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Riittakerttu Kaltiala-Heino

Biographic Data

ID1731772
NAMERiittakerttu Kaltiala-Heino
GIVEN NAMESRiittakerttu
FAMILY NAMEKaltiala-Heino
SIGNATUREKALTIALA-HEINO R
AFFILIATIONSTampere University
ORCID0000-0002-2783-3892
VERIFIEDYes
TOTAL WORKS19
TOTAL CITATIONS36
AUTHOR COUNT19
EDITOR COUNT0
FIRST PUBLICATION YEAR1999
LATEST PUBLICATION YEAR2026
H-INDEX2
  • Three-to-six-year-olds’ sexuality-related knowledge in Finland: Impact of early education professionals’ training

    Open Access•Raisa S-M Cacciatore, Julia Kontio et al.•ARTICLE•Sex Education•2026

    Research on the effectiveness of comprehensive sexuality education for 3-to-6-year-olds, especially outside the USA, is limited. This quasi-experimental ecological study assessed the impact of a comprehensive sexuality education programme provided to professionals on children’s knowledge in five early education units across two municipalities in the capital region of Finland, compared to children’s knowledge in two control settings. Professionals…

  • What do 3–6-year-old children in Finland know about sexuality? A child interview study in early education

    Open Access•Raisa S-M Cacciatore, Raisa Cacciatore et al.•ARTICLE•Sex Education•2024

    Only a very few studies to date have comprehensively assessed children’s knowledge of sexuality. In this study, we examined the level of sexual knowledge among children aged 3–6 years in Finland. We analysed children’s explanations of what they saw in drawings related to genital naming, conception and childbirth, safety skills, and adult sexual activity. Levels of knowledge were generally low. The largest number of correct answers were given for …

  • Bereaved parents’ and siblings’ healthcare needs, healthcare utilization, and satisfaction with healthcare services eight years after the 2011 Utøya terror attack

    Open Access•Erik-Edwin Leonard Nordström, Riittakerttu Kaltiala-Heino et al.•ARTICLE•Death Studies•2024•References: 1

    Understanding the healthcare needs of bereaved individuals following terrorism is crucial for organizing healthcare services. This cross-sectional study examined the terror-related healthcare needs, healthcare utilization, and satisfaction with professional healthcare among 122 traumatically bereaved parents and siblings eight years after the 2011 Utøya terrorist attack in Norway. Results showed that over 50% of the participants currently needed …

  • Family Characteristics, Transgender Identity and Emotional Symptoms in Adolescence: A Population Survey Study

    Open Access•Riittakerttu Kaltiala-Heino, Elias Heino et al.•ARTICLE•International Journal of…•2023

    Sociodemographic and psychosocial family factors have profound implications for adolescent development, identity formation and mental health during the adolescent years. We explored the associations of sociodemographic and psychosocial family factors with transgender identity in adolescence and the role of these factors in the associations between gender identity and emotional disorders. Data from a large adolescent population survey from Finland…

  • Identity Integration in Adolescents With Features of Gender Dysphoria Compared to Adolescents in General Population

    Open Access•Milla Karvonen, Kirstin Goth et al.•ARTICLE•Frontiers in Psychiatry•2022

    Adolescence is an important period for identity formation and identity consolidation is one of the main developmental tasks. Gender identity is an essential aspect of identity but so far little is known about its development. Neither has the identity development of adolescents with features of gender dysphoria (GD) been extensively studied so far. However, adolescents with features of GD have been shown to present extensive psychiatric psychopath…

  • A Chronic Disease in Adolescence and Selection to an Educational Path—A Longitudinal Study

    Open Access•Leena Koivusilta, Riittakerttu Kaltiala-Heino et al.•ARTICLE•International Journal of…•2022

    Chronic disease may affect adolescents' educational success. We study whether adolescents with a somatic chronic condition have lower school performance, lower odds for academic education, and a delayed start of upper-secondary studies. Seventh graders and ninth graders in the Helsinki Metropolitan Region, Finland, were invited to participate in a school survey in 2011 and 2014, respectively. The respondents (2011, N = 8960; 2014, N = 7394) were …

  • Aspects of Gender and Sexuality in Relation to Experiences of Subjection to Sexual Harassment among Adolescents in General Population

    Open Access•Riittakerttu Kaltiala-Heino•ARTICLE•International Journal of…•2022

    Subjection to sexual harassment (SH) has been reported more commonly by girls than by boys, by sexual and gender minority youth more than by mainstream youth, and by sexually active youth more than by those not yet experienced in romantic and erotic encounters. However, the research so far has not addressed these correlates simultaneously. This study aimed to explore independent associations between experiencing SH and these aspects of sex, gende…

  • Psychometric properties of the 7-item Generalized Anxiety Disorder Scale (GAD-7) in a large representative sample of Finnish adolescents

    Open Access•Kati Tiirikainen, Henna Haravuori et al.•ARTICLE•Psychiatry Research•2019

  • The Steps of Sexuality—A Developmental, Emotion-Focused, Child-Centered Model of Sexual Development and Sexuality Education from Birth to Adulthood

    Raisa S-M Cacciatore, R Cacciatore et al.•ARTICLE•International Journal of Sexual…•2019

    Objective: To review research on emotional, cognitive, and behavioral levels of sexual development in children and adolescents, and, based on that, to propose a model of sexual development from infancy to early adulthood, the Steps of Sexuality. Methods: Literature review. Results: We present a model of sexual development from infancy to early adulthood, the Steps of Sexuality. Conclusion: We posit that to promote “a state of physical, emotional,…

  • Adolescent sexual behavior—family characteristics, parental involvement, and associated mental disorders

    Hanna Savioja, Mika Helminen et al.•ARTICLE•International Journal of Sexual…•2018

    Manifold factors connect with adolescent sexual behavior, but studies on their reciprocal associations are scarce. This study seeks to find the ways in which parental involvement, family characteristics, depression, and delinquency are connected to adolescent early/risky sexual behavior, and to what extent they modify each other. A population-based self-report survey of nearly 187,000 adolescents (50.4% girls) was used. The most important of the …

  • Social Phobia and Educational and Interpersonal Impairments in Adolescence: A Prospective Study

    Open Access•Klaus Ranta, Annette M La Greca et al.•ARTICLE•Child Psychiatry & Human…•2015

  • Self-reported depression is increasing among socio-economically disadvantaged adolescents – repeated cross-sectional surveys from Finland from 2000 to 2011

    Open Access•Antti Torikka, Riittakerttu Kaltiala-Heino et al.•ARTICLE•BMC Public Health•2014

    The largest increases in prevalence of severe depression are seen among socio-economically disadvantaged adolescents. This suggests that inequalities in mental health may become an increasing concern

  • Cyberbullying among Finnish adolescents – a population-based study

    Open Access•Pirjo Lindfors, Pirjo L Lindfors et al.•ARTICLE•BMC Public Health•2012

    Adolescents are commonly exposed to cyberbullying, but it is rarely frequent or considered serious or disruptive. Cyberbullying exposure differed between sexes, such that girls more often than boys witness cyberbullying of friends and boys more often act as the bully than girls. In future studies, the witnessing of cyberbullying and its consequences should be taken into account

  • Pubertal Timing and Substance Use in Middle Adolescence: A 2-Year Follow-up Study

    Open Access•Riittakerttu Kaltiala-Heino, Anna-Maija Koivisto et al.•ARTICLE•Journal of Youth and Adolescence•2011•Cited by: 4•References: 38

  • Depression and school performance in middle adolescent boys and girls

    Open Access•Sari Fröjd, Sari A Fröjd et al.•ARTICLE•Journal of Adolescence•2008

    The study aimed to investigate the associations between different levels of depression with different aspects of school performance. The target population included 2516 7th–9th grade pupils (13–17 years) of whom 90% completed the questionnaire anonymously in the classroom. Of the girls 18.4% and of the boys 11.1% were classified as being depressed (R‐Beck Depression Inventory (BDI), the Finnish version of the 13‐item BDI). The lower the self‐repo…

  • Internet addiction? Potentially problematic use of the Internet in a population of 12–18 year-old adolescents

    Riittakerttu Kaltiala-Heino, Tomi Lintonen et al.•ARTICLE•Addiction Research & Theory•2004

    On-line surveys indicate harmful excessive use of the Internet resulting in psychosocial problems (Internet addiction). Population studies are scarce, particularly on adolescents who are a vulnerable group in the middle of their personality development.The prevalence of features suggesting harmful use of the Internet is studied in a representative sample of 12–18 year-old Finns (N = 7292) in a postal survey in 2001. Criteria were tailored analogo…

  • Early puberty is associated with mental health problems in middle adolescence

    Open Access•Riittakerttu Kaltiala-Heino, Mauri Marttunen et al.•ARTICLE•Social Science & Medicine•2003•Cited by: 32•References: 31

  • Bullying at school—an indicator of adolescents at risk for mental disorders

    Open Access•Riittakerttu Kaltiala-Heino, Matti Rimpelä et al.•ARTICLE•Journal of Adolescence•2000

  • Bullying, depression, and suicidal ideation in Finnish adolescents: School survey

    Open Access•Riittakerttu Kaltiala-Heino, Matti Rimpelä et al.•ARTICLE•BMJ•1999

    Objective: To assess the relation between being bullied or being a bully at school, depression, and severe suicidal ideation. Design: A school based survey of health, health behaviour, and behaviour in school which included questions about bullying and the Beck depression inventory, which includes items asking about suicidal ideation. Setting: Secondary schools in two regions of Finland. Participants: 16410 adolescents aged 14-16. Results: There …

  • Early puberty is associated with mental health problems in middle adolescence

    Open Access•Riittakerttu Kaltiala-Heino, Mauri Marttunen et al.•ARTICLE•Social Science & Medicine•2003•Cited by: 32•References: 31

  • Pubertal Timing and Substance Use in Middle Adolescence: A 2-Year Follow-up Study

    Open Access•Riittakerttu Kaltiala-Heino, Anna-Maija Koivisto et al.•ARTICLE•Journal of Youth and Adolescence•2011•Cited by: 4•References: 38

  • Bullying, depression, and suicidal ideation in Finnish adolescents: School survey

    Open Access•Riittakerttu Kaltiala-Heino, Matti Rimpelä et al.•ARTICLE•BMJ•1999

    Objective: To assess the relation between being bullied or being a bully at school, depression, and severe suicidal ideation. Design: A school based survey of health, health behaviour, and behaviour in school which included questions about bullying and the Beck depression inventory, which includes items asking about suicidal ideation. Setting: Secondary schools in two regions of Finland. Participants: 16410 adolescents aged 14-16. Results: There …

  • Bullying at school—an indicator of adolescents at risk for mental disorders

    Open Access•Riittakerttu Kaltiala-Heino, Matti Rimpelä et al.•ARTICLE•Journal of Adolescence•2000

  • Early puberty is associated with mental health problems in middle adolescence

    Open Access•Riittakerttu Kaltiala-Heino, Mauri Marttunen et al.•ARTICLE•Social Science & Medicine•2003•Cited by: 32•References: 31

  • Internet addiction? Potentially problematic use of the Internet in a population of 12–18 year-old adolescents

    Riittakerttu Kaltiala-Heino, Tomi Lintonen et al.•ARTICLE•Addiction Research & Theory•2004

    On-line surveys indicate harmful excessive use of the Internet resulting in psychosocial problems (Internet addiction). Population studies are scarce, particularly on adolescents who are a vulnerable group in the middle of their personality development.The prevalence of features suggesting harmful use of the Internet is studied in a representative sample of 12–18 year-old Finns (N = 7292) in a postal survey in 2001. Criteria were tailored analogo…

  • Depression and school performance in middle adolescent boys and girls

    Open Access•Sari Fröjd, Sari A Fröjd et al.•ARTICLE•Journal of Adolescence•2008

    The study aimed to investigate the associations between different levels of depression with different aspects of school performance. The target population included 2516 7th–9th grade pupils (13–17 years) of whom 90% completed the questionnaire anonymously in the classroom. Of the girls 18.4% and of the boys 11.1% were classified as being depressed (R‐Beck Depression Inventory (BDI), the Finnish version of the 13‐item BDI). The lower the self‐repo…

  • Pubertal Timing and Substance Use in Middle Adolescence: A 2-Year Follow-up Study

    Open Access•Riittakerttu Kaltiala-Heino, Anna-Maija Koivisto et al.•ARTICLE•Journal of Youth and Adolescence•2011•Cited by: 4•References: 38

  • Cyberbullying among Finnish adolescents – a population-based study

    Open Access•Pirjo Lindfors, Pirjo L Lindfors et al.•ARTICLE•BMC Public Health•2012

    Adolescents are commonly exposed to cyberbullying, but it is rarely frequent or considered serious or disruptive. Cyberbullying exposure differed between sexes, such that girls more often than boys witness cyberbullying of friends and boys more often act as the bully than girls. In future studies, the witnessing of cyberbullying and its consequences should be taken into account

  • Self-reported depression is increasing among socio-economically disadvantaged adolescents – repeated cross-sectional surveys from Finland from 2000 to 2011

    Open Access•Antti Torikka, Riittakerttu Kaltiala-Heino et al.•ARTICLE•BMC Public Health•2014

    The largest increases in prevalence of severe depression are seen among socio-economically disadvantaged adolescents. This suggests that inequalities in mental health may become an increasing concern

  • Social Phobia and Educational and Interpersonal Impairments in Adolescence: A Prospective Study

    Open Access•Klaus Ranta, Annette M La Greca et al.•ARTICLE•Child Psychiatry & Human…•2015

  • Adolescent sexual behavior—family characteristics, parental involvement, and associated mental disorders

    Hanna Savioja, Mika Helminen et al.•ARTICLE•International Journal of Sexual…•2018

    Manifold factors connect with adolescent sexual behavior, but studies on their reciprocal associations are scarce. This study seeks to find the ways in which parental involvement, family characteristics, depression, and delinquency are connected to adolescent early/risky sexual behavior, and to what extent they modify each other. A population-based self-report survey of nearly 187,000 adolescents (50.4% girls) was used. The most important of the …

  • Psychometric properties of the 7-item Generalized Anxiety Disorder Scale (GAD-7) in a large representative sample of Finnish adolescents

    Open Access•Kati Tiirikainen, Henna Haravuori et al.•ARTICLE•Psychiatry Research•2019

  • The Steps of Sexuality—A Developmental, Emotion-Focused, Child-Centered Model of Sexual Development and Sexuality Education from Birth to Adulthood

    Raisa S-M Cacciatore, R Cacciatore et al.•ARTICLE•International Journal of Sexual…•2019

    Objective: To review research on emotional, cognitive, and behavioral levels of sexual development in children and adolescents, and, based on that, to propose a model of sexual development from infancy to early adulthood, the Steps of Sexuality. Methods: Literature review. Results: We present a model of sexual development from infancy to early adulthood, the Steps of Sexuality. Conclusion: We posit that to promote “a state of physical, emotional,…

  • Identity Integration in Adolescents With Features of Gender Dysphoria Compared to Adolescents in General Population

    Open Access•Milla Karvonen, Kirstin Goth et al.•ARTICLE•Frontiers in Psychiatry•2022

    Adolescence is an important period for identity formation and identity consolidation is one of the main developmental tasks. Gender identity is an essential aspect of identity but so far little is known about its development. Neither has the identity development of adolescents with features of gender dysphoria (GD) been extensively studied so far. However, adolescents with features of GD have been shown to present extensive psychiatric psychopath…

  • A Chronic Disease in Adolescence and Selection to an Educational Path—A Longitudinal Study

    Open Access•Leena Koivusilta, Riittakerttu Kaltiala-Heino et al.•ARTICLE•International Journal of…•2022

    Chronic disease may affect adolescents' educational success. We study whether adolescents with a somatic chronic condition have lower school performance, lower odds for academic education, and a delayed start of upper-secondary studies. Seventh graders and ninth graders in the Helsinki Metropolitan Region, Finland, were invited to participate in a school survey in 2011 and 2014, respectively. The respondents (2011, N = 8960; 2014, N = 7394) were …

  • Aspects of Gender and Sexuality in Relation to Experiences of Subjection to Sexual Harassment among Adolescents in General Population

    Open Access•Riittakerttu Kaltiala-Heino•ARTICLE•International Journal of…•2022

    Subjection to sexual harassment (SH) has been reported more commonly by girls than by boys, by sexual and gender minority youth more than by mainstream youth, and by sexually active youth more than by those not yet experienced in romantic and erotic encounters. However, the research so far has not addressed these correlates simultaneously. This study aimed to explore independent associations between experiencing SH and these aspects of sex, gende…

  • Family Characteristics, Transgender Identity and Emotional Symptoms in Adolescence: A Population Survey Study

    Open Access•Riittakerttu Kaltiala-Heino, Elias Heino et al.•ARTICLE•International Journal of…•2023

    Sociodemographic and psychosocial family factors have profound implications for adolescent development, identity formation and mental health during the adolescent years. We explored the associations of sociodemographic and psychosocial family factors with transgender identity in adolescence and the role of these factors in the associations between gender identity and emotional disorders. Data from a large adolescent population survey from Finland…

  • What do 3–6-year-old children in Finland know about sexuality? A child interview study in early education

    Open Access•Raisa S-M Cacciatore, Raisa Cacciatore et al.•ARTICLE•Sex Education•2024

    Only a very few studies to date have comprehensively assessed children’s knowledge of sexuality. In this study, we examined the level of sexual knowledge among children aged 3–6 years in Finland. We analysed children’s explanations of what they saw in drawings related to genital naming, conception and childbirth, safety skills, and adult sexual activity. Levels of knowledge were generally low. The largest number of correct answers were given for …

  • Bereaved parents’ and siblings’ healthcare needs, healthcare utilization, and satisfaction with healthcare services eight years after the 2011 Utøya terror attack

    Open Access•Erik-Edwin Leonard Nordström, Riittakerttu Kaltiala-Heino et al.•ARTICLE•Death Studies•2024•References: 1

    Understanding the healthcare needs of bereaved individuals following terrorism is crucial for organizing healthcare services. This cross-sectional study examined the terror-related healthcare needs, healthcare utilization, and satisfaction with professional healthcare among 122 traumatically bereaved parents and siblings eight years after the 2011 Utøya terrorist attack in Norway. Results showed that over 50% of the participants currently needed …

  • Three-to-six-year-olds’ sexuality-related knowledge in Finland: Impact of early education professionals’ training

    Open Access•Raisa S-M Cacciatore, Julia Kontio et al.•ARTICLE•Sex Education•2026

    Research on the effectiveness of comprehensive sexuality education for 3-to-6-year-olds, especially outside the USA, is limited. This quasi-experimental ecological study assessed the impact of a comprehensive sexuality education programme provided to professionals on children’s knowledge in five early education units across two municipalities in the capital region of Finland, compared to children’s knowledge in two control settings. Professionals…

Psychology (18 works) · Medicine (15 works) · Clinical Psychology (13 works) · Developmental psychology (10 works) · Psychiatry (10 works) · Population (9 works) · Clinical Psychology (8 works) · Child and Adolescent Psychosocial and Emotional Development (7 works) · Anxiety (5 works) · Demography (5 works)

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