liu.seSearch for publications in DiVA
Change search
Link to record
Permanent link

Direct link
Andersson, Gerhard, ProfessorORCID iD iconorcid.org/0000-0003-4753-6745
Publications (10 of 631) Show all publications
Pahnke, J., Jansson-Frojmark, M., Andersson, G., Bjureberg, J., Jokinen, J., Bohman, B. & Lundgren, T. (2023). Acceptance and commitment therapy for autistic adults: A randomized controlled pilot study in a psychiatric outpatient setting. Autism, 27(5), 1461-1476
Open this publication in new window or tab >>Acceptance and commitment therapy for autistic adults: A randomized controlled pilot study in a psychiatric outpatient setting
Show others...
2023 (English)In: Autism, ISSN 1362-3613, E-ISSN 1461-7005, Vol. 27, no 5, p. 1461-1476Article in journal (Refereed) Epub ahead of print
Abstract [en]

Autistic adults are at risk of stress-related psychiatric disorders and reduced life quality due to social, cognitive, and perceptual challenges. Mental health interventions adapted to autistic adults are scarce. Acceptance and commitment therapy has preliminarily indicated health benefits in autistic adults, although it has not been robustly evaluated. Overall, 39 adults (21 males; 21-72 years) with autism spectrum disorder and normal intellectual ability (IQ M = 108.5; SD = 13.5) were randomized to 14 weeks of adapted acceptance and commitment therapy group treatment (NeuroACT) or treatment as usual. The intervention was feasible. Perceived stress and quality of life (primary outcomes), alongside psychological inflexibility, cognitive fusion, cognitive and behavioral avoidance, and autistic mannerism were statistically significantly improved in NeuroACT compared with treatment as usual (d = 0.70-0.90). Clinically significant changes in perceived stress and quality of life were in favor of NeuroACT. Between-group altered depression, anxiety, sleep problems, one quality of life measure, functional impairment, social aspects of autism, and executive difficulties were statistically non-significant. Dropout was slightly higher in NeuroACT. NeuroACT may be a promising treatment for autistic adults with co-existing stress and reduced quality of life. More extensive studies are warranted to evaluate NeuroACT further. Lay abstract Autistic adults are often stressed and feel depressed or anxious. However, mental health programs that are suited for autistic adults are few. Acceptance and commitment therapy is a psychotherapy method that seems to help people feel better, although not thoroughly evaluated in autistic individuals. In this study, 20 autistic adults had 14 weeks of acceptance and commitment therapy group treatment suited for autism (NeuroACT), while 19 autistic adults had ordinary care. The acceptance and commitment therapy group treatment program seemed logical and reasonable to the participants. Also, when comparing the participants in the NeuroACT group with those in the ordinary care group, the NeuroACT participants reported less stress and higher quality of life. Compared to the ordinary care group, they could also manage distressing thoughts better, perceived themselves as more flexible, and did not avoid stressful situations as much as before. However, there was no significant difference between the groups in depression, anxiety, sleep problems, social aspects of autism, everyday functioning, or executive challenges. Slightly more NeuroACT participants did not finish the treatment than ordinary care participants. In conclusion, the NeuroACT program may be a treatment for autistic adults who feel stressed and have reduced quality of life. More studies are needed to see how helpful the NeuroACT program is for autistic adults.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS LTD, 2023
Keywords
acceptance and commitment therapy; anxiety; autism; cognitive defusion; depression; interventions-psychosocial; behavioral; mindfulness; psychological flexibility; quality of life; stress
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-190933 (URN)10.1177/13623613221140749 (DOI)000896879700001 ()36510817 (PubMedID)
Available from: 2023-01-09 Created: 2023-01-09 Last updated: 2024-02-08Bibliographically approved
Östling, A.-K. & Andersson, G. (2023). Behandling av beteendeproblem (3ed.). In: Håkan Nyman, Aniko Bartfai (Ed.), Klinisk neuropsykologi: (pp. 485-496). Lund: Studentlitteratur AB, Sidorna 485-496
Open this publication in new window or tab >>Behandling av beteendeproblem
2023 (English)In: Klinisk neuropsykologi / [ed] Håkan Nyman, Aniko Bartfai, Lund: Studentlitteratur AB, 2023, 3, Vol. Sidorna 485-496, p. 485-496Chapter in book (Other academic)
Abstract [sv]

Beteendeproblem definieras som ett beteende som hindrar en person och hans/hennes närstående att, efter förutsättningarna, må så bra som möjligt samt leva ett så tillfredsställande liv som möjligt på arbetet, vid studier, i relationer och i övriga sociala sammanhang. Med beteendeproblem menas inte samma sak som beteendestörning, vilket är en term som framförallt används i det psykiatriska diagnosmanualen DSM-5 för att beskriva de beteenden som krävs för att uppfylla olika diagnoskriterier. Det är inte diagnosen som är det viktiga utan hur personen blir bemött utifrån sina förutsättningar, känslomässiga reaktioner och den fysiska och sociala miljöns förutsättningar.

Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2023 Edition: 3
Keywords
Beteendeterapi
National Category
Psychology
Identifiers
urn:nbn:se:liu:diva-191699 (URN)9789144149066 (ISBN)
Available from: 2023-02-09 Created: 2023-02-09 Last updated: 2023-02-14Bibliographically approved
Käll, A. & Andersson, G. (2023). Chapter 15 - Internet-based cognitive behavioral therapy for loneliness. In: Colin R. Martin; Vinood B. Patel; Victor R. Preedy (Ed.), Handbook of Cognitive Behavioral Therapy by Disorder: Case Studies and Application for Adults (pp. 175-183). Elsevier
Open this publication in new window or tab >>Chapter 15 - Internet-based cognitive behavioral therapy for loneliness
2023 (English)In: Handbook of Cognitive Behavioral Therapy by Disorder: Case Studies and Application for Adults / [ed] Colin R. Martin; Vinood B. Patel; Victor R. Preedy, Elsevier, 2023, p. 175-183Chapter in book (Other academic)
Abstract [en]

Feelings of loneliness are common in persons with mental health problems. Studies indicate that loneliness is related to both adverse somatic and psychiatric outcomes. Longitudinal examinations also suggest that loneliness may contribute to increased and maintained symptoms of depression and social anxiety. Even if there is no gold-standard intervention for helping persons experiencing clinically significant levels of loneliness, cognitive behavior therapy (CBT) has been suggested as an option. The interest in CBT partially stems from earlier trials, but also from studies investigating cognitive and behavioral correlates of frequent feelings of loneliness. In this chapter, we outline suggestions for developing and disseminating internet-based interventions targeting loneliness based on our experiences from developing a treatment and testing it in two randomized controlled trials. The initial results suggest that internet-based CBT (ICBT) can be a feasible approach to alleviate clinically relevant feelings of loneliness.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
ICBT; Loneliness; SOLUS; CBT; Social anxiety disorder
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-201523 (URN)10.1016/C2020-0-02413-8 (DOI)978-0-323-85726-0 (ISBN)
Available from: 2024-03-11 Created: 2024-03-11 Last updated: 2024-03-11
Asbrand, J., Gerdes, S., Breedvelt, J., Guidi, J., Hirsch, C., Maercker, A., . . . Bockting, C. (2023). Clinical Psychology and the COVID-19 Pandemic: A Mixed Methods Survey Among Members of the European Association of Clinical Psychology and Psychological Treatment (EACLIPT).. Clinical Psychology in Europe, 5(1), Article ID e8109.
Open this publication in new window or tab >>Clinical Psychology and the COVID-19 Pandemic: A Mixed Methods Survey Among Members of the European Association of Clinical Psychology and Psychological Treatment (EACLIPT).
Show others...
2023 (English)In: Clinical Psychology in Europe, E-ISSN 2625-3410, Vol. 5, no 1, article id e8109Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The COVID-19 pandemic has affected people globally both physically and psychologically. The increased demands for mental health interventions provided by clinical psychologists, psychotherapists and mental health care professionals, as well as the rapid change in work setting (e.g., from face-to-face to video therapy) has proven challenging. The current study investigates European clinical psychologists and psychotherapists' views on the changes and impact on mental health care that occurred due to the COVID-19 pandemic. It further aims to explore individual and organizational processes that assist clinical psychologists' and psychotherapists' in their new working conditions, and understand their needs and priorities.

METHOD: Members of the European Association of Clinical Psychology and Psychological Treatment (EACLIPT) were invited (N = 698) to participate in a survey with closed and open questions covering their experiences during the first wave of the pandemic from June to September 2020. Participants (n = 92) from 19 European countries, mostly employed in universities or hospitals, completed the online survey.

RESULTS: Results of qualitative and quantitative analyses showed that clinical psychologists and psychotherapists throughout the first wave of the COVID-19 pandemic managed to continue to provide treatments for patients who were experiencing emotional distress. The challenges (e.g., maintaining a working relationship through video treatment) and opportunities (e.g., more flexible working hours) of working through this time were identified.

CONCLUSIONS: Recommendations for mental health policies and professional organizations are identified, such as clear guidelines regarding data security and workshops on conducting video therapy.

Place, publisher, year, edition, pages
PsychOpen, 2023
Keywords
blended therapy, clinical psychology, COVID-19, online therapy, psychotherapy, video therapy
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-193635 (URN)10.32872/cpe.8109 (DOI)37064999 (PubMedID)2-s2.0-85154046714 (Scopus ID)
Available from: 2023-05-10 Created: 2023-05-10 Last updated: 2023-09-15Bibliographically approved
Bergvall, H., Ghaderi, A., Andersson, J., Lundgren, T., Andersson, G. & Bohman, B. (2023). Development of competence in cognitive behavioural therapy and the role of metacognition among clinical psychology and psychotherapy students. Behavioural and Cognitive Psychotherapy, 51(3), Article ID PII S1352465822000686.
Open this publication in new window or tab >>Development of competence in cognitive behavioural therapy and the role of metacognition among clinical psychology and psychotherapy students
Show others...
2023 (English)In: Behavioural and Cognitive Psychotherapy, ISSN 1352-4658, E-ISSN 1469-1833, Vol. 51, no 3, article id PII S1352465822000686Article in journal (Refereed) Published
Abstract [en]

Background:There is a paucity of research on therapist competence development following extensive training in cognitive behavioural therapy (CBT). In addition, metacognitive ability (the knowledge and regulation of ones cognitive processes) has been associated with learning in various domains but its role in learning CBT is unknown. Aims:To investigate to what extent psychology and psychotherapy students acquired competence in CBT following extensive training, and the role of metacognition. Method:CBT competence and metacognitive activity were assessed in 73 psychology and psychotherapy students before and after 1.5 years of CBT training, using role-plays with a standardised patient. Results:Using linear mixed modelling, we found large improvements of CBT competence from pre- to post-assessment. At post-assessment, 72% performed above the competence threshold (36 points on the Cognitive Therapy Scale-Revised). Higher competence was correlated with lower accuracy in self-assessment, a measure of metacognitive ability. The more competent therapists tended to under-estimate their performance, while less competent therapists made more accurate self-assessments. Metacognitive activity did not predict CBT competence development. Participant characteristics (e.g. age, clinical experience) did not moderate competence development. Conclusions:Competence improved over time and most students performed over the threshold post-assessment. The more competent therapists tended to under-rate their competence. In contrast to what has been found in other learning domains, metacognitive ability was not associated with competence development in our study. Hence, metacognition and competence may be unrelated in CBT or perhaps other methods are required to measure metacognition.

Place, publisher, year, edition, pages
CAMBRIDGE UNIV PRESS, 2023
Keywords
cognitive behaviour therapy; education; professional competence; metacognition
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-191736 (URN)10.1017/S1352465822000686 (DOI)000917778900001 ()36691810 (PubMedID)
Available from: 2023-02-13 Created: 2023-02-13 Last updated: 2024-02-27Bibliographically approved
Micklitz, H. M., Nagel, Z., Jahn, S., Oertelt-Prigione, S., Andersson, G. & Sander, L. B. (2023). Digital self-help for people experiencing intimate partner violence: a qualitative study on user experiences and needs including people with lived experiences and services providers.. BMC Public Health, 23(1), Article ID 1471.
Open this publication in new window or tab >>Digital self-help for people experiencing intimate partner violence: a qualitative study on user experiences and needs including people with lived experiences and services providers.
Show others...
2023 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 23, no 1, article id 1471Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Intimate partner violence (IPV) is a prevalent public health issue associated with multiple physical and mental health consequences for survivors. Digital interventions can provide low-threshold support to those experiencing IPV, but existing digital interventions have limited efficacy in improving the safety and mental health of IPV survivors. Digitally adapting an integrative intervention with advocacy-based and psychological content holds promise for increasing the efficacy of digital interventions in the context of IPV.

METHODS: This study examines the needs, acceptability and usability of an integrative digital intervention for people affected by IPV. We used the think-aloud method and semi-structured interviews with a sample of six people with lived experiences of IPV and six service providers. We analyzed the data using thematic analysis.

RESULTS: We identified the increasing general acceptance of digital support tools and the limited capacity of the current support system as societal context factors influencing the acceptance of and needs regarding digital interventions in the context of IPV. An integrative digital self-help intervention offers several opportunities to complement the current support system and to meet the needs of people affected by IPV, including the reduction of social isolation, a space for self-reflection and coping strategies to alleviate the situation. However, potentially ongoing violence, varying stages of awareness and psychological capacities, and as well as the diversity of IPV survivors make it challenging to develop a digital intervention suitable for the target group. We received feedback on the content of the intervention and identified design features required for intervention usability.

CONCLUSION: An integrative digital self-help approach, with appropriate security measures and trauma-informed design, has the potential to provide well-accepted, comprehensive and continuous psychosocial support to people experiencing IPV. A multi-modular intervention that covers different topics and can be personalized to individual user needs could address the diversity of the target population. Providing guidance for the digital intervention is critical to spontaneously address individual needs. Further research is needed to evaluate the efficacy of an integrative digital self-help intervention and to explore its feasibility it in different settings and populations.

Place, publisher, year, edition, pages
BMC, 2023
Keywords
Advocacy-based intervention, Digital intervention, E-Health, Integrative intervention, Intimate partner violence, Psychological intervention, Trauma-sensitive design, Virtual-delivery of interventions
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-196577 (URN)10.1186/s12889-023-16357-5 (DOI)001041489400004 ()37533005 (PubMedID)
Available from: 2023-08-14 Created: 2023-08-14 Last updated: 2023-12-18
Wienicke, F. J., Beutel, M. E., Zwerenz, R., Brähler, E., Fonagy, P., Luyten, P., . . . Driessen, E. (2023). Efficacy and moderators of short-term psychodynamic psychotherapy for depression: A systematic review and meta-analysis of individual participant data. Clinical Psychology Review, 101, Article ID 102269.
Open this publication in new window or tab >>Efficacy and moderators of short-term psychodynamic psychotherapy for depression: A systematic review and meta-analysis of individual participant data
Show others...
2023 (English)In: Clinical Psychology Review, ISSN 0272-7358, E-ISSN 1873-7811, Vol. 101, article id 102269Article, review/survey (Refereed) Published
Abstract [en]

BACKGROUND: Short-term psychodynamic psychotherapy (STPP) is frequently used to treat depression, but it is unclear which patients might benefit specifically. Individual participant data (IPD) meta-analyses can provide more precise effect estimates than conventional meta-analyses and identify patient-level moderators. This IPD meta-analysis examined the efficacy and moderators of STPP for depression compared to control conditions.

METHODS: PubMed, PsycInfo, Embase, and Cochrane Library were searched September 1st, 2022, to identify randomized trials comparing STPP to control conditions for adults with depression. IPD were requested and analyzed using mixed-effects models.

RESULTS: IPD were obtained from 11 of the 13 (84.6%) studies identified (n = 771/837, 92.1%; mean age = 40.8, SD = 13.3; 79.3% female). STPP resulted in significantly lower depressive symptom levels than control conditions at post-treatment (d = -0.62, 95%CI [-0.76, -0.47], p < .001). At post-treatment, STPP was more efficacious for participants with longer rather than shorter current depressive episode durations.

CONCLUSIONS: These results support the evidence base of STPP for depression and indicate episode duration as an effect modifier. This moderator finding, however, is observational and requires prospective validation in future large-scale trials.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Depression, Efficacy, Individual participant data Meta-analysis, Moderators, Outcome, Short-term psychodynamic psychotherapy
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-193638 (URN)10.1016/j.cpr.2023.102269 (DOI)000958413900001 ()36958077 (PubMedID)2-s2.0-85150446223 (Scopus ID)
Note

Funding: Fund for Psychoanalytic Research of the American Psycho-analytic Association; Netherlands Organization of Scientific Research (NWO) [016]

Available from: 2023-05-10 Created: 2023-05-10 Last updated: 2023-09-15Bibliographically approved
Truskauskaite, I., Dumarkaite, A., Petrauskaite, G., Andersson, G., Brailovskaia, J., Karatzias, T., . . . Kazlauskas, E. (2023). ICD-11 PTSD and Complex PTSD in Lithuanian University Students: Prevalence and Associations With Trauma Exposure. Psychological Trauma, 15(5), 772-780
Open this publication in new window or tab >>ICD-11 PTSD and Complex PTSD in Lithuanian University Students: Prevalence and Associations With Trauma Exposure
Show others...
2023 (English)In: Psychological Trauma, ISSN 1942-9681, E-ISSN 1942-969X, Vol. 15, no 5, p. 772-780Article in journal (Refereed) Published
Abstract [en]

Objective: Young adults are at high risk for developing mental disorders. Moreover, trauma exposure and trauma-related disorders in emerging adulthood are highly prevalent. The study aimed to explore the prevalence of traumatic experiences, probable ICD-11 posttraumatic stress disorder (PTSD), probable complex PTSD (CPTSD), and links between trauma exposure and traumatic stress reactions among first-year university students in Lithuania. Method: In total, 1,626 university students from Lithuania, 68.2% female, mean age 19.09 (SD = 1.05) years, were recruited for the study. Probable ICD-11 PTSDs were measured using the self-report International Trauma Questionnaire (ITQ). Results: A majority (77.2%) of young adults had been exposed to traumatic experiences. The prevalence of probable ICD-11 PTSD and CPTSD in the total sample was 4.6% and 3.4%, respectively. Both PTSD and CPTSD were associated with cumulative lifetime trauma experiences. CPTSD was related to sexual trauma, whereas PTSD was linked to single traumatic incidents, like a physical assault. Both probable PTSD and probable CPTSD were associated with physical and sexual abuse in childhood. Conclusion: The findings of our study show that nearly 8 in 10 university students were exposed to trauma at the beginning of their studies. The prevalence of probable PTSD/CPTSD was comparable to other studies conducted on the general population and university students.

Place, publisher, year, edition, pages
EDUCATIONAL PUBLISHING FOUNDATION-AMERICAN PSYCHOLOGICAL ASSOC, 2023
Keywords
trauma; prevalence; PTSD; complex PTSD; youth; Lithuania
National Category
Psychiatry
Identifiers
urn:nbn:se:liu:diva-192526 (URN)10.1037/tra0001436 (DOI)000919827900001 ()36689383 (PubMedID)
Available from: 2023-03-22 Created: 2023-03-22 Last updated: 2024-02-29Bibliographically approved
Støre, S. J., Tillfors, M., Wästlund, E., Angelhoff, C., Andersson, G. & Norell, A. (2023). Mind, Body and Machine: Preliminary Study to Explore Predictors of Treatment Response After a Sleep Robot Intervention for Adults with Insomnia.. Nature and Science of Sleep, 15, 567-577
Open this publication in new window or tab >>Mind, Body and Machine: Preliminary Study to Explore Predictors of Treatment Response After a Sleep Robot Intervention for Adults with Insomnia.
Show others...
2023 (English)In: Nature and Science of Sleep, ISSN 1179-1608, Vol. 15, p. 567-577Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: The study aimed to explore characteristics of responders to a sleep robot intervention for adults with insomnia, and the likelihood that participants responded to the intervention.

METHODS: Data from the intervention and the control group in a randomized waitlist-controlled trial (n = 44) were pooled together after both had undergone the intervention. A repeated measures ANOVA and Friedman tests were used to explore changes over time. Differences in baseline characteristics between responders (n = 13), defined as a reduction of -5 on the Insomnia Severity Index from pre- to post-intervention, and non-responders (n = 31) were analyzed with t-tests and chi-square tests. Finally, logistic regression models were estimated.

RESULTS: Baseline anxiety was the only statistically significant difference between responders and non-responders (p = 0.03). A logistic regression model with anxiety and sleep quality as predictors was statistically significant, correctly classifying 83.3% of cases.

DISCUSSION: The results imply that people with lower anxiety and higher sleep quality at baseline are more likely to report clinically significant improvements in insomnia from the sleep robot intervention.

Place, publisher, year, edition, pages
DOVE MEDICAL PRESS LTD, 2023
Keywords
anxiety, depression, insomnia, sleep, sleep diary, sleep robot, treatment response
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-196579 (URN)10.2147/NSS.S408714 (DOI)001031039800001 ()37465662 (PubMedID)
Available from: 2023-08-14 Created: 2023-08-14 Last updated: 2023-12-18
Käll, A., Olsson Lynch, C., Sundling, K., Furmark, T., Carlbring, P. & Andersson, G. (2023). Scheduled support versus support on demand in internet-delivered cognitive behavioral therapy for social anxiety disorder: Randomized controlled trial. Clinical Psychology in Europe, 5(3)
Open this publication in new window or tab >>Scheduled support versus support on demand in internet-delivered cognitive behavioral therapy for social anxiety disorder: Randomized controlled trial
Show others...
2023 (English)In: Clinical Psychology in Europe, E-ISSN 2625-3410, Vol. 5, no 3Article in journal (Refereed) Published
Abstract [en]

Objectives: Clinician-supported internet-delivered cognitive behavioral therapy (ICBT) can be an effective treatment option when treating social anxiety disorder (SAD). Unguided ICBT is often found to be less effective. One possible solution to reduce the costs of clinician support is to provide support on demand. In this format of guidance, participants have the option to contact their clinician if needed. In a few studies, this mode of support has been compared favorably to scheduled support.

Method: Participants in a previously reported controlled trial on SAD who had been in a waitlist control group were randomly allocated to ICBT with either on-demand guidance or scheduled weekly therapist guidance. A total of 99 participants were included. Data were collected weekly on the primary outcome measure, the Liebowitz Social Anxiety Scale self-report (LSAS-SR), and at pre- and post-treatment for secondary measures. Data were analyzed in accordance with the intention-to-treat principle using mixed-effects models.

Results: Both groups improved significantly during the treatment according to the LSAS-SR ratings. The groups did not differ in their estimated change during the treatment period, with a between-group effect of d = 0.02, 95% CI [-0.37, 0.43]. Both groups experienced similar improvement also on the secondary outcome measures, with small between-group effect sizes on all outcomes.

Conclusions: The findings indicate that support on demand can be an effective way of providing guidance in ICBT for SAD, although more research on this topic is needed. A limitation of the study is that it was conducted in 2009, and the findings were in the file drawer. Subsequent published studies support our initial findings, but more research is needed.

Place, publisher, year, edition, pages
PsychOpen, 2023
Keywords
ICBT; Internet-delivered treatments; guided ICBT; social anxiety disorder
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-201524 (URN)10.32872/cpe.11379 (DOI)38356895 (PubMedID)
Available from: 2024-03-11 Created: 2024-03-11 Last updated: 2024-03-11
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-4753-6745

Search in DiVA

Show all publications

Profile pages

Homepage