Endre søk
Begrens søket
12 1 - 50 of 72
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Treff pr side
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
Merk
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 1.
    Bergmark, Anders
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Evidence Production for Psychosocial Treatment of Substance Use Problems2020Inngår i: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 66, nr 2, s. 85-91Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims: In the article at hand we intend to discuss to what extent hitherto efforts towards standardization and quality assurance have been able to achieve stability concerning the production of evidence, and whether an actual evidence-based practice for psychosocial interventions for alcohol and drug problems is anywhere truly in the making. Methods: To explain several methodological inadequacies we make use of a perspective commonly referred to as the actor-network theory (ANT). This is characterized by a strong interest in detailed analysis of how an innovation or an idea is transformed due to interaction with its situated and specific conditions.The empirical material is taken from four earlier studies of our own hands. Results: We have given examples of how an unsystematic handling of different control group designs can lead to serious misinterpretations of intervention effects. The same goes for researcher allegiance, the use of different types of criteria in order to rank different types of evidence, unmotivated restrictions on the inclusion of evidence in a given systematic review, or as in the case of several US clearinghouses. to use extremely weak criteria when discriminating between what is evidence-based and what is not. Conclusions: We suggest that all of these shortcomings are directly or indirectly related to translations, modifications or neglect to adhere to methodological rules intended to produce a reduction of biases and increase standardization

  • 2.
    Bergmark, Anders
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Evidens och socialt arbete: föreställningen om en evidensbaserad praktik inom socialtjänsten2021Rapport (Annet vitenskapelig)
  • 3.
    Bergmark, Anders
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Reply to the commentaries on Bergmark & Karlsson (2020)2020Inngår i: SUCHT, ISSN 0939-5911, E-ISSN 1664-2856, Vol. 66, nr 5, s. 291-292Artikkel i tidsskrift (Annet vitenskapelig)
  • 4.
    Dennermalm, Nicklas
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Ekendahl, Mats
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Risk factors for substance use in Swedish adolescents: A study across substances and time points2022Inngår i: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, E-ISSN 1458-6126, Vol. 39, nr 5, s. 535-552Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The public health model for prevention of disease and disorder has been influential in informing interventions regarding substance use. While a number of risk factors within this model have been found to predict substance use, few studies have explored the associations across substances, at different time points and in the same individuals. The aim of this study was to test this model across legal and illegal substance use among adolescents, and to identify potential changes in associations over time. Methods: Data from two waves of a nationally representative cohort study among Swedish adolescents were used. Baseline data were collected in 2017 (9th grade) with a follow-up in 2019 (11th grade). Using modified Poisson regression analyses, we explored cross-sectional associations between factors from different domains and prevalence of cigarette use, binge-drinking and illegal drug use at both baseline and follow-up. Results: The results in part supported the public health model. Substance use was predicted by factors within the family, school and the individual/peer domain, but several associations were not statistically significant. The only consistent risk factors across substances and time points were lack of parental monitoring, truancy and minor criminal activities. Conclusion: Despite widely different prevalence rates across substances, some risk factors were consistently associated with adolescent substance use. Nonetheless, the findings challenge the assumption that risk factors are stable over adolescence. They suggest a need for flexible prevention interventions spanning across substances and legal boundaries of substances, but also over domains to reflect the heterogenous needs of adolescents.

  • 5.
    Dennermalm, Nicklas
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Ekendahl, Mats
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Stability and Change in Substance Use Among Swedish Adolescents: A Latent Transition Analysis2023Inngår i: Substance Use & Misuse, ISSN 1082-6084, E-ISSN 1532-2491, Vol. 58, nr 7, s. 947-955Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Research is needed on how substance use patterns develop over time in the general adolescent population. This knowledge is crucial in calibrating prevention and other interventions. Method: The study concerns use of cigarettes, alcohol, and cannabis in a nationally representative cohort of Swedish adolescents (n = 3999). Two waves (9th and 11th school grade) from the Futura01 study were analyzed using latent transition analysis (LTA) and multinomial regression analysis. Results: Four substance use patterns, were identified, ranging from Non-user, Alcohol experienced, Alcohol User to Co-user of cigarettes, alcohol, and cannabis. Statuses thus conveyed a continuum from no use to more advanced use. Half of the individuals remained in their original status between time-points, and half transitioned, most often one step on the continuum. Alcohol user was the most stable status over time (0.78), and the Non-user status the least (0.36). The probability of remaining in the Alcohol experienced status was 0.57, and 0.45 for the Co-user status. There was a low probability of transitioning from alcohol to cannabis use. Females were more likely to belong to Alcohol experienced and males to Co-user statuses, but these associations weakened over time. Conclusions: The study identified transitions across substance use statuses between time-points. These usually concerned different levels of alcohol use, and not into more advanced substance use that included the illegal substance cannabis. The study corroborates that young Swedes belong to a “sober” generation and usually do not transition from legal into illegal substance use during late adolescence, though with some gender differences.

  • 6.
    Ekendahl, Mats
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    A matter of craving–An archeology of relapse prevention in Swedish addiction treatment2022Inngår i: International journal of drug policy, ISSN 0955-3959, E-ISSN 1873-4758, Vol. 101, artikkel-id 103575Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article concerns how craving is approached and handled, how it is ‘made up’, in the practice of so-called relapse prevention (RP) for addiction problems. There is a lack of research on what RP in general, and craving in particular, ‘is’ and can become across settings. Drawing upon science and technology studies (STS) and critical addiction research, we analyze how craving is enacted in manuals and training material related to the intervention, and in interviews with professionals in the Swedish treatment system. Adopting an archeological approach, we scrutinize different layers of craving enactments in RP, in search of assumptions that give rise to what John Law refers to as ‘collateral realities’. We identified three collateral realities: 1) ‘The materialization of craving’; 2) ‘The transcendence of the individual’ and 3) ‘The merging of treatment and everyday life’ The data show that the brain, cognition, emotions and behavior are enacted in RP as demarcated targets of intervention that the individual can transcend and control. This approach, in turn, relies on the more foundational tenet that there are no clear-cut boundaries between different identities (I/me/self; body/brain/cognition), between different settings (inside/outside treatment; real/imagined situations) or between different points in time (now/then/before). We discuss the relevance and usefulness of addiction treatment realities where craving is approached as a stable object that can be effectively treated, and where interventions inaugurate neoliberal governance of responsibilized individuals.

  • 7.
    Ekendahl, Mats
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Brukarnöjdhet i beroendevården - en studie av patientinflytande, behandlingstilltro och samordnade insatser2013Rapport (Annet vitenskapelig)
  • 8.
    Ekendahl, Mats
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Comparisons in the making: youth accounts of cannabis use in Swedish addiction treatment2022Inngår i: Drugs: Education, Prevention and Policy, ISSN 0968-7637, Vol. 29, nr 4, s. 364-372Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Research shows that cannabis is understood differently across cannabis cultures. In Sweden, young cannabis users are seen as vulnerable, problem-burdened and increasingly embracing drug-liberal attitudes. Despite low prevalence rates, youth cannabis use is considered a high-profile problem that warrants prohibition. Previous studies show that staff in Swedish addiction treatment legitimize resolute interventions by making up young users as irrational. The treated young people claimed instead that starting to use cannabis and quitting were informed decisions. In this article, we revisit interviews with 18 young clients in Swedish addiction treatment, and examine the data with a focus on comparisons (e.g. A is unlike B). We perceive comparison as a tool in the formation of narrative identity, rather than a logical outcome of accounts. We ask what is compared with what in young people’s accounts of cannabis use, and what these comparisons reveal about their thoughts on well-being, the self and the setting. The interviewees used comparisons that drew on cultural, institutional and organizational narratives when they discussed cannabis. Taken together, their accounts instantiated ideas about powerful drug effects, the primacy of the neoliberal subject and the potential of cannabis addiction. We discuss whether these accounts mirror rather than challenge drug prohibition.

  • 9.
    Ekendahl, Mats
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Fixed and fluid at the same time: how service providers make sense of relapse prevention in Swedish addiction treatment2023Inngår i: Critical Public Health, ISSN 0958-1596, E-ISSN 1469-3682, Vol. 33, nr 1, s. 105-115Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article explores how professionals within Swedish addiction treatment (n = 18) describe and make sense of relapse prevention (RP). RP is known as a self-control programme for maintaining behavioural change, helping people deal with high-risk situations. However, since self-control techniques have been incorporated widely in the addiction treatment field, the specificities of RP have become vague. To grasp what RP ‘is’, we draw on John Law’s and Annemarie Mol’s thoughts on how logics enact objects and realities. We thus follow critical scholarship in Science and Technology Studies and view treatment as a local knowledge-making practice that may depart from how it was originally designed. A key question is how RP is potentially transformed and made-to-matter when moved from the controlled settings of theorising and experimental studies to practice. The professionals used a logic of fixity to make RP stable, structured and evidence-based, easily distinguishable from other interventions. They also used a logic of fluidity to explain how and why they tinkered with it and adapted it to the preferences of both staff and attendees. The two logics enacted two different realities of addiction treatment: one in which RP is standardised, temporally demarcated and can solve most addiction problems, and another where interventions must be individualised, continuous and adapted to local settings and needs. It did not appear contradictory to ‘make up’ RP as both fixed and fluid; the two realities exist side by side, but with different material effects.

  • 10.
    Ekendahl, Mats
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Multiple Logics: How Staff in Relapse Prevention Interpellate People With Substance Use Problems2021Inngår i: Contemporary Drug Problems, ISSN 0091-4509, E-ISSN 2163-1808, Vol. 48, nr 2, s. 99-113Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study analyzes how staff in Swedish alcohol and other drug (AoD) treatment interpellate service users as people who can benefit from relapse prevention. Relapse prevention is a widely used intervention. Research is scarce, however, on how relapse prevention is practiced locally and how treatment staff perceive the relationship between AoD use as a problem and relapse prevention as a solution. Drawing on Actor-Network Theory and critical studies of AoD issues within this tradition, we elucidate how staff through specific interpellative logics enact service users, their individual characteristics, and living conditions. The data derive from interviews with 18 professionals working with assessment, counseling, case-management, therapy, and healthcare at AoD treatment agencies in the Stockholm region. The results show that the participants drew on four interpellative logics, and thereby enacted service users as four different object types. Region and network logics pinpointed that individuals have stable observable characteristics that determine their problems and eligibility for treatment (e.g., living conditions, diagnoses). Fluid and fire logics emphasized that their characteristics also vary depending on context and can be present and absent at the same time (e.g., harms, agency). This flexible interpellation of service users echoes the tendency among treatment staff to embrace sometimes irreconcilable understandings of AoD problems and to enact multiple realities of addiction. This suits a professional field where many factors are thought to cause and help resolve problems, but where the treatment supply is often limited to specific interventions. We conclude that it is easier to create a reasonable match between the service delivered and the potential service user if the characteristics of the latter are considered diverse and flickering. This exemplifies Carol Bacchi’s tenet that problem representations are adjusted to fit the solution at hand.

  • 11.
    Ekendahl, Mats
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    The credibility of risk information about licit substances: An exploratory study of attitudes among Swedish adults2015Inngår i: Nordic Studies on Alcohol and Drugs, ISSN 1458-6126, Vol. 32, nr 4, s. 395-410Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIMS – Providing risk information on licit substances is a central health promotion strategy. Thereis, however, very little knowledge about public attitudes on this information. In this exploratorystudy we analyse the extent to which Swedish adults: 1) trust risk information regarding alcohol,cigarettes and wet snuff (“snus”) provided by public authorities, 2) perceive risk informationregarding alcohol, cigarettes and snus as consistent, and 3) have received an adequate amountof risk information from public authorities regarding these substances. The aim is also toinvestigate if certain characteristics among participants are related to their perceptions of suchrisk information. METHODS – A questionnaire was mailed to a random sample of individuals aged18 to 70 (n=1623, 54% response rate). Descriptive statistics and logistic regression techniqueswere used to process data. RESULTS – Participants trusted risk information concerning cigarettes,snus and alcohol provided by public authorities, and reported that they had received an adequateamount of it. Information about cigarettes was seen as more trustworthy and consistent thaninformation about alcohol and snus. The study suggests that attitudes on risk information aresubstance-specific and associated in complex ways with gender, age, education and experience ofown substance use. CONCLUSION – While only a first attempt to map an under-investigated area,our study highlights complexities in how people perceive risk information about licit substances. Italso indicates that the general population in Sweden receives what is seen as an adequate amountof knowledge from public authorities, and finds it consistent and trustworthy.

    Fulltekst (pdf)
    fulltext
  • 12.
    Ekendahl, Mats
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    The trustworthiness and credibility of risk information about licit substances: Attitudes among Swedish adults2014Inngår i: Paper presented at 40th Annual Alcohol Epidemiology Symposium of the Kettil Bruun Society, Torino, Italy, 9 - 13 June 2014., 2014Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Aims: Providing risk information regarding licit substances is a central strategy in public health promotion. The aim of this paper is to explore the extent to which a random sample of Swedes: 1) trust risk information regarding alcohol, cigarettes and wet snuff (“snus”) provided by public authorities, 2) perceive risk information regarding alcohol, cigarettes and snus as contradictory, and 3) have received an adequate amount of risk information from public authorities regarding these licit substances. Methods: A questionnaire was mailed to Swedish adults aged 18 to 70 (n=1623, 54% response rate). Descriptive statistics and logistic regression techniques were used to process data. Results: Participants trusted risk information concerning cigarettes, snus and alcohol provided by public authorities, and reported that they had received an adequate amount of information. Information about cigarettes was seen as more trustworthy and consistent than information about alcohol and snus. Conclusion: The study suggests that attitudes toward risk information are substance-specific and associated with gender, age, education and experience of own substance use. While highlighting complexities in how people perceive risk information, our data also illustrate that the general population in Sweden seems to be quite well equipped when it comes to risk information about licit substances.

  • 13.
    Ekendahl, Mats
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    The user in Swedish abstinence-oriented opioid substitution therapy: a closer look at how user involvement bears upon policy formation2016Inngår i: Evidence in European social drug research and drug policy / [ed] Aileen O'Gorman, Gary R. Potter, Jane Fountain, Lengerich: Pabst Science Publishers, 2016, s. 51-67Kapittel i bok, del av antologi (Fagfellevurdert)
    Abstract [en]

    The idea of placing the views of service users at the centre of evidence-based practice has been praised in theory but rather neglected in empirical drug treatment research. Knowledge is scarce about how users’ perspectives are handled in policy and practice. In this chapter, we explore how Swedish opioid substitution treatment (OST) was perceived by users themselves and how their views were taken up by the Swedish National Board of Health and Welfare in developing new treatment regulations for OST. We argue that, despite the current valorisation of ‘the user’s voice’ across the health professions, the concept basically has no meaning in Swedish drug policy. The user preferences we identified (such as a desire for less suspicious staff, and acceptance of some drug use on top of their prescription) appeared to be more or less impossible to realise given the core prohibitionist values underpinning Swedish OST policy. While user involvement is commonly described as a keystone in the ‘evidence movement’, our analysis, of a contemporary policymaking process in the field of drug treatment, indicates that it served more as a rhetorical device than as a sine qua non of OST.

  • 14.
    Ekendahl, Mats
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Minas, Renate
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    EU citizens begging and sleeping rough in Swedish Urban Areas: social work perspectives on problems and target groups2020Inngår i: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, Vol. 10, nr 2, s. 186-197Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    EU citizens from Central and Eastern Europe travelling to cities in other countries to make a better living have become an issue of major political concern across Europe. This study explores how professionals from Swedish municipal social service organizations in urban areas construct the phenomenon of poor visiting EU citizens. The impact of social constructions on the practice and design of policies makes it important to analyse how target groups, such as poor visiting EU citizens, are characterized and what normative assumptions are made about them. The study is theoretically based on Schneider and Ingram’s work on ‘Social Constructions of Target Populations’. Interviews with social workers in the three largest cities in Sweden were conducted. The results suggest a clear ambivalence among interviewees regarding how to conceptualize EU citizens. They were careful not to highlight any subgroups, instead defining the group as consisting of different individuals with varying needs. While the interviewees constructed members of the target group in a way similar to what Schneider and Ingram describe as dependents, they also attributed them with some agency. We conclude that this may be a reflection of the political and organizational setting in which social work with poor visiting EU citizens is conducted in Sweden.

  • 15.
    Ekendahl, Mats
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Månsson, Josefin
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Logics of Legitimation in Swedish Treatment for Youth Cannabis Use: The Problem Representations of Social Workers in a Prohibitionist Policy Context2018Inngår i: Contemporary Drug Problems, ISSN 0091-4509, E-ISSN 2163-1808, Vol. 45, nr 3, s. 244-261Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Liberal views on cannabis use are widespread in many Western countries, but prohibitionism remains strong in Sweden. According to Swedish drug policy, comprehensive prevention and treatment interventions are necessary because young people are considered particularly vulnerable to cannabis-related harm. In this article, we examine how staff at Swedish outpatient treatment centers for young substance users (called “MiniMaria”) use different logics when legitimizing their work in youth treatment. We also analyze how this legitimizing process contributes to both justifying solutions and constituting the cannabis “problem” that MiniMaria centers are established to handle. This will shed light on what “drug reality” the staff make up through their articulations. Eighteen interviews with social workers from six MiniMaria centers in the Stockholm region were analyzed. To illustrate how staff made sense of their work, we used the concepts of “problem representation”, “legitimation”, and “logics”. We identified four logics: A scientific and a structural logic linked to knowledge claims, policy goals, and organizational setting, and a professional and a procedural logic linked to work experience, client interaction, and therapeutic methods. Participants used logics to emphasize that the character of the cannabis problem demands wide-ranging interventions and to explain how they made youth cannabis users realize they need treatment. The structural logic of drug prohibitionism was only mentioned as a last resort when other logics were not applicable, for example, when a young person refused to engage in treatment and quit using cannabis. The strategic use of logics provided MiniMaria with a moral legitimacy that represented youth cannabis use as a high-profile problem and young people as in need of protection and control. This legitimizes prevention of youth cannabis use in a national setting where cannabis prevalence and harm remains relatively low.

  • 16.
    Ekendahl, Mats
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Månsson, Josefin
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Heimdahl Vepsä, Karin
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Self‐interpellation in narratives about craving: Multiple and unitary selves2022Inngår i: Sociology of Health and Illness, ISSN 0141-9889, E-ISSN 1467-9566, Vol. 44, nr 9, s. 1391-1407Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The concept of addiction seeks to explain why people actcontrary to their own best interest. At the centre stageof addiction discourse is craving, conceptualised as astrong urge to use substances. This article analyses howtalk therapies such as relapse prevention and self-helpgroups shape identity constructions and understandingsof craving among clients. Drawing upon interviewswith individuals who have engaged in talk therapies inSweden, we analyse how craving is made up through‘self-interpellation’, that is, personal narratives aboutpast, present or future thoughts, feelings and actions.The main ‘self-interpellation’ included multiple selves,where craving was elided by the true self and only feltby the inauthentic self. Less dominant were narrativeswhich drew on a unitary self that remained stable overtime and had to fight craving. The notion of multipleselves appeared as a master narrative that the participantswere positioned by in their identity constructions.We conclude that this multiplicity seems ontologicallydemanding for people who try to recover from substanceuse problems. A demystification of craving, in whichneither substance effects nor malfunctioning brains areblamed for seemingly irrational thoughts and actions, may reduce the stigmatisation of those who have developedhabitual substance use.

  • 17.
    Ekendahl, Mats
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Månsson, Josefin
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Cannabis i Sverige - en komplex substans, en enkelspårig drogpolitik?2020Inngår i: Socionomens forskningssupplement, ISSN 0283-1929, nr 47, s. 16-25Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [sv]

    I Sverige är cannabis, särskilt ungdomars bruk av substansen, kontroversiella ämnen som uppmärksammas såväl i media och politik som bland myndigheter och allmänhet. I denna artikel presenterar vi ett forskningsprojekt som belyser det svenska cannabisbruket, med fokus på vilka som gör det, deras åsikter och motiv, samt hur det kan gå till när de möter preventionsinsatser. Våra resultat pekar mot att cannabisbruk kan ha många olika betydelser och funktioner i människors liv, samt att den svenska förbudspolitiken sätter ramarna för hur användare förstår sina handlingar och hur de bemöts av omgivningen. Yttre inflytande från en drogliberal omvärld har dock inneburit att det knappast längre går att identifiera en allenarådande ”berättelse” om vad cannabis är, vilka effekter substansen har och vad som kännetecknar användarna. Vårt projekt understryker vikten av en mer nyanserad politik och praktik i förhållande till cannabisbruk i Sverige.

  • 18.
    Ekendahl, Mats
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Månsson, Josefin
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Cannabis use under prohibitionism – the interplay between motives, contexts and subjects2020Inngår i: Drugs: education prevention and policy, ISSN 0968-7637, E-ISSN 1465-3370, Vol. 27, nr 5, s. 368-376Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    A key question in drugs research is why people use psychoactive substances. Diverse motives such as boredom, habit, and pain relief have served as explanations, but little is known about how adult cannabis users motivate their use in prohibitionist policy contexts, like Sweden. The aim is to explore what motives a sample of adult Swedish cannabis users refer to when they give meaning to their use. We ask: what aspects of cannabis use (e.g. drug effects, individual characteristics and social contexts) are emphasized in their accounts, and how are such aspects combined to describe motives and justify use? In this study, motives are perceived as culturally situated action, and our analysis is based on online text messages (n = 238) and interviews (n = 12). Participants emphasized either the characteristics of the use situation (motives such as party, relaxation and social function) or of him-/herself as an individual (motives such as mindfulness, identity marker and somatic function). They often mentioned medical and recreational motives in the same account, and carefully presented themselves as rational individuals. The motives reflect that the drugs discourse is increasingly medicalized, that responsibility is highly esteemed in contemporary societies, and that cannabis use is still stigmatized in Sweden.

  • 19.
    Ekendahl, Mats
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Månsson, Josefin
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Media constructions of an illegal drug: the link between cannabis and organized crime in Swedish newspapers2023Inngår i: Drugs: education prevention and policy, ISSN 0968-7637, E-ISSN 1465-3370, s. 1-10Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    Lately, there has been massive media coverage of gang-related criminality in ‘exposed areas’ in Sweden. Politicians have blamed the illegal drugs trade without questioning the country’s prohibitionist drug policy. This study analyzes how cannabis is constructed in Swedish newspaper articles that mention both organized crime and cannabis. We ask how the drug and its buyers and sellers are described, what discourses are drawn upon, and discuss the relationship between media coverage and drug policy.

    Methods

    We analyzed recent (2021) articles from four newspapers (n = 71) through Critical Discourse Analysis.

    Results

    Cannabis was constructed as a commodity linked to violence and deviance. Agency was attributed to people with power and status (e.g. gang leaders), and recreational cannabis users were described as guilty of feeding organized crime. A combination of economic and moral discourses was used to make the reported events meaningful, and to motivate both prohibition and decriminalization/legalization.

    Conclusion

    The study shows that assumedly neutral journalistic voices emphasized the link between cannabis and violence and problematized cannabis buyers and sellers. This homogenous media coverage will probably contribute to keep the question of cannabis law reform discursively lifeless in Sweden.

  • 20.
    Ekendahl, Mats
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Månsson, Josefin
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Risk and responsibilization: resistance and compliance in Swedish treatment for youth cannabis use2020Inngår i: Drugs: education prevention and policy, ISSN 0968-7637, E-ISSN 1465-3370, Vol. 27, nr 1, s. 60-68Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    There is a lack of research on how youth make sense of substance abuse treatment. The aim of this article was to explore how young people in Stockholm, Sweden, perceive outpatient treatment for cannabis use, position themselves as subjects in relation to it, and how they respond to staff’s appeals to rationality and responsible action. The data, consisting of 18 interviews with clients recruited from six treatment centers, were explored using narrative and thematic analysis. Results show that the young clients understood their histories in a responsibilized way where the risk information about cannabis they received was considered crucial. Those who resisted treatment rejected cannabis problematizations by staff, did not value interventions and felt that they had control over their use. Those who complied with treatment said that cannabis problematizations helped them acknowledge their own difficulties, handle substance dependence and mature. We conclude that treatment resistance among young cannabis users would perhaps be prevented if the adult world acknowledged that some believe it is rational and responsible to use cannabis. While the criminal offense of substance use is often expiated through ‘treatment’ in Sweden, young clients establishing a substance use identity could possibly be avoided if cannabis was not equated with risk.

  • 21.
    Elofsson, Stig
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Föräldrars och andra vuxnas betydelse för alkoholkonsumtionen: En studie av högstadie- och gymnasieelver2011Rapport (Annet vitenskapelig)
  • 22. Gripe, Isabella
    et al.
    Danielsson, Anna-Karin
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Thor, Siri
    Ramstedt, Mats
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för folkhälsovetenskap. Karolinska Institutet, Sweden; The Swedish Council for Information on Alcohol and Other Drugs, Sweden.
    Are the well‐off youth in Sweden more likely to use cannabis?2021Inngår i: Drug and Alcohol Review, ISSN 0959-5236, E-ISSN 1465-3362, Vol. 40, nr 1, s. 126-134Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction and Aims. Results from previous research are inconsistent regarding the association between socioeconomic status (SES) and cannabis use among adolescents. Since there are risks associated with cannabis use, a social gradient in cannabis use may contribute to reproducing socioeconomic differences in life opportunities. The aim of this study was to assess the association between childhood SES and cannabis use among youth in Sweden. Design and Methods. We used repeated cross‐sectional data from three waves (2014–2016) of the Swedish national school survey among 11th graders. The analysis encompassed 9497 individuals in 668 school classes. Childhood SES was measured through parents' highest education, as reported by the students. Cannabis use was measured in terms of lifetime use and frequency of use. Data were analysed using multi‐level mixed‐effects Poisson regression. Results. Adolescents with at least 1 parent with university/college education had 17% (incidence rate ratio 1.17, confidence interval 1.05, 1.30) higher risk of lifetime use of cannabis compared with those whose parents had no university/college education, adjusting for sex, SES of the school environment, academic orientation, truancy, risk assessment and parental permissiveness. Among life‐time users of cannabis, risk for frequent cannabis use was 28% (incidence rate ratio 0.72, confidence interval 0.53, 0.97) lower for those with at least 1 parent with university or college education. Discussion and Conclusions. Childhood SES, in terms of parental education, was associated with cannabis use among Swedish adolescents. Adolescents from families with lower SES were less likely to ever try cannabis, but at higher risk for frequent use.

  • 23.
    Heimdahl, Karin
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Psychosocial interventions for substance-abusing parents and their young children: A scoping review2016Inngår i: Addiction Research and Theory, ISSN 1058-6989, Vol. 24, nr 3, s. 236-247Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    The aim of this scoping review was to give an overview of efficacy research on psychosocial interventions aimed at substance-abusing parents with children of up to the age of three. Throughout the overview, there was a focus on underlying assumptions and how the problem descriptions motivating the interventions corresponded with the solutions, i.e. the interventions in question. The data consisted of peer reviewed intervention studies (n = 22) identified through literature searches in online databases. Randomised controlled trial studies as well as quasi-experimental and pre-post studies were included. The results showed that all the studies included bar one focused exclusively on women as parents. Moreover, while the problem descriptions in the studies tended to be quite broad, framing parental substance abuse as a problem influenced by social and structural conditions, the solutions presented in the form of interventions generally had a narrower focus, addressing the individual parent from a psychological perspective only. In conclusion, the review points out the need for developing and evaluating interventions aimed at substance-abusing fathers as well as mothers, and also underscores the importance of these interventions being focused on a broader range of factors rather than just addressing deficits at the level of the individual.

  • 24.
    Heimdahl, Karin
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Riktade insatser till gravida och spädbarnsföräldrar med problematiskt bruk av alkohol, narkotika och läkemedel och psykisk ohälsa: en nationell kartläggning av barnhälsovård, mödrahälsovård och socialtjänst2015Rapport (Annet vitenskapelig)
  • 25.
    Heimdahl, Karin
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Riktade psykosociala insatser till gravida och småbarnsföräldrar med problematiskt bruk av alkohol och narkotika:en litteraturstudie2013Rapport (Annet vitenskapelig)
  • 26.
    Heimdahl, Karin
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Riktade psykosociala insatser till gravida och småbarnsföräldrar med psykisk ohälsa: en litteraturstudie2013Rapport (Annet vitenskapelig)
    Abstract [sv]

    I rapporten beskrivs resultaten från en litteraturstudie om riktade psykosociala insatser till gravida och småbarnsföräldrar (med barn upp till 3 år) som har ett så kallat problematiskt bruk av alkohol och/eller narkotika. Ovanstående grupper är viktiga att uppmärksamma, dels för den inverkan det problematiska bruket kan ha på föräldrarna själva, men framförallt på grund av de negativa effekter detta kan få för föräldra-barnrelationen samt barnets psykiska hälsa och utveckling. Syftet med litteraturstiden har varit att identifiera, sammanfatta och värdera den internationella interventionsforskningen på området. Via sökningar i databaser återfanns 53 relevanta primärstudier. Av dessa undersökte 27 studier interventioner riktade till gravida, 14 studier fokuserade på insatser till småbarnsföräldrar, medan 12 studier beskrev effekter av interventioner som påbörjats under graviditet och avslutats en tid efter barnets födelse. Sammantaget undersökte dessa studier ett flertal olika typer av interventioner. Till de interventioner som studerades mest frekvent hörde bland annat hembesök, behandlingsinsatser samordnade med mödravård samt insatser fokuserade på föräldraträning/föräldraförmågor. De aktuella studiernas sammanvägda resultat pekar dock mot att det råder stor osäkerhet kring de olika insatstypernas effekter. Avsaknaden av enhetligt vetenskapligt stöd innebär dock inte att stöd saknas helt; snarare drar de olika studierna skilda slutsatser kring respektive insats. Därtill är många av studierna alltför metodologiskt svaga för att det ska vara möjligt att uttala sig om effekter, samt i vilken utsträckning dessa eventuellt kan vara bestående. En slutsats som kan dras är därmed att det behövs fler experimentella studier med längre uppföljningstider på området. Ur ett svenskt perspektiv är det även angeläget med studier genomförda i en svensk/nordisk kontext, då skillnaderna mellan länderna avseende tillgång till mödra- och barnhälsovård begränsar möjligheterna att överföra resultat från exempelvis amerikanska studier till svenska förhållanden.

  • 27.
    Heimdahl, Karin
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Samverkan kring gravida med missbruksproblem: en studie av Mödra-Barnhälsovårdsteamet i Haga2016Rapport (Annet vitenskapelig)
  • 28.
    Heimdahl Vepsä, Karin
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Ekendahl, Mats
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Månsson, Josefin
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Polyphonic narratives: The mixing of Alcoholics Anonymous and relapse prevention in stories about recovery and relapse2024Inngår i: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, E-ISSN 1458-6126Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim:  This exploratory study analyses the interplay between the treatment philosophies of Alcoholics Anonymous (AA) and Relapse Prevention (RP) in personal stories of addiction. While the basic ideas of AA and RP are compatible in many ways, they also carry some fundamental differences.

    Methods: The data consisted of interviews with 12 individuals recovering from substance use problems, who had experience of both AA and RP. The analysis drew on a dialogical narrative perspective, and the concept polyphony was used to shed light on the interplay between different treatment philosophies in personal stories of relapse.

    Findings: Although sometimes resulting in incoherence, the treatment philosophies were combined idiosyncratically, in ways that appeared productive for the participants’ self-images and recovery journeys.

    Conclusion: The combination of AA and RP philosophies in narratives of relapse and recovery may reflect a new treatment discourse where individualisation and responsibilisation stand in a complicated relationship with collectivism and surrendering to so-called addicting processes.

  • 29. Hellberg, Christel
    et al.
    Larsson, Sam
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete. University of Gävle, Gävle, Sweden.
    Bertilsson, Göran
    Domeij, Helena
    Larsson Tholén, Susanna
    Kärrman-Fredriksson, Maja
    Ahlström, Gerd
    Dahlberg, Lena
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Centrum för forskning om äldre och åldrande (ARC), (tills m KI). Dalarna University, Falun, Sweden.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Nybom, Jenny
    Starke, Mikaela
    Öhrvall, Ann-Marie
    Fahlström, Gunilla
    Evidence and evidence gaps in assessments and interventions in areas related to social work research and practice – an overview of four evidence maps: [Vetenskapligt kunskapsläge om utredning och insatser i socialt arbete och forskning –en sammanställning av fyra kartläggningar]2023Inngår i: European Journal of Social Work, ISSN 1369-1457, E-ISSN 1468-2664, Vol. 26, nr 5, s. 882-895Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This overview of four evidence maps is based on systematic reviews of assessment and interventions in social work practice. The aim was to investigate the evidence and evidence gaps within four important areas for social work research and practice. Descriptive data on search strategies and domains were collected from four evidence maps, on Social Assistance, Substance Dependence, Care for older adults respectively for persons with disabilities. The scientific quality and scientific evidence were assessed. Key findings were summarised by analyzing and discussing common and specific elements in the evidence maps. The overview was undertaken in close collaboration between researchers with expertise in the field and a government agency. The overview identified both evidence and evidence gaps with respect to effects and experiences of interventions and assessment methods in four evidence maps. Evidence maps provide a comprehensive picture of the state of social services research and can thereby be of use to both researchers and practitioners, and in the production of evidence based social work.

  • 30.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Alternatives to the deficit model of adolescent drug use2010Inngår i: Pleasure, pain and profit. European perspectives on drugs / [ed] Decorte, Tom & Fountain, Jane, Lengerich: Pabst Science Publishers , 2010, s. 21-34Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 31.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Between a rock and a whirlpool? Measurement problems in assessing risk perceptions of illicit drug use2011Inngår i: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, Vol. 28, nr 2, s. 149-157Artikkel i tidsskrift (Annet vitenskapelig)
  • 32.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Explaining Small Effects of Information-based Drug Prevention: The Importance of Considiring Preintervention Levels in Risk Perceptions2008Inngår i: Journal of Alcohol and Drug Education, ISSN 0090-1482, Vol. 52, nr 3, s. 9-17Artikkel i tidsskrift (Annet vitenskapelig)
  • 33.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Inneboende problem i informationsbaserad, universell prevention2010Inngår i: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, Vol. 27, nr 3, s. 259-268Artikkel i tidsskrift (Annet vitenskapelig)
  • 34.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Integrerade etiologiska analyser och drogprevention2012Inngår i: Socialvetenskaplig tidskrift, ISSN 1104-1420, E-ISSN 2003-5624, Vol. 19, nr 3-4, s. 217-231Artikkel i tidsskrift (Fagfellevurdert)
  • 35.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Personal experiences of drinking and alcohol-related risk perceptions: The importance of the subjective dimension2012Inngår i: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, E-ISSN 1458-6126, Vol. 29, nr 4, s. 413-427Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims - To explore the association between subjective experiences of drinking and alcohol-related risk perceptions. Methods - The data is based on a questionnaire with questions about beliefs, use habits and experiences of alcohol and tobacco sent to a random sample of 3,000 Swedes aged 18 to 70 years (response rate= 1,623 individuals, or 54%). In this study, those respondents who had ever been drinking alcohol were included (1,536 individuals). The data were analysed statistically by cross tabs and multiple logistic regression. Results - With some exceptions, the results generally showed that differences in subjective experiences of drinking were related to risk perceptions of alcohol consumption. In particular, those who had more negative than positive subjective experiences of alcohol consumption had substantially higher risk perceptions than those who had more positive than negative experiences, controlling for alcohol consumption and potential confounders. There were also several significant differences between individuals differently involved in alcohol consumption, net of subjective experiences. Conclusions - Subjective experiences of alcohol consumption appear to be an important construct in relation to alcohol-related risk perceptions. To understand the link between personal experiences and risk perceptions pertaining to alcohol consumption, both objective measures of personal experiences and subjective measures should be considered.

  • 36.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Skolbaserad drogundervisning: Angreppssätt, påvisade effekter och framtida utmaningar2009Inngår i: Alkohol och droger: samhällsvetenskapliga perspektiv / [ed] Kajsa Billinger & Lena Hübner, Malmö: Gleerups Utbildning AB, 2009, s. 87-100Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 37.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    The relationship between affective associations with alcohol and binge drinking2012Inngår i: Journal of Substance Use, ISSN 1465-9891, E-ISSN 1475-9942, Vol. 17, nr 1, s. 41-50Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article explores the relationship between affective associations with alcohol and binge drinking. Prior research on the proximal determinants of alcohol consumption has typically focused on cognitive factors such as outcome expectancies, leaving aside affect (i.e. emotional factors). Participants in this study were a random, nationally representative sample of Swedes aged between 18 and 70 (n = 1623, response rate 54%). The results showed that affective associations with alcohol are related to binge drinking, even after controlling for gender, age, education, family situation and perceived risk. This article concludes that affective associations probably should be considered in explanatory frameworks of alcohol consumption, although more research is needed on the causal relationship of affective associations to drinking habits.

     

  • 38.
    Karlsson, Patrik
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Ungdomar och alkohol: Tonåringarna gör som föräldrarna gör2009Inngår i: Socionomen, ISSN 0283-1929, nr 8, s. 16-19Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 39.
    Karlsson, Patrik
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Bergmark, Anders
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Compared with what? An analysis of control group typies in Cochrane and Campbell reviews of psychosocial treatment efficacy with substance use disorders2015Inngår i: Addiction, ISSN 0965-2140, E-ISSN 1360-0443, Vol. 110, nr 3, s. 420-428Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background and Aims

    A crucial, but under-appreciated, aspect in experimental research on psychosocial treatments of substance use disorders concerns what kinds of control groups are used. This paper examines how the distinction between different control group designs has been handled by the Cochrane and the Campbell Collaborations in their systematic reviews of psychosocial treatments of substance abuse disorders.

    Methods

    We assessed Cochrane and Campbell reviews (n = 8) that were devoted to psychosocial treatments of substance use disorders. We noted what control groups were considered and analysed the extent to which the reviews provided a rationale for chosen comparison conditions. We also analysed whether type of control group in the primary studies influenced how the reviews framed the effects discussed and whether this was related to conclusions drawn.

    Results

    The reviews covered studies involving widely different control conditions. Overall, little attention was paid to the use of different control groups (e.g. head-to-head comparisons vs. untreated controls) and what this implies when interpreting effect sizes. Seven of eight reviews did not provide a rationale for the choice of comparison conditions.

    Conclusions

    Cochrane- and Campbell reviews of the efficacy of psychosocial interventions with substance use disorders seem to underappreciate that use of different control group types yields different effect estimates. Most reviews have not distinguished between different control group designs and therefore have provided a confused picture regarding absolute and relative treatment efficacy. A systematic approach to treating different control group designs in research reviews is necessary for meaningful estimates of treatment efficacy.

  • 40.
    Karlsson, Patrik
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Bergmark, Anders
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Evidence-based practice - anything goes?2012Inngår i: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, E-ISSN 1458-6126, Vol. 29, nr 3, s. 281-282Artikkel i tidsskrift (Annet vitenskapelig)
    Fulltekst (pdf)
    fulltext
  • 41.
    Karlsson, Patrik
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Bergmark, Anders
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Implementing guidelines for substance abuse treatment: a critical discussion of "Knowledge to Practice"2012Inngår i: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, E-ISSN 1458-6126, Vol. 29, nr 3, s. 253-265Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIMS - We critically discuss the campaign "Knowledge to Practice". A popular assumption within the evidence-based practice (EBP) framework is that guidelines for best practices are useful for increasing the inflow of research into practice. In Sweden, an initiative known as "Knowledge to Practice" (KTP) has since 2008 been devoted to implementing the National Board of Health and Welfare's guidelines for substance abuse treatment in practice. MATERIAL - Our critical discussion is based on an analysis of available documents describing the KTP campaign. RESULTS - We argue that the implementation process is marred with problems all the way from the beginning, where the guidelines are produced, to the final stage of local "adoption". The vague character of the guidelines coupled with unclear usages of key concepts such as "service user involvement" and EBP as well as a perspective of EBP that in certain respects undermine the legitimacy of its own mission lead us to raise serious doubt about KTP. CONCLUSSIONS - We conclude that KTP can be seen as a clear example of a general unawareness of the two main, largely incompatible "models" of EBP identified in the literature. Further, KTP may as a consequence of this have had the unintended effect of disseminating vague and unclear conceptions of EBP to practitioners.

  • 42.
    Karlsson, Patrik
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Bergmark, Anders
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Nya grepp i preventionsarbetet?: En granskning av Alkoholkommitténs och Mobilisering mot Narkotikas massmediekampanjer2009Inngår i: Nordisk Alkohol- och Narkotikatidskrift, ISSN 1455-0725, Vol. 26, nr 1, s. 5-19Artikkel i tidsskrift (Fagfellevurdert)
  • 43.
    Karlsson, Patrik
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Bergmark, Anders
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Lundström, Tommy
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Effects of psychosocial interventions on behavioural problems in youth: A close look at Cochrane and Campbell reviews2017Inngår i: International Journal of Social Welfare, ISSN 1369-6866, E-ISSN 1468-2397, Vol. 26, nr 2, s. 177-187Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Research indicates that a number of psychosocial interventions are effective for reducing behavioural problems in youth. These interventions are now often included on best practice lists aiming to facilitate informed treatment choices among practitioners. However, analyses in neighbouring research areas have highlighted serious shortcomings in how primary studies are analysed and how studies are synthesised in research reviews. This study took a closer look at the evidence of efficacy for psychosocial interventions that aim to reduce behavioural problems in youth, as shown in systematic research reviews by the Cochrane and the Campbell Collaborations (n = 8). The findings suggest a bias towards overemphasising the efficacy of the interventions in several reviews, an over-confidence in the validity of the findings in some reviews and, overall, a somewhat uncertain evidence base for the efficacy of the interventions. Systematic reviews are crucial for summarising research but more attention to methodological issues may be needed in this area.

    Fulltekst (pdf)
    fulltext
  • 44.
    Karlsson, Patrik
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Bergmark, Anders
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Lundström, Tommy
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Procedures and claims among US evidence-producing organizations: the case of the Incredible Years programme2014Inngår i: Evidence & Policy: A Journal of Research, Debate and Practice, ISSN 1744-2648, E-ISSN 1744-2656, Vol. 10, nr 1, s. 61-76Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    We explore how four evidence-producing organisations in the US go ahead when they rate the evidence base for psychosocial interventions, using the Incredible Years programme as our case study. The findings demonstrate variation in the procedures and resulting evidence claims across the organisations, with some organisations being strict and some being permissive. The presence of such conflicting practices highlights central challenges for the evidence-based practice framework and its ambition of obtaining uniform evidence statements. We conclude that practitioners and policy makers should be aware of such variation in order to be able to make informed decisions regarding which programmes to use.

  • 45.
    Karlsson, Patrik
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Callinan, Sarah
    Gmel, Gerhard
    Raninen, Jonas
    How well do DSM-5 criteria measure alcohol use disorder in the general population of older Swedish adolescents? An item response theory analysis2024Inngår i: Addictive Behaviours, ISSN 0306-4603, E-ISSN 1873-6327, Vol. 154, artikkel-id 108007Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    This study assesses the psychometric properties of DSM-5 criteria of AUD in older Swedish adolescents using item response theory models, focusing specifically on the precision of the scale at the cut-offs for mild, moderate, and severe AUD.

    Methods

    Data from the second wave of Futura01 was used. Futura01 is a nationally representative cohort study of Swedish people born 2001 and data for the second wave was collected when participants were 17/18 years old. This study included only participants who had consumed alcohol during the past 12 months (n = 2648). AUD was measured with 11 binary items. A 2-parameter logistic item response theory model (2PL) estimated the items’ difficulty and discrimination parameters.

    Results

    31.8% of the participants met criteria for AUD. Among these, 75.6% had mild AUD, 18.3% had moderate, and 6.1% had severe AUD. A unidimensional AUD model had a good fit and 2PL models showed that the scale measured AUD over all three cut-offs for AUD severity. Although discrimination parameters ranged from moderate (1.24) to very high (2.38), the more commonly endorsed items discriminated less well than the more difficult items, as also reflected in less precision of the estimates at lower levels of AUD severity. The diagnostic uncertainty was pronounced at the cut-off for mild AUD.

    Conclusion

    DSM-5 criteria measure AUD with better precision at higher levels of AUD severity than at lower levels. As most older adolescents who fulfil an AUD diagnosis are in the mild category, notable uncertainties are involved when an AUD diagnosis is set in this group.

  • 46.
    Karlsson, Patrik
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Ekendahl, Mats
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Risky drinking or risky governance?2024Inngår i: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, E-ISSN 1458-6126Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The National Board of Health and Welfare (NBHW) in Sweden (Socialstyrelsen, 2023) recently updated its threshold for risky drinking, to be considered by healthcare staff in patient work. This is part of their national guidelines for the treatment and prevention of unhealthy lifestyles. The scientific basis for NBHW's threshold consists of recent guidelines published in other countries and two additional systematic reviews identified through literature searches. According to the new threshold, women and men who drink 10 or more standard units (referred to as “standard glasses”) of alcohol during a week are drinking risky (“riskbruk”). Drinking four or more standard units on one occasion at least once a month is also considered risky. As a reference, a standard unit of alcohol in Sweden is defined as 12 g of pure ethanol, corresponding to, for example, 330 ml of strong beer, or 120–150 ml of wine. Below, we raise some concerns with the threshold.

  • 47.
    Karlsson, Patrik
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Ekendahl, Mats
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Gripe, Isabella
    Raninen, Jonas
    Individual and school-class correlates of youth cannabis use in Sweden: A multilevel study2018Inngår i: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, E-ISSN 1458-6126, Vol. 35, nr 2, s. 131-146Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background and aims: The school-class context is a crucial social environment for young people but substance use researchers have largely overlooked potential influences operating at this level. This study explores associations between school-class and individual-level factors and cannabis use in Swedish youth.

    Data and methods: Data comprised four waves (2012–2015) of the Swedish Council for Information on Alcohol and Other Drugs’ (CAN) nationally representative school surveys among individuals in 9th and 11th grade. For the present analyses, we had data on totally 28,729 individuals from 2377 unique school classes. Multilevel logistic regressions predicted lifetime and 10+ times use of cannabis from both individual-level predictors and school-class-level measures derived from the individual-level variables.

    Results: There were individual-level associations between most predictor variables and cannabis use. An early debut of tobacco use and binge drinking as well as low cannabis related risk perceptions had strong associations with cannabis use. Conversely, several school-class-level variables had aggregate relationships with cannabis use, most notably the overall level of risk perceptions in the school class. Some of the school-class factors predicted cannabis use over and above the individual-level covariates, suggesting the presence of contextual effects. Surprisingly, while female gender was negatively related with cannabis use at the individual level, a higher proportion of females in the classroom increased the odds for lifetime cannabis use even after controlling for individual and other contextual-level covariates.

    Conclusions: Youth cannabis use is related to various factors at both the individual and school-class level in Sweden. Truancy and perceived risk related to cannabis use had contextual associations with cannabis use. The positive contextual association between a higher proportion of females in the classroom and lifetime use should be explored further.

  • 48.
    Karlsson, Patrik
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Ekendahl, Mats
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Månsson, Josefin
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete - Socialhögskolan.
    Raninen, Jonas
    Has illicit drug use become normalised in groups of Swedish youth? A latent class analysis of school survey data from 2012 to 20152019Inngår i: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, E-ISSN 1458-6126, Vol. 36, nr 1, s. 21-35Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background:

    It is often assumed that illicit drug use has become normalised in the Western world, as evidenced for example by increased prevalence rates and drug-liberal notions in both socially advantaged and disadvantaged youth populations. There is accumulating research on the characteristics of young illicit drug users from high-prevalence countries, but less is known about the users in countries where use is less common. There is reason to assume that drug users in low-prevalence countries may be more disadvantaged than their counterparts in high-prevalence countries, and that the normalisation thesis perhaps does not apply to the former context.

    Aim:

    This article aims to explore to what extent such assertions hold true by studying the characteristics of young illicit drug users in Sweden, where prevalence is low and drug policy centres on zero tolerance.

    Material and Method:

    We draw on a subsample (n = 3374) of lifetime users of illicit drugs from four waves of a nationally representative sample of students in 9th and 11th grade (2012–2015). Latent class analysis (LCA) on ten indicators pertaining to illicit drug use identified four classes which we termed “Marijuana testers”, “Marijuana users”, “Cannabinoid users” and “Polydrug users”.

    Findings:

    Indications of social advantage/disadvantage such as peer drug use, early substance-use debut and truancy varied across groups, particularly between “Marijuana testers” (low scores) and “Polydrug users” (high scores).

    Conclusions:

    Our findings corroborate the idea that the majority of those who have used illicit drugs in the Swedish youth population have tried marijuana a few times only. We discuss whether or not the comparably large share of socially advantaged “Marijuana testers” in a comparably small sample of lifetime users can be interpreted as a sort of normalisation in a prohibitionist drug policy context.

  • 49.
    Karlsson, Patrik
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Ekendahl, Mats
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Raninen, Jonas
    Exploring the Link between ADHD and Cannabis Use in Swedish Ninth Graders: The Role of Conduct Problems and Sensation-Seeking2023Inngår i: Substance Use & Misuse, ISSN 1082-6084, E-ISSN 1532-2491, Vol. 58, nr 3, s. 311-319Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Attention deficit hyperactivity disorder (ADHD) has in several studies been linked to substance use, including cannabis use. However, crucial gaps remain regarding how to understand this association. Analyzing the association between ADHD and substance use is complicated because of a pronounced overlap between ADHD, conduct problems, and traits such as sensation-seeking. Objectives: Using data from a large and nationally representative study among Swedish adolescents, this study explored the role of conduct problems, but also of sensation-seeking, in accounting for the association between ADHD and cannabis use. Results: There was a notable association between ADHD and cannabis use that was attenuated when conduct problems were controlled for. The association between cannabis use and conduct problems, in turn, was attenuated when sensation-seeking was controlled for. Individuals with both ADHD and conduct problems were more likely to have used cannabis than individuals with ADHD only, but not compared with individuals with conduct problems only. Conclusions: Whereas conduct problems largely explain the link between ADHD and cannabis use, sensation-seeking seems to account for the association between conduct problems and cannabis use.

  • 50.
    Karlsson, Patrik
    et al.
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Ekendahl, Mats
    Stockholms universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Raninen, Jonas
    Is there a gender paradox in the association between conduct problems and cannabis use? A cohort-study among Swedish adolescents2024Inngår i: Drug and Alcohol Review, ISSN 0959-5236, E-ISSN 1465-3362, Vol. 43, nr 1, s. 294-303Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction

    Conduct problems (CP) predict cannabis use prospectively but the research is mixed as to whether this association is stronger among girls. A stronger association among girls would suggest a ‘gender paradox’ as both CP and cannabis use is less common in this group. This study aimed to assess whether the longitudinal association between CP and cannabis use in Swedish adolescents is stronger among girls.

    Methods

    Data from two waves of a nationally representative cohort study of Swedish adolescents born in 2001 were used. Baseline measurements were collected in 9th grade (at age 15–16) and follow-up measures at 11th grade (at age 17–18).

    Results

    CP at baseline were significantly associated with cannabis use at follow-up adjusted for hyperactivity problems, emotional problems, socio-demographics, parental monitoring, school grades and truancy at baseline (odds ratio [OR] 1.14, 95% confidence interval [CI] 1.06–1.24) but not when also adjusting for substance use at baseline. Boys were more likely to have used cannabis during the past year, even when controlling for prior substance use (OR 2.29, 95% CI 1.76–2.98). The association between CP and cannabis use was significantly weaker for boys (OR 0.83, 95% CI 0.72–0.95 in the fully adjusted model). The predicted probability of cannabis use was stable at 0.13 for boys across levels of CP, but ranged from 0.05 to 0.16 for girls.

    Discussion and Conclusion

    The longitudinal association between CP and cannabis use was stronger among girls. The findings are indicative of a ‘gender paradox’ in the association between CP and cannabis use.

12 1 - 50 of 72
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf