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Lyrberg, A., Jess, K. & Forinder, U. (2024). Barns upplevelser av en intervention i familjer där vuxna har ett problematiskt bruk av alkohol och droger. Nordic Studies on Alcohol and Drugs
Open this publication in new window or tab >>Barns upplevelser av en intervention i familjer där vuxna har ett problematiskt bruk av alkohol och droger
2024 (Swedish)In: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, E-ISSN 1458-6126Article in journal (Refereed) Epub ahead of print
Abstract [en]

Aim: To investigate children's experiences of the intervention Me and my Family. Me and my Family is an intervention, for families with parental substance use problems (SUP) provided by Swedish social services outpatient care, includes eight weekly sessions where family members communicate how the SUP affects the family. Method: Data consists of 17 qualitative interviews with children, 7 to 19 years old. The qualitative data were analysed using a thematic approach, initially inductively and then discussed by adding salutogenic perspective. Results: The results are presented in three themes. Regardless of the children's varying ages, the results indicate that participating in the intervention has helped the family break the taboo surrounding parental substance use and enabled the young participants to communicate with their family members differently. The intervention also contributed to stronger bonds between children and their parents.

Place, publisher, year, edition, pages
SAGE, 2024
Keywords
health promotion, family intervention, parental substance use problems, children's sense of coherence, child participation
National Category
Social Work
Identifiers
urn:nbn:se:hig:diva-43651 (URN)10.1177/14550725231219845 (DOI)001143367800001 ()2-s2.0-85182446472 (Scopus ID)
Available from: 2024-01-23 Created: 2024-01-23 Last updated: 2024-04-19Bibliographically approved
Rooth, H., Forinder, U., Piuva, K. & Söderbäck, M. (2023). Being a child in the family: Young children describe themselves and their parents. Journal of Family Studies, 29(1), 1-14
Open this publication in new window or tab >>Being a child in the family: Young children describe themselves and their parents
2023 (English)In: Journal of Family Studies, ISSN 1322-9400, E-ISSN 1839-3543, Vol. 29, no 1, p. 1-14Article in journal (Refereed) Published
Abstract [en]

This study explores how children describe their experiences of family interaction with parents who had taken part in parenting training. 11 children between five and nine years participated in semi-structured interviews which were analysed using a qualitative content analysis method. The children described themselves as active participants in family life, identifying strategies that they used to safeguard their subjective selves on one hand and to enhance communication with their parents on the other. The analysis displayed three main approaches in everyday life: withholding thoughts and hiding, extending limits for personal agency, and putting trust in their parents to guide and protect them in their stride. While handling these processes the children showed a willingness to take part in democratic family decisions by compromises and compliance. Towards their parents they expressed understanding and forbearance with adult shortcomings such as absentmindedness. Their reasoning involved issues of integrity and relational closeness. Conclusively, the children balanced their own selves with an undemanding respect for parental care and adult competence. The study contributes to awareness of and respect for how children position themselves as relational agents in a generational order. The results suggest that future research should further explore children’s perspectives on family life in a parenting training context. Children’s views should be drawn on to inform future developments in parenting training.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
children, parenting, parenting training, participation, children’s rights
National Category
Social Work
Identifiers
urn:nbn:se:hig:diva-28637 (URN)10.1080/13229400.2020.1860112 (DOI)000598923900001 ()2-s2.0-85097567050 (Scopus ID)
Available from: 2018-10-18 Created: 2018-11-23 Last updated: 2023-03-07Bibliographically approved
Thualagant, N., Simonsen, N., Sarvimäki, A., Stenbock-Hult, B., Olafsdottir, H. S., Fosse, E., . . . Tillgren, P. (2023). Nordic responses to covid-19 from a health promotion perspective. Health Promotion International, 38(4), Article ID daab211.
Open this publication in new window or tab >>Nordic responses to covid-19 from a health promotion perspective
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2023 (English)In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 38, no 4, article id daab211Article in journal (Refereed) Published
Abstract [en]

On 30 January 2020, the disease covid-19 was declared by the World Health Organization to be an international threat to human health and on 11 March 2020, the outbreak was declared a pandemic.The aim of this study was to analyse policy strategies developed by the five Nordic countries during the first 3 months of the pandemic from a health promotion perspective in order to identify Nordic responses to the crisis. Although the Nordic countries have a long tradition of co-operation as well as similar social welfare policies and legislation, each country developed their own strategies towards the crisis. The strategies identified were analysed from a health promotion perspective emanating from five principles: intersectorality, sustainability, equity, empowerment and a lifecourse perspective.Denmark, Finland and Norway had lockdowns to varying degrees, whereas Sweden and Iceland had no lockdowns. Iceland implemented a test and tracking strategy from the very beginning. All countries based their recommendations and restrictions on appeals to solidarity and trust in institutions and fellow citizens. The analysis showed that the strategies in all countries could be related to health promotion principles with some differences between the countries especially regarding equity and sustainability. The Nordic governments took responsibility for protecting their citizens by developing policy strategies based on restrictions and recommendations congruent with the principles of health promotion. The findings also identified issues that will pose challenges for future pandemic strategies.

Place, publisher, year, edition, pages
Oxford University Press, 2023
Keywords
health promotion, Nordic countries, covid-19, policy strategies
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-37601 (URN)10.1093/heapro/daab211 (DOI)000760872300001 ()35022714 (PubMedID)2-s2.0-85147442110 (Scopus ID)
Available from: 2022-01-12 Created: 2022-01-12 Last updated: 2023-11-23Bibliographically approved
Lundberg, T., Årestedt, K., Olsson, M., Alvariza, A. & Forinder, U. (2023). Posttraumatic growth after struggling with the loss of a parent in young adulthood. Omega
Open this publication in new window or tab >>Posttraumatic growth after struggling with the loss of a parent in young adulthood
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2023 (English)In: Omega, ISSN 0030-2228, E-ISSN 1541-3764Article in journal (Refereed) Epub ahead of print
Abstract [en]

This study aims to examine posttraumatic growth and its associations with parental bereavement among adolescents and young adults. Fifty-five young adults who had lost a parent to cancer at least 2 months earlier and were about to attend a support group at a palliative care service were recruited. Data was collected through questionnaires before support group participation, about 5–8 months after the loss and at a 6-month follow-up, about 14–18 months after the loss. The result shows that the young adults experienced posttraumatic growth, mostly in the domains Personal strength and Appreciation of life. Posttraumatic growth was associated with bereavement outcomes, especially life satisfaction, a feeling of meaning in future life and psychological health. The result is of value for health care professionals as it adds information about the importance of supporting constructive rumination to enhance the possibility to positive psychological change after a parent’s death.

Place, publisher, year, edition, pages
SAGE, 2023
Keywords
bereavement, palliative care, parental death, posttraumatic growth, young adult
National Category
Sociology
Identifiers
urn:nbn:se:hig:diva-42622 (URN)10.1177/00302228231187175 (DOI)001016657400001 ()37385294 (PubMedID)2-s2.0-85164192942 (Scopus ID)
Funder
Clas Groschinski Memorial FoundationFamiljen Erling-Perssons Stiftelse
Available from: 2023-06-30 Created: 2023-06-30 Last updated: 2023-07-24Bibliographically approved
Vogel, G., Joelsson-Alm, E., Forinder, U., Svensen, C. & Sandgren, A. (2023). Shifting focus: A grounded theory of how family members to critically ill patients manage their situation. Intensive & Critical Care Nursing, 78, Article ID 103478.
Open this publication in new window or tab >>Shifting focus: A grounded theory of how family members to critically ill patients manage their situation
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2023 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 78, article id 103478Article in journal (Refereed) Published
Abstract [en]

Objectives

Critical illness is a life-threatening condition for the patient, which affects their family members as a traumatic experience. Well-known long-term consequences include impact on mental health and health-related quality of life. This study aims to develop a grounded theory to explain pattern of behaviours in family members of critically ill patients cared for in an intensive care unit, addressing the period from when the patient becomes critically ill until recovery at home.

Research methodology/design

We used a classic grounded theory to explore the main concern for family members of intensive care patients. Fourteen interviews and seven observations with a total of 21 participants were analysed. Data were collected from February 2019 to June 2021.

Setting

Three general intensive care units in Sweden, consisting of a university hospital and two county hospitals.

Findings

The theory Shifting focus explains how family members’ main concern, living on hold, is managed. This theory involves different strategies: decoding, sheltering and emotional processing. The theory has three different outcomes: adjusting focus, emotional resigning or remaining in focus.

Conclusion

Family members could stand in the shadow of the patients’ critical illness and needs. This emotional adversity is processed through shifting focus from one’s own needs and well-being to the patient’s survival, needs and well-being. This theory can raise awareness of how family members of critically ill patients manage the process from critical illness until return to everyday life at home. Future research focusing on family members’ need for support and information, to reduce stress in everyday life, is needed.

Implications for Clinical Practice

Healthcare professionals should support family members in shifting focus by interaction, clear and honest communication, and through mediating hope.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Critical care, Critical care nursing, Families, Grounded theory, Intensive care units, Patient- and family centred care
National Category
Sociology Health Sciences
Identifiers
urn:nbn:se:hig:diva-42623 (URN)10.1016/j.iccn.2023.103478 (DOI)001034539500001 ()37384978 (PubMedID)2-s2.0-85163423548 (Scopus ID)
Available from: 2023-06-30 Created: 2023-06-30 Last updated: 2023-11-23Bibliographically approved
Hovén, E., Lindahl Norberg, A., Toft, T. & Forinder, U. (2023). Siblings of children diagnosed with cancer: being faced with a moral dilemma. Journal of Family Studies, 29(3), 1043-1060
Open this publication in new window or tab >>Siblings of children diagnosed with cancer: being faced with a moral dilemma
2023 (English)In: Journal of Family Studies, ISSN 1322-9400, E-ISSN 1839-3543, Vol. 29, no 3, p. 1043-1060Article in journal (Refereed) Published
Abstract [en]

In this study, we explore how siblings of children diagnosed with cancer describe the implications of cancer experience in interaction with other young people. Seven focus groups were performed with 30 siblings, 14–23 years at the time of study. Data were analysed using inductive thematic analysis. We applied the theoretical framework of ecological system theory and sociological perspective of childhood. Two themes were identified: family relations and maintaining normality. Family relations covered experiences of loneliness, neglect and changed family relationships. Siblings described being faced with a moral dilemma, where, on the one hand, it was difficult to handle the clash of being aware of their parents’ struggle and the severity of the illness; and on the other hand, refraining from claiming attention and support, resulting in experiencing loneliness and unmet needs. Maintaining normality involved descriptions of a strive for ‘normality,’ where the brother’s/sister’s cancer didn’t dominate. The results show how a sister’s/brother’s cancer disrupts the family system and the relations between microsystems, including school and friends. Young siblings should be recognized as independent agents, who have rights to be listened to. The health care system should create possibilities for siblings to express their own needs and provide appropriate support.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Childhood cancer, psycho-oncology, psychosocial, siblings, support
National Category
Social Work Nursing
Identifiers
urn:nbn:se:hig:diva-37565 (URN)10.1080/13229400.2021.2021273 (DOI)000736452400001 ()2-s2.0-85122126941 (Scopus ID)
Funder
Swedish Childhood Cancer Foundation, PR2013-0003Swedish Childhood Cancer Foundation, PR2014-0004
Available from: 2022-01-03 Created: 2022-01-03 Last updated: 2023-05-22Bibliographically approved
Vogel, G., Forinder, U., Sandgren, A., Svensen, C. & Joelsson-Alm, E. (2023). The distorted memories of patients treated in the intensive care unit during the COVID-19 pandemic: A qualitative study. Intensive & Critical Care Nursing, 79, Article ID 103522.
Open this publication in new window or tab >>The distorted memories of patients treated in the intensive care unit during the COVID-19 pandemic: A qualitative study
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2023 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 79, article id 103522Article in journal (Refereed) Published
Abstract [en]

Background

During the COVID-19 pandemic, patients cared for in the intensive care unit were exposed to many risk factors for developing delirium and subsequent distorted memories. Further, seeing healthcare professionals who have been dressed in personal protective equipment and face masks could have affected the patients’ memories. Therefore, the aim of this study was to explore memories and how they are experienced and managed by former patients who have been treated for COVID-19 in an intensive care unit.

Methods

Sixteen former patients treated for COVID-19 at a large emergency hospital in Sweden were interviewed 3–8 months after discharge from the intensive care unit. The data were interpreted using thematic analysis. The Consolidated Criteria for Reporting Qualitative Research checklist was followed in the reporting of the study.

Findings

Participants’ descriptions of their memories of treatment in the intensive care unit for COVID-19 generated three themes: ‘Distorted truth’ the content in the memories which implied facing death in an unreal distorted environment. ‘Captive,’ was the experience and feelings linked to memories with a feeling of being exposed and alone, and ‘Coping with memories’ explained how participants managed the implications of the memories using a mixture of strategies.

Conclusions

For former patients who were admitted to an intensive care unit after a diagnosis of COVID-19, memories caused considerable distress, which were similar to other intensive care patientś experiences, before the pandemic. Emotion-focused and problem-focused strategies could be used to cope with these memories. Healthcare professionals wearing protective equipment gave the patient a distant feeling, but more important was to be treated with attention/care and respect.

Implications for clinical practice

Awareness of the impact of distorted memories on patients who are severely ill and their needs and strategies to cope with these memories can form the basis for early interventions that promotes well-being during care and recovery. Healthcare professionals have an important task to inform patients and their family members about the existence of distorted memories, and talk about the patients’ experience of them, to facilitate their recovery.

Place, publisher, year, edition, pages
Elsevier, 2023
National Category
Health Sciences
Identifiers
urn:nbn:se:hig:diva-42856 (URN)10.1016/j.iccn.2023.103522 (DOI)001064588700001 ()37598502 (PubMedID)2-s2.0-85168513276 (Scopus ID)
Available from: 2023-08-18 Created: 2023-08-18 Last updated: 2023-10-13Bibliographically approved
Savela, M. & Forinder, U. (2023). Trygghetscirkeln: En föräldrautbildning som stärker föräldraskap och välbefinnande. Gävle: Gävle University Press
Open this publication in new window or tab >>Trygghetscirkeln: En föräldrautbildning som stärker föräldraskap och välbefinnande
2023 (Swedish)Report (Other academic)
Abstract [sv]

Sedan 2009 är det en skyldighet i Sverige att erbjuda föräldraskapsstöd till alla föräldrar med barn under 18 år. Inom kommuner används olika föräldraskapsutbildningar och Gävle kommun och Svenska kyrkan Gävle församling används Trygghetscirkeln som utgår ifrån ett anknytningsteoretiskt perspektiv.

Syftet med studien var att undersöka föräldrars erfarenheter och upplevelser av att delta i föräldraskapsstödsprogrammet Trygghetscirkeln. Vi ville också veta om föräldrarnas välbefinnande har påverkats av deltagandet. Nitton föräldrar, som deltagit i programmet intervjuades och datamaterialet analyserades med hjälp av kvalitativ innehållsanalys. I det här arbetet fick författarna också tillgång till Svenska kyrkans redan insamlade enkäter och som också analyserades.

Resultatet visar att föräldrarna upplever att Trygghetscirkeln har givet dem de verktyg de behöver i sin vardag för att på ett bättre sätt bemöta och vårda sina barn. De beskriver minskat antal konflikter, reparerade relationer till sitt barn och hur de pratar med sina barn om dennes känslor och att de lättare kan se barnets behov och bemöta det. Genom att deras föräldraskap har stärkts har också en känsla av trygghet och ett lugn vuxit fram och man upplever en minskad stress Trygghetscirkeln har gett dem en kompetens som har ökat deras välbefinnande.

En kostnadseffektiv föräldraskapsutbildning är den som både stärker föräldrar och främjar hälsan, vilket Trygghetscirkeln visar göra i den här studien.

Abstract [en]

Since 2009, it has been an obligation in Sweden to offer parental support to all parents with children under 18. Various parenting educational programs are used within municipalities and in Gävle municipality and the Swedish Church Gävle parish the Circle of Security is used. Based on the lack of scientific studies on the program, Gävle municipality and Swedish Church wanted Circle of Security evaluated.

The aim of the study was to investigate parents’ experiences of participating in the parenting support program Circle of Security and whether their well-being has been affected, and it was chosen to conduct interviews with parents who had participated the program. The data was analyzed using qualitative content analysis. In this work, the authors also received the Swedish Church already collected questionnaires, which were also analyzed.

The results show that the parents feel that the Circle of Security has given them the tools they need in their everyday life to better care for their children. They describe a reduced number of conflicts, repaired relationships with their children and how they talk to their children about their feelings and that they can more easily see the child’s needs and respond to them. The fact that their parenting has been strengthened has also given them a sense of security and calm in being a parent, with a reduced experience of stress. The Circle of Security has given them a competence that has increased their well-being.The Circle of Security gave the parents what they needed, deepened their knowledge of children’s needs, a group community and felt strengthened in their role as parents, and that is the very purpose of parenting support.

A cost-effective parenting educational program is one that both strengthens parenting skills and promotes health, which the Circle of Security is shown to do in this study.

Place, publisher, year, edition, pages
Gävle: Gävle University Press, 2023. p. 29
Series
RD-report, ISSN 1403-8749 ; 59
Keywords
Circle of Security, parental educational program, strengthened parenting, well-being, Trygghetscirkeln, föräldrautbildning, stärkt föräldraskap, välbefinnande
National Category
Social Work
Identifiers
urn:nbn:se:hig:diva-42339 (URN)
Available from: 2023-06-30 Created: 2023-06-30 Last updated: 2023-06-30Bibliographically approved
Lundberg, T., Årestedt, K., Forinder, U., Olsson, M., Fürst, C. J. & Alvariza, A. (2022). Higher self-esteem associated with less symptoms of anxiety and depression among young adults after the loss of a parent to cancer - a longitudinal study. Journal of Palliative Care, 37(2), 113-119
Open this publication in new window or tab >>Higher self-esteem associated with less symptoms of anxiety and depression among young adults after the loss of a parent to cancer - a longitudinal study
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2022 (English)In: Journal of Palliative Care, ISSN 0825-8597, Vol. 37, no 2, p. 113-119Article in journal (Refereed) Published
Abstract [en]

Objective: The purpose of the study was to examine associations between self-esteem and symptoms of anxiety and depression among young adults who lost a parent to cancer. Methods: Older adolescents and young adults, aged 16 to 28 years, who had lost their parent to cancer and had accepted an invitation to join a support group, completed a questionnaire 5 to 8 months after the loss and a similar questionnaire about 10 months later (follow-up). Of a total of 77 young adults who participated in the study, 56 completed both questionnaires. Self-esteem was measured with the Rosenberg Self-Esteem Scale. Symptoms of anxiety and depression were measured with the Hospital Anxiety and Depression Scale. Univariate and multiple linear regression models were used to analyze the associations. Result: Self-esteem was significantly associated with symptoms of anxiety and depression at baseline and at follow-up. Conclusion: This study reveals that self-esteem is a valuable explanatory variable, and that it is associated with both symptoms of anxiety and depression in bereavement. This new knowledge could be used to guide future support to parentally bereaved young adults.

Place, publisher, year, edition, pages
SAGE, 2022
Keywords
anxiety, bereavement, cancer, depression, self-esteem, young adult
National Category
Sociology
Identifiers
urn:nbn:se:hig:diva-37271 (URN)10.1177/08258597211044585 (DOI)000710871500001 ()34672830 (PubMedID)2-s2.0-85117473559 (Scopus ID)
Note

This work was supported by the Erling Persson Family Foundation and the Clas Groschinsky's Memorial Fund.

Available from: 2021-10-26 Created: 2021-10-26 Last updated: 2023-02-21Bibliographically approved
Silvén Hagström, A. & Forinder, U. (2022). 'If I whistled in her ear she'd wake up': children's narration about their experiences of growing up in alcoholic families. Journal of Family Studies, 28(1), 216-238
Open this publication in new window or tab >>'If I whistled in her ear she'd wake up': children's narration about their experiences of growing up in alcoholic families
2022 (English)In: Journal of Family Studies, ISSN 1322-9400, E-ISSN 1839-3543, Vol. 28, no 1, p. 216-238Article in journal (Refereed) Published
Abstract [en]

This article aims to investigate what it means to grow up in an alcoholic family environment. Nineteen children aged 6-11 who participated in a psycho-educational programme in the 1990s for children living with parents who misuse alcohol were interviewed about their experiences in a longitudinal study. A narrative analysis of their life stories demonstrates how, on the one hand, they positioned themselves as 'vulnerable victims' exposed to their parent's alcoholism and to situations of severe neglect, domestic violence and sexual abuse. This position was characterized by a sense of powerlessness and lack of resources for coping with emotional distress and risk, as well as an urgent need for protection and care. On the other hand, the children positioned themselves as 'competent agents' who had developed purposeful strategies for managing their life situation, such as trying to reduce their parent's drinking and undertaking the role of a 'young carer'. The children primarily tried to normalize themselves in their social circle in a position of 'silenced and invisible victims'. However, the alcoholism was usually exposed and the children occasionally also found themselves in the position of 'help-seeking victims' obliged to disclose the 'family secret'. Remarkably, this rarely changed their situation very much. Instead, the children were commonly left in the position of 'visible but unprotected victims'.

Place, publisher, year, edition, pages
Taylor & Francis, 2022
Keywords
Children of alcoholics COA, coping strategies, longitudinal study, narrative, support needs, social support
National Category
Social Work
Identifiers
urn:nbn:se:hig:diva-31320 (URN)10.1080/13229400.2019.1699849 (DOI)000501107800001 ()2-s2.0-85076414682 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2018/01052
Note

The study was supported by FORTE [grants 2018/01052], Systembolagets Alkoholforskningsråd [grants 2017/0062] and Stiftelsen Allmänna Barnhuset [2014/015]

Available from: 2019-12-18 Created: 2019-12-18 Last updated: 2024-04-15Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-8448-7917

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