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Sigvardsdotter, ErikaORCID iD iconorcid.org/0000-0003-0970-0436
Publications (10 of 14) Show all publications
Larsen, J., Sigvardsdotter, E., Silow Kallenberg, K. & Eriksson, H. (2018). The Delphi method as a way to explore underresearched areas in nursing: - refugee's health and social participation. In: : . Paper presented at Third Nordic Conference in Nursing Research, Oslo, June 13-15, 2018..
Open this publication in new window or tab >>The Delphi method as a way to explore underresearched areas in nursing: - refugee's health and social participation
2018 (English)Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Background: The Delphi method developed in the 1950s in the US-Army as a way to forecast the probability of nuclear weapons usage in war by consulting "experts". From this origin the Delphi method successfully spread in dierent academic disciplines during the late 1900 to become one important method for access "expert consensus" in situations where no other evidence exist and furthermore to provide a valuable tool in the investigation of "expert opinion" and may thereby help to guide future policy directives in an era such as nursing. Objective: The aim of this presentation is to describe the possibilities of using this approach to explore under-researched areas in nursing using conclusion drawn from a scoping review of Delphi studies on refugee's health and social participation. Method: Scoping review Results: The ndings show that health workers; nurse’s, physicians, civil servants have a tremendous impact on health outcomes that occur for refugees during their adjustment to a new life and that their interpretation and implementing policies is important to consider when elaborating on health and resources of health. Conclusion and implication for practice: To conclude, emphasizing the tacit knowledge of experts the ndings show that this type of approaches can serve as a method to both investigate and establish a consensus among nurses or in areas of nursing research where evidence is lacking. Delphi method is a tool that can provide valuable insight regarding nursing knowledge that is not possible to monitor in any other way and can become more important in nursing research in the future.

National Category
Nursing
Identifiers
urn:nbn:se:rkh:diva-2603 (URN)
Conference
Third Nordic Conference in Nursing Research, Oslo, June 13-15, 2018.
Projects
MRSR
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-07194
Available from: 2018-07-13 Created: 2018-07-13 Last updated: 2018-07-16Bibliographically approved
Sigvardsdotter, E., Nilsson, H., Malm, A., Tinghög, P., Gottvall, M., Vaez, M. & Saboonchi, F. (2017). Development and Preliminary Validation of Refugee Trauma History Checklist (RTHC)-A Brief Checklist for Survey Studies. International Journal of Environmental Research and Public Health, 14(10), Article ID 1175.
Open this publication in new window or tab >>Development and Preliminary Validation of Refugee Trauma History Checklist (RTHC)-A Brief Checklist for Survey Studies
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2017 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 14, no 10, article id 1175Article in journal (Refereed) Published
Abstract [en]

A high proportion of refugees have been subjected to potentially traumatic experiences (PTEs), including torture. PTEs, and torture in particular, are powerful predictors of mental ill health. This paper reports the development and preliminary validation of a brief refugee trauma checklist applicable for survey studies.

METHODS: A pool of 232 items was generated based on pre-existing instruments. Conceptualization, item selection and item refinement was conducted based on existing literature and in collaboration with experts. Ten cognitive interviews using a Think Aloud Protocol (TAP) were performed in a clinical setting, and field testing of the proposed checklist was performed in a total sample of n = 137 asylum seekers from Syria.

RESULTS: The proposed refugee trauma history checklist (RTHC) consists of 2 × 8 items, concerning PTEs that occurred before and during the respondents' flight, respectively. Results show low item non-response and adequate psychometric properties Conclusion: RTHC is a usable tool for providing self-report data on refugee trauma history surveys of community samples. The core set of included events can be augmented and slight modifications can be applied to RTHC for use also in other refugee populations and settings.

Keywords
population study, refugees, self-report instrument, trauma, trauma checklist
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2450 (URN)10.3390/ijerph14101175 (DOI)28976937 (PubMedID)
Funder
Swedish Red CrossForte, Swedish Research Council for Health, Working Life and Welfare, 2016-07194
Available from: 2017-10-05 Created: 2017-10-05 Last updated: 2018-03-29Bibliographically approved
Tinghög, P., Malm, A., Arwidson, C., Sigvardsdotter, E., Lundin, A. & Saboonchi, F. (2017). Prevalence of mental ill health, traumas and postmigration stress among refugees from Syria resettled in Sweden after 2011: a population-based survey. BMJ Open, 7(12), Article ID e018899.
Open this publication in new window or tab >>Prevalence of mental ill health, traumas and postmigration stress among refugees from Syria resettled in Sweden after 2011: a population-based survey
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2017 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 7, no 12, article id e018899Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To estimate the prevalence of and associations between anxiety, depression, post-traumatic stress disorder (PTSD), low subjective well-being (SWB), potential traumas and postmigration stress among refugees from Syria resettled in Sweden.

DESIGN: A cross-sectional and population-based questionnaire study based on a known and complete sample frame. The survey included multiple measures of mental ill health and factors of particular relevance for refugees. Weighted analyses were conducted to calculate representative prevalence rates and associations. Associations were investigated through a series of logistic regression analyses. All analyses were supplemented with robust 95% CIs.

SETTING: Sweden.

PARTICIPANTS: A random sample of 1215 individuals (response rate 30.4%) from Syria aged 18-64 years that were granted residency in Sweden on grounds of asylum between 2011 and 2013.

MAIN OUTCOME MEASURES: Anxiety, depression, PTSD and low SWB were assessed through Hopkins Symptom Checklist, Harvard Trauma Questionnaire and WHO-5 Well-being Index, using established cut-offs.

RESULTS: A majority of the participants met the criteria for at least one of the studied types of mental ill health, and the comorbidity was high. Depression was the most the common type with 40.2% (95% CI 36.9% to 43.3%), followed by low SWB with 37.7% (95% CI 34.8% to 40.1%), anxiety with 31.8% (95% CI 29.2% to 34.7%) and PTSD with 29.9% (95% CI 27.2% to 32.6%). Refugee-related potentially traumatic events (PTEs) experienced before or during migration was common as was substantial levels of postmigration stress. Most types of refugee-related PTEs, especially being exposed to interpersonal violence, and postmigration stress were associated with increased risks for anxiety, depression, low SWB and PTSD.

CONCLUSIONS: Mental ill health, in terms of anxiety, depression, low SWB and PTSD, are highly elevated and comorbid among refugees from Syria. Increased attention from multiple societal sectors to adequately support Syrian refugees' mental health needs, promoting recovery and reducing postmigration stress are needed.

Keywords
Mental Health, Post-migration Stress, Refugees, Resettlement, Syria, Trauma
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2518 (URN)10.1136/bmjopen-2017-018899 (DOI)29289940 (PubMedID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-07194Swedish Red Cross
Available from: 2018-01-04 Created: 2018-01-04 Last updated: 2018-08-30Bibliographically approved
Sigvardsdotter, E. (2016). En papperslös livsvärld: Utanförskapets fenomenologi (1ed.). In: Maja Sager, Helena Holgersson, Klara Öberg (Ed.), Irreguljär migration i Sverige: Rättigheter, vardagserfarenheter, motstånd och statliga kategoriseringar (pp. 141-161). Göteborg: Daidalos
Open this publication in new window or tab >>En papperslös livsvärld: Utanförskapets fenomenologi
2016 (Swedish)In: Irreguljär migration i Sverige: Rättigheter, vardagserfarenheter, motstånd och statliga kategoriseringar / [ed] Maja Sager, Helena Holgersson, Klara Öberg, Göteborg: Daidalos, 2016, 1, p. 141-161Chapter in book (Other academic)
Place, publisher, year, edition, pages
Göteborg: Daidalos, 2016 Edition: 1
National Category
Human Geography
Identifiers
urn:nbn:se:rkh:diva-2293 (URN)978-91-7173-491-4 (ISBN)
Available from: 2016-10-14 Created: 2016-10-14 Last updated: 2016-10-28Bibliographically approved
Tinghög, P., Arwidson, C., Sigvardsdotter, E., Malm, A. & Saboonchi, F. (2016). Nyanlända och asylsökande i Sverige: En studie av psykisk ohälsa, trauma och levnadsvillkor. Huddinge: Röda Korsets Högskola
Open this publication in new window or tab >>Nyanlända och asylsökande i Sverige: En studie av psykisk ohälsa, trauma och levnadsvillkor
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2016 (Swedish)Report (Other academic)
Abstract [sv]

Människor som flyr från krig och konflikt har ofta varit med om omskakande händelser som kan leda till långvariga problem och ohälsa. Det finns lite kunskap om hur sådana erfarenheter påverkar en människa. För att öka kunskapen genomfördes under perioden maj 2015 till oktober 2016, en forskningsstudie vid Röda Korsets Högskola. Studien hade som syfte att uppskatta förekomsten av psykisk ohälsa bland nyanlända från Syrien och asylsökande från Eritrea, Syrien och Somalia samt att kartlägga förekomsten av erfarenheter av traumatiska händelser, post-migratorisk stress och svagt socialt stöd.

Data har samlats in via två enkäter samt register i två kompletterande studiepopulationer. Den första studiepopulationen bestod av 1215 nyanlända från Syrien med permanent uppehållstillstånd som blivit kommunmottagna mellan åren 2011 och 2013. Den andra studiepopulationen bestod av 173 asylsökande från Syrien, Eritrea och Somalia som bodde på ett asylboende i västra Sverige.

Resultaten från studien visar bland annat att den psykiska ohälsan i Sverige 2016 är mycket utbredd bland nyanlända från Syrien och bland asylsökande från Eritrea, Somalia och Syrien. Bland nyanlända från Syrien har var tredje en högst påtaglig depressions- eller ångestproblematik, detta samtidigt som 30 % uppger symtom som stämmer överens med posttraumatiskt stressyndrom (PTSD). Studien indikerar dessutom att psykisk ohälsa i form av depression, ångest, PTSD och lågt välbefinnande är betydligt vanligare bland asylsökande än bland nyanlända, särskilt bland asylsökande från Eritrea och Somalia.

Place, publisher, year, edition, pages
Huddinge: Röda Korsets Högskola, 2016. p. 82
Series
Röda Korsets Högskolas rapportsserie ; 2016:1
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2324 (URN)978-91-983684-0-6 (ISBN)
Projects
Psykisk ohälsa bland flyktingar
Funder
Swedish Red Cross
Available from: 2016-12-28 Created: 2016-12-28 Last updated: 2017-10-30Bibliographically approved
Sigvardsdotter, E., Vaez, M., Hedman, A.-M. & Saboonchi, F. (2016). Prevalence of torture and other war-related traumatic events in forced migrants: A systematic review. Journal on Rehabilitation of Torture Victims and Prevention of Torture, 26(2), 41-73
Open this publication in new window or tab >>Prevalence of torture and other war-related traumatic events in forced migrants: A systematic review
2016 (English)In: Journal on Rehabilitation of Torture Victims and Prevention of Torture, ISSN 1018-8185, E-ISSN 1997-3322, Vol. 26, no 2, p. 41-73Article in journal (Refereed) Published
Abstract [en]

Aim: To describe and appraise the research literature reporting prevalence of torture and/or war-related potentially traumatic experiences (PTEs) in adult forced migrants living in high-income countries.

Methods: A search for peer-reviewed articles in English was conducted in PubMed, Web of Science, PILOTS, key journals, and reference lists. Studies based on clinical samples and samples where less than half of participants were forced migrants were excluded. Data was extracted and a methodological quality appraisal was performed.

Results: A total of 3,470 titles and abstracts were retrieved and screened. Of these, 198 were retrieved in full-text. Forty-one articles fulfilled inclusion criteria and the total number of study participants was 12,020 (median 170). A majority focused on specific ethnic groups or nationalities, Southeast Asian, Middle Eastern and Balkan being the most frequent. Reported prevalence rates of torture ranged between one and 76 % (median 27 %). Almost all participants across all studies had experienced some kind of war-related PTE.

Conclusions: Reported prevalence rates of torture and war-related PTEs vary between groups of forced migrants. Trauma history was often studied as a background variable in relation to mental health. The heterogeneity of data, as well as the methodological challenges in reaching forced migrants and defining and measuring traumatic experiences, prevent generalisation concerning trauma history across groups.

Keywords
forced migrants, migrants, refugees, war-trauma, torture
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2291 (URN)27858780 (PubMedID)
Funder
Swedish Red Cross
Available from: 2016-10-14 Created: 2016-10-14 Last updated: 2017-10-30Bibliographically approved
Sigvardsdotter, E., Malm, A., Tinghög, P., Vaez, M. & Saboonchi, F. (2016). Refugee trauma measurement: a review of existing checklists. Public Health Reviews, 37, Article ID 10.
Open this publication in new window or tab >>Refugee trauma measurement: a review of existing checklists
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2016 (English)In: Public Health Reviews, ISSN 0301-0422, E-ISSN 2107-6952, Vol. 37, article id 10Article, review/survey (Refereed) Published
Abstract [en]

Studies have shown that a high proportion of refugees have been subjected to potentially traumatic experiences (PTEs). PTEs, including torture, are powerful predictors of mental ill health. This paper reports a review of refugee trauma history self-report measures used in population studies.

Methods

A review of existing instruments and checklists, up to September 2015, was performed.

Results

The types of measures for refugee trauma history vary from semi-structured interviews and medical records to extensive multi-item trauma-checklists. The Harvard Trauma Questionnaire (HTQ) was the most commonly used instrument for measuring trauma history among refugee populations. Few checklists included PTEs during the flight.

Conclusion

Trauma history checklists are often used as a tool to control for background variables when studying refugees’ mental health and have mostly been developed in clinical or semi-clinical settings. There is a need for acceptable, reliable and valid brief checklists for measuring trauma in refugees, for the purpose of performing larger scale population studies.

Keywords
Refugee trauma, Review, Trauma checklist, Review of trauma instruments
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-2292 (URN)10.1186/s40985-016-0024-5 (DOI)
Funder
Swedish Red Cross
Available from: 2016-10-14 Created: 2016-10-14 Last updated: 2017-11-29Bibliographically approved
Sigvardsdotter, E. (2014). Krigs- och tortyrskadades vårdbehov: behovet av forskning och kopplingen till Röda Korsets Högskola. In: Ansvarig utgivare: Eva Hall, Vårdenheten, Svenska Röda Korset (Ed.), Att bryta tystnaden: Årsrapport 2014 (pp. 31-37). Svenska Röda Korset
Open this publication in new window or tab >>Krigs- och tortyrskadades vårdbehov: behovet av forskning och kopplingen till Röda Korsets Högskola
2014 (Swedish)In: Att bryta tystnaden: Årsrapport 2014 / [ed] Ansvarig utgivare: Eva Hall, Vårdenheten, Svenska Röda Korset, Svenska Röda Korset , 2014, p. 31-37Chapter in book (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Svenska Röda Korset, 2014
Keywords
tortyr, krigstrauma, vårdbehov, flyktingar, psykisk ohälsa
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:rkh:diva-1868 (URN)
Available from: 2015-06-04 Created: 2015-06-02 Last updated: 2015-06-04Bibliographically approved
Sigvardsdotter, E. (2013). Book review of Beside one’s self: Homelessness felt and lived by Catherine Robinson [Review]. Emotion, Space and Society, 7, 74-75
Open this publication in new window or tab >>Book review of Beside one’s self: Homelessness felt and lived by Catherine Robinson
2013 (English)In: Emotion, Space and Society, ISSN 1755-4586, E-ISSN 1878-0040, Vol. 7, p. 74-75Article, book review (Other academic) Published
National Category
Human Geography
Identifiers
urn:nbn:se:rkh:diva-1361 (URN)10.1016/j.emospa.2012.09.003 (DOI)
Available from: 2012-12-10 Created: 2014-11-03 Last updated: 2017-12-05Bibliographically approved
Sigvardsdotter, E. (2013). Presenting Absent Bodies: Undocumented Persons Coping and Resisting in Sweden. Cultural Geographies, 20(4 SI), 523-539
Open this publication in new window or tab >>Presenting Absent Bodies: Undocumented Persons Coping and Resisting in Sweden
2013 (English)In: Cultural Geographies, ISSN 1474-4740, E-ISSN 1477-0881, Vol. 20, no 4 SI, p. 523-539Article in journal (Refereed) Published
Abstract [en]

Absence and presence have generally been discussed as two aspects of either a temporal or a spatial relationship. With an Arendtian notion of presence as the capacity to define space and to appear in front of others, this article explores undocumentedness as a condition of simultaneous presence and absence. Drawing on ethnographic fieldwork and interviews with undocumented persons in Sweden, it is argued that the undocumented spatiality is paradoxical and Möbius. This article shows how concealment, disguise, diffusion and appearance are key to the different manifestations of presence and absence in undocumented people’s lives. It also shows how undocumented persons, by using their politically absent yet physically present bodies as vehicles for practicing dissensus, can find possibilities for recognition and action in public space.

Place, publisher, year, edition, pages
Sage Publications, 2013
Keywords
absence; dissensus; paradoxical space; Sweden; undocumented
National Category
Human Geography
Identifiers
urn:nbn:se:rkh:diva-1360 (URN)10.1177/1474474012465845 (DOI)
Available from: 2012-12-10 Created: 2014-11-03 Last updated: 2017-12-05Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-0970-0436

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