Olof MolanderKarolinska Institutet | KI · Department of Clinical Neuroscience
Olof Molander
Doctor of Medicine
About
22
Publications
4,361
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192
Citations
Citations since 2017
Introduction
Olof Molander currently works at the Center for Psychiatry Research at the Department of Clinical Neuroscience, Karolinska Institutet. Olof does research in Clinical Psychology. His most recent publication is 'The Gambling Disorders Identification Test (GDIT): Psychometric Evaluation of a New Comprehensive Measure for Gambling Disorder and Problem Gambling'
Publications
Publications (22)
Objectives
Diverse instruments are used to measure problem gambling and Gambling Disorder intervention outcomes. The 2004 Banff consensus agreement proposed necessary features for reporting gambling treatment efficacy. To address the challenge of including these features in a single instrument, a process was initiated to develop the Gambling Disord...
The novel gambling disorder identification test (GDIT) was recently developed in an international Delphi and consensus process. In this first psychometric evaluation, gamblers (N = 603) were recruited from treatment- and support-seeking contexts (n = 79 and n = 185), self-help groups (n = 47), and a population sample (n = 292). Participants complet...
UNSTRUCTURED
Research on identification and treatment of problem gambling has been characterized by a wide range of outcome measures and instruments. These circumstances are problematic when, for example, comparing the effectiveness of different treatments. This protocol describes the development of the Gambling Disorders Identification Test (G-DIT...
Gambling is a field that harbors both harmless recreational activities and pathological varieties that may be considered an addictive disorder. It is also a field that deserves special interest from a learning theoretical perspective, since pathological gambling represents both a pure behavioral addiction involving no ingestion of substances and be...
Background:
Problem gambling and gambling disorder are major public health concerns worldwide, and awareness of associated negative consequences is rising. In parallel, treatment demand has increased, and Internet interventions offer a promising alternative for providing evidence-based treatment at scale to a low cost.
Method:
We developed a nov...
The Structured Clinical Interview for Gambling Disorder (SCI-GD) has the potential to bridge a diagnostic clinical gap, but psychometric evaluations have been scarce, in particular in relation to self-reported diagnostic criteria. This study analyzed existing data, including Swedish gamblers ( N = 204) from treatment- and help-seeking contexts, sel...
The comparative psychometric properties of self-report measures for gambling are insufficiently evaluated, in particular regarding factor structure and item response properties. Confirmatory factor and Rasch analyses were tested for three widely used gambling measures assessing problem gambling and related constructs, that is, the Problem Gambling...
Objective
The present study investigates if symptoms of COVID-19 contagion in different social contexts (cohabitants, family, acquaintances, and others) are associated with university students' own self-reported symptoms of COVID-19 contagion, mental health, and study capacity. This was investigated by a cross-sectional survey administrated in Swed...
Objective:
To evaluate the relative impact of three brief therapist-supported internet-delivered emotion regulation treatments for maladaptive anger (mindful emotion awareness [MEA], cognitive reappraisal [CR], and mindful emotion awareness + cognitive reappraisal [MEA + CR]) and to test whether baseline levels of anger pathology moderate treatmen...
Objective: To investigate perceived changes in academic self-efficacy associated with self-reported symptoms of COVID-19, changes in mental health, and trust in universities’ management of the pandemic and transition to remote education during lockdown of Swedish universities in the spring of 2020. Methods: 4495 participated and 3638 responded to s...
Background
From a clinical perspective, knowledge of the psychological processes involved in maintaining gambling disorder has been lacking. This qualitative study formulated hypotheses on how gambling disorder is maintained by identifying clinically relevant behaviors at an individual level, as a means to guide the development of new cognitive beh...
Background
Homelessness is associated with high prevalence of psychiatric disorders such as substance use disorders, including alcohol use disorder, and depression.
Methods
This case series and feasibility trial evaluated a novel integrated cognitive behavioral treatment (ICBT), which was adapted specifically for homeless individuals and developed...
Background
Despite the association of Gambling Disorder (GD) with poor mental health, treatment options generally lack components targeting emotional difficulties. This study investigated the feasibility and acceptability of adding strategies of emotion regulation to an eight-session weekly group treatment.
Method
This non-randomized pilot study r...
Objective
During the COVID pandemic, government authorities worldwide have tried to limit the spread of the virus. Sweden’s distinctive feature was the use of voluntary public health recommendations. Few studies have evaluated the effectiveness of this strategy. Based on data collected in the spring of 2020, this study explored associations between...
Background
From a clinical perspective, knowledge of the psychological processes involved in maintaining gambling disorder has been lacking. This qualitative study formulated hypotheses on how gambling disorder is maintained by identifying clinically relevant behaviors at an individual level, as a means to guide the development of new cognitive beh...
Objectives
This study evaluates whether initiation rates, completion rates, response patterns and prevalence of psychiatric conditions differ by level of personal integrity information given to prospective participants in an online mental health self-report survey.
Methods
A three-arm, parallel-group, single-blind experiment was conducted among st...
Aims:
The COVID-19 containment strategy in Sweden uses public health recommendations relying on personal responsibility for compliance. Universities were one of few public institutions subject to strict closure, meaning that students had to adapt overnight to online teaching. This study investigates the prevalence of self-reported recommendation c...
Importance
Atopic dermatitis is a common and debilitating skin condition characterized by intense itching and chronic inflammation. Research on behavioral treatments with high accessibility is needed.
Objective
To investigate the efficacy of a highly scalable internet-delivered cognitive behavior therapy (CBT) for adults with atopic dermatitis.
D...
Alcohol is one of the leading risk factors for global disease burden and overconsumption leads to a wide variety of negative consequences in everyday life. Digital interventions have shown small positive effects in contributing to reductions in problematic use. Specific research on smartphone apps is sparse and the few studies published indicate ef...
Background
Research on the identification and treatment of problem gambling has been characterized by a wide range of outcome measures and instruments. However, a single instrument measuring gambling behavior, severity, and specific deleterious effects is lacking.
Objective
This protocol describes the development of the Gambling Disorder Identific...
There is need for more cost and time effective treatments for depression. This is the first randomised controlled trial in which a blended treatment - including four face-to-face sessions and a smartphone application - was compared against a full behavioural treatment. Hence, the aim of the current paper was to examine whether a blended smartphone...
Projects
Projects (2)
Develop the Gambling Disorders Identification Test (G- DIT) as an instrument covering consumption, symptom severity and negative consequences, analogous to the widely used Alcohol Use Disorders Identification Test (AUDIT) and the Drug Use Disorders Identification Test (DUDIT); according to four steps:
1. Identifying items eligible for the G-DIT from a pool of existing gambling measures;
2. Presenting proposed items for evaluation by (a) a small group of invited expert researchers in a pilot Delphi round, (b) a larger group of invited international expert researchers in a formal Delphi process, and (c) ending with a projected international expert consensus meeting;
3. Pilot testing a draft 9-12 item version in a small group of problem gambling participants (n=10); and
4. Evaluating psychometric properties of the final G-DIT measure in relation to existing instruments and self- reported DSM-5 criteria, among individuals with problem gambling (N=600). The latter sample will be drawn from treatment-seeking and self-help group samples, as well as population samples including recreational gamblers, all in Sweden.
This project is part of the ongoing six-year Responding to and Reducing Gambling Problems (REGAPS) research program in Sweden.
The program of work studies gambling and its treatment and regulation in Sweden in five frames of reference, aiming to provide helpful information in redesigning treatment and other responses to individual problematic gambling, and strategies to prevent or reduce gambling problems. Concerning the societal handling of problematic gamblers, areas of investigation include how gambling problems are defined, how caregiving personnel and agencies respond to problematic gamblers, and how treatment provision affects and fits into the life trajectory of problem gamblers. Concerning measurement of gambling problems, the program will develop and test appropriate instruments for measuring, in a Swedish context, aspects of gambling behaviour, problems and dependence. Concerning comorbidity of gambling problems with other psychiatric disorders, the study will contribute to disentangling overlaps and establishing time-ordering between problem gambling and other disorders. Concerning policy development and impact, the program will draw on reviews of studies of the effects of gambling regulation, and as it becomes appropriate will conduct policy impact studies on changes in Swedish gambling policies. Concerning international comparisons, the program will set Swedish developments in treatment monitoring and policy measures concerning gambling in a cross-national comparative context. In practical terms, the program of work aims to offer analyses which foster the improvement of Swedish responses to problematic gambling.
The research consortium is also committed to fostering a critical experimental perspective on epidemiology and treatment service studies, in addition to contributing evidence which would point future policy toward greater social reinclusion as well as more effective reduction of problems from gambling behaviour.
This program offers an overall coverage of topics of immediate interest in Swedish gambling research today, based on five different work packages:
WP 1: Experiences, formation of and obstacles for help-seeking in the case of gambling problems.
WP 2: Measurement: screening, problem characterization and treatment follow-up.
WP 3: Problem gambling and psychiatric comorbidity
WP 4: Policy development and impact
WP 5: International comparisons and cooperation.
