Search results for "hoitotulokset"
showing 10 items of 26 documents
A systematic review of international clinical guidelines for rehabilitation of people with neurological conditions : what recommendations are made fo…
2019
Background: Upper limb impairment is a common problem for people with neurological disabilities, affecting activity, performance, quality of life, and independence. Accurate, timely assessments are required for effective rehabilitation, and development of novel interventions. International consensus on upper limb assessment is needed to make research findings more meaningful, provide a benchmark for quality in clinical practice, more cost-effective neurorehabilitation and improved outcomes for neurological patients undergoing rehabilitation. Aim: To conduct a systematic review, as part of the output of a European COST Action, to identify what recommendations are made for upper limb assessme…
Korkean vireystason hetket hyvän ja huonon hoitotuloksen pariterapiaprosesseissa
2017
Tutkimuksen tarkoituksena oli tutkia Relationaalinen mieli monitoimijaisten terapiadialogien muutoshetkissä -projektin pariterapioiden tuloksellisuutta sekä pariterapian tuloksellisuuteen vaikuttavia tekijöitä hyvän ja huonon hoitotuloksen pariterapiatapauksissa. Tuloksellisuustutkimuksen perusteella valitsimme yhden hyvän ja yhden huonon hoitotuloksen pariterapiatapaukset. Tutkimuksen aineistona olivat projektiin osallistuneiden pariterapia-asiakkaiden täyttämät Outcome Ratings Scale (ORS)- lomakkeet, Jyväskylän yliopiston tutkimus- ja opetusklinikalla videoidut neljä pariterapiaistuntoa ja terapiaistuntojen ajalta asiakkaiden ihon sähkönjohtavuuden mittaukset. Projektiin osallistuneiden p…
The Profiles of Body Image Associate With Changes in Depression Among Participants in Dance Movement Therapy Group
2020
This mixed-methods study analyzed the body image quality of 143 patients with depression. The participants received a 20 × 75 min dance movement therapy (DMT) group treatment, sessions twice a week. Body Image Assessment (BIA) was the data collection tool, with pre-, post-, and 3-mos follow-up assessments. Pre-intervention body image quality characteristics were low energy and activity levels, discomfort, shame and disgust toward the body, tension in social interactions. On the BIA scores, a statistical method of Latent Profile Analysis was utilized to identify participant profiles in the data. The two identified profiles were participant with initial negative body image and participant wit…
Postoperative Sagittal Balance Has Only a Limited Role in the Development of Adjacent Segment Disease After Lumbar Spine Fusion for Degenerative Lumb…
2022
Study Design. Retrospective additional analysis of a prospective follow-up study. Objectives. We aimed to find out whether poor postoperative sagittal alignment increases revisions for adjacent segment disease (ASD) after lumbar spine fusion (LSF) performed for degenerative lumbar spine disease. Summary of Background Data. Revisions for ASD accumulate over time after LSF for degenerative lumbar spine disease. The etiology of ASD is considered multifactorial. Yet, the role of postoperative sagittal balance in this process remains controversial. Materials and Methods. A total of 215 consecutive patients who had undergone an elective LSF surgery for spinal stenosis with (80%) or without (20%) …
Socially phobic clients' self-descriptions, treatment progress and reflexivity in short-term cognitive-constructivist group psychotherapy
2017
The aim of the research was to get information about different kinds of clients with social phobia and their therapeutic progress in cognitive-constructivist group psychotherapy. The aim was also to offer relevant information to clinicians working with socially phobic clients on how they could help the progress of the successful therapeutic change process of socially phobic clients, especially in early phases of the therapy when clients are developing a reflexive stance toward their own problematic experiences. Study I supported the view that negative self-image is central to social phobia, but this ranged from total piteousness to relatively few negative feelings of insufficiency. Three su…
Acceptance and commitment therapy for insomnia as a group intervention : predictors of treatment response
2014
JYVÄSKYLÄN YLIOPISTO Psykologian laitos NAAMANKA, ELINA & SUUTARI, VILLE: Ryhmämuotoinen hyväksymis- ja omistautumisterapia unettomuudesta kärsiville - hoitotulosta ennustavat tekijät Pro gradu-tutkielma, 33 s., 3 liittes. Ohjaajat: Jukka Kaartinen, Raimo Lappalainen Psykologia Toukokuu 2014 Tutkimuksessa tarkasteltiin unettomuudesta kärsiville suunnatun ryhmämuotoisen hyväksymis- ja omistautumisterapian (HOT) onnistuneeseen hoitotulokseen vaikuttavia tekijöitä. Tarkastelun kohteena olivat tutkittavien demografiset muuttujat, psykologinen ja fyysinen hyvinvointi, unettomuuden haittaavuus, HOT:n prosessit sekä persoonallisuustekijät. Näiden muuttujien ennustavuutta hoitotulokseen tarkastelti…
DEBATE: Do interventions based on behavioral theory work in the real world?
2019
Background: Behavioral scientists suggest that for behavior change interventions to work effectively, and deliver population-level health outcomes, they must be underpinned by behavioral theory. However, despite implementation of such interventions, population levels of both health outcomes and linked behaviors have remained relatively static. We debate the extent to which interventions based on behavioral theory work in the real world to address population health outcomes. Discussion: Hagger argues there is substantive evidence supporting the efficacy and effectiveness of interventions based on behavioral theory in promoting population-level health behavior change in the ‘real world’. Howe…
How paradoxical is ‘paradoxical’ outcome? : Different pathways and implications
2021
The present special issue includes single and multiple case studies which report on the phenomenon of ‘paradoxical’ outcomes in psychotherapy, operationalized as discordant outcome assessments within the same case. In an attempt to find ground for my published response, I endeavored to juxtaposition the cases from the different studies, and by doing that gain an overview of the contributions and arguments. As a result of that exercise, I suggest three different types of paradoxical outcome with different pathways and implications. Discussing the concept of ‘illusory mental health’ as a possible explanation for paradoxical outcome, I suggest that self-ratings within a nonclinical range, give…
Long-term stability of early sudden gains in an acceptance and values-based intervention
2019
Though previous research has extensively reported that sudden gains are associated with superior treatment results, research on the long-term effects and stability of sudden gains is not as consistent. The current study explored the long-term stability of early sudden gains (ESGs) observed in a brief acceptance and values-based intervention for depression provided by novice therapists. The participants were 56 volunteers diagnosed with major depressive disorder. Among the participants, 23% experienced ESGs, i.e. they reached the status of improved or recovered in the Reliable Change Index (RCI; Jacobson & Truax, 1991) classification after only two sessions. The current study examined the le…