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Strömbäck, Maria, PhDORCID iD iconorcid.org/0000-0003-2597-2466
Publications (10 of 23) Show all publications
Ekbäck, E., Rådmark, L., Molin, J., Strömbäck, M., Midgley, N. & Henje, E. (2024). The Power Threat Meaning Framework: a qualitative study of depression in adolescents and young adults. Frontiers in Psychiatry, 15, Article ID 1393066.
Open this publication in new window or tab >>The Power Threat Meaning Framework: a qualitative study of depression in adolescents and young adults
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2024 (English)In: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 15, article id 1393066Article, review/survey (Refereed) Published
Abstract [en]

Introduction: Depression constitutes one of our largest global health concerns and current treatment strategies lack convincing evidence of effectiveness in youth. We suggest that this is partly due to inherent limitations of the present diagnostic paradigm that may group fundamentally different conditions together without sufficient consideration of etiology, developmental aspects, or context. Alternatives that complement the diagnostic system are available yet understudied. The Power Threat and Meaning Framework (PTMF) is one option, developed for explanatory and practical purposes. While based on scientific evidence, empirical research on the framework itself is still lacking. This qualitative study was performed to explore the experiences of adolescents and young adults with depression from the perspective of the PTMF.

Methods: We conducted semi-structured interviews with 11 Swedish individuals aged 15– 22 years, mainly female, currently enrolled in a clinical trial for major depressive disorder. Interviews were transcribed verbatim and analyzed with framework analysis informed by the PTMF.

Results: A complex multitude of adversities preceding the onset of depression was described, with a rich variety of effects, interpretations, and reactions. In total, 17 themes were identified in the four dimensions of the PTMF, highlighting the explanatory power of the framework in this context. Not all participants were able to formulate coherent narratives.

Discussion: The PTMF provides a framework for understanding the complexities, common themes, and lived experiences of young individuals with depression. This may be essential for the development of new interventions with increased precision and effectiveness in the young.

Place, publisher, year, edition, pages
Frontiers Media S.A., 2024
Keywords
depression, adolescents, young adults, qualitative research, framework analysis
National Category
Nursing
Identifiers
urn:nbn:se:umu:diva-224332 (URN)10.3389/fpsyt.2024.1393066 (DOI)
Available from: 2024-05-14 Created: 2024-05-14 Last updated: 2024-05-15Bibliographically approved
Gotfredsen, A. & Strömbäck, M. (2023). Fritidens betydelse för ungas psykiska hälsa - rättigheter, möjligheter och hinder: kunskapsläge och forskningsbehov. Stockholm: Forte - Forskningsrådet för hälsa, arbetsliv och välfärd
Open this publication in new window or tab >>Fritidens betydelse för ungas psykiska hälsa - rättigheter, möjligheter och hinder: kunskapsläge och forskningsbehov
2023 (Swedish)Report (Refereed)
Abstract [sv]

Denna kunskapsöversikt har för avsikt att kartlägga befintlig kunskap omhur fritid och fritidsaktiviteter kan bidra med friskfaktorer för ungas psykiskahälsa. Översikten har ett tydligt ungdoms- och rättighetsperspektiv för attlyfta ungas egna upplevelser av fritid och om fritiden sker på lika villkor. 

Place, publisher, year, edition, pages
Stockholm: Forte - Forskningsrådet för hälsa, arbetsliv och välfärd, 2023. p. 97
National Category
Health Sciences
Research subject
Public health
Identifiers
urn:nbn:se:umu:diva-216412 (URN)978-91-88561-54-1 (ISBN)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare
Available from: 2023-11-12 Created: 2023-11-12 Last updated: 2023-11-14Bibliographically approved
Sandsten, A., Lindgren, B.-M., Strömbäck, M., Ejneborn-Looi, G.-M. & Gabrielsson, S. (2023). General psychiatric inpatient care for persons with anorexia nervosa: an integrative literature review protocol. BMJ Open, 13(9), Article ID e076437.
Open this publication in new window or tab >>General psychiatric inpatient care for persons with anorexia nervosa: an integrative literature review protocol
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2023 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 13, no 9, article id e076437Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: People diagnosed with anorexia nervosa are offered or compelled to undergo various treatments and therapies. In Sweden, the lack of highly specialised eating disorder services means that people with anorexia nervosa might be cared for in general psychiatric wards. However, there has been limited research attention paid to how this specific context might benefit or harm persons with anorexia nervosa. There is also limited evidence regarding which form of care is most effective in anorexia nervosa and which type of treatment is optimal in general psychiatric inpatient care. Our intention is to highlight personal and professional perspectives of care for patients with anorexia nervosa in this context, with a focus on person-centred care, gender and power. This protocol describes an integrative literature review aiming to synthesise existing knowledge on general psychiatric inpatient care for persons with anorexia nervosa.

METHODS AND ANALYSIS: The study will be an integrative literature review following Whittemore and Knafl. We will search the academic databases PubMed, CINAHL and PsycInfo in accordance with a specific search strategy determined in collaboration with a librarian with expertise on systematic reviews. Data will be analysed using a constant comparison method. Persons with their own experience of anorexia nervosa in general psychiatric inpatient care will be involved as coresearchers.

ETHICS AND DISSEMINATION: As this is a literature review, formal ethical review is not required. The findings will be disseminated through peer-reviewed publication and presented at conferences related to this field.

AMENDMENTS: If we need to amend this protocol, we will give the date of each amendment, describe the change and give the rationale in this section.

PROSPERO REGISTRATION NUMBER: CRD42023426095.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2023
Keywords
eating disorders, hospitalization, mental health, psychiatry
National Category
Psychiatry
Identifiers
urn:nbn:se:umu:diva-215082 (URN)10.1136/bmjopen-2023-076437 (DOI)37775291 (PubMedID)2-s2.0-85172829502 (Scopus ID)
Available from: 2023-10-13 Created: 2023-10-13 Last updated: 2023-10-13Bibliographically approved
Åhlander, A., Strömbäck, M., Sandlund, J. & Wiklund, M. (2023). Living (dys)regulated and alienated young masculinity: young men's embodied experiences of mental disorders and suicidality. Counselling and Psychotherapy Research, 23(4), 893-905
Open this publication in new window or tab >>Living (dys)regulated and alienated young masculinity: young men's embodied experiences of mental disorders and suicidality
2023 (English)In: Counselling and Psychotherapy Research, ISSN 1473-3145, E-ISSN 1746-1405, Vol. 23, no 4, p. 893-905Article in journal (Refereed) Published
Abstract [en]

Introduction: Mental disorders, such as depression and anxiety with interlinked suicidality, are the leading cause of health-related disability among young men. Knowledge of the interaction between emotional, bodily, social and gendered mental health processes in young men is limited and therefore needed.

Aim: This study aimed to explore young men's lived embodied experiences of mental disorders and suicidality, and to conceptualise these by integrating affective–emotional, physiological, social and gendered processes.

Methods: Semistructured individual interviews were conducted with 13 young men who had sought professional help for mental disorders and suicidality. Grounded theory (GT) was used with a social constructivist perspective.

Results: The results comprise one core category - Living (dys)regulated and alienated young masculinity - with related categories “battling with the emotional body,” “suffering in social silence” and “balancing embodied darkness and distress.” The GT illustrates how young men navigate and manage their embodied and emotional suffering in a context of “regulative” masculine and social norms alongside insufficient social support.

Conclusion: Our results suggest that young men's lived embodied experiences of mental disorders and suicidality can be understood as a dynamic process of internal and external “(dys)regulation and alienation.” The generated GT provides a broad tentative explanation model, contributing to theory development, and serves as a basis for gender-sensitive interventions - in both psychotherapy and physiotherapy - integrating body, mind and the social context.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
anxiety, depression, emotional regulation, masculinity, self-harm, youth mental health
National Category
Gender Studies Psychiatry
Identifiers
urn:nbn:se:umu:diva-207038 (URN)10.1002/capr.12647 (DOI)000963505600001 ()2-s2.0-85152031835 (Scopus ID)
Funder
Public Health Agency of Sweden
Available from: 2023-04-25 Created: 2023-04-25 Last updated: 2023-12-29Bibliographically approved
Stenberg, G., Fjellman-Wiklund, A., Strömbäck, M., Eskilsson, T., From, C., Enberg, B. & Wiklund, M. (2022). Gender matters in physiotherapy. Physiotherapy Theory and Practice, 38(13), 2316-2329
Open this publication in new window or tab >>Gender matters in physiotherapy
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2022 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 38, no 13, p. 2316-2329Article in journal (Refereed) Published
Abstract [en]

The World Health Organization states that gender has implications for health across the course of a person's life in terms of norms, roles and relations. It also has implications in rehabilitation. In this article, we argue the need of gender perspectives in the field of physiotherapy; gender matters and makes a difference in health and rehabilitation. We highlight a number of central areas where gender may be significant and give concrete examples of social gender aspects in physiotherapy practice and in diverse patient groups. We also discuss why it can be important to consider gender from an organizational perspective and how sociocultural norms and ideals relating to body, exercise and health are gendered. Further we present useful gender theories and conceptual frameworks. Finally, we outline future directions in terms of gender-sensitive intervention, physiotherapy education and a gendered application of the ICF model. We want to challenge physiotherapists and physiotherapy students to broaden knowledge and awareness of how gender may impact on physiotherapy, and how gender theory can serve as an analytical lens for a useful perspective on the development of clinical practice, education and research within physiotherapy.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
clinical practice, Gender, gender theory, physiotherapy, physiotherapy education, physiotherapy research
National Category
Physiotherapy
Identifiers
urn:nbn:se:umu:diva-187700 (URN)10.1080/09593985.2021.1970867 (DOI)000692330800001 ()34470538 (PubMedID)2-s2.0-85114352521 (Scopus ID)
Funder
Umeå University
Available from: 2021-09-23 Created: 2021-09-23 Last updated: 2022-11-28Bibliographically approved
Molin, J., Strömbäck, M., Lundström, M. O. & Lindgren, B.-M. (2021). It’s Not Just in the Walls: Patient and Staff Experiences of a New Spatial Design for Psychiatric Inpatient Care. Issues in Mental Health Nursing, 42(12), 1114-1122
Open this publication in new window or tab >>It’s Not Just in the Walls: Patient and Staff Experiences of a New Spatial Design for Psychiatric Inpatient Care
2021 (English)In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 42, no 12, p. 1114-1122Article in journal (Refereed) Published
Abstract [en]

The environment in psychiatric inpatient care is key to patient recovery and staff job satisfaction. In this qualitative study of patient and staff experiences of a new spatial design in psychiatric inpatient care, we analysed data from 11 semi-structured interviews with patients and five focus group discussions with staff using qualitative content analysis. The new design contributed to feelings of safety and recovery, but patients and staff also reported some frustration and added stress. The results lead us to conclude that while the new spatial design improves some conditions for recovery and job satisfaction, the design itself is simply not enough. Changes in care environments require that both patients and staff be informed and involved in the renovation to ensure that patients feel respected and staff feel confident in using the new environment before and during treatment and follow-ups

Place, publisher, year, edition, pages
Taylor & Francis Group, 2021
National Category
Nursing Psychiatry
Research subject
Psychiatry
Identifiers
urn:nbn:se:umu:diva-185583 (URN)10.1080/01612840.2021.1931585 (DOI)000663196400001 ()34142934 (PubMedID)2-s2.0-85108613136 (Scopus ID)
Available from: 2021-06-30 Created: 2021-06-30 Last updated: 2023-03-07Bibliographically approved
Linander, I., Goicolea, I., Wiklund, M., Gotfredsen, A. & Strömbäck, M. (2021). Power and subjectivity: Making sense of sexual consent among adults living in Sweden. NORA: Nordic Journal of Feminist and Gender Research, 29(2), 110-123
Open this publication in new window or tab >>Power and subjectivity: Making sense of sexual consent among adults living in Sweden
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2021 (English)In: NORA: Nordic Journal of Feminist and Gender Research, ISSN 0803-8740, E-ISSN 1502-394X, Vol. 29, no 2, p. 110-123Article in journal (Refereed) Published
Abstract [en]

While sexual consent has been a hot topic during recent years in the Swedish context, there is a lack of empirical studies on the issue. The aims of this study were to analyse how adults in Sweden experience and make sense of sexual (non)consent in sexual encounters, and to contribute to a conceptual discussion of sexual consent, especially in relation to a Foucauldian understanding of power and subjectivity.

The analysis is based on 31 interviews with adults living in Sweden. Participants describe consenting to sex due to being exposed to interpersonal forms of power, ranging from violence and clear violations of consent to nagging and being subjected to pressure from others. But they also feel pressure and give consent to sex based on self-regulation and disciplinary forms of power, connected to normative ideals about "the good relationship", monogamy and heterosexuality, men and women, and age. Our Foucauldian analytical lens allowed us to explore and challenge understandings of autonomous, rational subjects who communicate consent on the basis of authentic feelings. It also provided an analytical strategy for analysing and understanding the complex power relations that matter in the negotiation of sexual consent.

Place, publisher, year, edition, pages
Routledge, 2021
Keywords
sexual consent, gender, subjectivities, Foucault, sexual violence, samtycke
National Category
Public Health, Global Health, Social Medicine and Epidemiology Gender Studies
Identifiers
urn:nbn:se:umu:diva-182425 (URN)10.1080/08038740.2021.1903553 (DOI)000642137300001 ()2-s2.0-85104992867 (Scopus ID)
Funder
Public Health Agency of Sweden
Available from: 2021-04-21 Created: 2021-04-21 Last updated: 2022-05-19Bibliographically approved
Linander, I., Strömbäck, M., Wiklund, M., Gotfredsen, A. & Goicolea, I. (2020). Ett spektrum av sexuella samtycken: En intervjustudie om samtycke hos sexuellt aktiva vuxna. Folkhälsomyndigheten
Open this publication in new window or tab >>Ett spektrum av sexuella samtycken: En intervjustudie om samtycke hos sexuellt aktiva vuxna
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2020 (Swedish)Report (Other academic)
Abstract [sv]

Studien undersöker hur sexuellt samtycke förstås, praktiseras och upplevs: Samtycke anses ofta vara en typ av avtal för sexuell aktivitet, men definitionen av sexuellt samtycke är komplex. Tidigare forskning har till stor del fokuserat på amerikanska collegestudenter, och det har saknats svenska empiriska studier som undersöker sexuellt samtycke i befolkningen.

Syftet med den här studien är därför att undersöka hur sexuellt samtycke förstås, praktiseras och upplevs i sexuella relationer bland vuxna i Sverige idag.

Studien är en kvalitativ intervjustudie med 31 sexuellt aktiva personer 23–61 år. Deltagarna rekryterades via annonser i lokaltidningar, breda Facebook-grupper och på stora arbetsplatser. Intervjuerna var semi-strukturerade och berörde sexuell kommunikation, sexuella relationer och erfarenheter av sexuellt samtycke. Intervjumaterialet analyserades med hjälp av tematisk analys.

Samtycke kan placeras in på ett spektrum: Analysen av intervjuerna resulterade i ett huvudtema: Ett spektrum av samtycken: kontextuellaoch kontinuerliga sexuella praktiker. 

Huvudtemat beskriver hur samtycke är mångfacetterat och uttrycks olika beroende av situation,relation och föreställningar om kvinnlig och manlig sexualitet och sexuell praktik. Det beskriver också hur samtycke i sig och hur samtycke kommuniceras är föränderligt och pågående, bådeöver tid och i den sexuella situationen. Huvudtemat beskriver vidare hur deltagarnas förståelse, praktik och upplevelser av samtycke och brist på samtycke kan placeras in på ett spektrummellan fullkomligt samförstånd och avsaknad av samtycke, det vill säga i form av övergrepp och sexuellt våld. Däremellan kan kommunikationen vara bättre eller sämre, och förväntningar på kvinnlig och manlig sexualitet kan spela in i vad som upplevs eller förstås som samtycke. Gråzoner för vad som upplevs som självklart och lustfyllt, eller obekvämt eller tveksamt är en del av samtyckets spektrum. 

Huvudtemat byggs upp av fem underteman:

1. Kommunikation – så tydligt, så svårt belyser deltagarnas syn på tydlig och lyhördkommunikation som en nyckel till ett fungerande sexuellt samtycke och samspel. Samtidigt upplever deltagarna att det är svårt att kommunicera om sex och samtycke, och att de därför kan behöva träna på det och finna forum för att förbättra dessa färdigheter. Vidare beskriver deltagarna att typen av kommunikation skiljer sig åt mellan olika slags sexuella situationer och praktiker. Det som upplevs som tabubelagt kan också försvåra en god kommunikation.

2. Sex och samspel i samförstånd belyser hur sexuellt samtycke när det fungerar bra förstås som självklart och ömsesidigt. Det beskriver hur samtycken kan förändras och fungera olika beroende på situation och utifrån individuella och relationella faktorer. Samtycket är någonting pågående som sker här och nu.

3. Samtyckets gråzoner beskriver upplevelser där deltagarna varit osäkra på sitt eget eller andras samtycke, och erfarenheter av att bristande lust har omvandlats till samtycke efter hand.

4. Avsaknad av samtycke handlar om att samtycke inte uppnås utan på olika sätt överträds, exempelvis i form av sexuellt våld. Temat handlar också om konsekvenserna av att bära med sig dessa erfarenheter. 

5. Att navigera och utmana föreställningar och praktiker för sexualitet belyser hur olika föreställningar om och förväntningar på sexuellt beteende utifrån kön påverkar hur deltagarna förstår, kommunicerar och praktiserar sexuellt samtycke. I temat ingår inslag av att utmana förväntningar på romantisk och tvåsam kärlek. 

Viktiga insikter för arbetet för sexuell hälsa och motsexuellt våld: Kunskapen från studien kan öka förståelsen för hur sexuellt aktiva vuxna kommunicerar, praktiserar och upplever sexuellt samtycke. Detta har både vetenskaplig och samhälleligbetydelse. Insikterna kan bidra till att utveckla det hälsofrämjande arbetet för sexuell hälsa samtutveckla interventionerna i det förebyggande arbetet och de behandlande insatserna vid sexuellatrakasserier och sexuellt våld.

Place, publisher, year, edition, pages
Folkhälsomyndigheten, 2020. p. 43
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-177951 (URN)
Note

Ansvarig enhetschef har varit Louise Mannheimer på enheten för sexuell hälsa och hivprevention, avdelningen för smittskydd och hälsoskydd. 

Available from: 2020-12-23 Created: 2020-12-23 Last updated: 2022-05-19Bibliographically approved
Ilgunas, A., Wänman, A. & Strömbäck, M. (2020). 'I was cracking more than everyone else': young adults' daily life experiences of hypermobility and jaw disorders. European Journal of Oral Sciences, 128, 74-80
Open this publication in new window or tab >>'I was cracking more than everyone else': young adults' daily life experiences of hypermobility and jaw disorders
2020 (English)In: European Journal of Oral Sciences, ISSN 0909-8836, E-ISSN 1600-0722, Vol. 128, p. 74-80Article in journal (Refereed) Published
Abstract [en]

Most studies on general joint hypermobility (GJH) and temporomandibular disorders (TMD) are quantitative and have concluded that joint hypermobility is a risk factor for development of TMD. The present qualitative study aimed to explore young adults' daily life experiences of GJH, specifically these relating to jaw function, and their experiences of medical and dental care providers. Semi-structured interviews were conducted with nine young adults (18-22 yr of age) and data were analysed using qualitative content analysis. The overarching thematic category that emerged was 'Hypermobility in daily life', which was broken into six subthemes and three themes: 'emotional perception', 'dealing with symptoms', and 'outside influences'. Participants' narratives centred on experiences of complex symptoms, awkward jaw function and joint noises, feeling different, and a lack of support from general medical and dental care providers. The findings show that young adults with joint hypermobility need early support from medical and dental care providers for managing their symptoms and conditions related to GJH. Future studies are warranted to develop guidelines for professionals in medical and dental care to detect and prevent forthcoming problems and to offer relevant support to hypermobile youths.

Place, publisher, year, edition, pages
WILEY, 2020
Keywords
connective tissue disorder, qualitative research, quality of life, temporomandibular disorders, temporomandibular joint
National Category
Dentistry
Identifiers
urn:nbn:se:umu:diva-167951 (URN)10.1111/eos.12675 (DOI)000506541300001 ()31926036 (PubMedID)2-s2.0-85077894844 (Scopus ID)
Available from: 2020-03-02 Created: 2020-03-02 Last updated: 2023-03-24Bibliographically approved
Strömbäck, M., Fjellman-Wiklund, A., Keisu, S., Sturesson, M. & Eskilsson, T. (2020). Restoring confidence in return to work: A qualitative study of the experiences of persons with exhaustion disorder after a dialogue-based workplace intervention. PLOS ONE, 15(7), Article ID e0234897.
Open this publication in new window or tab >>Restoring confidence in return to work: A qualitative study of the experiences of persons with exhaustion disorder after a dialogue-based workplace intervention
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2020 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 15, no 7, article id e0234897Article in journal (Refereed) Published
Abstract [en]

Background: Stress-induced exhaustion disorder (SED) is a primary cause for sickness absence among persons with mental health disorders in Sweden. Interventions involving the workplace, and supporting communication between the employee and the supervisor, are proposed to facilitate return to work (RTW). The aim of this study was to explore experiences of persons with SED who participated in a dialogue-based workplace intervention with a convergence dialogue meeting performed by a rehabilitation coordinator.

Methods: A qualitative design based on group interviews with 15 persons with SED who participated in a 24-week multimodal rehabilitation program was used. The interviews were analyzed with the methodology of grounded theory.

Results: The analysis resulted in a theoretical model where the core category, restoring confidence on common ground, represented a health promoting process that included three phases: emotional entrance, supportive guidance, and empowering change. The health promoting process was represented in participant experiences of personal progress and safety in RTW.

Conclusions: The intervention built on a health-promoting pedagogy, supported by continuous guidance from a rehabilitation coordinator and structured convergence dialogue meetings that enhanced common communication and collaboration with the supervisor and others involved in the RTW process. The intervention balanced relationships, transferred knowledge, and changed attitudes about SED among supervisors and colleagues in the workplace. The inclusion of a rehabilitation coordinator in the intervention was beneficial by enhancing RTW and bridging the gaps between healthcare, the workplace, and other organizational structures. In addition, the intervention contributed to a positive re-orientation towards successful RTW instead of an endpoint of employment. In a prolonged process, a dialogue-based workplace intervention with convergence dialogue meetings and a rehabilitation coordinator may support sustainable RTW for persons with SED. 

Place, publisher, year, edition, pages
Public Library of Science, 2020
National Category
Occupational Therapy
Identifiers
urn:nbn:se:umu:diva-174785 (URN)10.1371/journal.pone.0234897 (DOI)000569367100006 ()32735586 (PubMedID)2-s2.0-85088861182 (Scopus ID)
Available from: 2020-09-07 Created: 2020-09-07 Last updated: 2021-07-12Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0003-2597-2466

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