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  • 1.
    Abbasian, Saeid
    Södertörn University, School of Natural Sciences, Technology and Environmental Studies, Tourism Studies.
    Disparate Emotions as Expressions of Well-Being: Impact of Festival Participation from the Participants’ Subjective View2022In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 20, no 1, article id 329Article in journal (Refereed)
    Abstract [en]

    The purpose of this research is that through festival participants’ subjective views get a better understanding of how their participation results in positive feelings and well-being. The paper has a qualitative approach based on a delimited part of a larger survey and the content analysis method has been employed. A total of 280 participants, mainly of immigrant origin, answered one of the open-ended questions in the survey: What emotions does celebrating the Fire Festival evoke in you? Please justify your answer. The most common meaning in the answers has been good feelings followed by feelings of integration and community, the return of spring, and nostalgia. The results show that the festival has significance for these peoples’ good feelings and well-being, even though it lasts five hours. This study contributes to increased knowledge of festivals’ positive impacts on individuals, especially on immigrants living in Western countries.

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  • 2.
    Alvarsson, Jesper J.
    et al.
    Stockholms universitet, Psykologiska institutionen.
    Wiens, Stefan
    Stockholms universitet, Psykologiska institutionen.
    Nilsson, Mats E.
    Stockholms universitet, Psykologiska institutionen.
    Stress Recovery during Exposure to Nature Sound and Environmental Noise2010In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 7, no 3, p. 1036-1046Article in journal (Refereed)
    Abstract [en]

    Research suggests that visual impressions of natural compared with urban environments facilitate recovery after psychological stress. To test whether auditory stimulation has similar effects, 40 subjects were exposed to sounds from nature or noisy environments after a stressful mental arithmetic task. Skin conductance level (SCL) was used to index sympathetic activation, and high frequency heart rate variability (HF HRV) was used to index parasympathetic activation. Although HF HRV showed no effects, SCL recovery tended to be faster during natural sound than noisy environments. These results suggest that nature sounds facilitate recovery from sympathetic activation after a psychological stressor.

  • 3.
    Azad, Azadé
    et al.
    Stockholm University, Sweden.
    Sernbo, Elisabet
    University of Gothenburg, Sweden.
    Svärd, Veronica
    Södertörn University, School of Social Sciences, Social Work. Karolinska Institutet, Sweden.
    Holmlund, Lisa
    Karolinska Institutet, Sweden.
    Björk Brämberg, Elisabeth
    Karolinska Institutet, Sweden.
    Conducting In-Depth Interviews via Mobile Phone with Persons with Common Mental Disorders and Multimorbidity: The Challenges and Advantages as Experienced by Participants and Researchers2021In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, no 22, p. 11828-11828Article in journal (Refereed)
    Abstract [en]

    Qualitative interviews are generally conducted in person. As the coronavirus pandemic (COVID-19) prevents in-person interviews, methodological studies which investigate the use of the telephone for persons with different illness experiences are needed. The aim was to explore experiences of the use of telephone during semi-structured research interviews, from the perspective of participants and researchers. Data were collected from mobile phone interviews with 32 individuals who had common mental disorders or multimorbidity which were analyzed thematically, as well as field notes reflecting researchers’ experiences. The findings reveal several advantages of conducting interviews using mobile phones: flexibility, balanced anonymity and power relations, as well as a positive effect on self-disclosure and emotional display (leading to less emotional work and social responsibility). Challenges included the loss of human encounter, intense listening, and worries about technology, as well as sounds or disturbances in the environment. However, the positive aspects of not seeing each other were regarded as more important. In addition, we present some strategies before, during, and after conducting telephone interviews. Telephone interviews can be a valuable first option for data collection, allowing more individuals to be given a fair opportunity to share their experiences.

  • 4.
    Azad, Azadé
    et al.
    Karolinska Institutet, Sweden; Stockholm University, Sweden.
    Svärd, Veronica
    Södertörn University, School of Social Sciences, Social Work. Karolinska Institutet, Sweden.
    Patients’ with Multimorbidity and Psychosocial Difficulties and Their Views on Important Professional Competence for Rehabilitation Coordinators in the Return-to-Work Process2021In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, no 19, article id 10280Article in journal (Refereed)
    Abstract [en]

    Coordinators may play a key role during the return-to-work (RTW) process for people on sickness absence. There are still few studies on the newly implemented rehabilitation coordinators (RECO) within Swedish healthcare, and none focus on their competence. The aim of this study was to explore how persons with multimorbidity and psychosocial difficulties describe the professional competence of the RECO they encountered during their RTW process. The study takes a relational and practical approach in defining professional competence, including both what professionals do and what they possess. Interviews with 12 people with multimorbidity and psychosocial difficulties who had encountered a RECO during their RTW process were analysed using thematic analysis. Six different themes were found: communicative and coordinating skills; advisory and guidance skills; engagement and advocacy skills; being persistent and flexible; being empathic and therapeutic; being professional and trustworthy. Most of these are found in research on RTW coordinators, but being persistent, and having advisory, guidance, advocacy and therapeutic skills have not been recognised as important competences previously. This study adds patients’ views on important professional competence that support the RTW process, which should be regarded in further developments of RECOs’ functions and their competence descriptions.

  • 5.
    Berglund, Erik
    et al.
    Karolinska Institutet, Sweden; Uppsala University, Sweden.
    Friberg, Emilie
    Karolinska Institutet, Sweden.
    Engblom, Monika
    Karolinska Institutet, Sweden.
    Andersén, Åsa
    Uppsala University, Sweden.
    Svärd, Veronica
    Södertörn University, School of Social Sciences, Social Work. Karolinska Institutet, Sweden; Karolinska University Hospital, Sweden.
    Coordination and Perceived Support for Return to Work: A Cross-Sectional Study among Patients in Swedish Healthcare2022In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 7, article id 4040Article in journal (Refereed)
    Abstract [en]

    Background: Receiving support from a return-to-work (RTW) coordinator (RTWC) may be beneficial for people on long-term sick leave. The aim of this study was to investigate whether the number of contacts with an RTWC and their involvement in designing rehabilitation plans for the patients were associated with perceiving support for RTW, emotional response to the RTWC, and healthcare utilization. Methods: In this cross-sectional study, 274 patients who had recently been in contact with an RTWC in Swedish primary or psychiatric care answered questions regarding their interaction with an RTWC, perceived support for RTW, and emotional response to the RTWC. Results: Having more contact with an RTWC was associated with perceiving more support in the RTW process (adjusted OR 4.14, 95% CI 1.49–11.47). RTWC involvement in designing a rehabilitation plan for the patient was associated with perceiving more support in the RTW process from an RTWC and having a more positive emotional response to the RTWC. Conclusions: From the patient’s perspective, this study indicates that the involvement of an RTWC and receiving a rehabilitation plan that an RTWC has helped to design might be perceived as important in the RTW process.

  • 6.
    Blomqvist Mickelsson, Tony
    Södertörn University, School of Social Sciences, Social Work. Södertörn University, Centre for Baltic and East European Studies (CBEES), Baltic & East European Graduate School (BEEGS).
    Parental Perceptions of Youths’ Desirable Characteristics in Relation to Type of Leisure: A Multinomial Logistic Regression Analysis of Martial-Art-Practicing Youths2022In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 9, article id 5725Article in journal (Refereed)
    Abstract [en]

    Parents place their youths in sport with the belief that doing so will produce developmental outcomes. However, it is unclear if parents enroll children in different sports based on different desired characteristics they wish their youth to develop. This paper analyses the link between youths engaged in martial arts (MA) compared to other leisure activities. MA research has indicated the importance of masculinity and gender ideals that suggest that parents hold certain visions when enrolling their youths in MA. For example, one such vision is for their youths to be able to handle themselves in physical encounters. Two research questions guided the study. First, what characteristics do MA parents desire their children to develop? Secondly, how do these desires correspond to MA youths' actual characteristics? We utilize multinomial logistic regression analysis on nationally representative data from the Netherlands. The results show that MA parents are younger, their youths are of migration background, and the parents value characteristics such as self-control, responsibility, and acting "gender appropriately". These results correspond to their youths; MA youths are consistently characterized by more masculinity compared to the youths in other groups. The results bear implications for how MA environments must safeguard against potentially harmful and misleading norms.

  • 7.
    Hökby, Sebastian
    et al.
    Karolinska Institutet, Sweden; Stockholm Health Care Services, Sweden.
    Westerlund, Joakim
    Stockholm University, Sweden; Stockholm Health Care Services, Sweden.
    Alvarsson, Jesper
    Södertörn University, School of Social Sciences, Psychology. Stockholm Health Care Services, Sweden.
    Carli, Vladimir
    Karolinska Institutet, Sweden; Stockholm Health Care Services, Sweden.
    Hadlaczky, Gergö
    Karolinska Institutet, Sweden; Stockholm Health Care Services, Sweden.
    Longitudinal Effects of Screen Time on Depressive Symptoms among Swedish Adolescents: The Moderating and Mediating Role of Coping Engagement Behavior.2023In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 20, no 4, article id 3771Article in journal (Refereed)
    Abstract [en]

    Studies suggest that hourly digital screen time increases adolescents' depressive symptoms and emotional regulation difficulties. However, causal mechanisms behind such associations remain unclear. We hypothesized that problem-focused and/or emotion-focused engagement coping moderates and possibly mediates this association over time. Questionnaire data were collected in three waves from a representative sample of Swedish adolescents (0, 3 and 12 months; n = 4793; 51% boys; 99% aged 13-15). Generalized Estimating Equations estimated the main effects and moderation effects, and structural regression estimated the mediation pathways. The results showed that problem-focused coping had a main effect on future depression (b = 0.030; p < 0.001) and moderated the effect of screen time (b = 0.009; p < 0.01). The effect size of this moderation was maximum 3.4 BDI-II scores. The mediation results corroborated the finding that future depression was only indirectly correlated with baseline screen time, conditional upon intermittent problem-coping interference (C'-path: Std. beta = 0.001; p = 0.018). The data did not support direct effects, emotion-focused coping effects, or reversed causality. We conclude that hourly screen time can increase depressive symptoms in adolescent populations through interferences with problem-focused coping and other emotional regulation behaviors. Preventive programs could target coping interferences to improve public health. We discuss psychological models of why screen time may interfere with coping, including displacement effects and echo chamber phenomena.

  • 8.
    Larsson, Sofia L
    et al.
    Department of Health Sciences, The Swedish Red Cross University College, Sweden.
    Gunnarsson, David
    Södertörn University, School of Historical and Contemporary Studies, Ethnology. Department of Health Sciences, The Swedish Red Cross University College, Sweden.
    Vikdahl, Linda
    Södertörn University, School of Historical and Contemporary Studies, The Study of Religions. Department of Health Sciences, The Swedish Red Cross University College, Sweden.
    Social Participation and Mental Health in the Establishment Programme for Newly Arrived Refugees in Sweden—A Document Analysis2022In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 8, article id 4518Article in journal (Refereed)
    Abstract [en]

    Newly arrived refugees and asylum seekers constitute a vulnerable population in terms of health and social conditions due to lived trauma and experiences of loss, as well as factors in the host country such as not speaking the language, not having employment and social exclusion. Studies have shown that many newly arrived refugees find it difficult to establish a sustainable position in the host country’s labour market due to a lack of connections, low levels of education and politi-cal, social and cultural barriers. The Swedish Public Employment Service runs an establishment programme aimed at helping newly arrived refugees to find employment quickly and manage their own livelihoods. In this study, we analyse the administrator support document used by Swedish Public Employment Service case workers in their work with the programme to explore whether and how it considers the participants’ mental health and conditions for social participation. The results show that despite newly arrived refugees being especially vulnerable in terms of mental health, little attention is paid to these aspects, the possible effects they may have on the programme, the participants’ integration into the labour market and Swedish society as a whole.

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  • 9.
    Niemi, Maria
    et al.
    Karolinska Institutet.
    Manhica, Hélio
    Karolinska Institutet.
    Gunnarsson, David
    Södertörn University, School of Historical and Contemporary Studies, Ethnology.
    Ståhle, Göran
    Södertörn University, School of Historical and Contemporary Studies, Study of Religions.
    Larsson, Sofia
    Swedish Red Cross University College.
    Saboonchi, Fredrik
    Swedish Red Cross University College / Karolinska Institutet.
    A Scoping Review and Conceptual Model of Social Participation and Mental Health among Refugees and Asylum Seekers2019In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, no 20, article id E4027Article, review/survey (Refereed)
    Abstract [en]

    Social participation plays a key role in the integration of refugees and asylum seekers into their host societies, and is also closely tied to the mental health of those populations. The aim of this scoping review was to study how the concept of social participation is described in empirical research, and how it is associated with mental health outcomes.

    METHODS: In total, 64 studies were identified through searches in PubMed, PsycInfo, and Sociological Abstracts. These studies describe various forms of social participation among refugees and asylum seekers, and 33 of them also addressed various forms of mental health outcomes.

    RESULTS: The identified studies described forms and conditions of social participation-both in the host country and transnationally-that could be synthesized into three broad dimensions: (1) Regulatory frameworks, conditions and initiatives; (2) Established societal organizations and social structures; and (3) Community organized groups. Each of these consisted of several sub-domains. The identified dimensions of social participation were also associated with psychosocial well-being and decreased psychological distress.

    CONCLUSIONS: There is a need for policies to enable and support the participation of refugees and asylum seekers in various dimensions of social structures in host societies. Social participation enhances resilience, re-establishes social lives, and acts as a protective factor against poor mental health outcomes.

  • 10.
    Oh, Hans
    et al.
    University of Southern California, Los Angeles, USA.
    Koyanagi, Ai
    Universitat de Barcelona, Barcelona, Spain / Instituto de Salud Carlos III, CIBERSAM, Madrid, Spain..
    DeVylder, Jordan E
    Fordham University, New York, USA.
    Stickley, Andrew
    Södertörn University, School of Social Sciences, SCOHOST (Stockholm Centre for Health and Social Change). National Institute of Mental Health, Tokyo, Japan.
    Seasonal Allergies and Psychiatric Disorders in the United States2018In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 15, no 9, article id E1965Article in journal (Refereed)
    Abstract [en]

    Seasonal allergies have been associated with mental health problems, though the evidence is still emergent, particularly in the United States. We analyzed data from the National Comorbidity Survey Replication and the National Latino and Asian American Survey (years 2001⁻2003). Multivariable logistic regression models were used to examine the relations between lifetime allergies and lifetime psychiatric disorders (each disorder in a separate model), adjusting for socio-demographic variables (including region of residence) and tobacco use. Analyses were also stratified to test for effect modification by race and sex. A history of seasonal allergies was associated with greater odds of mood disorders, anxiety disorders, and eating disorders, but not alcohol or substance use disorders, after adjusting for socio-demographic characteristics and tobacco use. The associations between seasonal allergies and mood disorders, substance use disorders, and alcohol use disorders were particularly strong for Latino Americans. The association between seasonal allergies and eating disorders was stronger for men than women. Seasonal allergies are a risk factor for psychiatric disorders. Individuals complaining of seasonal allergies should be screened for early signs of mental health problems and referred to specialized services accordingly.

  • 11.
    Raninen, Jonas
    et al.
    Södertörn University, School of Social Sciences, Social Work. Swedish Council for Information on Alcohol and Other Drugs (CAN), Sweden; Karolinska Institutet, Sweden; La Trobe University, Australia.
    Larm, P.
    Stockholm University, Sweden.
    Svensson, J.
    Swedish Council for Information on Alcohol and Other Drugs (CAN), Sweden; Karolinska Institutet, Sweden ; Stockholm University, Sweden.
    Livingston, M.
    Karolinska Institutet, Sweden ; La Trobe University, Australia ; Curtin University, Australia.
    Sjödin, L.
    Karolinska Institutet, Sweden.
    Karlsson, P.
    Stockholm University, Sweden.
    Normalization of non-drinking?: Health, school situation and social relations among swedish ninth graders that drink and do not drink alcohol2021In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, no 21, article id 11201Article in journal (Refereed)
    Abstract [en]

    Alcohol consumption is a major contributor to the disease burden among adolescents. The adolescent alcohol abstainer is still often depicted as problematic in the research literature and in prominent theoretical frameworks. However, over the past two decades, there has been a marked trend of declining youth drinking in Sweden. The declining trend has led to a shift in the majority behaviour of youth, from drinking to non-drinking. It is plausible that this trend has also shifted the position of non-drinkers. This paper examines the position of non-drinkers in a nationally representative sample of Swedish adolescents. A survey was carried out in 2017 in 500 randomly selected schools. A total of 5549 respondents (15–16-year-olds) agreed to participate and answered the questionnaire. A minority (42.8%) had consumed alcohol during their lifetime. The results show that non-drinkers had better health and school performance when compared to drinkers. The results also showed that there were no differences in the social position between non-drinkers and drinkers. These findings are new and indicate a changed position of non-drinkers among Swedish adolescents. With non-drinking being the majority behaviour among Swedish adolescents this seems to have shifted the position of non-drinkers. There is a need for research on the long-term importance of not drinking during adolescence.

  • 12.
    Raninen, Jonas
    et al.
    Södertörn University, School of Social Sciences, Social Work. Swedish Council for Information on Alcohol and Other Drugs (CAN), Sweden; Karolinska Institutet, Sweden; La Trobe University, Australia.
    Livingston, M.
    Karolinska Institutet, Sweden; La Trobe University, Australia; Curtin University, Australia.
    Ramstedt, M.
    Swedish Council for Information on Alcohol and Other Drugs (CAN), Sweden; Karolinska Institutet, Sweden; Stockholm University; Sweden.
    Zetterqvist, M.
    Swedish Council for Information on Alcohol and Other Drugs (CAN), Sweden.
    Larm, P.
    Stockholm University, Sweden.
    Svensson, J.
    Swedish Council for Information on Alcohol and Other Drugs (CAN), Sweden; Karolinska Institutet, Sweden; Stockholm University; Sweden.
    17 Is the New 15: Changing Alcohol Consumption among Swedish Youth2022In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 3, article id 1645Article in journal (Refereed)
    Abstract [en]

    To examine and compare trends in drinking prevalence in nationally representative samples of Swedish 9th and 11th grade students between 2000 and 2018. A further aim is to compare drinking behaviours in the two age groups during years with similar drinking prevalence. Data were drawn from annual surveys of a nationally representative sample of students in year 9 (15–16 years old) and year 11 (17–18 years old). The data covered 19 years for year 9 and 16 years for year 11. Two reference years where the prevalence of drinking was similar were extracted for further comparison, 2018 for year 11 (n = 4878) and 2005 for year 9 (n = 5423). The reference years were compared with regard to the volume of drinking, heavy episodic drinking, having had an accident and quarrelling while drunk. The prevalence of drinking declined in both age groups during the study period. The rate of decline was somewhat higher among year 9 students. In 2018, the prevalence of drinking was the same for year 11 students as it was for year 9 students in 2005. The volume of drinking was lower among year 11 students in 2018 than year 9 students in 2005. No differences were observed for heavy episodic drinking. The decline in drinking has caused a displacement of consumption so that today’s 17–18-year-olds have a similar drinking behaviour to what 15–16-year-olds had in 2005.

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