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Bendelin, Nina
Publications (6 of 6) Show all publications
Bendelin, N., Gerdle, B. & Andersson, G. (2018). Internet-delivered aftercare following multimodal rehabilitation program for chronic pain: a qualitative feasibility study. Journal of Pain Research, 11, 1715-1728
Open this publication in new window or tab >>Internet-delivered aftercare following multimodal rehabilitation program for chronic pain: a qualitative feasibility study
2018 (English)In: Journal of Pain Research, ISSN 1178-7090, E-ISSN 1178-7090, Vol. 11, p. 1715-1728Article in journal (Refereed) Published
Abstract [en]

Purpose: Methods for delivering aftercare to help chronic pain patients to continue practice self-management skills after rehabilitation are needed. Internet-delivered cognitive behavioral therapy (ICBT) has the potential to partly fill this gap given its accessibility and emphasis on self-care. Methods for engaging and motivating patients to persist throughout the full length of treatment are needed. The aim of this study was to describe how chronic pain patients work in an ICBT program, through their descriptions of what is important when they initiate behavior change in aftercare and their descriptions of what is important for ongoing practice of self-management skills in aftercare. Patients and methods: Following a multimodal rehabilitation program, 29 chronic pain patients participated in a 20-week-long Internet-delivered aftercare program (ACP) based on acceptance-based cognitive behavioral therapy. Latent content analysis was made on 138 chapters of diary-like texts written by participants in aftercare. Results: Attitudes regarding pain and body changed during ACP, as did attitudes toward self and the future for some participants. How participants practiced self-management skills was influenced by how they expressed motivation behind treatment goals. Whether they practiced acceptance strategies influenced their continuous self-management practice. Defusion techniques seemed to be helpful in the process of goal setting. Mindfulness strategies seemed to be helpful when setbacks occurred. Conclusion: Self-motivating goals are described as important both to initiate and in the ongoing practice of self-management skills. Experiencing a helpful effect of acceptance strategies seems to encourage participants to handle obstacles in new ways and to persist throughout treatment. Research on whether tailored therapist guidance might be helpful in stating self-motivating goals and contribute to ongoing practice of self-management skills is needed.

Place, publisher, year, edition, pages
DOVE MEDICAL PRESS LTD, 2018
Keywords
Internet-delivered cognitive-behavioral therapy; chronic pain; acceptance and commitment therapy; qualitative analysis; self-management
National Category
Physiotherapy
Identifiers
urn:nbn:se:liu:diva-151536 (URN)10.2147/JPR.S157939 (DOI)000443450600002 ()30233229 (PubMedID)
Note

Funding Agencies|County Council of Ostergotland (forsknings-ALF); AFA insurance

Available from: 2018-09-24 Created: 2018-09-24 Last updated: 2019-05-02
Buhrman, M., Skoglund, A., Husell, J., Bergstrom, K., Gordh, T., Hursti, T., . . . Andersson, G. (2013). Guided internet-delivered acceptance and commitment therapy for chronic pain patients: A randomized controlled trial. Behaviour Research and Therapy, 51(6), 307-315
Open this publication in new window or tab >>Guided internet-delivered acceptance and commitment therapy for chronic pain patients: A randomized controlled trial
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2013 (English)In: Behaviour Research and Therapy, ISSN 0005-7967, E-ISSN 1873-622X, Vol. 51, no 6, p. 307-315Article in journal (Refereed) Published
Abstract [en]

Acceptance and commitment therapy (ACT) interventions for persons with chronic pain have recently received empirical support. ACT focuses on reducing the disabling influences of pain through targeting ineffective control strategies and teaches people to stay in contact with unpleasant emotions, sensations, and thoughts. The aim of the present study was to investigate the effect of a guided internet-delivered ACT intervention for persons with chronic pain. A total of 76 patients with chronic pain were included in the study and randomized to either treatment for 7 weeks or to a control group that participated in a moderated online discussion forum. Intent-to-treat analyses showed significant increases regarding activity engagement and pain willingness. Measurements were provided with the primary outcome variable Chronic Pain Acceptance Questionnaire which was in favour of the treatment group. Reductions were found on other measures of pain-related distress, anxiety and depressive symptoms. A six month follow-up showed maintenance of improvements. We conclude that an acceptance based internet-delivered treatment can be effective for persons with chronic pain.

Place, publisher, year, edition, pages
Elsevier, 2013
Keywords
Internet-delivered CBT, Chronic pain, Acceptance and commitment therapy, Mindfulness, Guided self-help
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-94603 (URN)10.1016/j.brat.2013.02.010 (DOI)000319175400010 ()
Available from: 2013-06-27 Created: 2013-06-27 Last updated: 2017-12-06
Bendelin, N., Hesser, H., Dahl, J., Carlbring, P., Zetterqvist Nelson, K. & Andersson, G. (2011). Experiences of guided Internet-based cognitive-behavioural treatment for depression: A qualitative study. BMC Psychiatry, 11(107)
Open this publication in new window or tab >>Experiences of guided Internet-based cognitive-behavioural treatment for depression: A qualitative study
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2011 (English)In: BMC Psychiatry, ISSN 1471-244X, E-ISSN 1471-244X, Vol. 11, no 107Article in journal (Refereed) Published
Abstract [en]

ackground: Internet-based self-help treatment with minimal therapist contact has been shown to have an effect in treating various conditions. The objective of this study was to explore participants views of Internet administrated guided self-help treatment for depression. less thanbrgreater than less thanbrgreater thanMethods: In-depth interviews were conducted with 12 strategically selected participants and qualitative methods with components of both thematic analysis and grounded theory were used in the analyses. less thanbrgreater than less thanbrgreater thanResults: Three distinct change processes relating to how participants worked with the treatment material emerged which were categorized as (a) Readers, (b) Strivers, and (c) Doers. These processes dealt with attitudes towards treatment, views on motivational aspects of the treatment, and perceptions of consequences of the treatment. less thanbrgreater than less thanbrgreater thanConclusions: We conclude that the findings correspond with existing theoretical models of face-to-face psychotherapy within qualitative process research. Persons who take responsibility for the treatment and also attribute success to themselves appear to benefit more. Motivation is a crucial aspect of guided self-help in the treatment of depression.

Place, publisher, year, edition, pages
BioMed Central, 2011
Keywords
Internet treatment, depression, cognitive behaviour therapy, self-help
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-69993 (URN)10.1186/1471-244X-11-107 (DOI)000293019600001 ()
Note

Original Publication: Nina Bendelin, Hugo Hesser, Johan Dahl, Per Carlbring, Karin Zetterqvist Nelson and Gerhard Andersson, Experiences of guided Internet-based cognitive-behavioural treatment for depression: A qualitative study, 2011, BMC Psychiatry, (11), 107. http://dx.doi.org/10.1186/1471-244X-11-107 Licensee: BioMed Central http://www.biomedcentral.com/

Available from: 2011-08-12 Created: 2011-08-12 Last updated: 2018-12-12
Bendelin, N., Hesser, H., Andersson, G. & Gerdle, B. (2010). The role of acceptance in increased functioning in chronic pain: When, how and why does change occur?. Paper presented at World Congress of Behavioral and Cognitive Therapies, Boston, June 2-5, 2010.
Open this publication in new window or tab >>The role of acceptance in increased functioning in chronic pain: When, how and why does change occur?
2010 (English)Conference paper, Published paper (Refereed)
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-76860 (URN)
Conference
World Congress of Behavioral and Cognitive Therapies, Boston, June 2-5, 2010
Available from: 2012-04-20 Created: 2012-04-20 Last updated: 2018-12-12
Bendelin, N., Hesser, H. & Andersson, G. (2009). Internet treatment of chronic pain: Results and predictors of two RCT’s. Paper presented at 6th Congress of the European Federation of IASP Chapters (EFIC), Lisabon, Portugal, September 11, 2009.
Open this publication in new window or tab >>Internet treatment of chronic pain: Results and predictors of two RCT’s
2009 (English)Conference paper, Published paper (Other academic)
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-76861 (URN)
Conference
6th Congress of the European Federation of IASP Chapters (EFIC), Lisabon, Portugal, September 11, 2009
Available from: 2012-04-20 Created: 2012-04-20 Last updated: 2018-12-12
Bendelin, N., Öberg, J., Hesser, H., Andersson, G. & Gerdle, B. (2009). Internet-delivered intervention for relapse prevention after pain management program. Paper presented at 6th Congress of the European Federation of IASP Chapters (EFIC), Lisabon, Portugal, September 12, 2009.
Open this publication in new window or tab >>Internet-delivered intervention for relapse prevention after pain management program
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2009 (English)Conference paper, Published paper (Other academic)
National Category
Applied Psychology
Identifiers
urn:nbn:se:liu:diva-76862 (URN)
Conference
6th Congress of the European Federation of IASP Chapters (EFIC), Lisabon, Portugal, September 12, 2009
Available from: 2012-04-20 Created: 2012-04-20 Last updated: 2018-12-12
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