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Duberg, A., Jutengren, G., Hagberg, L. & Möller, M. (2020). The effects of a dance intervention on somatic symptoms and emotional distress in adolescent girls: A randomized controlled trial. Journal of international medical research, 48(2), Article ID 300060520902610.
Open this publication in new window or tab >>The effects of a dance intervention on somatic symptoms and emotional distress in adolescent girls: A randomized controlled trial
2020 (English)In: Journal of international medical research, ISSN 0300-0605, E-ISSN 1473-2300, Vol. 48, no 2, article id 300060520902610Article in journal (Refereed) Published
Abstract [en]

Objective: To investigate whether a dance intervention for adolescent girls reduces stressrelated symptoms. Methods: This was a randomized controlled trial of an after-school intervention. Participants were 112 girls aged 13 to 18 years with stress-related somatic symptoms and emotional distress. The intervention comprised twice-weekly dance sessions for 8 months with a focus on enjoyment and socialization. A questionnaire was administered at baseline and after 8, 12 and 20 months. Participants rated the frequency with which they had experienced somatic symptoms and emotional distress during the previous 3 months. Results: After the intervention, there was a significantly greater reduction in somatic symptoms and emotional distress in the dance intervention group than in the control group. The difference in the mean score change on a 5-point scale was 0.26 (95% confidence interval [CI]: 0.04 to 0.47) for somatic symptoms and 0.30 (95% CI: 0.04 to 0.58) for emotional distress. Conclusion: Dance interventions may reduce somatic symptoms and emotional distress in adolescent girls, and may constitute a nonpharmacological complement to school health services. However, continued participation is needed for long-term sustainable results. Additional randomized studies are required to further evaluate the effect of this type of intervention in different settings.

Place, publisher, year, edition, pages
Sage Publications, 2020
Keywords
Stress-related problems, adolescent girls, dance intervention, emotional distress, mental health, physical activity, somatic symptoms
National Category
Psychiatry
Identifiers
urn:nbn:se:oru:diva-79944 (URN)10.1177/0300060520902610 (DOI)32019389 (PubMedID)2-s2.0-85079008454 (Scopus ID)
Available from: 2020-02-19 Created: 2020-02-19 Last updated: 2020-02-19Bibliographically approved
Philipsson, A., Sandberg, E., Högström, S., Eriksson, M., Särnblad, S., Ekstav, L., . . . Duberg, A. (2019). ”Just in TIME” - Intervention med dans och yoga för flickor med funktionell magsmärta och IBS. In: : . Paper presented at Barnveckan, Örebro, Sweden, April 1-4, 2019.
Open this publication in new window or tab >>”Just in TIME” - Intervention med dans och yoga för flickor med funktionell magsmärta och IBS
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2019 (Swedish)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [sv]

Bakgrund och syfte

Funktionell magsmärta drabbar många barn i skolåldern, mestadels flickor. Det kan leda till minskad livskvalitet, skolfrånvaro, sämre sömn, försämrade kamratkontakter och ökad vårdkonsumtion. Det vetenskapliga underlaget för interventioner vid långvarig smärta hos barn är begränsat. Dans kan öka rörelseglädje och förbättra kroppskännedom, vilket i sin tur påverkar självtillit och kan öka psykiskt välbefinnande. Yoga kan ge mental avslappning och reducera stressreaktioner. Syftet med studien är att utvärdera effekten av en intervention med dans och yoga på återkommande magsmärta, stress och depressiva symtom samt på funktion i vardagen hos flickor 9-13 år som har funktionell buksmärta och IBS.

Metod

En randomiserad kontrollerad studie genomförs med forskningspersoner som identifieras via diagnosregister samt barnmottagningarna i Västerås och Örebro, samt från primärvården. Interventionen består av dans och yoga med fokus på rörelseglädje, gemenskap och kravlöshet, och utförs som gruppaktivitet två ggr/veckan under 8 månader. Primärt utfall är förändring av magsmärta efter 8 mån. Flickorna följs upp under fem år avseende magsmärta, självskattad hälsa, stress och psykiskt välmående, fysisk aktivitet och skolfunktioner. Vidare studeras kostnad i relation till nytta.

Resultat/(Planerade studier)

Projektet pågår och de första resultaten beräknas publiceras hösten 2019. Projektet utvärderas både kvalitativt, genom intervjuer med flickor och vårdnadshavare, och kvantitativt, genom bland annat analys av smärtdagböcker, upplevd hälsa, stress samt med en hälsoekonomisk analys. Därutöver utvärderas salivkortisol och faeces som objektiva mått. 

Konklusion

Studien förväntas leda till ökad kunskap om icke-farmakologiska insatser för barn samt hur behandlingsinsatser för målgruppen kan breddas med ett kostnadseffektivt alternativ till ”standard care”.

Keywords
Buksmärta, dans, yoga
National Category
Health Sciences Pediatrics
Research subject
Pediatrics
Identifiers
urn:nbn:se:oru:diva-73177 (URN)
Conference
Barnveckan, Örebro, Sweden, April 1-4, 2019
Available from: 2019-03-18 Created: 2019-03-18 Last updated: 2019-04-17Bibliographically approved
Shen, L., Evans, I. M., Souza, D., Dreifaldt, M., Dashwood, M. R. & Vidya, M.-A. (2016). Adiponectin: An Endothelium-Derived Vasoprotective Factor?. Current Vascular Pharmacology, 14(2), 168-174
Open this publication in new window or tab >>Adiponectin: An Endothelium-Derived Vasoprotective Factor?
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2016 (English)In: Current Vascular Pharmacology, ISSN 1570-1611, E-ISSN 1875-6212, Vol. 14, no 2, p. 168-174Article in journal (Refereed) Published
Abstract [en]

Adipose tissue (AT) is now widely accepted as a key secretary organ, as well as an energy storage depot. It secretes a series of cytokines, hormones and bioactive molecules: adipokines. Adiponectin is an abundant systemic adipokine that uniquely is reduced in obesity and increases on weight loss, is anti-inflammatory, promotes insulin sensitivity and affords cardiometabolic protection. It was considered a true adipokine, in that it is exclusively generated by the adipocytes of the adipose tissue. However, recent evidence points to it being secreted by a range of other organs. This review summarizes the non-adipose sources of adiponectin especially that derived from the endothelium, its vasoprotective role and intracellular signalling pathways. Endothelium derived adiponectin may potentially be a new target for clinical intervention in cardiovascular disease.

Place, publisher, year, edition, pages
Bentham Science Publishers, 2016
Keywords
Adiponectin, coronary artery bypass grafting, endothelium, perivascular adipose tissue
National Category
Pharmacology and Toxicology Cardiac and Cardiovascular Systems
Research subject
Cardiology
Identifiers
urn:nbn:se:oru:diva-50064 (URN)10.2174/1570161114666151202210128 (DOI)000373712200006 ()26638793 (PubMedID)
Available from: 2016-05-02 Created: 2016-05-02 Last updated: 2018-07-10Bibliographically approved
Pinheiro, B. B., Fagundes, W. V., Muniz, L. F. F., Dreifaldt, M., Arbeus, M. & Souza, D. S. R. (2016). Dacron Graft Intussusception Technique for Treatment of Type A Aortic Dissections: Technical Notes and Preliminary Results. Brazilian Journal of Cardiovascular Surgery, 31(2), 115-119
Open this publication in new window or tab >>Dacron Graft Intussusception Technique for Treatment of Type A Aortic Dissections: Technical Notes and Preliminary Results
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2016 (English)In: Brazilian Journal of Cardiovascular Surgery, ISSN 0102-7638, E-ISSN 1678-9741, Vol. 31, no 2, p. 115-119Article in journal (Refereed) Published
Abstract [en]

Introduction: Optimal surgical management for acute type A aortic dissection (AAAD) remains unclear. The in-hospital mortality rate is still high (15%), and the intraoperative bleeding is an independent risk factor for hospital mortality.

Objective: The aim of our study was describe a new method for aortic anastomosis in the repair of AAAD and report the hospital mortality and bleeding complications.

Methods: Between January 2008 and November 2014, 24 patients, 16 male, median age 62 years, underwent surgical treatment of AAAD. The surgical technique consisted of intussusception of a Dacron tube in the dissected aorta, which is anastomosed with a first line of 2-0 polyester everting mattress suture and a second line of 3-0 polypropylene running suture placed at the outermost side. Open distal anastomosis was performed with bilateral selective antegrade cerebral perfusion in 13 (54.1%) patients.

Results: Cardiopulmonary bypass and aortic clamping time ranged from 75 to 135 min (mean= 85 min) and 60 to 100 min (mean= 67 min), respectively. The systemic circulatory arrest ranged from 29 to 60 min (mean=44.5 min). One (4.1%) patient required reoperation for bleeding, due to the use of preoperative clopidogrel. The postoperative bleeding was 382-1270 ml (mean= 654 ml). We used an average of 4.2 units of red blood cells/patient. There were two (8.3%) hospital deaths, one due to intraoperative bleeding and another due to mesenteric ischemia. The average length of stay in the intensive care unit and hospital was 44 hours and 6.7 days, respectively.

Conclusion: This new method for surgical correction of AAAD was reproducible and resulted in satisfactory clinical outcomes.

Place, publisher, year, edition, pages
Sociedade Brasileira de Cirurgia Cardiovascular, 2016
Keywords
Aortic Diseases, Aorta Thoracic, Hemorrhage, Cardiovascular Surgical Procedures
National Category
Cardiac and Cardiovascular Systems Surgery
Research subject
Cardiology; Surgery
Identifiers
urn:nbn:se:oru:diva-54691 (URN)10.5935/1678-9741.20160042 (DOI)000390089800007 ()27556309 (PubMedID)2-s2.0-84983268968 (Scopus ID)
Available from: 2017-01-13 Created: 2017-01-13 Last updated: 2018-07-23Bibliographically approved
Duberg, A. (2016). Dance Intervention for Adolescent Girls with Internalizing Problems: Effects and Experiences. (Doctoral dissertation). Örebro: Örebro university
Open this publication in new window or tab >>Dance Intervention for Adolescent Girls with Internalizing Problems: Effects and Experiences
2016 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Globally, psychological health problems are currently among the most serious public health challenges. Adolescent girls suffer from internalizing problems, such as somatic symptoms and mental health problems, at higher rates than in decades. By age 15, over 50 % of all girls experience multiple health complaints more than once a week and one in five girls reports fair or poor health.

The overall aim of this study was to investigate the effects of and experiences with an after-school dance intervention for adolescent girls with internalizing problems. The intervention comprised dance that focused on resources twice weekly for 8 months. Specifically, this thesis aimed to: I) investigate the effects on self-rated health (SRH), adherence and over-all experience; II) evaluate the effects on somatic symptoms, emotional distress and use of medication; III) explore the experiences of those participating in the intervention; and IV) assess the cost-effectiveness.

A total of 112 girls aged 13 to 18 years were included in a randomized controlled trial. The dance intervention group comprised 59 girls, and the control group 53. In paper I, the dance group showed increased SRH scores compared to the control group (p = .02). Girls in the intervention group showed high adherence and a positive overall experience. In paper II, the dance group exhibited a decrease in somatic symptoms (p = .021), emotional distress (p = .023) and use of medication (p = .020) compared to the control group. In paper III, a strategic sample of 24 girls was interviewed. Qualitative content analysis was performed, and five generic categories emerged. Two were “An Oasis from Stress” and “Supportive Togetherness”, which was shown to represent the fundamental basis and setting of the intervention. The main category, participants’ central experience, was understood as “Finding embodied self-trust that opens new doors”. Paper IV revealed that, due to decreased number of visits to the school nurse and an increase in health related quality of life; the intervention was considered to be cost-effective (combined with the usual school health services). In summary, the results of this thesis show that this dance intervention for adolescent girls with internalizing problems generated positive health effects and proved to be cost-effective. For this target group, a non-judgmental environment and supportive togetherness proved to be of importance for participation. The results of this study may provide practical information for school health care staff and caregivers in designing future interventions.

Place, publisher, year, edition, pages
Örebro: Örebro university, 2016. p. 129
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 144
Keywords
Adolescent Health, Body Awareness, Cost Effectiveness, Dance, Enjoyment, Physical Activity, Randomized Controlled Trial, Self-rated Health
National Category
Nursing Other Health Sciences
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-48178 (URN)978-91-7529-140-6 (ISBN)
Public defence
2016-05-20, Universitetssjukhuset, Wilandersalen, Södra Grev Rosengatan, Örebro, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2016-02-10 Created: 2016-02-10 Last updated: 2017-10-17Bibliographically approved
Duberg, A., Möller, M. & Sunvisson, H. (2016). "I feel free": Experiences of a dance intervention for adolescent girls with internalizing problems. International Journal of Qualitative Studies on Health and Well-being, 11, Article ID 31946.
Open this publication in new window or tab >>"I feel free": Experiences of a dance intervention for adolescent girls with internalizing problems
2016 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, article id 31946Article in journal (Refereed) Published
Abstract [en]

Adolescent girls today suffer from internalizing problems such as somatic symptoms and mental health problems at higher rates compared to those of previous decades, and effective interventions are warranted. The aim of this study was to explore the experiences of participating in an 8-month dance intervention. This qualitative study was embedded in a randomized controlled trial of a dance intervention for adolescent girls with internalizing problems. A total of 112 girls aged 13-18 were included in the study. The dance intervention group comprised 59 girls, 24 of whom were strategically chosen to be interviewed. Data were analyzed using qualitative content analysis with an inductive approach. The experiences of the dance intervention resulted in five generic categories: (1) An Oasis from Stress, which represents the fundamental basis of the intervention; (2) Supportive Togetherness, the setting; (3) Enjoyment and Empowerment, the immediate effect; (4) Finding Acceptance and Trust in Own Ability, the outcome; and (5) Dance as Emotional Expression, the use of the intervention. One main category emerged, Finding Embodied Self-Trust That Opens New Doors, which emphasizes the increased trust in the self and the ability to approach life with a sense of freedom and openness. The central understanding of the adolescent girls' experiences was that the dance intervention enriched and gave access to personal resources. With the non-judgmental atmosphere and supportive togetherness as a safe platform, the enjoyment and empowerment in dancing gave rise to acceptance, trust in ability, and emotional expression. Taken together, this increased self-trust and they discovered a new ability to "claim space." Findings from this study may provide practical information on designing future interventions for adolescent girls with internalizing problems.

Place, publisher, year, edition, pages
Järfälla: Co-Action Publishing, 2016
Keywords
Adolescent health, dancing, non-judgmental, qualitative research, self-trust, stress, togetherness
National Category
Psychiatry
Identifiers
urn:nbn:se:oru:diva-51563 (URN)10.3402/qhw.v11.31946 (DOI)000381028400001 ()27416014 (PubMedID)2-s2.0-84982746148 (Scopus ID)
Note

Funding Agency:

Region Örebro County, Sweden

Available from: 2016-08-03 Created: 2016-08-02 Last updated: 2017-11-28Bibliographically approved
Dreifaldt, M. (2013). Conduits in coronary artery bypass grafting surgery: Saphenous vein, radial and internal thoracic arteries. (Doctoral dissertation). Örebro: Örebro universitet
Open this publication in new window or tab >>Conduits in coronary artery bypass grafting surgery: Saphenous vein, radial and internal thoracic arteries
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

A novel technique for saphenous vein (SV) graft harvesting, the No-touch technique (NT), has been developed at the Dept. of Cardiovascular surgery, Örebro University hospital. With NT the SV is harvested with a pedicle of surrounding tissue. This avoids graft spasm and eliminates the need for distension. The surrounding tissue acts as a structural support and is a rich source of vaso-dilating agents. A randomized controlled trial (RCT) has shown a significantly higher patency rate for NT SV grafts compared to SV grafts harvested with conventional technique (CT). This thesis evaluates some of the properties of the surrounding tissue and compares patency rates between NT SV and radial artery (RA) grafts and patency rates for internal thoracic artery (ITA) grafts harvested with and without surrounding tissue. Paper I investigated vasa vasorum (VV) in SV grafts and showed that the NT preserves an intact VV whereas CT does not. This could be one of the mechanisms underlying the improved patency for NT SV grafts. Paper II evaluated VV and associated nitric oxide (NO) in SV and arterial grafts. SV grafts showed a higher number and larger VV, which correlated with NO production, compared to arterial grafts. NT SV grafts showed higher activity for e-NOS compared to CT SV grafts. Paper III is a RCT comparing patency rates between NT SV and RA grafts, three years after surgery, showing a significantly higher patency rate for NT SV grafts. Paper IV is a RCT comparing patency rates for ITA graft harvested with and without surrounding tissue and did not show any difference between graft preparations. In conclusion, the NT for SV graft harvesting preserves an intact vasa vasorum and associated NO production. NT SV grafts show a higher patency rate than RA grafts. Harvesting of ITA with or without surrounding tissue does not affect patency rate. 

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2013. p. 65
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 93
Keywords
Cardiac surgery, Coronary artery bypass, Saphenous vein, Radial artery, Internal thoracic artery, Vasa vasorum, Nitric oxide, Graft patency
National Category
Medical and Health Sciences
Research subject
Medicine
Identifiers
urn:nbn:se:oru:diva-33265 (URN)978-91-7668-960-8 (ISBN)
Public defence
2013-10-11, Wilandersalen, Universitetssjukhuset, Örebro, Södra Grev Rosengatan, 703 62 Örebro, 13:15 (Swedish)
Opponent
Supervisors
Available from: 2014-01-23 Created: 2014-01-23 Last updated: 2017-10-17Bibliographically approved
Philipsson, A., Duberg, A., Möller, M. & Hagberg, L. (2013). Cost-utility analysis of a dance intervention for adolescent girls with internalizing problems. Cost Effectiveness and Resource Allocation, 11(1), 4
Open this publication in new window or tab >>Cost-utility analysis of a dance intervention for adolescent girls with internalizing problems
2013 (English)In: Cost Effectiveness and Resource Allocation, ISSN 1478-7547, E-ISSN 1478-7547, Vol. 11, no 1, p. 4-Article in journal (Refereed) Published
Abstract [en]

Background: The increasing prevalence of psychological health problems among adolescent girls is alarming. Knowledge of beneficial effects of physical activity on psychological health is widespread. Dance is a popular formof exercise that could be a protective factor in preventing and treating symptoms of depression. The aim of thisstudy was to assess the cost-effectiveness of a dance intervention in addition to usual school health services foradolescent girls with internalizing problems, compared with usual school health services alone.

Methods: A cost-utility analysis from a societal perspective based on a randomized controlled intervention trial wasperformed. The setting was a city in central Sweden with a population of 130 000. A total of 112 adolescent girls, 13–18 years old, with internalizing problems participated in the study. They were randomly assigned to intervention (n =59) or control (n = 53) group. The intervention comprised dance twice weekly during eight months in addition to usualschool health services. Costs for the stakeholder of the intervention, treatment effect and healthcare costs wereconsidered. Gained quality-adjusted life-years (QALYs) were used to measure the effects. Quality of life was measuredwith the Health Utility Index Mark 3. Cost-effectiveness ratios were based on the changes in QALYs and net costs forthe intervention group compared with the control group. Likelihood of cost-effectiveness was calculated.

Results: At 20 months, quality of life had increased by 0.08 units more in the intervention group than in the controlgroup (P = .04), translating to 0.10 gained QALYs. The incremental cost-effectiveness ratio was USD $3,830 per QALYand the likelihood of cost-effectiveness was 95%.

Conclusions: Intervention with dance twice weekly in addition to usual school health services may be consideredcost-effective compared with usual school health services alone, for adolescent girls with internalizing problems.

Keywords
Internalizing problems, Adolescent girls, Physical activity, Dance, Cost-utility analysis
National Category
Business Administration Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Business Studies
Identifiers
urn:nbn:se:oru:diva-38723 (URN)10.1186/1478-7547-11-4 (DOI)23425608 (PubMedID)2-s2.0-84873979104 (Scopus ID)
Note

Trial registration:

Name of the trial registry: “Influencing Adolescent Girls’ With Creative Dance Twice Weekly”

Trial registration number: NCT01523561

Available from: 2014-11-18 Created: 2014-11-18 Last updated: 2018-05-22Bibliographically approved
Duberg, A., Möller, M. & Taube, J. (2013). Dans kan ge unga skydd mot psykisk ohälsa. Läkartidningen, 110(36), 1539-1541
Open this publication in new window or tab >>Dans kan ge unga skydd mot psykisk ohälsa
2013 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 110, no 36, p. 1539-1541Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Stockholm: Läkartidningen förlag AB, 2013
National Category
Psychiatry
Identifiers
urn:nbn:se:oru:diva-40269 (URN)24163907 (PubMedID)2-s2.0-84883792038 (Scopus ID)
Available from: 2015-01-08 Created: 2015-01-08 Last updated: 2018-05-22Bibliographically approved
Duberg, A., Hagberg, L., Sunvisson, H. & Möller, M. (2013). Influencing self-rated health among adolescent girls with dance intervention: a randomized controlled trial. JAMA pediatrics, 167(1), 27-31
Open this publication in new window or tab >>Influencing self-rated health among adolescent girls with dance intervention: a randomized controlled trial
2013 (English)In: JAMA pediatrics, ISSN 2168-6203, E-ISSN 2168-6211, Vol. 167, no 1, p. 27-31Article in journal (Refereed) Published
Abstract [en]

Objective: To investigate whether dance intervention influenced self-rated health for adolescent girls with internalizing problems.

Design: Randomized controlled intervention trial with follow-up measures at 8, 12, and 20 months after baseline.

Setting: A Swedish city with a population of 130 000.

Participants: Girls aged 13 to 18 years with internalizing problems, ie, stress and psychosomatic symptoms. A total of 59 girls were randomized to the intervention group and 53 were randomized to the control group.

Intervention: The intervention comprised dance classes twice weekly during 8 months. Each dance class lasted 75 minutes and the focus was on the joy of movement, not on performance.

Main Outcome Measures: Self-rated health was the primary outcome; secondary outcomes were adherence to and experience of the intervention.

Results: The dance intervention group improved their self-rated health more than the control group at all follow-ups. At baseline, the mean score on a 5-point scale was 3.32 for the dance intervention group and 3.75 for the control group. The difference in mean change was 0.30 (95% CI, −0.01 to 0.61) at 8 months, 0.62 (95% CI, 0.25 to 0.99) at 12 months, and 0.40 (95% CI, 0.04 to 0.77) at 20 months. Among the girls in the intervention group, 67% had an attendance rate of 50% to 100%. A total of 91% of the girls rated the dance intervention as a positive experience.

Conclusions: An 8-month dance intervention can improve self-rated health for adolescent girls with internalizing problems. The improvement remained a year after the intervention

Place, publisher, year, edition, pages
Chicago, USA: American Medical Association, 2013
National Category
Other Health Sciences Nursing
Research subject
Medicine
Identifiers
urn:nbn:se:oru:diva-24206 (URN)10.1001/jamapediatrics.2013.421 (DOI)000316797500007 ()23403597 (PubMedID)2-s2.0-84873503070 (Scopus ID)
Note

Funding Agencies:

Örebro County Council 

municipality of Örebro 

Available from: 2012-08-03 Created: 2012-08-03 Last updated: 2018-09-12Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-5585-1783

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