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  • Disputation: 2019-02-22 13:00 Örebro universitet, Campus USÖ, hörsal C1, Örebro
    Lindstedt, Katarina
    Örebro universitet, Institutionen för medicinska vetenskaper.
    A life put on hold: inside and outside perspectives on illness, treatment, and recovery in adolescents with restrictive eating disorders2019Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    The overall aim of this thesis was to study adolescents with restrictive eating disorders in relation to illness, treatment, and recovery from an inside and outside perspective. Studies I and II are based on data from a national quality register for eating-disorder treatment. Studies III and IV are based on interviews with adolescents previously treated in outpatient care for a restrictive eating disorder. The results showed that 55% of the adolescents were in remission at the end of treatment, and 85% were within a healthy weight range. The average treatment duration was 15 months. Over the years 1999–2014, remission rates and weight recovery increased, whereas treatment duration decreased. Young patients who received mainly family-based treatment had the highest probability of achieving remission at one-year followup, but the patients themselves were most satisfied with individual therapy. The interviews with the adolescents revealed that they often felt a strong ambivalence during the first treatment sessions, both regarding being defined as sick and the involvement of their parents. In retrospect they believed that family involvement was important, but that individual treatment sessions were crucial. The informants highlighted that trust in the therapist was the key to successful treatment. The adolescents’ narratives drew a picture of a life that was “put on hold” during the time of illness, as their involvement in social contexts outside the family was strongly influenced. It was in these contexts that their problems first became visible, and the quality of their interpersonal relationships played a great role in the recovery process. The results suggest that treatment for adolescents with restrictive eating disorders should be better adapted to changed social structures and patients’ individual contexts – a relevant area for future research.

    Delarbeten
    1. Adolescents with full or subthreshold anorexia nervosa in a naturalistic sample: characteristics and treatment outcome
    Öppna denna publikation i ny flik eller fönster >>Adolescents with full or subthreshold anorexia nervosa in a naturalistic sample: characteristics and treatment outcome
    2017 (Engelska)Ingår i: Journal of Eating Disorders, E-ISSN 2050-2974, Vol. 5, nr 1, artikel-id 4Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Background: Anorexia Nervosa (AN) destroys developmentally important early years of many young people and knowledge is insufficient regarding course, treatment outcome and prognosis. Only a few naturalistic studies have been conducted within the field of eating disorder (ED) research. In this naturalistic study we included adolescents with AN or subthreshold AN treated in outpatient care, and the overall aim was to examine sample characteristics and treatment outcome. Additional aims were to examine potential factors associated with remission as an outcome variable, and possible differences between three time periods for treatment onset.

    Methods: Participants were identified through the Swedish national quality register for eating disorder treatment (SwEat), in which patients are registered at treatment onset and followed up once a year until end of treatment (EOT). Inclusion criteria were: medical or self-referral to one of the participating treatment units between 1999 and 2014, 13-19 years of age at initial entry into SwEat and diagnosed with AN or subthreshold AN. The total sample consisted of 3997 patient from 83 different treatment units.

    Results: The results show that 55% of the participants were in remission and approximately 85% were within a healthy weight range at EOT. Of those who ended treatment according to plan, 70% were in remission and 90% within a healthy weight range. The average treatment duration was approximately 15 months. About one third of the patients terminated treatment prematurely, which was associated with a decreased chance of achieving remission. Remission rates and weight recovery increased over time, while treatment duration decreased. Considering treatment outcome, the results did not show any differences between patients with AN or subthreshold AN.

    Conclusions: The present study shows a relatively good prognosis for adolescent patients with AN or subthreshold AN in routine care and the results indicate that treatment for adolescents with ED in Sweden has become more effective over the past 15 years. The results of the present study contribute to the scope of treatment research and the large-scale naturalistic setting secures the generalizability to a clinical environment. However, more research is needed into different forms of evidence, new research strategies and diversity of treatment approaches.

    Ort, förlag, år, upplaga, sidor
    BioMed Central, 2017
    Nyckelord
    Adolescents, Anorexia nervosa, Eating disorders, Naturalistic sample, Treatment
    Nationell ämneskategori
    Näringslära
    Identifikatorer
    urn:nbn:se:oru:diva-57066 (URN)10.1186/s40337-017-0135-5 (DOI)000395733900001 ()28265410 (PubMedID)2-s2.0-85014399551 (Scopus ID)
    Anmärkning

    Funding Agencies:

    Region Örebro County

    Örebro University

    Tillgänglig från: 2017-04-18 Skapad: 2017-04-18 Senast uppdaterad: 2019-01-23Bibliografiskt granskad
    2. Adolescents with full or subthreshold anorexia nervosa in a naturalistic sample: treatment interventions and patient satisfaction
    Öppna denna publikation i ny flik eller fönster >>Adolescents with full or subthreshold anorexia nervosa in a naturalistic sample: treatment interventions and patient satisfaction
    Visa övriga...
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Nationell ämneskategori
    Psykiatri
    Identifikatorer
    urn:nbn:se:oru:diva-71699 (URN)
    Tillgänglig från: 2019-01-23 Skapad: 2019-01-23 Senast uppdaterad: 2019-01-23Bibliografiskt granskad
    3. Being me and being us: adolescents' experiences of treatment for eating disorders
    Öppna denna publikation i ny flik eller fönster >>Being me and being us: adolescents' experiences of treatment for eating disorders
    2015 (Engelska)Ingår i: Journal of eating disorders, ISSN 2050-2974, Vol. 3, nr 9Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    BACKGROUND: This qualitative study addresses adolescents' perception of treatment for eating disorders. The importance of involving parents in treatment of young people with eating disorders, especially young people with Anorexia Nervosa, is emphasized in a number of studies. Even so, this form of treatment does not work for everybody, not even within a limited diagnostic group. Previous research has revealed that many young people are not entirely satisfied with their treatment. However, there is a lack of knowledge concerning the perspectives of adolescents in outpatient treatment, whose treatment often involves family. The aim of the present study was to investigate how young people with experience from adolescent outpatient treatment for eating disorders, involving family-based and individual based interventions, perceive their time in treatment.

    METHODS: This study was conducted using a hermeneutic phenomenological approach. Fifteen participants were recruited in collaboration with four specialized eating disorder units and interviewed with the purpose to gather narratives.

    RESULTS: The analysis revealed that the adolescents sometimes felt more or less forced into treatment, and strong ambivalent feelings about if and how to participate in treatment permeated the adolescents' narratives. The common factors which emerged in the narratives were assembled under the two major themes: Having to involve family in treatment - in one way or another and Making progress in treatment - a matter of trust.

    CONCLUSIONS: It is of great importance to involve family in treatment in order to understand the problems of the adolescents in their context and be able to take advantage of the resource that parents constitute. However, in certain situations, it is necessary to prioritise individual treatment interventions so that instead of sorting out difficult family situations the therapist focuses on enhancing the young people's resilience, thus enabling them to tackle problematic situations in life.

    Ort, förlag, år, upplaga, sidor
    BioMed Central, 2015
    Nyckelord
    Eating disorders, adolescents, treatment, qualitative research
    Nationell ämneskategori
    Psykiatri Annan klinisk medicin
    Forskningsämne
    Medicin
    Identifikatorer
    urn:nbn:se:oru:diva-44821 (URN)10.1186/s40337-015-0051-5 (DOI)000214989700042 ()25834734 (PubMedID)2-s2.0-84941146283 (Scopus ID)
    Anmärkning

    Funding agencies:

    SwEat-Swedish Eating Disorder Register

    Tillgänglig från: 2015-06-08 Skapad: 2015-06-03 Senast uppdaterad: 2019-01-23Bibliografiskt granskad
    4. A life put on hold: adolescents' experiences of having an eating disorder in relation to social contexts outside the family
    Öppna denna publikation i ny flik eller fönster >>A life put on hold: adolescents' experiences of having an eating disorder in relation to social contexts outside the family
    2018 (Engelska)Ingår i: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 11, s. 425-437Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Background: As suffering from an eating disorder often entails restrictions on a person's everyday life, one can imagine that it is an important aspect of recovery to help young people learn to balance stressful demands and expectations in areas like the school environment and spare-time activities that include different forms of interpersonal relationships.

    Purpose: The aim of the present study was to investigate how adolescents with experience from a restrictive eating disorder describe their illness and their time in treatment in relation to social contexts outside the family.

    Patients and methods: This qualitative study is based on narratives of 15 adolescents with experience from outpatient treatment for eating disorders with a predominately restrictive symptomatology, recruited in collaboration with four specialized eating-disorder units. Data were explored through inductive thematic analysis.

    Results: The adolescents' descriptions of their illness in relation to their social contexts outside the family follow a clear timeline that includes narratives about when and how the problem arose, time in treatment, and the process that led to recovery. Three main themes were found: 1) the problems emerging in everyday life (outside the family); 2) a life put on hold and 3) creating a new life context.

    Conclusion: Young people with eating disorders need to learn how to balance demands and stressful situations in life, and to grasp the confusion that often preceded their illness. How recovery progresses, and how the young people experience their life contexts after recovery, depends largely on the magnitude and quality of peer support and on how school and sports activities affect and are affected by the eating disorder.

    Ort, förlag, år, upplaga, sidor
    DOVE Medical Press Ltd., 2018
    Nyckelord
    restrictive eating disorder, patients' perspectives, qualitative research, thematic analysis, recovery
    Nationell ämneskategori
    Psykiatri
    Identifikatorer
    urn:nbn:se:oru:diva-68969 (URN)10.2147/JMDH.S168133 (DOI)000443480600001 ()
    Anmärkning

    Funding Agencies:

    Region Örebro County  

    Örebro University 

    Tillgänglig från: 2018-09-19 Skapad: 2018-09-19 Senast uppdaterad: 2019-01-23Bibliografiskt granskad
  • Disputation: 2019-03-01 13:15 Örebro universitet, Gymnastik- och idrottshuset, Hörsal G, Örebro
    Svensson, Robert
    Örebro universitet, Institutionen för hälsovetenskaper.
    Från träningsoverall till trenchcoat: Tränarpositionens förändring inom svensk herrelitfotboll mellan 1960- och 2010-talet2019Doktorsavhandling, monografi (Övrigt vetenskapligt)
    Abstract [en]

    The position of the coach in elite sports has changed radically over the last 50 years. Using the Swedish male elite soccer coach as an example, the aim of this thesis is to acquire a deeper understanding of this change. The purpose is to examine the changing position of the Swedish male elite soccer coach in relation to the changing conditions of elite soccer between the 1960s and the 2010s. The history of the Swedish soccer coach is analysed through the lens of the Foucauldian perspective of governmentality. Focusing on the constitution of subject positions, the thesis identifies the power/knowledge relationships formulated within the governmentalities of Swedish elite football clubs and the Swedish Football Association (SvFF). A text analysis of board minutes and annual reports from the Swedish elite soccer club IFK Norrköping, education material from coaching courses organised by SvFF and the transcripts of semi-structured qualitative interviews with former and still active Swedish elite soccer coaches has been conducted.

    The analysis shows that at the beginning of the 1960s the established power/knowledge relationship implied that, kitted out in a whole and clean tracksuit, the coach was expected to govern the players’ techniques and fitness training twice a week. However, in order to be internationally competitive, in 1967 SvFF overturned the amateur regulations and instead allowed Swedish clubs to sign professional contracts with the players. From then on the coach was given more time to “conduct the conduct” of the players. In parallel, the clubs and SvFF turned to scientific knowledge and expertise in the areas of physiology and tactics and later sport psychology, leadership and communication. As a consequence, new power/knowledge relationships were formulated which meant that the coach was not only expected to govern new and more dimensions of the players, but also a growing staff of assistant coaches. In addition, dressed in tailor-made trench coat, the coach became the club’s outward face for attracting sponsors and communicating with the media and fans.

  • Disputation: 2019-03-08 13:15 Örebro universitet, Hörsalen, Musikhögskolan, Örebro
    Knezevic, David
    Örebro universitet, Handelshögskolan vid Örebro Universitet.
    The Treasurer's Guide to the Municipality: Essays on Sub-Sovereign Finance2019Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    This thesis presents a comprehensive empirical analysis of the current state of Swedish sub-sovereign finance from multiple perspectives, starting from the local and moving to the national. Financial risks may occur in a long line of financial obligations and transactions. Thus, for understanding the full scope of financial risks one perspective is not sufficient. From a societal perspective the question of sub-sovereign debt management is important since mismanagement may lead to substantial risks which may impact the lives of citizens by a weakening of the Swedish public programs. Sub-sovereign debt is mainly funded by issuing financial securities in both national and foreign capital markets. Understanding the market perception regarding the risk profile of Swedish sub-sovereigns may be beneficial in improving the funding conditions of the sector and in turn reduce the cost of public investments. Financial markets are however not stand-alone entities and are heavily impacted by the policy decisions of public institutions. Thus, monetary policy plays an important role in affecting financial markets and consequently the funding conditions of Swedish sub-sovereigns. Given the contemporary approach to monetary policy this effect may be somewhat different compared to what it has been historically. There are however reasons to suspect that the national policy decisions are in large part driven by international occurrences and by foreign governments through international spillovers. Thus, for understanding the interlinked nature of financial markets a wider perspective is needed. These are some of the areas which are investigated in this thesis.

    Delarbeten
    1. Intertemporal diversification of sub-sovereign debt
    Öppna denna publikation i ny flik eller fönster >>Intertemporal diversification of sub-sovereign debt
    2018 (Engelska)Ingår i: Empirical Economics, ISSN 0377-7332, E-ISSN 1435-8921Artikel i tidskrift (Refereegranskat) Epub ahead of print
    Abstract [en]

    This paper presents a comprehensive empirical analysis of the debt maturity structure of the Swedish municipal sector. The Swedish municipal debt portfolio is characterized by a short maturity structure and an asset-liability mismatch that poses potentially severe roll-over risk. The 2008–2009 financial crisis manifested as a liquidity shock to the sector that highlighted the dangers of short-term funding strategies in conjunction with low levels of intertemporal diversification. In this study we analyze to what extent this led to a change of intertemporal diversification. Based on a unique contract-level monthly data set of municipal loans issued by Kommuninvest of Sweden from January 1997 to June 2016, we construct and estimate a range of dispersion and moment measures to capture the change of various distributional characteristics of the maturity structure. These measures are used as dependent variables in fixed-effects models together with a number of control variables to estimate the effect of the debt-crisis liquidity shock. The main finding is that the crisis did affect the diversification, but not in a persistent way. A possible explanation is that the municipalities found that Kommuninvest through jointly guaranteed lending was able to function as a lender of last resort and thereby mitigates the roll-over risk. It is also found that fiscal and financial properties such as debt-to-tax base ratio, tax base volatility and per capita income are associated with the characteristics of the debt maturity structure of Swedish municipalities, as well as macroeconomic factors such as the term structure of interest rates.

    Ort, förlag, år, upplaga, sidor
    Berlin: Springer, 2018
    Nyckelord
    Short-term debt, Term structure, Liquidity risk, Roll-over risk, Asset-liability management, Debt maturity, Financial crisis
    Nationell ämneskategori
    Nationalekonomi
    Forskningsämne
    Nationalekonomi
    Identifikatorer
    urn:nbn:se:oru:diva-69046 (URN)10.1007/s00181-018-1525-5 (DOI)
    Konferens
    The 3rd International Conference in Applied Macro and Empirical Finance, AMEF 2017, Thessaloniki, Greece, April 21-22, 2017; The 2017 Swedish Graduate Program in Economics (SWEGPEC) annual workshop in Stockholm, Stockholm, Sweden, November 29-30, 2017
    Projekt
    Local Government Finance Data Analysis - LOGFIN
    Anmärkning

    This paper has benefited from comments by two anonymous referees, Martin Andersson, Pär Österholm, Lars Hultkrantz, Martin Nordström, Niclas Krüger, Mattias Bokenblom, Erik Törnblom and seminar participants at Örebro University, the 3rd International Conference in Applied Macro and Empirical Finance in Thessaloniki and the 2017 Swedish Graduate Program in Economics (SWEGPEC) annual workshop in Stockholm.

    Tillgänglig från: 2018-09-25 Skapad: 2018-09-25 Senast uppdaterad: 2019-02-13Bibliografiskt granskad
    2. A Guarantee – Does the Obligee Agree?: A Risk Premium Decomposition of Sub-Sovereign Bond Spreads
    Öppna denna publikation i ny flik eller fönster >>A Guarantee – Does the Obligee Agree?: A Risk Premium Decomposition of Sub-Sovereign Bond Spreads
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Nationell ämneskategori
    Nationalekonomi
    Identifikatorer
    urn:nbn:se:oru:diva-72416 (URN)
    Tillgänglig från: 2019-02-13 Skapad: 2019-02-13 Senast uppdaterad: 2019-02-13Bibliografiskt granskad
    3. The Relation between Municipal and Government Bond Yields in an Era of Unconventional Monetary Policy
    Öppna denna publikation i ny flik eller fönster >>The Relation between Municipal and Government Bond Yields in an Era of Unconventional Monetary Policy
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Nationell ämneskategori
    Nationalekonomi
    Identifikatorer
    urn:nbn:se:oru:diva-72417 (URN)
    Tillgänglig från: 2019-02-13 Skapad: 2019-02-13 Senast uppdaterad: 2019-02-13Bibliografiskt granskad
    4. A Reasonable Assumption?: The Small Open Economy and Block Exogeneity
    Öppna denna publikation i ny flik eller fönster >>A Reasonable Assumption?: The Small Open Economy and Block Exogeneity
    (Engelska)Manuskript (preprint) (Övrigt vetenskapligt)
    Nationell ämneskategori
    Nationalekonomi
    Identifikatorer
    urn:nbn:se:oru:diva-72418 (URN)
    Tillgänglig från: 2019-02-13 Skapad: 2019-02-13 Senast uppdaterad: 2019-02-13Bibliografiskt granskad
  • Disputation: 2019-03-22 13:00 Örebro universitet, Campus USÖ, hörsal C1, Örebro
    Röckert Tjernberg, Anna
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Celiac disease and Infections2019Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
  • Disputation: 2019-03-29 13:00 Örebro universitet, Forumhuset, Hörsal F, ÖrebroGöransson, Carina
    Developing and evaluating an interactive app to support self-care among older persons receiving home care2019Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
  • Disputation: 2019-04-05 10:15 Örebro universitet, Långhuset, Hörsal L3, Örebro
    Lindahl, Robert
    Örebro universitet, Institutionen för juridik, psykologi och socialt arbete.
    Socialsekreteraren och det familjehemsplacerade barnet: Om relationen, erkännandet och de institutionella förutsättningarna2019Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
  • Disputation: 2019-04-26 09:00 Örebro universitet, Campus USÖ, hörsal C3, Örebro
    Jerlström, Tomas
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Clinical aspects of cystectomy and urinary diversion2019Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
  • Disputation: 2019-05-03 13:00 Örebro universitet, Campus USÖ, hörsal C2, Örebro
    Jonsson, Marcus
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Physiotherapy and physical activity in patients undergoing cardiac or lung cancer surgery2019Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)