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Publications (10 of 62) Show all publications
Kapetanovic, S., Skoog, T., Bohlin, M. & Gerdner, A. (2018). Aspects of the parent–adolescent relationship and associations with adolescent risk behaviors over time.. Journal of family psychology
Open this publication in new window or tab >>Aspects of the parent–adolescent relationship and associations with adolescent risk behaviors over time.
2018 (English)In: Journal of family psychology, ISSN 0893-3200, E-ISSN 1939-1293Article in journal (Refereed) Epub ahead of print
Abstract [en]

Parents’ actions and knowledge of adolescents’ whereabouts play key roles in preventing risk behaviors in early adolescence, but what enables parents to know about their adolescents’ activities and what links there are to adolescent risk behaviors, such as substance use and delinquent behavior, remain unclear. In this study, we investigated whether different aspects of the parent–adolescent relationship predict parental knowledge, and we examined the direct and indirect longitudinal associations between these aspects of the parent–adolescent relationship and adolescents’ self-reported delinquent behavior and substance use. The participants were 550 parents and their adolescent children from two small and two midsized municipalities in Sweden. Parental data were collected when the adolescents were 13 years old (mean), and adolescent data on risk behaviors were collected on two occasions, when they were 13 and 14 years of age (mean). Structural path analyses revealed that adolescent disclosure, parental solicitation, and parental control predicted parental knowledge, with adolescent disclosure being the strongest source of parental knowledge and the strongest negative predictor of adolescent risk behaviors. Parenting competence and adolescents’ connectedness to parents were indirectly, through adolescent disclosure and parental solicitation and parental control, associated with substance use and delinquent behavior. Some paths differed for boys and girls. In conclusion, confident parenting and a close parent–adolescent relationship in which adolescent disclosure is promoted, seem protective of adolescent engagement in risk behaviors.

Place, publisher, year, edition, pages
American Psychological Association (APA), 2018
Keywords
parent-adolescent relationships, parental knowledge, adolescent disclosure, parenting competence, risk behaviors
National Category
Psychology (excluding Applied Psychology)
Identifiers
urn:nbn:se:hj:diva-41007 (URN)
Available from: 2018-07-19 Created: 2018-07-19 Last updated: 2018-08-24Bibliographically approved
Skårner, A. & Gerdner, A. (2018). Conceptual and theoretical framework of the MAP-NET: A social networks analysis tool. Cogent Psychology, 5(1), 1-14
Open this publication in new window or tab >>Conceptual and theoretical framework of the MAP-NET: A social networks analysis tool
2018 (English)In: Cogent Psychology, ISSN 2331-1908, Vol. 5, no 1, p. 1-14Article in journal (Refereed) Published
Abstract [en]

Social network factors constantly recur as central to explaining initiation, continuation and cessation of substance use and maintenance of long-term recovery. MAP-NET (Measure and Analysis of Personal NETwork) is a computerised instrument for assessing the personal social networks (PSN) of persons with substance misuse and related problems, and it is designed to be used in clinical interviews and to provide relevant measures for research. The article focuses on the conceptual and theoretical framework of MAP-NET and how it is operationalised. The MAP-NET interview makes it possible to identify problems and resources both in general and in relation to the specific circumstances that can be attributed to substance misuse. It provides a basis for a facetted analysis of structural, interactional and functional aspects of PSN—and how these interact. MAP-NET offers possibilities for longitudinal studies on how social networks develop over time and how this relates to substance use as well as to recovery with or without treatment. Implications for network-oriented psychosocial interventions are suggested.

Place, publisher, year, edition, pages
Cogent OA, 2018
Keywords
computerised assessment, ego-centric, network map, personal social networks, social support, substance misuse
National Category
Psychology
Identifiers
urn:nbn:se:hj:diva-41201 (URN)10.1080/23311908.2018.1488515 (DOI)000437331100001 ()2-s2.0-85049510297 (Scopus ID)
Available from: 2018-08-22 Created: 2018-08-22 Last updated: 2018-08-22Bibliographically approved
Monwell, B. & Gerdner, A. (2017). Opiates versus other opioids – are these relevant as diagnostic categorizations?. Heroin Addiction and Related Clinical Problems, 19(6), 39-48
Open this publication in new window or tab >>Opiates versus other opioids – are these relevant as diagnostic categorizations?
2017 (English)In: Heroin Addiction and Related Clinical Problems, ISSN 1592-1638, Vol. 19, no 6, p. 39-48Article in journal (Refereed) Published
Abstract [en]

Background:

For more than three decades, the international diagnostic systems have used the term ‘opioids’, including opiates, yet research publications continue to use an older terminology. In 2010, new Codes of Statutes for “opiate replacement therapy” (ORT) was brought into effect in Sweden, stating that only those “dependent on opiates” – explicitly described as heroin, morphine or opium – were eligible. Those addicted to other opioids were then denied access. This study examines the relevance of the distinction of opiates vs. other opioids. Are there differences in the severity of opioid dependence or concerning other substance-related diagnoses?

Methods:

Ninety-nine individuals participated: 1) the opiate group (n = 69), and 2) the other opioids group (n=30). Structured interviews covered the ICD-10 criteria of nine different types of addictive substances. For opioids, questions were asked separately in relation to opiates versus other opioids.

Results:

The two groups fulfilled the criteria for opioid dependence to the same extent, with most participants meeting all six criteria, so indicating a severe opioid dependence problem. Both opiates and other opioids had contributed to their development of opioid dependence, and both groups, to the same high degree, showed comorbidity affecting other dependence conditions.

Conclusions:

This study reveals that the two categories of opioids used contribute to the development of opioid dependence and that the term ‘opioids’ can be suitably used to convey a unitary concept in diagnostic terms. There was no support for treating the two groups differently. The study calls for more stringent use of terminology in accordance with the international diagnostic systems.

Place, publisher, year, edition, pages
Associazione per l'Utilizzo delle Conoscenze Neuroscientifiche a fini Sociali, 2017
Keywords
Maintenance treatment; Buprenorphine; opioid; opiate; dependence; diagnosis; nosology
National Category
Substance Abuse Pharmacology and Toxicology
Identifiers
urn:nbn:se:hj:diva-37848 (URN)000416893800005 ()2-s2.0-85035240103 (Scopus ID)
Available from: 2017-11-09 Created: 2017-11-09 Last updated: 2018-01-13Bibliographically approved
Monwell, B. & Gerdner, A. (2017). Type of opioid dependence: Are there differences in background and severity of problems? . Heroin Addiction and Related Clinical Problems
Open this publication in new window or tab >>Type of opioid dependence: Are there differences in background and severity of problems?
2017 (English)In: Heroin Addiction and Related Clinical Problems, ISSN 1592-1638Article in journal (Refereed) In press
National Category
Substance Abuse Psychiatry Social Work
Identifiers
urn:nbn:se:hj:diva-37841 (URN)
Projects
LARO-projektetDiagnosinstrument
Available from: 2017-11-08 Created: 2017-11-08 Last updated: 2017-11-09
Monwell, B., Blix, O., Gerdner, A. & Bülow, P. (2016). Drug list as a cognitive support to provide detailed information on a patient's drug use: A comparison of two methods within the assessment of drug misuse and dependence. Substance Use & Misuse, 51(11), 1470-1476
Open this publication in new window or tab >>Drug list as a cognitive support to provide detailed information on a patient's drug use: A comparison of two methods within the assessment of drug misuse and dependence
2016 (English)In: Substance Use & Misuse, ISSN 1082-6084, E-ISSN 1532-2491, Vol. 51, no 11, p. 1470-1476Article in journal (Refereed) Published
Abstract [en]

Background: It is important to identify the type of drugs a patient has used, especially when polydrug misuse has increased and new drugs and patterns of misuse are quickly spread. Objectives: In order to acquire sufficient information about drug use, an effective and simple form of mapping is needed.

Methods: Persons actualized for Opioid Substitution Treatment (n = 135) were interviewed about their drug-history in a two-stage model. First, they were asked to write down the drugs misused, and dot those injected with a felt pen. Second, they were asked to do the same on a drug list provided as a cognitive support. For a subsample of 50 persons, the drug list included four fictive drugs to evaluate possible over-reporting.

Results: The use of a drug list did not take longer than the traditional way of using open questions, i.e. about 5–8 minutes. Using a drug list gave a cognitive support resulting in a much higher proportion/number of reported drugs. The majority, 97%, used more than one drug. None of the patients who were given the drug list that included fictive drug names reported having used any of them. The respondents reported 43 additional substances to the 125 given on the list which improve our knowledge of the drug scene.

Conclusions/importance: Using a drug-list was superior to open questions; it does not take more time and provides additional, clinically relevant information than open questions. Using a drug-list also gives improved knowledge of new drugs entering the local drug scene.

Keywords
cognitive support, diagnostic instruments, drug anamnesis, opioid substitution therapy, Substance use disorders
National Category
Substance Abuse
Identifiers
urn:nbn:se:hj:diva-31258 (URN)10.1080/10826084.2016.1186697 (DOI)000382325500008 ()27355832 (PubMedID)2-s2.0-84976385510 (Scopus ID)
Available from: 2016-08-16 Created: 2016-08-16 Last updated: 2018-04-10Bibliographically approved
MacDonald, K., Thomas, M. L., Sciolla, A. F., Schneider, B., Pappas, K., Bleijenberg, G., . . . Wingenfeld, K. (2016). Minimization of childhood maltreatment is common and consequential: Results from a large, multinational sample using the Childhood Trauma Questionnaire. PLoS ONE, 11(1), 1-16, Article ID e0146058.
Open this publication in new window or tab >>Minimization of childhood maltreatment is common and consequential: Results from a large, multinational sample using the Childhood Trauma Questionnaire
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2016 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 11, no 1, p. 1-16, article id e0146058Article in journal (Refereed) Published
Abstract [en]

Childhood maltreatment has diverse, lifelong impact on morbidity and mortality. The Childhood Trauma Questionnaire (CTQ) is one of the most commonly used scales to assess and quantify these experiences and their impact. Curiously, despite very widespread use of the CTQ, scores on its Minimization-Denial (MD) subscale-originally designed to assess a positive response bias-are rarely reported. Hence, little is known about this measure. If response biases are either common or consequential, current practices of ignoring the MD scale deserve revision. Therewith, we designed a study to investigate 3 aspects of minimization, as defined by the CTQ's MD scale: 1) its prevalence; 2) its latent structure; and finally 3) whether minimization moderates the CTQ's discriminative validity in terms of distinguishing between psychiatric patients and community volunteers. Archival, item-level CTQ data from 24 multinational samples were combined for a total of 19,652 participants. Analyses indicated: 1) minimization is common; 2) minimization functions as a continuous construct; and 3) high MD scores attenuate the ability of the CTQ to distinguish between psychiatric patients and community volunteers. Overall, results suggest that a minimizing response bias-as detected by the MD subscale-has a small but significant moderating effect on the CTQ's discriminative validity. Results also may suggest that some prior analyses of maltreatment rates or the effects of early maltreatment that have used the CTQ may have underestimated its incidence and impact. We caution researchers and clinicians about the widespread practice of using the CTQ without the MD or collecting MD data but failing to assess and control for its effects on outcomes or dependent variables. © 2016 MacDonald et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Keywords
child; childhood; Childhood Trauma Questionnaire; dependent variable; human; human tissue; major clinical study; mental patient; prevalence; scientist; validity; volunteer
National Category
Psychiatry
Identifiers
urn:nbn:se:hj:diva-29689 (URN)10.1371/journal.pone.0146058 (DOI)000369528200007 ()26815788 (PubMedID)2-s2.0-84958214032 (Scopus ID)HHJSALVEIS (Local ID)HHJSALVEIS (Archive number)HHJSALVEIS (OAI)
Note

Running title: Minimizing Matters: The Childhood Trauma Questionnaire

Available from: 2016-03-31 Created: 2016-03-31 Last updated: 2017-11-30Bibliographically approved
Carlsson, E., Magnusson, A., Tompa, A., Bülow, P., Gerdner, A. & Faresjö, M. (2016). Psychological stress affects the numbers of circulating CD56+CD16+ and CD4+CD25+FoxP3+CD127- cells and induce an immune response towards type 1 diabetes-related autoantigens in young women.
Open this publication in new window or tab >>Psychological stress affects the numbers of circulating CD56+CD16+ and CD4+CD25+FoxP3+CD127- cells and induce an immune response towards type 1 diabetes-related autoantigens in young women
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2016 (English)Article in journal (Other academic) Submitted
National Category
Immunology
Identifiers
urn:nbn:se:hj:diva-31751 (URN)
External cooperation:
Available from: 2016-09-12 Created: 2016-09-12 Last updated: 2016-09-12
Monwell, B., Bülow, P. & Gerdner, A. (2016). Type of opioid dependence among patients seeking opioid substitution treatment: Are there differences in background and severity of problems?. Substance Abuse Treatment, Prevention, and Policy, 11(1), 1-8, Article ID 23.
Open this publication in new window or tab >>Type of opioid dependence among patients seeking opioid substitution treatment: Are there differences in background and severity of problems?
2016 (English)In: Substance Abuse Treatment, Prevention, and Policy, ISSN 1747-597X, E-ISSN 1747-597X, Vol. 11, no 1, p. 1-8, article id 23Article in journal (Refereed) Published
Abstract [en]

Background: The study explores differences and similarities in background and problem severity among those seeking Opioid Substitution Treatment (OST), comparing those who primarily had misused "opiates", e.g. heroin, morphine and opium, with those who primarily had misused other opioids.

Methods: Patients (n=127) assessed for possible admittance in OST are compared based on the Addiction Severity Index. Two groups based on primary type of opioid misused are compared (opiates vs. other opioids).

Results: In the global severity ratings there were no significant differences between the groups other than tautological artefacts concerning heroin. There were few specific differences between the groups. The opiate group more often had Hepatitis C and more often had legal problems related to financing their misuse. Injection of drugs was the main method of administration in both groups, i.e. 90 % for mostly opiates vs. 75 % for mostly other opioids. A great majority in both groups, 96 % vs. 91 %, had misused most other types of drugs. Both groups were found to have severe problems in all areas investigated.

Conclusions: The study demonstrates great similarities in problem severity among those seeking OST, both those who primarily had misused opiates and those who primarily had misused other opioids.

Keywords
Opiates, Opioid Substitution Treatment, Opioid-related disorders, Opioids
National Category
Substance Abuse
Identifiers
urn:nbn:se:hj:diva-31175 (URN)10.1186/s13011-016-0066-1 (DOI)000379329800001 ()27401680 (PubMedID)2-s2.0-84979655919 (Scopus ID)
Funder
Futurum - Academy for Health and Care, Jönköping County Council, Sweden, FUTURUM-342201
Available from: 2016-08-08 Created: 2016-08-08 Last updated: 2017-11-28Bibliographically approved
Ander, B., Abrahamsson, A. & Gerdner, A. (2015). Changing arenas of underage adolescent binge drinking in Swedish small towns. Nordic Studies on Alcohol and Drugs, 32(4), 427-442
Open this publication in new window or tab >>Changing arenas of underage adolescent binge drinking in Swedish small towns
2015 (English)In: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, E-ISSN 1458-6126, Vol. 32, no 4, p. 427-442Article in journal (Refereed) Published
Abstract [en]

AIM – The study explores arenas of adolescent binge drinking in small Swedish towns and the meanings these have for young persons. The focus is thus on space and place, and on the geography of underage drinking.

DESIGN – An ethnographic approach was used, including direct observations, document studies and contacts with youth workers on local and national levels, and interviews with 28 underage binge-drinking adolescents chosen as informants.

FINDINGS – Adolescent binge drinkers seem to have moved away from street and other outdoor drinking arenas to home environments, where they feel they have more control over their party location and participants.

CONCLUSIONS – One consequence of outdoor drinking moving indoors is that professional youth workers and police cannot enter party arenas and the only adults who can do so are the parents. This has implications for preventive alcohol strategies and outreach social work. Measures should be directed to parents to make them fully aware of the importance of the party location in their homes.

Keywords
underage addescent binge drinking; street arenas; control location; place; space
National Category
Social Work
Identifiers
urn:nbn:se:hj:diva-28027 (URN)10.1515/nsad-2015-0041 (DOI)000361744100009 ()2-s2.0-84942916564 (Scopus ID)
Available from: 2015-09-22 Created: 2015-09-22 Last updated: 2018-01-22Bibliographically approved
Gerdner, A. (2015). Diagnosinstrument för substansberoende - MINI, SCID-I, eller ADDIS?. Best Practice, 6(23), 28-31
Open this publication in new window or tab >>Diagnosinstrument för substansberoende - MINI, SCID-I, eller ADDIS?
2015 (Swedish)In: Best Practice, ISSN 1329-1874, Vol. 6, no 23, p. 28-31Article in journal (Other academic) Published
National Category
Social Work Psychiatry Substance Abuse Applied Psychology
Identifiers
urn:nbn:se:hj:diva-27749 (URN)
Available from: 2015-08-21 Created: 2015-08-21 Last updated: 2017-12-04Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8158-0486

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