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  • 1.
    Carballeira Suarez, Nivia
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Hägglöf, Bruno
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Nilsson, Karin
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Mitt barn svälter sig – hjälp!: Fallstudie med fokus på familjeterapi som behandling av ätstörning2012In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 109, no 42, p. 1889-1891Article in journal (Other academic)
    Abstract [sv]

    Maudsley-modellen är en familjebaserad behandlingsmetod vid ätstörning.

    Behandlingen lägger tonvikt på ätande och viktuppgång med stöd av föräldrarna, förhandling om nya relationsmönster och hantering av vanliga tonårsfrågor för återgång till ett åldersadekvat liv.

    Denna studie summerar elva samtal med en familj, där samtalen enligt mätningar och observationer under behandlingsförloppet gav god effekt på såväl ätstörningsproblematiken som familjens kommunikation.

  • 2.
    Engman Bredvik, Sofie
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Carballeira Suarez, Nivia
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry. Umeå University Hospital.
    Levi, Richard
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.
    Nilsson, Karin
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry. Umeå University Hospital.
    Multi-family therapy in anorexia nervosa: a qualitative study of parental experiences2016In: Innovations in family therapy for eating disorders: novel treatment developments, patient insights, and the role of carers / [ed] Stuart Murray, Leslie Anderson, and Leigh Cohn, New York: Routledge, 2016, p. 236-248Chapter in book (Refereed)
  • 3.
    Engman-Bredvik, Sofie
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Carballeira Suarez, Nivia
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Levi, Richard
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.
    Nilsson, Karin
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Multi-family therapy in anorexia nervosa: a qualitative study of parental experiences2016In: Eating Disorders, ISSN 1064-0266, E-ISSN 1532-530X, Vol. 24, no 2, p. 186-197Article in journal (Refereed)
    Abstract [en]

    This qualitative study from northern Sweden investigated experiences of multi-family therapy (MFT) in 12 parents of children with anorexia nervosa (AN). The main reported benefit was the opportunity to talk to others in a similar situation, thereby sharing experiences and struggles. MFT resulted in new perspectives and insights that improved family dynamics and enabled new constructive behaviors. In conclusion, MFT seems to be a useful therapeutic modality in the treatment of AN in a northern European setting.

  • 4.
    Löfgren, Hans O.
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Padyab, Mojgan
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Ghazinour, Mehdi
    Umeå University, Faculty of Social Sciences, Police Education Unit at Umeå University.
    Nilsson, Karin
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Petersen, Solveig
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Hägglöf, Bruno
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Healthier Parents: Effects of Parent Training Programs on Mental Health2017In: 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)
    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.

  • 5.
    Löfgren, Hans O.
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Petersen, Solveig
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    Nilsson, Karin
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Ghazinour, Mehdi
    Umeå University, Faculty of Social Sciences, Police Education Unit at Umeå University.
    Hägglöf, Bruno
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Effects of Parent Training Programmes on Parents' Sense of Competence in a General Population Sample2017In: Global Journal of Health Science, ISSN 1916-9736, E-ISSN 1916-9744, Vol. 9, no 7, p. 24-34Article in journal (Refereed)
    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.

  • 6.
    Löfgren, Hans O.
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Petersen, Solveig
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry. Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
    Nilsson, Karin
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Padyab, Mojgan
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Ghazinour, Mehdi
    Umeå University, Faculty of Social Sciences, Police Education Unit at Umeå University.
    Hägglöf, Bruno
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Effects of Parent Training Programs on Parental Stress in a General Swedish Population Sample2017In: Psychology, ISSN 2152-7180, E-ISSN 2152-7199, Vol. 8, no 5, p. 700-716, article id 75044Article in journal (Refereed)
    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. 

  • 7.
    Nilsson, Karin
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Multifamiljeterapi för ungdomar med anorexia nervosa: En pilotstudie av ätstörningssymtom och mående efter ett års tilläggsbehandling2018Report (Other academic)
    Abstract [sv]

    Anorexia nervosa är en sjukdom som oftast debuterar i ungdomsåren och som kan bli både livshotande och långdragen. Den behandlingsmetod som är evidensbaserad för unga nyinsjuknade patienter är familjeinriktad behandling. Det kan dock även vara önskvärt med intensivare insatser för att påskynda tillfrisknandet t ex med multifamiljeterapi (MFT).

    Syftet med denna interventionsstudie var att undersöka om och hur patienterna förändrats somatiskt och psykologiskt efter MFT-behandling. I studien insamlades kvantitativa data före start och efter avslutad MFT. I studien deltog 21 patienter från fyra olika grupper vilka genomgått MFT som tilläggsbehandling.

    Resultatet visar förbättringar i somatiska värden, minskade ätstörningssymtom samt förbättrat egenupplevt psykiskt mående avseende emotionella symtom, efter genomgången MFT-behandling. Resultaten är jämförbara med RCT studier från England, vilket visar att behandlingsresultaten är internationellt jämförbara när det gäller MFT. För att helt säkerställa jämförelsen av traditionell behandling kontra traditionell behandling med tilläggsbehandlingen MFT krävs kontrollerade studier. En förbättring av föreliggande studie kan också vara att analysera kroppsliga mått före start av MFT för att se om MFT medför plötsliga framsteg i något avseende samt att inkludera fler patienter.

  • 8.
    Nilsson, Karin
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Recovery from adolescent onset anorexia nervosa: a longitudinal study2007Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Anorexia Nervosa is a psychiatric illness with peak onset in ages 14-17. Most cases recover within a few years, but the illness can have a fatal outcome or long duration. Multifactor causes of anorexia nervosa include genetics, personality, family, and socio-cultural factors.

    This study measures mortality, recovery from anorexia nervosa, and psychosocial outcome of patients with adolescent onset anorexia nervosa that were treated in Child and Adolescent Psychiatry in northern Sweden from 1980 to 1985. In addition, this study assesses the predictive value of background variables and studies perfectionism in relation to recovery. Finally, this study looks at how patients understand the causes of their anorexia nervosa and how they view their recovery process.

    Follow ups were made 8 and 16 years after initial assessment at CAP. Quantitative and qualitative methods were used. These included a semistructured interview, DSM diagnostics of eating disorders (including GAF), and the self-assessment questionnaires EDI and SCL-90. The interview also contained questions about causes and recovery.

    Recovery increased from 68% to 85% from first to second follow-up and the mortality rate was 1%. Somatic problems and paediatric inpatient care during the first treatment period could predict long-term outcome of eating disorders. Most former patients had a satisfying family and work situation. At both follow-ups, individuals with long-term recovery had a lower level of perfectionism than those that recovered later. On individual levels, eating disorder symptoms and psychiatric symptoms decreased during recovery, whereas the levels of perfectionism stayed the same. Causes were attributed to self, family, and socio-cultural stressors outside of the family. The most common self-reported causes were high own demands and perfectionism. All recovered subjects could remember and describe a special turning point when the recovery started and 62% saw themselves as an active agent in the recovery process. Supportive friends, treatment, activities, family of origin, boyfriend, husband, and children were also helpful in the recovery process.

    Compared to other outcome studies, the results were good. In spite of the good outcome, some individuals had a long duration of illness and were not yet fully recovered after 16 years of follow-up. Predictors of non-recovery were related to initial somatic problems. Levels of perfectionism were associated to recovery and patients with initial high levels of perfectionism may need more complex treatment strategies. Results from the study also implied that one should stimulate the patients’ social contacts and their sense of self-efficacy in their recovery- process.

  • 9.
    Nilsson, Karin
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Ätstörningar2008In: Självskadebeteende: forskning, behandling och metoder för att förebygga psykisk ohälsa hos unga / [ed] Rigmor Stein, Stockholm: Stiftelsen Allmänna Barnhuset , 2008, p. 49-62Chapter in book (Other academic)
  • 10.
    Nilsson, Karin
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Abrahamsson, Erik
    Torbiornsson, Anna
    Hägglöf, Bruno
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Causes of adolescent onset anorexia nervosa: patient perspectives.2007In: Eating Disorders, ISSN 1064-0266, E-ISSN 1532-530X, Vol. 15, no 2, p. 125-133Article in journal (Refereed)
  • 11.
    Nilsson, Karin
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Engström, Ingemar
    Hägglöf, Bruno
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Family climate and recovery in adolescent onset eating disorders: a prospective study2012In: European eating disorders review, ISSN 1072-4133, E-ISSN 1099-0968, Vol. 20, no 1, p. e96-e102Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: This prospective study investigated the self-assessed family climate of adolescent patients and their parents during treatment of and recovery from eating disorders.

    METHOD: One hundred two girls aged 13-17 years with eating disorders, answered the self-report Family Climate Scale (FCS) and Eating Disorders Inventory for Children at initial assessment and after 18 and 36 months. The FCS was also answered by their parents at the same time points.

    RESULTS: Self-assessed family climate and eating disorder symptoms were similar for recovered (R) and nonrecovered (NR) adolescents at initial assessment and at 18 months. At 36 months, FCS Closeness was higher for R, and FCS Distance was lower for R compared with NR. Parents of R adolescents had higher scores on FCS Closeness and lower scores on FCS Chaos compared with parents of NR adolescents at the 36-month follow-up.

    CONCLUSION: Self-reported family climate was associated with recovery. Changes in eating disorder symptoms preceded changes in family climate. Copyright © 2011 John Wiley & Sons, Ltd and Eating Disorders Association.

  • 12.
    Nilsson, Karin
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Hägglöf, Bruno
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Long-term follow-up of adolescent onset anorexia nervosa in northern Sweden2005In: European eating disorders review, ISSN 1072-4133, E-ISSN 1099-0968, Vol. 13, no 2, p. 89-100Article in journal (Refereed)
  • 13.
    Nilsson, Karin
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Hägglöf, Bruno
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Patient perspectives of recovery in adolescent onset anorexia nervosa2006In: Eating Disorders, ISSN 1064-0266, E-ISSN 1532-530X, Vol. 14, p. 305-311Article in journal (Refereed)
  • 14.
    Nilsson, Karin
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Sundbom, Elisabet
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Hägglöf, Bruno
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    A longitudinal study of perfectionism in adolescent onset anorexia nervosa-restricting type2008In: European eating disorders review, ISSN 1072-4133, E-ISSN 1099-0968, Vol. 16, no 5, p. 386-394Article in journal (Refereed)
    Abstract [en]

    This longitudinal study analyses self-reported perfectionism, eating disorders and psychiatric symptoms during recovery from anorexia nervosa (AN). With a recovered design, a group of 68 previous patients with AN was studied in two follow-up studies, 8 and 16 years after 1st admission to Child and Adolescent Psychiatry (CAP). Levels of perfectionism stayed the same while eating disorder symptoms and psychiatric symptoms decreased during recovery. Levels of perfectionism were inversely related to duration of remission so that individuals that had short illness duration had lower levels of perfectionism at both follow-ups. Patients with initial high levels of perfectionism may be at risk for a long illness duration which we recommend clinicians to acknowledge.

  • 15.
    Sundberg, Britta
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Hägglöf, Bruno
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Lundberg Andersson, Ingrid
    Wesslund, Anders
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Nilsson, Karin
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Attachment-based family treatment of a girl with an ADHD-diagnosis: A case study based on interviews2017Report (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.

  • 16.
    Svensson, Elin
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Nilsson, Karin
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry. Umeå University Hospital.
    Levi, Richard
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation.
    Carballeira Suarez, Nivia
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry. Umeå University Hospital.
    Parent's experiences of having and caring for a child with an eating disorder2016In: Innovations in family therapy for eating disorders: novel treatment developments, patient insights, and the role of carers / [ed] Stuart Murray, Leslie Anderson, and Leigh Cohn, New York: Routledge, 2016, p. 249-260Chapter in book (Refereed)
  • 17.
    Svensson, Elin
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Nilsson, Karin
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Levi, Richard
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.
    Suarez, Nivia Carballeira
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Parents' experiences of having and caring for a child with an eating disorder2013In: Eating Disorders, ISSN 1064-0266, E-ISSN 1532-530X, Vol. 21, no 5, p. 395-407Article in journal (Refereed)
    Abstract [en]

    Eating disorders (ED) are serious conditions that affect both patients and their families. Little is known about the influence of these disorders on family life in a Swedish population and the ways that affected families actually attempt to cope. The aim of this study was to specifically investigate parental experiences of having and caring for a child with ED. A qualitative approach was used and rich narratives were obtained from interviews with 10 parents. Results promote insights into lived experiences concerning social disruption, emotional impact, and coping strategies related to ED. This knowledge can be utilized to further develop programs to help affected families.

  • 18. Wallin, Ulf
    et al.
    af Sandeberg, Anna Maria
    Nilsson, Karin
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Child and Adolescent Psychiatry.
    Linné, Yvonne
    Ätstörningar: kliniska riktlinjer för utredning och behandling2015 (ed. 2)Book (Other academic)
1 - 18 of 18
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