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Strömbäck, Maria
Publications (10 of 14) Show all publications
Ilgunas, A., Wänman, A. & Strömbäck, M. (2020). 'I was cracking more than everyone else': young adults' daily life experiences of hypermobility and jaw disorders. European Journal of Oral Sciences, 128, 74-80
Open this publication in new window or tab >>'I was cracking more than everyone else': young adults' daily life experiences of hypermobility and jaw disorders
2020 (English)In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 128, p. 74-80Article in journal (Refereed) Published
Abstract [en]

Most studies on general joint hypermobility (GJH) and temporomandibular disorders (TMD) are quantitative and have concluded that joint hypermobility is a risk factor for development of TMD. The present qualitative study aimed to explore young adults' daily life experiences of GJH, specifically these relating to jaw function, and their experiences of medical and dental care providers. Semi-structured interviews were conducted with nine young adults (18-22 yr of age) and data were analysed using qualitative content analysis. The overarching thematic category that emerged was 'Hypermobility in daily life', which was broken into six subthemes and three themes: 'emotional perception', 'dealing with symptoms', and 'outside influences'. Participants' narratives centred on experiences of complex symptoms, awkward jaw function and joint noises, feeling different, and a lack of support from general medical and dental care providers. The findings show that young adults with joint hypermobility need early support from medical and dental care providers for managing their symptoms and conditions related to GJH. Future studies are warranted to develop guidelines for professionals in medical and dental care to detect and prevent forthcoming problems and to offer relevant support to hypermobile youths.

Place, publisher, year, edition, pages
WILEY, 2020
Keywords
connective tissue disorder, qualitative research, quality of life, temporomandibular disorders, temporomandibular joint
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-167951 (URN)10.1111/eos.12675 (DOI)000506541300001 ()31926036 (PubMedID)
Available from: 2020-03-02 Created: 2020-03-02 Last updated: 2020-03-02Bibliographically approved
Lindgren, B.-M., Molin, J., Lundström, M., Strömbäck, M., Salander Renberg, E. & Ringnér, A. (2018). Does a new spatial design in psychiatric inpatient care influence patients’ and staff’s perception of their care/working environment?: A study protocol of a pilot study using a single-system experimental design. Pilot and Feasibility Studies, 4, Article ID 191.
Open this publication in new window or tab >>Does a new spatial design in psychiatric inpatient care influence patients’ and staff’s perception of their care/working environment?: A study protocol of a pilot study using a single-system experimental design
Show others...
2018 (English)In: Pilot and Feasibility Studies, ISSN 2055-5784, Vol. 4, article id 191Article in journal (Refereed) Published
Abstract [en]

Background: Research shows that worn-out physical environments are obstacles to psychiatric inpatient care. Patients want better relationships with staff and things to do; staff want an environment that offers hope, a calm atmosphere, and joint activities. A county council in northern Sweden and Philips Healthcare partnered to create solutions to the environmental challenges of psychiatric inpatient care. One ward at a county psychiatric clinic was selected for a pilot project to test solutions that could improve the care environment for patients, staff, and relatives. The aim of the overall project is to evaluate the effects of a newly designed psychiatric inpatient ward on patients and staff in terms of quality of care and stress. In this study, we focus on the feasibility through testing questionnaires and exploring barriers to recruiting staff and patients.

Methods: This study had a single-system experimental design, comparing a psychiatric unit pre- and post-implementation of the novel spatial design, using repeated measures with the same questionnaires twice a week during baseline and intervention phases. Primary outcomes were quality interactions (patients) and perceived stress (staff). Secondary outcomes were levels of anxiety and depression (patients), and stress of conscience (staff). A process evaluation was aimed to describe contextual factors and participant experiences of the new design. Data was collected using questionnaires and semi-structured individual interviews with patients and focus group discussions with staff. Both visual and statistical methods were used to analyse the quantitative data and content analysis for the qualitative data.

Discussion: The findings will contribute insights into whether and how a new spatial design might contribute to quality interactions and reduced stress. This is relevant both nationally and internationally, as similar interventions are needed but sparse. The findings will be disseminated through peer-reviewed publications and conference presentations.

Trial registration: ClinicalTrials.gov, NCT03140618, registered 4 May 2017.

Keywords
Activity, Environment, Feasibility, Intervention, Nursing, Process evaluation, Protocol, Psychiatric inpatient care, Quality interactions, Single-system design
National Category
Nursing Psychiatry
Identifiers
urn:nbn:se:umu:diva-154939 (URN)10.1186/s40814-018-0383-4 (DOI)30607254 (PubMedID)
Available from: 2019-01-07 Created: 2019-01-07 Last updated: 2019-01-11Bibliographically approved
Strömbäck, M. & Wiklund, M. (2017). Creating space for youth in physiotherapy: related to gender and embodied empowerment. In: Michel Probst and Liv Helvik Skjaerven (Ed.), Physiotherapy in mental health and psychiatry: a scientific and clinical based approach (pp. 290-298). Elsevier
Open this publication in new window or tab >>Creating space for youth in physiotherapy: related to gender and embodied empowerment
2017 (English)In: Physiotherapy in mental health and psychiatry: a scientific and clinical based approach / [ed] Michel Probst and Liv Helvik Skjaerven, Elsevier, 2017, p. 290-298Chapter in book (Refereed)
Place, publisher, year, edition, pages
Elsevier, 2017
Keywords
youth, girls, young women, gender, stress, mental health, anxiety, physiotherapy, basic body awareness therapy (BBAT), relaxation, youth health services, Sweden, qualitative study, interviews, HADS, ungdomar, unga vuxna, flickor, unga kvinnor, genus, stress, psykisk ohälsa, basal kroppskännedom (BK, avspänning, intervention, ungdomsmottagning, kvalitativ studie, intervjuer
National Category
Physiotherapy Gender Studies
Research subject
physiotherapy; gender studies
Identifiers
urn:nbn:se:umu:diva-139927 (URN)9780702072680 (ISBN)
Projects
Stress and Health in Youth (Umeå SHY)
Available from: 2017-09-26 Created: 2017-09-26 Last updated: 2018-06-09Bibliographically approved
Strömbäck, M., Wiklund, M., Salander Renberg, E. & Malmgren-Olsson, E.-B. (2016). Gender-sensitive and youth-friendly physiotherapy: Steps toward a stress management intervention for girls and young women. Physiotherapy Theory and Practice, 32(1), 20-33
Open this publication in new window or tab >>Gender-sensitive and youth-friendly physiotherapy: Steps toward a stress management intervention for girls and young women
2016 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 32, no 1, p. 20-33Article in journal (Refereed) Published
Abstract [en]

This article describes and evaluates initial steps of a gender-sensitive, youth-friendly group intervention model designed for teenage girls and young women who experience stress-related or psychosomatic problems. Fifty-four young women (16–25 years of age) participated in a gendersensitive physiotherapy stress management course at a youth health center. Inclusion criteria were self-defined stress-related problems and a wish to participate in the group intervention. Measurements of aspects of body perception, self-image, multiple somatic problems, and mental health symptom areas were assessed both before and after intervention with the Body Perception Questionnaire ad modum Schiöler, social analysis of social behavior, and Adult Self-Report scale. Significant positive changes were found in aspects of body perception, self-image, and mental health and somatic symptoms. The changes were most significant in lower internalization of anxiety and depression symptoms. Symptoms such as headaches and sleeping problems decreased. Participants were more satisfied with their bodies and more able to listen to body signals. Among cognitive issues, significant change occurred in thought problems, but not in attention problems. The intervention model needs further evaluation in controlled trials, but is promising and should be developed further in other physiotherapy settings and subgroups of young people.

Keywords
Anxiety, body awareness therapy, body image, gender, mental health, physiotherapy, psychosomatics, self-image, stress, stress management, youth, stress, genus, psykisk hälsa, kroppsbild, självbild, ångest, kroppskännedom, basal kroppskännedom, avspänning, fysioterapi, ungdomsmottagning, ungdomar, unga vuxna, unga kvinnor, flickor
National Category
Physiotherapy Psychiatry Gender Studies
Research subject
gender studies; Psychiatry; Physiotherapy; Public health
Identifiers
urn:nbn:se:umu:diva-88766 (URN)10.3109/09593985.2015.1075639 (DOI)000369278600003 ()
Projects
Umeå SHY
Funder
Swedish Research Council, 344-2011-5478
Note

Originally published in manuscript form with title "Gender-sensitive and youth-friendly physiotherapy: initial steps towards a stress management intervention for girls and young women".

Available from: 2014-05-14 Created: 2014-05-14 Last updated: 2018-06-07Bibliographically approved
Strömbäck, M., Wiklund, M., Salander Renberg, E. & Malmgren-Olsson, E.-B. (2015). Complex symptomatology among young women who present with stress-related problems. Scandinavian Journal of Caring Sciences, 29(2), 234-247
Open this publication in new window or tab >>Complex symptomatology among young women who present with stress-related problems
2015 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, no 2, p. 234-247Article in journal (Refereed) Published
Abstract [en]

Introduction: In Scandinavia and globally, mental health and stress-related problems among adolescent girls and young women are public health concerns that need attention. The aim of this study was to investigate mental health and somatic symptoms with a special focus on internalized problems, self-image, and body-mind aspects of body perception in a group of adolescent girls and young women presenting with stress-related problems at a youth-friendly Swedish health center, and to compare them with normative and clinical reference groups.

Methods: The participants were 47 adolescent girls and young women, aged 17 to 25 years. The Adult Self Report (ASR), Social Analysis of Social Behavior (SASB) and Body Perception Questionnaire (BPQ) were used to measure multiple symptom areas.

Results: Compared to reference groups, adolescent girls and young women report complex symptomatology with high levels of internalized problems such as anxiousness, depression, and somatic complaints. This manifested in attention problems, negative self-image, and perceived bodily discomfort and distrust.

Conclusion

Adolescent girls and young women emerging into adulthood present complex symptomatology of stress-related problems. This study gathered valuable information about their symptoms when they were seeking help. These young women showed higher symptom frequency than normative groups, and similar or higher symptom frequency than other clinical groups. Our findings of internalised and cognitive problems, including impaired self-image and body perceptions, point to the need for preventive strategies and tailored multidisciplinary interventions involving body-based methods to meet this complexity. Using tenets of stress theory, the complex symptomatology may be understood as logical responses to overwhelming stimuli and demands that exceed their ability to cope and disturb their ‘equilibrium’. However, the complex gendered interplays between various external/internal stressors and a broad range of stress responses and health outcomes need further study in a long-term perspective.

Keywords
mental health, stress, anxiety, adolescents, self-image, body image, body perception, physiotherapy, stress, psykisk ohälsa, psykosomatiska symtom, ungdomar, kropp, genus
National Category
Physiotherapy Psychiatry
Research subject
gender studies; Psychiatry; Physiotherapy
Identifiers
urn:nbn:se:umu:diva-88763 (URN)10.1111/scs.12154 (DOI)000354260700005 ()
Projects
Umeå SHY
Funder
Swedish Research Council, 521-2005-4848Forte, Swedish Research Council for Health, Working Life and Welfare, 2006 – 1512
Available from: 2014-05-14 Created: 2014-05-14 Last updated: 2018-06-07Bibliographically approved
Wiklund, M., Danielsson, U., Strömbäck, M. & Bengs, C. (2015). Dissonanser och möjligheter: i ljuset av genus, normativitet och samhällets individualisering. In: Myndigheten för ungdoms- och civilsamhällsfrågor (Ed.), När livet känns fel: ungas upplevelser kring psykisk ohälsa (pp. 153-173). Stockholm: mucf.se
Open this publication in new window or tab >>Dissonanser och möjligheter: i ljuset av genus, normativitet och samhällets individualisering
2015 (Swedish)In: När livet känns fel: ungas upplevelser kring psykisk ohälsa / [ed] Myndigheten för ungdoms- och civilsamhällsfrågor, Stockholm: mucf.se , 2015, p. 153-173Chapter in book (Other academic)
Abstract [sv]

I denna fördjupande artikel riktar vi blickarna mot ungas psykiska ohälsa – dissonanser och möjligheter – i förhållande till genuskonstruktioner, normativitet och inflytelserika samhällstrender som individualisering.

Place, publisher, year, edition, pages
Stockholm: mucf.se, 2015
Keywords
genus, modernitet, psykisk ohälsa, stress, ungdomar, unga vuxna, kropp
National Category
Sociology (excluding Social Work, Social Psychology and Social Anthropology) Physiotherapy General Practice
Research subject
gender studies
Identifiers
urn:nbn:se:umu:diva-101549 (URN)
Projects
Stress and Health in Youth (Umeå SHY)
Available from: 2015-04-02 Created: 2015-04-02 Last updated: 2018-06-07Bibliographically approved
Wiklund, M. & Strömbäck, M. (2015). Från genusblind till genusmedveten: Teoridriven interventionsutveckling i ungdomsvänlig miljö. Fysioterapi (03), pp. 24-30
Open this publication in new window or tab >>Från genusblind till genusmedveten: Teoridriven interventionsutveckling i ungdomsvänlig miljö
2015 (Swedish)In: Fysioterapi, ISSN 1653-5804, no 03, p. 24-30Article in journal, News item (Other academic) Published
Abstract [sv]

Ungas psykiska och psykosomatiska hälsa är ett högaktuellt område där fysioterapeuter kan bidra med kunskap om det komplexa samspelet mellan kropp och psyke – i den här artikeln tolkad i en samhällskontext genomsyrad av genus. Resultaten och erfarenheterna kommer från ett forskningsprojekt där vi utvecklat och utvärderat stresshanteringskurser för tjejer vid en ungdomshälsomottagning i Umeå, Ungdomshälsan. Ungdomshälsan är specifikt inrättad för unga med psykosociala och psykiska problem. Under tiden för forskningsprojektet upptäckte man på Ungdomshälsan nyttan av fysioterapeutisk kompetens. I denna artikel ger vi några exempel från den genusmedvetna teori- och metodutveckling som vi själva bedriver med fokus på ungas hälsa, kroppslighet och rörelsefrihet ur olika sociokulturella och genusteoretiska perspektiv. Inför framtiden ser vi en stor potential i genus- och kontextmedveten metod och teori inom olika grenar av fysioterapi.

Place, publisher, year, edition, pages
Stockholm: , 2015
Keywords
Genus, fysioterapi, genusmedveten intervention, psykisk ohälsa, stress, ungdomar, flickor, unga kvinnor, kroppsmedevetande
National Category
Physiotherapy Gender Studies
Research subject
Physiotherapy; gender studies
Identifiers
urn:nbn:se:umu:diva-101340 (URN)
Projects
Stress and health in Youth (Umeå SHY)
Available from: 2015-03-27 Created: 2015-03-27 Last updated: 2018-06-07Bibliographically approved
Strömbäck, M., Wiklund, M., Bengs, C. & Danielsson, U. (2015). ”Jag skakar” tjejers uttryck för psykisk ohälsa. In: Myndigheten för ungdoms- och civilsamhällesfrågor (Ed.), När livet känns fel: ungas upplevelser kring psykisk ohälsa (pp. 174-196). Stockholm: Myndigheten för ungdoms- och civilsamhällesfrågor
Open this publication in new window or tab >>”Jag skakar” tjejers uttryck för psykisk ohälsa
2015 (Swedish)In: När livet känns fel: ungas upplevelser kring psykisk ohälsa / [ed] Myndigheten för ungdoms- och civilsamhällesfrågor, Stockholm: Myndigheten för ungdoms- och civilsamhällesfrågor , 2015, p. 174-196Chapter in book (Other academic)
Abstract [sv]

Hur tänker unga kvinnor själva om sin psykiska hälsa och hur tar den sig uttryck? Artikeln fördjupar förståelsen för hur tonårstjejer och unga kvinnor uttrycker psykisk ohälsa utifrån egna berättelser. Ofta använder de bildspråk, liknelser och metaforer för att förklara och begripliggöra hur de mår och hur de har det i livet. Avslutningsvis diskuterar vi de unga kvinnornas erfarenheter utifrån genus- och maktperspektiv.

Place, publisher, year, edition, pages
Stockholm: Myndigheten för ungdoms- och civilsamhällesfrågor, 2015
Keywords
psykisk ohälsa, stress, genus, ungdomar, unga vuxna, flickor, socialt stöd, interventioner, sociala medier, Internet, intervjuer
National Category
Physiotherapy General Practice Sociology (excluding Social Work, Social Psychology and Social Anthropology)
Research subject
genusvetenskap; Family Medicine; Physiotherapy; Sociology
Identifiers
urn:nbn:se:umu:diva-101552 (URN)
Projects
Stress and Health in Youth (Umeå SHY)
Available from: 2015-04-02 Created: 2015-04-02 Last updated: 2018-06-07Bibliographically approved
Strömbäck, M. (2014). Skapa rum. Ung femininitet, kroppslighet och psykisk ohälsa: genusmedveten hälsofrämjande intervention.. (Doctoral dissertation). Umeå: Umeå Universitet
Open this publication in new window or tab >>Skapa rum. Ung femininitet, kroppslighet och psykisk ohälsa: genusmedveten hälsofrämjande intervention.
2014 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[en]
Create space. Young femininity, body and mental health : a gender sensitive and health promoting intervention.
Abstract [en]

Mental health problems among young people, girls and young women in particular, are a serious public health problem. Gendered patterns of mental illness are seen in conjunction with stress-related problems such as anxiety, depression, and psychosomatic complaints. Intervention models tailored to the health care situation are therefore in need of development and evaluation. The overall aim of this thesis is to develop knowledge and understanding for young women’s mental health, stress-related, and bodily problems from a psychosomatic and gender theory perspective, and to evaluate a gender sensitive physiotherapeutic intervention model consisting of a stress management course for young women with stress-related problems.

The thesis consists of four studies. The overall research design combines qualitative and quantitative methods in which questionnaires and interviews were used to explore participant experiences and symptoms linked to perceived stress before and after the intervention. Data consisted of a cumulative sample of 65 young women, 16 to 25 years of age, who attended the youth-friendly health center because of stress-related problems. In paper I, multiple symptom areas of mental health and somatic problems, self-image and aspects of body perception were measured before the course. Participants were 47 of the young women. The results were compared with published normative and clinical reference groups. In paper II, the young women’s experiences of living stressful femininity were analysed with a qualitative content analysis using gender theoretical and phenomenological perspectives as an interpretative frame. The study was based on interviews with 25 of the women. In paper III, follow-up interviews were done with 32 of the women after completion of the course. Data was using qualitative content analysis to illuminate experiences of participating in the course. In paper IV, the course was evaluated by measuring changes in multiple symptom areas using the Adult Self Report (ASR), Social Analysis of Social Behaviour (SASB), and Body Perception Questionnaire (BPQ). Participants were 54 of the women who completed measurements finishing the course.

Young women present complex symptomatology of stress-related problems. The total burden of symptoms plus the narrated experiences highlight how renegotiations of gender constructions and handling of normative and stressful femininity constrain access to bodily resources. After the stress management course, their measured and narrated experiences show positive changes and release of mental health and stress problems, including a more positive self-image and sense of enhanced confidence in their bodies. Experiences of the course as a safe and explorative space for gendered collective understanding and embodied empowerment indicate the need to develop gender-sensitive interventions. The thesis contributes to youth and gender theoretical perspectives with integration of psychosomatic and psychiatric physiotherapy. A broader awareness of how gender constructions and sociocultural aspects are significant in the understanding of psychosomatic expressions of mental ill health and young femininity is valuable in development of theory and interventions in physiotherapy, as well as into other fields. 

Place, publisher, year, edition, pages
Umeå: Umeå Universitet, 2014. p. 70
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 1655
Keywords
mental health, stress-related health, young women, femininity, physiotherapy, psychosomatics, psychiatry, gender theory, phenomenology, corporeality, embodiment, empowerment, intervention
National Category
Physiotherapy Psychiatry Gender Studies
Research subject
Physiotherapy; Psychiatry; gender studies
Identifiers
urn:nbn:se:umu:diva-88767 (URN)978-91-7601-081-5 (ISBN)
Public defence
2014-06-13, Aulan, Vårdvetarhuset, Umeå, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2014-05-22 Created: 2014-05-14 Last updated: 2018-06-07Bibliographically approved
Strömbäck, M., Formark, B., Wiklund, M. & Malmgren-Olsson, E.-B. (2014). The corporeality of living stressful femininity: a gender–theoretical analysis of young Swedish women’s stress experiences. Young - Nordic Journal of Youth Research, 22(3), 271-289
Open this publication in new window or tab >>The corporeality of living stressful femininity: a gender–theoretical analysis of young Swedish women’s stress experiences
2014 (English)In: Young - Nordic Journal of Youth Research, ISSN 1103-3088, E-ISSN 1741-3222, Vol. 22, no 3, p. 271-289Article in journal (Refereed) Published
Abstract [en]

This article analyzes young Swedish women’s experiences of living stressful femininity from an existentialist gender theoretical perspective. The study is based on qualitative interviews with 25 women, aged 17–25, who had registered for a stress management course at a youth health centre. Our analysis suggests that their experiences of stress can be related to the renegotiation of gender constructions that have occurred within the Swedish society. The young female subject can be viewed as living through a historic break between a historical position as a subordinated ‘Other’ while simultaneously having to navigate within contemporary discourses of successful femininity. The doing of normative femininity resulted in an exhausting and draining self-evaluating circle. The experiences of having a painful and collapsing body led to a sense of loss of access to and confidence in their bodies. This should be understood as a loss both of subjectivity and connectedness with the corporeality of existence.

Place, publisher, year, edition, pages
Sage Publications, 2014
Keywords
stress, mental health, gender, gender theory, embodiment, corporeality, phenomenology, post-feminism, stress, psykisk ohälsa, kropp, kroppslighet, genus, genusteori, fenomenologi, postfeminism
National Category
Physiotherapy
Research subject
gender studies; Psychiatry; Physiotherapy
Identifiers
urn:nbn:se:umu:diva-88758 (URN)10.1177/0973174114533464 (DOI)000342825600004 ()
Projects
Umeå SHY
Funder
Swedish Research Council, 521-2005-4848
Available from: 2014-05-14 Created: 2014-05-14 Last updated: 2018-06-07Bibliographically approved
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