oru.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Boersma, Katja, professorORCID iD iconorcid.org/0000-0001-9429-9012
Publications (10 of 85) Show all publications
Boersma, K., Flink, I. & Linton, S. J. (2020). Interpersonal problems as a predictor of pain catastrophizing in patients with chronic pain: Editorial comment on: Ryum, T., Börsting Jacobsen, H., Borchgrevink, P.C., Landrö, N.I. & Stiles, T.C.. Scandinavian Journal of Pain
Open this publication in new window or tab >>Interpersonal problems as a predictor of pain catastrophizing in patients with chronic pain: Editorial comment on: Ryum, T., Börsting Jacobsen, H., Borchgrevink, P.C., Landrö, N.I. & Stiles, T.C.
2020 (English)In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879Article in journal (Refereed) Accepted
Place, publisher, year, edition, pages
Walter de Gruyter, 2020
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:oru:diva-78835 (URN)
Available from: 2019-12-27 Created: 2019-12-27 Last updated: 2020-01-07Bibliographically approved
Bauducco, S., Flink, I., Boersma, K. & Linton, S. J. (2020). Preventing sleep deficit in adolescents: Long-term effects of a quasi-experimental school-based intervention study. Journal of Sleep Research (1), Article ID e12940.
Open this publication in new window or tab >>Preventing sleep deficit in adolescents: Long-term effects of a quasi-experimental school-based intervention study
2020 (English)In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, no 1, article id e12940Article in journal (Refereed) Published
Abstract [en]

Adolescents are at risk of sleep deficit, which has serious consequences for their daytime functioning. However, school-based interventions to improve sleep have shown limited success. This might be due to the content of the programmes (e.g., not targeting central factors such as daytime stress and technology use) or because changes have not been captured due to a lack of long-term follow-ups. Hence, the aim of this study was to evaluate the long-term effects of a school-based sleep education curriculum including time-management training. The study used a quasi-experimental design. Participants were 3,622 adolescents (mean age 13.7, 48% girls); 286 were in the intervention group and 3,336 were followed as a natural control group. Data were collected before the intervention and at a 1-year follow-up. We divided participants into three groups according to baseline sleep duration (calculated from self-reported bed- and wake times, minus sleep onset latency): insufficient (<7 hr), borderline (7-8 hr) and adequate (>8 hr). Adolescents in the intervention group were ~2 times less likely to report insufficient sleep at follow-up as compared to controls. Sleep knowledge improved significantly in the intervention group but there were no changes in emotional sleep hygiene (e.g., bedtime worry) and perceived stress. Surprisingly, technology use increased and behavioural sleep hygiene worsened in the intervention group. Although the mechanisms of change need further investigation, the results of this study point to potential long-term benefits of school-based sleep programmes.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2020
Keywords
Information and communication technology, prevention, sleep health, youths
National Category
Applied Psychology
Identifiers
urn:nbn:se:oru:diva-77882 (URN)10.1111/jsr.12940 (DOI)000494302700001 ()31691408 (PubMedID)2-s2.0-85074845721 (Scopus ID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2012-65Vinnova, 2012-65Swedish Research Council Formas, 2012-65
Available from: 2019-11-14 Created: 2019-11-14 Last updated: 2020-02-14Bibliographically approved
Mazzer, K., Boersma, K. & Linton, S. J. (2019). A longitudinal view of rumination, poor sleep and psychological distress in adolescents. Journal of Affective Disorders, 245, 686-696
Open this publication in new window or tab >>A longitudinal view of rumination, poor sleep and psychological distress in adolescents
2019 (English)In: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 245, p. 686-696Article in journal (Refereed) Published
Abstract [en]

Background: Given the high prevalence and negative impact of psychological problems during adolescence, examining transdiagnostic factors that may have scope to positively influence a variety of psychological problems is imperative. The main purpose of this study was to investigate the longitudinal relationship between rumination and psychological distress and whether sleep mediated this relationship over a 2 year period.

Methods: Participants were 1620 high school students in the 7th and 8th grade at baseline from 17 public schools in three middle Sweden communities. Students completed questionnaires at school during the spring of 2014, 2015 and 2016. Rumination and psychological distress were self-reported, and sleep duration was calculated from reported bed-times, wake-times and sleep onset latencies.

Results: Sleep duration declined with age, whereas rumination and psychological distress increased. Rumination was predictive of future psychological distress and distress at a given time was predictive of concurrent rumination. Sleep duration did not consistently mediate the reciprocal relationships between rumination and psychological distress over time.

Limitations: Stronger longitudinal associations may have been obtained by using smaller measurement intervals or further delineation of outcome constructs.

Conclusions: Reducing rumination, rather than targeting sleep patterns, may work towards preventing the development of a number of psychological problems and is a strategy anticipated to function across disorders to improve young people's mental wellbeing.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Rumination, Adolescence, Sleep, Distress, Longitudinal
National Category
Neurology Psychiatry
Identifiers
urn:nbn:se:oru:diva-72423 (URN)10.1016/j.jad.2018.11.053 (DOI)000456697100084 ()30447567 (PubMedID)2-s2.0-85056473453 (Scopus ID)
Funder
Swedish Research Council Formas
Available from: 2019-02-14 Created: 2019-02-14 Last updated: 2019-02-14Bibliographically approved
Quinn, P. D., Rickert, M. E., Franck, J., Sariaslan, A., Boersma, K., Lichtenstein, P., . . . DʼOnofrio, B. M. (2019). Associations of mental health and family background with opioid analgesic therapy: a nationwide Swedish register-based study. Pain, 160(11), 2464-2472
Open this publication in new window or tab >>Associations of mental health and family background with opioid analgesic therapy: a nationwide Swedish register-based study
Show others...
2019 (English)In: Pain, ISSN 0304-3959, E-ISSN 1872-6623, Vol. 160, no 11, p. 2464-2472Article in journal (Refereed) Published
Abstract [en]

There is evidence of greater opioid prescription to individuals in the United States with mental health conditions. Whether these associations generalize beyond the US prescription environment and to familial mental health and socioeconomic status (SES) has not been examined comprehensively. This study estimated associations of diverse preexisting mental health diagnoses, parental mental health history, and SES in childhood with opioid analgesic prescription patterns nationwide in Sweden. Using register-based data, we identified 5,071,193 (48.4% female) adolescents and adults who were naive to prescription opioid analgesics and followed them from 2007 to 2014. The cumulative incidence of any dispensed opioid analgesic within 3 years was 11.4% (95% CI, 11.3%-11.4%). Individuals with preexisting self-injurious behavior, as well as opioid and other substance use, attention-deficit/hyperactivity, depressive, anxiety, and bipolar disorders had greater opioid therapy initiation rates than did individuals without the respective conditions (hazard ratios from 1.24 [1.20-1.27] for bipolar disorder to 2.12 [2.04-2.21] for opioid use disorder). Among 1,298,083 opioid recipients, the cumulative incidence of long-term opioid therapy (LTOT) was 7.6% (7.6%-7.7%) within 3 years of initiation. All mental health conditions were associated with greater LTOT rates (hazard ratios from 1.66 [1.56-1.77] for bipolar disorder to 3.82 [3.51-4.15] for opioid use disorder) and were similarly associated with concurrent benzodiazepine-opioid therapy. Among 1,482,462 adolescents and young adults, initiation and LTOT rates were greater for those with parental mental health history or lower childhood SES. Efforts to understand and ameliorate potential adverse effects of opioid analgesics must account for these patterns.

Place, publisher, year, edition, pages
Elsevier, 2019
National Category
Psychiatry
Identifiers
urn:nbn:se:oru:diva-77733 (URN)10.1097/j.pain.0000000000001643 (DOI)31339870 (PubMedID)2-s2.0-85073576928 (Scopus ID)
Available from: 2019-11-06 Created: 2019-11-06 Last updated: 2019-11-06Bibliographically approved
Bauducco, S., Salihovic, S. & Boersma, K. (2019). Bidirectional associations between adolescents’ sleep problems and impulsive behavior over time. Sleep Medicine, 1, Article ID 100009.
Open this publication in new window or tab >>Bidirectional associations between adolescents’ sleep problems and impulsive behavior over time
2019 (English)In: Sleep Medicine, ISSN 1389-9457, E-ISSN 1878-5506, Vol. 1, article id 100009Article in journal (Refereed) Published
Abstract [en]

Objective/Background: Adolescents who experience sleep problems are less able to resist impulses. Furthermore, youths who show more impulsive behaviors are, in turn, assumed to have more sleep problems, which sets the stage for a negative cycle over time. Empirical research has shown some evidence that sleep problems affect impulse control, but the bidirectional link has previously not been tested. Therefore, the aim of this study was to test this assumption.

Methods: In this study, we used cross-lagged models to investigate the bidirectional association between sleep problems (ie, insomnia and sleep duration) and impulsive behaviors over two years in a cohort of young adolescents (n = 2767, mean age ∼13.7, 47.6% girls). We also investigated the moderating role of age and gender.

Results: The results showed that the links between sleep duration/insomnia and impulsive behavior are bidirectional. Youths who experienced sleep problems also experienced increased difficulties with impulse control, and problems regulating impulses were also linked with increases in sleep problems, and these effects were systematic over two years. Moreover, age did not moderate these associations but impulsive behaviors had a larger impact on girls’ insomnia as compared to boys.

Conclusions: By confirming the bi-directionality of this association, this study supports the importance of developing interventions to promote sleep health in adolescents but also the need to tailor such programs to adolescents’ development because adolescents might not be able to prioritize sleep if they cannot control their impulses.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Sleep duration, Insomnia, Urgency, Impulsive behaviors, Adolescents, Bidirectional
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:oru:diva-78200 (URN)10.1016/j.sleepx.2019.100009 (DOI)2-s2.0-85074252194 (Scopus ID)
Funder
Swedish Research Council Formas, 2012-65
Available from: 2019-11-27 Created: 2019-11-27 Last updated: 2019-12-02Bibliographically approved
Boersma, K., Flink, I. & Linton, S. J. (2019). Considering the interpersonal context of pain catastrophizing. Scandinavian Journal of Pain, 20(1), 9-10
Open this publication in new window or tab >>Considering the interpersonal context of pain catastrophizing
2019 (English)In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 20, no 1, p. 9-10Article in journal, Editorial material (Refereed) Published
Place, publisher, year, edition, pages
Walter de Gruyter, 2019
National Category
Physiology
Identifiers
urn:nbn:se:oru:diva-78556 (URN)10.1515/sjpain-2019-2020 (DOI)000504845500003 ()31785197 (PubMedID)
Available from: 2019-12-13 Created: 2019-12-13 Last updated: 2020-01-10Bibliographically approved
Svanberg, M., Johansson, A.-C. & Boersma, K. (2019). Does validation and alliance during the multimodal investigation affect patients' acceptance of chronic pain?: An experimental single case study. Scandinavian Journal of Pain, 19(1), 73-82
Open this publication in new window or tab >>Does validation and alliance during the multimodal investigation affect patients' acceptance of chronic pain?: An experimental single case study
2019 (English)In: Scandinavian Journal of Pain, ISSN 1877-8860, E-ISSN 1877-8879, Vol. 19, no 1, p. 73-82Article in journal (Refereed) Published
Abstract [en]

Background and aims: Among chronic pain patients who are referred to participation in a multimodal rehabilitation program (MMRP), pain catastrophizing and dysfunctional pain coping is common. In many cases it may have driven the patient to a range of unsuccessful searches for biomedical explanations and pain relief. Often these efforts have left patients feeling disappointed, hopeless and misunderstood. The MMRP process can be preceded by a multimodal investigation (MMI) where an important effort is to validate the patient to create a good alliance and begin a process of change towards acceptance of the pain. However, whether the MMI has such therapeutic effect is unclear. Using a repeated single case experimental design, the purpose of this study was to investigate the therapeutic effect of MMI by studying changes in patients' experience of validation, alliance, acceptance of pain, coping, catastrophizing, and depression before and during the MMI process.

Methods: Participants were six chronic pain patients with high levels of pain catastrophizing (>25 on the Pain Catastrophizing Scale) and risk for long term disability (>105 on the Örebro Musculoskeletal Pain Screening Questionnaire) who were subjected to MMI before planned MMRP. For each patient, weekly self-report measures of validation, alliance and acceptance of pain were obtained during a 5-10-weeks baseline, before the MMI started. Subsequently, these measures were also obtained during a 6-8 weeks MMI process in order to enable comparative analyses. Additionally, pain coping, depression and pain catastrophizing were measured using standardized questionnaires before and after the MMI.

Results: Irrespective of experiences of validation and alliance before MMI, all six patients felt validated and experienced a good alliance during MMI. Acceptance of pain improved only in one patient during MMI. None of the patients showed clinically relevant improvement in pain coping, depression or catastrophizing after the MMI.

Conclusions: The patients did not change their acceptance and pain coping strategies despite of good alliance and experience of validation during the MMI process. Even if the design of this study precludes generalization to chronic pain patients in general, the results suggest that MMI may not have a therapeutic effect.

Place, publisher, year, edition, pages
Walter de Gruyter, 2019
Keywords
assessment, chronic pain, multidisciplinary pain clinic, pain measurement, rehabilitation
National Category
Psychology (excluding Applied Psychology) Neurology
Identifiers
urn:nbn:se:oru:diva-70001 (URN)10.1515/sjpain-2018-0051 (DOI)000455520700009 ()30375349 (PubMedID)2-s2.0-85056261752 (Scopus ID)
Note

Funding Agency:

Region of Västmanland

Available from: 2018-11-06 Created: 2018-11-06 Last updated: 2019-01-29Bibliographically approved
Boersma, K., Södermark, M., Hesser, H., Flink, I., Gerdle, B. & Linton, S. J. (2019). Efficacy of a transdiagnostic emotion-focused exposure treatment for chronic pain patients with comorbid anxiety and depression: a randomized controlled trial. Pain, 160(8), 1708-1718
Open this publication in new window or tab >>Efficacy of a transdiagnostic emotion-focused exposure treatment for chronic pain patients with comorbid anxiety and depression: a randomized controlled trial
Show others...
2019 (English)In: Pain, ISSN 0304-3959, E-ISSN 1872-6623, Vol. 160, no 8, p. 1708-1718Article in journal (Refereed) Published
Abstract [en]

The comorbidity between chronic pain and emotional problems has proven difficult to address with current treatment options. This study addresses the efficacy of a transdiagnostic emotion-focused exposure treatment ("hybrid") for chronic pain patients with comorbid emotional problems. Adults (n = 115) with chronic musculoskeletal pain and functional and emotional problems were included in a 2-centre, parallel randomized controlled, open-label trial comparing this treatment to an active control condition receiving a guided Internet-delivered pain management treatment based on CBT principles (iCBT). The hybrid treatment (n = 58, 10-16 sessions) integrates exposure in vivo for chronic pain based on the fear-avoidance model with an emotion-regulation approach informed by procedures in Dialectical Behavior Therapy. The iCBT (n = 57; 8 treatment modules) addresses topics such as pain education, coping strategies, relaxation, problem solving, stress, and sleep management using standard CBT techniques. Patient-reported outcomes were assessed before and after treatment as well as at a 9-month primary end point. Across conditions, 78% participants completed post-treatment and 81% follow-up assessment. Intent-to-treat analyses showed that the hybrid had a significantly better post-treatment outcome on pain catastrophizing (d = 0.39) and pain interference (d = 0.63) and significantly better follow-up outcomes on depression (d = 0.43) and pain interference (d = 0.51). There were no differences on anxiety and pain intensity. Observed proportions of clinically significant improvement favoured the hybrid on all but one comparison, but no statistically significant differences were observed. We conclude that the hybrid emotion-focused treatment may be considered an acceptable, credible, and efficacious treatment option for chronic pain patients with comorbid emotional problems.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Chronic pain, Emotional problems, Transdiagnostic, Cognitive-behavioral therapy, Internet, Randomized clinical trial, Exposure
National Category
Applied Psychology
Identifiers
urn:nbn:se:oru:diva-75576 (URN)10.1097/j.pain.0000000000001575 (DOI)000480764500006 ()31335641 (PubMedID)2-s2.0-85066118471 (Scopus ID)
Funder
AFA Insurance, 140356Riksbankens Jubileumsfond, P14-0799: 1
Note

Funding Agency:

Region Östergötland  LIO-724821

Available from: 2019-08-09 Created: 2019-08-09 Last updated: 2020-01-08Bibliographically approved
Quinn, P., Rickert, M., Boersma, K., Lichtenstein, P., Larsson, H. & D'Onofrio, B. (2019). Prescription opioid analgesic receipt among adolescents and young adults and subsequent substance abuse. Paper presented at 49th Annual Meeting of the Behavior-Genetics-Association (BGA), Karolinska Institutet, Stockholm, Sweden, June 26-29, 2019. Behavior Genetics, 49(6), 538-538
Open this publication in new window or tab >>Prescription opioid analgesic receipt among adolescents and young adults and subsequent substance abuse
Show others...
2019 (English)In: Behavior Genetics, ISSN 0001-8244, E-ISSN 1573-3297, Vol. 49, no 6, p. 538-538Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Increases in opioid overdoses and related public health harms, particularly in North America, have led to great concerns about opioid pharmacotherapies for pain. However, the extent of the contribution of prescribed opioid analgesic use, as opposed to illicit opioid use or medication diversion, to the etiology of substance abuse among young people remains uncertain. This study used a co-twin-control design in data from a linkage of nationwide Swedish registers to examine risk of substance abuse. We identified a birth cohort of Swedish adolescents and young adults who were naïve to prescription opioid analgesics (aged 13–29 years; N = 1,541,862). Between 2007 and 2013, approximately 13% of these individuals initiated prescription opioid analgesic receipt (n = 193,922). Relative to non-recipients matched 1:1 on demographics, prescription opioid analgesic recipients had greater rates of subsequent substance abuse, as indexed by registered diagnoses, medication treatments, causes of death, and convictions for drug-or-alcohol-related crimes (HR, 2.29; 95% CI 2.21–2.36). This association was somewhat attenuated but persisted in comparisons of co-twins and other multiple births (HR, 1.47, 95% CI 1.15–1.87). That is, a family-based comparison could not rule out at least some causal role for prescription opioid analgesic receipt in risk of substance abuse among young people. Further research is needed to determine the extent to which within-family confounding explains the remaining association.

Place, publisher, year, edition, pages
Springer, 2019
National Category
Psychology Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-78628 (URN)10.1007/s10519-019-09973-8 (DOI)000494050500183 ()
Conference
49th Annual Meeting of the Behavior-Genetics-Association (BGA), Karolinska Institutet, Stockholm, Sweden, June 26-29, 2019
Available from: 2019-12-16 Created: 2019-12-16 Last updated: 2019-12-16Bibliographically approved
Tseli, E., Boersma, K., Stålnacke, B.-M., Enthoven, P., Gerdle, B., Äng, B. O. & Grooten, W. J. A. (2019). Prognostic Factors for Physical Functioning After Multidisciplinary Rehabilitation in Patients With Chronic Musculoskeletal Pain: A Systematic Review and Meta-Analysis. The Clinical Journal of Pain, 35(2), 148-173
Open this publication in new window or tab >>Prognostic Factors for Physical Functioning After Multidisciplinary Rehabilitation in Patients With Chronic Musculoskeletal Pain: A Systematic Review and Meta-Analysis
Show others...
2019 (English)In: The Clinical Journal of Pain, ISSN 0749-8047, E-ISSN 1536-5409, Vol. 35, no 2, p. 148-173Article, review/survey (Refereed) Published
Abstract [en]

OBJECTIVES: This systematic review aimed to identify and evaluate prognostic factors for long-term (≥6 mo) physical functioning in patients with chronic musculoskeletal pain following multidisciplinary rehabilitation (MDR).

MATERIALS AND METHODS: Electronic searches conducted in MEDLINE, PsycINFO, EMBASE, CINAHL, Web of Science, and Cochrane CENTRAL revealed 25 original research reports, published 1983-2016, (n=9436). Potential prognostic factors relating to initial pain and physical and psychological functioning were synthesized qualitatively and quantitatively in random effects meta-analyses. The level of evidence (LoE) was evaluated with Grading of Recommendations Assessment, Development and Evaluation (GRADE).

RESULTS: Pain-related factors (intensity and chronicity) were not associated with function/disability at long-term follow-up, odds ratio (OR)=0.84; 95% confidence interval (CI), 0.65-1.07 and OR=0.97; 95% CI, 0.93-1.00, respectively (moderate LoE). A better function at follow-up was predicted by Physical factors; higher levels of initial self-reported functioning, OR=1.07; 95% CI, 1.02-1.13 (low LoE), and Psychological factors; low initial levels of emotional distress, OR=0.77; 95% CI, 0.65-0.92, low levels of cognitive and behavioral risk factors, OR=0.85; 95% CI, 0.77-0.93 and high levels of protective cognitive and behavioral factors, OR=1.49; 95% CI, 1.17-1.90 (moderate LoE).

DISCUSSION: While pain intensity and long-term chronicity did not predict physical functioning in chronic pain patients after MDR, poor pretreatment physical and psychological functioning influenced the prognosis negatively. Thus, treatment should further target and optimize these modifiable factors and an increased focus on positive, psychological protective factors may perhaps provide an opening for yet untapped clinical gains.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2019
Keywords
chronic musculoskeletal pain, GRADE, interdisciplinary rehabilitation, meta-analysis, prognostic factors, treatment outcome
National Category
Physiotherapy Anesthesiology and Intensive Care Neurology
Identifiers
urn:nbn:se:oru:diva-72051 (URN)10.1097/AJP.0000000000000669 (DOI)000458401700006 ()30371517 (PubMedID)2-s2.0-85055665160 (Scopus ID)
Funder
Swedish Research CouncilAFA InsuranceForte, Swedish Research Council for Health, Working Life and Welfare
Note

Funding Agencies:

Doctoral School in Health Care Sciences, Karolinska Institutet, Sweden

Research-ALF  

County Council of Östergötland, Linköping 

Available from: 2019-02-12 Created: 2019-02-12 Last updated: 2019-06-18Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-9429-9012

Search in DiVA

Show all publications