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  1. Article ; Online: The protective effects of Swedish COVID-19 pandemic strategies on adolescents' mental health: a longitudinal cohort study.

    Lilja, Josefine L / Augustsson, Pia / Praetorius Björk, Marcus / Marteinsdottir, Ina / Craighead, W Edward / Örn Arnarson, Eiríkur / Sveinsdottir, Gudny / Wikberg, Carl

    Scandinavian journal of public health

    2024  Volume 52, Issue 3, Page(s) 354–359

    MeSH term(s) Humans ; COVID-19/prevention & control ; COVID-19/epidemiology ; Sweden/epidemiology ; Adolescent ; Male ; Female ; Longitudinal Studies ; Depression/epidemiology ; Mental Health ; Cohort Studies ; Pandemics/prevention & control ; Surveys and Questionnaires
    Language English
    Publishing date 2024-03-22
    Publishing country Sweden
    Document type Journal Article
    ZDB-ID 1475054-5
    ISSN 1651-1905 ; 1403-4948
    ISSN (online) 1651-1905
    ISSN 1403-4948
    DOI 10.1177/14034948241238836
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  2. Article ; Online: Implementation of care managers for patients with depression: a cross-sectional study in Swedish primary care.

    Augustsson, Pia / Holst, Anna / Svenningsson, Irene / Petersson, Eva-Lisa / Björkelund, Cecilia / Björk Brämberg, Elisabeth

    BMJ open

    2020  Volume 10, Issue 5, Page(s) e035629

    Abstract: Objectives: To perform an analysis of collaborative care with a care manager implementation in a primary healthcare setting. The study has a twofold aim: (1) to examine clinicians' and directors' perceptions of implementing collaborative care with a ... ...

    Abstract Objectives: To perform an analysis of collaborative care with a care manager implementation in a primary healthcare setting. The study has a twofold aim: (1) to examine clinicians' and directors' perceptions of implementing collaborative care with a care manager for patients with depression at the primary care centre (PCC), and (2) to identify barriers and facilitators that influenced this implementation.
    Design: A cross-sectional study was performed in 2016-2017 in parallel with a cluster-randomised controlled trial.
    Setting: 36 PCCs in south-west Sweden.
    Participants: PCCs' directors and clinicians.
    Outcome: Data regarding the study's aims were collected by two web-based questionnaires (directors, clinicians). Descriptive statistics and qualitative content analysis were used for analysis.
    Results: Among the 36 PCCs, 461 (59%) clinicians and 36 (100%) directors participated. Fifty-two per cent of clinicians could cooperate with the care manager without problems. Forty per cent regarded to their knowledge of the care manager assignment as insufficient. Around two-thirds perceived that collaborating with the care manager was part of their duty as PCC staff. Almost 90% of the PCCs' directors considered that the assignment of the care manager was clearly designed, around 70% considered the priority of the implementation to be high and around 90% were positive to the implementation. Facilitators consisted of support from colleagues and directors, cooperative skills and positive attitudes. Barriers were high workload, shortage of staff and extensive requirements and demands from healthcare management.
    Conclusions: Our study confirms that the care manager puts collaborative care into practice. Facilitators and barriers of the implementation, such as time, information, soft values and attitudes, financial structure need to be considered when implementing care managers at PCCs.
    MeSH term(s) Adult ; Case Managers ; Cluster Analysis ; Cross-Sectional Studies ; Depression/therapy ; Female ; Humans ; Male ; Middle Aged ; Primary Health Care/organization & administration ; Qualitative Research ; Surveys and Questionnaires ; Sweden
    Language English
    Publishing date 2020-05-05
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2019-035629
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Is the Thoughts and Health programme feasible in the context of Swedish schools? A quasi-experimental controlled trial study protocol.

    Wikberg, Carl / Augustsson, Pia / Sveinsdottir, Gudny / Craighead, W Edward / Arnarson, Erikur Örn / Marteinsdottir, Ina / Lilja, Josefine L

    BMJ open

    2021  Volume 11, Issue 1, Page(s) e040374

    Abstract: Introduction: Clinical depression is a substantial problem among adolescents, increasing significantly at about age 15 years. It causes impairment in social, academic and familial relationships, as well as ongoing cognitive and emotional difficulties ... ...

    Abstract Introduction: Clinical depression is a substantial problem among adolescents, increasing significantly at about age 15 years. It causes impairment in social, academic and familial relationships, as well as ongoing cognitive and emotional difficulties for the individual. A study in Iceland demonstrated that a cognitive-behavioural, developmentally based intervention programme, 'Thoughts and Health', prevented initial episodes of depression and/or dysthymia (DYS) (major depressive disorder/DYS) in adolescents for up to 12 months following completion of the programme. We would like to test the feasibility of implementing the Icelandic method in a Swedish context and to evaluate the long-term effects of such a programme.
    Methods and analysis: A quasi-experimental controlled design, combined with qualitative and quantitative methods, will be used to address the research questions.In this study, 617 children aged ~14 years will be screened for depression, and those "at risk" for development of clinical depression will be offered a 12 week course, 'Thoughts and Health'. This course aims to prevent first depression in adolescents. A comparable group of children will function as controls.Depending on the type of variable, baseline comparisons between the two groups of relevant initial measures will be evaluated with t-tests or χ
    Ethics and dissemination: This study is approved by the Swedish Ethical Review Board (reference number 2019-03347) in Gothenburg.We plan to disseminate the knowledge gained from this study by publishing our results in peer-reviewed scientific journals and other scholarly outlets.
    Trial registration number: NCT04128644; Pre-results.
    MeSH term(s) Adolescent ; Child ; Cognitive Behavioral Therapy ; Depressive Disorder, Major ; Humans ; Iceland ; Randomized Controlled Trials as Topic ; Schools ; Sweden
    Language English
    Publishing date 2021-01-22
    Publishing country England
    Document type Clinical Trial Protocol ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2020-040374
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Associations between antidepressant therapy, work ability, and sick leave for patients with common mental disorders within a two-year perspective - A longitudinal observational cohort study in Swedish primary care.

    Hange, Dominique / Ariai, Nashmil / Björkelund, Cecilia / Svenningsson, Irene / Nejati, Shabnam / Petersson, Eva-Lisa / Augustsson, Pia / Skoglund, Ingmarie

    Heliyon

    2021  Volume 7, Issue 5, Page(s) e07116

    Abstract: Background: An increasing number of patients are on sick leave because of common mental disorders (CMD), with or without antidepressant therapy. There is a lack of long-term follow-up studies in the primary care context, where most of the patients are ... ...

    Abstract Background: An increasing number of patients are on sick leave because of common mental disorders (CMD), with or without antidepressant therapy. There is a lack of long-term follow-up studies in the primary care context, where most of the patients are treated. The importance of identifying potential factors associated with work ability for CMD patients is increasingly in focus.
    Objective: To investigate the associations between using antidepressants, sick leave duration, reported work ability and psychological symptoms among patients with CMD during a two-year observation period in the primary care context.
    Methods: Longitudinal observational cohort study at 28 Primary Care Centers in Region Västra Götaland, Sweden, including 182 patients with an employment and on sick leave for CMD. The following outcomes were assessed: work ability measured with WAI, depressive symptoms with MADRS-S, anxiety symptoms with BAI, fatigue symptoms with KEDS, quality of life with EQ-5D, and days of sick leave. The data were compared between the groups that used and did not use antidepressants, during the 24-months observation period.
    Results: Work ability and health-related quality of life increased over time in both groups. A steeper decrease of depressive symptoms, anxiety symptoms as well as an increased health-related quality of life at 3, 6 and 12 months was found in the group without antidepressants, although both groups levelled off at 24 months. In both groups, a higher work ability at baseline was associated with less two-year sick leave.
    Conclusion: Our study indicates that a high work ability at baseline has a strong association with a lower total net and gross sick leave duration during the entire two-year follow-up period for patients with CMD in primary health care, irrespective of use of antidepressants. Using WAI in primary health care could therefore be helpful in predicting return to work. Use of antidepressants during the CMD episode could indicate initially a more pronounced overall symptom pattern, motivating introduction of antidepressants, rather than prolonging the sick leave period.
    Language English
    Publishing date 2021-05-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 2835763-2
    ISSN 2405-8440
    ISSN 2405-8440
    DOI 10.1016/j.heliyon.2021.e07116
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Influence of antidepressant therapy on sick leave in primary care: ADAS, a comparative observational study

    Skoglund, Ingmarie / Björkelund, Cecilia / Svenningsson, Irene / Petersson, Eva-Lisa / Augustsson, Pia / Nejati, Shabnam / Ariai, Nashmil / Hange, Dominique

    Heliyon. 2019 Jan., v. 5, no. 1

    2019  

    Abstract: Compared to other European countries, Sweden's yearly sick leave expenditures are moderate. Common mental disorders (CMD) are important causes of sick leave, affecting 10–15% of the adult population. A Swedish register based study indicates that ... ...

    Abstract Compared to other European countries, Sweden's yearly sick leave expenditures are moderate. Common mental disorders (CMD) are important causes of sick leave, affecting 10–15% of the adult population. A Swedish register based study indicates that antidepressant therapy for patients on long-term sick leave for CMD leads to longer sick leave and higher frequency of non-time-limited sickness compensation as compared to psychotherapy, work oriented rehabilitation, and other therapies.To verify if patients on antidepressant therapy and on long-term sick leave for depression, anxiety and stress-related mental disorders have a longer sick leave than patients treated with other therapies.Prospective, observational study at 28 primary health care centers in the Region Västra Götaland, Sweden, including 192 patients on sick leave for CMD. Outcome measures were gross and net sick leave days.There were no significant differences in sick leave days (gross or net) due to CMD when comparing the patients treated and not treated with antidepressants during the 12 month observation period. The groups differed at baseline only concerning frequency of exhaustion disorder, with a higher frequency of exhaustion disorder in the group without antidepressants. Analysis of other possible factors associated with shorter or longer sick leave only showed associations with the patient's own perception of possibility of returning to work in near and distant future. An important factor associated with longer sick leave was the patient's own perception of possibility of return to present workplace. As CMD are important causes of sick leave and sick leave costs, this factor should be highlighted in future research on the rehabilitation process.
    Keywords adults ; antidepressants ; anxiety ; health services ; observational studies ; patients ; psychotherapy ; working conditions ; Sweden
    Language English
    Dates of publication 2019-01
    Publishing place Elsevier Ltd
    Document type Article
    Note NAL-AP-2-clean
    ZDB-ID 2835763-2
    ISSN 2405-8440
    ISSN 2405-8440
    DOI 10.1016/j.heliyon.2018.e01101
    Database NAL-Catalogue (AGRICOLA)

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  6. Article: Correspondence Between the Neuropsychiatric Interview M.I.N.I. and the BDI-II and MADRS-S Self-Rating Instruments as Diagnostic Tools in Primary Care Patients with Depression.

    Nejati, Shabnam / Ariai, Nashmil / Björkelund, Cecilia / Skoglund, Ingmarie / Petersson, Eva-Lisa / Augustsson, Pia / Hange, Dominique / Svenningsson, Irene

    International journal of general medicine

    2020  Volume 13, Page(s) 177–183

    Abstract: Objective: To investigate the correspondence between the diagnoses received by patients with symptoms of common mental disorder attending primary care, based on the diagnostic instrument International Neuropsychiatric Interview (M.I.N.I.) and the self- ... ...

    Abstract Objective: To investigate the correspondence between the diagnoses received by patients with symptoms of common mental disorder attending primary care, based on the diagnostic instrument International Neuropsychiatric Interview (M.I.N.I.) and the self-assessment instruments such as Beck Depression Inventory (BDI-II) and Montgomery-Asberg Depression Rating Scale - self-rating version (MADRS-S), respectively.
    Design: Data were collected from a prospective observational study, ADAS, between 2014 and 2015.
    Setting: Twenty-eight primary care centers in Region Västra Gotaland, Sweden.
    Patients: A total of 192 patients, 18-60 years of age, on sick leave ≥14 days, with mild/moderate depression, anxiety syndrome, and stress-related mental illness were included.
    Main outcome measures: Scores of the assessment instruments (BDI-II and MADRS-S) on inclusion, sensitivity, specificity, positive (PPV) and negative predictive value (NPV) for BDI-II and MADRS-S, respectively, with M.I.N.I used as diagnostic instrument.
    Results: Using M.I.N.I. as gold standard, the BDI-II and MADRS-S showed almost the same sensitivity (86.9% and 87.4%, respectively), but specificity for MADRS-S was doubled compared to BDI-II (36% and 18%, respectively). There was a significant association between MADRS-S and M.I.N.I. (p=0.027). However, the same analysis between BDI and M.I.N.I. was not statistically significant (p= 0.635). NPV and PPV were calculated from assumed prevalences (10% and 75%) and were higher for MADRS-S compared to BDI-II. The PPV differences were between 2% and 7% and NPV differences were between 3% and 19%.
    Conclusion: With M.I.N.I. as gold standard, MADRS-S performs better than BDI-II as a self-assessment tool in the primary care context for depression diagnostics.
    Language English
    Publishing date 2020-05-14
    Publishing country New Zealand
    Document type Journal Article
    ZDB-ID 2452220-X
    ISSN 1178-7074
    ISSN 1178-7074
    DOI 10.2147/IJGM.S243150
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Influence of antidepressant therapy on sick leave in primary care: ADAS, a comparative observational study.

    Skoglund, Ingmarie / Björkelund, Cecilia / Svenningsson, Irene / Petersson, Eva-Lisa / Augustsson, Pia / Nejati, Shabnam / Ariai, Nashmil / Hange, Dominique

    Heliyon

    2019  Volume 5, Issue 1, Page(s) e01101

    Abstract: Background: Compared to other European countries, Sweden's yearly sick leave expenditures are moderate. Common mental disorders (CMD) are important causes of sick leave, affecting 10-15% of the adult population. A Swedish register based study indicates ... ...

    Abstract Background: Compared to other European countries, Sweden's yearly sick leave expenditures are moderate. Common mental disorders (CMD) are important causes of sick leave, affecting 10-15% of the adult population. A Swedish register based study indicates that antidepressant therapy for patients on long-term sick leave for CMD leads to longer sick leave and higher frequency of non-time-limited sickness compensation as compared to psychotherapy, work oriented rehabilitation, and other therapies.
    Aim: To verify if patients on antidepressant therapy and on long-term sick leave for depression, anxiety and stress-related mental disorders have a longer sick leave than patients treated with other therapies.
    Method: Prospective, observational study at 28 primary health care centers in the Region Västra Götaland, Sweden, including 192 patients on sick leave for CMD. Outcome measures were gross and net sick leave days.
    Interpretation: There were no significant differences in sick leave days (gross or net) due to CMD when comparing the patients treated and not treated with antidepressants during the 12 month observation period. The groups differed at baseline only concerning frequency of exhaustion disorder, with a higher frequency of exhaustion disorder in the group without antidepressants. Analysis of other possible factors associated with shorter or longer sick leave only showed associations with the patient's own perception of possibility of returning to work in near and distant future. An important factor associated with longer sick leave was the patient's own perception of possibility of return to present workplace. As CMD are important causes of sick leave and sick leave costs, this factor should be highlighted in future research on the rehabilitation process.
    Language English
    Publishing date 2019-01-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 2835763-2
    ISSN 2405-8440
    ISSN 2405-8440
    DOI 10.1016/j.heliyon.2018.e01101
    Database MEDical Literature Analysis and Retrieval System OnLINE

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