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  • 1.
    Carlsund, Åsa
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Children`s Mental Health -with focus on family arrangements2013Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [sv]

    Avhandlingens huvudsyfte var att studera barns mentala hälsa med fokus på familjekonstellationer. Fyra olika studier ligger till grund för avhandlingen (I-IV). Studie I, II och IV var kvantitativa studier med tvärsnittsdesign. Datamaterialet utgjordes av den svenska versionen av Health Behaviour in School- aged Children (HBSC) (Svenska skolbarns hälsovanor). De deltagande barnen var i åldrarna 11, 13 och 15 år. Datamaterialet analyserades med hjälp av multipel linjär regressions analys (I) samt multivariat logistisk regressionsanalys (III, IV). Studie II var av kvalitativ karaktär och baserades på 28 intervjuer med föräldrar som bodde växelvis boende med sina barn. Den kvalitativa studien analyserades med hjälp av induktiv latent innehållsanalys.

    Studie I visade att lägre nivåer av SHC (subjektiva hälsobesvär) och högre nivåer av SWB (subjektivt välbefinnande) hade ett samband med högre nivåer av socialt kapital i familjen, skolan och närområdet. Socialt kapital i familjen, skolan och närområdet hade en kumulativ effekt på barnens självrapporterade SHC och SWB. I studie två beskrev de deltagande föräldrarna sina egna upplevelser, samt upplevelser relaterat till barnen samt och den före detta partnern. Föräldrarnas upplevelser förändrades från den första tiden av växelvis boende till nuvarande situation och avslutades med tankar om framtiden. De växelvis boende femtonåriga pojkarna och flickorna i studie III rapporterade ökad risk för att vara såväl rökare som att ha varit berusade jämfört med 15- åringarna i traditionella familjer. Resultaten avseende sex <15 år samt beteendeproblem visade inga signifikanta skillnader mellan dessa två grupper. Studie IV visade att barn som bodde i växelvis boende rapporterade fler subjektiva hälsobesvär och lägre välbefinnande jämfört med barn i traditionella familjer. Kommunikationsvariabeln hade ingen modererande effekt på någon av dessa båda grupper.

    Föreliggande avhandling bidrar med såväl ny som fördjupad kunskap för det relativt nya fenomenet, växelvis boende, och dess relation till barns mentala hälsa. Föräldrarnas upplevelse var ett viktigt bidrag till barnens självrapporterade hälsa. För att kunna påverka barn och ungas rapporter om allt sämre mental hälsa, är deras åsikter ett viktigt inslag för ökade kunskaper inom området. Vi behöver barns, föräldrars och yrkesverksammas åsikter för att vidare kunna studera relationen mellan barns hälsoutfall och olika familjekonstellationer. Vi behöver också veta mer om olika familjekonstellationers relation till skolan, närområdet samt det övriga samhället.

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  • 2.
    Carlsund, Åsa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Asplund, Kenneth
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Sellström, Eva
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Eriksson, Ulrika
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Swedish Parent’s Experiences of Joint Physical Custody2014Ingår i: Open Family Studies Journal, ISSN 1874-9224, Vol. 6, s. 1-7Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Abstract: Aim: This study’s aim was to learn more about parent experiences, when living in joint physical custody with their children. Methods: The study design was descriptive, using a qualitative approach. Interviews were conducted with 28 parents who lived in joint physical custody with their children. Content was analysed using inductive content analysis. Results: Participants with joint custody reported many positive experiences, and a similar process of adapting to the new living- arrangement. Results indicate that shortly after the separation parents were mainly occupied with emotional reactions to the new family situation. After two to three years, or in some cases longer, things seemed to settle down and the participants became more accustomed to the arrangements. Conclusion: This qualitative study provides insights into parents’ experiences of living in joint physical custody with their children. Many positive experiences and a similar process of adapting to the new arrangement were revealed. In the initial period, the parents seemed mainly to have been occupied with emotional reactions to the new family situation.

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  • 3.
    Carlsund, Åsa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Eriksson, Ulrika
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Löfstedt, Petra
    Swedish Natl Inst Publ Hlth, Dept Children & Older Peoples Hlth, Östersund, Sweden.
    Sellström, Eva
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Risk behaviour in Swedish adolescents: is shared physical custody after divorce a risk or a protective factor?2013Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 23, nr 1, s. 3-8Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: The increase in shared physical custody in Sweden has been dramatic; 20 years ago only a small percentage of adolescents lived in shared physical custody, but currently ∼30% of the adolescents whose parents have separated or divorced divide their residence between parents. We hypothesized that living in shared physical custody or in a single-parent family is associated with a higher prevalence of adolescent risk behaviour than living in a two-parent family. METHODS: Data on 15-year-old adolescents from the 2005/2006 to 2009/2010 Swedish Health Behaviour in School-aged Children (HBSC) survey were analysed using logistic regression. RESULTS: Adolescents living in shared physical custody had slightly higher rates of risk behaviour compared with adolescents from two-parent families, but significantly lower rates than their counterparts from single-parent families. Their odds of being a smoker or having been drunk were 60 and 50% higher, respectively, than those of their counterparts in two-parent families. CONCLUSION: Shared physical custody after marriage break-up seems to constitute a health protective factor for adolescents' health and problem behaviour. In order to deepen our understanding of the positive and negative aspects of shared physical custody, our study should be followed by qualitative analyses and longitudinal studies of adolescents' experiences.

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  • 4.
    Carlsund, Åsa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för hälsovetenskap.
    Eriksson, Ulrika
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Sellström, Eva
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Shared physical custody after family split-up: implications for health and well-being in Swedish schoolchildren.2013Ingår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 102, nr 3, s. 318-323Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: In Sweden, shared physical custody following a parental separation has emerged as means for children to keep close relationships with both parents. Previous studies show that children benefit from regular contact with both parents, who share responsibility for their social, emotional, and economic welfare. In this study we investigate any associations between family arrangements, i.e. two parent, single and shared physical custody families and child health outcomes and whether this association was modified by parent-child communication Methods Data on 11-15-year-old children from the 2005/2006 and 2009/2010 Swedish Health Behaviour in School-aged Children survey were analysed using multivariate logistic regression RESULTS: Children in shared physical custody were more likely than children in two-parent families to report multiple health complaints (OR 1.26) and low well-being (OR 1.71). When variables of parent-child communication were entered in the model, the initial differences remained between children living in shared physical custody and those living in two-parent families. Conclusion Children in shared physical custody and single parent families are more at risk of negative outcomes compared to children in two parent families. This association was not modified by parent-child communication in children in shared custody families, indicating that the communication equals that in two-parent family children.

  • 5.
    Carlsund, Åsa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad. Swedish Family Care Competence Centre, Kalmar, Sweden.
    Johansson, Pauline
    Swedish Family Care Competence Centre, Kalmar, Sweden; Linneus University Kalmar, Sweden.
    Hammare, Ulf
    Swedish Family Care Competence Centre, Kalmar, Sweden; Ersta Sköndal University College Stockholm, Sweden.
    Hanson, Elizabeth
    Swedish Family Care Competence Centre, Kalmar, Sweden; Linneus University Kalmar, Sweden.
    Support for Children as Next of Kin and Systematic Follow up -Group Leaders’ and Managers’ Perspectives Within Non-profit Organizations in Sweden2017Ingår i: Open Family Studies Journal, ISSN 1874-9224, Vol. 9, s. 49-59Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Abstract:Method:The aim of this study was to explore the systematic follow up of supportive activities in non-profit organizations targeted at childrenas next of kin. Managers and group leaders were interviewed, and findings were content analysed.Result:The findings indicated that a child focus, education, safety and trust were important. These factors were observed as the primarytasks and the key reason for being involved in supportive activities. Managers expressed concern about not retaining funding, if theorganization was unable to demonstrate the effects of their activities. Namely, to enhance the health and wellbeing of children. Inorder to continuously develop their work most organisations explained that they used some form of system for follow up. However,there was a wide variation in how non-profit organizations worked with follow ups.Conclusion:Overall, it was evident that there was a major need for education and support in this area.

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  • 6.
    Carlsund, Åsa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Söderberg, Siv
    Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad.
    Daily Life with Type 1 Diabetes from the Perspectives of Young Adults and Their Close Relatives2018Ingår i: American Journal of Nursing Science, ISSN 2328-5745, Vol. 7, nr 4, s. 115-120Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to enhance a deeper understanding of daily life as experienced by young adults with Type 1 Diabetes and their close relatives. Young adulthood is commonly considered as an amendment to adult roles. Increased responsibility, such as a long-term illness in young adulthood, might lead to increased stress and anxiety. Type 1 Diabetes involves large obligations related to self-care, and close relatives might play an important role in managing daily life. A hermeneutic study involving interviews with a narrative approach with couples. The hermeneutic analysis revealed that T1D is always unconditionally present in daily life for young adults and their close relatives. Close relatives are important supporters, they have an understanding based on sharing daily life with the young adults with T1D. Young adults and their close relatives highlighted the experiences of being questioned, which in turn threatens the young adults’ integrity.

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  • 7.
    Carlsund, Åsa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för omvårdnad.
    Söderberg, Siv
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för omvårdnad.
    Living With Type 1 Diabetes As Experienced By Young Adults2019Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 6, nr 2, s. 418-425Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background. A person’s long-term illness influences many aspects of daily living, for the person affected as well as the family. Living with Type 1 Diabetes in young adulthood raises numerous challenges and concerns.

    Design. This study has a qualitative design.

    Methods. Semi-structured interviews were performed with 12 young adults living with Type 1 Diabetes. The interviews were analysed using qualitative content analysis.

    Results. The analysis revealed contradictory ways of handling the illness, as is illuminated in four categories: Handling the situation, dealing with others, lack motivation and relation to healthcare. Daily life for young adults with Type 1 Diabetes is filled with demanding tasks such as self-administration of insulin, blood glucose tests, and monitoring carb intake to manage blood glucose levels.

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  • 8.
    Eriksson, Ulrika
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Carlsund, Åsa
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Hochwälder, Jacek
    Department of Psychology, Mälardalens University, Eskilstuna, Sweden.
    Sellström, Eva
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Health outcomes among Swedish children: the role of social capital in the family, school, and neighbourhood2012Ingår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 101, nr 5, s. 513-517Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of the study was to explore the extent to which Swedish children's perceptions of social capital in the family, school and neighbourhood predicted health complaints and well-being. Methods: The study used data from the Swedish Health Behaviour in School-agedChildren survey. The sample consisted of 3926 children aged 11-15 years. Correlations and hierarchical multiple linear regression were performed. Results: Higher degrees of family, school and neighbourhood social capital corresponded to lower levels of health complaints and higher levels of well-being. Social capital in these three spheres had a cumulative effect on children's health and well-being. Conclusions: Social capital in the family, school and neighbourhood matters for children's health and well-being and the contributions from each context seem to be additive. Besides the family context, investments for improving child health should primarily be in the school, focusing on social relations and on creating safe and cohesive school environments. Neighbourhood social capital is also of importance and so must be taken into consideration when planning childhealth promotion interventions. © 2011 The Author(s)/Acta Pædiatrica.

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