Families In Sweden Research Articles

Sweden’s multilingual language policy through the lens of Turkish-heritage family language practices and beliefs

AbstractThis study explores the language maintenance efforts of Turkish heritage-speaker families in Sweden and their relation to state-level language policy from three angles. First, Swedish mainstream language ideology is described as it manifests in legislation, language policy and mother-tongue tuition. Then, the language practices of the families of 105 Turkish/Swedish children (age four to seven) are characterised via a questionnaire survey. This is complemented by findings from a follow-up study two years later, where ten of the families participated in interviews and home observations. Parents preferred to speak Turkish and wanted their child to learn and speak Turkish alongside Swedish. Another common denominator was the children’s early, extensive preschool attendance. Parent-child interaction was predominantly Turkish, although second-generation parents raised in Sweden reported higher uses of the majority language Swedish. Exposure to Swedish increased over time due to schooling, sibling interaction and media use, but third-generation children still spoke Turkish to a considerable degree. In their heritage-language maintenance efforts, many parents enlisted the support of grandparents, mother-tongue tuition, and literacy activities. Parents generally considered Turkish and Swedish equally important and showed low levels of anxiety regarding their children’s bilingualism, unlike what has been reported in studies of the same ethnolinguistic group in other national settings. The interviews revealed that parents who consulted Swedish health professionals and teachers were advised to speak and support the heritage language (Turkish) and maximise exposure to it in the home. Whilst unusual from an international perspective, this is in line with the official multilingual language ideology in Sweden.

Heredity of pregnancy-related pelvic girdle pain in Sweden.

Pelvic girdle pain during and after pregnancy is a major public health problem with significant daily problems for affected women and their families. There is now accumulating evidence that pregnancy-related pelvic girdle pain originates from the sacroiliac joints and the pubic symphysis as well as their extra-articular ligaments. However, the heritability of the disease remains to be determined. We hypothesized that there is an increased familial risk of pregnancy-related pelvic girdle pain. A population-based national database linkage registry study of approximately 9.3 million individuals within 4.2 million families in Sweden with a recruitment period from 1997 to 2018. The Swedish Multi-generation register was used to find female pairs of twins, full siblings, half-siblings and first cousins where both in the pairs had a completed pregnancy. The outcome measure was diagnosis of pregnancy-related pelvic girdle pain (International Classification of Diseases-10 O26.7 [1997-2018]) in the first pregnancy. Data was obtained from the Swedish Hospital Discharge Register, the Swedish Outpatient Care Register, the Swedish Medical Birth Register, the Primary Healthcare Register, and Medical Treatment Register. Cox regression analysis was used to calculate adjusted estimated effect of the exposure variable familial history of pregnancy-related pelvic girdle pain on the outcome variable pregnancy-related pelvic girdle pain at first birth. From the registers, 1 010 064 women pregnant with their first child within 795 654 families were collected. In total, 109 147 women were diagnosed with pregnancy-related pelvic girdle pain. The adjusted hazard ratio for a familial risk of pregnancy-related pelvic girdle pain was 2.09 (95% CI 1.85-2.37) among twins (monozygotic and dizygotic), 1.78 (95% CI 1.74-1.82) in full siblings, 1.16 (95% CI 1.06-1.28) in half-siblings from the mother, 1.09 (95% CI 1.024-1.16) in half-siblings from the father and 1.09 (95% CI 1.07-1.12) in first cousins. This nationwide observational study showed a familial clustering of pregnancy-related pelvic girdle pain. The hazard ratio for the condition was associated with the degree of relatedness, suggesting that heredity factors contribute to the development of pregnancy-related pelvic girdle pain. There is no causal treatment available for pregnancy-related pelvic girdle pain and further studies are now encouraged to clarify the specific genetic factors that contribute to the disease and for future targeted interventions.

The Nature of the Familial Risk for Psychosis in Bipolar Disorder.

To clarify whether the familial liability to psychosis associated with bipolar disorder (BD) is nonspecific or has a greater effect on risk for psychosis in cases with prominent mood symptoms and/or a remitting course. We examined, in 984 809 offspring raised in intact families in Sweden, born 1980-1996 and followed-up through 2018, by multivariable Cox proportional hazards regression, risk in offspring of parents with BD for 7 psychotic disorders: Psychotic MD (PMD), psychotic BD (PBD), schizoaffective disorder (SAD), acute psychoses, psychosis NOS, delusional disorder (DD) and schizophrenia (SZ). Diagnoses were obtained from national registers. In the offspring of BD parents, the hazard ratios (HR) for these 7 disorders formed an inverted U-shaped curve, rising from 2.98 for PMD, to peak at 4.49 for PBD and 5.25 for SAD, and then declining to a HR of 3.48 for acute psychoses and 3.22 for psychosis NOS, to a low of 2.19 for DD and 2.33 for SZ. A similar pattern of risks was seen in offspring of mothers and fathers affected with BD and in offspring predicted from age at onset in their BD parent. The BD-associated risk for psychosis impacts most strongly on mood disorders, moderately on episodic psychotic syndromes, and least on chronic psychotic disorders. These results support prior clinical studies suggesting a qualitative difference in the familial substrate for psychosis occurring in BD and SZ.

Genomic Insights into the Population History of the Resande or Swedish Travelers.

The Resande are a minority ethnic group in Sweden, who were characterized by an itinerant way of life, and they have been suggested to originate from the mixture between Swedish and Romani populations. Because the population history of the Resande has been scarcely studied, we analyzed genome-wide genotype array data from unrelated Resande individuals in order to shed light on their origins and demographic history for the first time from a genetic perspective. Our results confirm the Romani-related ancestry of this population and suggest an admixture event between a Romani-like population and a general Swedish-like population that occurred approximately between the mid-18th and mid-19th centuries, two centuries after the arrival of the first historically reported Romani families in Sweden. This inferred date suggests that the Romani group involved in the admixture is related to the pre-18th-century arrivals of Romani in Scandinavia. In addition, a reduction in the population size is detected previous to the admixture event, suggesting a subtle signal of isolation. The present work constitutes a step forward toward a better representation of ethnic minorities and underrepresented groups in population genetic analyses. In order to know in more detail the complete history of human populations, it is time to focus on studying populations that have not been previously considered for a general scenario and that can provide valuable information to fill in the gaps that still remain uncovered.

Food and meals among homeless migrant families in Sweden – including photo documentation by their children

ABSTRACT This article aims to develop an understanding of food and meals as a family practice of migrant families living in structural homelessness. It is based on a study in which 15 children (aged 9–16) photographed events in their everyday lives and spoke about them. In addition, the children’s parents (17 mothers and fathers) were interviewed. This article reveals that meals have different meanings for these families: as a structure in the everyday life, as a form of caring for the family, and as a social occasion in which the family’s culture becomes expressed through traditional foods and dishes. Meals also become a means of maintaining a sense of normality in a difficult life situation. They function as a unifying family practice and a bearer of emotions as they communicate a sense of security, tradition, and identity. The photographs allowed meal practices to be displayed and acknowledged in relation to their surroundings. Despite difficult living conditions and restricted economic circumstances, the photographs indicate that the children are given well-balanced meals. The families try to make the best of the opportunities available to them.

Melting Pot or Salad Bowl? An Overview of Mixed Families in Sweden

Due to globalization and international migration to and from Sweden, the option to choose a life partner who is of migrant background has been increasing in Sweden. Despite the growth of and greater ethnic and racial diversity in mixed marriages in Sweden, however, few researchers have studied such unions to any great extent. This article focuses on mixed marriages in which one person is of Swedish background and the other of a different ethnic or racial background. It questions whether Sweden is becoming what is metaphorically described as a melting pot or a salad bowl. The article, first, includes a meta-analysis of existing research on mixed marriage and families in Sweden. These studies present the actual numbers and patterns of mixed marriages and the socioeconomic status of mixed families as well as attitudes toward mixed marriage. The second part turns to analysis of 2014 register data, which shows how such factors as gender, country of origin, and immigrant generation affect the composition of mixed marriages and the socioeconomic status of mixed families.

Division of Care and Leave Arrangements in Gay Father Families in Sweden

IntroductionThis study analyses the division of parental leave and the income development in gay father families through surrogacy in Sweden, seen as one of the most family-friendly and egalitarian countries in the world.MethodsBased on longitudinal population register data, descriptive and bivariate regression models are estimated to analyse the parental leave uptake and income development of married partners becoming (first-time) parents in 2006–2015 (in total 53 couples). Retrospective in-depth interviews with 23 gay men in 12 couples, conducted in 2010 and 2018 are analysed thematically to study how fathers discussed and decided how to divide the leave.ResultsThe process of establishing legal parenthood delays the fathers’ access to reimbursed parental leave. Despite this, the fathers’ earnings were not considerably affected by the addition of a child to the family. Once the fathers had access to reimbursed leave, they generally shared this equally, with a tendency for the genetic father to take leave first and for a slightly longer period.ConclusionsThe fathers becoming parents via surrogacy arrangements are a well-off group, able to counter the negative financial consequences of becoming parents. Swedish family policies enable parents to share the leave equally. Less impacted by gender and parenthood norms creating difference between parents, gay father families are in a better position to realise ideals of shared care and sameness.Policy ImplicationsThe delayed access to reimbursed parental leave structures the ability of gay couples to become parents and contributes to class inequalities in the transition to parenthood.

The Child Tourist: Agency and Cultural Competence in VFR Travel

In this article, we meet a seven-year-old boy, Matti, who was adopted from his birth country in Africa by a family in Sweden. We meet him together with his family as they are planning a family adoption return trip to his birth country and again after their return. We argue that an adoption return trip is a form of family travel and/or visiting friends and relatives (VFR) travel. By methodologically using a so-called children’s perspective we are primarily focusing on Matti and how he talks about the return trip. We explore some key concepts from child studies through Matti’s relational encounters in the world. By presenting agency and cultural competence as something that is enacted in practice, we show how they are enacted through the dependencies between Matti, his mother and his sister. The analysis shows that cultural competence and agency are fluid in the sense that they can be changed by how topics of discussion are woven through one another. Staying with Matti’s lived practices makes it possible to elaborate on and demonstrate different forms of competence and agency that are important for understanding children as tourists and children’s roles in family travel.

The Need for Parental Support for Migrant Parents in Transition Into Sweden: A Perspective.

Migration is a stressful experience and research shows that newly arrived migrants in Sweden suffer from different challenges and struggle to relate to parenting in a new culture that is different from their own. The Swedish Child Health Services (CHS) focuses on promoting health among children, as well as supporting parents in parenting. Although this is a goal, migrant parents participate at lower rates in parental support groups. This paper aims to discuss how the Swedish CHS can support these families and address the need for improvement in the parental support offered to migrant parents during transition into their host country. In addition, this paper also aims to review and discuss the advantages of using a community-based participatory research approach together with the Swedish CHS to identify and apply culturally appropriate support programs to increase health literacy among migrant parents. The Swedish government decided to place greater emphasis and resources on supporting parents and promoting equal health among families in Sweden, with special emphasis on migrants and other vulnerable groups. This report from the Swedish government indicates the importance of creating knowledge about new ways, methods, and actions that may be needed to increase this support. One suggestion of this paper is to provide culturally appropriate healthcare work using a community-based participatory research approach, where migrant parents themselves are actively involved in the development of support programs. This approach will not only provide migrant families knowledge and support, it will also build on their needs and the challenges they can share, and receive support to overcome.

Turkish heritage families in Sweden: language practices and family language policy

ABSTRACT This paper explores family language policy in Turkish-speaking families in Sweden. Questionnaires were administered to the parents of 105 Turkish/Swedish children (age 4 − 7), targeting family language practices (including parent–parent, parent–child, child–parent, child-and-sibling conversation and language-fostering activities such as joint book reading, storytelling and mother tongue tuition), and parental language beliefs and attitudes. Despite much diversity in family types concerning parents’ education, country of birth, native language and ethnic affiliation (e.g. Kurdish), common traits emerge: There is a strong focus on the transmission of Turkish in the home, in the face of early and extensive Swedish pre-school attendance. Parents mostly speak Turkish with the child. However, Sweden-born parents report higher uses of Swedish in the home, and sibling interaction also drives a shift towards Swedish. Parental education appears to affect Turkish joint reading activities. Most parents consider proficiency in Turkish and Swedish as equally important for their children. Parents who rank Turkish higher do not necessarily show more maintenance efforts, pointing to some inconsistency between attitudes and practices. Overall, the family language practices observed indicate strong bilingual ideologies and strong language maintenance ideologies, in line with Swedish official state-level language policy, which supports bilingualism and minority language maintenance.

Fathering Practices in Sweden During the COVID-19: Experiences of Syrian Refugee Fathers.

This article explores fathering practices among Syrian refugee families in Sweden. Syrian refugees provide an example of people who migrated because of a single major event: the war in Syria. The article examines the impact of the COVID-19 pandemic on fathering practices. The Swedish COVID-19 strategy differed from those adopted in many other countries. Lockdowns were minimal and were not stringently enforced, based on the assumption that individuals would trust the authorities and would take personal responsibility for complying with their guidelines and recommendations. Previous research suggests that migrants and other vulnerable groups were not always well informed about the public policies introduced prior to and during the pandemic. The article draws on empirical data from a wider research project on the family lives of Syrian migrants in Sweden. The authors present their findings from an analysis of eleven ethnographically informed semi-structured interviews, carried out before and during the pandemic, with married fathers who had been living in Sweden for several years. In this article, they focus on three cases representing fathers with varied educational backgrounds and employment histories. These families had in common what are considered by Swedish standards to be overcrowded living conditions; they were forced to accept close family proximity, both physically and emotionally, as they no longer had the supportive networks they were used to in Syria. The three fathers were found to rely more heavily on information provided by the people with whom they were in contact in Sweden than on policies and recommendations from the authorities. These findings confirmed that the previous experiences among refugees of shifting policies regarding migration and integration had lowered their trust in government. They had learnt that they needed to rely on mutual dependency not only between spouses, but also between parents and children.

Twins Separated at Birth: Across a Country and Around the World/Twin Research: Memorial Tribute to Isaac Blickstein, MD; Infanticide and Sacrifice of Archaic-Aged Twins and Triplets; Prehistoric Twin Burials; Highlights from a Conference on Three Identical Strangers/Media Reports: An Atypical Twin Father; An Actor's Twin Brother; Twin Link to Tulsa, Oklahoma Massacre; Superfetated Twins; Twin Comedians and Script Writers; Indian

Every reared-apart monozygotic (MZ) twin pair offers a fresh perspective on human developmental questions. This is true regardless of whether the co-twins were raised in the same country or across the globe. The members of two pairs of separated MZ female twins have recently come to attention. In one case the twins were raised by different families in Argentina; in the other case the twins were raised by different families in Sweden and Vietnam. The perceptions and perspectives of these twins are insightful. The twin research section that follows begins with a tribute to our late esteemed colleague, Dr Isaac Blickstein (1953-2020). Research concerning the infanticide and sacrifice of Archaic-aged twins and triplets and prehistoric twin burials is reviewed next. Highlights from a conference focused on the 2018 film Three Identical Strangers are also included in this portion. The final section of this article includes media reports of an atypical twin father, an actor's twin brother, a twin link to the 1921 Tulsa, Oklahoma massacre, the birth of superfetated twins, twin comedians and script writers and Indian twins' tragic loss to COVID-19.

CDKN2A genetic testing in melanoma-prone families in Sweden in the years 2015–2020: implications for novel national recommendations

Background: Inherited pathogenic variants (PVs) in the CDKN2A gene are among the strongest known risk factors for cutaneous melanoma. Carriers are at high risks to develop multiple primary melanomas and other cancers, in particular pancreatic cancer. In this study, the CDKN2A testing, carried out in Sweden in the years 2015–2020, was evaluated. Materials and methods: Included families had (1) three or more cases of melanoma and/or pancreatic cancer, (2) two melanomas in first-degree relatives, the youngest case <55 years or (3) individuals with three or more multiple primary melanomas, the first before the age of 55 years, and no other affected family members. The included families had at least one affected member that had been tested for CDKN2A PVs. Results: In total, 403 families were included, whereof 913 family members had been diagnosed with cutaneous melanoma and 129 with pancreatic cancer, 33 (8.2%) were found to have PVs in CDKN2A. Frequencies ranged from 0.9% in families with only two melanomas to 43.2% in families with three or more melanoma cases and pancreatic cancer (p < 0.001). The frequency of PVs ranged from 2.1% to 16.5% in families where the youngest case was ≥55 years or <35 years (p = 0.040). In families with or without CDKN2A PVs, 37.6% and 10.0% had melanoma cases that had died from melanoma, respectively (p < 0.001). Discussion: Significant differences were seen in the frequencies of CDKN2A PVs, dependent on numbers or age at diagnosis of melanomas and diagnoses of pancreatic cancers in the family. Further, melanoma cases belonging to families that tested positive for CDKN2A PVs had a significantly higher mortality. To summarize, the current evaluation shows that, with adequately selected criteria to guide genetic testing, CDKN2A PVs are identified at significant frequencies. Identification of carrier families is of importance to ensure that members are enrolled in a preventive surveillance program.

Dialectical Processes in Parent-child Relationships among Somali Families in Sweden

Non-voluntary migration has been demonstrated to have an impact on family relationships as a result of children acculturating to the host country faster than their parents. Studies have reported on immigrant parents’ perceptions of their parenting in host countries. However, less is known about how both children and parents view and make sense of their relationships in new contexts. This exploratory qualitative study aims to capture the dialectical processes in parent-child relationships among Somali families in Sweden. Data were collected using focus group discussions with youth (n = 47) and their parents (n = 33). The data were analysed using a thematic analysis. Two themes, each with three themes of their own, were identified from the analysis: finding a balance between hierarchical and egalitarian relationships and sharing of spaces. Youth and parents described different factors, including contextual changes, generational gaps, peer pressure and lack of a father figures, as affecting their relationships with each other and sometimes creating conflicts between them. Both perceived themselves as active agents in contributing to family life after migrating to Sweden. In general, the youth expressed their emotional needs, the motivations desired from their parents and their desire to be equally treated as sons and daughters. Overall, this study demonstrates that there is a need to offer immigrant families culturally tailored parenting support programmes, thereby strengthening parent-child relationships.

An Extended Home Visit Programme Within the Swedish Child Healthcare System for First-Time Parents in Scania, Sweden: A Study Protocol.

Background: The Swedish Child Healthcare (CHC) system aims to provide equal and fair health care for all children and families in Sweden. Currently in Sweden, the CHC offers every family two home visits during the child's 1st year of life. During 2019, an extended home visit programme, called Grow Safely, was started in the region of Scania for first-time parents. The aim of the extended home visit programme was to provide support for first-time parents in order to improve the overall health of the child and family and contribute to better conditions for equal health. Instead of two home visits during the 1st year, a subsample of first-time parents would receive six visits during the child's first 15 months. These six visits would be conducted by CHC nurses and social workers, midwives, and dental assistants. In the present paper, we describe a research project related to the regional extended home visit programme; the project aims to illuminate the experiences of the participants and to investigate the perceived benefits of the programme in relation to improved health, social and emotional interaction between parent and child, and attitudes toward authorities and surrounding society.Method/Analysis: In order to evaluate the introduction of the intervention, three qualitative interview studies and one quantitative study with follow-up questionnaires will be conducted. Since the research project also comprises studies focusing on the implementation and expectations of politicians, civil servants, organizational managers, and professionals working within the programme, interviews within these fields will be conducted.Discussion: Sweden has a well-established CHC programme, but improvements are always possible. Previous research has shown that home visits are an effective tool to improve both the child's physical and mental health as well as the parents' well-being. However, this kind of intervention involves a significant investment from all organizations involved in the home visits; hence, it is important that the intervention is evaluated. The research project described in the present paper intends to examine the impact of the intervention, and its findings will aid decisionmakers in determining the future of the home visit programme.

Exploring family language policy in action: Child agency and the lived experiences of multilingual Ethiopian and Eritrean families in Sweden

Existing family language policy (FLP) scholarship has been criticised for insufficiently addressing children’s voices and perspectives on their multilingual experiences, as well as lacking representation and heterogeneity in terms of studies involving multilingual families from diverse family types, languages, and contexts outside the experiences of Western middle-class bilingual families. Against this backdrop, this paper examines the multilingual familial experiences of three Ethiopian and Eritrean migrant families in Sweden by paying particular attention to children’s agency and caregiver-children dynamics in FLP making. The study draws on multimodal biographic data obtained from children and parents through language portrait methods of body and space mapping activities, post-mapping narration, and semi-structured interviews. The data are analysed in light of Smith-Christmas’s (2020) framework, which views child agency in FLP at the intersection of compliance regime, linguistic competence, linguistic norms, and power dynamics. The findings reveal that the process of FLP making is characterised as a process that is (1) filled with language choice dilemmas triggered by competing linguistic demands, (2) in part shaped by the family constellation via power dynamics between family members, and (3) mediated by family members’ varied linguistic proficiencies in majority and minority languages. Additionally, children’s agency about which language they choose to use impacts the language practices of the home, as they tend to establish their own linguistic norms within the home by overrunning the negotiated language policy set by caregivers.

The flows of things – exploring babies’ everyday space-making

ABSTRACT This article draws on a larger ethnographic study conducted in the homes of babies aged between one and 18 months and their families in Sweden. The article explores how everyday space is made in the homes of families through babies’ engagements with material things by methodologically working with maps, images, lists, and stories. Three themes – the practices of spreading things out, the height at which activities take place, and the multiplicity of things – are highlighted as important for understanding babies’ space-making practices. These practices are discussed in terms of the flows of things, which highlights how the practices of moving a multiplicity of things come to matter in the making of space in the homes of babies and their families.

New data on the genetic profile and penetrance of hereditary Val30Met transthyretin amyloidosis in Sweden

Introduction Hereditary transthyretin (ATTRv) amyloidosis is of autosomal dominant transmission, caused by a spectrum of mutations in the transthyretin (TTR) gene. The ATTRV30M (p.Val50Met) is the most frequent substitution in Europe. Northern Sweden is a known cluster for ATTRV30M amyloidosis patients due to high prevalence of the mutation rate, with homozygous cases. First symptoms occur generally during the 6th decade. Previous studies reported low penetrance in this area and possible anticipation in families. In order to refine our knowledge of the genetic aspects, penetrance and factors that influence the disease’s risk, we performed a comprehensive study of ATTRV30M families in Sweden. Methods To assess anticipation, well-established age at onset (AO) was compared in all informative parent-offspring pairs and in subgroups, after excluding ascertainment biases. Penetrance was estimated using a non-parametric method that enables to study covariates’ effect on the disease’s risk. Results We analysed 114 ATTRV30M Swedish families, including 12 homozygous individuals. Among 131 parent-offspring pairs, we found an average anticipation of 11.7 [Standard Deviation (SD) =10.03] years, higher in case of maternal transmission (mean ± SD = 13.7 ± 8.4 years), compared to paternal transmission (mean ± SD = 7.9 ± 11.5 years, p < .003). Anticipation remained significant, after exclusion of ascertainment biases. In heterozygous ATTRV30M kindred, penetrance was low, estimated below 10% [95% confidence interval (CI) = 6–10] at 40 years-old, increasing to 71% [95% CI= 65–76] at age 90 years. The risk was found to be higher in male patients (p < .01) and in case of maternal transmission (p < .01), reflecting a parent of origin effect. We observed no difference of penetrance according the geographical origin. Finally, the disease risk was similar in heterozygous and homozygous ATTRV30M amyloidosis individuals. Conclusions Our study provides new data on the genetics of ATTRV30M families in Sweden, including the occurrence of anticipation and on penetrance. Both are increased in case of maternal inheritance and in male patients. Overall, gender seems to be a factor that substantially modulates the AO of the disease, in this area. Clinically, these findings are of importance to guide the management of sibships and the monitoring of mutation carriers.

Effects of Mentalization-based Interventions on Mental Health of Youths in Foster Care

ABSTRACT Knowledge about the development of mental health in young people in foster care is limited. This naturalistic study examined the effects of a relational and mentalization-focused treatment in foster families in Sweden on the placed young people’s mental health. The Achenbach System of Empirically Based Assessment (ASEBA) was used to measure change in psychiatric symptoms. Self-ratings showed significant improvements and medium to strong effects after 24 months in both boys and girls. No significant changes were found in the foster parents’ ratings or in the school staff’s ratings. Foster parents’ ratings suggested that girls’ behavioral problems decreased, but not the boys’. Based on these findings, we want to emphasize the importance of evaluating treatment effects using self-ratings by the young people in addition to parents’ and parent substitutes’ ratings.

Giving up on everything: a case and review of pervasive refusal syndrome

We present a case of pervasive refusal syndrome (PRS), in which a 11-year-old female patient refused to eat, drink, interact, or self-care in any way. The patient was kept on IV nutrition and multiple therapeutic options were tried to no effect. After 18 months, the patient spontaneously recovered with no lasting harm, and her symptoms did not recur. We further discuss the current state of clinical knowledge on PRS, as well as the form that has appeared amongst children in asylum-seeking families in Sweden.