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Nilsson, Karin
Publications (10 of 20) Show all publications
Dennhag, I., Henje, E. & Nilsson, K. (2021). Parental caregiver burden and recovery of adolescent anorexia nervosa after multi-family therapy. Eating Disorders (5), 463-479
Open this publication in new window or tab >>Parental caregiver burden and recovery of adolescent anorexia nervosa after multi-family therapy
2021 (English)In: Eating Disorders, ISSN 1064-0266, E-ISSN 1532-530X, no 5, p. 463-479Article in journal (Refereed) Published
Abstract [en]

This study investigated whether parental caregiving burden changed during adjunct multi-family therapy of adolescent anorexia nervosa and eating disorders not otherwise specified (EDNOS) and whether caregiver burden at baseline and changes in caregiver burden during treatment were associated with treatment outcome.

Twenty-four females, 13 to 16 years old, and their parents, participated in the study. Caregiver burden was measured with the Eating Disorders Symptom Impact Scale, by mothers (n = 23) and fathers (n = 22). Treatment outcome was measured by adolescent body mass index, level of global functioning and self-rated eating disorder symptoms by the Eating Disorders Examination Questionnaire 4.0.

All patient outcomes improved and overall caregiver burden decreased significantly during treatment. When broken down in aspects of caregiver burden the decrease in parental perceived isolation, was found to be associated with improvement of BMI and Children's Global Assessment Scale. When analyzing fathers and mothers separately, we found that maternal feelings of guilt and paternal perceived burden of dysregulated behaviors at base-line were correlated to treatment outcome. Future studies are needed to clarify the role of caregiver burden as a potential mediator of treatment results.

Place, publisher, year, edition, pages
Routledge, 2021
National Category
Psychiatry
Identifiers
urn:nbn:se:umu:diva-164587 (URN)10.1080/10640266.2019.1678980 (DOI)000490618000001 ()31617832 (PubMedID)2-s2.0-85074342634 (Scopus ID)
Funder
Västerbotten County Council, VLL-678611
Available from: 2019-10-24 Created: 2019-10-24 Last updated: 2022-01-12Bibliographically approved
Sundberg, B., Ollersjö, H. & Nilsson, K. (2020). Child Psychiatric Symptoms and Parental Stress Before and After Theraplay Treatment. Umeå: Umeå universitet
Open this publication in new window or tab >>Child Psychiatric Symptoms and Parental Stress Before and After Theraplay Treatment
2020 (Swedish)Report (Other academic)
Abstract [en]

Objective: There is a well-established association between children´s psychiatric symptoms and parental stress. Still there is a need for evidence-based interventions that can reduce both children´s psychiatric symptoms and parental stress simultaneously. Theraplay is a playful family therapy that aims to strengthen the attachment process in the parent–child relationship. The aim of this naturalistic study was to evaluate changes in children’s psychiatric symptoms, general psychosocial function and parental stress before, after, and at a follow-up 6 months after Theraplay treatment and to assess parents’ experiences of concerns, interactions, and understanding of their child after treatment.

Methods: A total of 57 parents and 34 children with a mean age of 6.3 years (2.5-12) participated in the study. Children with severe psychiatric symptoms or disabilities were recruited from Child and Adolescent Psychiatry and Center for Children with Disabilities.

Results: The result showed a decline of the child´s psychiatric symptoms, a decrease in parental stress and level of concerns, an experience of improved parent-child interactions, and a deeper understanding of the child.

Conclusions: The results indicate that Theraplay can be helpful as a treatment method that can lower psychiatric symptoms of children and help the parents in different ways.

Place, publisher, year, edition, pages
Umeå: Umeå universitet, 2020. p. 15
Series
Rapporter / Enheten för barn- och ungdomspsykiatri, ISSN 0349-0815 ; 9
Keywords
Theraplay, Attachment, Mentalisation, Parental stress, Playfulness
National Category
Psychiatry
Identifiers
urn:nbn:se:umu:diva-170484 (URN)
Available from: 2020-05-06 Created: 2020-05-06 Last updated: 2020-05-07Bibliographically approved
Nilsson, K. (2018). Multifamiljeterapi för ungdomar med anorexia nervosa: En pilotstudie av ätstörningssymtom och mående efter ett års tilläggsbehandling. Umeå: Umeå universitet
Open this publication in new window or tab >>Multifamiljeterapi för ungdomar med anorexia nervosa: En pilotstudie av ätstörningssymtom och mående efter ett års tilläggsbehandling
2018 (Swedish)Report (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.

Place, publisher, year, edition, pages
Umeå: Umeå universitet, 2018. p. 20
Series
Rapport / Barn- och ungdomspsykiatri, ISSN 0349-0815 ; 8
Keywords
anorexia nervosa, multifamiljeterapi, ungdomar
National Category
Psychiatry
Identifiers
urn:nbn:se:umu:diva-152451 (URN)
Available from: 2018-10-05 Created: 2018-10-05 Last updated: 2018-10-05Bibliographically approved
Sundberg, B., Hägglöf, B., Lundberg Andersson, I., Wesslund, A. & Nilsson, K. (2017). Attachment-based family treatment of a girl with an ADHD-diagnosis: A case study based on interviews. Umeå: Umeå universitet
Open this publication in new window or tab >>Attachment-based family treatment of a girl with an ADHD-diagnosis: A case study based on interviews
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2017 (English)Report (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.

Place, publisher, year, edition, pages
Umeå: Umeå universitet, 2017. p. 22
Series
Barn- och ungdomspsykiatri, ISSN 0349-0815 ; 7
National Category
Psychiatry
Research subject
Child and Youth Psychiatry
Identifiers
urn:nbn:se:umu:diva-147089 (URN)
Available from: 2018-04-26 Created: 2018-04-26 Last updated: 2018-06-09Bibliographically approved
Löfgren, H. O., Petersen, S., Nilsson, K., Ghazinour, M. & Hägglöf, B. (2017). Effects of Parent Training Programmes on Parents' Sense of Competence in a General Population Sample. Global Journal of Health Science, 9(7), 24-34
Open this publication in new window or tab >>Effects of Parent Training Programmes on Parents' Sense of Competence in a General Population Sample
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2017 (English)In: Global Journal of Health Science, ISSN 1916-9736, E-ISSN 1916-9744, Vol. 9, no 7, p. 24-34Article in journal (Refereed) Published
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.

Place, publisher, year, edition, pages
Canadian Center of Science and Education, 2017
Keywords
Parent training programme, parenting sense of competence, parental support, parenting, universal intervention
National Category
Public Health, Global Health, Social Medicine and Epidemiology Psychiatry
Identifiers
urn:nbn:se:umu:diva-130533 (URN)10.5539/gjhs.v9n7p24 (DOI)
Available from: 2017-01-23 Created: 2017-01-23 Last updated: 2021-03-29Bibliographically approved
Löfgren, H. O., Petersen, S., Nilsson, K., Padyab, M., Ghazinour, M. & Hägglöf, B. (2017). Effects of Parent Training Programs on Parental Stress in a General Swedish Population Sample. Psychology, 8(5), 700-716, Article ID 75044.
Open this publication in new window or tab >>Effects of Parent Training Programs on Parental Stress in a General Swedish Population Sample
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2017 (English)In: Psychology, ISSN 2152-7180, E-ISSN 2152-7199, Vol. 8, no 5, p. 700-716, article id 75044Article in journal (Refereed) Published
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. 

Keywords
Parental Training Program, Parental Stress, Universal Prevention, SPSQ
National Category
Psychiatry
Identifiers
urn:nbn:se:umu:diva-133099 (URN)10.4236/psych.2017.85045 (DOI)
Available from: 2017-03-31 Created: 2017-03-31 Last updated: 2021-03-29Bibliographically approved
Löfgren, H. O., Padyab, M., Ghazinour, M., Nilsson, K., Petersen, S. & Hägglöf, B. (2017). Healthier Parents: Effects of Parent Training Programs on Mental Health. International Journal of Social Work and Human Services Practice, 5(2), 70-79
Open this publication in new window or tab >>Healthier Parents: Effects of Parent Training Programs on Mental Health
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2017 (English)In: 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) Published
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.

Keywords
Parental Training Program, Universal Interventions, General Mental Health, GHQ
National Category
Psychiatry
Identifiers
urn:nbn:se:umu:diva-136134 (URN)10.13189/ijrh.2017.050204 (DOI)
Available from: 2017-06-13 Created: 2017-06-13 Last updated: 2021-03-29Bibliographically approved
Engman Bredvik, S., Carballeira Suarez, N., Levi, R. & Nilsson, K. (2016). Multi-family therapy in anorexia nervosa: a qualitative study of parental experiences. In: Stuart Murray; Leslie Anderson; Leigh Cohn (Ed.), Innovations in family therapy for eating disorders: novel treatment developments, patient insights, and the role of carers (pp. 236-248). New York: Routledge
Open this publication in new window or tab >>Multi-family therapy in anorexia nervosa: a qualitative study of parental experiences
2016 (English)In: Innovations in family therapy for eating disorders: novel treatment developments, patient insights, and the role of carers / [ed] Stuart Murray; Leslie Anderson; Leigh Cohn, New York: Routledge, 2016, p. 236-248Chapter in book (Refereed)
Abstract [en]

Anorexia nervosa (AN) is a serious eating disorder, often with psychiatric comorbidities. AN occurs in 1 percent of girls in the risk ages 13-18 years and in about 0.1 percent of boys in the same age group. It has a standardized mortality ratio of 5.86 (Arcelus, Mitchell, & Wales, 2014). In 10-20 percent of those affected, AN is refractory to treatment, thus leading to chronic suffering and psycho-social disturbances (Berkman, Lohr, & Bulik, 2007).

Place, publisher, year, edition, pages
New York: Routledge, 2016
National Category
Psychiatry
Identifiers
urn:nbn:se:umu:diva-138079 (URN)10.4324/9781315626086-34 (DOI)2-s2.0-85151182952 (Scopus ID)9781138648982 (ISBN)9781315626086 (ISBN)
Available from: 2017-08-08 Created: 2017-08-08 Last updated: 2023-04-11Bibliographically approved
Engman-Bredvik, S., Carballeira Suarez, N., Levi, R. & Nilsson, K. (2016). Multi-family therapy in anorexia nervosa: a qualitative study of parental experiences. Eating Disorders, 24(2), 186-197
Open this publication in new window or tab >>Multi-family therapy in anorexia nervosa: a qualitative study of parental experiences
2016 (English)In: Eating Disorders, ISSN 1064-0266, E-ISSN 1532-530X, Vol. 24, no 2, p. 186-197Article in journal (Refereed) Published
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.

Place, publisher, year, edition, pages
Taylor & Francis, 2016
National Category
Psychiatry
Identifiers
urn:nbn:se:umu:diva-118758 (URN)10.1080/10640266.2015.1034053 (DOI)000372083800006 ()25879257 (PubMedID)2-s2.0-84960316637 (Scopus ID)
Available from: 2016-04-04 Created: 2016-04-04 Last updated: 2023-03-24Bibliographically approved
Svensson, E., Nilsson, K., Levi, R. & Carballeira Suarez, N. (2016). Parent's experiences of having and caring for a child with an eating disorder (1ed.). In: Stuart B. Murray; Leslie Karwoski Anderson; Leigh Cohn (Ed.), Innovations in family therapy for eating disorders: novel treatment developments, patient insights, and the role of carers (pp. 249-260). New York: Routledge
Open this publication in new window or tab >>Parent's experiences of having and caring for a child with an eating disorder
2016 (English)In: Innovations in family therapy for eating disorders: novel treatment developments, patient insights, and the role of carers / [ed] Stuart B. Murray; Leslie Karwoski Anderson; Leigh Cohn, New York: Routledge, 2016, 1, p. 249-260Chapter in book (Refereed)
Abstract [en]

Eating disorders (EDs), including anorexia nervosa (AN), bulimia nervosa (BN), and “eating disorder not otherwise specified” (EDNOS), are all potentially serious conditions and also commonly comorbid with other psychiatric disorders such as depression. AN is additionally associated with an increased mortality risk, and in up to 10-20 percent of sufferers the condition is refractory to treatment and becomes chronic (Berkman, Lohr, & Bulik, 2007; Fairburn & Harrison, 2003; Steinhausen, 2002).

Place, publisher, year, edition, pages
New York: Routledge, 2016 Edition: 1
National Category
Psychiatry
Identifiers
urn:nbn:se:umu:diva-138081 (URN)10.4324/9781315626086-35 (DOI)2-s2.0-85151174702 (Scopus ID)9781138648982 (ISBN)9781315626086 (ISBN)
Available from: 2017-08-08 Created: 2017-08-08 Last updated: 2023-05-05Bibliographically approved
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