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  • 1.
    Chotai, Jayanti
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Novelty seekers and summer-borns are likely to be low in morningness2005In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 20, no 3, p. 307-307Article in journal (Other academic)
  • 2.
    Hirvikoski, T
    et al.
    Karolinska Inst, Dept Mol Med, Stockholm, Sweden.
    Jokinen, Jussi
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry. Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.
    Personality traits in attempted and completed suicide2012In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 27, no 7, p. 536-41Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: Though widely used in clinical and biological studies, no investigation of the factor structure of the Karolinska Scales of Personality (KSP) has been performed in suicide attempters. There are very few studies of personality traits in suicide completers. The aim of the present study was to assess the factor structure of KSP in suicide attempters. A secondary aim was to examine whether the factor structure of the KSP was related to gender and/or to violent method of the suicide attempt or to suicide completion.

    METHOD: The factor structure of the KSP was analysed in data from 165 suicide attempters from the Suicide Prevention Clinic at the Karolinska University Hospital using principal component analysis and orthogonal varimax rotation for the factor extraction. The effect of gender and (1) used method in the suicide attempt (violent versus nonviolent), and (2) later completed suicide on the factors was assessed in two separate series of the two-way ANOVAs.

    RESULT: A four-factor solution appeared: (1) Neuroticism, (2) Nonconformity, (3) Psychoticism and (4) Extraversion. Men who later completed suicide reported more Extroversion than male survivors.

    CONCLUSION: The obtained factor structure is comparable to a previous factor structure in a group of twins from the population-based Swedish Twin Registry indicating that no specific personality structure characterized the current sample. Differences in personality traits between suicide completers and survivors indicate that these groups may have some distinct characteristics.

  • 3. Hirvikoski, T.
    et al.
    Lindstrom, T.
    Carlsson, J.
    Waaler, E.
    Jokinen, Jussi
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry. Department of clinical neuroscience, Karolinska Institutet, Stockholm, Sweden.
    Bolte, S.
    Psychoeducational groups for adults with ADHD and their significant others (PEGASUS): A pragmatic multicenter and randomized controlled trial2017In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 44, p. 141-152Article in journal (Refereed)
    Abstract [en]

    Objective: To examine the feasibility, efficacy, and effectiveness of PEGASUS, a group-based structured psychoeducation for adults with ADHD and their significant others.

    Method: A pragmatic parallel group add-on design multicenter randomized controlled trial was conducted, comparing an 8-session treatment with PEGASUS (allocated n = 97; 48 with ADHD and 49 with significant others) to treatment as usual (TAU, allocated n = 82; 39 with ADHD and 43 significant others). Participants (individuals with ADHD and significant others) were recruited from five psychiatric outpatient departments and block randomized to PEGASUS or TAU. Knowledge about ADHD was measured using the ADHD 20 scale pre- and post-intervention and served as primary outcome.

    Results: Knowledge about ADHD (d = 0.97 [95% CI: 0.61–1.31]) increased following PEGASUS participation compared to TAU. Improvements were also observed in secondary outcomes e.g. global life satisfaction (d = 0.25 [95% CI: from –0.09 to 0.59]). Overall treatment satisfaction was good. Over 90% of the participants completed the program. Post-intervention data was obtained from n = 89 in PEGASUS group and n = 70 in TAU group and analyses were conducted per protocol. No important adverse effects or side effects were observed.

    Conclusions: Group-based structured psychoeducation PEGASUS for adults with ADHD and their significant others is a feasible, efficacious, and effective treatment option to increase ADHD knowledge and general life satisfaction in psychiatric outpatient care.

  • 4.
    Jokinen, Jussi
    Umeå University, Faculty of Medicine, Department of Clinical Sciences.
    Methylation of the HPA axis related genes in men with hypersexual disorder2017In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 41, p. S849-S850Article in journal (Other academic)
  • 5.
    Lundberg, Mattias
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Perris, Carlo
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Schlette, Paul
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Adolfsson, Rolf
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Transhistorical variations in personality and their association with experiences of parental rearing.1999In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 14, no 6, p. 303-18Article in journal (Refereed)
    Abstract [en]

    A population sample comprised of 765 subjects (367 males and 398 females), in the age range of 15-81 years, completed the EMBU, a reliable questionnaire aimed at assessing experiences of parental rearing, and the TCI, a self-report questionnaire aimed at assessing dimensions of temperament and character. The study had three main aims: 1) to verify, on a larger scale, previous findings suggesting the occurrence of significant associations between experiences of parental rearing and aspects of temperament and character, 2) to assess possible variations in temperament and character in cohorts of subjects who have grown up in different historical epochs, and 3) to investigate to what extent transgenerational differences in parental rearing are detectable in different associations with various dimensions of personality. Several, albeit small, significant and meaningful associations between experiences of parental rearing and both temperament and character dimensions have been found, adding support to the robustness of previously reported results obtained in an independent smaller series. Also, several significant differences among subjects in different age groups have been found, both concerning temperament variables and character dimensions. Finally, the results show that associations between experiences of parental rearing and dimensions of temperament and character are most pronounced in subjects belonging to the youngest cohort and almost nil in the cohort comprising the oldest subjects.

  • 6. Middelboe, T
    et al.
    Mackeprang, T
    Hansson, L
    Werdelin, G
    Karlsson, H
    Bjarnason, O
    Bengtsson-Tops, A
    Dybbro, J
    Nilsson, L L
    Sandlund, Mikael
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Sörgaard, K W
    The Nordic Study on schizophrenic patients living in the community. Subjective needs and perceived help.2001In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 16, no 4, p. 207-14Article in journal (Refereed)
    Abstract [en]

    In a community sample of 418 persons diagnosed with schizophrenia, subjective needs and perceived help was measured by the Camberwell Assessment of Need (CAN). The mean number of reported needs was 6.2 and the mean number of unmet needs 2.6. The prevalence of needs varied substantially between the need areas from 3.6% ('telephone') to 84.0% ('psychotic symptoms'). The rate of satisfaction estimated as the percentage of persons satisfied with the help provided within an area varied between 20.0% ('telephone') and 80.6% ('food'). The need areas concerning social and interpersonal functioning demonstrated the highest proportion of unmet to total needs. In a majority of need areas the patients received more help from services than from relatives, but in the areas of social relations the informal network provided substantial help. In general the patients reported a need for help from services clearly exceeding the actual amount of help received. In a linear regression model symptom load (BPRS) and impaired functioning (GAF) were significant predictors of the need status, explaining 30% of the variance in total needs and 20% of the variance in unmet needs. It is concluded that the mental health system fails to detect and alleviate needs in several areas of major importance to schizophrenic patients. Enhanced collaboration between the care system and the informal network to systematically map the need profile of the patients seems necessary to minimise the gap between perceived needs and received help.

  • 7.
    Nässtrom, M.
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Eriksson, J.
    Umeå University, Faculty of Medicine, Umeå Centre for Functional Brain Imaging (UFBI).
    Blomstedt, P.
    Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience.
    Bodlund, O.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    FMRI evaluation of deep brain stimulation in obsessive-compulsive disorder2019In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 56, p. S566-S566Article in journal (Other academic)
  • 8.
    Ottosson, Hans
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Bodlund, Owe
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Ekselius, L
    Grann, Martin
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    von Knorring, Lars
    Kullgren, Gunnar
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Lindström, E
    Söderberg, Stig
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    DSM-IV and ICD-10 personality disorders: a comparison of a self-report questionnaire (DIP-Q) with a structured interview1998In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 13, no 5, p. 246-253Article in journal (Refereed)
    Abstract [en]

    DIP-Q can be used as a screening instrument for personality disorders according to DSM-IV and ICD-10. Self-report questionnaires such as DIP-Q will probably play an increasingly important role in future epidemiological studies.

  • 9. Saarento, O
    et al.
    Christiansen, L
    Göstas, G
    Hakko, H
    Lönnerberg, O
    Muus, S
    Sandlund, Mikael
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Oiesvold, T
    Hansson, L
    The Nordic comparative study on sectorised psychiatry: repeated emergency admissions to inpatient care during a 1-year follow-up.1998In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 13, no 8, p. 385-91Article in journal (Refereed)
    Abstract [en]

    The emergency admissions to hospital care in six psychiatric services in four Nordic countries were explored as a part of a Nordic comparative study on sectorised psychiatry. One year treated incidence cohorts were used, with the total cohort comprising 2,454 patients. Of the 803 patients who were admitted to inpatient care during a 1-year follow-up, 82% had at least one emergency admission and 23% repeated emergency admissions. The definition for the repeated emergency admissions was at least two admissions during the follow-up. The mean length of stay in emergency inpatient care per treatment episode for this patient subgroup was 28 days. Their emergency inpatient episodes constituted 30% of all inpatient days during the follow-up. However, the variations between the services and diagnostic subgroups were large. The results of a logistic regression analysis indicated that the following variables predicted repeated emergency admissions: inpatient care at index contact, emergency outpatient contacts or no planned hospital admissions during the follow-up, psychiatric service, age under 45 years, and a diagnosis of psychosis, personality disorder or dependency. The repeated emergency admissions were related to the existence of a special service unit for abusers but not to the rates of outpatient staff or acute beds in the services, to geographical distances, referral practice or existence of emergency services.

  • 10. Walhovd, K. B.
    et al.
    Fjell, A. M.
    Westerhausen, R.
    Nyberg, Lars
    Umeå University, Faculty of Medicine, Umeå Centre for Functional Brain Imaging (UFBI).
    Ebmeier, K. P.
    Lindenberger, U.
    Bartrés-Faz, D.
    Baaré, W. F. C.
    Siebner, H. R.
    Henson, R.
    Drevon, C. A.
    Knudsen, G. P.
    Budin-Ljøsne, I.
    Penninx, B. W. J. H.
    Ghisletta, P.
    Rogeberg, O.
    Tyler, L.
    Betram, L.
    Healthy minds from 0-100 years: optimising the use of European brain imaging cohorts ("Lifebrain'')2018In: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. 50, p. 47-56Article, review/survey (Refereed)
    Abstract [en]

    The main objective of "Lifebrain'' is to identify the determinants of brain, cognitive and mental (BCM) health at different stages of life. By integrating, harmonising and enriching major European neuroimaging studies across the life span, we will merge fine-grained BCM health measures of more than 5,000 individuals. Longitudinal brain imaging, genetic and health data are available for a major part, as well as cognitive and mental health measures for the broader cohorts, exceeding 27,000 examinations in total. By linking these data to other databases and biobanks, including birth registries, national and regional archives, and by enriching them with a new online data collection and novel measures, we will address the risk factors and protective factors of BCM health. We will identify pathways through which risk and protective factors work and their moderators. Exploiting existing European infrastructures and initiatives, we hope to make major conceptual, methodological and analytical contributions towards large integrative cohorts and their efficient exploitation. We will thus provide novel information on BCM health maintenance, as well as the onset and course of BCM disorders. This will lay a foundation for earlier diagnosis of brain disorders, aberrant development and decline of BCM health, and translate into future preventive and therapeutic strategies. Aiming to improve clinical practice and public health we will work with stakeholders and health authorities, and thus provide the evidence base for prevention and intervention.

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