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Tinnfält, A., Fröding, K., Larsson, M. & Dalal, K. (2018). "I Feel It In My Heart When My Parents Fight": Experiences of 7-9-Year-Old Children of Alcoholics. Child and Adolescent Social Work Journal, 35(5), 531-540
Open this publication in new window or tab >>"I Feel It In My Heart When My Parents Fight": Experiences of 7-9-Year-Old Children of Alcoholics
2018 (English)In: Child and Adolescent Social Work Journal, ISSN 0738-0151, E-ISSN 1573-2797, Vol. 35, no 5, p. 531-540Article in journal (Refereed) Published
Abstract [en]

Children are vulnerable when exposed to parental alcohol abuse. Although much is known about children of alcoholics (COA), research examining the experiences of younger COA is scarce. To gain knowledge of the consequences for these children, it is important to ask the children themselves. This study explored the consequences for a child of having an alcoholic parent, from the point of view of 7-9-year-old COA. Eighteen children were interviewed, whose alcoholic parent was undergoing treatment, using a vignette. In the analysis, using qualitative content analysis, the findings show that the children of this young age had much experiences and took a great responsibility for their alcoholic parent, and the family. The most significant feeling of the children was a feeling of sadness. They tried to control the situation in different ways. They wished for a change in the future, but despite problems in the family they described things they did together with a loving parent. Implications include the importance of listening to and supporting all COA, also children as young as 7-9 years old. Further studies should address the support that can and should be offered to COA.

Place, publisher, year, edition, pages
Springer, 2018
Keywords
Children of alcoholics, COA, Qualitative study, Parental alcohol abuse, School children, Vignette
National Category
Social Work
Identifiers
urn:nbn:se:oru:diva-68998 (URN)10.1007/s10560-018-0544-6 (DOI)000444033600008 ()30220781 (PubMedID)2-s2.0-85045754425 (Scopus ID)
Available from: 2018-09-25 Created: 2018-09-25 Last updated: 2018-09-25Bibliographically approved
Tinnfält, A., Jensen, J. & Eriksson, C. (2015). What characterises a good family?: Giving voice to adolescents. International Journal of Adolescence and Youth, 20(4), 429-441
Open this publication in new window or tab >>What characterises a good family?: Giving voice to adolescents
2015 (English)In: International Journal of Adolescence and Youth, ISSN 0267-3843, E-ISSN 2164-4527, Vol. 20, no 4, p. 429-441Article in journal (Refereed) Published
Abstract [en]

Parents and family are very important for a young person's health and development, but knowledge is scarce on how young people perceive them. The aim of this study is to give voice to adolescent girls' and boys' perceptions of how parents and families should be. Nineteen adolescents were interviewed. A descriptive design and a qualitative content approach were used to analyse the interview material. To make the approach participatory, young students were involved as partners. They did some pilot interviews, and their conclusions were used during the planning of the study. The results show that adolescents regard their parents and family as very important to them. Everybody in the family has shared responsibility for it, and it is important to spend time together, i.e., ‘to do family’. Moreover, parents have special obligations; in particular, they have a duty to ensure a good future for their children.

Place, publisher, year, edition, pages
Oxon, United Kingdom: Routledge, 2015
Keywords
parenthood, adolescent, The UN Convention on the Rights of the Child, The socio-economic model, participatory approoach, perceptions on family
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health
Identifiers
urn:nbn:se:oru:diva-43532 (URN)10.1080/02673843.2015.1018283 (DOI)000435156600003 ()
Projects
Kompetenta familjer - ideal och realitet i familjestöd i Karlskoga och Degerfors
Funder
Swedish National Institute of Public Health, HFÅ 2010/94
Available from: 2015-03-12 Created: 2015-03-12 Last updated: 2019-03-05Bibliographically approved
Eriksson, C., Fröding, K., Hulldin, J., Jensen, J., Larsson, M., Pettersson, C. & Tinnfält, A. (2014). Kompetenta familjer med ungdomar: Ideal och realitet i familjestödet i Karlskoga och Degerfors kommuner. Örebro: Örebro universitet
Open this publication in new window or tab >>Kompetenta familjer med ungdomar: Ideal och realitet i familjestödet i Karlskoga och Degerfors kommuner
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2014 (Swedish)Report (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2014. p. 171
Series
Studies in Public Health Science, Örebro University ; 2014:1
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health
Identifiers
urn:nbn:se:oru:diva-35095 (URN)978-91-7668-993-6 (ISBN)
Available from: 2014-05-20 Created: 2014-05-20 Last updated: 2018-03-06Bibliographically approved
Tinnfält, A. (2013). My family: giving voice to adolescents´viewpoints. In: : . Paper presented at 7th Nordic Health Promotion Conference(NHPRC), Vestfold University College, Norway, 17-19 june, 2013.
Open this publication in new window or tab >>My family: giving voice to adolescents´viewpoints
2013 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Supporting parents in their parenthood is animportant issue. The Swedish government decided in 2008 to implement a national strategy for supporting good parenthood. Previous research has focused on parental monitoring and involvement and studies of adolescents’ attitudes to and perception of parents. But there is a knowledge gap with regard to adolescents’ perceptions on how parents should be. In line with UN ChildConvention it is important to listen to their perceptions and ideas.

Objectives: The study aims at giving voice to adolescents’ views on parenthood and familylife. This study explores their perceptions of how they wish mothers and fathers to be like, and how young people wish the family to be.

Methods: Nineteen adolescents, 15 and 16 years old, were interviewed individually, and a thematic content analysis was used. Two researchers independently analyzed the interviews and differences in categorizations were settled after discussion. 

Findings: The adolescents describe the family as a unit, which has a commonresponsibility. The family may look different, but most important is the feeling of solidarity. The adolescent consider it very valuable to do things all together in the family. The adolescents had a lot of views on how they want a parent to be. They mostly expressed traditional expectations on both mothers and fathers. Parent attitudes are important as well as the communication between children and parents. Parents have a responsibility for the child and for the family. The adolescents also expressed wanted and unwanted parental behaviors.

Conclusions: The very positive attitude to parents among the adolescents is discussed, and also the traditional view on the mother’s role and the father’s role. Parentsupport programs should consider adolescents’ views on the family and on parents.

Keywords
Families, Adolescents, Parenthood, Interviews, Content analysis
National Category
Health Sciences
Research subject
Public health
Identifiers
urn:nbn:se:oru:diva-36212 (URN)
Conference
7th Nordic Health Promotion Conference(NHPRC), Vestfold University College, Norway, 17-19 june, 2013
Projects
”Kompetenta familjer med ungdomar” – ideal och realitet i familjestöd i Karlskoga och
Available from: 2014-08-29 Created: 2014-08-29 Last updated: 2017-10-17Bibliographically approved
Tinnfält, A. (2012). Det hälsofrämjande samtalet ur elevens perspektiv (1ed.). In: Eva K. Clausson, Siv Morberg (Ed.), Skolsköterskans hälsofrämjande arbete: (pp. 173-186). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Det hälsofrämjande samtalet ur elevens perspektiv
2012 (Swedish)In: Skolsköterskans hälsofrämjande arbete / [ed] Eva K. Clausson, Siv Morberg, Lund: Studentlitteratur AB, 2012, 1, p. 173-186Chapter in book (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2012 Edition: 1
National Category
Health Sciences Pedagogical Work
Research subject
Public health
Identifiers
urn:nbn:se:oru:diva-36210 (URN)978-91-44-05597-8 (ISBN)
Available from: 2014-08-29 Created: 2014-08-29 Last updated: 2017-10-17Bibliographically approved
Tinnfält, A., Eriksson, C. & Brunnberg, E. (2011). Adolescent children of alcoholics on disclosure, support, and assessment of trustworthy adults. Child and Adolescent Social Work Journal, 28(2), 133-151
Open this publication in new window or tab >>Adolescent children of alcoholics on disclosure, support, and assessment of trustworthy adults
2011 (English)In: Child and Adolescent Social Work Journal, ISSN 0738-0151, E-ISSN 1573-2797, Vol. 28, no 2, p. 133-151Article in journal (Refereed) Published
Abstract [en]

The aim of this study is to describe adolescent children of alcoholics’ (COA) perspectives on disclosure and support. COA reported assessing the trustworthiness of adults before disclosing their home situation. Before disclosure they may have raised their own level of consciousness, told a peer, told an adult stranger, or in-directly communicated with an adult. These findings are the result of interviews with 27 adolescents attending support groups for COA in Sweden. Adults, who ask questions, listen carefully and cooperate with the child/adolescent, and who are knowledgeable about families with alcohol problems, are considered as supportive and trustworthy. The adolescents reported psychological, communicative, environmental, and generational aspects of the disclosure process.

Place, publisher, year, edition, pages
Springer Berlin/Heidelberg, 2011
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public health
Identifiers
urn:nbn:se:oru:diva-25664 (URN)10.1007/s10560-011-0225-1 (DOI)
Available from: 2012-09-03 Created: 2012-09-03 Last updated: 2018-05-04Bibliographically approved
Tinnfält, A. (2008). Adolescents' perspectives: on mental health, being at risk, and promoting initiatives. (Doctoral dissertation). Örebro: Örebro universitet
Open this publication in new window or tab >>Adolescents' perspectives: on mental health, being at risk, and promoting initiatives
2008 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Ungdomars perspektiv : på psykisk hälsa, att vara i riskzon, och främjande åtgärder
Abstract [en]

Mental health is a major child public health issue in Sweden. The overall aims of this thesis are to explore girls’ and boys’ perspectives on mental health and on mental health-promoting initiatives, and to deepen the knowledge of disclosure and support for ado-lescents at risk of abuse and neglect. Four studies are included in the thesis, and a qualitative descriptive design was chosen. In three of the studies (Studies I, II, and III), adolescents in Sweden were interviewed individually or in focus-groups. In the fourth study (IV) officials and politicians in nine municipalities in Sweden were interviewed, and documents were analysed in a multiple-case-study design.

In study I the adolescents were asked about the mental health-promoting dialogue with the school nurse. The results reveal that what the adolescents found important were trustiness, attentiveness, respectfulness, authenticity, accessibility, and continuity. The adolescents also had certain views on what issues to talk about in the health dialogue; physical and psychological issues should be included. In Study II, the adolescents perceived “mental health” to be an emotional experience with positive and negative aspects of internal and relational feelings. Family, friends, and school were regarded as important determinants of mental health by the adolescents. Neither girls nor boys thought that there were any major differences in mental health between girls and boys, but did think they were subject to different expectations. In Study III the results show that adolescents with families with alcohol problems are unsure whether to disclose their home situation to an adult; the adolescents seem to make a risk assessment when looking for trustworthy adults. It is a disclosure process. Friends are confidants and supportive, and sometimes facilitators for contacting adults, when support from adults is needed. Study IV show that even small grants to municipalities for children-at-risk projects lead to more activities for these children and adolescents. But children or adolescents were not involved in the planning or decision-making of the activities.

The studies in this thesis show that most important thing for adolescents’ mental health is the relation between adolescents and adults, foremost parents, and between adolescents and friends. In addition, gender and age, adolescents’ perspec¬tives and par-ticipation, and society’s support, including the implementation of the UN Convention on the Rights of the Child, have an impact on adolescents’ mental health, both for ado-lescents in general and for adolescents at risk of abuse and neglect. The results are viewed in relation to the bioecological model, to illustrate how all levels in society influence mental health among adolescents, on an individual and a population plane. The findings have implications for adults: to learn more about adolescents and puberty, and about the home situation for children and adolescents at risk of abuse and neglect; to listen to suggestions from children and adolescents; to include friends in support to adolescents at risk of abuse and neglect; and to include girls and boys in all matters concerning them.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2008. p. 107
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 21
Keywords
abuse and neglect, adolescent, bioecological model, child public health, children of alcoholics, Convention on the Rights of the Child, school health service, social work, barn i riskzon, barn till alkoholiserade föräldrar, folkhälsa för barn, Konventionen om barnets rättigheter, skolhälsovård, socialt arbete, utvecklingsekologisk modell
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-2589 (URN)978-91-7668-639-3 (ISBN)
Public defence
2008-12-10, Hörsal P2, Prismahuset, Örebro universitet, Örebro, 13:00 (English)
Opponent
Supervisors
Available from: 2008-11-05 Created: 2008-11-05 Last updated: 2017-10-18Bibliographically approved
Tinnfält, A. & Brunnberg, E. (2008). Towards identifying and supporting children of alcoholics: adolescents´ perspectives. Paper presented at XVIIth ISCPAN International Congress on Child Abuse and Neglect, Towards a Caring and Non-violent Community: A Child's Perspective.
Open this publication in new window or tab >>Towards identifying and supporting children of alcoholics: adolescents´ perspectives
2008 (English)Conference paper, Oral presentation only (Other academic)
Abstract [en]

Purpose: A large group among children and adolescents, who are at risk of abuse and neglect, are children of alcoholics (10-30%). Not all of them have big problems, but they are at risk for mental health problems, like emotional, behavioural, adaptive and cognitive problems as well as alcohol use disorder. In Sweden support groups for children of alcoholics (CoA) are common in the municipalities. However, only approximately 1% of the CoA gets this type of support, because few are identified and supported. The aim of this study is to describe how children of alcoholics signal being abused and neglected, and how they perceive that adults can identify, help and support them. Method: Support groups for CoA were identified in five Swedish municipalities, and adolescents who participate in theses groups were invited to participate in an interview study. Adolescents, 12 to 19 years old, were interviewed either individually or in focus groups. Twenty-seven adolescents, 24 girls and 3 boys, accepted the invitation. The difference between the number of girls and boys is due to the fact that fewer adolescent boys than girls participate in support groups. The interviews were transcribed and an inductive qualitative content analysis was implemented. The study has been approved by the regional research ethics committee. Results: Analysis is ongoing. The results will contribute to an understanding of how CoA signal being abused and neglected. The adolescents´ proposals what school can do to support will be given. Reasons for adolescents´ hesitation in telling adults about their situation will be highlighted. Full results will be reported. Conclusion: It is necessary to listen to the voices of children of alcoholics in order to overcome barriers to detection and support for many children living in this type of high risk families.

Keywords
Children of Alcoholics, adolescent´s voices, identification, support, disclosure
National Category
Social Work Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Social Work
Identifiers
urn:nbn:se:oru:diva-4588 (URN)
Conference
XVIIth ISCPAN International Congress on Child Abuse and Neglect, Towards a Caring and Non-violent Community: A Child's Perspective
Available from: 2008-09-18 Created: 2008-09-18 Last updated: 2017-10-18Bibliographically approved
Johansson [Tinnfält], A., Brunnberg, E. & Eriksson, C. (2007). Adolescent girls' and boys' perceptions of mental health. Journal of Youth Studies, 10(2), 183-202
Open this publication in new window or tab >>Adolescent girls' and boys' perceptions of mental health
2007 (English)In: Journal of Youth Studies, ISSN 1367-6261, E-ISSN 1469-9680, Vol. 10, no 2, p. 183-202Article in journal (Refereed) Published
Abstract [en]

The aims of this study are to analyse the concept of mental health from the perspective of adolescent girls and boys and to describe what adolescent girls and boys regard as important determinants of mental health. Interviews with 48 children, 13 and 16 years old, in Sweden were held individually or in focus groups. The adolescents perceived mental health as an emotional experience, where positive as well as negative health is part of the concept. Family is the most important determinant for young people's mental health, closely followed by friends. Neither girls nor boys believed that there were any large differences in mental health between girls and boys. Age differences seemed to be more important than gender in the perception of mental health by children.

Keywords
mental health, adolescent
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-3028 (URN)10.1080/13676260601055409 (DOI)
Available from: 2008-11-05 Created: 2008-11-05 Last updated: 2017-12-14Bibliographically approved
Tinnfält, A. (2007). Adolescents' perspective on mental health and health-promoting dialogues. (Licentiate dissertation). Örebro: Örebro universitet
Open this publication in new window or tab >>Adolescents' perspective on mental health and health-promoting dialogues
2007 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

Young people in Sweden are satisfied with most things in their lives. But they are not satisfied with school and not with their opportunities for personal influence. The Convention on the Rights of the Child emphasizes the right for children to express their views freely and that their views should be given due weight. In the present academic essay adolescents, 13, 15 and 16 years old, have been interviewed about matters concerning mental health.

The overall aim of the study is to increase our knowledge of adolescents´ perceptions, of mental health and of school nurses´ mental health-promoting dialogue. Focus groups were used in the data collection in study I, as well as in study II. In study II these were combined with individual interviews. Altogether 26 adolescents in study I and 48 in study II were interviewed. Content analysis was used in the analysis in study I, and in study II a phenomenographical approach was used in the analysis.

The findings in study I include what issues to discuss and where the school nurse’s mental health-promoting dialogue should take place. The findings show that adolescents emphasize as most important what the school nurse is like as a person in the health-promoting dialogue, and that trust, attentiveness, respectfulness, authenticity, accessibility during school hours and continuity are established. In study II, the findings show that adolescents find mental health to be an emotional experience where positive and negative health is part of the concept. Family is perceived as the most important determinant for young people’s health, closely followed by friends and thereafter school. The girls and the boys in study II did not feel that there were large differences in mental health between girls and boys, but they saw differences in the way they act; girls are talkative and emotional, and boys are silent and tough. Age differences seem to be more important than gender in the adolescents’ perception of mental health.

The findings are discussed in relation to gender and previous research. Furthermore, the voice of young people and ethical issues in interviewing young people are discussed. The findings are thereafter placed in an ecological model.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2007. p. 42
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 14
Keywords
child public health, the Convention on the Rights of the Child, ethics, focus group, gender, mental health, school health
National Category
Medical and Health Sciences Public Health, Global Health, Social Medicine and Epidemiology Nursing
Research subject
Social Medicine; Nursing Science
Identifiers
urn:nbn:se:oru:diva-3994 (URN)
Presentation
(English)
Note
Agneta Tinnfält (tidigare Johansson)Available from: 2007-09-03 Created: 2007-09-03 Last updated: 2017-10-18Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-4505-9036

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