Gymnastik- och idrottshögskolan, GIH

Ändra sökning
Avgränsa sökresultatet
12 1 - 50 av 74
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Träffar per sida
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
Markera
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 1.
    Alfvén, G
    et al.
    Karolinska institutet, Stockholm.
    Andersson, Eva
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa. Karolinska institutet, Department of Neuroscience, Stockholm.
    The Dangerous Staircase of Stress2021Ingår i: Anesthesia & Pain Research, ISSN 2639-846X, Vol. 5, nr 2, s. 1-6Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    Chronic negative stress may be the start of a progress of illness, that may end in serious troubles for the affected. In this Perspective we highlight the steps in such a progress, what we call a staircase of stress. This underlines the importance of recognition, understanding and therapeutic measures at an early stage of the stress disorders. 

    Ladda ner fulltext (pdf)
    fulltext
  • 2.
    Andersson, Eva
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Laboratoriet för biomekanik och motorisk kontroll (BMC).
    Hovland, Anders
    Kjellman, Bengt
    Taube, Jill
    Martinsen, Egil W.
    Fysisk aktivitet är lika bra som läkemedel eller samtalsterapi vid depression2016Ingår i: Idrottsmedicin, ISSN 2001-3302, Vol. 35, nr 1, s. 4-7Artikel i tidskrift (Övrigt vetenskapligt)
  • 3.
    Andersson, M. J.
    et al.
    Lund Univ, Dept Clin Sci, Lund, Sweden..
    Kenttä, Göran
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysiologi, nutrition och biomekanik.
    Moesch, K.
    Malmö Univ, Dept Sports Sci, Malmö, Sweden..
    Borg, E.
    Stockholm Univ, Dept Psychol Percept & Psychophys, Stockholm, Sweden..
    Claesdotter-Knutsson, E.
    Lund Univ, Dept Clin Sci, Lund, Sweden..
    Håkansson, A.
    Lund Univ, Dept Clin Sci, Lund, Sweden..
    Symptoms of Depression and Anxiety Among Elite High School Student-Athletes in Sweden During the COVID-19 Pandemic: A Longitudinal Study2023Ingår i: European Psychiatry 66(2023):Suppl. 1, Cambridge University Press, 2023, Vol. 66, s. S593-S594, artikel-id EPP0961Konferensbidrag (Övrigt vetenskapligt)
  • 4.
    Andersson, Mitchell J
    et al.
    Malmö Addiction Center, Region Skåne, Clinical Sports and Mental Health Unit, Malmö, Sweden.; Faculty of Medicine, Department of Clinical Sciences, Lund University, Lund, Sweden..
    Kenttä, Göran
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysiologi, nutrition och biomekanik. Swedish Sports Confederation, Stockholm, Sweden; School of Human Kinetics, University of Ottawa, Ottawa, Canada.
    Moesch, Karin
    Swedish Sports Confederation, Stockholm, Sweden.; Department of Sports Science, Malmö University, Malmö, Sweden.
    Borg, Elisabet
    Faculty of Social Sciences, Department of Psychology - Perception and Psychophysics, Stockholm University, Stockholm, Sweden..
    Claesdotter-Knutsson, Emma
    Faculty of Medicine, Department of Clinical Sciences, Lund University, Lund, Sweden..
    Håkansson, Anders
    Malmö Addiction Center, Region Skåne, Clinical Sports and Mental Health Unit, Malmö, Sweden.; Faculty of Medicine, Department of Clinical Sciences, Lund University, Lund, Sweden..
    Symptoms of depression and anxiety among elite high school student-athletes in Sweden during the COVID-19 pandemic: A repeated cross-sectional study.2023Ingår i: Journal of Sports Sciences, ISSN 0264-0414, E-ISSN 1466-447X, Vol. 41, nr 9, s. 874-883Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The COVID-19 pandemic precipitated numerous changes in daily life, including the cancellation and restriction of sports globally. Because sports participation contributes positively to the development of student-athletes, restricting these activities may have led to long-term mental health changes in this population. Using a repeated cross-sectional study design, we measured rates of depression using the Patient Health Questionnaire-2 and anxiety using the Generalized Anxiety Disorder-2 scale in student-athletes attending elite sport high schools in Sweden during the second wave of the pandemic (February 2021; n = 7021) and after all restrictions were lifted (February 2022; n = 6228). Depression among student-athletes decreased from 19.8% in 2021 to 17.8% in 2022 (p = .008, V = .026), while anxiety screening did not change significantly (17.4% to 18.4%, p > .05). Comparisons between classes across years revealed older students exhibited decreases in depressive symptoms, while younger cohorts experienced increases in symptoms of anxiety from 2021 to 2022. Logistic regressions revealed that being female, reporting poorer mental health due to COVID-19, and excessive worry over one's career in sports were significant predictors of both depression and anxiety screenings in 2022. Compared to times when sports participation was limited, the lifting of restrictions was associated with overall reduced levels of depression, but not anxiety.

    Ladda ner fulltext (pdf)
    fulltext
  • 5.
    Birgegard, Andreas
    et al.
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Abbaspour, Afrouz
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Borg, Stina
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Clinton, David
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Forsén Mantilla, Emma
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Savva, Androula
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Termorshuizen, Jet D.
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Bulik, Cynthia M.
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.;Univ N Carolina, Dept Psychiat, Chapel Hill, NC 27515 USA.;Univ N Carolina, Dept Nutr, Chapel Hill, NC 27515 USA..
    Longitudinal experiences and impact of the COVID-19 pandemic among people with past or current eating disorders in Sweden2021Ingår i: Eating Disorders, ISSN 1064-0266, E-ISSN 1532-530X, Vol. 30, nr 6, s. 602-617Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The study aimed to document the impact of the COVID-19 pandemic on the health and well-being of individuals with past and current eating disorders (ED) in Sweden. We re-contacted participants with a known lifetime history of ED from two previous Swedish studies. Participants completed an online survey about health and functioning at baseline early in the pandemic (Wave 1 ca May/June 2020; N= 982) and six months later (Wave 2 Dec/Jan 2020/21; N= 646). Three important patterns emerged: 1) higher current ED symptoms were associated with greater anxiety, worry, and pandemic-related ED symptom increase; 2) patterns were fairly stable across time, although a concerning percentage (23%) who were symptom-free at Wave 1 reported the re-emergence of symptoms at Wave 2; and 3) only a minority of participants (<50%) with a current ED were in treatment, and of those in treatment, many reported fewer treatment sessions and decreased quality of care. The COVID-19 pandemic appears to pose serious health challenges for individuals with an ED, whether currently symptomatic or in remission. We encourage health service providers and patient advocates to be alert to the needs of individuals with ED and to take active measures to ensure access to appropriate evidence-based care both during and following the pandemic.

  • 6.
    Birgegard, Andreas
    et al.
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.;Karolinska Inst, MEB, Nobels Vag 12A, SE-17177 Stockholm, Sweden..
    Forsén Mantilla, Emma
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Breithaupt, Lauren E.
    Massachusetts Gen Hosp, Eating Disorders Clin & Res Program, Boston, MA USA.;Harvard Med Sch, Dept Psychiat, Boston, MA USA..
    Borg, Stina
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Sanzari, Christina M.
    SUNY Albany, Dept Psychol, Albany, NY USA.;Univ North Carolina Chapel Hill, Dept Psychiat, Chapel Hill, NC USA..
    Padalecki, Sophie
    Univ North Carolina Chapel Hill, Dept Psychiat, Chapel Hill, NC USA.;Elon Univ, Coll Arts & Sci, Dept Publ Hlth, Elon, NC USA..
    Hedlund, Elin
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Bulik, Cynthia M.
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden.;Univ North Carolina Chapel Hill, Dept Psychiat, Chapel Hill, NC USA.;Univ North Carolina Chapel Hill, Dept Nutr, Chapel Hill, NC USA..
    Proposal for increasing diagnostic clarity in research and clinical practice by renaming and reframing atypical anorexia nervosa as "Restrictive Eating Disorder" (RED)2023Ingår i: Eating Behaviors, ISSN 1471-0153, E-ISSN 1873-7358, Vol. 50, artikel-id 101750Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Atypical anorexia nervosa (AAN) in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM5), is characterized by meeting all criteria for anorexia nervosa (AN) except for weight being within or above the "normal" range despite significant weight loss. The current definition is plagued by several problems, resulting in widely heterogeneous operationalizations in research and clinical practice. As such, the poorly defined diagnosis of AAN negatively impacts affected individuals and frustrates research attempts to better understand the syndrome. We consider conceptual flaws in the AAN description and contend that the undefined weight range and nature of weight loss renders these two factors functionally inapplicable in research and practice. They also represent a departure from the originally intended use of the AAN category, i.e., arresting a negative weight trajectory likely to result in AN, making the target population, and the application of the label, unclear. We propose revised criteria and a new name, restrictive eating disorder (RED), intended to reduce stigma and encompass a wide but better-defined range of presentations. The RED criteria focus on clinically significant restrictive behavior that disrupts normal living (i.e., impairment), and cognitive symptoms of overevaluation, disturbed experience, and lack of recognition of illness seriousness. We believe that RED may enable more appropriate clinical application, but also inspire coordinated research toward a more valid psychiatric nosology in the eating disorders field.

  • 7.
    Birgegard, Andreas
    et al.
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, S-17177 Stockholm, Sweden..
    Forsén Mantilla, Emma
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, S-17177 Stockholm, Sweden..
    Dinkler, Lisa
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, S-17177 Stockholm, Sweden..
    Hedlund, Elin
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, S-17177 Stockholm, Sweden..
    Savva, Androula
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, S-17177 Stockholm, Sweden..
    Larsson, Henrik
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, S-17177 Stockholm, Sweden..
    Bulik, Cynthia M.
    Karolinska Inst, Dept Med Epidemiol & Biostat, Nobels Vag 12A, S-17177 Stockholm, Sweden..
    Validity of eating disorder diagnoses in the Swedish national patient register2022Ingår i: Journal of Psychiatric Research, ISSN 0022-3956, E-ISSN 1879-1379, Vol. 150, s. 227-230Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The Swedish National Patient Register (NPR) includes population-level longitudinal data, and determining the validity of NPR diagnoses is critical to undergirding the research and policy recommendations they inform. Sweden also has the integrated "Riksa & BULL;t " and "Stepwise " National Quality Registers (QR), with data from specialized eating disorder (ED) treatment based on structured, valid assessment methods. To validate NPR ED diagnoses, we compared ICD-10-based anorexia nervosa (AN), bulimia nervosa (BN), and unspecified ED in NPR to DSM-IV-based AN, BN, and ED not otherwise specified category (EDNOS) in QR. Patients' first diagnoses registered in QR between February 2008 and August 2013 were compared with NPR diagnoses entered within & PLUSMN;1 month (N = 2074). QR registration includes the semi-structured DSM-IV-based Structured ED Interview. Each ED diagnosis was analyzed separately for degree of match using several indices: overall agreement, sensitivity, positive predictive value, specificity, negative predictive value, area under the curve, and Cohen's kappa. Results showed moderate to excellent agreement depending on estimate (e.g. positive predictive values AN: 0.747; BN:.836; EDNOS: 0.761), except for a somewhat low sensitivity for BN, and EDNOS agreement was overall the lowest. Case prevalence in the NPR and QR was highly similar for AN, and within five percentage points for BN and EDNOS. Generalizability is hampered by limited age range and diagnostic resolution as well as few males. Available data precluded study of presence/absence of ED, and complementary approaches are considered for future research. We conclude that NPR ED diagnoses have acceptable validity and are appropriate for use in research.

  • 8.
    Björkman, Frida
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa.
    Ekblom, Örjan
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa.
    Physical Exercise as Treatment for PTSD: A Systematic Review and Meta-Analysis.2022Ingår i: Military medicine, ISSN 0026-4075, E-ISSN 1930-613X, Vol. 187, nr 9-10, s. 1103-e1113Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    INTRODUCTION: Post-traumatic stress disorder (PTSD) is a cluster of physical and psychiatric symptoms following military or civilian trauma. The effect of exercise on PTSD symptoms has previously been investigated in several studies. However, it has not been fully determined what type of exercise most impacts PTSD symptoms. The aim of the present study was to systematically review the effects of different types of exercise on PTSD symptom severity and symptoms of coexisting conditions in adults.

    MATERIALS AND METHODS: Electronic searches were conducted in the databases PubMed, APA PsycInfo, and SportDiscus, from database inception up until February 1, 2021. Inclusion criteria were randomized controlled trials published in English, participants having a PTSD diagnosis or clinically relevant symptoms, and participants randomly allocated to either a non-exercising control group or an exercise group. Data concerning the number of participants, age, exercise type and duration, PTSD symptom severity (primary outcome), and symptoms of coexisting conditions (secondary outcomes) were extracted. The subgroup analysis included high or low training dose, military trauma versus non-military trauma, the type of intervention (yoga versus other exercise), active or passive control condition, group training versus individual exercise, and study quality. The study quality and risk of bias were assessed using grading of recommendation assessment, development and evaluation (GRADE) guidelines. A meta-analysis was performed with a mixed-effects model and restricted maximum likelihood as model estimator, and effect size was calculated as the standardized difference in mean and 95% CI.

    RESULTS: Eleven studies were included in the present review. Results showed a main random effect of exercise intervention (0.46; 95% CI: 0.18 to 0.74) and a borderline significant interaction between more voluminous (>20 hours in total) and less voluminous (≤20 hours in total) exercise interventions (P = .07). No significant findings from the subgroup analysis were reported. The secondary outcome analysis showed a small but significant effect of exercise on depressive symptoms (0.20, 95% CI: 0.01 to 0.38), and a larger effect on sleep (0.51, 95% CI: 0.29 to 0.73). For substance use (alcohol and drugs combined) and quality of life, we found significant effects of 0.52 (95% CI: 0.06 to 0.98) and 0.51 (95% CI: 0.34 to 0.69), respectively. No significant effect was found for anxiety (0.18, 95% CI: -0.15 to 0.51), and no sign of publication bias was found.

    CONCLUSIONS: Exercise can be an effective addition to PTSD treatment, and greater amounts of exercise may provide more benefits. However, as there were no differences found between exercise type, possibly due to the inclusion of a low number of studies using different methodologies, further research should aim to investigate the optimal type, dose, and duration of activity that are most beneficial to persons with PTSD.

    Ladda ner fulltext (pdf)
    fulltext
  • 9.
    Ekblom, Maria
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa. Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden..
    Bojsen-Møller, Emil
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa.
    Blom, Victoria
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa. Department of Psychology, Stockholm University, Stockholm, Sweden..
    Tarassova, Olga
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysiologi, nutrition och biomekanik.
    Moberg, Marcus
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysiologi, nutrition och biomekanik.
    Pontén, Marjan
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysiologi, nutrition och biomekanik.
    Wang, Rui
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa.
    Ekblom, Örjan
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa.
    Acute effects of physical activity patterns on plasma cortisol and brain-derived neurotrophic factor in relation to corticospinal excitability.2022Ingår i: Behavioural Brain Research, ISSN 0166-4328, E-ISSN 1872-7549, Vol. 430, artikel-id 113926Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Brain-derived neurotrophic factor (BDNF) and cortisol are both capable of modulating synaptic plasticity, but it is unknown how physical activity-induced changes in their plasma levels relate to corticospinal plasticity in humans. Sixteen inactive middle-aged men and women participated in three separate interventions consisting of 3hours prolonged sitting (SIT); 3hours sitting interrupted every 30minutes with frequent short physical activity breaks (FPA); and 2.5hours prolonged sitting followed by 25minutes of moderate intensity exercise (EXE). These 3hour sessions were each followed by a 30min period of paired associative stimulation over the primary motor cortex (PAS). Blood samples were taken and corticospinal excitability measured at baseline, pre PAS, 5min and 30min post PAS. Here we report levels of plasma BDNF and cortisol over three activity conditions and relate these levels to previously published changes in corticospinal excitability of a non-activated thumb muscle. There was no interaction between time and condition in BDNF, but cortisol levels were significantly higher after EXE compared to after SIT and FPA. Higher cortisol levels at pre PAS predicted larger increases in corticospinal excitability from baseline to all subsequent time points in the FPA condition only, while levels of BDNF at pre PAS did not predict such changes in any of the conditions. Neither BDNF nor cortisol modified changes from pre PAS to the subsequent time points, suggesting that the increased corticospinal excitability was not mediated though an augmented effect of the PAS protocol. The relationship between cortisol and plasticity has been suggested to be U-shaped. This is possibly why the moderately high levels of cortisol seen in the FPA condition were positively associated with changes AURC, while the higher cortisol levels seen after EXE were not. A better understanding of the mechanisms for how feasible physical activity breaks affect neuroplasticity can inform the theoretical framework for how work environments and schedules should be designed. DATA AVAILABILITY: Data are available from the corresponding author upon reasonable request.

    Ladda ner fulltext (pdf)
    fulltext
  • 10.
    Forsén Mantilla, Emma
    et al.
    Karolinska Inst, Dept Clin Neurosci, Resource Ctr Eating Disorders, S-11364 Stockholm, Sweden..
    Bergsten, Katja
    Uppsala Univ, Dept Psychol, S-75312 Uppsala, Sweden..
    Birgegard, Andreas
    Karolinska Inst, Dept Clin Neurosci, Resource Ctr Eating Disorders, S-11364 Stockholm, Sweden..
    Self-image and eating disorder symptoms in normal and clinical adolescents2014Ingår i: Eating Behaviors, ISSN 1471-0153, E-ISSN 1873-7358, Vol. 15, nr 1, s. 125-131Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Eating disorders (ED) are psychiatric disorders of multifactorial origin, predominantly appearing in adolescence. Negative self-image is identified as risk factor, but the association between self-image and ED in adolescents or sex differences regarding such associations remains unclear. The study aimed to investigate the relationship between specific self-image aspects and ED symptoms in normal and clinical adolescents, including sex differences. Participants included 855 ED patients (girls = 813, boys = 42) and 482 normal adolescents (girls = 238, boys = 244), 13-15 years. Stepwise regression demonstrated strong associations between self-image and ED in normal adolescents (girls: R-2 = .31, boys: R-2 = .08), and stronger associations in patients (girls: R-2 = .64, boys: R-2 = .69). Qualitative sex differences were observed in patients. Connections between specific self-image aspects and ED have implications for clinical management of ED. The strong link between self-image variables and ED symptoms in normal girls, but not boys, is discussed in terms of the continuity-discontinuity hypothesis. (C) 2013 Elsevier Ltd. All rights reserved.

  • 11.
    Forsén Mantilla, Emma
    et al.
    Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden..
    Birgegard, A.
    Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden..
    Insidious: The relationship between patients and their eating disorders and its impact on ED symptoms, illness duration and self-image2017Ingår i: European psychiatry, ISSN 0924-9338, E-ISSN 1778-3585, Vol. S41, nr S1, s. S552-S552Artikel i tidskrift (Övrigt vetenskapligt)
  • 12.
    Forsén Mantilla, Emma
    et al.
    Karolinska Inst, Dept Clin Neurosci, Resource Ctr Eating Disorders, Norra Stationsgatan 69,Plan 7, S-11364 Stockholm, Sweden..
    Birgegard, Andreas
    Karolinska Inst, Dept Clin Neurosci, Resource Ctr Eating Disorders, Norra Stationsgatan 69,Plan 7, S-11364 Stockholm, Sweden..
    Eating disorder examination questionnaire: Norms and clinical reference data from adolescent boys and girls in Sweden2016Ingår i: Psychiatry Research, ISSN 0165-1781, E-ISSN 1872-7123, Vol. 239, s. 156-162Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The study investigated norms and clinical reference values for the 14-day time frame version of the Eating Disorders Examination Questionnaire (EDE-Q) specifically developed to suit adolescent populations. The EDE-Q is a self-report instrument measuring problematic eating behaviors and attitudes. A general population sample (N=487, 239 girls and 248 boys) and a clinical sample (N=1051, 989 girls and 62 boys) aged 12-14 years were analyzed. Descriptive statistics for EDE-Q subscales and Global scale, as well as key behaviors, are presented, along with sex differences and diagnostic differences (clinical sample). General population sample sex differences were consistent and medium to large, with some evidence of floor effects for boys. In the clinical sample there was a main effect of gender, with girls scoring higher overall. The covariate age accounted for more variance in EDE-Q subscale scores than did diagnostic group. Results are discussed in terms of the appropriateness of the EDE-Q for boys, and possible denial of illness among patients. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

  • 13.
    Forsén Mantilla, Emma
    et al.
    Karolinska Inst, Dept Clin Neurosci, Norra Stn Gatan 69,7 Tr, S-11364 Stockholm, Sweden.;Stockholm Cty Council, Ctr Psychiat Res, Norra Stn Gatan 69,7 Tr, S-11364 Stockholm, Sweden..
    Birgegard, Andreas
    Karolinska Inst, Dept Clin Neurosci, Norra Stn Gatan 69,7 Tr, S-11364 Stockholm, Sweden.;Stockholm Cty Council, Ctr Psychiat Res, Norra Stn Gatan 69,7 Tr, S-11364 Stockholm, Sweden..
    Clinton, David
    Karolinska Inst, Dept Clin Neurosci, Norra Stn Gatan 69,7 Tr, S-11364 Stockholm, Sweden.;Stockholm Cty Council, Ctr Psychiat Res, Norra Stn Gatan 69,7 Tr, S-11364 Stockholm, Sweden.;Inst Eating Disorders, Kruses Gata 8, N-0263 Oslo, Norway..
    Factor analysis of the adolescent version of the Eating Disorders Examination Questionnaire (EDE-Q): results from Swedish general population and clinical samples2017Ingår i: Journal of Eating Disorders, E-ISSN 2050-2974, Vol. 5, artikel-id 19Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Although the Eating Disorder Examination Questionnaire (EDE-Q) is perhaps the single most widely used self-report measure of eating disorder (ED) symptoms, important questions remain about its validity and applicability in relation to particular groups of individuals, especially adolescents of both genders. Methods: The present study investigated the factor structure of the adolescent version of the Eating Disorder Examination Questionnaire (EDE-Q) in samples of Swedish girls and boys from the general population and girls with a diagnosed eating disorder. Girls (N = 239) and boys (N = 248) aged between 13 and 15 years who were attending school, and girls (N = 570) aged between 12 and 14 years who were in treatment for an eating disorder at a specialist eating disorder clinic were assessed on the adolescent version of the EDE-Q. Results: The adolescent version of the EDE-Q demonstrated satisfactory levels of internal consistency. However, confirmatory factor analysis (CFA) failed to support the four-factor model of the EDE-Q. Parallel analysis (PA) and subsequent exploratory factor analysis (EFA) suggested that the adolescent version of the EDE-Q comprises one underlying factor in young adolescent girls (both clinical and general population), centred on Dissatisfaction with Shape and Weight. In boys three factors were found: Weight-related Concerns, Body Discomfort and Restraint. Conclusions: The EDE-Q appears to measure different underlying aspects of eating disorder psychopathology in young teenagers compared to adults. The dimensions underlying disordered eating in young girls may become increasingly differentiated with time. There appear to be important gender-based differences in the dimensions underlying the EDE-Q in young teenagers. Therapists should be alert to beliefs that girls have about the importance of shape and weight, while in boys it may be more important to be attentive to how they feel about their bodies in relation to weight.

  • 14. Forsén Mantilla, Emma
    et al.
    Birgegård, Andreas
    The enemy within: the association between self-image and eating disorder symptoms in healthy, non help-seeking and clinical young women2015Ingår i: Journal of Eating Disorders, E-ISSN 2050-2974, Vol. 3, artikel-id 30Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Previous research has shown self-image according to the interpersonal Structural Analysis of SocialBehavior model, to relate to and predict eating disorder symptoms and outcomes.

    Methods: We examined associations between self-reported self-image and ED symptoms in three groups of 16–25year old females: healthy (N = 388), non help-seeking (N = 227) and clinical (N = 6384). Analyses were divided intoage groups of 16–18 and 19–25 years, and the patient sample was divided into diagnostic groups.

    Results: Stepwise regressions with self-image aspects as independent variables and eating disorder symptoms asdependent showed that low self-love/acceptance and high self-blame were associated with more eating disordersymptoms in all groups, except older patients with bulimia nervosa where self-hate also contributed. Associationswere generally weaker in the healthy groups and the older samples.

    Conclusions: We put forward that older age, low desirability of symptoms, poorly working symptoms, and beingacknowledged as ill, may weaken the association, with implications for treatment and prevention.

  • 15.
    Forsén Mantilla, Emma
    et al.
    Karolinska Inst, Dept Clin Neurosci, Ctr Psychiat Res, Norra Stn Gatan 69, S-11364 Stockholm, Sweden.;Stockholm Cty Council, Stockholm Hlth Care Serv, Stockholm, Sweden..
    Clinton, David
    Karolinska Inst, Dept Clin Neurosci, Ctr Psychiat Res, Norra Stn Gatan 69, S-11364 Stockholm, Sweden.;Stockholm Cty Council, Stockholm Hlth Care Serv, Stockholm, Sweden.;Inst Eating Disorders, Oslo, Norway..
    Birgegard, Andreas
    Karolinska Inst, Dept Clin Neurosci, Ctr Psychiat Res, Norra Stn Gatan 69, S-11364 Stockholm, Sweden.;Stockholm Cty Council, Stockholm Hlth Care Serv, Stockholm, Sweden..
    Insidious: The relationship patients have with their eating disorders and its impact on symptoms, duration of illness, and self-image2018Ingår i: Psychology and Psychotherapy: Theory, Research and Practice, ISSN 1476-0835, E-ISSN 2044-8341, Vol. 91, nr 3, s. 302-316Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    ObjectivesIn published clinical and autobiographical accounts of eating disorders, patients often describe their disorder in personified ways, that is, relating to the disorder as if it were an entity, and treatment often involves techniques of externalization. By encouraging patients to think about their eating disorder as a relationship, this study aimed to examine how young female patients experience their eating disorder as acting towards them, how they react in response, and whether these interactions are associated with symptoms, illness duration, and self-image. DesignStructural Analysis of Social Behavior (SASB) was used to operationalize how patients experience the actions of their eating disorder and their own reactions to the disorder. MethodThe relationship between patients (N=150) and their eating disorders was examined with respect to symptoms, duration of illness, and self-image. Patients were also compared on their tendency to react with affiliation in relation to their disorder. ResultsPatients' responses on the SASB indicated that they tended to conceptualize their eating disorders as blaming and controlling, and they themselves as sulking and submitting in response. Greater experience of the eating disorder as being controlling was associated with higher levels of symptomatology. Patients reacting with more negative affiliation towards their disorder were less symptomatic. ConclusionsWhen encouraging patients to think about their eating disorder as a relationship, comprehensible relationship patterns between patients and their eating disorders emerged. The idea that this alleged relationship may resemble a real-life relationship could have theoretical implications, and its exploration may be of interest in treatment. Practitioner points Patients were able to conceptualize their eating disorder as a significant other to whom they relate when encouraged to do so. Patients tended to experience their disorder as controlling and domineering. Exploring the hypothetical patient-eating disorder relationship may prove helpful in understanding dysfunctional relational patterns. Helping patients to rebel against their eating disorder could potentially aid in symptom reduction.

  • 16.
    Forsén Mantilla, Emma
    et al.
    Karolinska Inst, Stockholm Cty Council, Ctr Psychiat Res, Dept Clin Neurosci, Norra Stationsgatan 69,7 Tr, S-11364 Stockholm, Sweden..
    Clinton, David
    Karolinska Inst, Stockholm Cty Council, Ctr Psychiat Res, Dept Clin Neurosci, Norra Stationsgatan 69,7 Tr, S-11364 Stockholm, Sweden.;Inst Eating Disorders, Oslo, Norway..
    Birgegard, Andreas
    Karolinska Inst, Stockholm Cty Council, Ctr Psychiat Res, Dept Clin Neurosci, Norra Stationsgatan 69,7 Tr, S-11364 Stockholm, Sweden..
    The unsafe haven: Eating disorders as attachment relationships2019Ingår i: Psychology and Psychotherapy: Theory, Research and Practice, ISSN 1476-0835, E-ISSN 2044-8341, Vol. 92, nr 3, s. 379-393Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives Some patients with eating disorders (EDs) seem to experience their illness as an entity, a symbolic other to whom they relate, and which may influence both symptom levels and self-image. Extending previous research, this study investigated whether the patient-ED relationship has attachment qualities. Design Structural Analysis of Social Behaviour was used to operationalize the patient-ED relationship, and the Attachment Style Questionnaire was used to measure attachment. Method We examined ED patients' (N = 148) relationship with their ED, attachment behaviour, symptoms, and self-image. Attachment dimensions of Confidence, Anxious/ambivalence, and Avoidance were found to be significantly correlated with aspects of the patient-ED relationship. Introjection (i.e., whether ED actions were incorporated into patients' self-image) was investigated by examining the match between self-image profiles and the actions of patients' EDs. A double mediation model was tested in which ED control/emancipation and patients' Self-blame mediated the effect of attachment security on ED symptoms. Results Attachment insecurity was associated with greater ED control and patient submission. In 28.5% of patients, there was a high degree of correlation between self-image and ED action profile. Data supported the mediation model. Conclusions Attachment processes appear to be associated with the manner in which ED patients relate to their disorder, at least in some cases. Attempts to maintain psychological proximity to the ED as an introjected attachment figure may help to explain treatment resistance and ambivalence about change. This perspective may be useful in treatment. Practitioner points Attachment behaviours are associated with the patient-ED relationship, in which attachment insecurity is correlated with greater eating disorder control and patient submission. Some patients seem to incorporate the actions of the ED in their self-image, suggesting the presence of introjection. The patient-ED relationship may help explain patients' anxiety and ambivalence about change, seen from an attachment perspective. In treatment, it may be important to explore alternative safe havens and secure bases to the ED, such as interpersonal relationships and activities.

  • 17.
    Forsén Mantilla, Emma
    et al.
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Clinton, David
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Monell, Elin
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Levallius, Johanna
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Birgegard, Andreas
    Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Impulsivity and compulsivity as parallel mediators of emotion dysregulation in eating-related addictive-like behaviors, alcohol use, and compulsive exercise2022Ingår i: Brain and Behavior, ISSN 2162-3279, E-ISSN 2162-3279, Vol. 12, nr 1, artikel-id e2458Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction Transdiagnostically relevant psychological traits associated with psychiatric disorders are increasingly being researched, notably in substance use and addictive behaviors. We investigated whether emotion dysregulation mediated by impulsivity and/or compulsivity could explain variance in binge eating, food addiction, self-starvation, and compulsive exercise, as well as alcohol use (addictive-like behaviors relevant to the obesity and eating disorder fields). Method A general population sample of adults (N = 500, mean age = 32.5 years), females (n = 376) and males (n = 124), completed the Difficulties in Emotion Regulation Scale-16, the Trait Rash Impulsivity Scale, the Obsessive-Compulsive Inventory-Revised, the Eating Disorders Examination Questionnaire, the Self-Starvation Scale, the Exercise Dependence Scale, the Yale Food Addiction Scale, and the Alcohol Use Disorders Identification Test online. Besides gender comparisons and intercorrelations between measures, we used predefined multiple mediation models with emotion dysregulation as independent variable, impulsivity and compulsivity as parallel mediators, to investigate whether these factors contributed explanatory power to each addictive-like behavior as outcome, also using age and body mass index as covariates. Results Females scored higher than males on emotion dysregulation and the eating-related addictive-like behaviors food addiction, self-starvation, and binge eating. Intercorrelations between measures showed that emotion dysregulation and compulsivity were associated with all outcome variables, impulsivity with all except compulsive exercise, and the eating-related behaviors intercorrelated strongly. Mediation models showed full or partial mediation of emotion dysregulation for all behaviors, especially via compulsivity, suggesting a behavior-specific pattern. Mediation models were not affected by age or gender. Discussion Addictive-like behaviors seemed to be maintained by trait levels of emotion dysregulation, albeit channeled via trait levels of compulsivity and/or impulsivity. The role of emotion dysregulation may help us to understand why addictive-like behaviors can be difficult to change in both clinical and nonclinical groups, and may be informative for treatment-planning in patients where these behaviors are present. Our findings support adopting a more dimensional approach to psychiatric classification by focusing psychological facets such as those studied.

  • 18.
    Forsén Mantilla, Emma
    et al.
    Karolinska Inst, Dept Clin Neurosci, Ctr Psychiat Res, Norra Stationsgatan 69,7 Tr, S-11364 Stockholm, Sweden. Stockholm Cty Council, Stockholm Hlth Care Serv, Norra Stationsgatan 69,7 Tr, S-11364 Stockholm, Sweden..
    Levallius, Johanna
    Monell, Elin
    Birgegard, Andreas
    Exercise Caution: Questions to Ask Adolescents Who May Exercise Too Hard2018Ingår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 15, nr 4, artikel-id 797Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    When the primary goal of exercise is to compensate for food intake and to alter body shape and weight, it is considered compulsive and may be harmful. Compulsive exercise (CE) is important in the pathogenesis of eating disorders (EDs). Many healthy adolescents engage in CE too, and this may indicate a risk for EDs. Our aim was to learn more about ED risk factors tied to CE and to try to isolate questions to ask in order to probe for high ED risk in adolescents engaging in CE. Using two well-established instruments (the Structural Analysis of Social Behavior and the Eating Disorders Examination Questionnaire), we studied associations between ED variables and CE in healthy adolescent boys and girls. We examined gender-specific items to generate the best possible fit for each gender. Individuals with CE displayed significantly greater ED pathology and more self-criticism, and this pattern was stronger in girls than in boys. Risk factors for ED among individuals with CE differed slightly for boys and girls. We put forward a set of gender-specific questions that may be helpful when probing for ED risk among adolescents engaging in CE.

  • 19.
    Forsén Mantilla, Emma
    et al.
    Karolinska Inst, Dept Clin Neurosci, Norra Stn Gatan 69, SE-11364 Stockholm, Sweden.;Stockholm Cty Council, Ctr Psychiat Res, Norra Stn Gatan 69, SE-11364 Stockholm, Sweden..
    Norring, Claes
    Karolinska Inst, Dept Clin Neurosci, Norra Stn Gatan 69, SE-11364 Stockholm, Sweden.;Stockholm Cty Council, Ctr Psychiat Res, Norra Stn Gatan 69, SE-11364 Stockholm, Sweden..
    Birgegard, Andreas
    Karolinska Inst, Dept Clin Neurosci, Norra Stn Gatan 69, SE-11364 Stockholm, Sweden.;Stockholm Cty Council, Ctr Psychiat Res, Norra Stn Gatan 69, SE-11364 Stockholm, Sweden..
    Self-image and 12-month outcome in females with eating disorders: extending previous findings2019Ingår i: Journal of Eating Disorders, E-ISSN 2050-2974, Vol. 7, artikel-id 15Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BackgroundThe interpersonal Structural Analysis of Social Behavior (SASB) model of self-image has repeatedly proven valuable in relation to eating disorder (ED) symptoms and in predicting ED outcome.ObjectiveWe studied the association between initial self-image according to the SASB and 12-month outcome, in five diagnostic groups of female ED patients. Based on previous findings, we expected autonomy related variables (self-control/autonomy) would strongly predict outcome in anorexia nervosa (AN) groups, whereas variables related to affiliation (self-attack/love) would moderately predict outcome in bulimia nervosa (BN).MethodParticipants were adult female patients, of whom 457 had AN restrictive type, 228 AN binge/purge subtype, 861 BN, 505 other specified ED and 170 binge eating disorder. Data came from the Stepwise clinical database in Sweden. Outcomes were presence/absence of ED diagnosis and self-rated ED symptoms, and we controlled for baseline ED pathology, BMI, age and general psychiatric symptoms.ResultsRegression analyses showed that although the pattern differed somewhat between diagnostic groups, high initial self-love and low self-attack/self-blame predicted a more positive 12-month outcome. In some groups (AN/R in particular), these variables remained important even when baseline pathology and age were included in the analyses.DiscussionSelf-image aspects once again display substantial power in predicting outcome in EDs. In AN/R patients, self-love plays an almost as crucial a role as baseline ED pathology in relation to 12-month outcome.

  • 20.
    Freak-Poli, Rosanne
    et al.
    Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.
    Wagemaker, Nina
    Department of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands.
    Wang, Rui
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa. Aging Research Center, Karolinska Institute, Stockholm, Sweden.
    Lysen, Thom S.
    Department of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands.
    Ikram, M. Arfan
    Department of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands;Department of Neurology, Erasmus Medical Center, Rotterdam, The Netherlands;Department of Radiology, Erasmus Medical Center, Rotterdam, The Netherlands.
    Vernooij, Meike W.
    Department of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands;Department of Radiology, Erasmus Medical Center, Rotterdam, The Netherlands.
    Dintica, Christina S.
    Aging Research Center, Karolinska Institute, Stockholm, Sweden.
    Vernooij-Dassen, Myrra
    Radboud University Medical Center, IQ Healthcare, Nijmegen, The Netherlands.
    Melis, Rene J.M.
    Department of Geriatric Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
    Laukka, Erica J.
    Aging Research Center, Karolinska Institute, Stockholm, Sweden.
    Fratiglioni, Laura
    Aging Research Center, Karolinska Institute, Stockholm, Sweden.
    Xu, Weili
    Aging Research Center, Karolinska Institute, Stockholm, Sweden.
    Tiemeier, Henning
    Department of Epidemiology, Erasmus Medical Center, Rotterdam, The Netherlands;Department of Social and Behavioral Science, Harvard TH Chan School of Public Health, Boston, MA, USA.
    Loneliness, Not Social Support, Is Associated with Cognitive Decline and Dementia Across Two Longitudinal Population-Based Cohorts2022Ingår i: Journal of Alzheimer's Disease, ISSN 1387-2877, E-ISSN 1875-8908, Vol. 85, nr 1, s. 295-308Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Poor social health is likely associated with cognitive decline and risk of dementia; however, studies show inconsistent results. Additionally, few studies separate social health components or control for mental health.

    Objective: To investigate whether loneliness and social support are independently associated with cognitive decline and risk of dementia, and whether depressive symptoms confound the association.

    Methods: We included 4,514 participants from the population-based Rotterdam Study (RS; aged 71±7SD years) followed up to 14 years (median 10.8, interquartile range 7.4-11.6), and 2,112 participants from the Swedish National Study on Aging and Care in Kungsholmen (SNAC-K; aged 72±10SD years) followed up to 10 years (mean 5.9±1.6SD). At baseline, participants were free of major depression and scored on the Mini-Mental State Examination (MMSE) ≥26 for RS and ≥25 for SNAC-K. We investigated loneliness, perceived social support, and structural social support (specifically marital status and number of children). In both cohorts, dementia was diagnosed and cognitive function was repeatedly assessed with MMSE and a global cognitive factor (g-factor).

    Results: Loneliness was prospectively associated with a decline in the MMSE in both cohorts. Consistently, persons who were lonely had an increased risk of developing dementia (RS: HR 1.34, 95%CI 1.08-1.67; SNAC-K: HR 2.16, 95%CI 1.12-4.17). Adjustment for depressive symptoms and exclusion of the first 5 years of follow-up did not alter results. Neither perceived or structural social support was associated with cognitive decline or dementia risk.

    Conclusion: Loneliness, not social support, predicted cognitive decline and incident dementia independently of depressive symptoms.

  • 21. Gallagher, P
    et al.
    Nilsson, Jonna
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa. Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK..
    Finkelmeyer, A
    Goshawk, M
    Macritchie, K A
    Lloyd, A J
    Thompson, J M
    Porter, R J
    Young, A H
    Ferrier, I N
    McAllister-Williams, R H
    Watson, S
    Neurocognitive intra-individual variability in mood disorders: effects on attentional response time distributions.2015Ingår i: Psychological Medicine, ISSN 0033-2917, E-ISSN 1469-8978, Vol. 45, nr 14, s. 2985-97Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Attentional impairment is a core cognitive feature of major depressive disorder (MDD) and bipolar disorder (BD). However, little is known of the characteristics of response time (RT) distributions from attentional tasks. This is crucial to furthering our understanding of the profile and extent of cognitive intra-individual variability (IIV) in mood disorders.

    METHOD: A computerized sustained attention task was administered to 138 healthy controls and 158 patients with a mood disorder: 86 euthymic BD, 33 depressed BD and 39 medication-free MDD patients. Measures of IIV, including individual standard deviation (iSD) and coefficient of variation (CoV), were derived for each participant. Ex-Gaussian (and Vincentile) analyses were used to characterize the RT distributions into three components: mu and sigma (mean and standard deviation of the Gaussian portion of the distribution) and tau (the 'slow tail' of the distribution).

    RESULTS: Compared with healthy controls, iSD was increased significantly in all patient samples. Due to minimal changes in average RT, CoV was only increased significantly in BD depressed patients. Ex-Gaussian modelling indicated a significant increase in tau in euthymic BD [Cohen's d = 0.39, 95% confidence interval (CI) 0.09-0.69, p = 0.011], and both sigma (d = 0.57, 95% CI 0.07-1.05, p = 0.025) and tau (d = 1.14, 95% CI 0.60-1.64, p < 0.0001) in depressed BD. The mu parameter did not differ from controls.

    CONCLUSIONS: Increased cognitive variability may be a core feature of mood disorders. This is the first demonstration of differences in attentional RT distribution parameters between MDD and BD, and BD depression and euthymia. These data highlight the utility of applying measures of IIV to characterize neurocognitive variability and the great potential for future application.

  • 22.
    Gunnarsson, Björn
    et al.
    Helsingborg University Hospital, Region Skåne, Helsingborg, Sweden.
    Entezarjou, Artin
    und University, Malmö, Sweden ; Skåne University Hospital, Region Skåne, Malmö, Sweden.
    Fernández-Aranda, Fernando
    University Hospital of Bellvitge, Barcelona, Spain ; CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain. ; University of Barcelona, Barcelona, Spain. ; Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain.
    Jiménez-Murcia, Susana
    University Hospital of Bellvitge, Barcelona, Spain ; CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain. ; University of Barcelona, Barcelona, Spain. ; Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain.
    Kenttä, Göran
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysiologi, nutrition och biomekanik. School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada ; Swedish Sport Federation, Stockholm, Sweden..
    Håkansson, Anders
    Malmö Addiction Center, Region Skåne, Malmö, Sweden.; Lund University, Lund, Sweden..
    Understanding exercise addiction, psychiatric characteristics and use of anabolic androgenic steroids among recreational athletes - An online survey study.2022Ingår i: Frontiers in Sports and Active Living, E-ISSN 2624-9367, Vol. 4, artikel-id 903777Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The purpose of this paper was to explore maladaptive behaviors among physically active individuals, including exercise dependence and use of anabolic steroids. Both exercise addiction (EA) and use of anabolic androgenic steroids (AAS) correlate to high amounts of exercise and EA have been linked to eating disorders and other mental health problems.

    Methods: An internet survey was spread through fitness-related social media. Inclusion criteria were age ≥ 15 years and exercise frequency ≥ thrice weekly. Exercise addiction inventory identified those at-risk of EA (rEA). Characteristics of rEA were compared to those not at risk. In a separate analysis, AAS users were compared to AAS-naïve individuals.

    Results: In total, 3,029 participants completed the questionnaire. Of these, 11% screened positive for being rEA, and 23% for ED. Factors associated with EA included daily exercise, social phobia, eating disorders and OCD. Risk consumption of alcohol was a negative predictor. Thirty seven participants had taken AAS the last year. These were mainly men, bodybuilders/powerlifters and more often used amphetamines and opioids.

    Discussion: This exploratory study supports EA being strongly associated with eating disorders. Identified associations between EA and compulsive or anxiety disorders warrant further research to clarify if these associations arise prior to, together with, or secondary to EA.

    Ladda ner fulltext (pdf)
    fulltext
  • 23.
    Hallgren, Mats
    et al.
    Karolinska Institute, Stockholm, Sweden.
    Helgadóttir, Björg
    Karolinska Institute, Stockholm, Sweden.
    Herring, Matthew P
    University of Limerick, Ireland.
    Zeebari, Zangin
    Karolinska Institute, Stockholm, Sweden.
    Lindefors, Nils
    Karolinska Institute, Stockholm, Sweden.
    Kaldo, Viktor
    Karolinska Institute, Stockholm, Sweden.
    Öjehagen, Agneta
    Lund University, Lund, Sweden.
    Forsell, Yvonne
    Karolinska Institute, Stockholm, Sweden.
    Exercise and internet-based cognitive-behavioural therapy for depression: multicentre randomised controlled trial with 12-month follow-up.2016Ingår i: British Journal of Psychiatry, ISSN 0007-1250, E-ISSN 1472-1465, Vol. 209, nr 5, s. 414-420Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Evidence-based treatment of depression continues to grow, but successful treatment and maintenance of treatment response remains limited.

    AIMS: To compare the effectiveness of exercise, internet-based cognitive-behavioural therapy (ICBT) and usual care for depression.

    METHOD: A multicentre, three-group parallel, randomised controlled trial was conducted with assessment at 3 months (post-treatment) and 12 months (primary end-point). Outcome assessors were masked to group allocation. Computer-generated allocation was performed externally in blocks of 36 and the ratio of participants per group was 1:1:1. In total, 945 adults with mild to moderate depression aged 18-71 years were recruited from primary healthcare centres located throughout Sweden. Participants were randomly assigned to one of three 12-week interventions: supervised group exercise, clinician-supported ICBT or usual care by a physician. The primary outcome was depression severity assessed by the Montgomery-Åsberg Depression Rating Scale (MADRS).

    RESULTS: The response rate at 12-month follow-up was 84%. Depression severity reduced significantly in all three treatment groups in a quadratic trend over time. Mean differences in MADRS score at 12 months were 12.1 (ICBT), 11.4 (exercise) and 9.7 (usual care). At the primary end-point the group × time interaction was significant for both exercise and ICBT. Effect sizes for both interventions were small to moderate.

    CONCLUSIONS: The long-term treatment effects reported here suggest that prescribed exercise and clinician-supported ICBT should be considered for the treatment of mild to moderate depression in adults.

  • 24. Hallgren, Mats
    et al.
    Herring, Matthew P
    Owen, Neville
    Dunstan, David
    Ekblom, Örjan
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Helgadóttir, Björg
    Karolinska institute, Sweden.
    Nakitanda, Olivia Aya
    Forsell, Yvonne
    Exercise, Physical Activity, and Sedentary Behavior in the Treatment of Depression: Broadening the Scientific Perspectives and Clinical Opportunities.2016Ingår i: Frontiers in Psychiatry, E-ISSN 1664-0640, Vol. 7, artikel-id 36Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Research exploring links between exercise and depression now span several decades, yet several clinically relevant research questions remain unanswered. This opinion article briefly describes the status of selected research issues from the exercise depression literature and offer insights into research areas that are currently lacking. We draw particular attention to the potential of research exploring links between sedentary behavior and depression.

    Ladda ner fulltext (pdf)
    fulltext
  • 25.
    Hallgren, Mats
    et al.
    Karolinska institutet, Stockholm, Sweden.
    Nguyen, Thi-Thuy-Dung
    Karolinska institutet, Stockholm, Sweden.
    Owen, Neville
    Swinburne University of Technology, Melbourne, Australia.
    Vancampfort, Davy
    Katholieke Universiteit Leuven, Leuven, Belgium.
    Smith, Lee
    Anglia Ruskin University, Cambridge, UK.
    Dunstan, David W
    Australian Catholic University, Melbourne, Australia..
    Andersson, Gunnar
    HPI Health Profile Institute, Danderyd, Sweden.
    Wallin, Peter
    HPI Health Profile Institute, Danderyd, Sweden.
    Ekblom Bak, Elin
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet.
    Associations of interruptions to leisure-time sedentary behaviour with symptoms of depression and anxiety.2020Ingår i: Translational Psychiatry, E-ISSN 2158-3188, Vol. 10, nr 1, artikel-id 128Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Interruptions to time spent sitting can ameliorate detrimental metabolic-health consequences of high volumes of sedentary time, but their potential mental health benefits have not been examined. We used the Swedish Health Profile Assessment database, a general health assessment offered to all employees working for companies or organisations connected to occupational and health services. Cross-sectional analyses examined data from 40,550 employees (60% male, mean age = 42 years), collected in 2017-2019. Participants reported the proportion of time (almost always; 75% of the time; 50% of the time; 25% of the time; and almost never) usually spent in leisure-time sedentary behaviours; and, separately, the frequency (never; rarely; sometimes; often; and very often) of interruptions (every 30 min) to sedentary time. Logistic regression models assessed associations of sedentary time, and the frequency of interruptions to sedentary time, with depression/anxiety symptoms. Fully adjusted models included physical exercise. Compared to those in the lowest sedentary time category, those in the medium and high categories had 1.52 (95% confidence interval (CI) = 1.40-1.66) and 3.11 (95% CI = 2.82-3.42) higher odds of frequent depression/anxiety symptoms, respectively. Compared to those who never/rarely interrupted their sedentary time, those who reported interruptions sometimes, often and very often had 0.72 (95% CI = 0.65-0.80), 0.59 (95% CI = 0.53-0.65), and 0.53 (95% CI = 0.46-0.59) lower odds of depression/anxiety symptoms, respectively. In stratified analyses, more frequent interruptions to sedentary time were associated with lower odds of depression/anxiety symptoms, except among those in the lowest interruptions categories (never/25% of the time). More regularly interrupting sitting during leisure-time may reduce the odds of experiencing symptoms of depression and anxiety.

    Ladda ner fulltext (pdf)
    fulltext
  • 26.
    Helgadóttir, Björg
    et al.
    Karolinska institutet.
    Forsell, Y
    Karolinska institutet.
    Hallgren, M
    Karolinska institutet.
    Möller, J
    Karolinska institutet.
    Ekblom, Örjan
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Exercise for depression: What are the long-term effects of different exercise intensities?2017Ingår i: European Journal of Public Health, Volume 27, Issue suppl_3, 1 November 2017, 2017, Vol. 27, nr Suppl. 3, artikel-id ckx187.168Konferensbidrag (Refereegranskat)
    Abstract [en]

    Key messages:

    • As all exercise conditions had at least a comparable effect to treatment as usual, exercise at any intensity can be recommended as treatment for mild-to-moderate depression.
    • Light intensity exercise should be emphasised more in treatment guidelines than it currently is, as its effects are potentially even greater than that of treatment as usual.
  • 27.
    Helgadóttir, Björg
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Forsell, Yvonne
    Karolinska Institutet, Stockholm, Sweden.
    Hallgren, Mats
    Karolinska Institutet, Stockholm, Sweden.
    Möller, Jette
    Karolinska Institutet, Stockholm, Sweden.
    Ekblom, Örjan
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Long-term effects of exercise at different intensity levels on depression: A randomized controlled trial.2017Ingår i: Preventive Medicine, ISSN 0091-7435, E-ISSN 1096-0260, Vol. 105, s. 37-46, artikel-id S0091-7435(17)30294-3Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Previous research has shown positive effects of exercise on depression but studies have mainly focused on the short-term effects; few have examined the long-term effect, especially with regard to differences in intensity. The aim of this study was to examine the long-term effects of prescribed exercise on depression, performed at three intensity levels. People aged 18-67years with mild to moderate depression (Patient Health Questionnaire-9 score of ≥10) participated in a single-blind, parallel randomized control trial lasting 12weeks (Sweden 2011-2013). Four arms were included: Treatment as usual (TAU, n=310), light (n=106), moderate (n=105) and vigorous exercise (n=99). Severity of depression was measured at baseline, post-treatment and 12-month follow-up using the Montgomery-Åsberg Depression Rating Scale (MADRS). Coefficients (β) and odds ratios were estimated using linear mixed models with time×group interactions. The results showed that at the 12month follow-up the light exercise group had significantly lower depression severity scores than the TAU (-1.9, 95% CI: -3.7, -0.04) and the moderate exercise group (-2.94 95% CI: -5.2, -0.7). The vigorous exercise group had significantly lower scores than the moderate exercise group only (-2.7, 95% CI: -4.9, -0.4). In conclusion, compared to usual care for depression, only light exercise resulted in significantly lower depression severity at 12-month follow-up. Both light and vigorous exercise was more effective than moderate exercise.

    TRIAL REGISTRATION: The study was registered with the German Clinical Trial Register (DRKS study ID: DRKS00008745).

  • 28.
    Helgadóttir, Björg
    et al.
    Karolinska Institutet.
    Hallgren, Mats
    Karolinska Institutet.
    Ekblom, Örjan
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet.
    Forsell, Yvonne
    Karolinska Institutet.
    Training fast or slow? Exercise for depression: A randomized controlled trial2016Ingår i: Preventive Medicine, ISSN 0091-7435, E-ISSN 1096-0260, Vol. 91, s. 123-131Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Exercise can be used to treat depression but there is a lack of evidence regarding the optimal intensity and mode. Our aim was to compare the effects of different exercise intensities on post-treatment depression severity. People aged 18–67years with mild-to-moderate depression (Patient Health Questionnaire-9 score of ≥10) participated in a single-blind, parallel randomized control trial lasting 12-weeks (Sweden 2011–2013). Four treatment arms were included: treatment as usual (TAU) (n=310), light exercise (yoga or similar n=106), moderate exercise (aerobic conditioning, n=105) and vigorous exercise (aerobic conditioning, n=99). Depression severity was measured at baseline and post-treatment using the Montgomery-Åsberg Depression Rating Scale (MADRS). Differences between the groups in depression severity at post-treatment were analysed using linear regression. Differences in exercise intensity were confirmed by heart rate monitoring. At post-treatment, the light (−4.05 Confidence Interval (CI)=−5.94, −2.17), moderate (−2.08 CI=−3.98, −0.18) and vigorous exercise groups (−3.13 CI=−5.07, −1.19) had reduced their MADRS scores significantly more than TAU. No significant differences were found between the exercise groups, and no significant interaction effect was observed between group and gender. In conclusion, exercise, whether performed at a low (yoga or similar), moderate or vigorous intensity (aerobic training) is effective in treating mild-to-moderate depression and is at least as effective as treatment as usual by a physician.

  • 29. Helgadóttir, Björg
    et al.
    Owen, Neville
    Dunstan, David W.
    Ekblom, Örjan
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Hallgren, Mats
    Forsell, Yvonne
    Changes in physical activity and sedentary behavior associated with an exercise intervention in depressed adults2017Ingår i: Psychology of Sport And Exercise, ISSN 1469-0292, E-ISSN 1878-5476, Vol. 30, s. 10-18Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background Exercise is beneficial for depression, but less is known about its impact on post-intervention physical activity and sedentary behavior. The aim of this paper was to determine the extent to which participation in light-, moderate- and vigorous-intensity exercise intervention influenced habitual physical activity and sedentary behavior patterns in depressed adults. Methods Accelerometer data was collected pre- and post-intervention from depressed participants randomized to one of three 12-week intervention groups: light (n = 21), moderate (n = 25) and vigorous (n = 22) exercise. Mixed models examined changes in time spent sedentary and in light and moderate-to-vigorous physical activity (MVPA); time accumulated in sedentary and MVPA bouts; and, number of MVPA bouts and interruptions in sedentary time. Results Overall sedentary time decreased while light activity time increased across all intervention groups but not significantly so. The light exercise intervention group reduced MVPA minutes (−8.22, 95% CI: −16.44, −0.01), time in MVPA bouts (−8.44, 95% CI: −14.27, −2.62), and number of activity bouts (−0.43, 95% CI: −0.77, −0.09). The moderate exercise intervention group reduced time in MVPA bouts (−6.27, 95% CI: −11.71, −0.82) and number of sedentary interruptions (−6.07, 95% CI: −9.30, −2.84). No changes were observed for the vigorous exercise intervention group. Conclusions The exercise intervention led to an increase in overall light physical activity and decrease in sedentary time, though neither change was statistically significant. Participation in the light and moderate exercise intervention groups was associated with reductions of time in MVPA bouts, but this was not evident for the vigorous exercise intervention group.

    Ladda ner fulltext (pdf)
    fulltext
  • 30.
    Hovland, Anders
    et al.
    Universitet i Bergen.
    Martinsen, Egil W.
    Oslo universitetssykehus.
    Taube, Jill
    Landstinget i Värmland.
    Andersson, Eva
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Laboratoriet för biomekanik och motorisk kontroll (BMC).
    Kjellman, Bengt
    Karolinska institutet.
    Fysisk aktivitet vid ångestsyndrom2016Ingår i: FYSS 2017: fysisk aktivitet i sjukdomsprevention och sjukdomsbehandling, Läkartidningen förlag , 2016, s. 632-643Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Sammanfattande rekommendation

    Personer med panikångest bör rekommenderas aerob fysisk aktivitet för att minska ångest. Måttligt starkt vetenskapligt underlag (evidensstyrka +++).

    Ett enstaka aerobt träningspass på hög intensitet minskar risken att utlösa panikångest. Måttligt starkt vetenskapligt underlag (evidensstyrka +++).

    Fysisk aktivitet kan användas som kompletterande behandling vid all form av ångest, då det finns grund för att förvänta en viss symtomreduktion både akut och på längre sikt.

    Den fysiska aktiviteten bör utformas och individanpassas av medicinskt utbildad personal i samråd med individen.

    Personer med ångest, oavsett typ, bör även rekommenderas muskelstärkande fysisk aktivitet enligt de allmänna rekommendationerna om fysisk aktivitet.

  • 31.
    Identeg, Fredrik
    et al.
    Department of Orthopedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Nigicser, Isabel
    Department of Orthopedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden..
    Edlund, Klara
    Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden. ; Musculoskeletal and Sports Injury Epidemiology Center, Department of Health Promotion, Sciences, Sophiahemmet University, Stockholm, Sweden..
    Forsberg, Niklas
    Independent Researcher, Stockholm, Sweden..
    Sansone, Mikael
    Department of Orthopedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden..
    Tranaeus, Ulrika
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysiologi, nutrition och biomekanik. Unit of Intervention and Implementation for Worker Health, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden..
    Hedelin, Henrik
    Department of Orthopedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden..
    Mental health problems, sleep quality and overuse injuries in advanced Swedish rock-climbers - the CLIMB study.2024Ingår i: BMC Sports Science, Medicine and Rehabilitation, E-ISSN 2052-1847 , Vol. 16, nr 1, artikel-id 46Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: To examine the prevalence of mental health problems (depression, anxiety, and stress), sleep quality, and disability due to overuse injuries in advanced and elite rock-climbers. The rock-climbers were compared to a group of non-climbing controls.

    METHODS: A self-selected sample of advanced and elite Swedish rock-climbing athletes was recruited through the Swedish Rock-climbing Federation, local rock-climbing gyms and through social media. A control group, matched in size was recruited. Participants in the control group answered an online survey of validated questionnaires, examining symptoms of stress, anxiety, depression, sleep quality. The climbing participants answered the same survey as the non-climbing controls but with additional questions regarding musculoskeletal problems and disabilities related to these. Outcome measures used were the Depression Anxiety Stress Scale, Pittsburgh Sleep Quality Index and The Oslo Sports Trauma Research Center Overuse Injury Questionnaire.

    RESULTS: A total of 183 participants were included in the rock-climbing group, and 180 participants in the control group. In the rock-climbing group the mean age (SD) was 28.2 (8.3) years among women and 30.5 (9.6) years in men. The mean BMI of women was 21.2 (2.2) and 22.8 (2.1) in men. A total of 30.6% of the rock-climbing group (26.7% of men, 35.9% of women) reported at least moderate levels of symptoms of depression and 23.1% (17.2% men, 30.8% women) at least moderate levels of symptoms of anxiety. A total of 48.4% of rock-climbers (39.1% men, and 61.6% women) reported at least moderate levels of symptoms of stress. Among the rock-climbers, 45.0% reported having poor sleep quality. There were no statistical significant differences (p = 0.052-0.96) in mental health problems or sleeping problems between the rock-climbers and the controls. Among rock-climbers, reports of one-week prevalence of injury related problems was: Finger and hand (49.5%), Shoulder (35.2%), Knee (29.1%), Lumbar back (26.4%), Arm (25.3%), Thoracic back and neck (17.0%), and Foot and lower leg (12.1%).

    CONCLUSION: The overall results indicate high levels of symptoms of mental health problems and poor sleep quality in both rock-climbers and controls. Although no significant differences between the climbing group and the control group was displayed, symptoms that warrant clinical attention is high. Overuse injuries were commonly reported among the rock-climbers in all examined injury locations. Previous studies reporting mental health problems to be more prevalent among athletes were contradicted in this study. The results display the need for a broader perspective regarding climbers general health and the need to provide structured care and adequate support in order to come to terms with these concerns.

    Ladda ner fulltext (pdf)
    fulltext
  • 32.
    Isaksson, Johan
    et al.
    Uppsala University, Sweden.
    Selinus, Eva Noren
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa. Uppsala University, Sweden ; Karolinska instiutet, Sweden.
    Åslund, Cecilia
    Uppsala University, Sweden.
    Nilsson, Kent W
    Uppsala University, Sweden.
    Physical activity in early adolescence predicts depressive symptoms 3 years later: A community-based study2020Ingår i: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 277, s. 825-830Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Highlights •Physical activity (PA) is associated with a wide range of health benefits.•PA during adolescence predicted lower levels of depressive symptoms 3 years later.•The association remained after adjustment for the baseline occurrence of mental health problems.•Low physical activity as a predictor of depressive symptoms were only significant among boys.•PA did not predict externalizing problems or anxiety 3 years later in the adjusted model.

    Ladda ner fulltext (pdf)
    fulltext
  • 33.
    Johansson, Leonard
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Nilsson, Jenny
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Uppfattningar om betydelsen av motorisk träning för barn med ADHD/DAMP2005Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats
    Abstract [sv]

    Syfte

    Syftet med denna studie har varit att med hjälp av intervjuer undersöka hur skolpersonal och föräldrar uppfattar betydelsen av motorisk träning för barn med ADHD/DAMP. I detta ligger att undersöka på vilket sätt barnens motorik, koncentrationsförmåga samt sociala förmåga påverkas av fysisk aktivitet, och på vilket sätt diagnosen ADHD/DAMP ställer krav på pedagogiska förhållningssätt.

    Metod

    Vi har gjort en litteraturgenomgång och en kvalitativ intervjustudiestudie. Urvalsgruppen från St: Örjans skolor har bestått av två pedagoger, en idrottslärare, en assistent och en förälder. Samtliga inom skolpersonalsgruppen hade många års erfarenhet inom området. Vi har använt oss av halvstrukturerande intervjuer som lagts upp utifrån följande temaområden: skolpersonal och förälders syn på fysisk aktivitet/motorisk träning för barn med ADHD/DAMP, den fysiska aktivitetens påverkan på barnen, förhållningssätt och bemötande samt barnet/barnens anpassningsförmåga till aktivitet.

    Resultat och slutsats

    Vad man kan urskönja av resultatet är att samtliga intervjupersoner i denna studie är ense om att fysisk aktivitet och motorisk träning är av stor betydelse för barn med ADHD/DAMP.

    Något som de intervjuade tryckte på var den fysiska aktivitetens betydelse för barnens sociala utveckling, här sågs idrotten som en viktig arena. Genom idrott och fysisk aktivitet får barnen lära sig att umgås med andra, visa hänsyn, respekt, empati och förstå att andra människor har känslor. Den sistnämnda förmågan saknas ofta hos dessa barn.

    Vad det gäller motoriken behöver dessa barn mycket träning och enligt litteraturen kan denna träning på sikt ge goda resultat. Noterbart i studien är dock att det råder delade meningar om att koncentrationsförmågan kan påverkas av fysisk aktivitet. Även intervjupersonerna menar att det inte med säkerhet går att säga att koncentrationen förbättras av fysisk aktivitet. Trots att vi har kommit i kontakt med erfarna personer inom detta område, anser vi inte riktigt att vi fått ut det vi förväntat oss. Detta kan bero på att våra och de intervjuades praktiskt pedagogiska kunskaper skiljer sig åt. I resultatet framträder det att de intervjuade har svårt att i mer preciserad form tala om motorisk träning, vilket gör att den röda tråden i deras beskrivningar är svår att läsa av. Slutsatsen är att de intervjuade anser att fysisk aktivitet och motorisk träning har en påtaglig betydelse för barn med ADHD/DAMP i relation till barnens sociala, emotionella och motoriska utveckling samt till viss del deras koncentrationsförmåga.

    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 34.
    Kaldo, Viktor
    et al.
    Huddinge Hospital, Stockholm, Sweden..
    Lundin, Andreas
    Karolinska Institutet, Stockholm, Sweden.
    Hallgren, Mats
    Karolinska Institutet, Stockholm, Sweden.
    Kraepelien, Martin
    Huddinge Hospital, Stockholm, Sweden..
    Strid, Catharina
    Lund University, Lund, Sweden.
    Ekblom, Örjan
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet.
    Lavebratt, Catharina
    Karolinska Institutet, Stockholm, Sweden.
    Lindefors, Nils
    Huddinge Hospital, Stockholm, Sweden..
    Öjehagen, Agneta
    Lund University, Lund, Sweden.
    Forsell, Yvonne
    Karolinska Institutet, Stockholm, Sweden.
    Effects of internet-based cognitive behavioural therapy and physical exercise on sick leave and employment in primary care patients with depression: two subgroup analyses.2018Ingår i: Occupational and Environmental Medicine, ISSN 1351-0711, E-ISSN 1470-7926, Vol. 75, nr 1, s. 52-58, artikel-id oemed-2017-104326Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: Depression can negatively impact work capacity, but treatment effects on sick leave and employment are unclear. This study evaluates if internet-based cognitive behavioural therapy (ICBT) or physical exercise (PE), with already reported positive effects on clinical outcome and short-term work ability, has better effects on employment, sick leave and long-term work ability compared with treatment as usual (TAU) for depressed primary care patients (German clinical trials: DRKS00008745).

    METHODS: After randomisation and exclusion of patients not relevant for work-related analysis, patients were divided into two subgroups: initially unemployed (total n=118) evaluated on employment, and employed (total n=703) evaluated on long-term sick leave. Secondary outcomes were self-rated work ability and average number of sick days per month evaluated for both subgroups. Assessments (self-reports) were made at baseline and follow-up at 3 and 12 months.

    RESULTS: For the initially unemployed subgroup, 52.6% were employed after 1 year (response rate 82%). Both PE (risk ratio (RR)=0.44; 95% CI 0.23 to 0.87) and ICBT (RR=0.37; 95% CI 0.16 to 0.84) showed lower rates compared with TAU after 3 months, but no difference was found after 1 year (PE: RR=0.97; 95% CI 0.69 to 1.57; ICBT: RR=1.23; 95% CI 0.72 to 2.13). For those with initial employment, long-term sick leave (response rate 75%) decreased from 7.8% to 6.5%, but neither PE (RR=1.4; 95% CI 0.52 to 3.74) nor ICBT (RR=0.99; 95% CI 0.39 to 2.46) decreased more than TAU, although a temporary positive effect for PE was found. All groups increased self-rated work ability with no differences found.

    CONCLUSIONS: No long-term effects were found for the initially unemployed on employment status or for the initially employed on sick leave. New types of interventions need to be explored.

    Ladda ner fulltext (pdf)
    fulltext
  • 35.
    Kjellenberg, Karin
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa.
    Ekblom, Örjan
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa. Fysisk aktivitet och hjärnhälsa.
    Ahlen, Johan
    Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden..
    Helgadóttir, Björg
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa. Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
    Nyberg, Gisela
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa. Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
    Cross-sectional associations between physical activity pattern, sports participation, screen time and mental health in Swedish adolescents.2022Ingår i: BMJ Open, E-ISSN 2044-6055, Vol. 12, nr 8, artikel-id e061929Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: To investigate the associations between physical activity pattern, sports participation, screen time and mental health in Swedish adolescents.

    DESIGN, SETTING AND PARTICIPANTS: A total of 1139 Swedish adolescents (mean age 13.4) from 34 schools participated in the cross-sectional study 'Physical Activity for Healthy Brain Functions in School Youth' in 2019.

    METHODS: Time spent sedentary and in moderate-to-vigorous physical activity (MVPA) was measured using accelerometers for seven consecutive days. Screen time and sports participation were self-reported. Anxiety and health-related quality of life (HRQoL) were assessed using a Short version of the Spence Children's Anxiety Scale and Kidscreen-10.

    RESULTS: MVPA was positively associated (95% CI 0.01 to 0.05 in girls and 0.02 to 0.07 in boys) whereas screen time on weekdays was inversely associated with HRQoL (-4.79 to -2.22 in girls and -2.66 to -0.41 in boys). The largest effect sizes were observed between the high/low MVPA group in boys (Cohen's d=0.51) and screen time groups in girls (Cohen's d=0.59 on weekdays). With regards to anxiety, high compared with lower time spent in MVPA during leisure time on weekdays was associated with lower anxiety scores (95% CI -0.13 to -0.05 in girls and -0.07 to -0.01 in boys). Gender differences were observed, boys who participated in organised sports had low anxiety scores (95% CI -3.49 to -0.13) whereas girls who reported 5 hours or more of screen time had high scores (95% CI 1.94 to 6.18 on weekdays and 1.39 to 5.29 on weekend days).

    CONCLUSIONS: This study showed that MVPA was associated with better mental health, whereas the opposite was seen for screen time. These associations were not consistently significant throughout all time domains, between the genders and mental health outcomes. Our results could create a paradigm for future studies to decide which types of PA patterns and time domains to target in intervention studies with the aim improve mental health among adolescents.

    Ladda ner fulltext (pdf)
    fulltext
  • 36.
    Lehr, Dirk
    et al.
    Institute of Psychology, Leuphana University, Lüneburg, Germany.
    Geraedts, Anna
    ArboNed, Utrecht, The Netherlands.
    Persson Asplund, Robert
    Linköpings universitet, Psykologi.
    Khadjesari, Zarnie
    Addiction Department, Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London, UK.
    Heber, Elena
    Division of Health Training Online, Leuphana University, Lüneburg, Gemany.
    de Bloom, Jessica
    School of Social Science and Humanities, University of Tampere, Finland.
    Ebert, David Daniel
    Department of Clinical Psychology and Psychotherapy, Friedrich-Alexander-University, Erlangen, Germany.
    Angerer, Peter
    Institute of Occupational and Social Medicine, Heinrich-Heine University, Düsseldorf, Germany.
    Funk, Burkhardt
    Department of Information Systems Research, Leuphana University, Lüneburg, Germany.
    Occupational e-mental health: current approaches and promising perspectives for promoting mental health in workers2016Ingår i: Healthy at work: interdisciplinary perspectives. Part IV / [ed] Markus Wiencke, Mirella Cacace, Sebastian Fischer, Cham: Springer , 2016, s. 257-281Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [en]

    During the past few years, the Internet has started to change lifestyles and affect all life domains, including working life. It is also increasingly used for targeting mental health issues. The “application of information technology in mental and behavioral health” (Andersson G, Riper H, Carlbring P (2014) Editorial: Introducing Internet interventions—a new open access journal. Internet Intervent 1:1–2) is becoming common in health-care; interventions have already been incorporated into routine care in countries such as the Netherlands, Sweden, the UK, Australia, and the USA. As a next step, Internet interventions in the area of occupational health are progressively emerging. They may offer an evidence-based, cost-effective, and convenient way of promoting workers’ mental health on a large scale. Currently, Internet interventions for workers are the most promising approach in the field of occupational e-mental health. The evolution of occupational e-mental health is embedded in interdisciplinary research, practice, and policy. In the first section of this chapter, the origins of occupational e-mental health will be outlined and a definition proposed. Following this, different approaches to occupational e-mental health will be described and their potentials elucidated. A comparison between Internet interventions and traditional stress-management trainings will provide further insights into the design and characteristics of the most elaborated approach in occupational e-mental health. Subsequently, various Internet training programs will be introduced and the evidence for their efficacy summarized. Finally, important topics for further research and implementation will be outlined.

  • 37.
    Levallius, Johanna
    et al.
    Karolinska Inst, Ctr Eating Disorders Innovat, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Monell, Elin
    Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, Stockholm, Sweden.;Stockholm Cty Council, Stockholm Hlth Care Serv, Stockholm, Sweden..
    Birgegard, Andreas
    Karolinska Inst, Ctr Eating Disorders Innovat, Dept Med Epidemiol & Biostat, Stockholm, Sweden..
    Clinton, David
    Karolinska Inst, Ctr Eating Disorders Innovat, Dept Med Epidemiol & Biostat, Stockholm, Sweden.;Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, Stockholm, Sweden.;Stockholm Cty Council, Stockholm Hlth Care Serv, Stockholm, Sweden.;Inst Eating Disorders, Oslo, Norway..
    Forsén Mantilla, Emma
    Karolinska Inst, Ctr Eating Disorders Innovat, Dept Med Epidemiol & Biostat, Stockholm, Sweden.;Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, Stockholm, Sweden.;Stockholm Cty Council, Stockholm Hlth Care Serv, Stockholm, Sweden..
    Binge Eating and Addictive-Like Behaviours in Males and Females2022Ingår i: Psychological Reports, ISSN 0033-2941, E-ISSN 1558-691X, Vol. 125, nr 1, s. 148-166, artikel-id 0033294120971750Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction Binge eating is a common behaviour that is strongly linked to both obesity and eating disorder. There is evidence that binge eating commonly co-occurs with other problematic and addictive-like behaviours; however, this has not been explored systematically. The present study aimed to examine the relationship between binge eating, body weight, disordered eating behaviours and associated addictive-like behaviours, with particular attention paid to gender differences. Method A community sample (N = 500; 75% female, M-age = 32.5 years) reported disordered eating behaviours (i.e. binge eating, purging, restriction of eating, compulsive exercise), body mass index (BMI), food addiction, starvation addiction, exercise dependence, tobacco use and alcohol consumption. Results 42% of females and 21% of males reported binge eating during the past four weeks. Binge eating was significantly associated with all investigated behaviours in females, and with purging, compulsive exercise and overweight/obesity in males. Controlling for BMI, self-starvation predicted binge eating in males (OR = 1.07), while food addiction (OR = 1.73) and alcohol dependence (OR = 1.11) predicted binge eating in females. Conclusions The multiple associations between binge eating and addictive-like behaviors supports broad screening and generalized prevention efforts. Prevention efforts should reflect gender differences.

  • 38. Lindegård, Agneta
    et al.
    Jonsdottir, Ingibjörg H
    Börjesson, Mats
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms och Mats Börjessons forskningsgrupp.
    Lindwall, Magnus
    Gerber, Markus
    Changes in mental health in compliers and non-compliers with physical activity recommendations in patients with stress-related exhaustion.2015Ingår i: BMC Psychiatry, E-ISSN 1471-244X, Vol. 15, artikel-id 272Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: There is a lack of research regarding the long-lasting effects of a more physically active lifestyle in patients with mental disorders. In the present study, clinical data were analysed to examine if initially physically inactive patients, clinically diagnosed with stress-related exhaustion, taking part in 12-month multimodal treatment (MMT), differ at the 18-month follow-up regarding mental health, depending on whether they did or did not comply with the physical activity (PA) recommendations resembling those of the American College of Sports Medicine.

    METHODS: The study population consisted of 69 patients (65 % women) who were referred to a stress clinic due to stress-related exhaustion. All patients received MMT. A major goal was to increase patients' PA levels. The patients received general comprehensive instructions including personal advice regarding the positive effects of PA on mental health and could self-select for an 18-week coached exercise program. Changes in mental health symptoms over an 18-month period were compared between non-compliers (n = 26), mild compliers (n = 22) and strong compliers (n = 21) with the PA recommendations included in the MMT.

    RESULTS: Non-compliers, mild and strong compliers did not differ regarding burnout, depression and anxiety at baseline. Although substantial improvements occurred in all groups, mild and strong compliers reported significantly lower burnout and depression levels at the 18-month follow-up than the non-complying group (p < .05). The general pattern of findings was corroborated, if standard cut-off criteria for clinical burnout were used.

    CONCLUSIONS: Compliance with PA recommendations is associated with decreased levels of burnout and depression in patients with stress-related exhaustion. Thus, the promotion of a more active lifestyle among patients with stress-related exhaustion should be implemented as a part of MMT, to achieve a more sustainable decrease of symptoms of burnout and depression.

    TRIAL REGISTRATION: This is not a clinical trial.

    Ladda ner fulltext (pdf)
    fulltext
  • 39.
    Martinsen, Egil W
    et al.
    Oslo universitetssjukhus.
    Hovland, Anders
    Universitetet i Bergen.
    Kjellman, Bengt
    Karolinska institutet.
    Taube, Jill
    Landstinget i Värmland.
    Andersson, Eva
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Laboratoriet för biomekanik och motorisk kontroll (BMC).
    Fysisk aktivitet vid depression2016Ingår i: FYSS 2017: fysisk aktivitet i sjukdomsprevention och sjukdomsbehandling, Läkartidningen förlag , 2016, s. 362-370Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Sammanfattande rekommendation

    Personer med depression bör rekommenderas aerob eller muskelstärkande fysisk aktivitet för att minska depressiva symtom, måttligt starkt vetenskapligt underlag (evidensstyrka +++), och förbättra livskvalitet, begränsat vetenskapligt underlag (evidensstyrka ++).

    Vid lindrig eller måttlig depression reducerar fysisk aktivitet depressiva symtom i liknande grad som antidepressiva läkemedel eller kognitiv beteendeterapi (KBT). Måttligt starkt vetenskapligt underlag (evidensstyrka +++).

    Om enbart muskelstärkande fysisk aktivitet väljs i syfte att behandla depression, bör den kompletteras med aerob fysisk aktivitet för att minska risken för hjärt-kärlsjukdom, eftersom denna risk är förhöjd vid depression.

  • 40.
    Martinsen, Egil W.
    et al.
    Oslo universitetssjukhus.
    Hovland, Anders
    Universitet i Bergen.
    Kjellman, Bengt
    Karolinska insitutet.
    Taube, Jill
    Landstinget i Värmland.
    Andersson, Eva
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Laboratoriet för biomekanik och motorisk kontroll (BMC). Karolinska institutet.
    Fysisk aktivitet vid depression: Forskning pågår2017Ingår i: Fysioterapi, ISSN 1653-5804, nr 5, s. 34-39Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [sv]

    Vi har nöjet att publicera kapitel 2.8 Fysisk aktivitet vid depression ur  Fysisk aktivitet i sjukdomsprevention och sjukdomsbehandling, FYSS 2017  med tillstånd av Yrkesföreningar för Fysisk Aktivitet (YFA). Detta kapitel samt  ytterligare drygt 30 kapitel ur FYSS 2017 kan laddas ner från www.fyss.se.  Samtliga 53 kapitel är samlade i boken FYSS 2017 utgiven av Läkartidningen förlag AB.

    SAMMANFATTANDE REKOMMENDATION •  Personer med depression bör rekommenderas aerob eller muskelstärkande fysisk aktivitet för att minska depressiva symtom. Måttligt starkt vetenskapligt underlag (evidensstyrka +++). •  Fysisk aktivitet reducerar depressiva symtom i liknande grad som antidepressiva läkemedel eller KBT vid lindrig och måttlig depression. Måttligt starkt vetenskapligt underlag (evidensstyrka +++). •  Om enbart muskelstärkande fysisk aktivitet väljs i syfte att behandla depression, bör den kompletteras med aerob fysisk aktivitet för att minska risken för kardiovaskulär sjukdom, eftersom denna risk är förhöjd vid depression.

  • 41. Mather, Lisa
    et al.
    Blom, Victoria
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Forskningsgruppen för idrottspsykologi.
    Bergström, Gunnar
    Svedberg, Pia
    An Underlying Common Factor, Influenced by Genetics and Unique Environment, Explains the Covariation Between Major Depressive Disorder, Generalized Anxiety Disorder, and Burnout: A Swedish Twin Study.2016Ingår i: Twin Research and Human Genetics, ISSN 1832-4274, E-ISSN 1839-2628, Vol. 19, nr 6, s. 619-627Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Depression and anxiety are highly comorbid due to shared genetic risk factors, but less is known about whether burnout shares these risk factors. We aimed to examine whether the covariation between major depressive disorder (MDD), generalized anxiety disorder (GAD), and burnout is explained by common genetic and/or environmental factors. This cross-sectional study included 25,378 Swedish twins responding to a survey in 2005-2006. Structural equation models were used to analyze whether the trait variances and covariances were due to additive genetics, non-additive genetics, shared environment, and unique environment. Univariate analyses tested sex limitation models and multivariate analysis tested Cholesky, independent pathway, and common pathway models. The phenotypic correlations were 0.71 (0.69-0.74) between MDD and GAD, 0.58 (0.56-0.60) between MDD and burnout, and 0.53 (0.50-0.56) between GAD and burnout. Heritabilities were 45% for MDD, 49% for GAD, and 38% for burnout; no statistically significant sex differences were found. A common pathway model was chosen as the final model. The common factor was influenced by genetics (58%) and unique environment (42%), and explained 77% of the variation in MDD, 69% in GAD, and 44% in burnout. GAD and burnout had additive genetic factors unique to the phenotypes (11% each), while MDD did not. Unique environment explained 23% of the variability in MDD, 20% in GAD, and 45% in burnout. In conclusion, the covariation was explained by an underlying common factor, largely influenced by genetics. Burnout was to a large degree influenced by unique environmental factors not shared with MDD and GAD.

  • 42.
    Mather, Lisa
    et al.
    Karolinska Institutet.
    Narusyte, J
    Karolinska Institutet.
    Ropponen, A
    Karolinska Institutet.
    Bergström, G
    Karolinska Institutet.
    Blom, Victoria
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Forskningsgruppen för idrottspsykologi. Karolinska Institutet.
    Helgadóttir, Björg
    Karolinska Institutet.
    Svedberg, P
    Karolinska Institutet.
    Sick leave due to mental disorders, morbidity and mortality: a prospective study of discordant twin pairs.2020Ingår i: Social Psychiatry and Psychiatric Epidemiology, ISSN 0933-7954, E-ISSN 1433-9285, Vol. 55, nr 1, s. 25-32Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PURPOSE: To investigate if sick leave due to mental disorders increases the risk of morbidity measured by inpatient and specialized outpatient care, and mortality among women and men, independent of familial factors.

    METHODS: An open cohort study of 4979 twin pairs discordant for sick leave due to mental disorders was conducted in 2005-2013. Twins were followed up in the cause of death and national patient registries until the end of study, emigration, death, and inpatient and specialized outpatient care. Conditional Cox proportional hazard regression, adjusting for the familial factors shared by the twins, was used to calculate hazard ratios (HR) with 95% confidence intervals (CI). In case of non-proportional hazards, time-varying covariates were used.

    RESULTS: Sick leave due to mental disorders increased the risk for inpatient care among men (HR: 1.90, CI 1.66-2.17) and women (HR: 1.39, CI 1.27-1.51). For men, the risk of outpatient care was higher the first 2 years (HR: 2.08, CI 1.87-2.31), after which it was attenuated (HR: 1.32, CI 1.02-1.70). For women, the HR was 1.57 (CI 1.47-1.68) for the whole study time. There was an increased risk of death among men (HR: 2.91, CI 1.70-4.99), but not among women (HR: 0.84, CI 0.53-1.35).

    CONCLUSIONS: Sick leave due to mental disorders was a risk factor for mortality for men only, and increased the risk of inpatient and specialized outpatient care among both women and men, but the risks were higher for men when stratifying for sex.

    Ladda ner fulltext (pdf)
    fulltext
  • 43.
    Millischer, Vincent
    et al.
    Karolinska institutet.
    Erhardt, Sophie
    Karolinska institutet.
    Ekblom, Örjan
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, Åstrandlaboratoriet, Björn Ekbloms forskningsgrupp.
    Forsell, Yvonne
    Karolinska institutet.
    Lavebratt, Catharina
    Karolinska institutet.
    Twelve-week physical exercise does not have a long-lasting effect on kynurenines in plasma of depressed patients2017Ingår i: Neuropsychiatric Disease and Treatment, ISSN 1176-6328, E-ISSN 1178-2021, Vol. 13, s. 967-972Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Physical exercise has well-characterized positive effects on depressive symptoms. The underlying biologic mechanisms are, however, far from established. A recently discovered mechanism has linked the enhanced conversion of kynurenine to kynurenic acid (KYNA) to an increased resilience toward stress-induced depression in mice. The aim of this study was to translate these findings to humans.

    Materials and methods: Kynurenine and KYNA levels were measured by high-performance liquid chromatography in plasma samples from 117 patients affected by mild-to-moderate depression before and within a week after a 12-week training period at three different intensities. The patients were part of the Regassa study.

    Results: No differences in plasma levels of kynurenine and KYNA or in their ratio could be detected between before and after training. No effect of the intensity group could be observed. No correlation with the improvement in cardiovascular fitness (Åstrand score) or the improvement in mood (Montgomery Åsberg Depression Rating Scale score) could be observed.

    Limitations: As the Regassa study is based on an intention-to-treat protocol, the exact time and the exact intensity of the physical exercise are not known. Analyses of pulse data as well as personal interviews, however, were used to control the exercise protocols. Furthermore, the observations reflect chronic changes.

    Conclusion: Physical exercise positively affects mood and cardiovascular fitness, but does not lead to long-lasting changes in plasma levels of kynurenine and KYNA in patients affected by mild-to-moderate depression.

    Ladda ner fulltext (pdf)
    fulltext
  • 44. Monell, Elin
    et al.
    Högdahl, Louise
    Forsén Mantilla, Emma
    Birgegård, Andreas
    Emotion dysregulation, self-image and eating disorder symptoms in University Women2015Ingår i: Journal of Eating Disorders, E-ISSN 2050-2974, Vol. 3, nr 1, artikel-id 44Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: We studied associations between emotion dysregulation, self-image and eating disorder (ED)symptoms in university women, and contrasted two indirect effect models to examine possible interveningmechanisms to produce ED symptoms.

    Methods: 252 female Swedish university students completed the Difficulties in Emotion Regulation Scale(DERS), the Structural Analysis of Social Behavior (SASB) self-image measure, and the Eating DisorderExamination Questionnaire (EDE-Q). Correlations between scales were followed by five simple mediationanalysis pairs with two possible pathways using five ED symptom variables as outcome. The models positedeither self-image or emotion dysregulation as mediator or independent variable, respectively. ED symptomswere EDE-Q Global score, objective binge eating episodes (OBE), subjective binge eating episodes (SBE), andtwo variants of EDE-Q excessive exercise.

    Results: Emotion dysregulation and self-image were strongly correlated, and both correlated moderately withEDE-Q Global score. There were distinct indirect effects through self-image on the relationship between emotiondysregulation and ED symptoms, but not vice versa. These indirect effects were evident in relation to cognitive EDsymptoms and both OBE and SBE, but not in relation to excessive exercise.

    Conclusions: Results suggest that even if closely related, emotion dysregulation and self-image both contributeunique knowledge in relation to ED symptoms. Self-image as an intervening mechanism between emotiondysregulation and ED symptoms is relevant for models of the development, maintenance and treatment of ED, as wellas treatment focus.

  • 45.
    Monell, Elin
    et al.
    Karolinska Inst, Dept Clin Neurosci, Ctr Psychiat Res, Stockholm, Sweden.;Stockholm Cty Council, Stockholm Hlth Care Serv, Stockholm, Sweden..
    Levallius, Johanna
    Karolinska Inst, Dept Clin Neurosci, Ctr Psychiat Res, Stockholm, Sweden.;Stockholm Cty Council, Stockholm Hlth Care Serv, Stockholm, Sweden..
    Forsén Mantilla, Emma
    Karolinska Inst, Dept Clin Neurosci, Ctr Psychiat Res, Stockholm, Sweden.;Stockholm Cty Council, Stockholm Hlth Care Serv, Stockholm, Sweden..
    Birgegard, Andreas
    Karolinska Inst, Dept Clin Neurosci, Ctr Psychiat Res, Stockholm, Sweden.;Stockholm Cty Council, Stockholm Hlth Care Serv, Stockholm, Sweden..
    Running on empty - a nationwide large-scale examination of compulsive exercise in eating disorders2018Ingår i: Journal of Eating Disorders, E-ISSN 2050-2974, Vol. 6, artikel-id 11Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Compulsive exercise (CE) has been the neglected "Cinderella" among eating disorder (ED) symptoms, even though it seems to impact severity, treatment and outcome. This prompted a large-scale and systematic examination of the impact of CE in a representative ED sample. Methods: CE was examined in over 9000 female and male patients from a clinical ED database (covering out-patient, day and/or residential treatment) with respect to prevalence, ED diagnosis, ED symptoms, clinical features, patient characteristics, and outcome at 1-year follow-up. Relationships between changes in CE behavior and remission were also examined. Results: CE was a transdiagnostic symptom, present in nearly half of all patients (48%). It was associated with greater overall ED pathology, particularly dietary restraint, and negative perfectionism. Initial CE did not impact remission rate, but patients continuing or starting CE during treatment had considerably lower remission rates compared to patients who never engaged in, or ceased with, CE. Results were comparable for females and males. Conclusions: At baseline, there were few differences between patients with and without CE, except a somewhat higher symptom load for patients with CE, and CE did not predict ED outcome. However, how CE developed during treatment to 1-year follow-up considerably impacted remission rates. We strongly recommend CE to be systematically assessed, addressed, and continuously evaluated in all ED patients seeking treatment.

  • 46.
    Monell, Elin
    et al.
    Karolinska Inst, Dept Med Biostat & Epidemiol, Stockholm, Sweden.;Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, Stockholm, Sweden.;Stockholm Hlth Care Serv, Stockholm, Sweden..
    Meyer, Caroline
    Univ Warwick, WMG, Coventry, W Midlands, England.;Univ Warwick, Warwick Med Sch, Coventry, W Midlands, England.;Warwickshire NHS Partnership Trust, Coventry, W Midlands, England..
    Szwajda, Agnieszka
    Karolinska Inst, Dept Med Biostat & Epidemiol, Stockholm, Sweden..
    Forsén Mantilla, Emma
    Karolinska Inst, Dept Med Biostat & Epidemiol, Stockholm, Sweden.;Karolinska Inst, Ctr Psychiat Res, Dept Clin Neurosci, Stockholm, Sweden.;Stockholm Hlth Care Serv, Stockholm, Sweden..
    Taking the LEAP: study protocol for a randomized, multicentre, naturalistic, efficacy trial of the compuLsive Exercise Activity theraPy (LEAP) - a cognitive behavioral program specifically targeting compulsive exercise in patients with eating disorders2021Ingår i: BMC Psychiatry, E-ISSN 1471-244X, Vol. 21, nr 1, artikel-id 369Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background About half of Swedish eating disorder patients report exercising compulsively and compulsive exercise (CE) is prevalent in all diagnoses and both genders. Yet there are no systematic treatments targeting CE in specialist care. This study aims to evaluate the effects of The CompuLsive Exercise Activity TheraPy (LEAP) - a promising group treatment targeting compulsive exercise, in Swedish eating disorder patients. Method One hundred twenty-eight adult females and males suffering from anorexia nervosa, bulimia nervosa or other specified feeding and eating disorders (type 1, 2, or 4) with CE will be recruited via four specialist eating disorder treatment units. Participants will be randomized to receive treatment as usual (control group) or treatment as usual plus LEAP (intervention group). The groups will be assessed on key variables (e.g., BMI, eating disorder symptoms, exercise cognitions and behaviors) at three occasions: initially, after 3 months and after 6 months. Discussion The project takes place in a clinical setting, including both male and female patients with different eating disorder diagnoses with CE, enabling a good indication of the efficacy of LEAP. If our results are positive, LEAP has the potential of benefiting about half of the eating disorder population, with remission and recovery hopefully improving as a result.

  • 47.
    Murray, Conor
    et al.
    Ulster University-Belfast Campus, Belfast, UK.
    Coyle, Brendan
    Ulster University-Belfast Campus, Belfast, UK.
    Morgan, Haydyn
    University of Bath, Bath, UK..
    Marder, Ian
    Maynooth University, Maynooth, Ireland..
    Woods, David
    Ulster University-Belfast Campus, Belfast, UK..
    Haughey, Tandy
    Ulster University-Belfast Campus, Belfast, UK..
    Maycock, Matthew
    University of Dundee, Dundee, UK ; Monash University, Clayton, Victoria, Australia..
    Genovesi, Federico
    Ulster University-Belfast Campus, Belfast, UK..
    Meek, Rosie
    Royal Holloway University of London, Egham, UK..
    Parker, Andrew
    University of Gloucestershire, Cheltenham, Gloucestershire, UK.
    Smith, Andy
    Edge Hill University, Ormskirk, UK.
    Kay, Chris
    Loughborough University, Loughborough, UK.
    Brink, Gerko
    Nederlandse Ministerie van Veiligheid en Justitie, Den Haag, The Netherlands..
    Rovers, Hubert
    European Football for Development Network, Breda, The Netherlands..
    Haudenhuyse, Rein
    HOGENT University of Applied Sciences, Gent, Belgium..
    Roe, Daniel
    Gymnastik- och idrottshögskolan, GIH, Institutionen för rörelse, kultur och samhälle.
    Contreras-Osorio, Falonn
    Donohue, Brad
    Bohall, Greg
    Martinez, Nagore
    Martos-Garcia, Daniel
    Whitley, Meredith
    Norman, Mark
    Demalija, Rifat
    Sherry, Emma
    Chitsawang, Nathee
    Adebayo Aderonmu, Kehinde
    Breslin, Gavin
    Queen's University Belfast, Belfast, UK..
    International consensus statement on the design, delivery and evaluation of sport-based interventions aimed at promoting social, psychological and physical well-being in prison2024Ingår i: BMJ Open, E-ISSN 2044-6055, Vol. 14, nr 1, artikel-id e075792Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To develop an international consensus statement to advise on designing, delivering and evaluating sport-based interventions (SBIs) aimed at promoting social, psychological and physical well-being in prison.

    Design: Modified Delphi using two rounds of survey questionnaires and two consensus workshops.

    Participants: A multidisciplinary panel of more than 40 experts from 15 international jurisdictions was formed, including representation from the following groups and stakeholders: professionals working in the justice system; officials from sport federations and organisations; academics with research experience of prisons, secure forensic mental health settings and SBIs; and policy-makers in criminal justice and sport.

    Results: A core research team and advisory board developed the initial rationale, statement and survey. This survey produced qualitative data which was analysed thematically. The findings were presented at an in-person workshop. Panellists discussed the findings, and, using a modified nominal group technique, reached a consensus on objectives to be included in a revised statement. The core research team and advisory board revised the statement and recirculated it with a second survey. Findings from the second survey were discussed at a second, virtual, workshop. The core research team and advisory board further revised the consensus statement and recirculated it asking panellists for further comments. This iterative process resulted in seven final statement items; all participants have confirmed that they agreed with the content, objectives and recommendations of the final statement.

    Conclusions: The statement can be used to assist those that design, deliver and evaluate SBIs by providing guidance on: (1) minimum levels of competence for those designing and delivering SBIs; (2) the design and delivery of inclusive programmes prioritising disadvantaged groups; and (3) evaluation measures which are carefully calibrated both to capture proposed programme outcomes and to advance an understanding of the systems, processes and experiences of sport engagement in prison.

    Ladda ner fulltext (pdf)
    fulltext
  • 48.
    Nilsson, Jonna
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa. Aging Research Center, Karolinska Institutet, Stockholm, Sweden.; Stockholm University, Stockholm, Sweden.; Institute of Neuroscience, Newcastle University Institute for Ageing, Newcastle, upon Tyne, UK.
    Thomas, A J
    Stevens, L H
    McAllister-Williams, R H
    Ferrier, I N
    Gallagher, P
    The interrelationship between attentional and executive deficits in major depressive disorder.2016Ingår i: Acta Psychiatrica Scandinavica, ISSN 0001-690X, E-ISSN 1600-0447, Vol. 134, nr 1, s. 73-82Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: Cognitive dysfunction is an established feature of major depressive disorder (MDD). However, it remains unclear whether deficits in different cognitive domains are relatively independent or originate from a circumscribed 'primary deficit'. This study tested the hypothesis that a deficit in attention represents a primary deficit in depression.

    METHOD: Neuropsychological function was assessed in 30 depressed patients with MDD and 34 control participants. Cognitive composites were derived from a minimum of three tests and included attention, executive function, visuospatial memory and verbal memory. A multivariate analysis of variance was used to assess group differences in overall cognitive performance, and multiple regression models were used to evaluate the role of attention in deficits in other domains.

    RESULTS: The cognitive deficit in the depressed sample was found to be characterized by poorer performance in attention and executive function. When evaluating the interrelationship between the two deficits, the attentional deficit was found to persist when variability in executive function was statistically accounted for, whilst the executive deficit was eliminated when attention was accounted for.

    CONCLUSION: The results demonstrated that the attentional deficit could not be explained by deficits in executive function, which provides support for a primary attention deficit in depression.

  • 49.
    Norén Selinus, Eva
    et al.
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa. Region Västmanland - Uppsala University, Centre for Clinical Research, Västmanland Hospital Västerås, Uppsala, Sweden.
    Durbeej, Natalie
    Department of Clinical Neuroscience, Centre for Psychiatry Research & Education, Karolinska Institutet & Stockholm County Council, Stockholm, Sweden; Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Zhan, Yiqiang
    German Center for Neurogenerative Diseases, Ulm, Germany; Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
    Lichtenstein, Paul
    Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden..
    Lundström, Sebastian
    Center for Ethics, Law and Mental Health (CELAM), University of Gothenburg, Göteborg, Sweden.; Gillberg Neuropsychiatry Centre, University of Gothenburg, Göteborg, Sweden.
    Ekblom, Maria
    Gymnastik- och idrottshögskolan, GIH, Institutionen för fysisk aktivitet och hälsa. Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden.
    Inattention and hyperactivity symptoms in childhood predict physical activity in adolescence.2021Ingår i: BMC Psychiatry, E-ISSN 1471-244X, Vol. 21, nr 1, artikel-id 629Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Physical activity has been documented to influence several aspects of physical and mental health. Growing evidence shows that physical activity can improve attention. Less is known about how symptoms of inattention and hyperactivity / impulsivity in childhood are associated with physical activity in adolescence. We aimed to explore this relationship further.

    METHODS: We used a cohort of 3949 Swedish children (1884 boys and 2065 girls) with data collected at ages 9 (or 12) and 15. We investigated the influence of symptoms of inattention and hyperactivity / impulsivity in childhood - age 9/12 (inattention and hyperactivity/impulsivity separately) on self-rated physical activity at age 15, using multiple logistic regression models. We considered potential confounders such as sex, parental education level, physical activity in childhood and neurodevelopmental comorbidity. A cluster robust sandwich estimator was applied to adjust the standard errors for the nested twin data when computing the regression models.

    RESULTS: Symptoms of inattention in childhood (9/12) predicted less physical activity in adolescence (age 15) (OR = 0.83 CI = 0.78-0.89), whereas the opposite was true for hyperactivity/impulsivity (OR = 1.08 CI = 1.02-1.10). These associations still remained when taking possible confounders into account including neurodevelopmental and neurodevelopmental related comorbidity.

    CONCLUSIONS: These findings support the importance of helping children and adolescents with inattention symptoms to engage in physical activity in suitable settings.

    Ladda ner fulltext (pdf)
    fulltext
  • 50.
    Näslund, Anja
    Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap.
    Att hjälpa eller stjälpa: kan hälsopedagoger vara en resurs i arbetet med självhjälpsgrupper?2005Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats
    Abstract [sv]

    Syfte och frågeställningar

    Syftet med denna studie var att ta reda på vilka funktioner självhjälpsgrupper idag fyller i samhället inom olika hälsoområden. Syftet var också att belysa hur självhjälpsgrupper anser att deras arbete går att kombinera med professionell hjälpverksamhet och då i synnerhet om och hur en hälsopedagog kan och bör samarbeta med självhjälpsgrupper.

    Metod

    Studien inleddes med en litteraturgenomgång för att ta reda på forskarnas inställning till professionellas arbete med självhjälpsgrupper. Via internet och sökmotorn på www.msn.se har lämpliga självhjälpsgrupper för studien sökts fram. Urvalet till grupperna är baserat på de hälsoämnen som ingått i hälsopedagogutbildningen på Idrottshögskolan i Stockholm under tiden 2002-2005. I samtliga fall har en eller två av organisationen utsedda representanter som arbetat för sin respektive självhjälpsgrupp eller dess samordnare intervjuats. Intervjun har varit ostrukturerad med endast stödjande frågor för att få svar på ovanstående frågeställningar. Efter intervjuerna har svaren sammanställts i essäform samt sänts tillbaka till de intervjuade för genomläsning.

    Resultat

    Samtliga studerade grupper/organisationer berör hälsoområden inom psykisk hälsa/ohälsa respektive alkoholism. Grupperna har en relativt enad syn på att professionella inte hör hemma i arbetet med självhjälp. Den undersökta gruppen PersonalDialog skiljer sig från detta då de redan bygger en del av sin metod på professionell hjälp. Ingen av de undersökta grupperna har idag ett direkt samarbete med hälsopedagoger.

    Slutsats

    Samarbete mellan hälsopedagoger och självhjälpsgrupper finns idag knappt. Alla har dock, oavsett professionell bakgrund eller som förespråkare av självhjälpsgrupper samma syfte, nämligen att förbättra individernas hälsa och stärka deras självkänsla. Att som hälsopedagog vara medveten om att självhjälpsgrupper finns är viktigt. Vilken roll man sedan väljer att ta i arbetet måste få vara upp till var och en utifrån eget intresse och kunskap. Min rekommendation är dock att både professionella och självhjälpsgrupper fortsätter att främja och utveckla ett mer aktivt samarbete mellan dem båda.

    Ladda ner fulltext (pdf)
    FULLTEXT01
12 1 - 50 av 74
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf