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Ingemar Engström

Title: Affiliated Professor School/office: School of Medical Sciences


Phone: +46 19 303000, +46 705 539135

Room: -

Ingemar Engström

Research subject

About Ingemar Engström

Ingemar Engström is an affiliated professor of child and adolescent psychiatry at the School of Medical Sciences at Örebro University, and senior consultant and research director at the University Health Care Research Centre (UFC), Region Örebro County.
Ingemar Engström’s researcher portrait is here
Ingemar Engström obtained his PhD at Uppsala University in 1991 with his thesis on psychiatric and social aspects of ulcerative colitis and Crohn’s disease in children and adolescents. He was appointed docent (associate professor) at Uppsala University in 2001 and Örebro University in 2005. He was appointed adjunct professor of medicine with a specialisation in child and adolescent psychiatry at Örebro University in 2004.
Ingemar Engström’s early research interests concerned psychosomatic problems and psychosocial consequences of chronic somatic disease in children and adolescents.
His thesis was on children and adolescents with inflammatory bowel diseases and how such a disease can affect mental health and quality of life. In this thesis, Ingemar showed that mental health is often negatively affected by inflammatory bowel disease, but that this does not necessarily have to be the case. He found significant differences in mental health conditioned by the “ecology” of the disease, that is, factors in the family, school and environment that could counteract the negative effects of the disease. After his thesis, Ingemar came to study similar problems in children and young people with other diseases such as diabetes, chronic headaches and overweight.
Later, Ingemar Engström became particularly interested in the treatment of children and adolescents with eating disorders. He led a multicentre study investigating the treatment of adolescents with eating disorders in Sweden (SAMÄT). This study laid the foundation for the first quality register in the field of psychiatry (RIKSÄT).
In connection with eating disorder research, Ingemar Engström became increasingly interested in the existence of coercive psychiatric care of children and adolescents. This led to a multidisciplinary research project (Forced to help) on coercive psychiatric care of children and adolescents. His involvement in this project strengthened his lifelong interest in medical ethics, resulting in several publications in this field. Articles ranged from the field of psychiatry to encompass all kinds of medical issues in health care. He has also been very active in the field of philosophy and psychiatry.
In 1994, Ingemar Engström was charged with starting the Psychiatric Research Centre (PFC) by the former Örebro County Council (now Region Örebro County) and was its head until 2011. At PFC, the doctoral programme in the field of psychiatric research was made possible through collaboration with Örebro University. The doctoral students’ research project had as its common denominator research in psychiatric treatment. He has been a supervisor for twelve doctoral students based at PFC/UFC, of which eight as principal supervisor and is now supervisor for one doctoral student.
Another research area of interest for Ingemar Engström is the issue of mental health in children and adolescents in Sweden. He has participated in the public debate with his scientific expertise in the field; his main contribution has been to question the prevailing discourse on the increase of mental illness, thus balancing the use of concepts and interpretations of research results in various areas.
With the aid of significant funding by the Swedish Research Council, Ingemar Engström was able to gather a multidisciplinary research group on the ethical and pedagogical aspects of promotion and prevention programmes in Swedish schools regarding mental health (A valuable school).
Ingemar Engström has taught in various medical programmes as well as nursing programmes in Uppsala and Linköping. In 2003, he was closely involved in preparing the application for the permission to award a medical degree at Örebro University as well as with initiating work at the university and in the region. Later he was responsible for thematic studies in “mind-psyche” when the medical degree programme in Örebro started in 2010. Furthermore, he was also responsible for the study programme in medical ethics on the medical degree programme.
Collaboration and appointments
Ingemar Engström has extensive experience in multidisciplinary research, both in the medical research field and with colleagues from the social and behavioural fields. He has experience of being a project manager in several projects in these areas.
He is active in academia as an external reviewer, examining committee member, an external expert in appointments and docent applications as well as a member of various assessment committees for funding bodies such as Swedish Research Council (VR), Swedish Research Council for Health, Working Life and Welfare (FORTE), Swedish Foundation for Health Sciences and Allergy Research (Vårdalstiftelsen), Vinnova, the Swedish Crime Victim Authority, and others.
Ingemar Engström is currently a Swedish delegate in the Nordic Committee on Bioethics (NCBio), member of the Ethical Review Appeals Board for (ÖNEP), a medical expert at the Parliamentary Ombudsmen (JO), senior editor at Acta Paediatrica, member of the Swedish Medical Products Agency’s scientific council, member of project continuity at the Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU), along with other tasks.
In addition to these undertakings, Ingemar Engström has often participated in various media contexts, especially in the field of medical ethics. He was awarded Dagens Medicin’s great debate award in 2011 and the Swedish National Council on Medical Ethics ethics award in 2019, which included a well-publicised webinar on medicalisation, “When life becomes a disease”.


Articles in journals |  Articles, reviews/surveys |  Chapters in books |  Conference papers |  Manuscripts |  Reports | 

Articles in journals

Lynøe, N. , Lindblad, A. , Engström, I. , Sandlund, M. & Juth, N. (2021). Trends in Swedish physicians' attitudes towards physician-assisted suicide: a cross-sectional study. BMC Medical Ethics, 22 (1).
Nyman-Carlsson, E. , Norring, C. , Engström, I. , Gustafsson, S. A. , Lindberg, K. , Paulson-Karlsson, G. & Nevonen, L. (2020). Individual cognitive behavioral therapy and combined family/individual therapy for young adults with Anorexia nervosa: A randomized controlled trial. Psychotherapy Research, 30 (8), 1011-1025.
Nyman-Carlsson, E. , Birgegård, A. , Engström, I. , Gustafsson, S. A. & Nevonen, L. (2019). Predictors of outcome among young adult patients with anorexia nervosa in a randomised controlled trial. European eating disorders review, 27 (1), 76-85.
Hylén, U. , Engström, I. , Engström, K. , Pelto-Piri, V. & Anderzen-Carlsson, A. (2019). Providing Good Care in the Shadow of Violence: An Interview Study with Nursing Staff and Ward Managers in Psychiatric Inpatient Care in Sweden. Issues in Mental Health Nursing, 40 (2), 148-157.
Svensson, A. F. , Khaldi, M. , Engström, I. , Matusevich, K. & Nordenskjöld, A. (2019). Remission rate of transcranial magnetic stimulation compared with electroconvulsive therapy: a case-control study. Nordic Journal of Psychiatry, 72 (7), 471-476.
Norell-Clarke, A. , Tillfors, M. , Jansson-Fröjmark, M. , Holländare, F. & Engström, I. (2018). Does Mid-Treatment Insomnia Severity Mediate between Cognitive Behavioural Therapy for Insomnia and Post-Treatment Depression?: An Investigation in a Sample with Comorbid Insomnia and Depressive Symptomatology. Behavioural and Cognitive Psychotherapy, 46 (6), 726-737.
Lynøe, N. , Engström, I. & Juth, N. (2018). Dödshjälp bakom okunskapens slöja. Läkartidningen, 115 (24), 1020-1020.
Schückher, F. , Sellin, T. , Fahlke, C. & Engström, I. (2018). The Impact of Childhood Maltreatment on Age of Onset of Alcohol Use Disorder in Women. European Addiction Research, 24 (6), 278-285.
Norell-Clarke, A. , Tillfors, M. , Jansson-Fröjmark, M. , Holländare, F. & Engström, I. (2017). How does cognitive behavioral therapy for insomnia work?: An investigation of cognitive processes and time in bed as outcomes and mediators in a sample with insomnia and depressive symptomatology. International Journal of Cognitive Therapy, 10 (4), 304-329.
Sandlund, M. , Bremer, A. , Ågård, A. , Engström, I. & Sallin, K. (2017). Kontinuitet främjar personligt och professionellt ansvarstagande. Läkartidningen, 114.
Engström, I. & Ågård, A. (2017). Läkarens viktiga möte med patienten. Läkartidningen, 114.
Schückher, F. , Sellin, T. , Berglund, K. , Berggren, U. , Balldin, J. , Engström, I. & Fahlke, C. (2017). The Importance of Age at Onset of Excessive Alcohol Use with Regard to Psychiatric Symptoms and Personality Characteristics. Alcoholism Treatment Quarterly, 35 (4), 328-343.
Engström, I. & Bengtsson, S. (2017). Vården börjar alltid med mötet. Läkartidningen, 114 (42).
Sallin, K. , Lagercrantz, H. , Evers, K. , Engström, I. , Hjern, A. & Petrovic, P. (2016). Resignation Syndrome: Catatonia? Culture-Bound?. Frontiers in Behavioral Neuroscience, 10.
Nyman-Carlsson, E. , Engström, I. , Norring, C. & Nevonen, L. (2015). Eating Disorder Inventory-3, validation in Swedish patients with eating disorders, psychiatric outpatients and a normal control sample. Nordic Journal of Psychiatry, 69 (2), 142-151.
Norell-Clarke, A. , Jansson-Fröjmark, M. , Tillfors, M. , Holländare, F. & Engström, I. (2015). Group cognitive behavioural therapy for insomnia: Effects on sleep and depressive symptomatology in a sample with comorbidity. Behaviour Research and Therapy, 74, 80-93.
Norell-Clarke, A. , Tillfors, M. , Jansson-Fröjmark, M. , Holländare, F. & Engström, I. (2014). An investigation of dysfunctional beliefs as a mediator of cognitive behavioural therapy for insomnia in a sample with insomnia and depression. Journal of Sleep Research, 23, 217-217.
Nordenskjöld, A. , von Knorring, L. , Ljung, T. , Carlborg, A. , Brus, O. & Engström, I. (2013). Continuation electroconvulsive therapy with pharmacotherapy versus pharmacotherapy alone for prevention of relapse of depression: A Randomized Controlled Trial. Journal of ECT, 29 (2), 86-92.
Kjellin, L. , Thorsen, H. , Backström, J. , Wadefjord, A. & Engström, I. (2013). Etik och moralisk stress diskuteras sällan i psykiatrin. Läkartidningen, 110 (4), 150-3.
Nordenskjöld, A. , von Knorring, L. , Brus, O. & Engström, I. (2013). Predictors of regained occupational functioning after electroconvulsive therapy (ECT) in patients with major depressive disorder: a population based cohort study. Nordic Journal of Psychiatry, 67 (5), 326-333.
Holländare, F. , Anthony, S. A. , Randestad, M. , Tillfors, M. , Carlbring, P. , Andersson, G. & Engström, I. (2013). Two-year outcome of internet-based relapse prevention for partially remitted depression. Behaviour Research and Therapy, 51 (11), 719-722.
Nilsson, K. , Engström, I. & Hagglöf, B. (2012). Family Climate And Recovery In Adolescent Onset Eating Disorders: a prospective study. European eating disorders review, 20 (1), e96-e102.
Blomqvist, S. & Engström, I. (2012). Interprofessional psychiatric teams: is multidimensionality evident in treatment conferences?. Journal of Interprofessional Care, 26 (4), 289-296.
Wilhelmsson Göstas, M. , Wiberg, B. , Engström, I. & Kjellin, L. (2012). Self-reported anxious- and avoidant-related attachment correlated to interpersonal problems by patients starting psychotherapy. E-Journal of Applied Psychology, 8 (1), 9-17.
Englund, T. & Engström, I. (2011). Behaviorismens återkomst i svensk skola: exemplet Skol-Komet. Pedagogiska Magasinet, 15 (2), 14-17.
Engström, I. (2011). Ethical reflections on organ donation from children. Acta Paediatrica, 100 (9), 1172-1174.
Nordenskjöld, A. , von Knorring, L. & Engström, I. (2011). Predictors of time to relapse/recurrence after electroconvulsive therapy in patients with major depressive disorder: a population-based cohort study. Depression Research and Treatment, 2011, 470985.
Holländare, F. , Johnsson, S. , Randestad, M. , Tillfors, M. , Carlbring, P. , Andersson, G. & Engström, I. (2011). Randomized trial of Internet-based relapse prevention for partially remitted depression. Acta Psychiatrica Scandinavica, 124 (4), 285-294.
Nordenskjöld, A. , Knorring, L. v. & Engström, I. (2011). Rehospitalization rate after continued electroconvulsive therapy: a retrospective chart review of patients with severe depression. Nordic Journal of Psychiatry, 65 (1), 26-31.
Englund, T. & Engström, I. (2011). Skol-Komet står för en instrumentell syn på relationer. Pedagogiska Magasinet, 15 (4), 72-73.
Hedberg, C. , Engström, I. , Vickhoff, R. & Lynöe, N. (2010). Can evidence-based medicine become counter-productive?. Scandinavian Journal of Public Health, 38 (5), 553-4.
Skårberg, K. , Nyberg, F. & Engström, I. (2010). Is there an association between the use of anabolic-androgenic steroids and criminality?. European Addiction Research, 16 (4), 213-219.
Engström, I. & Lynøe, N. (2010). Tio myter att avliva om medicinsk etik. Läkartidningen, 107 (40), 2419-21.
Paulson-Karlsson, G. , Engström, I. & Nevonen, L. (2009). A pilot study of a family-based treatment for adolescent anorexia nervosa: 18- and 36-month follow-ups. Eating Disorders, 17 (1), 72-88.
Lynöe, N. , Engström, I. & Löfmark, R. (2009). Från läkarpaternalism till patientautonomi. Läkartidningen, 106 (52), 3500-3502.
Skårberg, K. , Nyberg, F. & Engström, I. (2009). Multisubstance use as a feature of addiction to anabolic-androgenic steroids. European Addiction Research, 15 (2), 99-106.
Neander, K. & Engström, I. (2009). Parents' assessment of parent-child interaction interventions: a longitudinal study in 101 families. Child and Adolescent Psychiatry and Mental Health, 3 (1), 8.
Englund, A. , Englund, T. , Engström, K. & Engström, I. (2009). Värdegrunden reducerad till metod. Pedagogiska magasinet, 13 (4), 18-21.
Holländare, F. , Askerlund, A. , Nieminen, A. & Engström, I. (2008). Can the BDI-II and MADRS-S be transferred to online use without affecting their psychometric properties?. Electronic Journal of Applied Psychology, 4 (2), 63-65.
Engström, I. (2008). Etik, erfarenhet och evidens: hur ska man se på psykiatrin?. Tidskriften för svensk psykiatri (2), 32-35.
Engström, I. (2008). Människa och läkare. Svensk psykiatri (4), 37-37.
Engström, I. (2008). Psykiatri - en specialitet om hjärnan eller om människan?. Läkartidningen, 105 (43), 3057-3057.
Skårberg, K. , Nyberg, F. & Engström, I. (2008). The development of multiple drug use among anabolic-androgenic steroid users: six subjective case reports. Substance Abuse Treatment, Prevention, and Policy, 3, 24.
Engström, I. (2008). VBM - ett nödvändigt komplement till EBM. SLS aktuellt, 8 (2), 4-4.
Eckerdal, G. , Engström, I. , Kristoffersson, U. , Löfmark, R. , Sallin, K. , Thulesius, H. , Bengtsson, H. & Johnsson, L. (2007). Etisk argumentation och klinisk verklighet kan med fördel förenas. Läkartidningen, 104 (28-29), 2097-2098.
Lynöe, N. , Engström, I. , Löfmark, R. , Sallin, K. , Uggla, C. & Thulesius, H. (2007). Goda förebilder och tid för reflektion saknas: enkätstudie om medicinsk etik i läkarutbildningen. Läkartidningen, 104 (9), 676-678.
Eckerdal, G. , Engström, I. , Lynöe, N. , Löfmark, R. & Sallin, K. (2007). Respektera patientens rätt avstå från livsuppehållande behandling: nya riktlinjer från Svenska Läkaresällskapets delegation för medicinsk etik. Läkartidningen, 104 (41), 2969-2971.
Skårberg, K. & Engström, I. (2007). Troubled social background of male anabolic-androgenic steroid abusers in treatment. Substance abuse treatment, prevention, and policy, 2, 20.
Paulson-Karlsson, G. , Nevonen, L. & Engström, I. (2006). Anorexia nervosa: treatment satisfaction. Journal of Family Therapy, 28 (3), 293-306.
Lundstedt, G. , Edlund, B. , Engström, I. , Thurfjell, B. & Marcus, C. (2006). Eating disorder traits in obese children and adolescents. Eating and Weight Disorders, 11 (1), 45-50.
Thurfjell, B. , von Knorring, A. , Eliasson, M. , Swenne, I. & Engström, I. (2006). Perceived and individual ideals of gender in Swedish adolescents with and without an eating disorder. Eating Disorders, 14 (1), 55-72.
Thurfjell, B. , Eliasson, M. , Swenne, I. , von Knorring, A. & Engström, I. (2006). Perceptions of gender ideals predict outcome of eating disorders in adolescent girls. Eating Disorders, 14 (4), 287-304.
Hermansson, L. , Eliasson, A. C. & Engström, I. (2005). Psychosocial adjustment in Swedish children with upper-limb reduction deficiency and a myoelectric prosthetic hand. Acta Paediatrica, 94 (4), 479-88.
[Svensson] Lodefalk, M. , Engström, I. & Åman, J. (2003). Higher drive for thinness in adolescent males with insulin-dependent diabetes mellitus compared with healthy controls. Acta Paediatrica, 92, 114-117.

Articles, reviews/surveys

Elinder, G. , Eriksson, A. , Hallberg, B. , Lynøe, N. , Sundgren, P. M. , Rosén, M. , Engström, I. & Erlandsson, B. (2018). Traumatic shaking: The role of the triad in medical investigations of suspected traumatic shaking. Acta Paediatrica, 107 (S472), 3-23.

Chapters in books

Engström, I. (2013). Diagnostik och differentialdiagnostik. In: Henry Ascher & Anders Hjern, Från apati till aktivitet: Teori och behandling av flyktingbarn med svår psykisk ohälsa (pp. 117-136). Lund: Studentlitteratur AB.
Engström, I. (2013). Etik, erfarenhet och evidens. In: Birgitta Andershed, Britt-Marie Ternestedt, Cecilia Håkanson, Palliativ vård: Begrepp och perspektiv i teori och praktik (pp. 151-162). Lund: Studentlitteratur AB.
Engström, I. & Lynöe, N. (2012). Patientens och sjukvårdens värderingar. In: Sven Olov Andersson et al, Professionell utveckling inom läkaryrket (pp. 27-52). Stockholm: Liber.
Engström, I. (2011). Barn- och ungdomspsykiatri. In: Christian Moëll & Jan Gustavsson, Pediatrik (pp. 537-555). Stockholm: Liber.

Conference papers

Schückher, F. , Sellin, T. , Engström, I. & Berglund, K. (2020). History of childhood abuse is associated with less positive treatment outcomes in socially stable women with alcohol use disorder. Paper presented at EPA 2020, The 28th European Congress of Psychiatry, July 4-7, 2020..
Schückher, F. , Sellin, T. , Fahlke, C. & Engström, I. (2018). The Impact of Childhood Maltreatment on Onset Age of Alcohol Use Disorder in Women Seeking Treatment. Paper presented at 2018 Annual Meeting, American Psychiatric Association, New York, NY, USA, 5-9 May, 2018.
Schückher, F. , Björk, T. , Berglund, K. , Berggren, U. , Balldin, J. , Engström, I. & Fahlke, C. (2016). Differences in psychiatric symptoms and personality characteristics appear to be more pronounced between early and late onset of excessive drinking than between genders. Paper presented at The 18th Annual ISBRA World Congress & Inaugural ISBRA/ESBRA Joint World Congress in Berlin, Germany. September 2-5, 2016..
Schückher, F. , Björk, T. , Berglund, K. , Berggren, U. , Balldin, J. , Engström, I. & Fahlke, C. (2016). Individuals with onset of excessive drinking in late adulthood: Do they differ from the early onset group in psychiatric symptoms and personality characteristics?. Paper presented at Kettil Bruun Society, 42nd KBS meeting, Stockholm, Sweden, May 30 - June 3, 2016..
Pelto-Piri, V. , Engström, K. , Warg, L. , Kjellin, L. & Engström, I. (2016). Staff views on prevention and management of violence at institutions: Aspects of values and safety in encounters with young clients and patients. Paper presented at 6th European Conference for Social Work Research. ”Reflective social work practices in contemporary societies: crossed dialogues and new pathways between praxis and research”, March 30- April 1, 2016, Lisbon, Portugal..
Pelto-Piri, V. , Engström, I. , Warg, L. & Kjellin, L. (2014). Prevention of violence in psychiatric inpatient care: aspects of ethics and safety in patient and staff encounters. “The patients voice”. Paper presented at 10th International conference for clinical ethics consultation. Paris 24-26 april, 2014, Paris, France..
Pelto-Piri, V. , Kjellin, L. & Engström, I. (2013). Motiv för tvångsvård i barn- och ungdomspsykiatrin i Sverige. Paper presented at Nordisk etikk konferanse, Universitetet i Oslo, 7-8 march 2013, Oslo, Norway..
Bergh, A. , Englund, A. , Englund, T. , Engström, I. & Engström, K. (2013). Prevention and promotion programs in Swedish schools as an answer to what?: An analysis of national policy texts. Paper presented at NERA 41st Congress, Reykjavik, Iceland, March 7th to 9th 2013.
Björk, T. , Skårberg, K. & Engström, I. (2011). Eating disorders or the use of anabolic androgenic steriodes in males: Different manifestation of negative self-image?. Paper presented at International Conference on Eating Disorders (ICED), Miami, Florida, 2011.
Björk, T. , Skårberg, K. & Engström, I. (2011). Negative self-image: A common denominator between males with Eating Disorders and males using Anabolic Androgenic Steroids?. Paper presented at The 13th general meeting on European Council of Eating Disorders (ECED), Florence, Italy, 2011.
Larsson, G. , Björk, T. , Norring, C. , Engström, I. & Montgomery, S. (2009). Breastfeeding and breast changes among women with eating disorder problems: Cause for Satisfaction or Concern?. Paper presented at European Council on Eating Disorders - 20 Year Anniversary Meeting, London, UK, 2009.
Engström, I. (2008). Apathetic children: a phenomenological interpretation of a psychiatric epidemic in Sweden. Paper presented at European Conference on Philosophy of Medicine and Health Care.
Engström, I. (2008). Justifications of coercion: are decisions of coercive care psychiatric or ethical?. Paper presented at International Conference on Philosophy, Psychaitry, and Psychology.
Engström, I. (2008). Normalitet i psykiatrin. Paper presented at Svenska läkarsällskapet.
Engström, I. (2008). Om normalitet i psykiatriska sammanhang. Paper presented at Svenska Läkaresällskapets riksstämma.
Paulson-Karlsson, G. , Engström, I. & Nevonen, L. (2007). Anorexia nervosa: 18- and 36-months follow-up. Paper presented at European Council on Eating Disorders.
Engström, I. (2007). Apathetic children from a phenomenological perspective. Paper presented at International Conference on Philosophy, Psychaitry, and Psychology.
Engström, I. (2007). Hur kan psykiatrisk tvångsvård motiveras ur ett etiskt perspektiv?. Paper presented at Svenska läkaresällskapets riksstämma.
Engström, I. (2007). Medical decision making with adolescents: cultural differences and communicative prerequisites. Paper presented at International Shared Decision Making Conference.
Engström, I. (2007). Psykiatriska aspekter på avbrytande av livsuppehållande behandling. Paper presented at Svenska läkaresällskapets riksstämma.
Engström, I. (2007). Tvingad till hjälp: ett forskningsprojekt om tvång i svensk barn- och ungdomspsykiatri. Paper presented at Svenska läkaresällskapets riksstämma.
Engström, I. (2007). Vad har vi lärt oss av de apatiska flyktingbarnen?. Paper presented at Svenska läkaresällskapets riksstämma.


Norell-Clarke, A. , TIllfors, M. , Jansson-Fröjmark, M. , Holländare, F. & Engström, I. An investigation of cognitive processes as outcomes and mediators of CBT-I for insomnia in a sample with insomnia and depression.
Wilhelmsson Göstas, M. , Wiberg, B. , Brus, O. , Engström, I. & Kjellin, L. Changes in attachment styles and interpersonal problems after different forms of psychotherapy.


Pelto-Piri, V. , Engström, K. & Engström, I. (2017). Hantering av hot och våld: Personalens syn på etik, bemötande och säkerhet i mötet med ungdomar på institutioner. Stockholm, Sweden: Statens institutionsstyrelse, SiS (Institutionsvård i Fokus 12).
Bergh, A. , Englund, A. , Englund, T. , Engström, I. & Engström, K. (2013). Värdepremisser i främjande och förebyggande program i skolan: rapport från forskningsprojektet En värdefull skola. Örebro: (Rapporter från Pedagogiska institutionen, Örebro universitet 18) (Rapporter i pedagogik 18).