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HEALTH

For internationals, ‘reliance on social media is sometimes greater because we are more disconnected’

Over-reliance on social media can cause stress and loneliness, and is a particularly easy trap to fall into for those dealing with life in a new country, writes psychologist and The Local guest columnist Edita Petojevic.

For internationals, 'reliance on social media is sometimes greater because we are more disconnected'
If you're already feeling isolated, reliance on social media can make things seem worse. File photo: AP Photo/Jessica Hill/Ritzau Scanpix

Do you go about your day feeling overwhelmed by thoughts? Do you catch yourself feeling constant high level of anxiety, without being able to shake it off? Do you struggle to stay grounded in the here and now?

If you’ve answered yes to the questions above, know that you are not alone. The period we live in makes it difficult to stay still for any length of time, not to mention quieting the noise inside of us. We are constantly bombarded with information that creates pressure to keep up and that interrupts our focus on more meaningful things.

The fast-paced lifestyle, however, doesn’t allow for deeper reflection. Instead it pushes us to scroll through feeds on our phones mindlessly. There is a near constant pressure to stay informed and updated, and a fear of missing out (FOMO) when we try to put our phones away.

As a psychotherapist based in Copenhagen who mostly sees internationals, I have spoken with many clients who experience these difficulties. The virtual world that we spend so much time in is causing people stress and loneliness, and often the very sense of disconnectedness we seek to avoid.

The purpose with this article is to bring awareness to the correlation between the digital world and mental health issues.

Moving towards good mental health requires that one is in touch with one’s own physical, emotional and intellectual needs. It doesn’t necessarily mean that these needs are always met, but it indicates an awareness of them and an intention to meet them. This means tuning in to and striving towards taking care of oneself.

We live much of our lives in a digital world where the focus is on external validation. For instance, when you see something you want to take a picture of, it is less about engaging the subject and remembering, and instead is all about showing and sharing. The need to be seen by others and to share with others is immense and it forces an unhealthy focus on external validation.

Sharing with others has become more important than taking time to nurture ourselves. The focus is on informing the external world rather than being present and enjoying the moment.

You might be asking yourself, ‘Why can’t we do both?’ Here’s where the true dilemma lies.

When we try to think about who’s liking our post or whether we received that email, while at the same time trying to be grounded in the present, we wind up with only a superficial level of attention on any one thing. Furthermore, due to splitting between thoughts and states, we seldom get to be in the moment and never truly allow ourselves to relax.

READ ALSO: The link between international relocation and depression

Katarina Gospic, one of the leading brain scientists in Sweden, explains it well by talking about the need to check our phones as a natural part of a system of rewards. Our brains are seeking the reward we get every time we get a like, a positive comment or anything that makes us feel good in the moment. It’s an instant reward, an external validation that we are liked and okay in the world. However, these rewards are short-lived, so we keep checking our phones, hoping to receive another positive reassurance, again and again. 

It’s all part of an “intermittent reward system”, as Gospic so well explains it. 

In my therapy practice, I have noticed that the number of clients who rely on their phone for repeated daily rewards is growing. As mentioned above, my clients are primarily internationals living in Denmark, and this appears to be making their over-use of social media even worse. Our reliance on social media for comfort and validation is sometimes even greater because we are often more disconnected. The outcome, however, is the opposite. Our clients report feeling more isolated, depressed and anxious when seeking connection in these ways. 

In treating clients with an overuse of social media, we gradually expose them to whatever might be difficult for the client. In this case, we create a treatment plan that helps clients engage more with people in person, and spend less time seeking the short-term rewards on their phones.

We have noticed a direct link between the use of the phone and avoidance behavior. The more we avoid engaging in real life, the more we retreat to the use of the phone, which results in more negative feelings.

In fact, the use of the phone resembles the use of alcohol and drugs in the sense that we use it to get an instant reward and to escape the reality we are in. This explains why more and more digital detox camps are being set up all over the world.

Another part of this reward system is the thinking process behind it. Every day we hear our clients share how they compare themselves to others on social media and the pressure they feel to meet the social expectations of good looks and successful lives. For some, there is a constant race to become better, prettier, and more successful, and those who don’t pause to reflect get caught up in trying to meet these impossible and imaginary goals, slowly but surely moving the focus from thinking about what is important to us, and instead buying into the ideals we see around us.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

A post shared by Copenhagen Travel Guide (@travel2copenhagen) on Nov 8, 2018 at 3:21pm PST

Furthermore, the virtual world often presents filtered versions, where the majority focuses on sharing only the most beautiful and most successful parts of life, leaving many who already have low self-esteem to become ever more insecure and stressed.

For some, it even leads to comparison and competition rather than sharing in other’s happiness or good fortune.

Externally, we are chasing to get more and internally we have never been lonelier.

READ ALSO: OPINION: A foreigner’s attitude hacks for transitioning to life in Denmark

What can be done?

We have more ways to connect and communicate than ever before, yet we have never been more disconnected. The need to be heard, truly and deeply is huge. So, how do we get back to our true selves? Is there a way to find a balance between the external and the internal world? We believe there is. If you have read up to this point, you might be one of those who realizes the problem but lacks the tools to change the current state. If so, you are off to a good start.

Here are some specific steps you can take to begin finding the balance you need:

  • Awareness is the first step. Before we can make any changes, we need to acknowledge the problem.

  • Secondly, write down your individual needs. Try to make time for every single one of them during your week. Talk to your partner or friends or anyone who you trust about this process. Change can be hard as it requires you to challenge old ways of thinking and to step out from your comfort zone. Sharing with someone allows you to get support and to hear your own thoughts and feelings.

  • Limit the time you spend on your phone. For this, consider using one of the apps that reports back to you how much time and what you have used it on. Then set achievable goals.

  • Try to use the phone with intention rather than for mindless scrolling. Have set phone times and stick to those boundaries.

  • Spending less time in the virtual world will lead to more time in real life. Think of the things you have wanted to do for a long time but didn’t have time to do. Here is your chance! Read, study philosophy or astronomy, explore your local environment, develop new friendships, attend evening classes, learn to meditate.

  • Pay attention to all the things you get done when you limit the time on your phone and notice the effects it has on your mental health. Notice how you feel.

  • Evaluate before and after. Write down the results gained from restricted phone use and more time spent on your personal needs. This can be done as soon as a week after you start out.

One of our most profound findings from restricting phone use is a more peaceful everyday life. Freeing yourself from the need of external rewards allows you to get in touch with your internal needs. Once you become aware of your needs, you will also start thinking of ways to meet them. This opens the door for healthy habits such as physical activity, meditation, reading, playing and so on. 

We’ve also noticed a sense of regaining control over daily life once these boundaries were implemented. Our clients report a feeling of freedom to plan their days and follow through with activities, rather than getting sucked into talking or scrolling on the phone. There was an overall increase in satisfaction with the time spent.

To conclude, we would say that by not escaping reality, we are given the chance to notice what is going on around us, and to begin to more readily face some of the many challenges many internationals face when starting life in a new place.

Edita Petojevic has lived outside of her home country for most of her life. She received a B.A. in psychology from Jacksonville University in Florida, United States and an M.A. in Integrative Psychotherapy and Counselling from Roehampton University in London. She sees clients in English and Swedish at the MacFarlane Psychology Group, a Copenhagen practice offering psychotherapy for internationals.

READ ALSO: Why moving to Denmark can cause feelings of loneliness – and what you can do to feel better

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HEALTH

Where are the ‘best’ hospitals in Sweden, Denmark, and Norway?

The Scandinavian countries have an international reputation for excellent healthcare, so it might not be surprising that several hospitals from the region have been ranked among the world's "best".

Where are the 'best' hospitals in Sweden, Denmark, and Norway?

The latest World’s Best Hospitals ranking by US-based Newsweek and global data firm Statista has revealed the top hospitals in Sweden, Denmark, and Norway.

Newsweek’s ranking, the only global comparison, draws from four key data sources. Firstly, recommendations from experts within the healthcare sector, including doctors and administrators, were sought. Over 85,000 experts worldwide were invited to participate, yielding responses from a significant portion of them.

Additionally, results obtained from patient surveys assessed aspects like treatment efficacy and communication. Quality metrics were also considered, including factors such as wait times, patient safety, and adherence to stringent hygiene protocols.

Lastly, the utilisation of patient-reported outcome measures measured patients’ perception of treatment efficacy and their post-care quality of life.

Sweden’s Karolinska Universitetssjukhuset was the top-ranked Scandinavian hospital on the list, ending in 7th place out of the top 231.

Denmark’s Rigshospitalet – København in Copenhagen followed closely at 21st place, with Aarhus Universitetshospital in Aarhus, Denmark, and Oslo Universitetssykehus in Norway trailing at 23rd and 29th, respectively.

Other notable mentions on the list hail from Gothenburg and Uppsala in Sweden, as well as Odense and Aalborg in Denmark.

The Scandinavian hospitals that made the list included:

Karolinska Universitetssjukhuset (7), Stockholm, Sweden

Karolinska University Hospital is one of Europe’s largest university hospitals, boasting two campuses in Huddinge and Solna.

Over the years, it has been the birthplace of some of the world’s most significant medical discoveries.

Alongside the Karolinska Institutet, the hospital forms a medical hub renowned internationally for its excellence.

Karolinska University Hospital has 1086 beds and accommodates approximately 1,400,000 patient visits annually. Moreover, it has a dedicated staff of 15,300 employees.

READ MORE: Situation in Sweden’s hospitals ‘terrible and completely unacceptable’: watchdog

Rigshospitalet – København (21), Copenhagen, Denmark

Rigshospitalet – København, located in Copenhagen, Denmark, is a leading Danish hospital renowned for its highly specialised treatment options.

With 1135 beds spread across multiple sites, it offers comprehensive medical care, covering virtually all medical specialities.

Employing a workforce of 12,000, including 2,500 doctors, Rigshospitalet handles an impressive volume of medical cases annually. In 2022 alone, it conducted 64,000 operations, admitted 75,000 inpatients, and facilitated 1,150,000 outpatient visits, including 5,700 deliveries.

Aarhus Universitetshospital (23), Aarhus, Denmark

As it points out on its website, Aarhus University Hospital (AUH) is a comprehensive healthcare institution. In 2022, it recorded 81,126 admissions, with an average length of stay of 3.2 days. It has an average of 858 standard beds available daily.

Its workforce comprised 1,780.47 full-time medical positions and 3,471.55 full-time nursing positions, totalling 9,347 employees across various roles.

READ MORE: ‘Confusing and no communication’: How you rate Denmark’s health system

Oslo Universitetssykehus, (29) Oslo, Norway

Oslo University Hospital (OUH) serves as a local, emergency, and regional hospital, alongside undertaking numerous national responsibilities.

With a workforce exceeding 24,000 employees and a budget of approximately 27.5 billion kroner, it is Norway’s largest healthcare institution.

Functioning as a pivotal centre for medical research and the education of healthcare professionals in Norway, Oslo University Hospital delivers advanced patient care, conducts research, provides experimental treatments, and facilitates teaching endeavours.

It comprises 16 clinics and the Oslo hospital service unit, and is also one of Scandinavia’s largest hospitals. The OUH administers over 1.2 million patient treatments annually.

READERS REVEAL: What do foreigners think of the Norwegian healthcare system?

Sahlgrenska Universitetssjukhuset (74), Gothenburg, Sweden

Serving as the primary healthcare provider for residents of the Gothenburg region, the Sahlgrenska University Hospital draws patients from across the region seeking specialised treatments.

Its expertise spans approximately 25 special areas, encompassing cardiovascular care, reconstructive surgery, paediatrics, immunology, and catheter interventions. Notably, its Queen Silvia Children’s Hospital is nationally recognised for its excellence in child heart surgery, holding a prestigious healthcare permit from the National Board of Health and Welfare.

With a workforce of around 17,000 people, the hospital is one of the largest employers in the area.

Akademiska Sjukhuset (75), Uppsala, Sweden

Akademiska Sjukhuset, situated in Uppsala, boasts a rich history dating back to 1708.

Sweden’s inaugural nursing program was established here, and the hospital has served as a platform for Nobel Prize-winning research.

It’s recognised for conducting the first appendectomy in the Nordic region and pioneering the concept of an integrated children’s hospital.

As one of Sweden’s largest hospitals, it caters to over 700,000 people annually. With a workforce of 8,000 employees and 1,000 beds, it handles 55,000 admissions, 346,000 physician encounters, and 318,000 outpatient treatments each year.

Odense Universitetshospital (85), Odense, Denmark

Odense University Hospital (OUH) is one of Denmark’s university hospitals, forming an integral part of the country’s healthcare network alongside three others.

With an annual budget of 835 million euros, OUH employs a dedicated team of 11,281 people, including medical professionals, nurses, and support staff.

Its facilities have 1,038 beds, enabling over 40,000 operations and accommodating more than 100,000 discharged patients annually.

Aalborg Universitetshospital (92), Aalborg, Denmark

Aalborg University Hospital is the largest healthcare facility in the North Denmark Region, serving as a cornerstone of the region’s medical landscape.

Moreover, it is the primary employer in northern Jutland, with a workforce of around 6,000 people.

With a focus on highly specialised regional functions, Aalborg University Hospital caters to approximately 650,000 inhabitants, extending its services to parts of the Central Denmark Region.

Additionally, it provides regional functions to around 490,000 residents and serves as the primary healthcare provider for roughly 250,000 people.

About the ranking process

Newsweek ranked 2,400 hospitals across 30 countries in total through a combination of their national rank, the number of recommendations received through an online survey of more than 85,000 medical experts, public data from post-hospitalisation patient satisfaction surveys, quality metrics such as hygiene and patient-doctor ratio, as well as a Statista survey on whether hospitals use Patient Reported Outcome Measures (PROMs). The list did not include specialised hospitals.

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