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Billy Jansson

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The University of Winnipeg

Fazlollah Ghofranipour

Tarbiat Modares University

Eric S . Kim (UBC)

University of British Columbia

Cardiff University

University of Massachusetts, Lowell

Pavel Uspenskij

National Research University Higher School of Economics

Washington Center for Consciousness Studies

Charles Levenstein

University of Massachusetts, Lowell

Northwestern University

University of Massachusetts, Lowell

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Papers by Billy Jansson

Metacognitive Strategy Training Adds to the Effects of Working Memory Training in Children with Special Educational Needs

International Journal of Psychological Studies, 2015

The effects of computer-based Working Memory (WM) training using two training procedures were exa... more The effects of computer-based Working Memory (WM) training using two training procedures were examined among sixty-four primary-school children with Special Educational Needs (SEN). Measures of general cognitive ability, auditory and visuospatial working memory, arithmetic ability, and reading and writing skills were gathered and analysed. The referred group of SEN children predominantly had lower performance in auditory WM, arithmetics and reading and writing skills. The SEN children within respective school were randomized into either an active WM training group or a control group and ten schools participating in the WM training study were randomized into one of two different training conditions. At five schools the SEN children received regular WM training and at the other five schools the children received WM training with the addition of metacognitive strategy training. Results showed a significant difference in WM performance during training in favor of the metacognitive intervention. Furthermore, transfer effects occurred on visuospatial WM measures at posttest and at 6-month follow-up. Post-hoc tests showed that the effects pertained only to the metacognitive intervention. No transfer to arithmetic or reading and writing skills occurred after training in the two training conditions. Results were discussed in terms of metacognitive factors being important in optimizing performance in WM training, and that such factors should be taken into consideration when designing interventions for children with SEN. It is also suggested that in referral of children with SEN to remediation with WM training the WM profiles should be taken into consideration to a greater degree.

Experiences in Close Relationships—Relationship Structures Questionnaire-Global; Swedish Translation

PsycTESTS Dataset

Factor structure and psychometric properties of a Swedish version of the Sussex-Oxford Compassion Scales (SOCS)

Nordic Psychology

P117. Predicting Genetic Risk for Depression and Anxiety Disorders

Biological Psychiatry

Individuals with and without child maltreatment experiences are evaluated similarly and do not differ in facial affect display at zero-and first- acquaintance

Background Individuals with child maltreatment (CM) experiences are more often disliked, rejected... more Background Individuals with child maltreatment (CM) experiences are more often disliked, rejected and victimized compared to individuals without such experiences. However, contributing factors for negative evaluations are so far unknown. Objective The purpose of this preregistered study, based on previous research on adults with borderline personality disorder (BPD), was to test whether negative evaluations of adults with CM experiences, in comparison to unexposed controls, are mediated by more negative and less positive facial affect display. Additionally, we explored whether level of depression, severity of CM, social anxiety, social support, and rejection sensitivity have an influence on ratings. Methods 40 adults with CM experiences (CM+) and 40 non-maltreated (CM-) adults were filmed for measurement of affect display and rated in likeability, trustworthiness, and cooperativeness by 100 independent raters after zero-acquaintance (no interaction). Results Unexpectedly, the CM + a...

The role of working memory and complex executive function in assessment of risk for mathematical learning difficulties in children with special educational needs

The role of working memory and complex executive function in assessment of risk for mathematical ... more

The reliability and factorial validity of different versions of the Shirom-Melamed Burnout Measure/Questionnaire and normative data for a general Swedish sample

International Journal of Stress Management, 2021

The role of Working Memory, complex Executive Function and Metacognitive Strategy Training in Assessment and Intervention for Children with Special Educational Needs

The role of Working Memory, complex Executive Function and Metacognitive Strategy Training in Ass... more

Relational frame theory, mathematical and logical skills : A multiple exemplar training intervention to enhance intellectual performance

International journal of psychology and psychological therapy, 2016

The current study investigated the effects of Relational Frame Theory (RFT) based training on mat... more The current study investigated the effects of Relational Frame Theory (RFT) based training on mathematical and logical skills. A sample of 21 Swedish high school students attending first grade and second grade were assigned to either training (n= 10) or no-training conditions (n= 11). Measures of performance on mathematical tests, Raven’s Standard Progressive Matrices (SPM), and relational responding tasks were taken prior to and after training. For 8-10 weeks, the experimental group trained using SMART, an online multiple exemplar training program for enhancing relational skills. No significant differences between the groups were found on mathematical performance. A significant increase on SPM performance was observed for the experimental group. The findings are in line with previous research on RFT, suggesting that behaviorally based interventions can enhance intellectual performance. Population characteristics, SMART training procedures, strengths and methodological limitations a...

Reduced vividness of emotional memories following reactivation in a second language

Cognition and Emotion, 2021

We investigated the effect of second language use on the experienced vividness and emotionality o... more We investigated the effect of second language use on the experienced vividness and emotionality of negative autobiographical memories. Fifty native Swedish speakers with English as their second language were asked to recall a negative episodic memory from their past in their native language. Half the participants were then asked to reactivate the same memory in their first language while the other half were asked to reactivate it in their second language, and then rate their experienced vividness and emotionality a second time. Following this reactivation, experienced emotionality was reduced for both groups of participants, with a similar magnitude of reduction for both groups. Experienced vividness, however, was only reduced for the group who reactivated the memory in their second language. No difference in intrusion frequency was found between the groups at a one-week follow-up. The results provide increased insight into how a second language can affect the experienced emotionality and vividness of a negative autobiographical memory.

The role of emotion dysregulation and alexithymia in the link between types of child abuse and neglect and psychopathology: A moderated mediation model

European Journal of Trauma & Dissociation, 2021

Abstract Research suggests that child abuse and neglect may be one of the determining factors in ... more Abstract Research suggests that child abuse and neglect may be one of the determining factors in the development of psychopathology because it disrupts the formation of emotional attachment to other people, which leads to emotion dysregulation and alexithymia.This study examined the indirect effect of different types of abuse and neglect on psychopathology through emotion dysregulation accounted by for alexithymia. Sample consisted of 133 college students and staff from United World College Red Cross Nordic. Participants were recruited online via email. A moderated mediation analysis showed a significant conditional indirect effect of childhood emotional abuse, emotional neglect, and physical neglect on psychopathology through emotion dysregulation, with the emotion dysregulation-psychopathology association being increased in magnitude as a function of increased levels of alexithymia. The findings point to the significance of simultaneously investigating emotion dysregulation as a mediator and alexithymia as a moderator within the framework of the association between childhood abuse/neglect and psychopathology in future research. Moreover, these results may serve as an aid in tailoring a transdiagnostic psychotherapeutic treatment that covers alexithymia and emotion regulation difficulties for individuals who show symptoms of comorbid psychopathology with a history of abuse and neglect in childhood.

Fluid reasoning, working memory and planning ability in assessment of risk for mathematical difficulties

Educational Psychology in Practice, 2020

The demands on mathematical problem-solving have increased in almost all school systems internati... more The demands on mathematical problem-solving have increased in almost all school systems internationally and may constitute a barrier for children with special educational needs (SEN). This study explored the role of fluid reasoning (FR), working memory (WM) and complex executive function of planning (EF) in children (N = 62) referred for assessment of SEN, and specifically of risk for mathematical difficulties (MD). Performances on FR, WM and complex EF of planning were used to predict risk for MD. Results showed that planning ability predicted children at risk for MD, beyond FR or WM ability, when comparing with children not at risk for MD. It was concluded that assessing the complex EF of planning in addition to FR and WM ability is crucial in identifying children at risk for MD. The importance of understanding how planning ability affects children's mathematical problem-solving is discussed, in relation to assessment and teaching practices.

The interactive effect of the Behavioral Inhibition System (BIS) and response inhibition on accuracy in a modified stop-signal task

Personality and Individual Differences, 2016

The ability to adjust to a changing environment is an important aspect of everyday life and succe... more The ability to adjust to a changing environment is an important aspect of everyday life and successful goaldirected behavior requires the ability to suppress responses that are no longer appropriate. The main purpose of the present study was to examine if the relationship between inhibitory control (as indexed by stop-signal reaction time, SSRT) and behavioral precision is dependent on levels of Gray and McNaughton's Behavioral Inhibition System (BIS). Additionally, the relationship between BIS and electrodermal activity, and the Behavioral Approach System (BAS) and heart rate activity was investigated. A modified stop-signal task was used. The results showed that there was an interaction effect of BIS and SSRT on accuracy, suggesting that among individuals with higher levels of BIS, longer SSRT (i.e. poorer inhibitory ability) was associated with decreased accuracy. There were no significant correlations between trait variables and physiological variables. The results were discussed in terms of higher levels of BIS being a vulnerability factor when the individual's inhibitory ability simultaneously is poor in situations where the ability to inhibit inappropriate behavioral routines is important for task performance.

Information-processing and emotional vulnerability: Using preattentive bias to predict self-reported and physiological responses to a stressor

Preferential processing favouring threatening information has received increased attention becaus... more Preferential processing favouring threatening information has received increased attention because cognitive formulations have placed increased emphasis on its role as a key cognitive factor underlying vulnerability to and maintenance of anxiety disorders. The present dissertation comprises four empirical studies within the area of preferential processing. Two different outcome measures were used to index preferential processing of threat-related information: Skin conductance responses (SCRs) were used in Studies I, II, and III. The emotional Stroop task was used in Study IV. The main focus has been on preferential processing of threat-related information that occurs outside awareness, thus preferential preattentive processing. Study I investigated the role of traumatic combat experience with regard to preferential processing among UN soldiers following a presentation of threat-related pictures. Results indicated that soldiers with combat experience consistently reacted with lower SCRs compared to soldiers without combat experience. One issue addressed in the individual studies was the association between preferential preattentive processing and trait anxiety. Studies II, III, and IV showed that elevated levels of trait anxiety promote preferential preattentive processing of negatively valenced information, whereas elevated levels of social desirability generally prevent preferential preattentive processing of negatively valenced information. Study II highlighted the importance of including the social desirability factor when studying effects of trait anxiety on preferential processing. In addition, Studies III and IV explored the relationship between preferential processing and emotional vulnerability. The main findings support the notion of preferential preattentive processing of threat representing an underlying predisposition to heightened emotional vulnerability in response to stressful events.

Treatment goals and their attainment: a structured approach to assessment and evaluation

The Cognitive Behaviour Therapist, 2016

Treatment goals are considered a vital part of therapeutic work, and their role is often emphasiz... more Treatment goals are considered a vital part of therapeutic work, and their role is often emphasized in cognitive behavioural therapy (CBT). However, the attainment of goals is rarely accounted for in terms of treatment outcome. In this study, we set out to investigate a structured format for goal assessment and goal attainment in CBT delivered as routine care. We were especially interested in the sensitivity to change in perceived goal attainment. Patients completed a self-administered version of the Bern Inventory of Treatment Goals (BIT-C) and rated their perceived attainment on a maximum of five prioritized goals before and after 12 weeks of treatment, along with measures on anxiety, depression and health-related quality of life. The results indicated that the prioritized goals only partially correspond to disorder-specific concerns, and that perceived proximity to treatment goals is clearly associated with improvements following treatment. The results are discussed in terms of t...

Information-processing and emotional responses to stress: An investigation using self-report and physiological measures of stress

Information-processing and emotional responses to stress: An investigation using self-report and ... more

Psychometric Evaluation of the Swedish Multidimensional Psychological Flexibility Inventory (MPFI)

Psychiatric disorders are common, and reliable measures are crucial for research and clinical pra... more Psychiatric disorders are common, and reliable measures are crucial for research and clinical practice. A cross-diagnostic construct that can be used to index treatment outcomes as well as prevalence of psychological ill health is psychological flexibility. The aim of this study was to validate a Swedish version of the Multidimensional Psychological Flexibility Inventory (MPFI). The MPFI has 12 subscales, six of which measure flexibility, and six that measure inflexibility. Using confirmatory factor analysis in a community sample of 670 participants, we found that a model with 12 factors had the best fit to the data. All 12 subscales showed adequate reliability and the factor structure was similar across age groups and gender. Findings suggest that the Swedish version of the MPFI is a reliable instrument that can be used to index psychological flexibility.

Patients Who Die by Suicide: A Study of Treatment Patterns and Patient Safety Incidents in Norway

International Journal of Environmental Research and Public Health

Underlying patterns and factors behind suicides of patients in treatment are still unclear and th... more Underlying patterns and factors behind suicides of patients in treatment are still unclear and there is a pressing need for more studies to address this knowledge gap. We analysed 278 cases of suicide reported to The Norwegian System of Patient Injury Compensation, drawing on anonymised data, i.e., age group, gender, diagnostic category, type of treatment provided, inpatient vs. outpatient status, type of treatment facility, and expert assessments of medical errors. The data originated from compensation claim forms, expert assessments, and medical records. Chi-square tests for independence, multinominal logistic regression, and Bayes factors for independence were used to analyse whether the age group, gender, diagnostic category, inpatient/outpatient status, type of institution, and type of treatment received by patients that had died by suicide were associated with different types of medical errors. Patients who received medication tended to be proportionally more exposed to an ins...

The Direct and Indirect Effect of Computer Use on Psychological and Somatic Symptoms Among Boys and Girls in Three Different Age Cohorts

International Journal of School Health

This study focused on the direct and indirect effect (via sleep duration) of computer use on psyc... more This study focused on the direct and indirect effect (via sleep duration) of computer use on psychological and somatic symptoms among boys and girls (N = 6112) in 3 different age cohorts (11, 13, and 15-years old) from the 2013/2014 health behaviour in school-aged children (HBSC) study done in Sweden. Structural equation modeling (with SPSS AMOS 22) was used (specifying separate multigroup models for each age group). The mediating effect of sleep duration was tested for significance using a Bootstrap estimation. Across the age groups, the direct effect of computer use was found to be a significant risk factor for psychological and somatic symptoms among both girls and boys (all the P values < 0.05), as the associations between computer use was only partly mediated by sleep duration. Additionally, the magnitude of the effects for the association between computer use and both psychological and somatic symptoms was quite similar among boys and girls across different age cohorts, but tended to be more pronounced among 13-year old girls. In particular, the direct and indirect effect computer use on psychological symptoms was significantly stronger among girls in this age cohort (all the P values < 0.05). Even though the cross-sectional design of the study prevented causal conclusions, the development of strategies to reduce children and adolescents' computer screen time and the need to focus on mechanisms relating ICT use to somatic and psychological symptoms were emphasized.

Recovery Experience Questionnaire--Swedish Version

PsycTESTS Dataset

Metacognitive Strategy Training Adds to the Effects of Working Memory Training in Children with Special Educational Needs

International Journal of Psychological Studies, 2015

The effects of computer-based Working Memory (WM) training using two training procedures were exa... more The effects of computer-based Working Memory (WM) training using two training procedures were examined among sixty-four primary-school children with Special Educational Needs (SEN). Measures of general cognitive ability, auditory and visuospatial working memory, arithmetic ability, and reading and writing skills were gathered and analysed. The referred group of SEN children predominantly had lower performance in auditory WM, arithmetics and reading and writing skills. The SEN children within respective school were randomized into either an active WM training group or a control group and ten schools participating in the WM training study were randomized into one of two different training conditions. At five schools the SEN children received regular WM training and at the other five schools the children received WM training with the addition of metacognitive strategy training. Results showed a significant difference in WM performance during training in favor of the metacognitive intervention. Furthermore, transfer effects occurred on visuospatial WM measures at posttest and at 6-month follow-up. Post-hoc tests showed that the effects pertained only to the metacognitive intervention. No transfer to arithmetic or reading and writing skills occurred after training in the two training conditions. Results were discussed in terms of metacognitive factors being important in optimizing performance in WM training, and that such factors should be taken into consideration when designing interventions for children with SEN. It is also suggested that in referral of children with SEN to remediation with WM training the WM profiles should be taken into consideration to a greater degree.

Experiences in Close Relationships—Relationship Structures Questionnaire-Global; Swedish Translation

PsycTESTS Dataset

Factor structure and psychometric properties of a Swedish version of the Sussex-Oxford Compassion Scales (SOCS)

Nordic Psychology

P117. Predicting Genetic Risk for Depression and Anxiety Disorders

Biological Psychiatry

Individuals with and without child maltreatment experiences are evaluated similarly and do not differ in facial affect display at zero-and first- acquaintance

Background Individuals with child maltreatment (CM) experiences are more often disliked, rejected... more Background Individuals with child maltreatment (CM) experiences are more often disliked, rejected and victimized compared to individuals without such experiences. However, contributing factors for negative evaluations are so far unknown. Objective The purpose of this preregistered study, based on previous research on adults with borderline personality disorder (BPD), was to test whether negative evaluations of adults with CM experiences, in comparison to unexposed controls, are mediated by more negative and less positive facial affect display. Additionally, we explored whether level of depression, severity of CM, social anxiety, social support, and rejection sensitivity have an influence on ratings. Methods 40 adults with CM experiences (CM+) and 40 non-maltreated (CM-) adults were filmed for measurement of affect display and rated in likeability, trustworthiness, and cooperativeness by 100 independent raters after zero-acquaintance (no interaction). Results Unexpectedly, the CM + a...

The role of working memory and complex executive function in assessment of risk for mathematical learning difficulties in children with special educational needs

The role of working memory and complex executive function in assessment of risk for mathematical ... more

The reliability and factorial validity of different versions of the Shirom-Melamed Burnout Measure/Questionnaire and normative data for a general Swedish sample

International Journal of Stress Management, 2021

The role of Working Memory, complex Executive Function and Metacognitive Strategy Training in Assessment and Intervention for Children with Special Educational Needs

The role of Working Memory, complex Executive Function and Metacognitive Strategy Training in Ass... more

Relational frame theory, mathematical and logical skills : A multiple exemplar training intervention to enhance intellectual performance

International journal of psychology and psychological therapy, 2016

The current study investigated the effects of Relational Frame Theory (RFT) based training on mat... more The current study investigated the effects of Relational Frame Theory (RFT) based training on mathematical and logical skills. A sample of 21 Swedish high school students attending first grade and second grade were assigned to either training (n= 10) or no-training conditions (n= 11). Measures of performance on mathematical tests, Raven’s Standard Progressive Matrices (SPM), and relational responding tasks were taken prior to and after training. For 8-10 weeks, the experimental group trained using SMART, an online multiple exemplar training program for enhancing relational skills. No significant differences between the groups were found on mathematical performance. A significant increase on SPM performance was observed for the experimental group. The findings are in line with previous research on RFT, suggesting that behaviorally based interventions can enhance intellectual performance. Population characteristics, SMART training procedures, strengths and methodological limitations a...

Reduced vividness of emotional memories following reactivation in a second language

Cognition and Emotion, 2021

We investigated the effect of second language use on the experienced vividness and emotionality o... more We investigated the effect of second language use on the experienced vividness and emotionality of negative autobiographical memories. Fifty native Swedish speakers with English as their second language were asked to recall a negative episodic memory from their past in their native language. Half the participants were then asked to reactivate the same memory in their first language while the other half were asked to reactivate it in their second language, and then rate their experienced vividness and emotionality a second time. Following this reactivation, experienced emotionality was reduced for both groups of participants, with a similar magnitude of reduction for both groups. Experienced vividness, however, was only reduced for the group who reactivated the memory in their second language. No difference in intrusion frequency was found between the groups at a one-week follow-up. The results provide increased insight into how a second language can affect the experienced emotionality and vividness of a negative autobiographical memory.

The role of emotion dysregulation and alexithymia in the link between types of child abuse and neglect and psychopathology: A moderated mediation model

European Journal of Trauma & Dissociation, 2021

Abstract Research suggests that child abuse and neglect may be one of the determining factors in ... more Abstract Research suggests that child abuse and neglect may be one of the determining factors in the development of psychopathology because it disrupts the formation of emotional attachment to other people, which leads to emotion dysregulation and alexithymia.This study examined the indirect effect of different types of abuse and neglect on psychopathology through emotion dysregulation accounted by for alexithymia. Sample consisted of 133 college students and staff from United World College Red Cross Nordic. Participants were recruited online via email. A moderated mediation analysis showed a significant conditional indirect effect of childhood emotional abuse, emotional neglect, and physical neglect on psychopathology through emotion dysregulation, with the emotion dysregulation-psychopathology association being increased in magnitude as a function of increased levels of alexithymia. The findings point to the significance of simultaneously investigating emotion dysregulation as a mediator and alexithymia as a moderator within the framework of the association between childhood abuse/neglect and psychopathology in future research. Moreover, these results may serve as an aid in tailoring a transdiagnostic psychotherapeutic treatment that covers alexithymia and emotion regulation difficulties for individuals who show symptoms of comorbid psychopathology with a history of abuse and neglect in childhood.

Fluid reasoning, working memory and planning ability in assessment of risk for mathematical difficulties

Educational Psychology in Practice, 2020

The demands on mathematical problem-solving have increased in almost all school systems internati... more The demands on mathematical problem-solving have increased in almost all school systems internationally and may constitute a barrier for children with special educational needs (SEN). This study explored the role of fluid reasoning (FR), working memory (WM) and complex executive function of planning (EF) in children (N = 62) referred for assessment of SEN, and specifically of risk for mathematical difficulties (MD). Performances on FR, WM and complex EF of planning were used to predict risk for MD. Results showed that planning ability predicted children at risk for MD, beyond FR or WM ability, when comparing with children not at risk for MD. It was concluded that assessing the complex EF of planning in addition to FR and WM ability is crucial in identifying children at risk for MD. The importance of understanding how planning ability affects children's mathematical problem-solving is discussed, in relation to assessment and teaching practices.

The interactive effect of the Behavioral Inhibition System (BIS) and response inhibition on accuracy in a modified stop-signal task

Personality and Individual Differences, 2016

The ability to adjust to a changing environment is an important aspect of everyday life and succe... more The ability to adjust to a changing environment is an important aspect of everyday life and successful goaldirected behavior requires the ability to suppress responses that are no longer appropriate. The main purpose of the present study was to examine if the relationship between inhibitory control (as indexed by stop-signal reaction time, SSRT) and behavioral precision is dependent on levels of Gray and McNaughton's Behavioral Inhibition System (BIS). Additionally, the relationship between BIS and electrodermal activity, and the Behavioral Approach System (BAS) and heart rate activity was investigated. A modified stop-signal task was used. The results showed that there was an interaction effect of BIS and SSRT on accuracy, suggesting that among individuals with higher levels of BIS, longer SSRT (i.e. poorer inhibitory ability) was associated with decreased accuracy. There were no significant correlations between trait variables and physiological variables. The results were discussed in terms of higher levels of BIS being a vulnerability factor when the individual's inhibitory ability simultaneously is poor in situations where the ability to inhibit inappropriate behavioral routines is important for task performance.

Information-processing and emotional vulnerability: Using preattentive bias to predict self-reported and physiological responses to a stressor

Preferential processing favouring threatening information has received increased attention becaus... more Preferential processing favouring threatening information has received increased attention because cognitive formulations have placed increased emphasis on its role as a key cognitive factor underlying vulnerability to and maintenance of anxiety disorders. The present dissertation comprises four empirical studies within the area of preferential processing. Two different outcome measures were used to index preferential processing of threat-related information: Skin conductance responses (SCRs) were used in Studies I, II, and III. The emotional Stroop task was used in Study IV. The main focus has been on preferential processing of threat-related information that occurs outside awareness, thus preferential preattentive processing. Study I investigated the role of traumatic combat experience with regard to preferential processing among UN soldiers following a presentation of threat-related pictures. Results indicated that soldiers with combat experience consistently reacted with lower SCRs compared to soldiers without combat experience. One issue addressed in the individual studies was the association between preferential preattentive processing and trait anxiety. Studies II, III, and IV showed that elevated levels of trait anxiety promote preferential preattentive processing of negatively valenced information, whereas elevated levels of social desirability generally prevent preferential preattentive processing of negatively valenced information. Study II highlighted the importance of including the social desirability factor when studying effects of trait anxiety on preferential processing. In addition, Studies III and IV explored the relationship between preferential processing and emotional vulnerability. The main findings support the notion of preferential preattentive processing of threat representing an underlying predisposition to heightened emotional vulnerability in response to stressful events.

Treatment goals and their attainment: a structured approach to assessment and evaluation

The Cognitive Behaviour Therapist, 2016

Treatment goals are considered a vital part of therapeutic work, and their role is often emphasiz... more Treatment goals are considered a vital part of therapeutic work, and their role is often emphasized in cognitive behavioural therapy (CBT). However, the attainment of goals is rarely accounted for in terms of treatment outcome. In this study, we set out to investigate a structured format for goal assessment and goal attainment in CBT delivered as routine care. We were especially interested in the sensitivity to change in perceived goal attainment. Patients completed a self-administered version of the Bern Inventory of Treatment Goals (BIT-C) and rated their perceived attainment on a maximum of five prioritized goals before and after 12 weeks of treatment, along with measures on anxiety, depression and health-related quality of life. The results indicated that the prioritized goals only partially correspond to disorder-specific concerns, and that perceived proximity to treatment goals is clearly associated with improvements following treatment. The results are discussed in terms of t...

Information-processing and emotional responses to stress: An investigation using self-report and physiological measures of stress

Information-processing and emotional responses to stress: An investigation using self-report and ... more

Psychometric Evaluation of the Swedish Multidimensional Psychological Flexibility Inventory (MPFI)

Psychiatric disorders are common, and reliable measures are crucial for research and clinical pra... more Psychiatric disorders are common, and reliable measures are crucial for research and clinical practice. A cross-diagnostic construct that can be used to index treatment outcomes as well as prevalence of psychological ill health is psychological flexibility. The aim of this study was to validate a Swedish version of the Multidimensional Psychological Flexibility Inventory (MPFI). The MPFI has 12 subscales, six of which measure flexibility, and six that measure inflexibility. Using confirmatory factor analysis in a community sample of 670 participants, we found that a model with 12 factors had the best fit to the data. All 12 subscales showed adequate reliability and the factor structure was similar across age groups and gender. Findings suggest that the Swedish version of the MPFI is a reliable instrument that can be used to index psychological flexibility.

Patients Who Die by Suicide: A Study of Treatment Patterns and Patient Safety Incidents in Norway

International Journal of Environmental Research and Public Health

Underlying patterns and factors behind suicides of patients in treatment are still unclear and th... more Underlying patterns and factors behind suicides of patients in treatment are still unclear and there is a pressing need for more studies to address this knowledge gap. We analysed 278 cases of suicide reported to The Norwegian System of Patient Injury Compensation, drawing on anonymised data, i.e., age group, gender, diagnostic category, type of treatment provided, inpatient vs. outpatient status, type of treatment facility, and expert assessments of medical errors. The data originated from compensation claim forms, expert assessments, and medical records. Chi-square tests for independence, multinominal logistic regression, and Bayes factors for independence were used to analyse whether the age group, gender, diagnostic category, inpatient/outpatient status, type of institution, and type of treatment received by patients that had died by suicide were associated with different types of medical errors. Patients who received medication tended to be proportionally more exposed to an ins...

The Direct and Indirect Effect of Computer Use on Psychological and Somatic Symptoms Among Boys and Girls in Three Different Age Cohorts

International Journal of School Health

This study focused on the direct and indirect effect (via sleep duration) of computer use on psyc... more This study focused on the direct and indirect effect (via sleep duration) of computer use on psychological and somatic symptoms among boys and girls (N = 6112) in 3 different age cohorts (11, 13, and 15-years old) from the 2013/2014 health behaviour in school-aged children (HBSC) study done in Sweden. Structural equation modeling (with SPSS AMOS 22) was used (specifying separate multigroup models for each age group). The mediating effect of sleep duration was tested for significance using a Bootstrap estimation. Across the age groups, the direct effect of computer use was found to be a significant risk factor for psychological and somatic symptoms among both girls and boys (all the P values < 0.05), as the associations between computer use was only partly mediated by sleep duration. Additionally, the magnitude of the effects for the association between computer use and both psychological and somatic symptoms was quite similar among boys and girls across different age cohorts, but tended to be more pronounced among 13-year old girls. In particular, the direct and indirect effect computer use on psychological symptoms was significantly stronger among girls in this age cohort (all the P values < 0.05). Even though the cross-sectional design of the study prevented causal conclusions, the development of strategies to reduce children and adolescents' computer screen time and the need to focus on mechanisms relating ICT use to somatic and psychological symptoms were emphasized.

Recovery Experience Questionnaire--Swedish Version

PsycTESTS Dataset