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  • 1.
    Carballeira Suarez, Nivia
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Hägglöf, Bruno
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Nilsson, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Mitt barn svälter sig – hjälp!: Fallstudie med fokus på familjeterapi som behandling av ätstörning2012Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 109, nr 42, s. 1889-1891Artikel i tidskrift (Övrigt vetenskapligt)
    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.
    Dennhag, Inga
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Henje, Eva
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Nilsson, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Parental caregiver burden and recovery of adolescent anorexia nervosa after multi-family therapy2021Ingår i: Eating Disorders, ISSN 1064-0266, E-ISSN 1532-530X, nr 5, s. 463-479Artikel i tidskrift (Refereegranskat)
    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.

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  • 3.
    Engman Bredvik, Sofie
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Carballeira Suarez, Nivia
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri. Umeå University Hospital.
    Levi, Richard
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering.
    Nilsson, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri. Umeå University Hospital.
    Multi-family therapy in anorexia nervosa: a qualitative study of parental experiences2016Ingår i: 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, s. 236-248Kapitel i bok, del av antologi (Refereegranskat)
    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).

  • 4.
    Engman-Bredvik, Sofie
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Carballeira Suarez, Nivia
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Levi, Richard
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rehabiliteringsmedicin.
    Nilsson, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Multi-family therapy in anorexia nervosa: a qualitative study of parental experiences2016Ingår i: Eating Disorders, ISSN 1064-0266, E-ISSN 1532-530X, Vol. 24, nr 2, s. 186-197Artikel i tidskrift (Refereegranskat)
    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.

  • 5.
    Löfgren, Hans O.
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Padyab, Mojgan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Ghazinour, Mehdi
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för polisutbildning vid Umeå universitet.
    Nilsson, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Petersen, Solveig
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Hägglöf, Bruno
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Healthier Parents: Effects of Parent Training Programs on Mental Health2017Ingår i: International Journal of Social Work and Human Services Practice, ISSN 2332-6832, E-ISSN 2332-6840, Vol. 5, nr 2, s. 70-79Artikel i tidskrift (Refereegranskat)
    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.

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  • 6.
    Löfgren, Hans O.
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Petersen, Solveig
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri. Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Nilsson, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Ghazinour, Mehdi
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för polisutbildning vid Umeå universitet.
    Hägglöf, Bruno
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Effects of Parent Training Programmes on Parents' Sense of Competence in a General Population Sample2017Ingår i: Global Journal of Health Science, ISSN 1916-9736, E-ISSN 1916-9744, Vol. 9, nr 7, s. 24-34Artikel i tidskrift (Refereegranskat)
    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.

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  • 7.
    Löfgren, Hans O.
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Petersen, Solveig
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri. Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Nilsson, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Padyab, Mojgan
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Ghazinour, Mehdi
    Umeå universitet, Samhällsvetenskapliga fakulteten, Enheten för polisutbildning vid Umeå universitet.
    Hägglöf, Bruno
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Effects of Parent Training Programs on Parental Stress in a General Swedish Population Sample2017Ingår i: Psychology, ISSN 2152-7180, E-ISSN 2152-7199, Vol. 8, nr 5, s. 700-716, artikel-id 75044Artikel i tidskrift (Refereegranskat)
    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. 

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  • 8.
    Nilsson, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Multifamiljeterapi för ungdomar med anorexia nervosa: En pilotstudie av ätstörningssymtom och mående efter ett års tilläggsbehandling2018Rapport (Övrigt vetenskapligt)
    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.

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  • 9.
    Nilsson, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Recovery from adolescent onset anorexia nervosa: a longitudinal study2007Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    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.

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  • 10.
    Nilsson, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Ätstörningar2008Ingår i: Självskadebeteende: forskning, behandling och metoder för att förebygga psykisk ohälsa hos unga / [ed] Rigmor Stein, Stockholm: Stiftelsen Allmänna Barnhuset , 2008, s. 49-62Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 11.
    Nilsson, Karin
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Abrahamsson, Erik
    Torbiornsson, Anna
    Hägglöf, Bruno
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Causes of adolescent onset anorexia nervosa: patient perspectives.2007Ingår i: Eating Disorders, ISSN 1064-0266, E-ISSN 1532-530X, Vol. 15, nr 2, s. 125-133Artikel i tidskrift (Refereegranskat)
  • 12.
    Nilsson, Karin
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Engström, Ingemar
    Hägglöf, Bruno
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Family climate and recovery in adolescent onset eating disorders: a prospective study2012Ingår i: European eating disorders review, ISSN 1072-4133, E-ISSN 1099-0968, Vol. 20, nr 1, s. e96-e102Artikel i tidskrift (Refereegranskat)
    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.

  • 13.
    Nilsson, Karin
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Hägglöf, Bruno
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Long-term follow-up of adolescent onset anorexia nervosa in northern Sweden2005Ingår i: European eating disorders review, ISSN 1072-4133, E-ISSN 1099-0968, Vol. 13, nr 2, s. 89-100Artikel i tidskrift (Refereegranskat)
  • 14.
    Nilsson, Karin
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Hägglöf, Bruno
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Patient perspectives of recovery in adolescent onset anorexia nervosa2006Ingår i: Eating Disorders, ISSN 1064-0266, E-ISSN 1532-530X, Vol. 14, s. 305-311Artikel i tidskrift (Refereegranskat)
  • 15.
    Nilsson, Karin
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Sundbom, Elisabet
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Psykiatri.
    Hägglöf, Bruno
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    A longitudinal study of perfectionism in adolescent onset anorexia nervosa-restricting type2008Ingår i: European eating disorders review, ISSN 1072-4133, E-ISSN 1099-0968, Vol. 16, nr 5, s. 386-394Artikel i tidskrift (Refereegranskat)
    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.

  • 16.
    Sundberg, Britta
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Hägglöf, Bruno
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Lundberg Andersson, Ingrid
    Wesslund, Anders
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Nilsson, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Attachment-based family treatment of a girl with an ADHD-diagnosis: A case study based on interviews2017Rapport (Övrigt vetenskapligt)
    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.

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  • 17.
    Sundberg, Britta
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Ollersjö, Helene
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Nilsson, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Child Psychiatric Symptoms and Parental Stress Before and After Theraplay Treatment2020Rapport (Övrigt vetenskapligt)
    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.

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  • 18.
    Svensson, Elin
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri. Umeå University Hospital, Umeå, Sweden.
    Nilsson, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri. Umeå University Hospital, Umeå, Sweden.
    Levi, Richard
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering.
    Carballeira Suarez, Nivia
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri. Umeå University Hospital, Umeå, Sweden.
    Parent's experiences of having and caring for a child with an eating disorder2016Ingår i: 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, s. 249-260Kapitel i bok, del av antologi (Refereegranskat)
    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).

  • 19.
    Svensson, Elin
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Nilsson, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Levi, Richard
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rehabiliteringsmedicin.
    Suarez, Nivia Carballeira
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Parents' experiences of having and caring for a child with an eating disorder2013Ingår i: Eating Disorders, ISSN 1064-0266, E-ISSN 1532-530X, Vol. 21, nr 5, s. 395-407Artikel i tidskrift (Refereegranskat)
    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.

  • 20. Wallin, Ulf
    et al.
    af Sandeberg, Anna Maria
    Nilsson, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Barn- och ungdomspsykiatri.
    Linné, Yvonne
    Ätstörningar: kliniska riktlinjer för utredning och behandling2015 (uppl. 2)Bok (Övrigt vetenskapligt)
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