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  • 1.
    Dyar, Oliver J.
    et al.
    Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
    Haglund, Bo J. A.
    Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
    Melder, Cecilia A
    Enskilda Högskolan Stockholm, Teologiska högskolan Stockholm, Avdelningen för religionsvetenskap och teologi. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Skillington, Tracey
    Department of Sociology and Criminology, University College Cork, Cork, Ireland.
    Kristenson, Margareta
    Medical Faculty, Linköping University, Linköping, Sweden.
    Sarkadi, Anna
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Rainbows over the world’s public health: determinants of health models in the past, present, and future2022Ingår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 50, nr 7, s. 1047-1058Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The need to visualise the complexity of the determinants of population health and their interactions inspired the development of the rainbow model. In this commentary we chronicle how variations of this model have emerged, including the initial models of Haglund and Svanström (1982), Dahlgren and Whitehead (1991), and the Östgöta model (2014), and we illustrate how these models have been influential in both public health and beyond. All these models have strong Nordic connections and are thus an important Nordic contribution to public health. Further, these models have underpinned and facilitated other examples of Nordic leadership in public health, including practical efforts to address health inequalities and design new health policy approaches. Apart from documenting the emergence of rainbow models and their wide range of contemporary uses, we examine a range of criticisms levelled at these models – including limitations in methodological development and in scope. We propose the time is ripe for an updated generic determinants of health model, one that elucidates and preserves the core value in older models, while recognising the developments that have occurred over the past decades in our understanding of the determinants of health. We conclude with an example of a generic model that fulfills the general purposes of a determinants of health model while maintaining the necessary scope for further adjustments to be made in the future, as well as adjustments to location or context-specific purposes, in education, research, health promotion and beyond.

  • 2.
    Melder, Cecilia A
    Enskilda Högskolan Stockholm, Teologiska högskolan Stockholm, Avdelningen för religionsvetenskap och teologi.
    Aktiv livshjälp: PASTORNS UPPDRAG I ANDLIG VÅRD2019Ingår i: Uppdrag pastor: teologi och praktik / [ed] Fahlgren, Sune, Karlstad: Votum Förlag , 2019, 1, s. 146-164Kapitel i bok, del av antologi (Refereegranskat)
    Ladda ner fulltext (pdf)
    Melder, C. (2019). Aktiv livshjälp. I S. Fahlgren (red). THS 25år - jubileumsskrift.
  • 3.
    Melder, Cecilia A
    Enskilda Högskolan Stockholm, Teologiska högskolan Stockholm, Avdelningen för religionsvetenskap och teologi.
    Existential public health and existential care in secular and interfaith contexts2022Ingår i: Complexities of Spiritual Care in Plural Societies: Education, Praxis and Concepts / [ed] Anne Hege Grung, Berlin, Boston: De Gruyter , 2022, s. 191-236Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [en]

    The existential dimension, some times referred to as the religious or spiritual dimension, is essential for health and health-related qualityof life (HQoL). Research has established a significant link between the existential health dimension and various conditions and diagnoses. The lack of an established definition of the existential dimension constitutes a challenge. Therefore, the starting point in this article is operationalisation. The World Health Organization(WHO) developed transcultural survey for measuring health-related quality of life, including a model for spiritual,religious,and personal beliefs (WHOQOL-SRPB). This article first presents existential aspects relevant to HQoL and then a model for systematic existential health interventions with the SRPB aspects. Finally, it presents the Social Determinants of Health (SDH) model with the addition of the existential health dimension.

  • 4.
    Melder, Cecilia A
    Teologiska högskolan Stockholm, Avdelningen för teologi.
    The epidemiology of lost meaning: A study in the psychology of religion and existential public health2012Ingår i: Scripta Instituti Donneriani Aboensis, ISSN 0582-3226, Vol. 24, s. 237-258Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The existential dimension of spirituality has proven to be of great importance over the last two decades when it comes to studies of self-rated health and quality of life. We see the positive effects it has on blood pressure, depression and life expectancy for chemotherapy and HIV patients, to mention just a few examples. In the public health sector, it is interesting to note that this existential/spiritual dimension had already been present in the early years when the term public health first came into the Swedish language. In the year 1926 public health was defined as ‘a people’s physical and spiritual health’. During the intervening years of major medical and scientific technical improvements in the field, the existential/spiritual perspective had been put aside, but now once again this dimension has come into focus. The central question is, how does the existential dimension of health, understood as a person’s ability to create and maintain functional meaning making systems, affect the person’s self-rated health and quality of life? The working theories and basic perspectives in this article are drawn from health research with attention to the existential dimension, public health from the perspective of the psychology of religion, and object relations theory.

  • 5.
    Melder, Cecilia A
    Enskilda Högskolan Stockholm, Teologiska högskolan Stockholm, Avdelningen för religionsvetenskap och teologi.
    UR Samtiden - Att vara människa i en digital värld: Meningsskapande i vår tid2018Övrigt (Övrigt vetenskapligt)
  • 6.
    Melder, Cecilia A
    Enskilda Högskolan Stockholm, Teologiska högskolan Stockholm, Avdelningen för religionsvetenskap och teologi.
    UR Samtiden - Att vara människa i en digital värld: Människan och tekniken i framtiden2018Övrigt (Övrigt vetenskapligt)
  • 7.
    Melder, Cecilia A
    Teologiska högskolan Stockholm, Avdelningen för teologi.
    UR Samtiden - Psykisk ohälsa hos äldre: Existentiell hälsa2017Övrigt (Övrigt vetenskapligt)
  • 8.
    Melder, Cecilia A
    Uppsala universitet, Religionspsykologi.
    Vilsenhetens epidemiologi: en religionspsykologisk studie i existentiell folkhälsa2011Doktorsavhandling, monografi (Övrigt vetenskapligt)
    Abstract [en]

    The existential dimension has gained importance in health studies in the last decades (Moreira-Almeida & Koenig, 2006; DeMarinis, 2008). Little Swedish research exists in this area. A pilot study was conducted in a suburban Stockholm, Church of Sweden parish. Research question was: “How does the existential dimension of health, understood as the ability to create and maintain a functional meaning-makings system, affect the person’s self-rated health and quality of life?” Theoretical framework included: health research focusing the existential dimension; public health through psychology of religion; and, object-relations theory. The mixed-methods format included semi-structured interviews, and surveys: 1) on meaning-making, and 2) Swedish pilot translation of WHOQOL-SRPB (self-rated health and quality of life including spirituality, religiousness and personal beliefs). Central results showed a positive relation between the existential health dimension and: overall ratings of physical, mental, social, and environmental health (p = .008); the overall existential health dimension and mental health (p = .008); and, social health (p = .046) and, the combined health items “How do you feel?” and “How satisfied are you with your health?” (p = .001). These results find support in WHO’s health perspective, and are linked to DeMarinis’ health dimensions and Winnicott’s understanding of potential space. Health dimensions: physical, mental, social, ecological and existential, are closely interlinked. The existential dimension is important through interaction with the others, and through its function as an autonomous health dimension. The study underlines the need for – and offers a culturally-tested method and model to explore existential needs in this secularized context.

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  • 9.
    Melder, Cecilia A
    et al.
    Teologiska högskolan Stockholm, Avdelningen för teologi. Uppsala universitet, Religionspsykologi.
    Fischer, Regina Santamaki
    Abo Akad Univ, Turku, Finland.;Umea Univ, Umea, Sweden..
    Nygren, Bjorn
    Umea Univ, Umea, Sweden..
    DeMarinis, Valerie
    Uppsala universitet, Religionspsykologi.
    Validating WHOQOL-SRPB in Sweden: instrument adaption for measuring existential aspects of health-related quality of life [HRQL] in secular contexts2016Ingår i: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 25, s. 100-100Artikel i tidskrift (Refereegranskat)
  • 10.
    Melder, Cecilia A
    et al.
    Teologiska högskolan Stockholm, Avdelningen för teologi. Uppsala universitet, Religionspsykologi.
    Jyrell, Ida P.
    Söderqvist, Fredrik
    Uppsala universitet, Centrum för klinisk forskning, Västerås.
    Measuring adolescents health-related quality of life [HRQL] in a secular context-introducing a Swedish WHOQOL-SRPB-adolescent instrument2016Ingår i: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 25, s. 88-88Artikel i tidskrift (Refereegranskat)
  • 11.
    Melder, Cecilia A
    et al.
    Enskilda Högskolan Stockholm, Teologiska högskolan Stockholm, Avdelningen för religionsvetenskap och teologi. Uppsala University, Sweden.
    Kostenius, Catrine
    Luleå tekniska universitet, Hälsa och rehabilitering.
    Existential health: A valuable dimension when promoting health throughout the life-course in Sweden2019Ingår i: WAIORA: Promoting Planetary Health and Sustainable Development for All, 2019Konferensbidrag (Refereegranskat)
    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 12.
    Melder, Cecilia A
    et al.
    Teologiska högskolan Stockholm, Avdelningen för teologi. Uppsala University, Department of Religious Studies/Psychology of Religion.
    Kostenius, Catrine
    Luleå tekniska universitet, Hälsa och rehabilitering.
    Existential health: developing and evaluating methods for successful health promotion in a secularized context2016Konferensbidrag (Övrigt vetenskapligt)
    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 13.
    Melder, Cecilia A
    et al.
    Teologiska högskolan Stockholm, Avdelningen för teologi. Uppsala universitet, Teologiska fakulteten.
    Santamäki Fischer, Regina
    Umeå universitet, Institutionen för omvårdnad.
    Nygren, Björn
    Umeå universitet, Institutionen för omvårdnad.
    DeMarinis, Valerie
    Umeå universitet, Allmänmedicin.
    Validating WHOQOL-SRPB in Sweden: instrument adaption for measuring existential aspects of health-related quality of life [HRQL] in secular contexts2016Konferensbidrag (Refereegranskat)
  • 14.
    Melder, Cecilia A
    et al.
    Uppsala universitet, Religionspsykologi.
    Söderqvist, Fredrik
    Uppsala universitet, Centrum för klinisk forskning, Västerås.
    Modern Meaning-making: Adolescent understanding of existential aspects in Health-related quality of life [HRQL]2017Ingår i: IAPR Conference in Hamar 2017: Culture, Context and Existential Challenges, 2017, s. 30-30Konferensbidrag (Övrig (populärvetenskap, debatt, mm))
    Abstract [en]

    Aims: Present results from focus interviews concerning existential aspects related to the adaptation of the WHOQOL-SRPB(BREF) for Swedish adolescents.

    Background: Exploring existential aspects of HRQL are important when mental ill-health is increasing among adolescents in a secular context. WHO introduced WHOQOL-SRPB in 2002 for measuring HRQL, including Spiritual, Religious and Personal beliefs [SRPB]. It is validated for Swedish adults. Now it requires adaptation for youth, even internationally.

    Methods: Pupils (age 15–19) in four groups were interviewed following WHO instructions for cognitive interviewing. Content analysis of the transcribed interviews was conducted.

    Results: The pupils considered existential aspects important for HRQL. The items: Meaning, Awe, Wholeness, Peace and Hope were comprehensible for them. Faith and Personal beliefs were related to e.g. insecurity, individualism:”To believe in yourself” and traditional aspects:”I personally believe in Jesus but I do not believe in God”. Spiritual Strength and Spiritual Connection did not require transcendence and could relate to various ideas e.g. nature or popular culture:”The first thing that pops up is the Lion King that talks to Simba in the clouds. It is his inner spirituality”.

    Conclusion: Results show the importance of adaptation of existential aspects in HRQL to the cultural (secularized) context.

    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 15.
    Söderqvist, Fredrik
    et al.
    Uppsala universitet, Centrum för klinisk forskning, Västerås.
    Melder, Cecilia A
    Enskilda Högskolan Stockholm, Teologiska högskolan Stockholm, Avdelningen för religionsvetenskap och teologi. Uppsala universitet, Religionspsykologi.
    Psychometric testing of the WHOQOL-BREF scale in Swedish adolescents2016Ingår i: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 25, nr Supplement 1, s. 103-103Artikel i tidskrift (Refereegranskat)
1 - 15 av 15
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