The intersection of gender and early-career stage on the mental health of physicians is emerging and evident. This qualitative, interview-based study explores the perspectives of early-career female physicians regarding their mental health in the context of their work, their experiences with taking a leave of absence from work, and promising practices and supports that can support early-career female physicians in the workplace with regards to mental health and leaves of absence. Nine interviews with female physicians in the first ten years of practice in Ontario were conducted and analyzed thematically. A conceptual framework borrowed from the Healthy Professional Worker (HPW) Partnership was employed and revised based on the findings. The findings suggest that increased awareness of the challenges faced by early-career female physicians may contribute to the destigmatization of mental health and leaves of absence and foster supports at work. Policy makers and regulatory bodies should consider developing equitable leave of absence policies for physicians and reframing how seeking mental health care is viewed to contribute to positive culture change.

Denna studie undersöker hur ’känsla av plats’, betraktat som menings- och anknytningsskapande till plats, påverkar individuellt och allmänt mentalt välbefinnande. Genom appliceringen av förkroppsligad autoetnografi syftar den till att skildra ett personligt narrativ om egna upplevelser från att gå på gatorna i Stockholms innerstad. Forskningsfrågan är: V ad kan ett autoetnografiskt och förkroppsligat tillvägagångssätt bidra till framväxande teorier och metoder som berör sambandet mellan känsla av plats och mentalt välbefinnande? Från det explorativa tillvägagångssättet presenteras några påståenden framåt slutet baserat på resultaten. För det första är det viktigt för utövare, teoretiker och medborgare att utforska platsbetydelser som en del av och i platsen, för att utveckla förståelse och ifrågasätta sociokulturella konstruktioner av att veta och leva. För det andra är det ett etiskt imperativ att vara uppmärksam på affekter och känslor i relation till plats, där ett ökat intresse från de som jobbar med offentliga miljöer behövs. För det tredje består meningsfulla platser av invecklade nätverk av jaget, andra och miljöer, vilket belyser hur miljön sällan har företräde i sig själv. Slutligen visar det autoetnografiska och förkroppsligade tillvägagångssättet på potential för förändring bortom fantasin, där känslighet kan öppna länge stängda dörrar och välkomna något nytt. Resultaten och reflektionerna antyder gemensamt att den inneboende komplexiteten i förhållandet måste bemötas med flexibilitet och öppenhet, snarare än att reduceras och separeras i fraktioner. / This study explores how sense of place, viewed as the attribution of meaning and emotional attachment to place, influences individual and public mental wellbeing. It is performed through a practice of embodied autoethnography, which seeks to portray a vulnerable narrative of the researcher herself in relation to walking the streets of inner-city Stockholm. The research question is: What can an autoethnographic and embodied approach contribute to emerging theories and practices concerned with the relationship between sense of place and mental wellbeing? From the explorative approach applied, some tentative prompts and claims are made towards the finishing chapters. First, it is vital for practitioners, theorists, and citizens to explore place meanings first-hand, to further understand and question socio-cultural constructions of knowing and living. Second, it is an ethical imperative to pay attention to affects, feelings, and emotions in place, in which heightened acknowledgement is needed for all concerned with ordering public spheres. Third, meanings of place consist of intricate networks of self, others, and environments, highlighting how the environment rarely takes precedence in or for itself. Finally, the autoethnographic and embodied approach to study recognizes the potential for change beyond imagination, in which vulnerability can open long-shut doors and welcome the becoming of something new. The findings and reflections jointly suggest the complexities must be met plurally rather than reduced and separated into fractions.

With the expanded awareness on the climate emergency and the fear mongering by the media, the number of people suffering from eco-anxiety is radically increasing. People struggle to cope. The aim of this project is to explore game development in the field of climate emotions to introduce healthy coping mechanisms to activists. For this I established collaborations with eco-emotions researcher Panu Pihkala, climate activists and activist groups. The project resulted in a card game called Hope to Cope. In the process of developing the card game I did exploration such as workshops, interviews, participation in activist initiatives, personal exploration and more.

This report reviews the topic of mental health, focusing specifically on mental wellbeing addressing stress and anxiety amongst students. With the purpose of helping to improve the mental wellbeing of students, by creating a community where students can unwind from the stress of student life. Research and organised workshops were conducted in order to investigate the question: How to use visual communication as a tool to help relieve stress and anxiety for students at Linnaeus University (LNU)?  Craftfulness is introduced as a concept and method to create a workshop toolkit. This report looks into the importance of craftfulness and creativity and how it helps improve mental wellbeing through the use of hands. The report concludes that visual communication can be used to create creative workshops that lead students to feel calm from the stresses of everyday student life.

Take a Social Break is a design project investigating how to use visual communication as a tool to relieve stress and anxiety for university students at Linnaeus University, through creative workshops by conducting crafting and creative activities.The purpose of this project is to help students improve their mental wellbeing through the practice of crafting. The project aims to form creative workshops through the use of a workshop toolkit. During workshops, LNU students gather in a safe space as a community and have a chance to unwind from all the stress of student life by doing creative activities together. Students are invited to conduct something different from the routine, as a way to distract from daily stress. The change aspect of the project is to introduce to Linnaeus University a new activity for students that has a focus on their mental wellbeing but which is organised by students for students.

Bakgrund: Hjärt- och kärlsjukdomar är den vanligaste dödsorsaken för kvinnor i nästan hela världen. Kvinnans hjärtinfarkt skiljer sig från mannens. Trots detta är kvinnor underrepresenterade i forskning gällande hjärt- och kärlsjukdomar. En allvarlig sjukdom, exempelvis hjärtinfarkt, orsakar vanligtvis stress och ångest och blir många gånger en påminnelse om döden. Syfte: Att belysa hur kvinnors psykiska mående kan påverkas efter en hjärtinfarkt. Metod: Allmän litteraturstudie som innefattade 11 vetenskapliga artiklar. Artiklarna lästes flera gånger och de mest framträdande fynden identifierades. Fynden färgkodades och fyra huvudteman urskildes. Resultat: Fyra huvudteman identifierades; (I) emotionella upplevelser, (II) socialt stöd, (III) förändrade relationer och (IV) en förändrad livssyn. Majoriteten upplevde ångest, rädsla, stress eller depression efter hjärtinfarkten. Socialt stöd från närstående och sjukvårdspersonal var betydelsefullt för tillfrisknandet. Däremot var informationen från sjukvårdspersonalen bristfällig. Relationer förändrades, både med familj och vänner, samt deras sexuella relationer. Livssynen förändrades efter hjärtinfarkten, antingen negativt eller positivt. Konklusion: Kvinnors psykiska mående påverkas främst negativt av en hjärtinfarkt. För att underlätta tillfrisknandet för kvinnor efter en hjärtinfarkt är det av vikt att förebygga ångest och annan psykisk ohälsa, samt ge tillräcklig information och stöd. / Background: Cardiovascular diseases are the most common cause of death for women in almost the whole world. A woman's heart attack differs from a man's. Despite this, women are underrepresented in research regarding cardiovascular diseases. A serious illness, such as a heart attack, usually causes stress and anxiety and is often a reminder of death. Aim: To shed light on how women's psychological well-being can be affected after a heart attack. Method: A general literature study that included 11 scientific articles. The articles were read several times and the most prominent findings were identified. The findings were color-coded, and four main themes were distinguished. Results: Four main themes were identified; (I) emotional experiences, (II) social support, (III) changed relationships and (IV) a changed outlook on life. Most of the women experienced anxiety, fear, stress or depression after the heart attack. Social support from relatives and healthcare professionals was important for the recovery. On the other hand, the information from healthcare professionals was insufficient. The relationships changed, both with family and friends, as well as their sexual relationships. The outlook on life changed after the heart attack, either in a negative or positive way. Conclusion: Women's psychological well-being is mostly negatively affected by a heart attack. To facilitate the recovery of women after a heart attack, it is important to prevent anxiety and other mental illness, as well as to provide sufficient information and support.

Yes / Young people choose energy-dense, nutrient-poor diets, yet understanding of potential determinants is limited. Associations between food choices, mental wellbeing, health-related quality of life (HRQoL) and family affluence were explored to identify targets for intervention to promote dietary health and wellbeing in young people. Adolescents were recruited via post-primary schools in the UK and surveyed at two time-points when aged 13-14 years and 15-16 years. The questionnaire enquired about mental wellbeing using the Short Warwick-Edinburgh Mental Wellbeing Scale, HRQoL using the KIDSCREEN-10, socio-economic status using the Family Affluence Scale and food choice by Food Frequency Questionnaire (FFQ). With missing and anomalous cases excluded, the sample comprised 1208 cases. Factor analysis on the FFQ indicated five food choice factors: ‘Junk Food’; ‘Meat’; ‘Healthy Protein’; ‘Fruit/Vegetables’; ‘Bread/Dairy’. Multivariate regression analysis indicated that frequent consumption of Junk Food was associated with being male and lower mental wellbeing. Frequent Meat intake was associated with being male and with lower HRQoL. Frequent choice of Bread/Dairy foods was more common among males and associated with higher wellbeing and greater affluence. Those who consumed Fruit/Vegetables frequently were more likely to be female, have higher HRQoL, higher mental wellbeing, and greater family affluence. These direct associations endured between time points. The dietary factors were not mutually exclusive. Those who frequently chose Junk Food were less likely to choose Fruit/Vegetables. Frequent choice of Meat was associated with more frequent choice of Junk Food and Healthy Protein. Intervention to improve dietary and psychological health in young people should target males, those in less affluent households, seek to reduce consumption of ‘junk’ food, and increase fruit and vegetable intake. / This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. This ma-terial is based upon work conducted as part of the Wellbeing in Schools (WiSe) study which was financially supported by the Centre of Excel-lence for Public Health (Northern Ireland), and the Centre of Evidence and Social Innovation, at Queens University Belfast.

Yes / Wellbeing declines during adolescence, for which the reasons are unclear. This analysis explored associations between wellbeing and multiple lifestyle, socioeconomic and school-level factors in young people. Data were collected as part of the Wellbeing in School (WiSe) survey of adolescent school children in Northern Ireland at age 13-14 years (N=1618; 49% female) and 15-16 years (N=1558; 50.5% female). Wellbeing was assessed using the short-form Warwick-Edinburgh Mental Wellbeing Scale (sWEMWBS), where scores declined between time one (13-14 years) and time two (15-16 years) in both sexes and were significantly lower in females at both timepoints. Multilevel, multivariate modelling was therefore undertaken separately for males and females with sWEMWBS scores as the dependent variable. Physical activity, family affluence, fruit and vegetable intake, social media use, sleep duration, school factors (size and type) and religion were independent variables. More frequent physical activity in both sexes at both timepoints was associated with higher sWEMWBS scores. In females, higher sWEMWBS scores were associated with less social media use at time one (and marginally at time two), greater family affluence at time two, and being Catholic at both timepoints. In males, higher sWEMWBS scores were associated with more frequent fruit and vegetable intake at time one. Mental wellbeing was unrelated to sleep duration or school factors in either sex, at both time points. Efforts to maximize mental wellbeing in adolescents should promote engagement in physical activity and implement sex-specific interventions. / This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. This material is based upon work conducted as part of the Wellbeing in Schools (WiSe) study which was financially supported by the Centre of Excellence for Public Health (Northern Ireland), and the Centre of Evidence and Social Innovation, at Queens University Belfast.

The number of displaced people around the world today is unprecedented in world history, with a third of those displaced below the age of 18. These children often undergo traumatic experiences which can cause serious mental health issues before and during their flight as well as afterwards when resettling in a new country. In Sweden, they are offered psychological aid in order to better deal with these issues and hence recover. However, due to the cultural stigma attached to mental health problems, psychosocial aid is often ruled out by the child themselves. In addition, up to 30% of these unaccompanied children have been reported to suffer from PTSD, where merely speaking about one's issue can trigger a relapse of the trauma. There is therefore a shortage of pragmatic approaches to help tackle the challenges that these children faces. The aim of this thesis is to investigate how creative programs such as the organisation Clowns without Borders works with unaccompanied refugees and how their methods affect the wellbeing of these children. This thesis explores the effects that laughter and playing has on a child’s well-being using a qualitative field research approach. The research is a contribution to the field of development since it offers new grounds on how to work towards increasing the living standards of resettled displaced persons.

This study maps research concerning person environment interrelationships with health and wellbeing outcomes. The purpose of this study is to provide insights into the inter-relationship between the built environment (BE) and human health and wellbeing as it is conveyed in research literature. It particularly focuses on literature that connects built environment, emotions, feelings, mind and body. This thesis therefore provides a review of relevant literature on the physical environment, with a focus on person environment (PE) relationship that may influence the person's psychological and physiological systems consequently affecting health and wellbeing. Specifically, psychoneuroimmunology (PNI) is used to identify dimensions of the BE which are significant for this study. The understanding of PE interrelationships to health outcomes is achieved by undertaking a transdisciplinary outlook. To conceptualise the 'person' as a whole and the workings of the mind and human system PNI has been recognised as a main platform. PNI is the study of mind-body relationships (Evans, et al, 2000), providing a scientific framework which captures the understanding of the inter-relationship of the mind to the neuroendocrine systems and the immune systems with the aim of understanding the influence of the mind on eliciting as well as preventing illnesses. The work was motivated by the need for better understanding of the human interaction/transaction in an interior environment and their consequences on health. An exploration of literature from both the environmental and health fields provided a knowledge base upon which to develop an understanding of the interrelationship. Research has demonstrated a link between the BE and wellbeing, however, this is limited in its application and/or scope. For example, over the past years there has been an increasing amount of research showing the possible influence of the environment in reducing stress (Sommer & Oslen, 1980; Kaplan, 1983; O'Neill, 1991; Wapner & Demick, 2000; Parsons & Tassinary, 2002, Frumkin, 2006). In addition, there is growing evidence that indicates there is a relationship between BE and health including the psychological and physiological systems, in healthcare environments (Ulrich & Zimring, 2004). However, while there is ample research in the areas of environmental stressors and other determinants of the environment in contributing to health, less research has been undertaken in studying the impact of the environment on health (Evans& McCoy, 1998). The potential of the environment in contributing to the mental wellbeing of a person and how this could affect the physical health therefore needs further investigation (Solomon, 1996). The methodology followed was Coopers (1998) 'research synthesis' and the tool to sort the domains and PE interrelationships was adapted from White's (1989) 'space adjacency analysis'. The scope of this study was limited to explorations of literature that inquired into PE relationships that fit into the primarily established 'integrative systems model'; a parameter that enabled categorisation of the literature into the areas that related to the PNI framework. The findings illustrate that the person is interrelated to the environment in several ways and can be interpreted and explained in terms of various dimensions such as the psychological, physical, social, and spatial dimensions. Furthermore, empirical research indicates that the environment impacts on a person's health and wellbeing through psychological and physiological systems. PNI acknowledges the interrelationship of the mind and body systems contributing to an integrative systems model of human health and wellbeing. As an outcome, the study has produced an analysis method and a navigation map of the various literature domains related to PE interrelationships in terms of health and wellbeing. This has been facilitated by the development of, a 'PE integrative systems model'. Apart from demonstrating the need for transdisciplinary research and contributing to research methodology, the study also adds to the current design knowledge base providing BE professionals and creators with a better understanding of the health outcomes from PE interrelationships.