Publications by authors named "Yvonne Forsell"

Article Synopsis
  • Lifestyle habits significantly impact premature death, and the Swedish health dialogues model aims to improve these habits through primary care and community efforts.
  • A systematic review of seven studies concluded that this model effectively reduces premature mortality, blood pressure, and other health markers with moderate evidence.
  • Combining health dialogues with community initiatives led to even greater health benefits, especially in improving dietary habits.
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Associations between the fat mass and obesity-associated (FTO) gene and obesity are well-established. However, recent studies have linked FTO to addiction phenotypes and dopaminergic signaling, thus suggesting broader psychiatric implications. We explored this assumption by conducting a phenome-wide association study across 4756 genome-wide association studies, identifying 23-26 psychiatric traits associated with FTO at the multiple-corrected significance level.

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  • The study investigates the link between the gut microbiome and schizophrenia spectrum disorders (SSD), analyzing feces from 52 young adult SSD patients and 52 controls using advanced sequencing techniques.
  • Results showed that SSD patients had lower α-diversity and distinct β-diversity in their gut bacteria compared to controls, highlighting significant differences in both bacterial species and gene functions.
  • Machine learning classifiers effectively distinguished SSD patients from healthy individuals based on their gut microbiome data, indicating potential biomarkers and further supporting the idea of microbiome alterations in SSD.
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  • Body weight dissatisfaction is prevalent among individuals with obesity, and this study aimed to examine the factors influencing the differences between current BMI, desired BMI, and an ideal BMI of 25 kg/m2.
  • The research involved 10,441 randomly selected Swedish participants who reported their weight, height, desired weight, and factors like depressive symptoms and alcohol intake, focusing on a subgroup of 808 individuals with obesity.
  • Results indicated that women with obesity and those with major depression had significantly larger discrepancies between current and desired BMI, while factors like education level or alcohol use did not impact these discrepancies.
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Fatty acid amide hydrolase (FAAH) is an enzyme that degrades anandamide, an endocannabinoid that modulates mesolimbic dopamine release and, consequently, influences states of well-being. Despite these known interactions, the specific role of FAAH in subjective well-being remains underexplored. Since well-being is a dynamic trait that can fluctuate over time, we hypothesized that we could provide deeper insights into the link between FAAH and well-being using longitudinal data.

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  • The Major Depression Inventory (MDI) was updated to include a new hopelessness item to align with the DSM-5 and ICD-11 diagnostic standards.
  • The study analyzed data from surveys collected over two periods (2001-2003 and 2021) to assess the performance of the MDI and its items against multiple diagnostic criteria.
  • Results showed that both the MDI and hopelessness items demonstrated strong psychometric properties, with consistent validity across the different diagnostic standards, suggesting that the MDI should be modified for DSM-5 and ICD-11.
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Objective: Obsessive thoughts and compulsive behavior and their related disorder Obsessive-Compulsive Disorder (OCD) commonly occur in the general population. Clinical populations indicate a high level of stability, although there are few longitudinal studies in the general population. The recommended drug treatments are SSRIs/TCAs.

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Objective: In this study, we aimed to describe the effect of working from home on work conditions and private life by analyzing reported changes in different work-related factors.

Methods: We used descriptive analyses on cross-sectional data of 4985 people aged 20 to 67 years from Stockholm, Sweden collected in 2021. The prevalence of reported changes for factors related to work and private life was analyzed by degree of work from home and stratified by age, sex, and educational level.

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Background: The aim of the present study was to compare the cross-sectional association between smoking and depressive symptoms among adolescents between Sweden and Italy, two countries historically characterized by different norms about tobacco use and different tobacco control efforts.

Methods: A cross-sectional study including 3283 adolescents 15-16 years of age participating in the Swedish KUPOL study and 1947 same-age adolescents from the Italian BE-TEEN study. Current smoking was defined as any smoking in the past 30 days.

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Importance: Increasing evidence suggests that parental death is associated with unhealthy behaviors and mental ill-health. Knowledge regarding the link between parental death and the risk of ischemic heart disease (IHD) and stroke remains limited.

Objectives: To investigate whether parental death is associated with an increased risk of IHD and stroke and whether these associations differ by the characteristics of the loss.

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Problematic alcohol use is a major contributor to the global burden of death and disabilities, and it represents a public health concern that has grown substantially following the COVID-19 pandemic. The available treatment options remain limited and to develop better pharmacotherapies for alcohol misuse we need to identify suitable biological targets. Previous research has implicated the brain's endocannabinoid system (ECS) in psychiatric and stress-related outcomes, including substance use and habituation to repeated stress.

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  • Depression is a widespread issue that requires effective treatments with minimal side effects, and a study was conducted to compare the long-term effectiveness of physical exercise and internet-based cognitive behavioral therapy (internet-CBT) against usual care in patients with mild to moderate depression.
  • The study tracked healthcare usage and medication dispensation over three years with 940 participants, finding no significant differences in healthcare consultations except for pain-related issues, where both treatment groups had fewer consultations compared to usual care.
  • Both physical exercise and internet-CBT showed a notable reduction in the use of sedatives and hypnotics, suggesting these methods could be valuable and resource-efficient treatments for managing mild to moderate depression in primary care.
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Importance: Maternal preeclampsia has been reported to increase the risk of autism spectrum disorder, attention-deficit/hyperactivity disorder (ADHD), and intellectual disability in offspring. However, the association between maternal preeclampsia combined with perinatal complications and neurodevelopmental and psychiatric disorders in offspring is less well documented.

Objective: To examine the association of maternal preeclampsia, separately and together with perinatal complications, with neurodevelopmental and psychiatric disorders in offspring.

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  • A study was conducted to examine the relationship between moderate to vigorous physical activity (MVPA) and sleep length in children and adolescents, considering various factors like sex, school year, and health status.
  • Data was collected from 262 participants aged 11 to 15 using accelerometers for MVPA and sleep diaries for measuring sleep length.
  • The results showed mixed findings, with no significant overall associations; however, a positive link was noted for girls, while school year 5 participants had a negative association, suggesting MVPA may not directly impact sleep length as expected.
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Early life stress has been linked to increased methylation of the Nuclear Receptor Subfamily 3 Group C Member 1 (NR3C1) gene, which codes for the glucocorticoid receptor. Moreover, early life stress has been associated with substance use initiation at a younger age, a risk factor for developing substance use disorders. However, no studies to date have investigated whether NR3C1 methylation can predict substance use in young individuals.

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Background: As the population is ageing, the need for informal caregivers increases, and thus we need to know more about the effects on caregivers. This study aims to determine both cross-sectional and longitudinal associations between perceived limitation of informal caregiving and mental health of caregivers.

Methods: This population-based cohort study was based on the Swedish Psykisk hälsa, Arbete och RelaTioner (PART) study, and 9346 individuals aged 18-65 were included.

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Article Synopsis
  • Several studies indicate a link between smoking and increased depressive symptoms, potentially involving the hypothalamic-pituitary-adrenal (HPA) axis.
  • This study tested if smokers have higher cortisol levels than non-smokers and if those levels correlate with depressive symptoms in adolescents.
  • Findings showed no significant difference in cortisol levels between smokers and non-smokers and no connection between cortisol levels and depressive symptoms, challenging the proposed link between smoking and depression in this age group.
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Objective: Compelling evidence suggests that childhood adversities are associated with an increased risk of hypertension in middle age and old age. The link between childhood adversities and blood pressure in youth is less clear. In this cohort study, we examined the association between death of a parent during childhood and blood pressure in early adulthood in men.

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Intervention studies often assume that changes in an outcome are homogenous across the population, however this assumption might not always hold. This article describes how latent class growth modelling (LCGM) can be performed in intervention studies, using an empirical example, and discusses the challenges and potential implications of this method. The analysis included 110 young adults with mobility disability that had participated in a parallel randomized controlled trial and received either a mobile app program (n = 55) or a supervised health program (n = 55) for 12 weeks.

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Importance: Personalized treatment choices would increase the effectiveness of internet-based cognitive behavioral therapy (iCBT) for depression to the extent that patients differ in interventions that better suit them.

Objective: To provide personalized estimates of short-term and long-term relative efficacy of guided and unguided iCBT for depression using patient-level information.

Data Sources: We searched PubMed, Embase, PsycInfo, and Cochrane Library to identify randomized clinical trials (RCTs) published up to January 1, 2019.

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Background: Young adults with mobility disability report lower health-related quality of life (HRQoL) than their able-bodied peers. This study aims to examine potential differences between the effects of mobile app versus supervised training and the association of cardiorespiratory fitness change with HRQoL in young adults with mobility disability.

Methods: This is a secondary analysis of a parallel randomized controlled trial of a mobile app (n = 55) and a supervised health program (n = 55) that was provided for 12 weeks to 110 adults (18-45 years) with self-perceived mobility disability.

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Purpose: Stress potentiates the smoking reward, decreases the ability to resist smoking, and increases the risk of smoking relapse in adulthood. This study aimed to clarify if salivary cortisol, as an indicator of stress, may be prospectively associated with the onset and phenotype of tobacco use in adolescents.

Methods: This study was based on a cohort of Swedish adolescents, among whom saliva specimens were collected from a nested sample.

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Childhood adversity is an early life stressor associated with increased risk of several psychiatric disorders such as depression. Epigenetic changes, primarily DNA methylation, can be affected by early life stress, which in turn might contribute to altered disease susceptibility later in life. One plausible biomarker of early life stress is methylation of the ionotropic glutamate receptor NMDA type subunit 2B (GRIN2B) gene, which has been previously shown to be epigenetically affected by prenatal environmental stressors.

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