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Sundbom, Elisabet
Publications (10 of 37) Show all publications
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
Hajdarevic, S., Hörnsten, Å., Sundbom, E., Isaksson, U. & Schmitt-Egenolf, M. (2014). Health care delay in malignant melanoma: various pathways to diagnosis and treatment. Dermatology Research and Practice, 294287
Open this publication in new window or tab >>Health care delay in malignant melanoma: various pathways to diagnosis and treatment
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2014 (English)In: Dermatology Research and Practice, ISSN 1687-6105, E-ISSN 1687-6113, p. 294287-Article in journal (Refereed) Published
Abstract [en]

We aimed to describe and compare patients diagnosed with malignant melanoma (MM), depending on their initial contact with care andwith regard to age, sex, andMMtype and thickness, and to explore pathways and time intervals (lead times) between clinics from the initial contact to diagnosis and treatment.The sample from northern Sweden was identified via the Swedish melanoma register. Data regarding pathways in health care were retrieved from patient records. In our unselected population of 71 people diagnosedwith skinmelanoma of SSMandNMtypes, 75%of patients were primarily treated by primary health-care centres (PHCs). The time interval (delay) from primary excision until registration of the histopathological assessment in the medical records was significantly longer in PHCs than in hospital-based and dermatological clinics (Derm). Thicker tumors were more common in the PHC group. Older patients waited longer times for wide excision. Most MM are excised rapidly at PHCs, but some patients may not be diagnosed and treated in time. Delay of registration of results from histopathological assessments within PHCs seems to be an important issue for future improvement. Exploring shortcomings inMMpatients’ clinical pathways is important to improve the quality of care and patient safety.

Place, publisher, year, edition, pages
Hindawi Publishing Corporation, 2014
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-54092 (URN)10.1155/2014/294287 (DOI)
External cooperation:
Available from: 2012-04-16 Created: 2012-04-16 Last updated: 2018-06-08Bibliographically approved
Semb, O., Kaiser, N., Andersson, S.-O. & Sundbom, E. (2014). Learning psychology as a challenging process towards development as well as "studies as usual": a thematic analysis of medical students' reflective writing. Advances in Medical Education and Practice, 5, 491-498
Open this publication in new window or tab >>Learning psychology as a challenging process towards development as well as "studies as usual": a thematic analysis of medical students' reflective writing
2014 (English)In: Advances in Medical Education and Practice, ISSN 1179-7258, E-ISSN 1179-7258, Vol. 5, p. 491-498Article in journal (Refereed) Published
Abstract [en]

Reflective writing in medical training has been shown to be most effective when combined with some form of personal meeting or dialog. During a course in medical psychology for medical students, reflective texts were followed up by an individual personal talk with a teacher from the course. Thematic analysis of the texts revealed four separate sub-themes: 1) the course has enabled me and the class to develop, which is good albeit arduous; 2) understanding myself is a resource in understanding people as well as knowing psychology; 3) the course provided me with new, purely intellectual skills as well as eye-openers; and 4) the receiving teacher is an integral part of my reflective writing. The main theme, capturing the students' writing process, concluded that students perceive the course as "Learning psychology as a challenging process towards development" as well as "studies as usual". Ethical, psychological, and pedagogical aspects are discussed in the paper.

National Category
Clinical Medicine Psychology
Identifiers
urn:nbn:se:umu:diva-100010 (URN)10.2147/AMEP.S73221 (DOI)25540601 (PubMedID)
Available from: 2015-02-18 Created: 2015-02-18 Last updated: 2018-06-07Bibliographically approved
Hajdarevic, S., Schmitt-Egenolf, M., Sundbom, E., Isaksson, U. & Hörnsten, Å. (2013). Coping styles in decision making among men and women diagnosed with malignant melanoma. Journal of Health Psychology, 18(11), 1445-1455
Open this publication in new window or tab >>Coping styles in decision making among men and women diagnosed with malignant melanoma
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2013 (English)In: Journal of Health Psychology, ISSN 1359-1053, E-ISSN 1461-7277, Vol. 18, no 11, p. 1445-1455Article in journal (Refereed) Published
Abstract [en]

Early care seeking is important for prognosis of malignant melanoma. Coping styles in decision-making to seek care can relate to prognosis since avoidant strategies could delay care seeking. The aim of this study was to compare self-reported coping styles in decision-making between men and women diagnosed with malignant melanoma. We used the Swedish version of the Melbourne Decision-Making Questionnaire to assess coping styles. Men generally scored higher in buck-passing while women and those living without a partner scored higher in hypervigilance. This knowledge could be used in the development of preventive programmes with intention to reach those who delay care seeking.

Place, publisher, year, edition, pages
Sage Publications, 2013
Keywords
Care seeking, coping styles, decision-making, melanoma
National Category
Dermatology and Venereal Diseases Psychiatry Nursing
Identifiers
urn:nbn:se:umu:diva-54090 (URN)10.1177/1359105312464671 (DOI)000325860200006 ()23325378 (PubMedID)
External cooperation:
Available from: 2012-04-16 Created: 2012-04-16 Last updated: 2018-06-08Bibliographically approved
Sundbom, E., Andersson, S.-O., Semb, O. & Kaiser, N. (2013). Reflekterande skrivande och personligt samtal i läkarutbildningen: Nya moment i psykologikurs bidrog till ökad självkännedom. Läkartidningen (110), Article ID CA4E.
Open this publication in new window or tab >>Reflekterande skrivande och personligt samtal i läkarutbildningen: Nya moment i psykologikurs bidrog till ökad självkännedom
2013 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, no 110, article id CA4EArticle in journal (Refereed) Published
Abstract [en]

Reflective writing and personal talks in medical education: New segments in the Medical Psychology course helped to increase self-awareness

There is a national goal for medical students to gain self-awareness during their training. However, teaching methods and examination procedures supporting this goal are rarely discussed. Two new course segments – weekly newsletters and personal talks – aimed at stimulating self-reflection and self-awareness during the Medical Psychology course are presented, along with a student evaluation and the teachers’ experiences of the segments. The course evaluations and teachers’ comments support the perception that the new segments help to increase self-awareness. The teachers share the experience that the motivation, trust and openness shown by most of the students in their letters and talks are an impetus and important basis for increased self-reflection and self-awareness. For many students, personal talks have been important from a psychosocial point of view. It was possible to capture those in need of support and mediate further contacts when necessary.

Abstract [sv]

Självkännedom är ett nationellt mål för läkarexamen. Hur självkännedom som mål ska läras ut och examineras är dock föga diskuterat.

Här presenteras två nya moment inom kursen Medicinsk psykologi, vars syfte varit att stimulera självreflektion och självkännedom. Studenternas kursutvärderingar och lärarnas erfarenheter av dessa moment – veckobrev och personligt samtal – redovisas.

Kursutvärderingarna med kommentarer stödjer uppfattningen att de nya momenten bidrar till ökad självkännedom.

En gemensam erfarenhet hos lärarna har varit att den motivation, tillit och öppenhet som de flesta studenter visat i sina brev och i samtalen ger stimulans till och är en viktig utgångspunkt för ökad självreflektion och självkännedom.

Det personliga samtalet har haft en viktig psykosocial funktion för många studenter. Personer i behov av stöd har kunnat fångas upp och vid behov har olika kontakter förmedlats.

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:umu:diva-81464 (URN)
Available from: 2013-10-11 Created: 2013-10-11 Last updated: 2018-06-08Bibliographically approved
Sundbom, E., Henningsson, M., Fransson, P., Semb, O. & Strömsten, L. (2011). Betydelse av tidig kontakt och behandling av våldsdrabbade brottsoffer: en prospektiv longitudinell studie. Umeå: Umeå universitet
Open this publication in new window or tab >>Betydelse av tidig kontakt och behandling av våldsdrabbade brottsoffer: en prospektiv longitudinell studie
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2011 (Swedish)Report (Other academic)
Place, publisher, year, edition, pages
Umeå: Umeå universitet, 2011. p. 28
National Category
Psychiatry
Identifiers
urn:nbn:se:umu:diva-42803 (URN)
Available from: 2011-04-15 Created: 2011-04-13 Last updated: 2018-06-08Bibliographically approved
Semb, O., Strömsten, L., Sundbom, E., Fransson, P. & Henningsson, M. (2011). Distress after a single violent crime: how shame-proneness and event-related shame work together as risk factors for post-victimization symptoms. Psychological Reports, 109(1), 3-23
Open this publication in new window or tab >>Distress after a single violent crime: how shame-proneness and event-related shame work together as risk factors for post-victimization symptoms
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2011 (English)In: Psychological Reports, ISSN 0033-2941, E-ISSN 1558-691X, Vol. 109, no 1, p. 3-23Article in journal (Refereed) Published
Abstract [en]

To increase understanding of post-victimization symptom development, the present study investigated the role of shame- and guilt-proneness and event-related shame and guilt as potential risk factors. 35 individuals (M age = 31.7 yr.; 48.5% women), recently victimized by a single event of severe violent crime, were assessed regarding shame- and guilt-proneness, event-related shame and guilt, and post-victimization symptoms. The mediating role of event-related shame was investigated with structural equation modeling (SEM), using bootstrapping. The guilt measures were unrelated to each other and to post-victimization symptoms. The shame measures were highly intercorrelated and were both positively correlated to more severe post-victimization symptom levels. Event-related shame as mediator between shame-proneness and post-victimization symptoms was demonstrated by prevalent significant indirect effects. Both shame measures are potent risk factors for distress after victimization, whereby part of the effect of shame-proneness on post-victimization symptoms is explained by event-related shame.

National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:umu:diva-42791 (URN)10.2466/02.09.15.16.PR0.109.4.3-23 (DOI)000295760000001 ()22049643 (PubMedID)
Available from: 2011-04-13 Created: 2011-04-13 Last updated: 2018-06-08Bibliographically approved
Hajdarevic, S., Schmitt-Egenolf, M., Brulin, C., Sundbom, E. & Hörnsten, A. (2011). Malignant melanoma: gender patterns in care seeking for suspect marks. Journal of Clinical Nursing, 20(17-18), 2676-2684
Open this publication in new window or tab >>Malignant melanoma: gender patterns in care seeking for suspect marks
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2011 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 20, no 17-18, p. 2676-2684Article in journal (Refereed) Published
Abstract [en]

Aims and objectives. Gender patterns in self-detection of melanoma are not sufficiently highlighted in the literature. The aim of the study was to identify specific patterns in the decision-making process to seek care for suspect melanoma, as narrated by women and men.

Background. Females have a more favourable prognosis than males and also a higher level of perceived susceptibility and a higher level of knowledge about melanoma. Women are, furthermore, more prone to participate in screening.

Method. Thirty patients (15 women and 15 men) with a mean age of 55.5 years and diagnosed with malignant melanoma were interviewed about their decisions to seek care for suspect skin marks. The interviews were transcribed and analysed with qualitative content analysis.

Results. Care-seeking behaviour for suspect melanoma was influenced by gender constructions. Men seldom or never acknowledged interest in attention to bodily changes, but when they became aware of changes, they often took a quick decision and sought an expert's assessment. Men were compliant with wives' and relatives' advice about seeking care. All women reported that they paid attention to bodily changes, but they often delayed care seeking, due to family responsibilities and emotional struggles. The women also attempted self-care remedies, such as applying ointment, before seeking professional care.

Conclusions. There are gender-specific patterns that may influence decision making in the care-seeking process. Such patterns are important to identify, since health care professionals must take these factors into account in communicating with men and women.

Relevance to clinical practice. Nurses and in particular those working in telephone counselling, are often at the frontlines, deciding who can have access to health services. They are ideally placed to tackle the issue of gender constructions in the development of effective health care services.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2011
Keywords
care seeking, coping, decision making, gender constructions, malignant melanoma
National Category
Nursing
Research subject
Caring Sciences
Identifiers
urn:nbn:se:umu:diva-46301 (URN)10.1111/j.1365-2702.2011.03788.x (DOI)000293748900031 ()21777314 (PubMedID)
External cooperation:
Available from: 2011-08-30 Created: 2011-08-30 Last updated: 2018-06-08Bibliographically approved
Semb, O., Fransson, P., Henningsson, M. & Sundbom, E. (2011). Treatment Acceptability among Crime Victims. The Open Psychology Journal, 4, 6-11
Open this publication in new window or tab >>Treatment Acceptability among Crime Victims
2011 (English)In: The Open Psychology Journal, ISSN 1874-3501, Vol. 4, p. 6-11Article in journal (Refereed) Published
Abstract [en]

Crime victims receive relevant treatment too seldom and there is uncertainty as to whether those who need the treatment the most are among those who get it. Fifty-two consecutive adult crime victims were offered 10 sessions of psychotherapy within two weeks after an experienced trauma of criminal victimization. Twenty-six accepted and 26 declined the offer. The aim of the study was to explore some of the differences between these two groups. The results show that the therapy group presented a higher incidence of acute stress disorder, more negative scorings regarding immediate reactions (to the crime), more subjective ratings of physical and psychological health (GAF, according to DSM IV), and more psychiatric and trauma-related symptoms as compared to the non-therapy group. A conclusion was that those who needed treatment the most also accepted it. Traumatized people may, due to avoidant strategies, withdraw from potential treatment. Conversely, the therapy group scored higher on the coping style escape-avoidance.

Place, publisher, year, edition, pages
Bentham Open, 2011
Keywords
Crime victims, psychiatric symptoms, psychotherapy, coping, treatment acceptability
National Category
Medical and Health Sciences Psychology
Research subject
Psychiatry
Identifiers
urn:nbn:se:umu:diva-48225 (URN)10.2174/1874350101104010006 (DOI)
Available from: 2011-10-17 Created: 2011-10-11 Last updated: 2018-06-08Bibliographically approved
Johansson, A., Sundbom, E., Höjerback, T. & Bodlund, O. (2010). A five-year follow-up study of Swedish adults with gender identity disorder. Archives of Sexual Behavior, 39(6), 1429-1437
Open this publication in new window or tab >>A five-year follow-up study of Swedish adults with gender identity disorder
2010 (English)In: Archives of Sexual Behavior, ISSN 0004-0002, E-ISSN 1573-2800, Vol. 39, no 6, p. 1429-1437Article in journal (Refereed) Published
Abstract [en]

This follow-up study evaluated the outcome of sex reassignment as viewed by both clinicians and patients, with an additional focus on the outcome based on sex and subgroups. Of a total of 60 patients approved for sex reassignment, 42 (25 male-to-female [MF] and 17 female-to-male [FM]) transsexuals completed a follow-up assessment after 5 or more years in the process or 2 or more years after completed sex reassignment surgery. Twenty-six (62%) patients had an early onset and 16 (38%) patients had a late onset; 29 (69%) patients had a homosexual sexual orientation and 13 (31%) patients had a non-homosexual sexual orientation (relative to biological sex). At index and follow-up, a semi-structured interview was conducted. At follow-up, 32 patients had completed sex reassignment surgery, five were still in process, and five-following their own decision-had abstained from genital surgery. No one regretted their reassignment. The clinicians rated the global outcome as favorable in 62% of the cases, compared to 95% according to the patients themselves, with no differences between the subgroups. Based on the follow-up interview, more than 90% were stable or improved as regards work situation, partner relations, and sex life, but 5-15% were dissatisfied with the hormonal treatment, results of surgery, total sex reassignment procedure, or their present general health. Most outcome measures were rated positive and substantially equal for MF and FM. Late-onset transsexuals differed from those with early onset in some respects: these were mainly MF (88 vs. 42%), older when applying for sex reassignment (42 vs. 28 years), and non-homosexually oriented (56 vs. 15%). In conclusion, almost all patients were satisfied with the sex reassignment; 86% were assessed by clinicians at follow-up as stable or improved in global functioning.

Keywords
Transsexualism; Gender identity disorder; Sex reassignment; Outcome, sex reassignment surgery; prognostic factors; male-transsexuals; regret
National Category
Psychiatry
Identifiers
urn:nbn:se:umu:diva-41006 (URN)10.1007/s10508-009-9551-1 (DOI)000283939500028 ()19816764 (PubMedID)
Available from: 2011-03-16 Created: 2011-03-16 Last updated: 2018-06-08Bibliographically approved
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