the couples had decided to go through with an adoption. Seventy-three percent of the women were interested in more IVF treatment compared to 33% of the men. Conclusion: The stresses associated with IVF treatment did not have a negative impact on the couples' appreciation of their relationships during and after the treatment period. After treatment had been completed, the couples seemed to have reoriented themselves toward other solutions to childlessness.

  • 22.
    Sydsjö, Gunilla
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Surgery in Östergötland.
    Wadsby, Marie
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Child and Adolescent Psychiatry.
    Period prevalence and types of psychosocial risk factors in pregnant women in an urban Swedish community2003In: International Journal of Social Welfare, ISSN 1369-6866, E-ISSN 1468-2397, Vol. 12, no 4, p. 302-306Article in journal (Refereed)
    Abstract [en]

    During a three-year period a total population of pregnant women attending antenatal clinics in Link÷ping, Sweden was screened for being at psychosocial risk. The prevalence of different psychosocial risk factors was compared with the corresponding prevalence in women referred to and accepting or declining to take part in a specialised training programme at a parent-baby clinic. In general, the present study showed that there was a constant proportion of about 4-5% of pregnant women with psychosocial risk factors. Psychiatric problems and social problems of relevance for pregnancies/parenthood were about equally frequent (i.e. 44 and 45%), while drug-addiction problems were at 11%. Only one in three women with risk factors were eventually referred to the parent-baby clinic, and every second woman referred finally took part in the programme. With the knowledge that an early intervention in families with psychosocial risk factors may alleviate some adverse or disadvantageous developments in children, it is a challenge to identify and to motivate these women to enrol in various support and training programmes. There are still too few pregnant women at risk who are ready to accept the further support that they may need, and the rationale for their reluctance must be better known.

  • 23.
    Sydsjö, Gunilla
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Surgery in Östergötland.
    Wadsby, Marie
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Child and Adolescent Psychiatry.
    Kjellberg, Svante
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Surgery in Östergötland.
    Sydsjö, Adam
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Surgery in Östergötland.
    Relationships and parenthood in couples after assisted reproduction and in spontaneous primiparous couples: A prospective long-term follow-up study2002In: Human Reproduction, ISSN 0268-1161, E-ISSN 1460-2350, Vol. 17, no 12, p. 3242-3250Article in journal (Refereed)
    Abstract [en]

    Background: The aim of this study was to analyse relationships and parenthood in primiparous IVF couples and spontaneous primiparous couples. Method: In total, 110 consecutive IVF couples were studied. The control group was matched for women's age and selected out of the total spontaneous pregnant population in the study area. Questionnaires and semi-structured telephone interviews were used to gain information about sociodemographic data, couples' relationships, and the children's health, temperament and behaviour. Obstetrical variables concerning the course and outcome of pregnancy and delivery as well as the health status of the new-borns were obtained from standardized antenatal care and delivery files. Results: There weere no differences concerning gestational age, mode of delivery or neonatal health between the two groups. The IVF couples were more stable over time - from pregnancy until the child was 1 year old - in their relationship, while the control group experienced a decrease in marital satisfaction. The children in the IVF group were assessed by their parents as being more regular/habitual, sensitive and manageable than the control children. Conclusion: The differences present between the groups were in favour of the IVF families, and the effects of the infertility crisis were not notable when the children were 1 year old.

  • 24.
    Sydsjö, Gunilla
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Wadsby, Marie
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Child and Adolescent Psychiatry.
    Svedin, Carl Göran
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Child and Adolescent Psychiatry.
    Life development for 20 pairs of children with and without psychosocial problems - A 16-year-long study with follow-up2007In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 61, no 1, p. 19-26Article in journal (Refereed)
    Abstract [en]

    The objective of the study was to describe 20 matched pairs of children born to psychosocial risk mothers who have been followed from early pregnancy through their first 16 years of life. Interviews and standardized behavior measurements with a focus on the children's development were used. When considering the overall data from the different measurements done over the 16-year study period, the study group has significantly more negative results. Nine of the families in the study group had been investigated for abuse, neglect and inadequate parenting during the 16 years. In the rest of the 11 families from the study group, two siblings had been placed in foster care because of maltreatment. The study group mothers' characteristics from the start had a significantly negative impact on the children's behavior and mental health throughout their lives and when they reached 16 years.

  • 25.
    Sydsjö, Gunilla
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Surgery in Östergötland.
    Wadsby, Marie
    Linköping University, Faculty of Health Sciences. Linköping University, Department of health and environment.
    Svedin, CG
    Linköping University, Faculty of Health Sciences. Linköping University, Department of health and environment. Östergötlands Läns Landsting, CPS - Centrum för psykiatri och samhällsmedicin, BUP - Barn- och ungdomspsykiatri.
    Psychosocial risk mothers: Early mother-child interaction and behavioural disturbances in children at 8 years of age2001In: Journal of Reproductive and Infant Psychology, ISSN 0264-6838, E-ISSN 1469-672X, Vol. 19, no 2, p. 135-146Article in journal (Refereed)
    Abstract [en]

    Mother-child interaction in a group of women with psychosocial risks, identified during pregnancy, was assessed at birth, when the infants were 6 months old, and again when they were 18 months old. Presence of behavioural disturbances in the children was assessed when they were 8 years of age. The at-risk index group was comprised of 45 mothers and their children, with the risk criteria consisting of alcohol/drug abuse, psychiatric problems, and disadvantageous social circumstances. Another 57 mother-child pairs lacking in risk criteria comprised a reference group. Most aspects of mother-child interaction were shown to be significantly poorer in the index group than in the reference group at the three points of assessment during infancy. At 8 years of age, the index children, especially the boys, were found to display significantly more behavioural disturbances than the reference children. A significant correlation was also found in the index group, but not in the reference group, between the quality of mother-infant interaction at birth and the extent of behavioural disturbance in children at 8 years of age. Overall, the results suggest that identification can be made, even during pregnancy, of children who are at risk of poor interaction with mothers during infancy and at risk of behavioural problems later in development.

  • 26.
    Sydsjö, Gunilla
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry . Linköping University, Faculty of Health Sciences.
    Sydsjö, Adam
    Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Ekholm Selling, Katarina
    Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology . Linköping University, Faculty of Health Sciences.
    Relationship and parenthood in IVF couples with twin and singleton pregnancies compared with pontaneous singleton primiparous couples—a prospective 5-year follow-up study2008In: Fertility and Sterility, ISSN 0015-0282, E-ISSN 1556-5653, Vol. 89, no 3, p. 578-585Article in journal (Refereed)
    Abstract [en]

    Objective: To analyze relationship and parenthood in IVF twin couples, IVF singleton couples, and spontaneously pregnant primiparous couples.

    Setting: Southeast region of Sweden.

    Design: Prospective case-control study.

    Patient(s): In total, 24 women and men who became pregnant with twins, consecutively, and expected their first child in 1997–98 were studied. A control IVF group of 94 singleton primiparous IVF couples were used. A group of spontaneous primiparous pregnant women were selected out of the total pregnant population as a control group.

    Main Outcome Measure(s): Relationship and parenthood measured by questionnaires and interviews.

    Result(s): The IVF singleton couples were most stable in their relationship during the whole study period, and the IVF twin parents also seemed more stable and satisfied compared with the control group of spontaneous conception couples. In the control group, 88% had a second child during the study period. In the singleton IVF group the corresponding number was 9%, and none of the twin parents had another child during the study period.

    Conclusion(s): We conclude that the stresses associated with IVF treatment and becoming first-time parents of twins did not have a negative impact on the couples' appreciation of their relationship and parenthood as stated by both men and women.

  • 27.
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
    Can early intervention have an impact on future life? A study of life events, social interaction, and child behavior among mothers at psychosocial risk and their children eight years after interaction treatment2012In: Journal of Family Social Work, ISSN 1052-2158, E-ISSN 1540-4072, Vol. 15, no 1, p. 78-95Article in journal (Refereed)
    Abstract [en]

    Forty-six mothers at psychosocial risk who had undergone interaction treatment when their children were babies were studied with respect to experienced negative life events, social network, and behavior problems in children. One reference group comprising 45 nontreated mothers at psychosocial risk and one comprising 56 mothers without psychosocial problems was used. Children in the study group had experienced more life events than the children of nonrisk mothers but fewer than the children of untreated psychosocial risk mothers. They had a poorer social network than nonrisk mothers, and the children had fewer acting-out behavior than the children of nontreated risk mothers.

  • 28.
    Wadsby, Marie
    Linköping University, Department of Molecular and Clinical Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
    Children of divorce and their parents1993Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Behavioural disturbances and symptoms of poor mental health in Swedish children were examined in conjunction with parental divorce and 2 years later, and in a group of immigrant and refugee children of divorced parents, on the basis of a semi-structured interview-instrument. The association between children's mental well-being and a number of background variables was analyzed. Children's self-image, charted by astandardized instrument, school achievement as assessed by final grades from compulsory school, and reactions to and experiences of divorce were studied. The reasons for the divorce, and differences in men's and women's experiences of changes a consequence of divorce were also studied. The study was based on a one-year-sample of divorcing couples and their young children, and 27 divorced irnmigranl/refugee families.

    The presence of behavioural disturbances and symptoms of poor mental health was similar in children of divorce and in children of intact homes, although Swedish boys <5 years of age at the time of the divorce emerged a vulnerable group two years following the event Compared to Swedish children of divorce, immigrant children and especially refugee children of divorce displayed poorer mental health. Children 7-12 years of age reacted strongest to the divorce compared to younger and older children. Parental psychiatric vulnerability alcohol abuse, and a heart-rending divorce were factors associated with children's mental well-being. Especially a heart-rending divorce was noted to be a crucial variable in predicting the mental well-being of young boys at the time of divorce.

    The self-image of children of divorce was similar to that of children of intact homes as assessed by standardized norms. Academic achievement was similar in' children of divorce and in children of intact homes.

    Children devoted more thoughts to the divorce than their parents had realized, and boys and young children accepted the divorce less than the parents believed. The results indicated a lack of information and communication about the divorce between children and parents.

    The divorce experience differed between men and women in several areas, especially with regard to the financial situation, relations with friends, work, physical health, mental well-being, and self-confidence, mostly favouring the women.

    The main conclusion of the study was that the mental health of children of divorce is similar to children of intact homes at the time of divorce and two years later.

  • 29.
    Wadsby, Marie
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
    Arvidsson, Elisabeth
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
    Eight years after - a follow-up study of mothers and children at psychosocial risk who received early treatment: does early intervention leave its mark?2010In: CHILD and FAMILY SOCIAL WORK, ISSN 1356-7500, Vol. 15, no 4, p. 452-460Article in journal (Refereed)
    Abstract [en]

    One-hundred forty-five mothers at psychosocial risk who, with their babies, had been given treatment at a parent-baby clinic during a 2-year period starting in 1999, treatment designed to strengthen the mother-child relationship, were followed up 8 years later. Both the mothers who had agreed to take part in the treatment programme (n = 73) and those who had declined (n = 72) were searched for in the records of the Social Welfare office to determine if the treated mothers had been focused on to a lesser degree in the following 8 years than those who had declined treatment, a hypothesis that was initially put forward. The behaviour of the children whose mothers had undergone treatment (n = 46) was studied. The initial hypothesis had to be rejected; support and intervention from the social authorities had been equally common in both groups. However, the children of treated mothers had fewer externalizing behaviour than children of untreated mothers at psychosocial risk.

  • 30.
    Wadsby, Marie
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Child and Adolescent Psychiatry.
    Blom, Lena
    BUP kliniken NSC.
    Short-term intervention programme for psychosocial risk-mothers and their babies: Reaching the target group, evaluation of intervention, and consumers' satisfaction.2005Chapter in book (Other academic)
  • 31.
    Wadsby, Marie
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences.
    Nelson, Nina
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Paediatrics in Linköping.
    Ingemansson, Fredrik
    Ryhov County Hospital, Sweden.
    Samuelsson, Stefan
    Linköping University, Department of Behavioural Sciences and Learning, Education, Teaching and Learning. Linköping University, Faculty of Educational Sciences.
    Leijon, Ingemar
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Paediatrics in Linköping.
    Behaviour problems and cortisol levels in very-low-birth-weight children2014In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 68, no 8, p. 626-632Article in journal (Refereed)
    Abstract [en]

    Background. There are still diverging results concerning the behaviour of children with very-low-birth-weight (VLBW) and they have been questioned to display different levels of stress hormone than normal-birth-weight (NBW) children. Aims. This study examined behaviour and the stress hormone cortisol in children with VLBW at the ages of 7 and 9 years compared with children with NBW. Results. Fifty-one VLBW and 50 NBW children were studied with the Child Behavior Checklist. Cortisol rhythm was measured through saliva samples three times a day for 2 days. VLBW children displayed more behavioural problems than NBW children, specifically social and attention problems, although still within normal ranges. They showed lower cortisol levels both at 7 and 9 years of age. No strong association between behaviour and cortisol levels was shown. Conclusion. VLBW children display more behaviour problems compared with NBW children but both groups score are within the normal range. Down-regulation of their hypothalamic-pituitary-adrenal (HPA) function in terms of lower cortisol levels is also noted.

  • 32.
    Wadsby, Marie
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences.
    Priebe, Gisela
    Department of Psychology, Linnaeus University, Växjö, Sweden.
    Svedin, Carl Göran
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Adolescents With Alternating Residence After Parental Divorce: A Comparison With Adolescents Living With Both Parents or With a Single Parent2014In: Journal of Child Custody, ISSN 1537-9418, Vol. 11, no 3, p. 202-215Article in journal (Refereed)
    Abstract [en]

    The study compared adolescents who alternate residences between their divorced parents with adolescents who live with both parents or with one divorced parent. Care was scored equally for adolescents with alternating residences and for those living with both biological parents but lower for adolescents living with a single parent. Overprotection showed the converse. Presence of psychiatric symptoms was equal for adolescents who alternate residences and for those living with both parents, but it was higher for those living with a single parent. Sense of coherence was noted to be higher among teens with alternating residences and teens living with both parents, but it was lower among those living with a single parent.

  • 33.
    Wadsby, Marie
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences.
    Svedin, Carl Göran
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Medicine and Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Department of Child and Adolescent Psychiatry in Linköping.
    Skilsmässa: bakgrund, orsaker och följder1993In: Modernt familjeliv och familjeseparationer: en antologi från ett symposium i Sigtuna i maj 1992 anordnat av Socialvetenskapliga forskningrådets beredningsgrupp för forskning om barn och familj / [ed] Anders Agell, Birgit Arve-Parès, Ulla Björnberg, Stockholm: Socialvetenskapliga forskningsrådet , 1993, p. 177-186Chapter in book (Other academic)
  • 34.
    Wadsby, Marie
    et al.
    Linköping University, Department of Molecular and Clinical Medicine, Child and Adolescent Psychiatry. Linköping University, The Institute of Technology.
    Svedin, Carl Göran
    Department of Child & Youth Psychiatry, University Hospital, Lund, Sweden.
    Sydsjö, Gunilla
    Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
    Children of mothers at psychosocial risk growing up: a follow up at the age of 162007In: Journal of Adolescence, ISSN 0140-1971, E-ISSN 1095-9254, Vol. 30, no 1, p. 147-164Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to make a 16-year follow-up of children of psychosocial risk mothers as concerns emotional/behavioural problems, self-esteem, life events, and academic grades. Forty-three teenagers (index group) and 61 reference teenagers were personally interviewed and asked to answer the Youth Self-report (YSR), the Self-image questionnaire I Think I Am, and a Life Event questionnaire. Their final grades from the 9-year compulsory school were studied. The results showed that boys, especially the sons from families with alcohol/drug problems, displayed poorer mental health, a more negative self-image, had experienced more negative life events, and had to a greater extent not successfully completed the 9-year compulsory school. More teenagers in the index group had been placed in foster care, had a less positive outlook about their future, were more often smokers, and more of them (girls) had seriously considered committing suicide than the teenagers in the reference group.

    It was concluded that boys of psychosocial risk mothers are less well off than teenagers of non-risk mothers at the age of 16 as concerns psychosocial well being. It is of great importance to devote attention to these children at an early stage of life in order to be able to provide them with the support that may prevent development of future problems.

  • 35.
    Wadsby, Marie
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry .
    Sydsjö, Gunilla
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Clinical and Experimental Medicine, Obstetrics and gynecology . Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    From pregnancy to parenthood: A study of couples' relationship.2001In: Nordisk Psykologi: teori, forskning, praksis, ISSN 0029-1463, Vol. 53, no 4, p. 275-288Article in journal (Refereed)
    Abstract [en]

    The relationship between 60 first time parents-to-be were studied during pregnancy and when the child was 1 year old in order to find out if, and then in what way the relationship changes during transition to parenthood. Although the relationship was rated as highly harmonious by both women and men during the pregnancy, a significant decline in marital satisfaction was noted when the child was 1 year old. The men experienced an impairment what concerned financial matters, leisure activities, and relations to family and friends. Both women and men experienced an impairment what concerned closeness and sexuality, and a change in opinion about children and parenthood. The women scored, in opposite to the men, higher on conception of life at both study occasions, although they scored lower at the follow-up, The lowest agreement among the couples concerned leisure activities, and it was in this area together with opinion about children and parenthood and conception of life that the agreement had decreased most at the second study occasion.The family climate had changed in direction towards an increased experience of distance according to both women and men, and the men also experienced a decrease in closeness, If the decision to have a baby not had been a joint decision, or if one of the spouses ealier had thought of a separation, there was a lower marital satisfaction at both study occasions.

  • 36.
    Wadsby, Marie
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of health and environment.
    Sydsjö, Gunilla
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Surgery in Östergötland.
    Från graviditet till föräldraskap: En studie av parrelationen.2001In: Nordisk Psykologi: teori, forskning, praksis, ISSN 0029-1463, Vol. 53, p. 275-288Article in journal (Refereed)
  • 37.
    Wadsby, Marie
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of health and environment.
    Sydsjö, Gunilla
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Surgery in Östergötland.
    Svedin, CG
    Linköping University, Faculty of Health Sciences. Linköping University, Department of health and environment. Östergötlands Läns Landsting, CPS - Centrum för psykiatri och samhällsmedicin, BUP - Barn- och ungdomspsykiatri.
    Evaluation of an intervention programme to support mothers and babies at psychosocial risk: Assessment of mother/child interaction and mother's perceptions of benefit2001In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 9, no 3, p. 125-133Article in journal (Refereed)
    Abstract [en]

    The outcome of a short-term intervention programme for mothers at psychosocial risk was evaluated. The study included 63 mothers and their 0-6-month-old babies who participated in a 6-week intensive treatment programme. Mother-child interaction was assessed in the beginning and at the end of treatment by two independent staff members based on direct observation, and by two control raters who observed video recordings which were arranged in blind order. The mothers were interviewed about the treatment retrospectively. A positive change in several aspects of mother-child interaction, according to the assessments made by the raters and according to the mothers themselves. The number of mothers who were positive toward the treatment rose from 34 in the beginning of the treatment to 56 at the end. In conclusion, a short but intensive intervention seems to have a positive outcome on mother-child interaction, and was in most cases linked to a positive attitude.

  • 38.
    Ängarne-Lindberg, Teresia
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry . Linköping University, Faculty of Health Sciences.
    Wadsby , Marie
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry . Linköping University, Faculty of Health Sciences.
    Fifteen years after parental divorce: mental health and experienced life-events2009In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 63, no 1, p. 32-43Article in journal (Refereed)
    Abstract [en]

    The children who experienced their parents divorce when the divorce rate in Sweden had begun to grow to higher levels than in preceding decades are today adults. The aim of this study was to investigate if adults who had experienced parental divorce 15 years before the time of our study, differed in mental health from those with continuously married parents, taking into account life events other than the divorce. Instruments used were the Symptom Checklist (SCL-90) measuring mental health and the Life Event questionnaire capturing the number and experience of occurred events. Forty-eight persons, who were 7-18 years old when their parents divorced, constituted the divorce group, and 48 persons matched on age, sex and growth environment formed the study groups. The SCL-90 showed a limited difference between the groups, but not concerning total mental health. A main finding was a difference with regard to sex and age; women aged 22-27 in the divorce group displayed poorer mental health than other participants in both groups. The results from the Life Event questionnaire showed that the divorce group had experienced a significantly larger number of events, and more life events were described as negative with difficult adjustment. A regression analysis showed a significant relation between the SCL-90, Global Severity Index and life events experienced as negative with difficult adjustment, divorce events excluded, but not with the divorce itself. It seems highly desirable to pay more attention than has thus far been paid to girls with experience of childhood divorce at age 7-12.

  • 39.
    Ängarne-Lindberg, Teresia
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
    Psychiatric and somatic health in relation to expereince of parental divorce in childhood2012In: International Journal of Social Psychiatry, ISSN 0020-7640, E-ISSN 1741-2854, Vol. 58, no 1, p. 16-25Article in journal (Refereed)
    Abstract [en]

    Background: The outcome of studies about experience of parental divorce and effects on mental and physical health differs in result possibly caused by the use of different questionnaires and instruments, varying length of time since the divorce and divergent drop-off of participants.

    Aims: To study the presence of psychiatric records and number of diagnosed somatic and mental health care visits in a group of young adults with childhood experience of parental divorce in comparison to a group without this experience.

    Methods: The presence of a record at the public psychiatric clinics and ten years of administrative health care data (somatic and mental) was checked for both groups.

    Results: Significantly more persons from the divorce group occurred in child and adolescent psychiatric care, most pronounced women. However, no significant difference between the groups in number of persons seeking adult psychiatry, or in number of psychiatric consultations was present. Experience of parental divorce was not either found to be an indicator of larger somatic health problems.

    Conclusion: Experience of parental divorce in childhood is not an indicator of adult psychiatric or somatic need of care.

  • 40.
    Ängarne-Lindberg, Teresia
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry .
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry .
    Sense of coherence in young adults with and without childhood experience of parental divorceManuscript (preprint) (Other academic)
    Abstract [en]

    Aim: A number of studies show variability in children’s response to parental divorce. The intent of the present study was to look at personal resources as one possible factor explaining differences in mental health among young adults with childhood experience of parental divorce. This factor is examined by also taking into account the effect of traumatic experiences other than the possibly traumatic parental divorce. Method:  A group of persons with childhood experience of parental divorce (divorce group) was compared to a group without this experience, a non-divorce group consisting of persons of the same gender and age and living in the same locations as those in the divorce group. Personal resources were defined in this study as “Sense of Coherence” (SOC) measured with SOC-29, and mental health was assessed by the SCL-90 index General Severity Index (GSI). Traumatic life events were accounted for by using Life Incidence of Traumatic Events (LITE). Results: The results showed a significant connection between a strong SOC-29 and good mental health SCL-90/GSI, but no significant connection between SOC-29 and LITE, and the same pattern was seen in both the divorce and the non-divorce group. Conclusion: Personal resources measured as strong sense of coherence seem to be important in retaining a good mental health and the capacity to deal with life incidences such as parental divorce.

    .                                                                                                                           

  • 41.
    Ängarne-Lindberg, Teresia
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
    Sense of Coherence in Young Adults With and Without Experience of Parental Divorce in Childhood2011In: Journal of Divorce and Remarriage, ISSN 1050-2556, E-ISSN 1540-4811, Vol. 52, no 5, p. 309-321Article in journal (Refereed)
    Abstract [en]

    The intent of this study was to look at personal resources, defined in this study as sense of coherence (SOC), as one possible factor explaining equalities and differences in mental health between individuals with and without experience of parental divorce, when traumatic experiences, other than a possibly traumatic parental divorce, were also considered. The results showed a significant connection between a strong SOC-29 and good mental health (Symptom Checklist-90/Global Severity Index), but no significant connection between SOC-29 and Life Incidence of Traumatic Events. Personal resources measured as strong sense of coherence seem to be important in retaining good mental health and for the capacity to deal with life incidences.

  • 42.
    Ängarne-Lindberg, Teresia
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
    Wadsby, Marie
    Linköping University, Department of Clinical and Experimental Medicine, Child and Adolescent Psychiatry. Linköping University, Faculty of Health Sciences.
    Berterö, Carina
    Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Health Sciences.
    Young adults with childhood experience of parental divorce: Disappointment and contentment2009In: Journal of Divorce and Remarriage, ISSN 1050-2556, E-ISSN 1540-4811, Vol. 50, no 3, p. 172-184Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to use in-depth interviews to identify and describe experiences of parental divorce among adult children whose parents divorced 15 years earlier. Ten out of 76 interviews were recorded and transcribed verbatim, and data were analyzed using qualitative content analysis. Two categories of experiences were identified: disappointment and contentment. Two subcategories of disappointment were distinguished: disappointment toward mother, father, or both, and disappointment with relatives and other surrounding persons. Four subcategories of contentment were distinguished: contentment in the belief that the members of the original family received a good or even better life after the divorce, contentment with how the divorce was handled by the parents, contentment and inner strength as a part of the child's own personality, and contentment with receiving adequate help during and after the parental divorce.

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