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Armelius, Bengt-Åke
Alternative names
Publications (10 of 44) Show all publications
Padyab, M., Armelius, B.-Å., Armelius, K., Nyström, S., Blom, B., Gröonlund, A.-S. & Lundgren, L. (2018). Is Clinical Assessment of Addiction Severity of Individuals with Substance UseDisorder, Using the Addiction Severity Index, A Predictor of Future InpatientMental Health Hospitalization? A Nine-Year Registry Study. Journal of dual diagnosis, 14(3), 187-191
Open this publication in new window or tab >>Is Clinical Assessment of Addiction Severity of Individuals with Substance UseDisorder, Using the Addiction Severity Index, A Predictor of Future InpatientMental Health Hospitalization? A Nine-Year Registry Study
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2018 (English)In: Journal of dual diagnosis, ISSN 1550-4263, Vol. 14, no 3, p. 187-191Article in journal (Refereed) Published
Abstract [en]

Objective: In Sweden, the Addiction Severity Index (ASI) is the Swedish National Board of Health and Welfare's recommended substance use disorder assessment tool and used routinely for patient intakes. Our study of 213 individuals assessed for substance use disorder with the ASI used nine years of the National Patient Register and examined whether clinical social workers' assessments of addiction severity at baseline were associated with later hospitalizations for mental health disorder (MHD). 

Methods: ASI composite scores and interviewer severity rating were used to measure clients' problems in seven areas (mental health, family and social relationships, employment, alcohol, drug use, health, and legal) at baseline. A stepwise regression method was used to assess the relative importance of ASI composite scores, MHD hospitalization two years prior to baseline, age, and gender for MHD hospitalization seven years post-baseline. 

Results: Almost two-thirds of the individuals (63%) were hospitalized at least once for MHD in the seven years post-baseline. At the multivariable level, MHD hospitalization prior to baseline was the strongest predictor of future MHD hospitalization, followed by ASI composite scores for drug use, employment, mental health and, last, male gender. Conclusions: A key finding is that higher ASI composite scores for drug use and mental health are predictors of future need for MHD treatment. Future studies will replicate this effort with a national population of individuals with substance use disorder.

Place, publisher, year, edition, pages
Taylor & Francis, 2018
Keywords
Addiction Severity Index; substance use disorder; register-based study; mental health hospitalization; Sweden
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-159482 (URN)10.1080/15504263.2018.1466086 (DOI)000469842200006 ()29683791 (PubMedID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2013-1749Forte, Swedish Research Council for Health, Working Life and Welfare, 2016–07213
Available from: 2019-05-28 Created: 2019-05-28 Last updated: 2019-06-20Bibliographically approved
Armelius, B.-Å. & Armelius, K. (2016). UBÅT: En ny metod för uppföljning och beskrivning av åtgärder i missbruksvård. Socionomen (4), 14-18
Open this publication in new window or tab >>UBÅT: En ny metod för uppföljning och beskrivning av åtgärder i missbruksvård
2016 (Swedish)In: Socionomen, ISSN 0283-1929, no 4, p. 14-18Article in journal (Other (popular science, discussion, etc.)) Published
Place, publisher, year, edition, pages
Stockholm: , 2016
National Category
Applied Psychology
Identifiers
urn:nbn:se:umu:diva-124239 (URN)
Available from: 2016-07-28 Created: 2016-07-28 Last updated: 2018-06-07Bibliographically approved
Armelius, K., Armelius, B.-Å., Engström, C., Brännström, J. & Nyström, S. (2014). Brukarna är nöjda med missbruksvården - även om problemen inte förbättrats. Socionomen (7), 38-53
Open this publication in new window or tab >>Brukarna är nöjda med missbruksvården - även om problemen inte förbättrats
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2014 (Swedish)In: Socionomen, ISSN 0283-1929, no 7, p. 38-53Article in journal (Other academic) Published
Place, publisher, year, edition, pages
Stockholm: , 2014
National Category
Applied Psychology
Identifiers
urn:nbn:se:umu:diva-99028 (URN)
Available from: 2015-02-02 Created: 2015-02-02 Last updated: 2018-06-07Bibliographically approved
Lundgren, L., Wilkey, C., Chassler, D., Sandlund, M., Armelius, B.-Å., Armelius, K. & Brännström, J. (2014). Integrating addiction and mental health treatment within a national addiction treatment system: Using multiple statistical methods to analyze client and interviewer assessment of co-occurring mental health problems. Nordic Studies on Alcohol and Drugs, 31(1), 59-79
Open this publication in new window or tab >>Integrating addiction and mental health treatment within a national addiction treatment system: Using multiple statistical methods to analyze client and interviewer assessment of co-occurring mental health problems
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2014 (English)In: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, E-ISSN 1458-6126, Vol. 31, no 1, p. 59-79Article in journal (Refereed) Published
Abstract [en]

AIMS - For a Swedish national sample of 12,833 individuals assessed for a substance use disorder (SUD) (2002-2008) in the Swedish welfare system, client self-report and clinical staff Addiction Severity Index (ASI) assessment data were used to assess mental health problem severity and needs. METHODS - Analysis of client self-report data using regression methods identified demographic characteristics associated with reporting significant mental health problems. Clinical staff assessment data from the ASI Interviewer Severity Rating (ISR) score were used to develop a K-means cluster analysis with three client cluster profiles: Narcotics (n=4795); Alcohol (n=4380); and Alcohol and Psychiatric Problems (n=3658). Chi-square and one-way ANOVA analyses identified self-reported mental health problems for these clusters. RESULTS - 44% of clients had a history of using outpatient mental health treatment, 45% reported current mental health symptoms, and 19% reported significant mental health problems. Women were 1.6 times more likely to report significant mental health problems than men. Staff assessed that 74.8% of clients had current mental health problems and that 13.9% had significant mental health problems. Client and staff results were congruent in identifying that clients in the Alcohol profile were less likely (5%) to report having significant mental health problems compared to the other two profiles (30% each). CONCLUSIONS - About 19% of clients with SUDs reported significant mental health problems, need integrated addiction and mental health treatment, and these clients are clustered in two population groups. An additional 25% of the addiction treatment population report current mental health symptoms and have at some point used mental health treatment. This national level assessment of the extent and severity of co-occurring disorders can inform decisions made regarding policy shifts towards an integrated system and the needs of clients with co-occurring disorders.

Keywords
substance abuse and mental health, integration, substance abuse and mental health treatment, substance abuse and mental health systems, Sweden, addiction prevalence
National Category
Substance Abuse
Identifiers
urn:nbn:se:umu:diva-88341 (URN)10.2478/nsad-2014-0005 (DOI)000332788800005 ()
Available from: 2014-06-10 Created: 2014-04-30 Last updated: 2018-06-07Bibliographically approved
Lundgren, L., Brännström, J., Armelius, B.-Å., Chassler, D., Morén, S. & Trocchio, S. (2012). Association between immigrant status and history of compulsory treatment in a national sample of individuals assessed for drug use disorders through the swedish public welfare system. Substance Use & Misuse, 47(1), 67-77
Open this publication in new window or tab >>Association between immigrant status and history of compulsory treatment in a national sample of individuals assessed for drug use disorders through the swedish public welfare system
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2012 (English)In: Substance Use & Misuse, ISSN 1082-6084, E-ISSN 1532-2491, Vol. 47, no 1, p. 67-77Article in journal (Refereed) Published
Abstract [en]

In-person interview data from 13,903 individuals assessed for a drug use disorder in the Swedish welfare system from 2002-2008, were analyzed using logistic regression methods. Second generation immigrants with non-Scandinavian parents were 41% more likely to report a history of compulsory treatment compared to those born in Sweden to Swedish parents after controlling for age, gender, education, mental health treatment homeless status history, and criminal justice history. Implications include the need to study acculturation, stigma, and discrimination-related factors as well as to promote culturally competent outreach to immigrant populations.

Keywords
immigration, addiction, drug use disorders, health disparities, compulsory treatment, Sweden
National Category
Substance Abuse Psychiatry Psychology
Identifiers
urn:nbn:se:umu:diva-52021 (URN)10.3109/10826084.2011.628736 (DOI)000298856100007 ()
Available from: 2012-02-29 Created: 2012-02-08 Last updated: 2018-06-08Bibliographically approved
Dennhag, I. & Armelius, B.-Å. (2012). Baseline training in cognitive and psychodynamic psychotherapy during a psychologist training program: Exploring client outcomes in therapies of one or two semesters. Psychotherapy Research, 22(5), 515-526
Open this publication in new window or tab >>Baseline training in cognitive and psychodynamic psychotherapy during a psychologist training program: Exploring client outcomes in therapies of one or two semesters
2012 (English)In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 22, no 5, p. 515-526Article in journal (Refereed) Published
Abstract [en]

This effectiveness study explored the outcomes of 187 clients seen by 187 students undergoing baseline training in psychotherapy. Clients reduced their symptoms (SCL-90) and increased their positive self-image (SASB introject) during the therapy. Multiple regression analyses showed no differences between the cognitive and the psychodynamic training approaches and no differences between one and two semesters duration of the therapies. However, 2 - 3% of variance in end states was accounted for by the interaction between the variables, indicating a moderating effect of duration in the two approaches. Outcomes for clients in the cognitive training approach were significantly better with two semesters than with one semester, while there was no such difference in the psychodynamic approach. Consequences for baseline training are discussed.

Place, publisher, year, edition, pages
Routledge, 2012
Keywords
psychotherapy training, novice, trainee, hierarchical multiple regression
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:umu:diva-59183 (URN)10.1080/10503307.2012.677332 (DOI)000308990400003 ()
Available from: 2012-09-11 Created: 2012-09-11 Last updated: 2018-06-08Bibliographically approved
Lundgren, L. M., Armelius, B.-Å., Armelius, K., Brännström, J., Chassler, D. & Sullivan, L. (2012). Beskriving av tre klientprofiler inom svensk missbruksvård. Socialvetenskaplig tidskrift, 19(3/4), 200-216
Open this publication in new window or tab >>Beskriving av tre klientprofiler inom svensk missbruksvård
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2012 (Swedish)In: Socialvetenskaplig tidskrift, ISSN 1104-1420, Vol. 19, no 3/4, p. 200-216Article in journal (Refereed) Published
Abstract [sv]

En klusteranalys av intervjuarskattningar från ASI-intervjuns sju olika livsområden för 12833 klienter visade att klienterna kan delas in i tre olika klientprofiler: Narkotikaprofil, Avgränsade alkoholproblem och Alkohol och psykiska problem. I artikeln jämförs de tre profilerna med avseende på missbruksmönster, demografiska faktorer, sociala och psykiska problem, hälsa och immigrationsstatus.

Place, publisher, year, edition, pages
Umeå: Förbundet för forskning i socialt arbete (FORSA), 2012
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-86522 (URN)
Available from: 2014-02-28 Created: 2014-02-28 Last updated: 2018-06-08Bibliographically approved
Armelius, B.-Å. & Armelius, K. (2011). En naturalistisk studie av 14000 svenska missbruksklienter baserad på Addiction Severity Index, ASI (kap 6ed.). In: Missbruket, kunskapen, vården: Missbruksutredningens forskningsbilaga (pp. 97-168). Stockholm: Fritzes
Open this publication in new window or tab >>En naturalistisk studie av 14000 svenska missbruksklienter baserad på Addiction Severity Index, ASI
2011 (Swedish)In: Missbruket, kunskapen, vården: Missbruksutredningens forskningsbilaga, Stockholm: Fritzes , 2011, kap 6, p. 97-168Chapter in book (Other academic)
Abstract [sv]

Studien bygger på 14 000 grundintervjuer och 3 000 uppföljningsintervjuermed klienter vid 50 olika enheter för missbruksvård iSverige, som har intervjuats med ASI-intervjun. Intervjuarskattningarav problem visar att problemen är störst med alkohol, följt avproblem med psykisk hälsa, narkotika, arbete/försörjning, familj/umgänge, fysisk hälsa och kriminalitet. Dominerande problemdrog äralkohol (57 procent), narkotika (37 procent) och båda (6 procent).Indikationer på tungt missbruk och svår psykisk störning togs framför ASI-data och enligt dessa uppvisar 17 procent av klienternatungt narkotikamissbruk, 13 procent tungt alkoholmissbruk och 2procent både tungt narkotika- och tungt alkoholmissbruk. Svårpsykisk störning indikeras av 28 procent av klienterna.Skillnader mellan män och kvinnor är små. Yngre missbrukarehar en betydligt sämre social situation, mer narkotikaproblem och merproblem med psykisk hälsa. Klienterna har delats in i tre åtskilda menhomogena problemprofiler. En knapp tredjedel av klienterna har fåttbehandling för sitt missbruk någon gång medan drygt hälften harfått behandling i psykiatrin. Behandling för alkoholproblem ärnågot vanligare för män, medan behandling för psykiska problem ärvanligare för kvinnor. Klienter med tungt missbruk eller svårpsykisk störning har fått behandling oftare än andra.Drygt 20 procent av klienterna har följts upp efter ca ett år.Störst förbättring sker inom alkohol där nästan hälften av klienternauppvisar en reliabel förbättring. Inom psykisk hälsa är detdrygt 40 procent och inom narkotika drygt 30 procent somförbättras.

Place, publisher, year, edition, pages
Stockholm: Fritzes, 2011 Edition: kap 6
Series
SOU, ISSN 0375-250X ; 2011:6
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:umu:diva-41827 (URN)978-91-38-23525-6 (ISBN)
Available from: 2011-04-01 Created: 2011-04-01 Last updated: 2018-06-08Bibliographically approved
Buianina, T. & Armelius, B.-Å. (2010). Measuring irrational beliefs with the idea inventory: a proposed revision. Journal of School Psychology, 3(6), 72-81
Open this publication in new window or tab >>Measuring irrational beliefs with the idea inventory: a proposed revision
2010 (English)In: Journal of School Psychology, ISSN 1844-1815, Vol. 3, no 6, p. 72-81Article in journal (Refereed) Published
Abstract [en]

This paper focuses on the measurement properties of the Idea Inventory(Kassinove et al, 1993) which was designed to asses 11 types of irrationalbeliefs described by Ellis. The original 11 subscales were found to lackinternal consistency although the full 33 items showed a Cronbach’s Alphaof 0, 84. We therefore developed a new set of subscales based on the latentstructure of the items and the content of the items. The outcome was arelatively reliable set of five subscales that were also consistent with theoriginal ideas of Ellis. However, there seems to be a need for furtherrevision since many of the items seems to measure emotional reactions toirrational beliefs rather than to the irrational beliefs themselves

Place, publisher, year, edition, pages
Oradea: , 2010
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:umu:diva-41813 (URN)
Available from: 2011-04-21 Created: 2011-04-01 Last updated: 2018-06-08Bibliographically approved
Ybrandt, H., Börjesson, J. & Armelius, B.-Å. (2008). Measurments instruments scales tests: The Adolescent Drug Abuse Diagnosis composite scores in Swedish normal and antisocial adolescents. Substance Use & Misuse, 43(10), 1411-1423
Open this publication in new window or tab >>Measurments instruments scales tests: The Adolescent Drug Abuse Diagnosis composite scores in Swedish normal and antisocial adolescents
2008 (English)In: Substance Use & Misuse, ISSN 1082-6084, E-ISSN 1532-2491, Vol. 43, no 10, p. 1411-1423Article in journal (Refereed) Published
Abstract [en]

The present study evaluates the utility and issues around the composite scores in Adolescent Drug Abuse Diagnosis (ADAD). Participants were Swedish normal adolescents (121) and adolescents manifesting antisocial problems (1,168), ages 10 to 21. The results show that the interviewer severity ratings seem to be the most appropriate outcome when the objective is to differentiate between normal and antisocial adolescents. The composite scores appear to function as an indicator of current problems in all areas except for Medical and Alcohol sections. The critical items within the Medical and Alcohol composite scores are explored and discussed.

Keywords
ADAD, assessment, severity index, composite scores, normal, antisocial, adolescents
National Category
Psychology
Identifiers
urn:nbn:se:umu:diva-10390 (URN)10.1080/10826080801925465 (DOI)
Available from: 2008-09-22 Created: 2008-09-22 Last updated: 2018-06-09Bibliographically approved
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