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Hägglöf, Bruno
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Publications (10 of 80) Show all publications
Berglund, S. K., Chmielewska, A., Starnberg, J., Westrup, B., Hägglöf, B., Norman, M. & Domellöf, M. (2018). Effects of iron supplementation of low-birth-weight infants on cognition and behavior at 7 years: a randomized controlled trial. Pediatric Research, 83, 111-118
Open this publication in new window or tab >>Effects of iron supplementation of low-birth-weight infants on cognition and behavior at 7 years: a randomized controlled trial
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2018 (English)In: Pediatric Research, ISSN 0031-3998, E-ISSN 1530-0447, Vol. 83, p. 111-118Article in journal (Refereed) Published
Abstract [en]

Background Low-birth-weight infants (LBW) are at an increased risk of iron deficiency that has been associated with impaired neurodevelopment. We hypothesized that iron supplementation of LBW infants improves cognitive scores and reduces behavioral problems until school age.

Methods We randomized 285 marginally LBW (2,000-2,500 g) infants to receive 0, 1, or 2 mg/kg/day of iron supplements from 6 weeks to 6 months of age. At 7 years of age, 205 participants were assessed regarding cognition using Wechsler Intelligence Scale for Children (WISC-IV) and behavior using the parental questionnaires Child Behavior Checklist (CBCL) and Five to Fifteen (FTF).

Results There were no significant differences between the intervention groups in WISC-IV or FTF. However, the CBCL scores for externalizing problems were significantly different, in favor of supplemented children (P=0.045). When combining the supplemented groups, they had significantly lower scores for externalizing behavior compared with placebo (median (interquartile range): 44 [34;51] vs. 48.5 [41;56] P=0.013), and their risk ratio (95% confidence interval) for a total behavioral score above the cutoff for clinical problems was 0.31 (0.09-1.0), P=0.054.

Conclusion Lower scores of externalizing behavior in supplemented children support our previous findings at 3 years, and suggest that iron supplementation may have long-lasting effects on behavioral functions.

Place, publisher, year, edition, pages
New York: Nature Publishing Group, 2018
Keywords
weeks gestational age, children born, late preterm, deficiency anemia, brain, growth, childhood, disorder, outcomes, risk
National Category
Pediatrics
Identifiers
urn:nbn:se:umu:diva-145099 (URN)10.1038/pr.2017.235 (DOI)000426175900019 ()28953856 (PubMedID)
Available from: 2018-02-21 Created: 2018-02-21 Last updated: 2018-06-09Bibliographically approved
Sundberg, B., Hägglöf, B., Lundberg Andersson, I., Wesslund, A. & Nilsson, K. (2017). Attachment-based family treatment of a girl with an ADHD-diagnosis: A case study based on interviews. Umeå: Umeå universitet
Open this publication in new window or tab >>Attachment-based family treatment of a girl with an ADHD-diagnosis: A case study based on interviews
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2017 (English)Report (Other academic)
Abstract [en]

This is a descriptive case study of a 6-years old girl diagnosed with ADHD, whose family received the playful attachment-based intervention – Theraplay. Before therapy the parents felt exhausted, they could not regulate the girl, who developed symptoms of relational trauma. The article includes a theoretical background based on attachment- and polyvagal theory. Assessment before and after treatment are included and there is a description of the parents and the psychotherapists’ experiences during treatment based on interviews in the final phase of the therapy. The results were analysed theoretically and showed how the child’s relational trauma behaviour decreased and how the attachment behaviour improved. Through feelings of safety, physio-emotional meetings, social engagement, guidance and playfulness the stress levels of the mother were reduced and the parents mentalizing ability became stronger. The study shows the importance of working therapeutically with parents, to give parents and child new emotional experiences of being together and to help parents to develop a deeper understanding of their child. Theraplay has previously been successful in treating internalized problems but this case illustrates that attachment-based therapeutic work can be successful in treating children with ADHD.

Place, publisher, year, edition, pages
Umeå: Umeå universitet, 2017. p. 22
Series
Barn- och ungdomspsykiatri, ISSN 0349-0815 ; 7
National Category
Psychiatry
Research subject
Child and Youth Psychiatry
Identifiers
urn:nbn:se:umu:diva-147089 (URN)
Available from: 2018-04-26 Created: 2018-04-26 Last updated: 2018-06-09Bibliographically approved
Samuelsson, M., Holsti, A., Adamsson, M., Serenius, F., Hägglöf, B. & Farooqi, A. (2017). Behavioral Patterns in Adolescents Born at 23 to 25 Weeks of Gestation. Pediatrics, 140(1), Article ID e20170199.
Open this publication in new window or tab >>Behavioral Patterns in Adolescents Born at 23 to 25 Weeks of Gestation
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2017 (English)In: Pediatrics, ISSN 0031-4005, E-ISSN 1098-4275, Vol. 140, no 1, article id e20170199Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: This study examined mental health outcomes in extremely preterm children (EPT) born at 23 to 25 weeks of gestation between 1992 and 1998 at 2 Swedish tertiary care centers that offered regional and active perinatal care to all live-born EPT infants. METHODS; We assessed 132 (98%) of the 134 EPT survivors at 10 to 15 years of age alongside term-born controls. Behavioral and emotional problems were evaluated by using Achenbach's Child Behavior Checklist and Teacher Report Form and Conners' Parent and Teacher scales for attention-deficit/hyperactivity disorder. RESULTS: Parents and teachers reported significantly more problems with internalizing behaviors as well as attention, social, and thought problems in EPT children than in controls, even when those with major neurodevelopmental disabilities (NDDs) were excluded. Multivariate analysis of covariance of the behavioral problems reported by parents and teachers revealed no interactions, hut significant main effects emerged for group status (EPT versus control) and sex, with all effect sizes being medium to large and accounting for 8% to 14% of the variance. Compared with the controls, EPT children without NDDs had significantly increased rates of >= 90th percentile for total Conners' attention-deficit/hyperactivity disorder problem scores (parents: 40% vs 15%, odds ratio: 3.7, P <.001) (teachers: 24% vs 9%, odds ratio: 3.3, P =.005). The corresponding rates were higher in the total population. CONCLUSIONS: EPT children with or without NDDs had behavioral problems characterized by a higher risk for anxiety and attention, social, and thought problems. These findings further strengthen the proposition that a preterm behavioral phenotype is recognizable in adolescents born EPT.

Place, publisher, year, edition, pages
American Academy of Pediatrics, 2017
National Category
Pediatrics Psychology (excluding Applied Psychology)
Identifiers
urn:nbn:se:umu:diva-138556 (URN)10.1542/peds.2017-0199 (DOI)000404482500033 ()
Available from: 2017-09-14 Created: 2017-09-14 Last updated: 2018-06-09Bibliographically approved
Holsti, A., Adamsson, M., Hägglöf, B., Farooqi, A. & Serenius, F. (2017). Chronic Conditions and Health Care Needs of Adolescents Born at 23 to 25 Weeks' Gestation. Pediatrics, 139(2), Article ID e20162215.
Open this publication in new window or tab >>Chronic Conditions and Health Care Needs of Adolescents Born at 23 to 25 Weeks' Gestation
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2017 (English)In: Pediatrics, ISSN 0031-4005, E-ISSN 1098-4275, Vol. 139, no 2, article id e20162215Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: We examined chronic conditions, functional limitations, and special health care needs in extremely preterm children (EPT; 23-25 weeks' gestation) born between 1992 and 1998 at 2 Swedish tertiary care centers that offered regional and active perinatal care to all live-born EPT infants. METHODS: Of 134 surviving EPT children, 132 (98%) were assessed at 10 to 15 years of age alongside 103 term-born controls. Identification of children with functional limitations and special health care needs was based on a questionnaire administered to parents. Categorization of medical diagnoses and developmental disabilities was based on child examinations, medical record reviews, and parent questionnaires. RESULTS: In logistic regression analyses adjusting for social risk factors and sex, the EPT children had significantly more chronic conditions than the term-born controls, including functional limitations (64% vs 6%; odds ratio [OR], 15; 95% confidence interval [CI], 6.1-37.2; P < .001), compensatory dependency needs (60% vs 29%; OR, 3.8; 95% CI, 2.2-6.6; P < .001), and services above those routinely required by children (64% vs 25%; OR, 5.4; 95% CI, 3.0-9.6; P < .001). Specific diagnoses and disabilities for the EPT group versus controls included cerebral palsy (9.1% vs 0%; P < .001), asthma (21.2% vs 6.8%; P = 001), IQ < -2 SD (31.1% vs 4.9%; P < .001), poor motor skills without neurosensory impairment (21.9% vs 1.9%; P < .001), and psychiatric conditions (15.2% vs 1.9%; P < .001). CONCLUSIONS: Adolescents born EPT have considerable long-term health and educational needs. Few had severe impairments that curtailed major activities of daily life.

National Category
Pediatrics
Identifiers
urn:nbn:se:umu:diva-132302 (URN)10.1542/peds.2016-2215 (DOI)000393035100016 ()28108580 (PubMedID)
Available from: 2017-04-11 Created: 2017-04-11 Last updated: 2018-06-09Bibliographically approved
Löfgren, H. O., Petersen, S., Nilsson, K., Ghazinour, M. & Hägglöf, B. (2017). Effects of Parent Training Programmes on Parents' Sense of Competence in a General Population Sample. Global Journal of Health Science, 9(7), 24-34
Open this publication in new window or tab >>Effects of Parent Training Programmes on Parents' Sense of Competence in a General Population Sample
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2017 (English)In: Global Journal of Health Science, ISSN 1916-9736, E-ISSN 1916-9744, Vol. 9, no 7, p. 24-34Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: This longitudinal case-controlled study examined the effects of universal parent-focused interventions on parents’ perceived competence in terms of parental efficacy and satisfaction.

METHOD: The study sample consisted of parents from northern Sweden in the general population who participated in parent training programmes from 2010 to 2013, and a matched-comparison group. All parents had children aged 0–17. Sense of competence was measured by the Parenting Sense of Competence Scale at pre- and post-intervention and six months after the intervention.

RESULTS: The intervention group showed a statistically significant improvement in parental competence compared to the comparison group over time. The intervention itself had a significant effect on parental satisfaction, but the efficacy effect was not sustained when taking into account potential confounders.

CONCLUSIONS: Earlier studies indicate that parent training programmes enhance perceived parental competence amongst referred parents. The present study shows that parent training programmes applied in the general population may also enhance perceived parental satisfaction, suggesting that parent training programmes can be an important preventive strategy to enhance parental feelings of satisfaction in the wider population. The results suggest that parents who participate in parent training programmes might have a need to increase parental competence, based on lower scores than the comparison group, both before and after the intervention.

Place, publisher, year, edition, pages
Canadian Center of Science and Education, 2017
Keywords
Parent training programme, parenting sense of competence, parental support, parenting, universal intervention
National Category
Public Health, Global Health, Social Medicine and Epidemiology Psychiatry
Identifiers
urn:nbn:se:umu:diva-130533 (URN)10.5539/gjhs.v9n7p24 (DOI)
Available from: 2017-01-23 Created: 2017-01-23 Last updated: 2018-06-09Bibliographically approved
Löfgren, H. O., Petersen, S., Nilsson, K., Padyab, M., Ghazinour, M. & Hägglöf, B. (2017). Effects of Parent Training Programs on Parental Stress in a General Swedish Population Sample. Psychology, 8(5), 700-716, Article ID 75044.
Open this publication in new window or tab >>Effects of Parent Training Programs on Parental Stress in a General Swedish Population Sample
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2017 (English)In: Psychology, ISSN 2152-7180, E-ISSN 2152-7199, Vol. 8, no 5, p. 700-716, article id 75044Article in journal (Refereed) Published
Abstract [en]

This is a confirmatory study that assessed the effects of parent training programs on parental stress in a general population. There is a need to repeat and confirm earlier findings to acquire solid knowledge for policy stakeholders. In a quasi-experimental design, self-reported data were gathered at three occasions from 83 parents of children between the ages from one to ten years. These parents had responded to advertisements of parent training programs, and were matched to a comparison group of 83 parents chosen from a governmental database. Parent training program based upon behavioral, cognitive-behavioral, Adlerian and family system-theories. Parental stress due to incompetence, role restriction, social isolation, spousal relationship problems, and health problems were measured by the Swedish Parenthood Stress Ques- tionnaire that is based on the Parent Stress Index Scale. The data indicated a reduction of stress in the sub-scale of health problems among parents in the intervention group with an effect size of 0.33, however, no other subscale showed the intervention as a significant variable when controlling for confounding variables. This study adds on the accumulated knowledge of supporting interventions for parents. We conclude that parent training programs have a significant effect on the stress components of parental health when implemented in real-life settings. 

Keywords
Parental Training Program, Parental Stress, Universal Prevention, SPSQ
National Category
Psychiatry
Identifiers
urn:nbn:se:umu:diva-133099 (URN)10.4236/psych.2017.85045 (DOI)
Available from: 2017-03-31 Created: 2017-03-31 Last updated: 2018-06-09Bibliographically approved
Löfgren, H. O., Padyab, M., Ghazinour, M., Nilsson, K., Petersen, S. & Hägglöf, B. (2017). Healthier Parents: Effects of Parent Training Programs on Mental Health. International Journal of Social Work and Human Services Practice, 5(2), 70-79
Open this publication in new window or tab >>Healthier Parents: Effects of Parent Training Programs on Mental Health
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2017 (English)In: International Journal of Social Work and Human Services Practice, ISSN 2332-6832, E-ISSN 2332-6840, Vol. 5, no 2, p. 70-79Article in journal (Refereed) Published
Abstract [en]

The study aims to investigate the effects of Parent Training Programs on the mental health of parents with children aged between 1 and 17 in a universal preventive setting. The intervention group included 279 parents who were assigned to five professionally administered interventions, which included 5–10 two-hour sessions; they were then compared to 702 parents in the comparison group without intervention. The improvement in general mental health was statistically significant in the intervention group compared to the comparison group. The findings suggest that evidence-based parent training programs enhance well-being in parents without indicated problems. However further exploration of preventive training programs for parents are needed.

Keywords
Parental Training Program, Universal Interventions, General Mental Health, GHQ
National Category
Psychiatry
Identifiers
urn:nbn:se:umu:diva-136134 (URN)10.13189/ijrh.2017.050204 (DOI)
Available from: 2017-06-13 Created: 2017-06-13 Last updated: 2018-06-09Bibliographically approved
Hammarström, A., Korhonen, J., Blomqvist, I. & Hägglöf, B. (2017). Increase of internalised mental health symptoms over the last 33 years among adolescents. Paper presented at 10th European Public Health Conference Sustaining resilient and healthy communities Stockholm, Sweden 1–4 November 2017. European Journal of Public Health, 27(suppl_3), 271-272
Open this publication in new window or tab >>Increase of internalised mental health symptoms over the last 33 years among adolescents
2017 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 27, no suppl_3, p. 271-272Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Background: Mental health among young people is of increasing public health importance. Several studies comparing the 1990ies with today suggest an increase of internalised mental health problems among adolescent girls. The development among adolescent boys is less clear. The aim of this study was to analyse the development of mental health among adolescence from the early 1980ies until today with regard to internalised and externalised symptoms among both boys and girls.

Methods: Two cohorts were compared consisting of all pupils in the last year of compulsory school in Luleå (Sweden) in 1981 (n = 1083, response rate 99.7%) and in 2014 (n = 682, response rate 98.3%). The same questionnaire was used with validated questions about symptoms of mental health. Confirmatory factor analysis were performed in order to validate the proposed a priori factor structure of the mental health measures; anxiety symptoms, depression symptoms, functional somatic symptoms and externalised symptoms.

Results: Symptoms of anxiety, depression and functional somatic symptoms increased among both boys and girls from 1981 until 2014 (p < 0.001 for all symptoms and for both boys and girls). Externalised symptoms decreased, especially among boys (p < 0.001 for both boys and girls). These changes between the cohorts were confirmed using multivariate regression techniques (controlling for parental socioeconomic status and parental country of origin) for each measure of mental health. among boys and girls.

Conclusions: Symptoms of internalised mental health have increased among 16-year old boys and girls over the last 33 years while externalised symptoms have decreased, especially among boys. Public health actions need to be initiated in order to stop the increase and prevent internalised mental health problems among teenagers.

Key messages:

  • A longer period than 20 years is needed in order to detect an increase in internalised mental health symptoms among adolescent boys.
  • Adolescent girls have the highest level and the highest increase in these symptoms during a period of 33 years, while externalised mental health symptoms have decreased mostly among adolescent boys.
Place, publisher, year, edition, pages
OXFORD UNIV PRESS, 2017
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-143079 (URN)10.1093/eurpub/ckx187.721 (DOI)000414389803029 ()
Conference
10th European Public Health Conference Sustaining resilient and healthy communities Stockholm, Sweden 1–4 November 2017
Available from: 2017-12-15 Created: 2017-12-15 Last updated: 2018-06-09Bibliographically approved
Hammarström, A., Westerlund, H., Kirves, K., Nygren, K., Virtanen, P. & Hägglöf, B. (2016). Addressing challenges of validity and internal consistency of mental health measures in a 27- year longitudinal cohort study–the Northern Swedish Cohort study. BMC Medical Research Methodology, 16, Article ID 4.
Open this publication in new window or tab >>Addressing challenges of validity and internal consistency of mental health measures in a 27- year longitudinal cohort study–the Northern Swedish Cohort study
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2016 (English)In: BMC Medical Research Methodology, ISSN 1471-2288, E-ISSN 1471-2288, Vol. 16, article id 4Article in journal (Refereed) Published
Abstract [en]

Background:There are inherent methodological challenges in the measurement of mental health problems in longitudinal research. There is constant development in definitions, taxonomies and demands concerning the properties of mental health measurements. The aim of this paper was to construct composite measures of mental health problems (according to today’s standard) from single questionnaire items devised in the early 1980s, and to evaluate their internal consistency and factorial invariance across the life course using the Northern Swedish Cohort.Methods:All pupils in the last year of compulsory school in Luleå in 1981 (n= 1083) form a prospective cohort study where the participants have been followed with questionnaires from the age of 16 (in 1981) until the age of43 (in 2008). We created and tested the following composite measures from self-reports at each follow-up:depressive symptoms, anxiety symptoms, functional somatic symptoms, modified GHQ and positive health. Validity and internal consistency were tested by confirmatory factor analysis, including tests of factorial invariance over time.Results:As an overall assessment, the results showed that the composite measures (based on more than 30-year-old single item questions) are likely to have acceptable factorial invariance as well as internal consistency over time.Conclusions:Testing the properties of the mental health measures used in older studies according to the standards of today is of great importance in longitudinal research. Our study demonstrates that composite measures of mental health problems can be constructed from single items which are more than 30 years old and that these measures seem to have the same factorial structure and internal consistency across a significant part of the life course. Thus, it can be possible to overcome some specific inherent methodological challenges in using historical data in longitudinal research.

Keywords
Mental health measures, Internal consistency, Validity, Longitudinal, Cohort study, Adolescence, Middle adulthood, Life course
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-114885 (URN)10.1186/s12874-015-0099-6 (DOI)000367720600001 ()26743433 (PubMedID)
Available from: 2016-04-28 Created: 2016-01-29 Last updated: 2018-06-07Bibliographically approved
Nishikawa, S., Sundbom, E., Zashikhina, A., Lekkou, S. & Hägglöf, B. (2016). Differences and Similarities of Mental Health Problems Reported by Adolescents: From Greece, Japan, Russia, and Sweden. Psychology, 7(13), 1658-1670
Open this publication in new window or tab >>Differences and Similarities of Mental Health Problems Reported by Adolescents: From Greece, Japan, Russia, and Sweden
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2016 (English)In: Psychology, ISSN 2152-7180, E-ISSN 2152-7199, Vol. 7, no 13, p. 1658-1670Article in journal (Refereed) Published
Abstract [en]

The aims of the present study were to: 1) compare scores and scales of the Youth Self-Report (YSR) reported by healthy adolescents 15 - 17 years of age from Greece, Japan, Russia, and Sweden, 2) analyze gender and age effects of the YSR syndrome scores between and within countries, and 3) compare scores of competence scales and their associations to mental health problems. A comparison of problems (n = 812) yields a small effect size of 4.8% for cross-country in YSR total problems scores. There was a deviation above the overall mean for Greece and Russia, while Sweden and Japan had deviations below the mean. The effect sizes of country for narrowband and broadband scales were small or medium. Analysis within and between countries pointed out some problems that might be more/less common in some countries than others. In their total competence score, Greek adolescents scored higher than Swedish or Japanese. There were some negative associations between syndrome and competence scales across countries. Gender differences were shown across the countries with the exception of Japan. Age differences were less consistent due to the small range of age groups. Even though YSR is used in all four countries, translations and sampling procedure may influence (be one of) the variations.

Keywords
Adolescents, Youth Self-Report, Internalizing and Externalizing Problems, Competence, Cross-National Study
National Category
Psychiatry
Identifiers
urn:nbn:se:umu:diva-131844 (URN)10.4236/psych.2016.713157 (DOI)
Available from: 2017-02-23 Created: 2017-02-23 Last updated: 2018-06-09Bibliographically approved
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