- Substance Abuse Treatment and Outcomes
- Alcohol Consumption and Health Effects
- Homelessness and Social Issues
- Digital Mental Health Interventions
- Health Policy Implementation Science
- Behavioral Health and Interventions
- Community Health and Development
- Mental Health Treatment and Access
- Mental Health Research Topics
- Cannabis and Cannabinoid Research
- Schizophrenia research and treatment
- Physical Activity and Health
- Alcoholism and Thiamine Deficiency
- Child and Adolescent Psychosocial and Emotional Development
- Pharmaceutical Practices and Patient Outcomes
- Opioid Use Disorder Treatment
- Health disparities and outcomes
- Health and Medical Studies
- Mental Health and Patient Involvement
- Prenatal Substance Exposure Effects
- Health and Well-being Studies
- Health Promotion and Cardiovascular Prevention
- Food Security and Health in Diverse Populations
- Smoking Behavior and Cessation
- Healthcare Policy and Management
Karolinska Institutet
2016-2025
Stockholm Health Care Services
2017-2025
Region of Southern Denmark
2024
ORCID
2024
Swedish Research Council
2024
Stockholm County Council
2016-2022
Center for Clinical Research Dalarna
2021
Beroendecentrum Stockholm
1999-2018
Karolinska University Hospital
1988-2012
Swedish Institute
2007-2011
The association between alcohol consumption and 15 year mortality was studied in a cohort of 49 464 Swedish conscripts, mostly aged 18-19. A strong found. relative risk death among conscripts with high (>250 g/week) 3.0 (95% confidence interval (2.3 to 4.1) compared those moderate (1-100 g/week). After adjustment for social background variables the reduced 2.1 1.4 3.2). Among causes predominance found violent death, suicide or probable being leading single cause accounting 236 (36%) all...
Alcohol use disorders are highly prevalent worldwide. However, only a minority with alcohol dependence seek and undergo treatment. From public health perspective, it is important to understand why people do not treatment.This study aims describe how perceive discuss treatment for their reasons seeking treatment.32 dependent adults from the general population participated in focus groups individual interviews Stockholm during 2011-2012. Data were analyzed thematic content analysis.Suffering...
ABSTRACT– In a previous longitudinal study of Swedish conscripts we have shown strong association between level cannabis consumption at conscription and development schizophrenia during 15 years follow‐up. this further analysed data from subsample the national cohort. Case records for all residing in Stockholm County who reported consuming on more than 10 occasions subseqently developed ( n = 8) were compared with case sample also but no 13). The relative risk among users Country was 4.1...
Background There is now strong evidence that cannabis use increases the risk of psychoses including schizophrenia, but relationship between and different psychotic disorders, as well mechanisms, are poorly known. We aimed to assess types outcomes after in adolescence variation over time. Method A cohort 50 087 military conscripts with data on late was followed up during 35 years regard in-patient care for diagnoses. Results Odds ratios among frequent users compared non-users were 3.7 [95%...
Objective: Systematic reviews and meta-analyses were completed studying the effect of changes in physical availability take-away alcohol on per capita consumption. Previous examining this topic have not focused off-premise outlets where is sold meta-analyses. Method: conducted separately for policies affecting temporal (days hours sale) spatial (outlet density) alcohol. Studies included up to December 2015. Quality criteria used select articles that studied these consumption with a focus...
Abstract Background and Aims Studies using smartphone apps in treatment for alcohol dependence are lacking. This study aimed to test the consumption‐reducing effects of two app‐based interventions as complement usual (TAU). Design Three‐armed, parallel, randomised controlled trial. Setting Specialised outpatient clinic within Stockholm Centre Dependency Disorders, Stockholm, Sweden. Participants 162 alcohol‐dependent adults (46% female), with no social problems or mental disorders, who had...
Background and Purpose Since stroke is a principal cause of death in elderly people, we analyzed the association between alcohol mortality cohort 15 077 middle-aged older men women. Methods Data on habits were obtained from questionnaire 1967. The subsequent 20 years yielded 769 deaths stroke, which 574 ischemic. Relative risks (RR) estimated logistic regression analyses with lifelong abstainers as reference group. Adjustments made for age smoking. Results No was found intake hemorrhagic...
This article represents the proceedings of a symposium at 2002 annual meeting Research Society on Alcoholism in San Francisco, CA, organized and cochaired by Mats Berglund Sten Thelander. The presentations were (1) Preventive interventions against hazardous consumption alcohol, Mikko Salaspuro; (2) Treatment alcohol withdrawal, Johan Franck; (3) Psychosocial treatment for problems, Sven Andréasson Agneta Öjehagen; (4) Pharmacological dependence, Berglund.
Aim: To study the mortality and causes of death among homeless men women in relation to risk indicators, previous treatment for alcohol drug abuse, mental disorders non-Swedish citizenship. Methods: The was studied a cohort comprising 1,757 526 compared with general population persons inpatient alcohol- drug-related disorders. follow-up period from 1995 1997 until end 2005. were analyzed. Results: 421 deaths occurred during period. relative 3.1, no difference between women. Previous abuse...
Aims: This paper describes changes in alcohol consumption among Swedish youth over the past decade with aim of exploring polarization hypothesis, which asserts that while a majority young drinkers have reduced their consumption, subgroup increased drinking substantially, resulting greater harm. Methods: We analysed repeated cross-sectional self-report data from 45,841 15–16-year olds and 40,889 18–19-year-old high-school students living Stockholm municipality between 2000 2010. The...
Background The aim of the study was to determinate whether schizophrenia patients with a history cannabis use have different prognosis, regards readmission and hospital duration, compared those without use. Method present investigation cohort 50 087 Swedish men data on at ages 18–20 years. A total 357 cases were identified from in-patient care followed up 1973 2007. Results Schizophrenia had higher median duration first episode (59 days v. 30 days). Patients rate (10 times four times). Also,...
Abstract Alcohol's impact on global health is substantial and of a similar order magnitude to that from COVID‐19. Alcohol now also poses specific concerns, such as increased risk severe lung infections, domestic violence, child abuse, depression suicide. Its use unlikely aid physical distancing or other preventative behavioural measures. Globally, alcohol contributes 20% injury 11.5% non‐injury emergency room presentations. We provide some broad comparisons between alcohol‐attributable...
This article represents the proceedings of a symposium at 2000 ISBRA Meeting in Yokohama, Japan. The chairs were Claudia Spies and Hanne Tønnesen. presentations (1) Relevance alcohol misuse surgical patients, by Tønnesen; (2) Diagnosis abuse dependence, Sven Andreasson; (3) acute misuse, Anders Helander; (4) Preoperative intervention for excessive consumption, Kate Conigrave; (5) Prevention treatment perioperative complications chronic alcoholics, Spies.
Objective: This research studied the effects of a community alcohol prevention program on violent crimes. Starting in 1996, 10-year multicomponent based mobilization, training responsible beverage service for servers and stricter enforcement existing laws has been conducted Stockholm, Sweden. The project led by an action group consisting members from hospitality industry authorities. Method: We used time-series quasi-experimental design that included control area. Data police-reported...
The aim of this research was to study the sustainable effects a community action program on alcohol service intoxicated patrons at licensed premises.Since 1996, hospitality industry and authorities in Stockholm, Sweden, have been cooperating reduce problems related consumption premises. intervention has included mobilization, training responsible beverage (RBS) enforcement. A pretest 1996 follow-ups 1999 2001 designs were used premises Stockholm. Male actors portraying visited attempted...
Aims: The aim of the study was to investigate preferences in general population regarding type treatment for alcohol problems and preferred setting delivery reasons not seeking problems. Method: Data were from a random, cross-sectional, interview survey 9005 Swedish population. Proportions respondents preferring certain source treatment, suggested why people do seek analysed relation number standard drinks, employment status, education income. Results: Most frequently endorsed forms...
In 2016, the International Network on Brief Interventions for Alcohol & Other Drugs convened a meeting titled "Rethinking alcohol interventions in health care". The aims of were to synthesize recent evidence about screening and brief intervention set directions research, practice, policy light this evidence. Screening is efficacious reducing self-reported consumption some with unhealthy use, but there are gaps its effectiveness. Because not known be individuals more severe data showing lack...
Abstract Background and aims Most people with alcohol use disorder (AUD) are never treated. Internet‐based interventions effective in reducing consumption could help to overcome some of the barriers not seeking or receiving treatment. The aim current study was compare internet‐delivered face‐to‐face treatment among adult users AUD. Design Randomized controlled non‐inferiority trial a parallel design, comparing cognitive–behavioural therapy (ICBT) ( n = 150) CBT 151), at 3‐ 6‐month...