Sofie Bäärnhielm
Dados Biográficos
| ID | 78148 |
|---|---|
| NOME | Sofie Bäärnhielm |
| PRENOMES | Sofie |
| SOBRENOME | Bäärnhielm |
| ASSINATURA | BÄÄRNHIELM S |
| AFILIAÇÕES | Karolinska Institutet |
| ORCID | 0000-0002-5303-9166 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 25 |
| TOTAL DE CITAÇÕES | 85 |
| TOTAL COMO AUTOR | 25 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2000 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 6 |
A multilingual telephone service for crisis communication with migrant groups
The study protocol has been preregistered on the Open Science Framework (osf.io/rt47j)
Experiences of health informers working with intercultural communication in Stockholm, Sweden during Covid-19
Background During the initial period of the COVID-19 pandemic, it was noted that migrants in Stockholm, Sweden, had a higher risk of contracting the virus and had a higher risk of mortality. In response to this, to provide information to people who did not have Swedish as their native language and therefore had limited access to the latest information and guidelines due to potential language barriers, authorities implemented an intercultural comm…
How to make sense of information about Covid-19 and the vaccine from the authorities? A qualitative study of migrants’ experiences in two Swedish communities
The COVID-19 pandemic highlighted the communication challenges faced by public authorities in reaching all groups in society. The overall aim of this study is to gain an in-depth understanding of the experiences of non-native Swedish speaking residents in two multicultural municipalities in metropolitan Stockholm regarding the reception and understanding of COVID-19 and vaccination information from authorities. In addition, the aim is to identify…
What information did the DSM-5 Cultural Formulation Interviews provide when used with Swedish-speaking patients in a psychiatric setting in Stockholm
For further refinement of the CFI, we see a need for re-framing the questions about cultural identity and its impact on health so that they are better understood. This is needed for majority population patients as direct questions about culture may be difficult to understand when cultural norms are implicit and often unexamined. For clinical implications, our findings suggest that for cultural majority patients the DSM-5 CFI can be a useful perso…
The Cultural Formulation Interview as a clinical tool in the assessment of eating disorders
The CFI can be useful in the assessment of patients with eating disorders and should be further explored as a standard tool in specialist eating disorder services
A qualitative analysis of the documentation of DSM-5 Cultural Formulation Interviews with non-native speaking patients in a Swedish mental health care setting
Our results indicate that the narrative approach of the CFI, giving contextualized information about distress and functioning, can facilitate clinicians' identification of psychiatric symptoms when language, psychiatric terms and understandings are not shared between patient and clinician
I had no idea there were psychiatric clinics for children
Migrant children have repeatedly been shown to underutilize psychiatric services and to face barriers to care, yet few studies have examined the experience of migrant parents who are successful in their help-seeking efforts for their children's mental health. The aim of this study was to gain a deeper understanding of facilitators and obstacles to reaching care among migrant parents in contact with child psychiatric services. We explored how migr…
Could the DSM-5 Cultural Formulation Interview Hold Therapeutic Potential? Suggestions for Further Exploration and Adaptation Within a Framework of Therapeutic Assessment
The Cultural Formulation Interview (CFI), included in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders , is a person-centered instrument for systematically appraising the impact of cultural factors in psychiatric assessment. A number of key areas in the future development of the CFI have been identified in order to ensure further clinical uptake. In this paper, we suggest that applying a Therapeutic Assessment (TA) a…
Training in cultural psychiatry
This special issue of Transcultural Psychiatry on training in cultural psychiatry discusses translating research into improvements in mental health care for refugees and migrants. This topic is timely because, in addition to a global increase in migration, the number of forcibly displaced people is growing rapidly due to war and conflicts. We know that migrants, particularly refugees, are at increased risk of psychiatric disorders, including psyc…
An Internet Based Intervention for Adults With Autism Spectrum Disorder—A Qualitative Study of Participants Experiences
Background: Adults with autism spectrum disorder face several barriers to accessing evidence-based care, including difficulties in communicating needs, social anxiety or in traveling to a health care unit. In recent years, several forms of internet-based treatments have shown to be effective for a variety of psychiatric conditions. Internet-based treatment alternatives allow convenient and flexible formats, and therefore have the potential to inc…
Psychiatric care use among migrants to Sweden compared with Swedish-born residents
BACKGROUND: To investigate differences in psychiatric care use over time between Swedish born and those born abroad who migrate to Sweden. METHODS: Population-based cohort study analysing linked population and health registers, following individuals born 1944-1990 from 1 January 2005 to 31 December 2016. Time-stratified survival analysis using Cox regression estimated time to psychiatric care use. Population included 5 150 753 individuals with 78…
Patients' and clinicians' experiences of the DSM-5 Cultural Formulation Interview
This study is an evaluation of clinicians' and patients' experiences of the core Cultural Formulation Interview (CFI) in DSM-5. The CFI provides a framework for gathering culturally relevant information, but its final form has not been sufficiently evaluated. Aims were to assess the Clinical Utility (CU), Feasibility (F) and Acceptability (A) of the CFI for clinicians and patients, and to explore clinicians' experiences of using the CFI in a mult…
Traditional Chinese Medicine Explanatory Models of Depressive Disorders
Traditional Chinese medicine (TCM) is an alternative medical system utilised by many Chinese. However, the knowledge of TCM concepts of depression is limited amongst clinicians with training in Western biomedicine. The purpose of this study was to obtain a better understanding of the conceptualisation of depression from a group of TCM practitioners. Semi-structured interviews in Chinese were carried out with 10 TCM practitioners in Hong Kong. A c…
Mental health for refugees, asylum seekers and displaced persons
Revising psychiatric diagnostic categorisation of immigrant patients after using the Cultural Formulation in DSM-IV
This study evaluated the use of the Outline for Cultural Formulation (OCF) from the DSM-IV in the diagnosis of immigrants and refugee patients at an outpatient psychiatric clinic in Sweden. Using the OCF in conjunction with standard diagnostic procedures led to major revisions of diagnoses for 56.5% of patients. Anxiety disorders, especially PTSD, constitute the disorder group in which the most changes were made. In order to understand how inform…
Use of the Cultural Formulation in Stockholm
This paper explores the contributions of the Cultural Formulation (CF) interview to an overall understanding of patients, and focuses on the narratives of 23 newly referred patients with migrant backgrounds seeking help at a psychiatric outpatient clinic in Stockholm. Through text content analysis methods we identified five themes: displacement in space and time; mental illness as a physical disability; life events as etiological factors; conceal…
The meaning of pain
Ethnography provides a method for psychiatric assessment to obtain an insight into the patient's culture, context, and life situation. The Outline for a Cultural Formulation (CF) is an ethnography-based, idiographic formulation intended to complement the multiaxial assessment in DSM-IV. Its contribution to routine clinical praxis will be discussed with reference to a case of a Syrian-born woman in Sweden. Using the CF in the clinical diagnostic p…
The Cultural Formulation
This article discusses the experience of adapting and applying the Outline for a Cultural Formulation in DSM-IV to the Swedish context. Findings from a research project on the Cultural Formulation highlight the value of combining psychiatric nosological categorization with an understanding of patients' cultural life context in order to increase the validity of categorization and to formulate individualized treatment plans. In clinical care practi…
Introducing a Psychological Agenda for Understanding Somatic Symptoms—An Area of Conflict for Clinicians in Relation to Patients in a Multicultural Community
Historical Reflections on Mental Health Care in Sweden
This article discusses historical reflections on the response of Swedish mental health care to cultural diversity and immigration and our views regarding future directions for clinical care, research and training. Sweden has become increasingly multicultural through immigration. Mental health care in Sweden faces the challenges of encountering cultural diversity and the mental health consequences of forced immigration, acculturation, and refugee …
Restructuring Illness Meaning Through the Clinical Encounter
The Use of International Videoconferencing as a Strategy for Teaching Medical Students about Transcultural Psychiatry
Videoconferencing is an innovative method that potentially allows medical students exposure to international teachers in refugee mental health who would otherwise be inaccessible. This article reports a pilot study using videoconferencing with international teachers from Australia, Sweden and the USA participating in the training of ten senior Swedish medical students. Interviews with an actual and a simulated patient were conducted at the U.S. a…
Qualitative Research, Culture and Ethics
Focus Group Interview Research in Transcultural Psychiatry
We discuss the use of focus group interviews as a research method in transcultural psychiatry. Focus groups are a new method in health research that can provide a contextual basis for making culturally sensitive interpretations. We illustrate advantages as well as disadvantages of this method with examples from our own research with immigrants and refugees in Sweden
Turkish Migrant Women Encountering Health Care in Stockholm
Turkish Migrant Women Encountering Health Care in Stockholm
The Cultural Formulation
This article discusses the experience of adapting and applying the Outline for a Cultural Formulation in DSM-IV to the Swedish context. Findings from a research project on the Cultural Formulation highlight the value of combining psychiatric nosological categorization with an understanding of patients' cultural life context in order to increase the validity of categorization and to formulate individualized treatment plans. In clinical care practi…
Revising psychiatric diagnostic categorisation of immigrant patients after using the Cultural Formulation in DSM-IV
This study evaluated the use of the Outline for Cultural Formulation (OCF) from the DSM-IV in the diagnosis of immigrants and refugee patients at an outpatient psychiatric clinic in Sweden. Using the OCF in conjunction with standard diagnostic procedures led to major revisions of diagnoses for 56.5% of patients. Anxiety disorders, especially PTSD, constitute the disorder group in which the most changes were made. In order to understand how inform…
Mental health for refugees, asylum seekers and displaced persons
Use of the Cultural Formulation in Stockholm
This paper explores the contributions of the Cultural Formulation (CF) interview to an overall understanding of patients, and focuses on the narratives of 23 newly referred patients with migrant backgrounds seeking help at a psychiatric outpatient clinic in Stockholm. Through text content analysis methods we identified five themes: displacement in space and time; mental illness as a physical disability; life events as etiological factors; conceal…
Focus Group Interview Research in Transcultural Psychiatry
We discuss the use of focus group interviews as a research method in transcultural psychiatry. Focus groups are a new method in health research that can provide a contextual basis for making culturally sensitive interpretations. We illustrate advantages as well as disadvantages of this method with examples from our own research with immigrants and refugees in Sweden
Patients' and clinicians' experiences of the DSM-5 Cultural Formulation Interview
This study is an evaluation of clinicians' and patients' experiences of the core Cultural Formulation Interview (CFI) in DSM-5. The CFI provides a framework for gathering culturally relevant information, but its final form has not been sufficiently evaluated. Aims were to assess the Clinical Utility (CU), Feasibility (F) and Acceptability (A) of the CFI for clinicians and patients, and to explore clinicians' experiences of using the CFI in a mult…
Historical Reflections on Mental Health Care in Sweden
This article discusses historical reflections on the response of Swedish mental health care to cultural diversity and immigration and our views regarding future directions for clinical care, research and training. Sweden has become increasingly multicultural through immigration. Mental health care in Sweden faces the challenges of encountering cultural diversity and the mental health consequences of forced immigration, acculturation, and refugee …
The meaning of pain
Ethnography provides a method for psychiatric assessment to obtain an insight into the patient's culture, context, and life situation. The Outline for a Cultural Formulation (CF) is an ethnography-based, idiographic formulation intended to complement the multiaxial assessment in DSM-IV. Its contribution to routine clinical praxis will be discussed with reference to a case of a Syrian-born woman in Sweden. Using the CF in the clinical diagnostic p…
Training in cultural psychiatry
This special issue of Transcultural Psychiatry on training in cultural psychiatry discusses translating research into improvements in mental health care for refugees and migrants. This topic is timely because, in addition to a global increase in migration, the number of forcibly displaced people is growing rapidly due to war and conflicts. We know that migrants, particularly refugees, are at increased risk of psychiatric disorders, including psyc…
The Use of International Videoconferencing as a Strategy for Teaching Medical Students about Transcultural Psychiatry
Videoconferencing is an innovative method that potentially allows medical students exposure to international teachers in refugee mental health who would otherwise be inaccessible. This article reports a pilot study using videoconferencing with international teachers from Australia, Sweden and the USA participating in the training of ten senior Swedish medical students. Interviews with an actual and a simulated patient were conducted at the U.S. a…
Turkish Migrant Women Encountering Health Care in Stockholm
Qualitative Research, Culture and Ethics
Focus Group Interview Research in Transcultural Psychiatry
We discuss the use of focus group interviews as a research method in transcultural psychiatry. Focus groups are a new method in health research that can provide a contextual basis for making culturally sensitive interpretations. We illustrate advantages as well as disadvantages of this method with examples from our own research with immigrants and refugees in Sweden
Restructuring Illness Meaning Through the Clinical Encounter
The Use of International Videoconferencing as a Strategy for Teaching Medical Students about Transcultural Psychiatry
Videoconferencing is an innovative method that potentially allows medical students exposure to international teachers in refugee mental health who would otherwise be inaccessible. This article reports a pilot study using videoconferencing with international teachers from Australia, Sweden and the USA participating in the training of ten senior Swedish medical students. Interviews with an actual and a simulated patient were conducted at the U.S. a…
Historical Reflections on Mental Health Care in Sweden
This article discusses historical reflections on the response of Swedish mental health care to cultural diversity and immigration and our views regarding future directions for clinical care, research and training. Sweden has become increasingly multicultural through immigration. Mental health care in Sweden faces the challenges of encountering cultural diversity and the mental health consequences of forced immigration, acculturation, and refugee …
Introducing a Psychological Agenda for Understanding Somatic Symptoms—An Area of Conflict for Clinicians in Relation to Patients in a Multicultural Community
The Cultural Formulation
This article discusses the experience of adapting and applying the Outline for a Cultural Formulation in DSM-IV to the Swedish context. Findings from a research project on the Cultural Formulation highlight the value of combining psychiatric nosological categorization with an understanding of patients' cultural life context in order to increase the validity of categorization and to formulate individualized treatment plans. In clinical care practi…
Use of the Cultural Formulation in Stockholm
This paper explores the contributions of the Cultural Formulation (CF) interview to an overall understanding of patients, and focuses on the narratives of 23 newly referred patients with migrant backgrounds seeking help at a psychiatric outpatient clinic in Stockholm. Through text content analysis methods we identified five themes: displacement in space and time; mental illness as a physical disability; life events as etiological factors; conceal…
The meaning of pain
Ethnography provides a method for psychiatric assessment to obtain an insight into the patient's culture, context, and life situation. The Outline for a Cultural Formulation (CF) is an ethnography-based, idiographic formulation intended to complement the multiaxial assessment in DSM-IV. Its contribution to routine clinical praxis will be discussed with reference to a case of a Syrian-born woman in Sweden. Using the CF in the clinical diagnostic p…
Revising psychiatric diagnostic categorisation of immigrant patients after using the Cultural Formulation in DSM-IV
This study evaluated the use of the Outline for Cultural Formulation (OCF) from the DSM-IV in the diagnosis of immigrants and refugee patients at an outpatient psychiatric clinic in Sweden. Using the OCF in conjunction with standard diagnostic procedures led to major revisions of diagnoses for 56.5% of patients. Anxiety disorders, especially PTSD, constitute the disorder group in which the most changes were made. In order to understand how inform…
Mental health for refugees, asylum seekers and displaced persons
Traditional Chinese Medicine Explanatory Models of Depressive Disorders
Traditional Chinese medicine (TCM) is an alternative medical system utilised by many Chinese. However, the knowledge of TCM concepts of depression is limited amongst clinicians with training in Western biomedicine. The purpose of this study was to obtain a better understanding of the conceptualisation of depression from a group of TCM practitioners. Semi-structured interviews in Chinese were carried out with 10 TCM practitioners in Hong Kong. A c…
Psychiatric care use among migrants to Sweden compared with Swedish-born residents
BACKGROUND: To investigate differences in psychiatric care use over time between Swedish born and those born abroad who migrate to Sweden. METHODS: Population-based cohort study analysing linked population and health registers, following individuals born 1944-1990 from 1 January 2005 to 31 December 2016. Time-stratified survival analysis using Cox regression estimated time to psychiatric care use. Population included 5 150 753 individuals with 78…
Patients' and clinicians' experiences of the DSM-5 Cultural Formulation Interview
This study is an evaluation of clinicians' and patients' experiences of the core Cultural Formulation Interview (CFI) in DSM-5. The CFI provides a framework for gathering culturally relevant information, but its final form has not been sufficiently evaluated. Aims were to assess the Clinical Utility (CU), Feasibility (F) and Acceptability (A) of the CFI for clinicians and patients, and to explore clinicians' experiences of using the CFI in a mult…
An Internet Based Intervention for Adults With Autism Spectrum Disorder—A Qualitative Study of Participants Experiences
Background: Adults with autism spectrum disorder face several barriers to accessing evidence-based care, including difficulties in communicating needs, social anxiety or in traveling to a health care unit. In recent years, several forms of internet-based treatments have shown to be effective for a variety of psychiatric conditions. Internet-based treatment alternatives allow convenient and flexible formats, and therefore have the potential to inc…
Could the DSM-5 Cultural Formulation Interview Hold Therapeutic Potential? Suggestions for Further Exploration and Adaptation Within a Framework of Therapeutic Assessment
The Cultural Formulation Interview (CFI), included in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders , is a person-centered instrument for systematically appraising the impact of cultural factors in psychiatric assessment. A number of key areas in the future development of the CFI have been identified in order to ensure further clinical uptake. In this paper, we suggest that applying a Therapeutic Assessment (TA) a…
Training in cultural psychiatry
This special issue of Transcultural Psychiatry on training in cultural psychiatry discusses translating research into improvements in mental health care for refugees and migrants. This topic is timely because, in addition to a global increase in migration, the number of forcibly displaced people is growing rapidly due to war and conflicts. We know that migrants, particularly refugees, are at increased risk of psychiatric disorders, including psyc…
What information did the DSM-5 Cultural Formulation Interviews provide when used with Swedish-speaking patients in a psychiatric setting in Stockholm
For further refinement of the CFI, we see a need for re-framing the questions about cultural identity and its impact on health so that they are better understood. This is needed for majority population patients as direct questions about culture may be difficult to understand when cultural norms are implicit and often unexamined. For clinical implications, our findings suggest that for cultural majority patients the DSM-5 CFI can be a useful perso…
The Cultural Formulation Interview as a clinical tool in the assessment of eating disorders
The CFI can be useful in the assessment of patients with eating disorders and should be further explored as a standard tool in specialist eating disorder services
A qualitative analysis of the documentation of DSM-5 Cultural Formulation Interviews with non-native speaking patients in a Swedish mental health care setting
Our results indicate that the narrative approach of the CFI, giving contextualized information about distress and functioning, can facilitate clinicians' identification of psychiatric symptoms when language, psychiatric terms and understandings are not shared between patient and clinician
I had no idea there were psychiatric clinics for children
Migrant children have repeatedly been shown to underutilize psychiatric services and to face barriers to care, yet few studies have examined the experience of migrant parents who are successful in their help-seeking efforts for their children's mental health. The aim of this study was to gain a deeper understanding of facilitators and obstacles to reaching care among migrant parents in contact with child psychiatric services. We explored how migr…
Experiences of health informers working with intercultural communication in Stockholm, Sweden during Covid-19
Background During the initial period of the COVID-19 pandemic, it was noted that migrants in Stockholm, Sweden, had a higher risk of contracting the virus and had a higher risk of mortality. In response to this, to provide information to people who did not have Swedish as their native language and therefore had limited access to the latest information and guidelines due to potential language barriers, authorities implemented an intercultural comm…
How to make sense of information about Covid-19 and the vaccine from the authorities? A qualitative study of migrants’ experiences in two Swedish communities
The COVID-19 pandemic highlighted the communication challenges faced by public authorities in reaching all groups in society. The overall aim of this study is to gain an in-depth understanding of the experiences of non-native Swedish speaking residents in two multicultural municipalities in metropolitan Stockholm regarding the reception and understanding of COVID-19 and vaccination information from authorities. In addition, the aim is to identify…
A multilingual telephone service for crisis communication with migrant groups
The study protocol has been preregistered on the Open Science Framework (osf.io/rt47j)
Psychology (20 obras) · Psychiatry (16 obras) · Qualitative research (16 obras) · Sociology (13 obras) · Medicine (12 obras) · Migration, Health and Trauma (11 obras) · Clinical Psychology (9 obras) · Psychotherapist (9 obras) · Mental health (8 obras) · Mental Health Treatment and Access (7 obras)