Search results for "hoito"

Marginaalin vangit? : opioidiriippuvaisten korvaushoidossa olevien kokemuksia marginaalisuudesta G. H. Meadin minäkäsityksen valossa

2014

Tutkin pro gradu -tutkielmassani opioidiriippuvaisten korvaushoidossa olevien kokemuksia marginaalisuudesta. Korvaushoito on opioidiriippuvaisten kuntouttavaa, päihteettömyyteen tähtäävää ja haittoja vähentävää hoitoa. Se on päihdehoidon muoto, joka yhdistää sekä lääkkeellisiä että psykososiaalisia menetelmiä. Marginaaleja jäsennetään usein valtavirtaan luettujen hyväksyttyjen arvojen, normien ja lakien noudattamisen kautta. Huumeidenkäyttäjät asettuvat marginaaliin paitsi normien rikkomisen perusteella, myös usein hyväksi katsottujen yhteisöjen ulkopuolisuuden perusteella. Myös korvaushoito itsessään on eräänlainen marginaali hoitomuotoon liittyvien kyseenalaistusten ja kiistanalaisuuden p…

Exploring the use of Vibroacoustic treatment for managing chronic pain and comorbid mood disorders : A mixed methods study

2019

Introduction: Chronic pain is a worldwide issue with common comorbidities of depression and anxiety, altogether inhibiting one’s personal relationships and capability to work. Music has long been used as a means to improve pain and mood, and the tactile application of music has shown promising and beneficial results for the treatment of both psychological and physical symptoms. VA treatment uses low frequency sinusoidal sound vibration (20-120Hz) supported by client-preferred music listening and therapeutic interaction. Methods: Using mixed methods, this study addresses the addition of a self-care VA intervention to maintain the effects of practitioner-led VA treatments and to increase pati…

Adolescents with poorly controlled type 1 diabetes : psychological flexibility is associated with the glycemic control, quality of life and depressiv…

2021

This study investigates the role of psychological flexibility in relation to glycaemic control (HbA1c) and quality of life among adolescents with poorly-controlled diabetes. Adolescents (n = 65, aged 12–16 years) completed the Children and Adolescents Mindfulness Measure (CAMM), the Diabetes Acceptance and Action Scale for Children and Adolescents (DAAS), the Depression Scale (RBDI), and the Health-Related Quality of Life Scale (KINDL-R). HbA1c values were collected from medical records. A higher level of psychological flexibility was associated with better glycaemic control, better quality of life, and lower levels of depressive and anxiety symptoms. Mediation analysis showed that diabetes…

What happens after five years?: The long-term effects of a four-session Acceptance and Commitment Therapy delivered by student therapists for depress…

2017

Brief interventions can be viable treatment options worth consideration in addressing the growing need for treatments of subclinical and clinical depressive symptoms. However, there is uncertainty regarding the long-term benefits of these interventions. The aim was to examine the long-term (5-year) effects of a 4-session Acceptance and Commitment Therapy (ACT) intervention for low mood delivered by novice therapists in order to see whether lasting effects could be achieved cost-effectively with four intervention sessions. Originally, 57 self-referred clients were randomized into two groups: an intervention group and a waiting-list control group which received treatment later. The groups wer…

Does level of leisure time physical activity, in a sample of patients with depression, predict health care utilization over a subsequent 5-year perio…

2018

Objectives: The main aim of this study was to investigate the association between leisure time physical activity (LTPA) and health care utilization (HCU) and furthermore, socio-demographic and clinical factors according to LTPA level among depressed patients based on data drawn from the Finnish Depression and Metabolic Syndrome in Adults (FDMSA)-study (2009-2016). Methods: 447 depressed patients aged 35-65 from municipalities within the Central Finland Hospital District participated in this study. Depressive symptoms (DS) were determined with the Beck Depression Inventory (a 10 points) and the psychiatric diagnosis confirmed with a diagnostic interview (M.I.N.I.). Severity of depression was…

CareACT - internet-based intervention for enhancing the psychological well-being of elderly caregivers – a study protocol of a controlled trial

2019

Abstract Background The rapid increase in the number of elderly family caregivers underlines the need for new support systems. Internet-delivered psychological interventions are a potential approach, as they are easy to access for family caregivers who are often homebound with their care recipient. This study examines the relative effectiveness of an internet-based acceptance and commitment therapy (ACT) intervention or a standardized institutional rehabilitation program, first, in reducing depressive symptoms, and second, in improving the well-being and quality of life of elderly family caregivers compared to a control group receiving support from voluntary family caregiver associations. M…

Narratives of depression in couple therapy

2003

Changes in Mindfulness Facets and Psychological Flexibility Associated with Changes in Depressive Symptoms in a Brief Acceptance and Value Based Inte…

2018

Ego Impairment Index (EII-2) as a predictor of outcome in short- and long-term psychotherapy during a 5-year follow-up

2022

Objective This study examined the predictive ability of the Rorschach-based Ego Impairment Index (EII-2) on outcome of psychotherapy in different types and durations of therapy. Method A total of 326 outpatients suffering from depressive or anxiety disorders were randomized into receiving solution-focused (n = 97), short-term psychodynamic (n = 101), or long-term psychodynamic psychotherapy (n = 128). Psychotherapy outcome assessments during the 5-year follow-up period covered psychiatric symptoms, social functioning, and work ability. Results Lower EII-2 values, which indicate less problematic ego functioning, were found to predict faster improvement in both short-term therapies as compare…

Flow with Nature treatment for depression: Participants’ experiences

2022

This study examined Flow with Nature (FWN) treatment, which is an integrative intervention (rehabilitation) based on eco and environmental psychology, psychotherapeutic theories and professional psychological practice. FWN is intended for depression rehabilitation with the help of social support, nature environments and FWN exercises. Exercises encourage sensing the environment, mindful awareness, psychological processing and focusing on the future. The FWN treatment proceeds in separate stages (horizon, growth and path), which emphasise nature, group (social support) and FWN exercises differently. This study focused on the experiences of the participants in the FWN treatment. Finnish adult…