Background: It is documented that preventive interventions for vulnerable children should start during pregnancy. Clinicians who work with families in the perinatal period must deal with a complexity created by the combination of risk and protection in the child's care system. National guidelines for treatment offered within mental health care in the perinatal period are currently lacking. We present areas of assessment that can inform the clinician working with pregnant women and their partners and show how the use of a biopsychosocial and cultural case formulation can promote therapeutic work in the perinatal period (P-CF). Method: Based upon clinical experience, theory, research, guidelines and knowledge about parents and children in the perinatal period, a selection is made of risk and protective factors that may influence the child’s development and health. Findings: The selected risk and protective factors are systemised in a biopsychosocial and cultural case formulation for the care system in the perinatal period (P-CF). Use of P-CF in clinical settings are exemplified. Implications: The use of P-CF enables the clinician to generate hypotheses about both development and skewed development. Systematic use can increase equality and quality in clinical decision-making processes by making the clinician's assessments less dependent on personal preferences and degree of experience. P-KF can assist the clinician in balancing risk and protective factors and elucidate where therapeutic interventions need to me made and how they should be provided. Keywords: perinatal, mental health, early intervention, case formulation, pregnancy
{"title":"Bruk av kasusformulering for gravide og partnere i tiden rundt fødsel","authors":"Hege Syversen Smerud, Agathe Syrdal Aanderaa","doi":"10.52734/pmvt1941","DOIUrl":"https://doi.org/10.52734/pmvt1941","url":null,"abstract":"Background: It is documented that preventive interventions for vulnerable children should start during pregnancy. Clinicians who work with families in the perinatal period must deal with a complexity created by the combination of risk and protection in the child's care system. National guidelines for treatment offered within mental health care in the perinatal period are currently lacking. We present areas of assessment that can inform the clinician working with pregnant women and their partners and show how the use of a biopsychosocial and cultural case formulation can promote therapeutic work in the perinatal period (P-CF). Method: Based upon clinical experience, theory, research, guidelines and knowledge about parents and children in the perinatal period, a selection is made of risk and protective factors that may influence the child’s development and health. Findings: The selected risk and protective factors are systemised in a biopsychosocial and cultural case formulation for the care system in the perinatal period (P-CF). Use of P-CF in clinical settings are exemplified. Implications: The use of P-CF enables the clinician to generate hypotheses about both development and skewed development. Systematic use can increase equality and quality in clinical decision-making processes by making the clinician's assessments less dependent on personal preferences and degree of experience. P-KF can assist the clinician in balancing risk and protective factors and elucidate where therapeutic interventions need to me made and how they should be provided. Keywords: perinatal, mental health, early intervention, case formulation, pregnancy","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"376 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135111441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lisbeth Yang, KariAnne Vrabel, Øyvind Rø, Sverre Urnes Johnson
Background: Few studies have evaluated the effectiveness of enhanced cognitive behaviour therapy (CBT-E) in clinical settings with a transdiagnostic patient population. The current study aimed to evaluate the effectiveness of CBT-E in a specialised outpatient eating disorder clinic in southeastern Norway. Method: The study involved a transdiagnostic sample of 96 patients (age 30.7 (SD = 9.4), 92.7% women) with longstanding eating disorders and previous failed treatment attempts. We used multilevel modelling to examine change in eating disorder pathology from pre-treatment (T1) to post-treatment (T2) and follow-up 25 weeks later (T3). A total of 57 patients had sufficient data at T2 and 35 patients at T3. Results: We found statistically significant reductions in eating disorder pathology from pre- to post-treatment. Of those who completed treatment, 49.1% met criteria for remission at post-treatment. These changes were stable at follow-up. Implications: CBT-E may lead to reductions in eating disorder pathology and should be considered an acceptable form of treatment for adult patients with eating disorders. Keywords: anorexia nervosa, binge eating disorder, bulimia nervosa, cognitive behaviour therapy, eating disorders, effectiveness
{"title":"Kognitiv atferdsterapi for spiseforstyrrelser","authors":"Lisbeth Yang, KariAnne Vrabel, Øyvind Rø, Sverre Urnes Johnson","doi":"10.52734/tdck5656","DOIUrl":"https://doi.org/10.52734/tdck5656","url":null,"abstract":"Background: Few studies have evaluated the effectiveness of enhanced cognitive behaviour therapy (CBT-E) in clinical settings with a transdiagnostic patient population. The current study aimed to evaluate the effectiveness of CBT-E in a specialised outpatient eating disorder clinic in southeastern Norway. Method: The study involved a transdiagnostic sample of 96 patients (age 30.7 (SD = 9.4), 92.7% women) with longstanding eating disorders and previous failed treatment attempts. We used multilevel modelling to examine change in eating disorder pathology from pre-treatment (T1) to post-treatment (T2) and follow-up 25 weeks later (T3). A total of 57 patients had sufficient data at T2 and 35 patients at T3. Results: We found statistically significant reductions in eating disorder pathology from pre- to post-treatment. Of those who completed treatment, 49.1% met criteria for remission at post-treatment. These changes were stable at follow-up. Implications: CBT-E may lead to reductions in eating disorder pathology and should be considered an acceptable form of treatment for adult patients with eating disorders. Keywords: anorexia nervosa, binge eating disorder, bulimia nervosa, cognitive behaviour therapy, eating disorders, effectiveness","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"377 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135111436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Line Wisting, Trine Wiig Hage, Ida Aarmo, Anne Louise Wennersberg, Sylvi Norang Haugnes, Marit Danielsen
Objective: This study aimed to explore the feasibility of the Body Project Treatment (BPT) in Norway and examine potential reductions in eating disorder (ED) psychopathology from pre- to post-test. Method: This is a mixed-method design pilot study. A total of 34 females with ED participated in BPT groups. Participants completed self-report questionnaires at pre- and post-test and were invited to participate in focus groups after completing BPT. Feedback from clinicians was also gathered. Results: Overall, BPT was found to be feasible, and significant reductions in ED psychopathology were demonstrated between assessments. Participants were generally satisfied with participating in BPT groups. The main themes that emerged from focus groups included i) shared experiences, ii) clear structure and iii) changes in body and mind. Conclusions: Results indicate that BPT is feasible and may produce reductions in ED symptoms. Further effects remain to be explored in a large-scale study. Keywords: eating disorders, treatment, outpatient, transdiagnostic, intervention feasibility
{"title":"Body Project Treatment: ny gruppebasert behandling for spiseforstyrrelser","authors":"Line Wisting, Trine Wiig Hage, Ida Aarmo, Anne Louise Wennersberg, Sylvi Norang Haugnes, Marit Danielsen","doi":"10.52734/sznt1998","DOIUrl":"https://doi.org/10.52734/sznt1998","url":null,"abstract":"Objective: This study aimed to explore the feasibility of the Body Project Treatment (BPT) in Norway and examine potential reductions in eating disorder (ED) psychopathology from pre- to post-test. Method: This is a mixed-method design pilot study. A total of 34 females with ED participated in BPT groups. Participants completed self-report questionnaires at pre- and post-test and were invited to participate in focus groups after completing BPT. Feedback from clinicians was also gathered. Results: Overall, BPT was found to be feasible, and significant reductions in ED psychopathology were demonstrated between assessments. Participants were generally satisfied with participating in BPT groups. The main themes that emerged from focus groups included i) shared experiences, ii) clear structure and iii) changes in body and mind. Conclusions: Results indicate that BPT is feasible and may produce reductions in ED symptoms. Further effects remain to be explored in a large-scale study. Keywords: eating disorders, treatment, outpatient, transdiagnostic, intervention feasibility","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"376 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135111443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The article discusses the possibilities for finding words for and conveying trauma within a social and political context where the history of what happened is also at risk of disappearing. By comparing two different accounts of enforced disappearance – the Colombian Martha Soto Gallo’s archive for her missing brother and the Mexican literary text Antígona González (Uribe, 2012/2021) – we explore how the texts describe and move beyond the mechanisms of the modern lie and the tendency of trauma towards silencing. The study’s theoretical base is psychoanalytic trauma theory and testimony theory. We also engage in dialogue with Hanna Arendt’s thinking. The archive shows a repetitive pattern; the tireless search for an answer and the answers that never materialise or that pretend to be answers. We discuss how the figurative language of literature can shed light on the silences in the archive. The article reflects on the relationship between the disappeared and the trauma survivor. In dialogue with Carruth’s (2016) concept of traumatic awakenings, we suggest that the ethical imperative – as a result of witnessing severe traumatic experience – can be an engine for political activism, as it appears here in the survivors’ documentation practices. Keywords: trauma, enforced disappearance, psychoanalysis, testimony, Antígona González
{"title":"Om å bevitne systematisk vold og straffrihet – Martha Soto Gallos arkiv for sin forsvunne bror og Sara Uribes Antígona González","authors":"Linda Sandbæk, Natalia Bermúdez Qvortrup","doi":"10.52734/vmei5330","DOIUrl":"https://doi.org/10.52734/vmei5330","url":null,"abstract":"The article discusses the possibilities for finding words for and conveying trauma within a social and political context where the history of what happened is also at risk of disappearing. By comparing two different accounts of enforced disappearance – the Colombian Martha Soto Gallo’s archive for her missing brother and the Mexican literary text Antígona González (Uribe, 2012/2021) – we explore how the texts describe and move beyond the mechanisms of the modern lie and the tendency of trauma towards silencing. The study’s theoretical base is psychoanalytic trauma theory and testimony theory. We also engage in dialogue with Hanna Arendt’s thinking. The archive shows a repetitive pattern; the tireless search for an answer and the answers that never materialise or that pretend to be answers. We discuss how the figurative language of literature can shed light on the silences in the archive. The article reflects on the relationship between the disappeared and the trauma survivor. In dialogue with Carruth’s (2016) concept of traumatic awakenings, we suggest that the ethical imperative – as a result of witnessing severe traumatic experience – can be an engine for political activism, as it appears here in the survivors’ documentation practices. Keywords: trauma, enforced disappearance, psychoanalysis, testimony, Antígona González","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132562502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tuva Marie Melsom, Bodil Sørheim, R. Mentzoni, Eva Mørch
Background: Restorative process has been used as a treatment intervention in cases where children sexually abuse other children. However, empirical knowledge of the method is scarce. Aim: This study aims to explore therapists` reflections on how restorative process affects children who participate. Method: We conducted semi-structured interviews with 12 therapists working with sexually abused children and child abusers. Six of the participants had experience in using restorative process. Data were analyzed using thematic analysis. Results: The analysis resulted in three themes: (1) becoming stronger, (2) making matters worse, and (3) restorative conditions. Conclusion: The majority of the therapists point out that restorative process can be helpful if it is well prepared, both children want to participate, and the abuser takes responsibility. Without these factors, restorative process can be harmful, especially for the victim. Keywords: harmful sexual behaviour, child sexual abuse, restorative process, qualitative method, therapist experience
{"title":"Terapeuters tanker om gjenopprettende prosess når barn begår seksuelle overgrep: en kvalitativ studie","authors":"Tuva Marie Melsom, Bodil Sørheim, R. Mentzoni, Eva Mørch","doi":"10.52734/jxvf5196","DOIUrl":"https://doi.org/10.52734/jxvf5196","url":null,"abstract":"Background: Restorative process has been used as a treatment intervention in cases where children sexually abuse other children. However, empirical knowledge of the method is scarce. Aim: This study aims to explore therapists` reflections on how restorative process affects children who participate. Method: We conducted semi-structured interviews with 12 therapists working with sexually abused children and child abusers. Six of the participants had experience in using restorative process. Data were analyzed using thematic analysis. Results: The analysis resulted in three themes: (1) becoming stronger, (2) making matters worse, and (3) restorative conditions. Conclusion: The majority of the therapists point out that restorative process can be helpful if it is well prepared, both children want to participate, and the abuser takes responsibility. Without these factors, restorative process can be harmful, especially for the victim. Keywords: harmful sexual behaviour, child sexual abuse, restorative process, qualitative method, therapist experience","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116136129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jens Egeland, Iwona Kowalik-Gran, Anne Kristine Aarlien, Olaf Lund
{"title":"Er tallhukommelse i WISC-V et godt mål på vansker med arbeidshukommelse?","authors":"Jens Egeland, Iwona Kowalik-Gran, Anne Kristine Aarlien, Olaf Lund","doi":"10.52734/pavy2401","DOIUrl":"https://doi.org/10.52734/pavy2401","url":null,"abstract":"","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126874359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Implementering av DBT i en rural kontekst","authors":"Tom Jørund Knive, Stein Daniel Østmo, Malin Fors","doi":"10.52734/tuqm5106","DOIUrl":"https://doi.org/10.52734/tuqm5106","url":null,"abstract":"","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116433844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Holsen, P. Holmen, Ole André Solbakken, L. Lien
Background: Equitable mental healthcare regardless of area of residence is a political aim in Norway. The purpose of this study is to evaluate geographical variation in private practitioner coverage, and explore differences between private practitioners with public reimbursement and local community mental health centers (CMHCs) in terms of diagnoses and scope of outpatient treatment, with a focus on mood and neurotic disorders. Method: Cross-sectional registry-based study of adults in outpatient mental healthcare at private practitioners or CMHCs in Norway in 2014–2018. We calculated distribution of diagnoses, geographical variation in rates of private practitioners, and analyzed scope of treatment for patients with mood and neurotic disorders (ICD-10 disorders F3, F4). We estimate cost per treated patient and report geographic variation for hospital catchment areas. Results: Patients with F3, F4 disorders accounted for 64.7 % at private practitioners, and 31.5 % at CMHCs, and received more treatment at private practitioners, five more consultations in a 42 day longer period. There is considerable geographical variation in private practitioner coverage, highest in South-East Norway and lowest in North Norway. Implications: As long as management and priority setting are differently organized for CMHCs and private practitioners in mental health care, we must expect geographical variation in access and use. It appears as an equity paradox that a group of patients, rejected by or not referred to CMHC, receive more treatment by private practitioners. Keywords: mental healthcare, outpatient consultations, private practitioners, CMHC, geographical variation, equal access, equity, priority setting
{"title":"Geografisk variasjon i vaksnes bruk av avtalespesialistar og DPS i psykisk helsevern","authors":"M. Holsen, P. Holmen, Ole André Solbakken, L. Lien","doi":"10.52734/ihak9103","DOIUrl":"https://doi.org/10.52734/ihak9103","url":null,"abstract":"Background: Equitable mental healthcare regardless of area of residence is a political aim in Norway. The purpose of this study is to evaluate geographical variation in private practitioner coverage, and explore differences between private practitioners with public reimbursement and local community mental health centers (CMHCs) in terms of diagnoses and scope of outpatient treatment, with a focus on mood and neurotic disorders. Method: Cross-sectional registry-based study of adults in outpatient mental healthcare at private practitioners or CMHCs in Norway in 2014–2018. We calculated distribution of diagnoses, geographical variation in rates of private practitioners, and analyzed scope of treatment for patients with mood and neurotic disorders (ICD-10 disorders F3, F4). We estimate cost per treated patient and report geographic variation for hospital catchment areas. Results: Patients with F3, F4 disorders accounted for 64.7 % at private practitioners, and 31.5 % at CMHCs, and received more treatment at private practitioners, five more consultations in a 42 day longer period. There is considerable geographical variation in private practitioner coverage, highest in South-East Norway and lowest in North Norway. Implications: As long as management and priority setting are differently organized for CMHCs and private practitioners in mental health care, we must expect geographical variation in access and use. It appears as an equity paradox that a group of patients, rejected by or not referred to CMHC, receive more treatment by private practitioners. Keywords: mental healthcare, outpatient consultations, private practitioners, CMHC, geographical variation, equal access, equity, priority setting","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133348373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The aim was to examine experiences with the Norwegian-developed tool ‘Hei Body and Self-Esteem’ in connection with conversations about body image, shame, food, appearance and performance pressure. Method: Five health professional students tested the ‘Hei Body and Self-Esteem’ tool with 105 subjects aged between four and 60, with and without difficulties with food, body and weight, in kindergartens, schools, sports environments and the health service. The students’ experiences were documented through praxis logs and a focus group interview and were analyzed using thematic analysis. Results: The students’ experiences indicated that the tool facilitated relevant conversations about body image, weight and eating patterns across age and gender in the various settings in which the trial took place. The students found that using the cards in conversations helped to normalize experiences and reduce shame, as well as invite more reflection and dialogue in groups, individually and among the students themselves. Implications: The ‘Hei Body and Self-Esteem’ cards may be relevant as a conversation tool in prevention, treatment and training related to body image, eating disorders and obesity. Keywords: body image, eating disorders, obesity, shame, self-esteem
{"title":"Erfaringer med samtalekortene «Hei Kropp og selvfølelse»: en kvalitativ undersøkelse","authors":"Charlotte Fiskum, Trine Tetlie Eik-Nes","doi":"10.52734/nchg3914","DOIUrl":"https://doi.org/10.52734/nchg3914","url":null,"abstract":"Background: The aim was to examine experiences with the Norwegian-developed tool ‘Hei Body and Self-Esteem’ in connection with conversations about body image, shame, food, appearance and performance pressure. Method: Five health professional students tested the ‘Hei Body and Self-Esteem’ tool with 105 subjects aged between four and 60, with and without difficulties with food, body and weight, in kindergartens, schools, sports environments and the health service. The students’ experiences were documented through praxis logs and a focus group interview and were analyzed using thematic analysis. Results: The students’ experiences indicated that the tool facilitated relevant conversations about body image, weight and eating patterns across age and gender in the various settings in which the trial took place. The students found that using the cards in conversations helped to normalize experiences and reduce shame, as well as invite more reflection and dialogue in groups, individually and among the students themselves. Implications: The ‘Hei Body and Self-Esteem’ cards may be relevant as a conversation tool in prevention, treatment and training related to body image, eating disorders and obesity. Keywords: body image, eating disorders, obesity, shame, self-esteem","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130618692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Helene Skogseth, Marianne Eriksen, Martin Bystad, Per M. Aslaksen
Background: The aim of this systematic review was to investigate the risk of neuropsychological sequelae from boxing. Method: We conducted a systematic search in the databases Medline, Embase, PsychInfo and Web of Science. Studies with boxers, control groups, using neuropsychological assessment and brain-imaging/biomarkers were included. Nine articles met these criteria. Results: The results revealed that processing speed was reduced in six of the nine studies among both amateur and professional boxers. Processing speed correlated negatively with volume of thalamus and number of boxing fights (fight exposure). Three studies found reduced fine motoric skills among professional boxers, but not among amateur boxers. Boxers with more than 15 years of experience had significantly reduced verbal memory compared to controls. Eight of the nine studies found that both amateur and professional boxers had reduced cognitive capacity and/or positive findings on biomarkers. Conclusion: Based on the results, it is reasonable to assume that neuropsychological sequelae are related to career length and number of fights. There may be a dose–response relationship between the number of punches to the head and the risk of neuropsychological sequelae. Methodological limitations (such as low statistical power and short-term follow-up) should be taken into consideration. There is a need for more longitudinal studies to further investigate neuropsychological sequelae of boxing. Keywords: boxing, neuropsychological sequelae, head injury
背景:本系统综述的目的是调查拳击运动的神经心理后遗症的风险。方法:系统检索Medline、Embase、PsychInfo、Web of Science等数据库。研究包括拳击手、对照组、神经心理学评估和脑成像/生物标志物。9篇文章符合这些标准。结果:9项研究中，业余拳击手和职业拳击手中有6项的处理速度降低。处理速度与丘脑体积和拳击次数呈负相关。三项研究发现，职业拳击手的精细运动技能有所下降，而业余拳击手则不然。与对照组相比，有超过15年经验的拳击手的言语记忆明显下降。九项研究中有八项发现，业余和职业拳击手的认知能力都有所下降，或在生物标志物上呈阳性。结论:基于研究结果，可以合理推测神经心理后遗症与职业生涯长度和战斗次数有关。头部击打次数与神经心理后遗症风险之间可能存在剂量-反应关系。应考虑到方法上的局限性(如低统计效力和短期随访)。需要更多的纵向研究来进一步研究拳击运动的神经心理后遗症。关键词:拳击，神经心理后遗症，头部损伤
{"title":"Nevropsykologiske senskader hos boksere: en systematisk gjennomgang","authors":"Helene Skogseth, Marianne Eriksen, Martin Bystad, Per M. Aslaksen","doi":"10.52734/nxpu5060","DOIUrl":"https://doi.org/10.52734/nxpu5060","url":null,"abstract":"Background: The aim of this systematic review was to investigate the risk of neuropsychological sequelae from boxing. Method: We conducted a systematic search in the databases Medline, Embase, PsychInfo and Web of Science. Studies with boxers, control groups, using neuropsychological assessment and brain-imaging/biomarkers were included. Nine articles met these criteria. Results: The results revealed that processing speed was reduced in six of the nine studies among both amateur and professional boxers. Processing speed correlated negatively with volume of thalamus and number of boxing fights (fight exposure). Three studies found reduced fine motoric skills among professional boxers, but not among amateur boxers. Boxers with more than 15 years of experience had significantly reduced verbal memory compared to controls. Eight of the nine studies found that both amateur and professional boxers had reduced cognitive capacity and/or positive findings on biomarkers. Conclusion: Based on the results, it is reasonable to assume that neuropsychological sequelae are related to career length and number of fights. There may be a dose–response relationship between the number of punches to the head and the risk of neuropsychological sequelae. Methodological limitations (such as low statistical power and short-term follow-up) should be taken into consideration. There is a need for more longitudinal studies to further investigate neuropsychological sequelae of boxing. Keywords: boxing, neuropsychological sequelae, head injury","PeriodicalId":344686,"journal":{"name":"Tidsskrift for Norsk psykologforening","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117025426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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