Sami RäsänenUniversity of Oulu · Department of Psychiatry
Sami Räsänen
About
49
Publications
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692
Citations
Citations since 2017
Publications
Publications (49)
Aim
Our aim in this paper was to estimate the contribution of different parental specialised health care diagnoses to the subsequent risk of entry into the social assistance system for families with children in the period 1998–2013.
Methods
We used longitudinal population-level register data consisting of all children born in 1997 in Finland and t...
Research indicates that adolescent psychological symptoms are associated with subsequent mental health disorders. Studies also show the association of leisure activity with improved current and future mental health. However, research is limited on whether social leisure time activity is a mediating link in the association between psychological symp...
The objective was to examine the impacts of duration of preadoption out-of-home care and adoptive family functioning on later psychiatric morbidity of adoptees with high (HR) and low (LR) genetic risk for schizophrenia spectrum disorders. The study uses nationwide data from the Finnish Adoptive Family Study of Schizophrenia. The study population in...
Social functioning deficits during adolescence are associated with later psychiatric morbidity, particularly in offspring at high genetic risk for schizophrenia spectrum disorders. However, a shortcoming of earlier study findings is the lack of control of the impact of the family rearing environment. The study was aimed to examine the association o...
Purpose
Earlier findings indicate that socioeconomic status (SES) of family associates with family functioning. This study examined the impacts of family functioning and genetic risk for schizophrenia on psychiatric morbidity of adoptees in families of high SES (HSES) and low SES (LSES).
Methods
The study population is a subgroup of the Finni...
Background
The psychosocial wellbeing of children and adolescents is an ongoing global concern. Despite positive outcomes of child- and family-focused programs, the fragmentation of services presents challenges. To enhance harmonization and diminish fragmentation of service policies, we implement a preventive collaborative service model for childre...
Social functioning deficits (SFDs) during adolescence represent potential vulnerability indicators to schizophrenia spectrum disorders, but little is known about how both family environmental and genetic factors contribute to SFDs. The aim of this study was to examine the association of adoptees' adolescent social functioning with adoptive family f...
Background
The reduction in psychiatric hospital beds in the past decades has created a need for assisted living (AL). Even though AL is widely used, studies on it are scarce.
Aims
To identify (1) study characteristics of the reviewed articles, (2) characteristics of inhabitants and characteristics of different types of AL, (3) financial costs in...
Parental physical illnesses can be stressful for children. We estimated the prevalence of children who experience parental physical illnesses, and whether parental physical illnesses during childhood were associated with behavioral problems in adolescence. Data on children from the Northern Finland Birth Cohort 1986 was collected through questionna...
The association of leisure time activities with specific mental disorders has mainly remained unclear because of lack of such research. This study analyzed the association of different levels of social leisure time activity during adolescence (ages 15–16 years) with the incidence of mental disorders during adolescence and young adulthood between th...
Background:
Children and adolescents with a genetic risk for schizophrenia are often found to have poorer social functioning compared to their controls. However, less is known about high-risk offspring who have not been reared by a biological parent with schizophrenia. The purpose of this study was to examine deficits in social functioning in adol...
Objective
The aim of this study was to examine the association of family functioning to psychiatric disorders of adoptees with and without genetic vulnerability to schizophrenia.
Methods
The data is based on the Finnish Adoptive Family Study of Schizophrenia. The study sample consisted of 346 adoptive families, of which 175 adoptees had high (HR)...
Background: Families with parental mental health issues often have numerous problems needing multilevel measures to address them. The “Let's Talk about Children Service Model (LT-SM)” is a community-based service approach aiming at collectively impacting population needs regarding child protection services. Three municipalities in the Raahe Distric...
Aims:
Earlier studies on the associations between parental somatic illnesses and children's psychological wellbeing have focused on the most common somatic illnesses or on specific groups of illnesses. In this study, we aimed to systematically examine whether parental somatic illnesses, diagnosed during an offspring's childhood, are associated wit...
Objective:
To investigate whether parental TBI increases the overall risk for psychiatric disorders and the risk for specific psychiatric diagnoses in the children affected by parental TBI.
Methods:
The 1987 Finnish Birth Cohort (n = 59 476) were followed up through national registers from birth to the end of 2008. The diagnoses of cohort member...
Aim:
The aim of this study was to investigate whether parental somatic illnesses during childhood increase the risk for later psychosis in the offspring. In addition, we examined which parental illnesses in particular are associated with increased risk of psychosis in the offspring.
Method:
The data of the Northern Finland Birth Cohort 1986 (NFB...
Background: The aim of this study is to find out whether the onset of parental somatic illnesses per se is associated with increased level of prodromal symptoms of psychosis when children’s earlier symptoms are taken into account. And if so, which specific parental illnesses are most relevant in this respect.
Methods: This study is a prospective po...
Health promotion and preventive action in the context of public health interventions for highly prevalent, long-term conditions such as cancer are rarely geared toward the family as a whole. Yet family members, as cancer cosurvivors, must manage their own substantial stress and multiple caregiving responsibilities and often constitute a critical ne...
Objective:
The purpose of this study is to investigate psychiatric diagnoses given to children affected by parental cancer in psychiatric and somatic specialized health care settings.
Methods:
The 1987 Finnish Birth Cohort data (n = 59 476) were followed up through national registers from birth of cohort members up to the end of 2008. The health...
Physical symptoms often occur in the absence of physical illness. This is termed somatization when the symptoms are caused by psychic factors. When abundant symptoms affect the functional capacity and cause subjective harm and seeking healthcare services, a psychic disorder may be in question. Somatization may be associated with numerous psychic di...
Traumatic brain injury (TBI) of a parent causes significant changes in their family life and parent-children relationships. However, the number of children affected by parental TBI and the long-term consequences for these children remain unknown. We estimated the prevalence of children affected by parental TBI and investigated whether these childre...
The studies reporting population-based estimates of the proportion of children with a parent suffering from cancer are very few. These children have been shown to suffer from psychological symptoms, but it is not known whether their use of psychiatric services is increased. Our study examined the prevalence of children affected by parental cancer a...
This is a trial of cancer patients who are seriously somatically ill and of how their distress affects their spouse or children. In the pilot phase the authors examined whether there are changes in psychiatric symptom profile of seriously somatically ill and healthy parents between assessments concerning a situation before the onset of parental ill...
Excess mortality is widely reported among schizophrenia patients, but rarely examined in adoption study settings.
We investigated whether genetic background plays a role in the premature death of adoptees with schizophrenia.
Mortality among 382 adoptees in the Finnish Adoptive Family Study of Schizophrenia was monitored from 1977 to 2005 through th...
Increasing interest has been focused on providing psychosocial support and preventive care for the children of adult cancer patients.
The primary purpose of this study was to describe clinicians' experiences using structured family-centered interventions to address the needs of children whose parent has cancer.
Using a narrative method, qualitative...
To perform a systematic narrative review of the current state of published articles on the structured interventions targeted at children with a parent suffering from cancer.
The study was based on a narrative synthesis approach. Eleven structured child-centred intervention studies were systematically searched through PubMed, PsycINFO and MEDLINE. T...
Under-recognitions of somatic illnesses have frequently been suggested to explain the well-known increased risks of mortality in long-stay psychiatric patients. There are, however, no studies, in which register information on realized somatic hospitalisations and mortality from somatic illnesses in psychiatric patients are actually linked and simul...
Subtle motor, emotional, cognitive and behavioural abnormalities are often present in apparently healthy individuals who later develop schizophrenia, suggesting that some aspects of causation are established before overt psychosis.
To outline the development of schizophrenia.
We drew on evidence from The Northern Finland 1966 Birth Cohort supplemen...
The aim of the present study was to examine mortality due to avoidable and unavoidable causes, unnatural deaths, and mortality possibly related to the use of psychotropic drugs. Mortality of 253 long-stay psychiatric patients from Northern Finland were monitored over a 9-year period and characterized according to standardized mortality rates (SMRs)...
Subtle developmental (motor, emotional, cognitive, and behavioral) abnormalities are often present in apparently healthy individuals who later develop psychosis, suggesting that some aspects of causation are established before overt psychosis. These impairments may restrict information processing and social achievements years before manifesting psy...
According to several studies, mortality in psychiatric patients is higher than in the general population, but cause-specific mortality analyses in long-stay psychiatric patients have not been studied very much. Individual follow-ups have been called for in order to identify possible treatment deficiencies and to make recommendations for clinical pr...
Resumen
Se estudiaron las diferencias sexuales en el uso de los servicios psiquiátricos en el Hospital Central de la Universidad de Oulu en Finlandia durante un seguimiento de tres años. Se utilizó una cohorte de incidencia tratada de un año de nuevos pacientes. La cohorte total incluía 537 pacientes (46,7% eran varones). La tasa de incidencia anua...
Sex differences in the use of psychiatric services were studied in the Oulu University Central Hospital in Finland during a three-year follow-up. A one-year treated incidence cohort of new patients was used. The total cohort comprised 537 patients (46.7% were males). The annual incidence rate was 6.7 per 1,000 members of the adult population for bo...
Rapid deinstitutionalization occurred in Finland in the 1990s, a decade later than in many other Western countries. A four-year follow-up study in northern Finland examined community placements of 253 long-stay psychiatric inpatients after deinstitutionalization in 1992 and at follow-up at the end of 1995. About 70 percent of the patients were disc...
Subtle motor, emotional, cognitive and behavioral abnormalities are often present in apparently healthy children and adolescents who later develop schizophrenia. This suggests that some aspects of causation are established long before psychosis is manifest. We aim to develop a descriptive model of the factors contributing to the development of schi...
During the past decade schizophrenia research has emphasized the importance of sex differences. Most studies have found that lifetime risk of schizophrenia has been equally common in both sexes. Men develop schizophrenia 3-4 years earlier than women, regardless of culture, but late-onset schizophrenia has been found to be commoner in women. Women m...
This study examines gender differences in treatment and institutional outcome in a closed mixed-psychiatric ward functioning as a therapeutic community. Its first-time male (n = 784) and female (n = 741) patients were classified into five diagnostic categories according to criteria from the third revised edition of the Diagnostic and Statistical Ma...
Projects
Projects (2)
The first aim is to examine whether parental somatic illnesses and the accumulation of parental somatic illnesses is associated with later 1) psychiatric morbidity / 2) psychotropic medication use as an indicator of mental disorder. Further, a specific focus is to identify which parental somatic illnesses 1) increase the likelihood for mental disorders / 2) associate with later psychotropic medication use as an indicator of mental disorder.
