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Malmgren-Olsson, Eva-Britt
Alternative names
Publications (10 of 16) Show all publications
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
genusvetenskap; 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
genusvetenskap; 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., Öhman, A., Bengs, C. & Malmgren-Olsson, E.-B. (2014). Living close to the edge: embodied dimensions of distress during emerging adulthood. SAGE Open, 2(4), 1-17
Open this publication in new window or tab >>Living close to the edge: embodied dimensions of distress during emerging adulthood
2014 (English)In: SAGE Open, ISSN 2158-2440, E-ISSN 2158-2440, Vol. 2, no 4, p. 1-17Article in journal (Refereed) Published
Abstract [en]

Although self-reported stress-related problems are common among Swedish adolescent girls and young women, few qualitative studies have been made of young people’s own understandings and descriptions of their situation. The aim of our present study, therefore, is to explore and analyze the lived experiences of stress among adolescent girls and young women who had sought help at a youth health center. Interviews were conducted with 40 girls and young women, aged 16-25 years. The interviews were analyzed by qualitative content analysis. “Living close to the edge” is interpreted as the common theme running through all of the interviews and represents the participants’ sometimes unbearable situations. The theme contains dimensions of physical, emotional, cognitive, social, and existential distress, as well as dimensions of distrust and disempowerment. Findings highlight the importance of addressing these dimensions in youth health interventions. The importance of contextualizing young women’s distress is furthermore emphasized.

Place, publisher, year, edition, pages
SAGE Open, 2014
Keywords
stress, mental health, adolescents, youth, gender, embodiment, qualitative method, interviews, medical sociology, stress, psykisk hälsa, ångest, depression, ungdomar, flickor, unga kvinnor, genus, genusteori, fenomenologi, medicinsk sociologi, förkroppsligande, levd kropp, kvalitativ metod, kvalitativ innehållsanalys, intervjuer
National Category
Public Health, Global Health, Social Medicine and Epidemiology Physiotherapy
Research subject
Physiotherapy; Public health
Identifiers
urn:nbn:se:umu:diva-37134 (URN)10.1177/2158244014537083 (DOI)
Projects
Stress and Health in Youth (Umeå SHY)
Funder
Swedish Research Council, 521-2005-4848Swedish Research Council, 344-2011-5478Forte, Swedish Research Council for Health, Working Life and Welfare, 2006-1512
Note

Published in the thesis with the title "Living close to the edge: dimensions of distress, distrust and disempowerment in young women".

Available from: 2010-10-20 Created: 2010-10-20 Last updated: 2018-06-08Bibliographically 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
genusvetenskap; 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
Strömbäck, M., Malmgren-Olsson, E.-B. & Wiklund, M. (2013). 'Girls need to strengthen each other as a group': experiences from a gender-sensitive stress management intervention by youth-friendly Swedish health services: a qualitative study. BMC Public Health, 13(907), 1-17
Open this publication in new window or tab >>'Girls need to strengthen each other as a group': experiences from a gender-sensitive stress management intervention by youth-friendly Swedish health services: a qualitative study
2013 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 13, no 907, p. 1-17Article in journal (Refereed) Published
Abstract [en]

Mental health problems among young people, and girls and young women in particular, are a well-known health problem. Such gendered mental health patterns are also seen in conjunction with stress-related problems, such as anxiety and depression and psychosomatic complaints. Thus, intervention models tailored to the health care situation experienced by young women within a gendered and sociocultural context are needed. This qualitative study aims to illuminate young women's experiences of participating in a body-based, gender-sensitive stress management group intervention by youth-friendly health services in northern Sweden.

A physiotherapeutic body-based, health-promoting, gender-sensitive stress management intervention was created by youth-friendly Swedish health services. The stress management courses (n = 7) consisted of eight sessions, each lasting about two hours, and were led by the physiotherapist at the youth centre. The content in the intervention had a gender-sensitive approach, combining reflective discussions; short general lectures on, for example, stress and pressures related to body ideals; and physiotherapeutic methods, including body awareness and relaxation. Follow-up interviews were carried out with 32 young women (17--25 years of age) after they had completed the intervention. The data were analysed with qualitative content analysis.

The overall results of our interview analysis suggest that the stress management course we evaluated facilitated 'a space for gendered and embodied empowerment in a hectic life', implying that it both contributed to a sense of individual growth and allowed participants to unburden themselves of stress problems within a trustful and supportive context. Participants' narrated experiences of 'finding a social oasis to challenge gendered expectations', 'being bodily empowered', and 'altering gendered positions and stance to life' point to empowering processes of change that allowed them to cope with distress, despite sometimes continuously stressful life situations. This intervention also decreased stress-related symptoms such as anxiousness, restlessness, muscle tension, aches and pains, fatigue, and impaired sleep.

The participants' experiences of the intervention as a safe and exploratory space for gendered collective understanding and embodied empowerment further indicates the need to develop gender-sensitive interventions to reduce individualisation of health problems and instead encourage spaces for collective support, action, and change.

Place, publisher, year, edition, pages
BioMed Central, 2013
Keywords
Stress, Mental health, Psychiatry, Physiotherapy, Gender, Gender-sensitive intervention, stress management, group intervention, young women, adolescents, girls, qualitative method, interviews, Stress, Psykisk hälsa, Genus, genusmedveten intervention, stresshantering, gruppintervention, sjukgymnastik, psykiatri, unga kvinnor tonårsflickor, kvalitativ metod, intervjuer
National Category
Physiotherapy Gender Studies Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health; Physiotherapy; Psychiatry; hälso- och sjukvårdsforskning
Identifiers
urn:nbn:se:umu:diva-81141 (URN)10.1186/1471-2458-13-907 (DOI)000325199700001 ()
Projects
Stress and Health in Youth (Umeå SHY)
Funder
Swedish Research Council, 521-2005-4848Forte, Swedish Research Council for Health, Working Life and Welfare, 2006–1512
Available from: 2013-10-02 Created: 2013-10-02 Last updated: 2018-06-08Bibliographically approved
Ahlgren, C., Malmgren Olsson, E.-B. & Brulin, C. (2012). Gender analysis of musculoskeletal disorders and emotional exhaustion: interactive effects from physical and psychosocial work exposures and engagement in domestic work. Ergonomics, 55(2), 212-228
Open this publication in new window or tab >>Gender analysis of musculoskeletal disorders and emotional exhaustion: interactive effects from physical and psychosocial work exposures and engagement in domestic work
2012 (English)In: Ergonomics, ISSN 0014-0139, E-ISSN 1366-5847, Vol. 55, no 2, p. 212-228Article in journal (Refereed) Published
Abstract [en]

The objective of this study was to assess the relationships between physical and psychosocial work exposures, engagement in domestic work and work-home imbalance in relation to symptoms of musculoskeletal disorders and emotional exhaustion in white- and blue-collar men and women. Three thousand employees from 21 companies were asked to answer a questionnaire on family structure, household and child care tasks, work exposure, work-home imbalance and symptoms of neck/shoulder disorders, low back disorders and emotional exhaustion. Women reported more musculoskeletal disorders and engagement in domestic work. Adverse at-work exposures were highest in blue-collar women. High engagement in domestic work was not separately associated with symptoms but paid work exposure factors were associated. High engagement in domestic work interacted with adverse work exposure and increased risk estimates for low back disorders and emotional exhaustion. Reported work-home imbalance was associated with neck/shoulder disorders in women and with emotional exhaustion in both women and men.

Practitioner Summary. The current article adds to earlier research by showing that high engagement in domestic work is not separately associated with increased symptoms, but interacts with psychosocial work exposure variables to produce emotional exhaustion in both women and men and low back disorders in women.

Keywords
physical work load, psychosocial factors, domestic workload, work-home imbalance, musculoskeletal disorders, emotional exhaustion, gender
National Category
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-51419 (URN)10.1080/00140139.2011.646319 (DOI)22248390 (PubMedID)
Available from: 2012-01-23 Created: 2012-01-20 Last updated: 2018-06-08Bibliographically approved
Wiklund, M., Malmgren-Olsson, E.-B., Öhman, A., Bergström, E. & Fjellman Wiklund, A. (2012). Subjective health complaints in older adolescents are related to perceived stress, anxiety and gender: a cross-sectional school study in Northern Sweden. BMC Public Health, 12(993)
Open this publication in new window or tab >>Subjective health complaints in older adolescents are related to perceived stress, anxiety and gender: a cross-sectional school study in Northern Sweden
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2012 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 12, no 993Article in journal (Refereed) Published
Abstract [en]

Purpose: Adolescent subjective health has become a public health concern in Sweden and worldwide. The purpose of this study is to investigate perceived stress and subjective health complaints among older adolescents.

Methods: Data were derived from a school-based survey with a sample consisting of 16–18 year olds (n=1027), boys and girls, in high school grades 1 and 2, from different educational programs in three public high schools within a university municipality in northern Sweden. Perceived stress, self-rated health, subjective health complaints, anxiety, and depression, were measured with a questionnaire including a set of instruments.

Results: A large proportion of both girls and boys reported health complaints and perceived stress. There was a clear gender difference; girls reported two to three-fold higher proportions of subjective health complaints such as headache, tiredness and sleeping difficulties, musculoskeletal pain, as well as sadness and anxiety. Pressure and demands correlated strongly with psychosomatic symptoms (r=0.71) and anxiety (r=0.71).

Conclusions: The results indicate that subjective health complaints are prevalent during adolescence, especially in girls, and furthermore that perceived stress and demands may be important explanatory factors. Future studies should pay attention to the balance between gender-related demands, perceived control and social support, particularly in the school environment, in order to prevent negative strain and stress-related ill-health. The gender gap in adolescent health needs to be further explored.

Keywords
adolescent, high school students, mental health, stress, psychosomatic, pain, anxiety, depression, sleep, Sweden/epidemiology, tonår, ungdomar, gymnasieelever, kön, genus, psykisk hälsa, skolhälsovård, elevhälsa, stress, psykosomatiska besvär, huvudvärk, värk, smärta, sömn, sömnproblem, ångest, depression
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health
Identifiers
urn:nbn:se:umu:diva-37136 (URN)10.1186/1471-2458-12-993 (DOI)
Projects
Stress and Health in Youth (Umeå SHY)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2006-1512Swedish Research Council, 521-2005-4848
Available from: 2013-01-03 Created: 2010-10-20 Last updated: 2018-06-08Bibliographically approved
Öhman, A., Åström, L. & Malmgren-Olsson, E.-B. (2011). Feldenkrais(®) therapy as group treatment for chronic pain: a qualitative evaluation. Journal of Bodywork & Movement Therapies, 15(2), 153-161
Open this publication in new window or tab >>Feldenkrais(®) therapy as group treatment for chronic pain: a qualitative evaluation
2011 (English)In: Journal of Bodywork & Movement Therapies, ISSN 1360-8592, E-ISSN 1532-9283, Vol. 15, no 2, p. 153-161Article in journal (Refereed) Published
Abstract [en]

Positive experiences from the Feldenkrais group treatment were reported, especially concerning movement ability and body awareness. The exercises were however regarded as difficult to perform as self-training on a daily basis.

Keywords
Feldenkrais method; Neck and shoulder pain; Primary health care; Women; Empowerment; Grounded theory; Diary; Qualitative interview
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-41346 (URN)10.1016/j.jbmt.2010.03.003 (DOI)21419355 (PubMedID)
Available from: 2011-03-23 Created: 2011-03-23 Last updated: 2018-06-08Bibliographically approved
Wiklund, M., Malmgren-Olsson, E.-B., Bengs, C. & Öhman, A. (2010). "He messed me up": Swedish adolescent girls' experiences of gender-related partner violence and its consequences over time. Violence against Women, 16(2), 207-232
Open this publication in new window or tab >>"He messed me up": Swedish adolescent girls' experiences of gender-related partner violence and its consequences over time
2010 (English)In: Violence against Women, ISSN 1077-8012, E-ISSN 1552-8448, Vol. 16, no 2, p. 207-232Article in journal (Refereed) Published
Abstract [en]

This article illuminates two Swedish adolescent girls' experiences of living in a violent relationship as teenagers and how this has affected their lives and health over time. Interviews were conducted in a youth health center. A combination of qualitative content analysis and narrative analysis describes violation, stress, trauma, coping, and agency during the period of adolescence and transition into adulthood. Despite Swedish progressive public policies on men's violence against women, teenage girls are exposed to male partners' violation, a severe gendered stressor. There is a need for the development of health policy and gender-responsive interventions geared specifically toward adolescent girls.

Place, publisher, year, edition, pages
Sage, 2010
Keywords
feminist narrative, posttraumatic stress, youth health policy
National Category
Medical and Health Sciences
Research subject
Physiotherapy; Medicine
Identifiers
urn:nbn:se:umu:diva-30607 (URN)10.1177/1077801209356347 (DOI)000273344800006 ()20053948 (PubMedID)
Available from: 2010-01-12 Created: 2010-01-08 Last updated: 2018-06-08Bibliographically approved
Eriksson, K. M., Hagberg, L., Lindholm, L., Malmgren-Olsson, E.-B., Österlind, J. & Eliasson, M. (2010). Quality of life and cost-effectiveness of a 3-year trial of lifestyle intervention in primary health care. Archives of Internal Medicine, 170(16), 1470-1479
Open this publication in new window or tab >>Quality of life and cost-effectiveness of a 3-year trial of lifestyle intervention in primary health care
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2010 (English)In: Archives of Internal Medicine, ISSN 0003-9926, E-ISSN 1538-3679, Vol. 170, no 16, p. 1470-1479Article in journal (Refereed) Published
Abstract [en]

Background: Lifestyle interventions reduce cardiovascular risk and diabetes but reports on long term effects on quality of life (QOL) and health care utilization are rare. The aim was to investigate the impact of a primary health care based lifestyle intervention program on QOL and cost-effectiveness over 3 years.

Methods: 151 men and women, age 18-65 yr, at moderate-to-high risk for cardiovascular disease, were randomly assigned to either lifestyle intervention with standard care or standard care alone. Intervention consisted of supervised exercise sessions and diet counseling for 3 months, followed by regular group meetings during 3years. Change in QOL was measured with EuroQol (EQ-5D, EQ VAS), the 36-item Short Form Health Survey (SF-36), and the SF-6D.  The health economic evaluation was performed from a societal view and a treatment perspective. In a cost-utility analysis the costs, gained quality-adjusted life years (QALY) and savings in health care were considered. Cost-effectiveness was also described using the Net Monetary Benefit Method.

Results: Significant differences between groups over the 3-yr period were shown in EQ VAS, SF-6D and SF-36 physical component summary but not in EQ-5D or SF-36 mental component summary. There was a net saving of 47 USD per participant. Costs per gained QALY, savings not counted, were 1,668 – 4,813 USD. Probabilities of cost-effectiveness were 89 – 100 %, when 50 000 USD was used as stakeholder’s threshold of willingness to pay for a gained QALY.

Conclusion: Lifestyle intervention in primary care improves QOL and is highly cost-effective in relation to standard care.

Place, publisher, year, edition, pages
Chicago: American Medical Association, 2010
Keywords
randomized controlled trial, physical activity, body mass, women, prescription, utilities, exercise, efficacy, program, Sweden
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-32764 (URN)10.1001/archinternmed.2010.301 (DOI)000281764100009 ()
External cooperation:
Available from: 2010-03-25 Created: 2010-03-25 Last updated: 2018-06-08Bibliographically approved
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