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  • 401.
    Johansson, Robert
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten. Stockholm University, Sweden.
    Hesslow, Thomas
    Stockholm University, Sweden.
    Ljotsson, Brjann
    Karolinska Institute, Sweden; Karolinska Institute, Sweden.
    Jansson, Angelica
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Jonsson, Lina
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Färdig, Smilla
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Karlsson, Josefine
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Hesser, Hugo
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Frederick, Ronald J.
    Centre Courageous Living, CA USA.
    Lilliengren, Peter
    Stockholm University, Sweden.
    Carlbring, Per
    Stockholm University, Sweden.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Institute, Sweden.
    Internet-based Affect-focused Psychodynamic Therapy for Social Anxiety Disorder: A Randomized Controlled Trial With 2-Year Follow-Up2017Inngår i: Psychotherapy, ISSN 0033-3204, E-ISSN 1939-1536, Vol. 54, nr 4, s. 351-360Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Social anxiety disorder (SAD) is associated with considerable individual suffering and societal costs. Although there is ample evidence for the efficacy of cognitive behavior therapy, recent studies suggest psychodynamic therapy may also be effective in treating SAD. Furthermore, Internet-based psychodynamic therapy (IPDT) has shown promising results for addressing mixed depression and anxiety disorders. However, no study has yet investigated the effects of IPDT specifically for SAD. This paper describes a randomized controlled trial testing the efficacy of a 10-week, affect-focused IPDT protocol for SAD, compared with a wait-list control group. Long-term effects were also estimated by collecting follow-up data, 6, 12, and 24 months after the end of therapy. A total of 72 individuals meeting diagnostic criteria for DSM-IV social anxiety disorder were included. The primary outcome was the self-report version of Liebowitz Social Anxiety Scale. Mixed model analyses using the full intention-to-treat sample revealed a significant interaction effect of group and time, suggesting a larger effect in the treatment group than in the wait-list control. A between-group effect size Cohens d = 1.05 (95% [CI]: [0.62, 1.53]) was observed at termination. Treatment gains were maintained at the 2-year follow-up, as symptom levels in the treated group continued to decrease significantly. The findings suggest that Internet-based affect-focused psychodynamic therapy is a promising treatment for social anxiety disorder.

  • 402.
    Johansson, Robert
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Holmdahl, Johanna
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Rydell, Marie
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Rousseau, Andréas
    Linköpings universitet, Institutionen för medicin och hälsa, Anestesiologi med intensivvård. Linköpings universitet, Hälsouniversitetet.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    An open study of the effectiveness of a tailored Internet-delivered cognitive behaviour therapy treatment for symptoms of depression and anxiety in a primary care setting2011Konferansepaper (Annet vitenskapelig)
  • 403.
    Johansson, Robert
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Nyblom, Anna
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Carlbring, Per
    Stockholm University, Sweden .
    Cuijpers, Pim
    Vrije University of Amsterdam, Netherlands .
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Choosing between Internet-based psychodynamic versus cognitive behavioral therapy for depression: a pilot preference study2013Inngår i: BMC Psychiatry, ISSN 1471-244X, E-ISSN 1471-244X, Vol. 13Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    Major depression is a world-wide problem that can be treated with various forms of psychotherapy. There is strong research support for treating major depression using cognitive behavior therapy delivered in the format of guided self-help via the Internet (ICBT). Recent research also suggests that psychodynamic psychotherapy can be delivered as guided self-help via the Internet (IPDT) and that it seem to be as effective as ICBT for mild to moderate depression. However, no head-to-head comparison between the two treatments exists. In the field of Internet interventions it is largely unexplored if treatment preference affects outcome and adherence.

    Methods

    Participants were allocated to IPDT or ICBT based on their stated preference. More than half of the participants preferred ICBT (N = 30) over IPDT (N = 14). Differences in efficacy between treatments were explored. Correlations between strength of preference and treatment outcome, adherence to treatment and completion of the whole treatment program were explored. Data were collected before and after treatment, as well as in a 7-month follow-up.

    Results

    During the treatment period, both programs performed equally well in reducing symptoms. More participants who received IPDT completed the entire program. At follow-up, mixed-effects models showed that participants who chose ICBT improved more in terms of quality of life. The ICBT group also had a significant increase in participants who recovered from their depression from post-treatment to follow-up. Exploratory analyses indicated that strength of preference was correlated with adherence to treatment and completion of the whole program, and long-term outcome for the ICBT group.

    Conclusions

    Few differences were found during the acute treatment phase, but the long-term effects are in favor of ICBT. Strength of preference for treatment seems to have a predictive value. Further research comparing the efficacy of ICBT and IPDT, and the effects of preference matching and strength of preference, is warranted.

  • 404.
    Johansson, Robert
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Sjöberg, Elin
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Sjögren, Magnus
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Johnsson, Erik
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Andersson, Therese
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Rousseau, Andréas
    Linköpings universitet, Hälsouniversitetet.
    Carlbring, Per
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Randomized Controlled Trial of an Internet-delivered Tailored Treatment of Depression, Comorbid Anxiety and Subclinical Symptoms2010Konferansepaper (Annet vitenskapelig)
  • 405.
    Johansson, Robert
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Sjöberg, Elin
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Sjögren, Magnus
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Johnsson, Erik
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Carlbring, Per
    Umeå University, Sweden .
    Andersson, Therese
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Rousseau, Andreas
    Linköpings universitet, Institutionen för medicin och hälsa, Anestesiologi med intensivvård. Linköpings universitet, Hälsouniversitetet.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Tailored vs. Standardized Internet-Based Cognitive Behavior Therapy for Depression and Comorbid Symptoms: A Randomized Controlled Trial2012Inngår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 7, nr 5Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background and Aims: Major depression can be treated by means of cognitive behavior therapy, delivered via the Internet as guided self-help. Individually tailored guided self-help treatments have shown promising results in the treatment of anxiety disorders. This randomized controlled trial tested the efficacy of an Internet-based individually tailored guided self-help treatment which specifically targeted depression with comorbid symptoms. The treatment was compared both to standardized (non-tailored) Internet-based treatment and to an active control group in the form of a monitored online discussion group. Both guided self-help treatments were based on cognitive behavior therapy and lasted for 10 weeks. The discussion group consisted of weekly discussion themes related to depression and the treatment of depression. Methods: A total of 121 participants with diagnosed major depressive disorder and with a range of comorbid symptoms were randomized to three groups. The tailored treatment consisted of a prescribed set of modules targeting depression as well as comorbid problems. The standardized treatment was a previously tested guided self-help program for depression. Results: From pre-treatment to post-treatment, both treatment groups improved on measures of depression, anxiety and quality of life. The results were maintained at a 6-month follow-up. Subgroup analyses showed that the tailored treatment was more effective than the standardized treatment among participants with higher levels of depression at baseline and more comorbidity, both in terms of reduction of depressive symptoms and on recovery rates. In the subgroup with lower baseline scores of depression, few differences were seen between treatments and the discussion group. Conclusions: This study shows that tailored Internet-based treatment for depression is effective and that addressing comorbidity by tailoring may be one way of making guided self-help treatments more effective than standardized approaches in the treatment of more severe depression.

  • 406.
    Johansson, Robert
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Dalhousie University, Canada.
    Town, Joel M.
    Dalhousie University, Canada.
    Abbass, Allan
    Dalhousie University, Canada.
    Davanloos Intensive Short-Term Dynamic Psychotherapy in a tertiary psychotherapy service: overall effectiveness and association between unlocking the unconscious and outcome2014Inngår i: PeerJ, ISSN 2167-8359, E-ISSN 2167-8359, Vol. 2Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background. Intensive Short-Term Dynamic Psychotherapy (ISTDP), as developed by Habib Davanloo, is an intensive emotion-focused psychodynamic therapy with an explicit focus on handling resistance in treatment. A core assumption in ISTDP is that psychotherapeutic effects are dependent on in-session emotional processing in the form of rise in complex transference feelings that occurs when treatment resistance is challenged. Recent research indicates that an unlocking of the unconscious, a powerful emotional breakthrough achieved at a high rise in complex transference feelings, can potentially enhance ISTDPs effectiveness. While ISTDP has a growing evidence base, most of the research conducted has used small samples and has tested therapy delivered by expert therapists. The aims of this study were to evaluate the overall effectiveness of ISTDP when delivered in a tertiary psychotherapy service, and to investigate if having an unlocking of the unconscious during therapy predicted enhanced treatment effectiveness. Methods. A total of 412 patients were included in the analyses. The average length of treatment was 10.2 sessions (SD 13.3). Multilevel growth curve modeling was used to evaluate treatment effectiveness and the association between unlocking the unconscious and outcome. A number of control predictors including type of treatment resistance were selected and included in the analyses. Outcome measures were the Brief Symptom Inventory (BSI) and the Inventory of Interpersonal Problems (IIP). About half of the patients in the study were treated by therapists in training and the other half by more experienced therapists. Results. Growth curve analyses using the full intention-to-treat sample revealed significant within-group effects of ISTDP on both the BSI and the IIP. Effect sizes were large (greater than 0.80). Unlocking the unconscious during therapy was associated with significantly larger treatment outcome. The relationship was further moderated by type of treatment resistance. Conclusion. This study adds to the empirical base of Davanloos ISTDP with confirmed treatment effectiveness in a large-scale patient sample when ISTDP was delivered by therapists with a range of experience. Furthermore, emotional mobilization in the form of unlocking the unconscious was confirmed as a process factor enhancing the effectiveness of ISTDP.

  • 407.
    Johnson Frankenberg, Sofia
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Caregiving Dilemmas: Ideology and Social Interactionin Tanzanian Family Life2012Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    This thesis explores caregiving ideology and social interaction in Tanzanian families with a focus on guidance and control of young children. The study is set within a context of social change in terms of urbanization as well as the implementation of the Convention on the Rights of the Child. The aim of the study was to explore how the conditions for children’s participation are shaped within local deology and situated practice. A qualitative study was undertaken inspired by the traditions of language socialization, sociocultural theory and discursive psychology. Data was collected in one urban and one rural district in the coastal region in Tanzania. The thesis contains four articles. Article one and two are based on data from focus group discussions with parents and grandparents exploring caregiving responsibilities. The first study explores caregivers’ discourses regarding the responsibility of guidance and control of children related to social change. The analysis constructed two interpretative repertoires: guidance and control as a community matter and guidance and control as a family matter. These repertoires are related to an ideological caregiving dilemma regarding parental authority and individual rights. The second study investigates caregivers’ discourses regarding early childhood discipline strategies. The analysis suggested a model illustrating various levels of power asymmetries related to corporal punishment, conceptualized in terms of to beat with care, to treat like an egg, as if beating a snake and the non-care of non-beating. Article three and four are based on video recorded data and present analyses of moment-to-moment, multimodal sequences of interaction. The third study explores how siblings in Tanzania actively engage in their own socialization concerning caregiving responsibilities through the negotiation of guidance and control between younger siblings, older siblings and adults. The forth article presents findings from analyses of naturally occurring literacy events. The analysis shows how participation is negotiated in terms of  symmetries and asymmetries between younger and older siblings. Norms and values belonging to the social order of the formal school are enacted parallel to the social order of participatory learning with roots in everyday interaction in the home. The four studies illustrate conditions of participation in terms of symmetries and asymmetries in early childhood relationships. The findings are also discussed in terms of a caregiving dilemma regarding individual rights versus parental authority. This dilemma is identified both in lived and theoretical ideology as presented in caregivers’ discourses and the ideology of children’s rights.

    Delarbeid
    1. In Earlier Days Everyone Could Discipline Children, Now They Have Rights: Notions of Responsibility in Focus Group Discussions about Care Giving in urban Tanzania
    Åpne denne publikasjonen i ny fane eller vindu >>In Earlier Days Everyone Could Discipline Children, Now They Have Rights: Notions of Responsibility in Focus Group Discussions about Care Giving in urban Tanzania
    2014 (engelsk)Inngår i: Journal of Community and Applied Social Phychology, ISSN 1052-9284, E-ISSN 1099-1298, Vol. 24, nr 3, s. 191-204Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    The title of this paper ‘In earlier days we could discipline our children, now they have rights’ is a citation from a focus group discussion undertaken with a group of adult caregivers in Tanzania regarding their guidance and control of their children. It illustrates a dilemma that some caregivers are struggling to make sense of within the current discursive order on the guidance and control of children. In a previous study regarding discipline strategies in urban Tanzania, we have found a discourse regarding the necessity of using corporal punishment in order to properly raise children, findings which are in line with other studies indicating the frequent use of corporal punishment as discipline strategy in East Africa. On a different note, there is an ideological call for change for children and the Government, as well as civil society organizations and other international and bilateral organizations use the Convention on the Rights of the Child (CRC) to argue for the importance of improving the conditions of childhood in Tanzania. The new Child Act (United Republic of Tanzania, 2009) is a landmark in this process as it significantly strengthens the legal rights of the child. It also represents an ideological position in terms of child-adult relationships, regulating the responsibilities of both caregivers and children. In terms of guidance and control of children, the wording of the act was a field of ideological debate concerning the issue of corporal punishment, with some stakeholders advocating for the total ban of corporal punishment. The endorsed version of the Child Act regulates the manner of administering discipline on children but it does not explicitly prohibit corporal punishment.

    It has been argued that the CRC represents an ideological and moralist discourse about childhood, based on Western ideals of an individualistic society and that it disregards the interdependence of human beings. Scholars have further raised concerns regarding the changing nature of childhood related to national development and globalization arguing that, rather than regarding individuals as constituted and fixed, vested with certain rights, it is necessary to focus on the relations in which identities are constructed and how these relationships are co-created by individuals in local space.

    sted, utgiver, år, opplag, sider
    Wiley-Blackwell, 2014
    Emneord
    Caregiving, Discipline, Ideological dilemmas, Children’s Rights, Tanzania
    HSV kategori
    Identifikatorer
    urn:nbn:se:liu:diva-76516 (URN)10.1002/casp.2160 (DOI)000335662500002 ()
    Tilgjengelig fra: 2012-04-11 Laget: 2012-04-11 Sist oppdatert: 2017-12-07bibliografisk kontrollert
    2. The care of corporal punishment: Conceptions of early childhood discipline strategies among parents and grandparents in a poor and urban area in Tanzania
    Åpne denne publikasjonen i ny fane eller vindu >>The care of corporal punishment: Conceptions of early childhood discipline strategies among parents and grandparents in a poor and urban area in Tanzania
    2010 (engelsk)Inngår i: Childhood, ISSN 0907-5682, E-ISSN 1461-7013, Vol. 17, nr 4, s. 455-469Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    This study investigates conceptions of early childhood discipline strategies discussed in focus groups with parents and grandparents in a poor urban area in Tanzania. A grounded theory analysis suggested a model that included four discipline strategies related to corporal punishment: to beat with care, to treat like an egg, as if beating a snake and the non-care of non-beating. In order to develop strategies to prevent corporal punishment in the home in accordance with the UN recommendation and article 19 in the Convention on the Rights of the Child, the power of caregiving needs further investigation.

    sted, utgiver, år, opplag, sider
    Sage Publications, 2010
    Emneord
    caregiving; childrens rights; corporal punishment; early childhood; parents and grandparents perspectives; relationships; Tanzania
    HSV kategori
    Identifikatorer
    urn:nbn:se:liu:diva-63952 (URN)10.1177/0907568209349314 (DOI)000284472500003 ()
    Tilgjengelig fra: 2011-01-10 Laget: 2011-01-10 Sist oppdatert: 2017-12-11
    3. Being and Becoming a Responsible Caregiver: Negotiating Guidance and Control in Family Relationships in Tanzania
    Åpne denne publikasjonen i ny fane eller vindu >>Being and Becoming a Responsible Caregiver: Negotiating Guidance and Control in Family Relationships in Tanzania
    2013 (engelsk)Inngår i: Childhood, ISSN 0907-5682, E-ISSN 1461-7013, Vol. 20, nr 4, s. 487-506Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    This study explores how siblings in Tanzania actively engage in their own socialization through the negotiation and local design of caregiving practices and control between younger siblings (age 1-3), older siblings (age 3-13) and adults. Analyses of moment-to-moment embodied, multimodal sequences of interaction illustrate how caregiving responsibility is negotiated. The analysis is multidisciplinary drawing on concepts developed in the traditions of sociology, language socialization and applied linguistics. The findings highlight the usefulness of a concept of socialization which recognizes the agency of the child and are discussed in relation to constructions of the caregiving child as both being and becoming.

    sted, utgiver, år, opplag, sider
    Sage Publications, 2013
    Emneord
    Being, becoming, caregiving responsibility, sibling interaction, video
    HSV kategori
    Identifikatorer
    urn:nbn:se:liu:diva-76517 (URN)10.1177/0907568212471405 (DOI)000326651600007 ()
    Tilgjengelig fra: 2012-04-11 Laget: 2012-04-11 Sist oppdatert: 2017-12-07bibliografisk kontrollert
    4. Sibling negotiations and the construction of literacy events in an urban area of Tanzania
    Åpne denne publikasjonen i ny fane eller vindu >>Sibling negotiations and the construction of literacy events in an urban area of Tanzania
    2012 (engelsk)Inngår i: International Journal of Educational Development, ISSN 0738-0593, E-ISSN 1873-4871, Vol. 32, nr 6, s. 773-786Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    This study presents findings from analyses of naturally occurring literacy events, where children jointly focus on reading and writing letters of the alphabet, illustrating social constructions of learning created through language and embodied action. Video recorded data from two different families living in an urban low-income area in Tanzania is presented to illustrate the findings. The analysis shows how participation frameworks are negotiated in terms of symmetries and asymmetries between younger and older siblings with both older and younger siblings initiating these frameworks: older siblings using different directives to guide the younger child’s focus of attention and younger children both following and resisting such strategies.

    sted, utgiver, år, opplag, sider
    Elsevier, 2012
    Emneord
    Literacy event, Siblings, Tanzania, Participant frameworks, Directives
    HSV kategori
    Identifikatorer
    urn:nbn:se:liu:diva-76519 (URN)10.1016/j.ijedudev.2011.08.007 (DOI)000307210200007 ()
    Tilgjengelig fra: 2012-04-11 Laget: 2012-04-11 Sist oppdatert: 2017-12-07bibliografisk kontrollert
  • 408.
    Johnson Frankenberg, Sofia
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Holmqvist, Rolf
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Rubenson, Birgitta
    Department of Public Health Sciences Karolinska Institute, SE- 171 77 Stockholm, Sweden.
    In Earlier Days Everyone Could Discipline Children, Now They Have Rights: Notions of Responsibility in Focus Group Discussions about Care Giving in urban Tanzania2014Inngår i: Journal of Community and Applied Social Phychology, ISSN 1052-9284, E-ISSN 1099-1298, Vol. 24, nr 3, s. 191-204Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The title of this paper ‘In earlier days we could discipline our children, now they have rights’ is a citation from a focus group discussion undertaken with a group of adult caregivers in Tanzania regarding their guidance and control of their children. It illustrates a dilemma that some caregivers are struggling to make sense of within the current discursive order on the guidance and control of children. In a previous study regarding discipline strategies in urban Tanzania, we have found a discourse regarding the necessity of using corporal punishment in order to properly raise children, findings which are in line with other studies indicating the frequent use of corporal punishment as discipline strategy in East Africa. On a different note, there is an ideological call for change for children and the Government, as well as civil society organizations and other international and bilateral organizations use the Convention on the Rights of the Child (CRC) to argue for the importance of improving the conditions of childhood in Tanzania. The new Child Act (United Republic of Tanzania, 2009) is a landmark in this process as it significantly strengthens the legal rights of the child. It also represents an ideological position in terms of child-adult relationships, regulating the responsibilities of both caregivers and children. In terms of guidance and control of children, the wording of the act was a field of ideological debate concerning the issue of corporal punishment, with some stakeholders advocating for the total ban of corporal punishment. The endorsed version of the Child Act regulates the manner of administering discipline on children but it does not explicitly prohibit corporal punishment.

    It has been argued that the CRC represents an ideological and moralist discourse about childhood, based on Western ideals of an individualistic society and that it disregards the interdependence of human beings. Scholars have further raised concerns regarding the changing nature of childhood related to national development and globalization arguing that, rather than regarding individuals as constituted and fixed, vested with certain rights, it is necessary to focus on the relations in which identities are constructed and how these relationships are co-created by individuals in local space.

  • 409.
    Johnson Frankenberg, Sofia
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Holmqvist, Rolf
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Rubenson, Birgitta
    Department of Public Health Sciences Karolinska Institute, SE- 171 77 Stockholm, Sweden.
    Rindstedt, Camilla
    Department of Child and Youth Studies University of Stockholm, SE- 106 91 Stockholm, Sweden.
    Being and Becoming a Responsible Caregiver: Negotiating Guidance and Control in Family Relationships in Tanzania2013Inngår i: Childhood, ISSN 0907-5682, E-ISSN 1461-7013, Vol. 20, nr 4, s. 487-506Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study explores how siblings in Tanzania actively engage in their own socialization through the negotiation and local design of caregiving practices and control between younger siblings (age 1-3), older siblings (age 3-13) and adults. Analyses of moment-to-moment embodied, multimodal sequences of interaction illustrate how caregiving responsibility is negotiated. The analysis is multidisciplinary drawing on concepts developed in the traditions of sociology, language socialization and applied linguistics. The findings highlight the usefulness of a concept of socialization which recognizes the agency of the child and are discussed in relation to constructions of the caregiving child as both being and becoming.

  • 410.
    Johnson Frankenberg, Sofia
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Holmqvist, Rolf
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Rubenson, Birgitta
    Karolinska Institute, Stockholm, Sweden.
    Rindstedt, Camilla
    Stockholm University, Stockholm, Sweden.
    Sibling negotiations and the construction of literacy events in an urban area of Tanzania2012Inngår i: International Journal of Educational Development, ISSN 0738-0593, E-ISSN 1873-4871, Vol. 32, nr 6, s. 773-786Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study presents findings from analyses of naturally occurring literacy events, where children jointly focus on reading and writing letters of the alphabet, illustrating social constructions of learning created through language and embodied action. Video recorded data from two different families living in an urban low-income area in Tanzania is presented to illustrate the findings. The analysis shows how participation frameworks are negotiated in terms of symmetries and asymmetries between younger and older siblings with both older and younger siblings initiating these frameworks: older siblings using different directives to guide the younger child’s focus of attention and younger children both following and resisting such strategies.

  • 411.
    Johnson, Shevaugn
    et al.
    Flinders University, Adelaide, Australia.
    Egan, Sarah J
    Curtin University, Perth, Australia.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Region Östergötland, Sinnescentrum, Öron- näsa- och halskliniken. Karolinska Institutet, Stockholm, Sweden.
    Carlbring, Per
    Stockholm University, Stockholm, Sweden; University of Southern Denmark, Denmark.
    Shafran, Roz
    University College of London, London, England, United Kingdom.
    Wade, Tracey D
    Flinders University, Adelaide, Australia.
    Internet-delivered cognitive behavioural therapy for perfectionism: Targeting dysmorphic concern2019Inngår i: Body image, ISSN 1740-1445, E-ISSN 1873-6807, Vol. 30, s. 44-55, artikkel-id S1740-1445(18)30489-3Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Perfectionism is an important transdiagnostic risk factor for several psychopathologies. As such, treatments targeting perfectionism have gained increased attention over recent years. While perfectionism is postulated to be an important underlying mechanism for dysmorphic concern, no research has explored the benefits of targeting perfectionism to reduce dysmorphic concern. The current study evaluated the use of Internet-delivered cognitive behavioural therapy for perfectionism (ICBT-P) with 31 participants (28 women) with high levels of dysmorphic concern to examine the impact on perfectionism, dysmorphic concern, body image disturbance, negative affect, and selective attention towards appearance-based stimuli. Using a case series design, observations were collected at baseline, at the end of a 4-week pre-treatment phase, after the 8-week ICBT-P, and 1-month post-treatment. Intent-to-treat analyses showed significant improvement from baseline to end-of-treatment and follow-up on most of the variables, with a large effect size decrease in dysmorphic concern, and decreased selective attention to BDD-body, BDD-positive, and BDD-negative words. The results of this study support the use of ICBT-P as an efficacious treatment worthy of further examination in populations who experience high levels of dysmorphic concern.

  • 412.
    Jonsson, Louise
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi.
    Wikström, Johanna
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi.
    "Lager utav oro": Erfarenheter och farhågor kring graviditet och förlossning, hos förlossningsrädda lesbiska och bisexuella kvinnor och transpersoner2018Independent thesis Advanced level (degree of Master (Two Years)), 20 poäng / 30 hpOppgave
    Abstract [sv]

    Förlossningsrädsla har tidigare främst undersökts hos kvinnor som lever i heterosexuella relationer, och på senare tid även kommit att inkludera deras manliga partners upplevelser av rädsla. Förlossningsrädsla kan påverka negativt under familjebildningen, vilket gör den viktig att uppmärksamma i alla familjekonstellationer. Syftet med denna studie var att undersöka hur förlossningsrädsla erfars och tar sig uttryck hos lesbiska/bisexuella kvinnor och transpersoner, samt vad olika typer av bemötande i vården får för betydelse för dem och deras rädsla. Data samlades in genom semistrukturerade intervjuer med tio deltagare. De transkriberade intervjuerna bearbetades genom tematisk analys med en induktiv ansats.

     Analysen resulterade i fem huvudteman som handlar om förlossningsrädslan, omkringliggande aspekter och hur bemötande i vården påverkar rädslan; Mina förlossningsrädslor, Naturlighet, cisnormer och femininitet, Vägen till barn, Att vara sårbar och utsatt under en förlossning och Bemötande i vården. Resultatet visar på att deltagarnas förlossningsrädsla är lik den som rapporterats i forskning i stort, men att det delvis tillkommer vissa nya aspekter för denna grupp. Förlossningsrädslan influeras av deras erfarenheter av bemötande i vården och den större omgivande sociala kontexten som påverkar genom processer av normer, minoritetsstress, hetero- och cisnormativitet och diskriminering. För vissa deltagare har förlossningsrädslan dessutom påverkats av att ha deltagit vid en partners förlossning.

  • 413.
    Jonsson, Ulf
    et al.
    Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden; Department of Neuroscience, Child and adolescent psychiatry, Uppsala University, Uppsala, Sweden; National Board of Health and Welfare, Stockholm, Sweden.
    Bertilsson, Göran
    Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm, Sweden.
    Allard, Per
    Department of Clinical Sciences, Division of Psychiatry, Umeå University, Umeå, Sweden.
    Gyllensvärd, Harald
    Linköpings universitet, Medicinska fakulteten. Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm, Sweden.
    Söderlund, Anne
    School of Health, Care and Social Welfare, Physiotherapy, Mälardalen University, Mälardalen, Västerås, Sweden.
    Tham, Anne
    Department of Clinical Neuroscience, Psychiatry Section, Karolinska Institutet, Stockholm, Sweden.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Department of Clinical Neuroscience, Psychiatry Section, Karolinska Institutet, Stockholm.
    Psychological Treatment of Depression in People Aged 65 Years and Over: A Systematic Review of Efficacy, Safety, and Cost-Effectiveness.2016Inngår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 11, nr 8, artikkel-id e0160859Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVES: Depression in elderly people is a major public health concern. As response to antidepressants is often unsatisfactory in this age group, there is a need for evidence-based non-pharmacological treatment options. Our objectives were twofold: firstly, to synthesize published trials evaluating efficacy, safety and cost-effectiveness of psychological treatment of depression in the elderly and secondly, to assess the quality of evidence.

    METHOD: The electronic databases PubMed, EMBASE, Cochrane Library, CINAL, Scopus, and PsycINFO were searched up to 23 May 2016 for randomized controlled trials (RCTs) of psychological treatment for depressive disorders or depressive symptoms in people aged 65 years and over. Two reviewers independently assessed relevant studies for risk of bias. Where appropriate, the results were synthesized in meta-analyses. The quality of the evidence was graded according to GRADE (Grading of Recommendations Assessment, Development and Evaluation).

    RESULTS: Twenty-two relevant RCTs were identified, eight of which were excluded from the synthesis due to a high risk of bias. Of the remaining trials, six evaluated problem-solving therapy (PST), five evaluated other forms of cognitive behavioural therapy (CBT), and three evaluated life review/reminiscence therapy. In frail elderly with depressive symptoms, the evidence supported the efficacy of PST, with large but heterogeneous effect sizes compared with treatment as usual. The results for life-review/reminiscence therapy and CBT were also promising, but because of the limited number of trials the quality of evidence was rated as very low. Safety data were not reported in any included trial. The only identified cost-effectiveness study estimated an incremental cost per additional point reduction in Beck Depression Inventory II score for CBT compared with talking control and treatment as usual.

    CONCLUSION: Psychological treatment is a feasible option for frail elderly with depressive symptoms. However, important questions about efficacy, generalizability, safety and cost-effectiveness remain.

  • 414.
    Josefsson, Albin
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Berggren, Tore
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Rate of change in psychotherapy: A matter of patients: A study contrasting the dose-effect model and the good-enough level model using the CORE-OM in primary care and psychiatric care2013Independent thesis Advanced level (professional degree), 300 hpOppgave
    Abstract [en]

    Studies on relations between number of sessions and effect of psychotherapy have usually assumed a constant rate of change across different lengths of therapy, explained by a model called the dose-effect model. This assumption has been challenged by the good-enough level (GEL) model, which makes the prediction that the rate of change will vary as a function of total number of sessions. This study aimed to compare these models. We also assessed the relationship between reliable and clinically significant change (RCSI) and total dose of therapy. Participants were drawn from two datasets in the Swedish primary care (n = 640) and adult psychiatric care (n = 249). The participants made session-wise ratings on the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM). Multilevel analyses indicated a better fit using the GEL-model, with some reservations concerning RCSI and patterns of change. The results may indicate a general lawful relationship that may have implications for future research, as well as psychotherapy practice and policy making.

  • 415.
    Jungert, Tomas
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Arbetsklimat och motivation i arbetsteam inom äldreomsorgen2011Rapport (Annet vitenskapelig)
    Abstract [sv]

    Syftet med denna rapport är att undersöka personal inom äldreomsorgen i Linköpings kommun. Undersökningen fokuserar på hur medarbetarna upplever sitt arbetsklimat, stödet från kollegor och chefer och hur detta kan kopplas till deras arbetsmotivation samt upplevda produktivitet och kvalitet i de arbetsteam de jobbat i. Ökad arbetsmotivation i organisationer är viktigt för välbefinnande och kan på sikt bidra till ökad tillväxt och mänsklig utveckling i samhället i stort.

    För att undersöka personalen har data samlats in via ett frågeformulär från ganska stort antal av de enheter som utgör äldreomsorgen i Linköpings kommun. Projektets frågeställningar är följande:

    1. Hur upplever medarbetarna arbetsklimatet, arbetsmotivationen, stödet från chefer och kollegor, samt produktiviteten och kvaliteten i arbetsteamen?
    2. Finns det någon skillnad mellan hur manliga och kvinnliga medarbetare, samt mellan hur tillsvidareanställda och vikarier upplever arbetsklimatet, arbetsmotivation samt stöd från chefer och kollegor?
    3. Hur kan psykologiskt klimat samt medarbetares och chefers beteende (stödjande/kontrollerande) påverka den inre autonoma motivationen samt upplevd produktivitet och kvalitet i arbetsteamet?
  • 416.
    Jungert, Tomas
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Autonomous motivation for parenting: Associations with well-being and optimal parenting practices2012Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    The present investigation examined motivation for parenting and some of its correlates in parents and children. The data came from a sample of 500 parents who provided self-report data about their motivation in their parenting role as well as reports of role satisfaction, parental competence, child temperament, and parenting styles. Factor analyses revealed two distinct factors reflecting autonomous and controlled forms of parenting motivation. Autonomous motivation refers to investing in the parenting role because it is interesting and meaningful whereas controlled motivation refers to investment based on external or internal pressures. While autonomous motivation was associated with higher self-ratings of parental competence, role satisfaction, higher positive mood and life satisfaction, controlled motivation was negatively related to these well-being indicators. Autonomous motivation was also positively related to an optimal parenting style (authoritative; autonomy-supportive). The present findings highlight the heuristic value of assessing why parents invest themselves in the parenting role.

  • 417.
    Jungert, Tomas
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Distinguishing type and source of support for workers’ motivation, self-efficacy, and commitment2012Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Links between types and source of support and employees’ motivation, self-efficacy and commitment were examined. A sample of 382 workers answered a questionnaire. Hierarchical multiple regressions showed that support for autonomy was related to work motivation and support for competence to self-efficacy, and that both sources of support were important. 

  • 418.
    Jungert, Tomas
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Social identities among engineering students and through their transition to work: a longitudinal study2013Inngår i: Studies in Higher Education, ISSN 0307-5079, E-ISSN 1470-174X, Vol. 38, nr 1, s. 39-52Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article draws on a longitudinal and qualitative study of students in a masters program in engineering. Interpretative phenomenological analysis was used to analyze annual, semi-structured interviews with ten students, from the first semester until one year after graduation. The program enjoys a high status and has a reputation of being highly demanding. The results show how the students categorize themselves in relation to outgroups, and partly supports earlier research. The longitudinal design made it possible to study how students social identities changed throughout their program, and when they went through a transition process to work. The graduated students developed an identity change, which involved a restructuring of the ways in which they understood their position in the social world.

  • 419.
    Jungert, Tomas
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    The meaning of support from co-workers and managers in teams when working2012Rapport (Annet vitenskapelig)
    Abstract [en]

    This report is part of a post-doc research project on factors that promote work motivation and occupational self-efficacy in organizations in Sweden and Canada. The purpose of this report was to investigate the relations between support for autonomy and competence by managers and co-workers and employees’ work motivation, occupational self-efficacy, and team commitment. Research has shown that support for autonomy from managers has positive effects, but it has not examined how co-worker support for autonomy can affect employees’ experiences and the relative importance of both sources of support. In two studies, one with a sample of 45 employees in a Swedish private research oriented company (6 females and 39 males) and one with a sample of 235 Swedish care givers (214 females and 21 males) completed surveys. Results showed that employees perceived high levels of motivation and self-efficacy. Study 2 also showed that employees perceived greater support for autonomy from co-workers than from managers but greater support for competence from managers. As in previous studies, support from managers was significantly positively related to employees’ outcomes. However, results also showed that co-worker support predicted these outcomes over and above the effects of managerial support and that support for autonomy was related to motivation while support for competence was related to self-efficacy. Moreover, the effects of support from co-workers were significantly stronger than those obtained from managers for self-efficacy. Finally, motivation and self-efficacy predicted team commitment for care givers in study 2, while support from manager was related to normative team commitment in study 1. The implications of these results for how organizations may optimize employees’ functioning through teamwork are discussed.

  • 420.
    Jungert, Tomas
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Alm, Fredrik
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Pedagogik och didaktik. Linköpings universitet, Utbildningsvetenskap.
    Thornberg, Robert
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Pedagogik och didaktik. Linköpings universitet, Utbildningsvetenskap.
    Motives for becoming a teacher and their relations to academic engagement and dropout among student teachers2014Inngår i: Journal of Education for Teaching, ISSN 0260-7476, E-ISSN 1360-0540, Vol. 40, nr 2, s. 173-185Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Difficulties in attracting student teachers have resulted in research focusing on student teachers motives for studying to join the profession. Because previous findings are mixed, the first aim of this study was to explore motives for students to become teachers. A second aim was to explore the relationship between teachers motives and their academic engagement and dropout rates at the end of their studies. A sample of 333 student teachers at a Swedish university completed a questionnaire measuring motives for becoming a teacher and their academic engagement. The best model of a confirmatory factor analyses defined three motivational factors as altruistic, intrinsic and extrinsic motives. A path analysis showed a negative significant relationship between the altruistic motive and dropout, mediated by academic engagement, whereas the relationships between intrinsic and extrinsic motives and academic engagement were not significant.

  • 421.
    Jungert, Tomas
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Andersson, Ulf
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Self-efficacy Beliefs in Mathematics, Native Language Literacy and Foreign Language Amongst Boys and Girls with and without Mathematic Difficulties2013Inngår i: Scandinavian Journal of Educational Research, ISSN 0031-3831, E-ISSN 1470-1170, Vol. 57, nr 1, s. 1-15Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim was to examine achievement and self-efficacy in mathematics and native and foreign language literacy in children with specific mathematic LD (MD-only), children with comorbid mathematic and reading difficulties (MD-RD), and compare them with children without LD (controls), as well as to explore gender differences. Participants were 143 fifth-graders in Sweden who completed National Tests and measures of self-efficacy in mathematics and literacy. The MD-RD children displayed lower self-efficacy in all subjects compared to the controls, even when controlling for achievement. The MD-only children displayed lower self-efficacy in mathematics, completely accounted for by their lower mathematic achievement. The lower self-efficacy for children with learning disabilities may primarily be explained by their history of low achievement interpreted as failures and their emphasis on negative appraisals.

  • 422.
    Jungert, Tomas
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Dedic, Helena
    Concordia University, Montreal, Canada.
    Rosenfield, Steven
    Concordia University, Montreal, Canada.
    Roles that gender, systemizing and teacher support play in STEM education2011Konferansepaper (Annet vitenskapelig)
  • 423.
    Jungert, Tomas
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Frank Koestner, Richard
    McGill University, Canada .
    Houlfort, Nathalie
    Concordia University, Canada .
    Schattke, Kaspar
    Concordia University, Canada .
    Distinguishing Source of Autonomy Support in Relation to Workers Motivation and Self-Efficacy2013Inngår i: Journal of Social Psychology, ISSN 0022-4545, E-ISSN 1940-1183, Vol. 153, nr 6, s. 651-666Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose was to investigate the relationship between autonomy support by managers and co-workers and employees work motivation and self-efficacy in two studies. In Study 1, a sample of 343 Swedish workers completed surveys, and in Study 2, we followed up with a subsample of 98 workers one year later. As in previous studies, managers support of autonomy was significantly positively related to workers outcomes. However, the results of Study 1 also showed that co-worker autonomy support was related to these outcomes over and above the effects of manager support. Study 2 showed that changes in autonomy support from co-workers during one year significantly predicted motivation and self-efficacy one year later, while change in support from managers was unrelated to outcomes later. These findings provide evidence for the importance of both vertical and horizontal sources of support.

  • 424.
    Jungert, Tomas
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Hesser, Hugo
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Träff, Ulf
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Contrasting two models of academic self-efficacy - domain-specific versus cross-domain - in children receiving and not receiving special instruction in mathematics2014Inngår i: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 55, nr 5, s. 440-447Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In social cognitive theory, self-efficacy is domain-specific. An alternative model, the cross-domain influence model, would predict that self-efficacy beliefs in one domain might influence performance in other domains. Research has also found that children who receive special instruction are not good at estimating their performance. The aim was to test two models of how self-efficacy beliefs influence achievement, and to contrast children receiving special instruction in mathematics with normally-achieving children. The participants were 73 fifth-grade children who receive special instruction and 70 children who do not receive any special instruction. In year four and five, the childrens skills in mathematics and reading were assessed by national curriculum tests, and in their fifth year, self-efficacy in mathematics and reading were measured. Structural equation modeling showed that in domains where children do not receive special instruction in mathematics, self-efficacy is a mediating variable between earlier and later achievement in the same domain. Achievement in mathematics was not mediated by self-efficacy in mathematics for children who receive special instruction. For normal achieving children, earlier achievement in the language domain had an influence on later self-efficacy in the mathematics domain, and self-efficacy beliefs in different domains were correlated. Self-efficacy is mostly domain specific, but may play a different role in academic performance depending on whether children receive special instruction. The results of the present study provided some support of the Cross-Domain Influence Model for normal achieving children.

  • 425.
    Jungert, Tomas
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Houlfort, Nathalie
    Université de `Québec à Montréal, Canada.
    Koestner, Richard
    McGill University, Montréal, QC, Kanada.
    The Benefits of Peer Autonomy Support for Teachers2013Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    In self-determination theory (Ryan & Deci, 2000) autonomy support describes an interpersonal style where a manager takes the perspective of a subordinate into account, presents rationales for decisions, and provides opportunities for choice (Baard et al., 2004). We have recently shown that autonomy support from peers may be more influential than from supervisors (Jungert et al., 2012). In the present study, we sought to distinguish the effects of autonomy support and competence support from peers versus supervisors. Along with measures of support, we measured self-reported work satisfaction and signs of burnout prospectively over one semester in a sample of 177 Canadian teachers. Changes in autonomy support from peers and in competence support from principals over time were significantly related to satisfaction and burnout signs at T2, when controlling for T1 values. Our findings provide evidence for the importance of both sources and types of support.

  • 426.
    Jungert, Tomas
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Koestner, Richard
    McGill University, Canada.
    Science adjustment, parental and teacher autonomy support and the cognitive orientation of science students2015Inngår i: Educational Psychology, ISSN 0144-3410, E-ISSN 1469-5820, Vol. 35, nr 3, s. 361-376Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Research has shown that autonomy support has positive effects on academic development, but no study has examined how systemising cognitive orientation is related to important outcomes for science students, and how it may interact with autonomy support. This prospective investigation considered how systemising and support from teachers and parents influence motivation, self-efficacy and science performance of science students. Totally, two hundred and eighty eight high school students (143 females and 145 males) completed surveys at two times and records of their achievements were collected. Teachers autonomy support and systemising were significantly positively related to motivation, self-efficacy and achievement over time, while parental support for autonomy was not directly related to the outcomes. Finally, two significant interaction effects showed that the relation of parental autonomy support to motivation and self-efficacy was moderated by systemising. This is the first study to demonstrate that autonomy support may be especially helpful for individuals with an intrinsic disposition in a domain.

  • 427.
    Jungert, Tomas
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Koestner, Richard
    McGill University, dep. of Psychology.
    Houlfort, Nathalie
    Université de Québec à Montréal, dep. of Psychology.
    Differentiating source of support in relation to workers’ intrinsic motivation and achievement2012Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Workers typically function as part of a team, which is a central feature of organizations since teamwork is related to important organizational outcomes such as increase in organizational innovation, reduction of turnover, job satisfaction, motivation and psychological health (e.g. Xyrichis & Ream, 2008; Rafferty, Ball, & Aiken, 2001). Hence, one effect of such a collaborative work structure is that it highlights the importance of co-workers in reaching personal and organizational goals. The present investigation considers whether co-workers may exert a motivational influence on one another that is as strong as the influence exerted by managers. Specifically, from a self-determination theory framework, we examined whether support for autonomy and competence from co-workers and patients’ families would be associated with important work outcomes, such as intrinsic work motivation, to a degree comparable with association of support from managers.

  • 428.
    Jungert, Tomas
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Landry, Renee
    McGill University, Canada.
    Joussemet, Mireille
    University of Montreal, Canada.
    Mageau, Genevieve
    University of Montreal, Canada.
    Gingras, Isabelle
    McGill University, Canada.
    Koestner, Richard
    McGill University, Canada.
    Autonomous and Controlled Motivation for Parenting: Associations with Parent and Child Outcomes2015Inngår i: Journal of Child and Family Studies, ISSN 1062-1024, E-ISSN 1573-2843, Vol. 24, nr 7, s. 1932-1942Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The present investigation examined motivation for parenting and some of its correlates in parents and children. The data came from samples of 151 first-time mothers of infants, 153 mothers of middle school children, and 260 mothers and fathers of high school children. Parents provided self-report data about their motivation in their parenting role as well as reports of role satisfaction, parental competence, child temperament, and parenting styles. Using three samples, factor analyses confirmed the distinction between autonomous and controlled forms of parenting motivation. Autonomous motivation refers to investing in the parenting role because it is interesting and meaningful whereas controlled motivation refers to investment based on external or internal pressures. Results showed that autonomous motivation was associated concurrently with parenting satisfaction and competence as well as with authoritative and autonomy-supportive parenting styles. Child temperament was unrelated to parenting motivation, but mothers reported greater autonomous motivation for girls than boys and for younger children rather than older children. Autonomous parenting motivation was associated with children reporting autonomy supportive parenting and high levels of well-being. A prospective analysis showed that controlled parenting motivation in first time mothers was associated with reductions in parenting satisfaction as infants became toddlers. A similar analysis showed that autonomous parenting motivation was associated with children developing fewer behavior problems whereas controlled motivation was associated with children developing more behavioral problems. The present findings highlight the heuristic value of assessing why parents invest themselves in the parenting role.

  • 429.
    Jungert, Tomas
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. McGill University, Montréal, Kanada.
    Schattke, Kaspar
    John Molson School of Business, Concordia University, Montreal, Kanada.
    Betydelsen av stöd från olika källor för medarbetares motivation2012Konferansepaper (Annet vitenskapelig)
    Abstract [sv]

    Syftet var att undersöka betydelsen automistöd från chef respektive medarbetare har för en anställds arbetsmotivation och self-efficacy. Tidigare forskning visar att autonomistöd från chefer har positiva effekter på verksamheten, men ytterst lite forskning har undersökt betydelsen av autonomistöd från medarbetare. För att undersöka vilken typ av stöd som har störst betydelse genomfördes ett experiment där deltagarna fick läsa varsin vinjett. Grundvinjetten beskriver en servitör som jobbar på en restaurang och manipulationen bestod i att servitören antingen fick stöd eller blev kontrollerad av antingen en chef eller en medarbetare. Deltagare i experimentet var 120 personer som rekryterades från Amazon MTurk, som är en marknadsplats på Internet där människor kan fylla i enkäter. Medarbetarna fördelades slumpmässigt till en av fyra grupper. Grupp 1 fick läsa en vinjett där chefen var autonomistödjande, grupp 2 där en medarbetare var autonomistödjande, grupp 3 där chefen var kontrollerande, grupp 4 där en medarbetare var kontrollerande. Deltagarna fick föreställa sig att de var den anställde i vinjetten och fick därefter besvara en enkät. Resultaten visade att det fanns en huvudeffekt för typ av stöd men ingen för källan till stödet. Med andra ord upplevde sig deltagarna som läste en autonomistödjande vinjett mer motiverade och mer kompetenta att jobba på restaurang, oavsett om stödet kom från chef eller medarbetare, än deltagare som läste en icke-stödjande vinjett. Resultaten tyder på att stöd från såväl chef som medarbetare är viktigt för arbetsmotivation och self-efficacy, och att en stödjande medarbetare kan kompensera för negativa effekter av kontrollerande chefer och vice versa.

  • 430.
    Jungert, Tomas
    et al.
    Lunds universitet.
    Thornberg, Robert
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Pedagogik och didaktik. Linköpings universitet, Utbildningsvetenskap.
    Birberg Thornberg, Ulrika
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Institutionen för beteendevetenskap och lärande, Utvecklingspsykologi. Linköpings universitet, Filosofiska fakulteten.
    Alamaa, Rebecka
    Linköpings universitet, Institutionen för beteendevetenskap och lärande.
    Daud, Noor
    Linköpings universitet, Institutionen för beteendevetenskap och lärande.
    Psychopathy, morality, and bullying among pre-adolescents2014Konferansepaper (Fagfellevurdert)
  • 431.
    Jungert, Tomas
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Vongas, John
    John Molson School of Business, Montreal, Kanada.
    No work is motivating if the climate lacks warmth: The importance of autonomy supportive coworkers and managers in elderly care2013Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    The purpose of this research was to investigate how elderly caregivers perceive support from their managers and caregivers and how these perceptions contribute to their individual work motivation and team performance. Data were collected from two samples; study 1 involved qualitative interviews with 12 caregivers and social workers for the elderly and study 2 had 238 elderly caregivers complete a questionnaire. Results indicated that supportive managers and caregivers helped create a warm work climate that positively influenced motivation, whereas uninvolved managers and rigorous regulations led to a controlling climate that restrained employee self-development and motivation. In addition, managers and coworkers differently satisfied caregivers’ basic needs for competence, autonomy, and relatedness, all of which related to various degrees to motivation and perceptions of team quality. These findings are valuable for organizations wishing to develop and optimize successful climates and work teams for elderly caregivers in societies with highly aging populations.

  • 432.
    Juris, Linda
    et al.
    Uppsala University, Sweden .
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Christian Larsen, Hans
    Uppsala University, Sweden .
    Ekselius, Lisa
    Uppsala University, Sweden .
    Psychiatric comorbidity and personality traits in patients with hyperacusis2013Inngår i: International Journal of Audiology, ISSN 1499-2027, E-ISSN 1708-8186, Vol. 52, nr 4, s. 230-235Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Hyperacusis, defined as unusual intolerance of ordinary environmental sounds, is a common problem. In spite of this, there is limited understanding of the underlying mechanisms. We hypothesized that individuals with hyperacusis would be prone to suffer from psychiatric disorders, related in particular to anxiety. Therefore, psychiatric morbidity and personality traits were investigated, along with different sociodemographic and clinical characteristics. Design: Patients were assessed with a clinical interview related to symptoms of hyperacusis, the Mini-international neuropsychiatric interview (MINI), and the Swedish Universities scales of Personality (SSP) to study psychiatric disorders and personality traits. Study sample: A group of 62 Swedish patients with hyperacusis between 18 and 61 years (mean 40.2, SD 12.2) was included. Results: Altogether 56% of the patients had at least one psychiatric disorder, and 47% had an anxiety disorder. Also, personality traits related to neuroticism were over-represented. A majority, 79%, suffered from comorbid tinnitus, and a similar proportion used measures to avoid noisy environments. Conclusions: The over-representation of anxiety disorders and anxiety-related personality traits in patients with hyperacusis suggests common or cooperating mechanisms. Cognitive behavioural treatment strategies, proven efficient in treating anxiety, may be indicated and are suggested for further studies.

  • 433.
    Jüris, Linda
    et al.
    Uppsala University, Uppsala University Hospital, Sweden.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Institutet, Huddinge, Sweden.
    Larsen, Hans Christian
    Uppsala University, Uppsala University Hospital, Sweden.
    Ekselius, Lisa
    Uppsala University, Uppsala University Hospital, Sweden.
    Cognitive behaviour therapy for hyperacusis: A randomized controlled trial2014Inngår i: Behaviour Research and Therapy, ISSN 0005-7967, E-ISSN 1873-622X, Vol. 54, s. 30-37Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Hyperacusis, defined as unusual intolerance to ordinary environmental sounds, is a common problem for which there are no controlled trials on psychological treatment. Given the avoidance strategies present in hyperacusis, and similarities with problems such as tinnitus and chronic pain, cognitive behaviour therapy (CBT) is hypothesized to be helpful for patients with hyperacusis. In this randomized controlled study of 60 patients with hyperacusis, CBT was compared with a waiting list control group using the Loudness Discomfort Level test (LDL), the Hyperacusis Questionnaire, the Hospital Anxiety and Depression Scales, the Quality of Life Inventory and an adapted version of the Tampa Scale of Kinesiophobia. There were significant between-group effects in favour of the CBT group on all measures except for the HADS anxiety scale. Between-group effect sizes were moderate to high, with Cohen's d = 0.67 and 0.69 per ear, respectively, for the primary measure LDL, and ranging from d = 0.32 to 1.36 for the secondary measures. The differences between groups ceased to exist when the waiting list group was treated later with CBT, and the treatment results were largely maintained after 12 months. In conclusion, CBT is a promising treatment for hyperacusis, although more research is necessary.

  • 434.
    Kaiser, Gudrun
    et al.
    Philipps Univ Marburg, Germany.
    Kues, Johanna N.
    Philipps Univ Marburg, Germany.
    Kleinstaeuber, Maria
    Philipps Univ Marburg, Germany.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Inst, Sweden.
    Weise, Cornelia
    Philipps Univ Marburg, Germany.
    Methods for coping with premenstrual change: Development and validation of the German Premenstrual Change Coping Inventory2018Inngår i: Women & health, ISSN 0363-0242, E-ISSN 1541-0331, Vol. 58, nr 9, s. 1062-1079Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    During the premenstrual phase, psychological and physiological changes can occur, which are associated with different levels of disability. When they appear with Premenstrual Dysphoric Disorder (PMDD), different coping strategies may be used by women to deal with premenstrual changes. Currently no German measure exists for assessing premenstrual symptom-related coping strategies. Therefore, we developed the Premenstrual Change Coping Inventory (PMS-Cope). First, the 33-item questionnaire was tested with an exploratory factor analytic approach (EFA) in a sample of 150 women prospectively diagnosed with PMDD or severe Premenstrual Syndrome from August 2013 until March 2016. The EFA resulted in a 12-item scale with a two-factor structure: "seeking positive affect-inducing activities" and "seeking support"; Cronbach`s alpha of 0.73 and 0.71, respectively, demonstrated good reliability for both factors. Confirmatory factor analysis based on a second sample of 89 women conducted from May 2016 until June 2016 confirmed the two-factor structure. Additionally, a potential third factor "healthcare use behavior" was tested with an EFA. For the three-factor solution, satisfactory Cronbachs alpha values (0.70-0.72) were detected. The PMS-Cope was shown to be a valid, reliable, and economic measure. In future research, cross validations and confirmatory factor analyses with the three-factor solution should be conducted.

  • 435.
    Kaldo, Viktor
    et al.
    Karolinska Institute, Sweden .
    Haak, Thomas
    University of Uppsala Hospital, Sweden .
    Buhrman, Monica
    Uppsala University, Sweden .
    Alfonsson, Sven
    Uppsala University, Sweden .
    Larsen, Hans-Christian
    University of Uppsala Hospital, Sweden .
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Internet-Based Cognitive Behaviour Therapy for Tinnitus Patients Delivered in a Regular Clinical Setting: Outcome and Analysis of Treatment Dropout2013Inngår i: Cognitive Behaviour Therapy, ISSN 1650-6073, E-ISSN 1651-2316, Vol. 42, nr 2, s. 146-158Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Cognitive behaviour therapy (CBT) can reduce tinnitus distress but is not available for most patients. Therapist guided, internet-based CBT (ICBT) increase availability and has been shown to be effective. However, the initial positive results need to be replicated in larger samples, and treatment dropout has not been thoroughly studied. Moreover, it has not been evaluated if a low-intensity version of ICBT without therapist contact could be an alternative for patients who do not need or are able to manage the full ICBT-program. This study evaluated two parallel interventions delivered in regular care: ICBT for tinnitus distress (n=293) and a low-intensity version of ICBT (n=81) for patients with lower levels of tinnitus distress. We also explored predictors of dropout from ICBT and if dropout influences outcome. Tinnitus Reaction Questionnaire (Wilson, Henry, Bowen, andamp; Haralambous, 1991) was used as the primary outcome. Secondary outcomes were measures of depression, anxiety, sleep, and sound sensitivity. Significant reductions following ICBT were found on all measures after treatment and also at a three-month follow-up. Patients receiving low-intensity ICBT showed a significant reduction in distress, even when they had low levels of distress initially. Treatment dropout was preceded by an increase in days spent at each treatment step but not by an increased distress. Early dropout was related to worse outcome. ICBT can be used in a regular clinical setting to reduce tinnitus distress. Early dropouts may need additional management. For help-seeking patients with lower distress, a low-intensity version of ICBT can be used.

  • 436.
    Karlsson, Linn
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Gerdle, Björn
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Takala, Esa-Pekka
    Work-Related Diseases, Finnish Institute of Occupational Health,.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Larsson, Britt
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Associations between psychological factors and the effect of home-based physical exercise in women with chronic neck and shoulder pain.2016Inngår i: SAGE open medicine, E-ISSN 2050-3121, Vol. 4, artikkel-id 2050312116668933Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Exercise is often used in the treatment of chronic neck and shoulder muscle pain. It is likely that psychological aspects have an impact on the results of exercise-based treatments.

    OBJECTIVES: (1) To examine the associations between psychological factors and the effect of a home-based physical exercise intervention. (2) To examine differences in psychological factors at baseline between (a) subjects who continued in the trial and those who did not and (b) subjects who completed the intervention and those who did not.

    METHOD: A total of 57 women with chronic neck and shoulder pain were included in a home-based exercise intervention trial. Pain intensity, disability, and psychological factors (anxiety and depression symptoms, catastrophizing, fear-avoidance beliefs, self-efficacy, and pain acceptance) were measured at baseline, after 4-6 months, and after 1 year of exercise. Associations between the psychological factors and changes in pain intensity and disability were analysed, as well as differences in psychological factors at baseline between subjects who continued in and completed the intervention, and those who did not.

    RESULTS: Associations between positive changes in pain intensity and disability were found for low fear-avoidance beliefs and low-pain self-efficacy at baseline. In addition, fear-avoidance beliefs at baseline were higher in the subjects who dropped out of the intervention than in those who continued. Pain acceptance at baseline was higher in the subjects who completed the intervention at the end of the trial.

    CONCLUSION: Particularly, fear-avoidance beliefs and pain self-efficacy should be taken into consideration when implementing home-based physical exercise as treatment for chronic neck pain. In addition, high pain acceptance might improve the adherence to prescribed exercise.

  • 437.
    Karlsson, Linn
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Gerdle, Björn
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Takala, Esa-Pekka
    Finnish Inst Occupat Hlth, Finland.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Linköpings universitet, Institutet för handikappvetenskap (IHV). Karolinska Inst, Sweden.
    Larsson, Britt
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Sinnescentrum, Smärt och rehabiliteringscentrum.
    Experiences and attitudes about physical activity and exercise in patients with chronic pain: a qualitative interview study2018Inngår i: Journal of Pain Research, ISSN 1178-7090, E-ISSN 1178-7090, Vol. 11, s. 133-144Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose: The purpose of this study was to describe how patients with chronic pain experience physical activity and exercise (PAamp;E). Method: This qualitative interview study included 16 women and two men suffering from chronic pain and referred to a multimodal pain rehabilitation program. Semi-structured interviews were conducted and qualitative content analysis was used to analyze the interviews. Results: One main theme emerged: "To overcome obstacles and to seize opportunities to be physically active despite chronic pain." This main theme was abstracted from five themes: "Valuing a life with physical activity," "Physical activity and exercise - before and after pain," "A struggle - difficulties and challenges," "The enabling of physical activity," and "In need of continuous and active support." Conclusion: Although these participants valued PAamp;E, they seldom achieved desirable levels, and performance of PAamp;E was undermined by difficulties and failure. The discrepancy between the intention to perform physical activity and the physical activity accomplished could be related to motivation, self-efficacy, and action control. The participants desired high-quality interaction with healthcare providers. The findings can be applied to chronic pain rehabilitation that uses PAamp;E as treatment.

  • 438.
    Karlsson, Thomas
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Handikappvetenskap. Linköpings universitet, Filosofiska fakulteten.
    Mårdh, Selina
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Marcusson, Jan
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Geriatrik. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Närsjukvården i centrala Östergötland, Geriatriska kliniken.
    Emotion and recollective experience in Alzheimer’s diseaseManuskript (preprint) (Annet vitenskapelig)
    Abstract [en]

    Emotional changes are common in Alzheimer’s disease (AD). In addition, damage to brain regions involved in emotion is abundant in AD. Although these finding imply that emotion memory is severely compromised in AD, absolute or relative sparing of emotional memory has occasionally been reported. Hence, we wanted to clarify how well AD patients can remember emotion words. Eighteen AD patients and fifteen healthy older persons participated in the experiment. Participants studied neutral, positive, and negative words. Implicit and explicit memory was assessed in two tasks: a word-fragment completion task and a recognition task, respectively. In the latter task, participants were asked to provide recollective judgments when they indicated that they recognized a word from previous study. Results indicated that AD patients responded to valence, and in particular negative valence, similar to controls, that AD patients evidenced severe deficits as to recollective experience, and that implicit memory remained intact in AD.

  • 439.
    Karlén, Jerker
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet.
    Frostell, Anneli
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Hälsouniversitetet.
    Theodorsson, Elvar
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Klinisk kemi. Linköpings universitet, Institutionen för klinisk och experimentell medicin, Pediatrik. Linköpings universitet, Hälsouniversitetet.
    Faresjö, Tomas
    Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Hälsouniversitetet.
    Ludvigsson, Johnny
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Avdelningen för kliniska vetenskaper. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Barn- och kvinnocentrum, Barn- och ungdomskliniken i Linköping.
    Maternal Influence on Child HPA Axis: A Prospective Study of Cortisol Levels in Hair2013Inngår i: Pediatrics, ISSN 0031-4005, E-ISSN 1098-4275, Vol. 132, nr 5, s. E1333-E1340Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To investigate cortisol concentrations in hair as biomarker of prolonged stress in young children and their mothers and the relation to perinatal and sociodemographic factors. less thanbrgreater than less thanbrgreater thanMETHODS: Prospective cohort study of 100 All Babies In Southeast Sweden study participants with repeated measures at 1, 3, 5, and 8 years and their mothers during pregnancy. Prolonged stress levels were assessed through cortisol in hair. A questionnaire covered perinatal and sociodemographic factors during the childs first year of life. less thanbrgreater than less thanbrgreater thanRESULTS: Maternal hair cortisol during the second and third trimester and child hair cortisol at year 1 and 3 correlated. Child cortisol in hair levels decreased over time and correlated to each succeeding age, between years 1 and 3 (r = 0.30, P = .002), 3 and 5 (r = 0.39, P andlt; .001), and 5 and 8 (r = 0.44, P andlt; .001). Repeated measures gave a significant linear association over time (P andlt; .001). There was an association between high levels of hair cortisol and birth weight (beta = .224, P = .020), nonappropriate size for gestational age (beta = .231, P = .017), and living in an apartment compared with a house (beta = .200, P = .049). In addition, we found high levels of cortisol in hair related to other factors associated with psychosocial stress exposure. less thanbrgreater than less thanbrgreater thanCONCLUSIONS: Correlation between hair cortisol levels in mothers and their children suggests a heritable trait or maternal calibration of the childs hypothalamic-pituitary-adrenocortical axis. Cortisol output gradually stabilizes and seems to have a stable trait. Cortisol concentration in hair has the potential to become a biomarker of prolonged stress, especially applicable as a noninvasive method when studying how stress influences childrens health.

  • 440.
    Karyotaki, E.
    et al.
    Vrije University of Amsterdam, Netherlands; Vrije University of Amsterdam, Netherlands.
    Kleiboer, A.
    Vrije University of Amsterdam, Netherlands; Vrije University of Amsterdam, Netherlands.
    Smit, F.
    Vrije University of Amsterdam, Netherlands; Vrije University of Amsterdam, Netherlands; Trimbus Institute Netherlands Institute Mental Health and Addic, Netherlands.
    Turner, D. T.
    Vrije University of Amsterdam, Netherlands; Vrije University of Amsterdam, Netherlands.
    Pastor, A. M.
    Jaume University, Spain.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Institute Disabil Research, Sweden.
    Berger, T.
    University of Bern, Switzerland.
    Botella, C.
    Jaume University, Spain; Institute Salud Carlos III, Spain.
    Breton, J. M.
    Jaume University, Spain.
    Carlbring, P.
    Stockholm University, Sweden.
    Christensen, H.
    Black Dog Institute, Australia; University of New S Wales, Australia.
    de Graaf, E.
    Maastricht University, Netherlands; Erasmus MC, Netherlands.
    Griffiths, K.
    Australian National University, Australia.
    Donker, T.
    Vrije University of Amsterdam, Netherlands; Vrije University of Amsterdam, Netherlands.
    Farrer, L.
    Australian National University, Australia.
    Huibers, M. J. H.
    Vrije University of Amsterdam, Netherlands; Vrije University of Amsterdam, Netherlands.
    Lenndin, J.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten. Not .
    Mackinnon, A.
    University of Melbourne, Australia.
    Meyer, B.
    Gaia AG, Germany; City University of London, England.
    Moritz, S.
    University of Medical Centre Hamburg Eppendorf, Germany.
    Riper, H.
    Vrije University of Amsterdam, Netherlands; Vrije University of Amsterdam, Netherlands.
    Spek, V.
    Tilburg University, Netherlands.
    Vernmark, Kristofer
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Psykologpartners, Linkoping, Sweden.
    Cuijpers, P.
    Vrije University of Amsterdam, Netherlands; Vrije University of Amsterdam, Netherlands.
    Predictors of treatment dropout in self-guided web-based interventions for depression: an individual patient data meta-analysis2015Inngår i: Psychological Medicine, ISSN 0033-2917, E-ISSN 1469-8978, Vol. 45, nr 13, s. 2717-2726Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background. It is well known that web-based interventions can be effective treatments for depression. However, dropout rates in web-based interventions are typically high, especially in self-guided web-based interventions. Rigorous empirical evidence regarding factors influencing dropout in self-guided web-based interventions is lacking due to small study sample sizes. In this paper we examined predictors of dropout in an individual patient data meta-analysis to gain a better understanding of who may benefit from these interventions. Method. A comprehensive literature search for all randomized controlled trials (RCTs) of psychotherapy for adults with depression from 2006 to January 2013 was conducted. Next, we approached authors to collect the primary data of the selected studies. Predictors of dropout, such as socio-demographic, clinical, and intervention characteristics were examined. Results. Data from 2705 participants across ten RCTs of self-guided web-based interventions for depression were analysed. The multivariate analysis indicated that male gender [relative risk (RR) 1.08], lower educational level (primary education, RR 1.26) and co-morbid anxiety symptoms (RR 1.18) significantly increased the risk of dropping out, while for every additional 4 years of age, the risk of dropping out significantly decreased (RR 0.94). Conclusions. Dropout can be predicted by several variables and is not randomly distributed. This knowledge may inform tailoring of online self-help interventions to prevent dropout in identified groups at risk.

  • 441.
    Karyotaki, Eirini
    et al.
    VU, Netherlands.
    Ebert, David Daniel
    Friedrich Alexander Univ Erlangen Nurnberg, Germany.
    Donkin, Liesje
    Univ Sydney, Australia.
    Riper, Heleen
    VU, Netherlands.
    Twisk, Jos
    Vrije Univ Amsterdam, Netherlands.
    Burger, Simone
    VU, Netherlands.
    Rozental, Alexander
    UCL, England; Karolinska Inst, Sweden.
    Lange, Alfred
    Univ Amsterdam, Netherlands.
    Williams, Alishia D.
    Univ Utrecht, Netherlands.
    Zarski, Anna Carlotta
    Friedrich Alexander Univ Erlangen Nurnberg, Germany.
    Geraedts, Anna
    HumanTotalCare, Netherlands.
    van Straten, Annemieke
    VU, Netherlands.
    Kleiboer, Annet
    VU, Netherlands.
    Meyer, Bjoern
    Gaia AG, Germany; City Univ London, England.
    Ince, Burgin B. Unlu
    Middle East Tech Univ, Turkey.
    Buntrock, Claudia
    Friedrich Alexander Univ Erlangen Nurnberg, Germany.
    Lehr, Dirk
    Leuphana Univ Luneburg, Germany.
    Snoek, Frank J.
    Vrije Univ Amsterdam Med Ctr, Netherlands.
    Andrews, Gavin
    Univ New South Wales, Australia.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Department of Clinical Neuroscience, Psychiatry Section, Karolinska Institute for Disability Research, Stockholm, Sweden.
    Choi, Isabella
    Univ Sydney, Australia.
    Ruwaard, Jeroen
    VU, Netherlands.
    Klein, Jan Philipp
    Luebeck Univ, Germany.
    Newby, Jill M.
    Univ New South Wales, Australia; MRC Cognit and Brain Sci Unit, England; Univ New South Wales, Australia.
    Schroder, Johanna
    Univ Med Ctr Hamburg Eppendorf, Germany; Inst Sex Res and Forens Psychiat, Germany.
    Laferton, Johannes A. C.
    Friedrich Alexander Univ Erlangen Nurnberg, Germany.
    Van Bastelaar, Kim
    Vrije Univ Amsterdam Med Ctr, Netherlands.
    Imamura, Kotaro
    Univ Tokyo, Japan.
    Vernmark, Kristofer
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Boss, Leif
    Leuphana Univ Luneburg, Germany.
    Sheeber, Lisa B.
    Oregon Res Inst, OR 97403 USA.
    Kivi, Marie
    Univ Gothenburg, Sweden.
    Berking, Matthias
    Friedrich Alexander Univ Erlangen Nurnberg, Germany.
    Tito, Nickolai
    Macquarie Univ, Australia.
    Carlbring, Per
    Stockholm Univ, Sweden; Univ Southern Denmark, Denmark.
    Johansson, Robert
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten. Karolinska Inst, Sweden.
    Kenter, Robin
    Univ Bergen, Norway.
    Perini, Sarah
    St Vincents Hosp, Australia.
    Moritz, Steffen
    VU, Netherlands.
    Nobis, Stephanie
    Leuphana Univ Luneburg, Germany.
    Berger, Thomas
    Univ Bern, Switzerland.
    Kaldo, Viktor
    Karolinska Inst, Sweden; Linnaeus Univ, Sweden.
    Forsell, Yvonne
    Karolinska Inst, Sweden.
    Lindefors, Nils
    Karolinska Inst, Sweden.
    Kraepelien, Martin
    Karolinska Inst, Sweden.
    Bjorkelund, Cecilia
    Univ Gothenburg, Sweden.
    Kawakami, Norito
    Univ Tokyo, Japan.
    Cuijpers, Pim
    VU, Netherlands.
    Do guided internet-based interventions result in clinically relevant changes for patients with depression? An individual participant data meta-analysis2018Inngår i: Clinical Psychology Review, ISSN 0272-7358, E-ISSN 1873-7811, Vol. 63, s. 80-92Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Little is known about clinically relevant changes in guided Internet-based interventions for depression. Moreover, methodological and power limitations preclude the identification of patients groups that may benefit more from these interventions. This study aimed to investigate response rates, remission rates, and their moderators in randomized controlled trials (RCTs) comparing the effect of guided Internet-based interventions for adult depression to control groups using an individual patient data meta-analysis approach. Literature searches in PubMed, Embase, PsycINFO and Cochrane Library resulted in 13,384 abstracts from database inception to January 1, 2016. Twenty-four RCTs (4889 participants) comparing a guided Internet-based intervention with a control group contributed data to the analysis. Missing data were multiply imputed. To examine treatment outcome on response and remission, mixed-effects models with participants nested within studies were used. Response and remission rates were calculated using the Reliable Change Index. The intervention group obtained significantly higher response rates (OR = 2.49, 95% CI 2.17-2.85) and remission rates compared to controls (OR = 2.41, 95% CI 2.07-2.79). The moderator analysis indicated that older participants (OR = 1.01) and native-born participants (1.66) were more likely to respond to treatment compared to younger participants and ethnic minorities respectively. Age (OR = 1.01) and ethnicity (1.73) also moderated the effects of treatment on remission.Moreover, adults with more severe depressive symptoms at baseline were more likely to remit after receiving intemet-based treatment (OR = 1.19). Guided Internet-based interventions lead to substantial positive treatment effects on treatment response and remission at post-treatment. Thus, such interventions may complement existing services for depression and potentially reduce the gap between the need and provision of evidence-based treatments.

  • 442.
    Karyotaki, Eirini
    et al.
    Vrije Univ Amsterdam, Netherlands; Inst Publ Hlth Res, Netherlands.
    Kemmeren, Lise
    GGZ inGeest, Netherlands; Vrije Univ Amsterdam, Netherlands.
    Riper, Heleen
    Vrije Univ Amsterdam, Netherlands; Inst Publ Hlth Res, Netherlands.
    Twisk, Jos
    Vrije Univ Amsterdam, Netherlands.
    Hoogendoorn, Adriaan
    GGZ inGeest, Netherlands; Vrije Univ Amsterdam, Netherlands.
    Kleiboer, Annet
    Vrije Univ Amsterdam, Netherlands; Inst Publ Hlth Res, Netherlands.
    Mira, Adriana
    Jaume Univ, Spain; Inst Salud Carlos III, Spain.
    Mackinnon, Andrew
    Black Dog Inst, Australia; Univ New South Wales, Australia; Univ Melbourne, Australia.
    Meyer, Bjoern
    Res Dept, Germany; City Univ London, England.
    Botella, Cristina
    Jaume Univ, Spain; Inst Salud Carlos III, Spain.
    Littlewood, Elizabeth
    Univ York, England.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Inst Disabil Res, Sweden.
    Christensen, Helen
    Black Dog Inst, Australia; Univ New South Wales, Australia.
    Klein, Jan P.
    Lubeck Univ, Germany.
    Schroeder, Johanna
    Univ Med Ctr Hamburg Eppendorf, Germany.
    Breton-Lopez, Juana
    Jaume Univ, Spain; Inst Salud Carlos III, Spain.
    Scheider, Justine
    Univ Nottingham, England.
    Griffiths, Kathy
    Australian Natl Univ, Australia.
    Farrer, Louise
    Australian Natl Univ, Australia.
    Huibers, Marcus J. H.
    Vrije Univ Amsterdam, Netherlands; Inst Publ Hlth Res, Netherlands.
    Phillips, Rachel
    Kings Coll London, England.
    Gilbody, Simon
    Univ York, England.
    Moritz, Steffen
    Univ Med Ctr Hamburg Eppendorf, Germany.
    Berger, Thomas
    Univ Bern, Switzerland.
    Pop, Victor
    Tilburg Univ, Netherlands.
    Spek, Viola
    Tilburg Univ, Netherlands.
    Cuijpers, Pim
    Vrije Univ Amsterdam, Netherlands; Inst Publ Hlth Res, Netherlands.
    Is self-guided internet-based cognitive behavioural therapy (iCBT) harmful? An individual participant data meta-analysis2018Inngår i: Psychological Medicine, ISSN 0033-2917, E-ISSN 1469-8978, Vol. 48, nr 15, s. 2456-2466Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Background. Little is known about potential harmful effects as a consequence of self-guided internet-based cognitive behaviour therapy (iCBT), such as symptom deterioration rates. Thus, safety concerns remain and hamper the implementation of self-guided iCBT into clinical practice. We aimed to conduct an individual participant data (IPD) meta-analysis to determine the prevalence of clinically significant deterioration (symptom worsening) in adults with depressive symptoms who received self-guided iCBT compared with control conditions. Several socio-demographic, clinical and study-level variables were tested as potential moderators of deterioration. Methods. Randomised controlled trials that reported results of self-guided iCBT compared with control conditions in adults with symptoms of depression were selected. Mixed effects models with participants nested within studies were used to examine possible clinically significant deterioration rates. Results. Thirteen out of 16 eligible trials were included in the present IPD meta-analysis. Of the 3805 participants analysed, 7.2% showed clinically significant deterioration (5.8% and 9.1% of participants in the intervention and control groups, respectively). Participants in self-guided iCBT were less likely to deteriorate (OR 0.62, p amp;lt; 0.001) compared with control conditions. None of the examined participant- and study-level moderators were significantly associated with deterioration rates. Conclusions. Self-guided iCBT has a lower rate of negative outcomes on symptoms than control conditions and could be a first step treatment approach for adult depression as well as an alternative to watchful waiting in general practice.

  • 443.
    Karyotaki, Eirini
    et al.
    Vrije University of Amsterdam, Netherlands.
    Riper, Heleen
    Vrije University of Amsterdam, Netherlands.
    Twisk, Jos
    University of Amsterdam, Netherlands.
    Hoogendoorn, Adriaan
    Geestelijke Gezondheidszorg inGeest inGeest, Netherlands; University of Medical Centre, Netherlands; Vrije University of Amsterdam, Netherlands.
    Kleiboer, Annet
    Vrije University of Amsterdam, Netherlands.
    Mira, Adriana
    Jaume University, Spain.
    Mackinnon, Andrew
    University of Amsterdam, Netherlands; Prince Wales Hospital, Australia.
    Meyer, Bjorn
    University of Amsterdam, Netherlands; Gaia AG, Germany; IBER Physiopathol Obes and Nutr, Spain.
    Botella, Cristina
    Jaume University, Spain.
    Littlewood, Elizabeth
    University of York, England.
    Andersson, Gerhard
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Karolinska Institute Disabil Research, Sweden.
    Christensen, Helen
    University of Amsterdam, Netherlands; Prince Wales Hospital, Australia.
    Klein, Jan P.
    Luebeck University, Germany.
    Schroeder, Johanna
    University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
    Breton-Lopez, Juana
    Jaume University, Spain.
    Scheider, Justine
    University of Medical Centre Hamburg Eppendorf, Germany; University of Nottingham, England.
    Griffiths, Kathy
    Australian National University, Australia.
    Farrer, Louise
    Australian National University, Australia.
    Huibers, Marcus J. H.
    Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
    Phillips, Rachel
    Kings Coll London, England.
    Gilbody, Simon
    University of York, England.
    Moritz, Steffen
    University of Medical Centre Hamburg Eppendorf, Germany.
    Berger, Thomas
    University of Bern, Switzerland.
    Pop, Victor
    Tilburg University of and Diagnost Centre Eindhoven, Netherlands.
    Spek, Viola
    Tilburg University of and Diagnost Centre Eindhoven, Netherlands.
    Cuijpers, Pim
    Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
    Efficacy of Self-guided Internet-Based Cognitive Behavioral Therapy in the Treatment of Depressive Symptoms A Meta-analysis of Individual Participant Data2017Inngår i: JAMA psychiatry, ISSN 2168-6238, E-ISSN 2168-622X, Vol. 74, nr 4, s. 351-359Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    IMPORTANCE Self-guided internet-based cognitive behavioral therapy (iCBT) has the potential to increase access and availability of evidence-based therapy and reduce the cost of depression treatment. OBJECTIVES To estimate the effect of self-guided iCBT in treating adults with depressive symptoms compared with controls and evaluate the moderating effects of treatment outcome and response. DATA SOURCES A total of 13 384 abstracts were retrieved through a systematic literature search in PubMed, Embase, PsycINFO, and Cochrane Library from database inception to January 1, 2016. STUDY SELECTION Randomized clinical trials in which self-guided iCBT was compared with a control (usual care, waiting list, or attention control) in individuals with symptoms of depression. DATA EXTRACTION AND SYNTHESIS Primary authors provided individual participant data from 3876 participants from 13 of 16 eligible studies. Missing data were handled using multiple imputations. Mixed-effects models with participants nested within studies were used to examine treatment outcomes and moderators. MAIN OUTCOMES AND MEASURES Outcomes included the Beck Depression Inventory, Center for Epidemiological Studies-Depression Scale, and 9-item Patient Health Questionnaire scores. Scales were standardized across the pool of the included studies. RESULTS Of the 3876 study participants, the mean (SD) age was 42.0 (11.7) years, 2531 (66.0%) of 3832 were female, 1368 (53.1%) of 2574 completed secondary education, and 2262 (71.9%) of 3146 were employed. Self-guided iCBT was significantly more effective than controls on depressive symptoms severity (beta = -0.21; Hedges g = 0.27) and treatment response (beta = 0.53; odds ratio, 1.95; 95% CI, 1.52-2.50; number needed to treat, 8). Adherence to treatment was associated with lower depressive symptoms (beta = -0.19; P = .001) and greater response to treatment (beta = 0.90; P amp;lt; .001). None of the examined participant and study-level variables moderated treatment outcomes. CONCLUSIONS AND RELEVANCE Self-guided iCBT is effective in treating depressive symptoms. The use of meta-analyses of individual participant data provides substantial evidence for clinical and policy decision making because self-guided iCBT can be considered as an evidence-based first-step approach in treating symptoms of depression. Several limitations of the iCBT should be addressed before it can be disseminated into routine care.

  • 444.
    Kemani, Mike
    et al.
    Karolinska University Hospital,Karolinska Institutet Stockholm, Sweden.
    Hesser, Hugo
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Olsson, Gunnar
    Karolinska University Hospital,Karolinska Institutet Stockholm, Sweden.
    Lekander, Mats
    Karolinska University Hospital,Stockholm University, Stockholm, Sweden.
    Wicksell, Rikard
    Karolinska University Hospital,Karolinska Institutet, Stockholm, Sweden.
    Processes of change in Acceptance and Commitment Therapy and Applied Relaxation for longstanding pain2016Inngår i: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 20, nr 4, s. 521-531Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND:

    The utility of cognitive behavioural (CB) interventions for chronic pain has been supported in numerous studies. This includes Acceptance and Commitment Therapy (ACT), which has gained increased empirical support. Previous research suggests that improvements in pain catastrophizing and psychological inflexibility are related to improvements in treatment outcome in this type of treatment. Although a few studies have evaluated processes of change in CB-interventions, there is a particular need for mediation analyses that use multiple assessments to model change in mediators and outcome over time, and that incorporate the specified timeline between mediator and outcome in the data analytic model.

    METHODS:

    This study used session-to-session assessments to evaluate if psychological inflexibility, catastrophizing, and pain intensity mediated the effects of treatment on pain interference. Analyses were based on data from a previously conducted randomized controlled trial (n = 60) evaluating the efficacy of ACT and Applied Relaxation (AR). A moderated mediation model based on linear mixed models was used to analyse the data.

    RESULTS:

    Neither catastrophizing nor pain intensity mediated changes in pain interference for any of the treatments. In contrast, psychological inflexibility mediated effects on outcome in ACT but not in AR.

  • 445.
    Kemani, Mike K.
    et al.
    Karolinska University Hospital, Sweden; Karolinska Institute, Sweden.
    Olsson, Gunnar L.
    Karolinska University Hospital, Sweden; Karolinska Institute, Sweden.
    Lekander, Mats
    Karolinska Institute, Sweden; Stockholm University, Sweden.
    Hesser, Hugo
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Andersson, Erik
    Karolinska Institute, Sweden.
    Wicksell, Rikard K.
    Karolinska University Hospital, Sweden; Karolinska Institute, Sweden.
    Efficacy and Cost-effectiveness of Acceptance and Commitment Therapy and Applied Relaxation for Longstanding Pain A Randomized Controlled Trial2015Inngår i: The Clinical Journal of Pain, ISSN 0749-8047, E-ISSN 1536-5409, Vol. 31, nr 11, s. 1004-1016Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background and Objectives:To date, few studies have compared Acceptance and Commitment Therapy (ACT) for longstanding pain with established treatments. Only 1 study has evaluated the cost-effectiveness of ACT. The aim of the current study was to evaluate the efficacy and cost-effectiveness of ACT and applied relaxation (AR) for adults with unspecific, longstanding pain.Materials and Methods:On the basis of the inclusion criteria 60 consecutive patients received 12 weekly group sessions of ACT or AR. Data were collected pretreatment, midtreatment, and posttreatment, as well as at 3- and 6-month follow-up. Growth curve modeling was used to analyze treatment effects on pain disability, pain intensity, health-related quality of life (physical domain), anxiety, depression, and acceptance.Results:Significant improvements were seen across conditions (pretreatment to follow-up assessment) on all outcome measures. Pain disability decreased significantly in ACT relative to AR from preassessment to postassessment. A corresponding decrease in pain disability was seen in AR between postassessment and 6-month follow-up. Pain acceptance increased only in ACT, and this effect was maintained at 6-month follow-up. Approximately 20% of the participants achieved clinically significant change after treatment. Health economic analyses showed that ACT was more cost-effective than AR at post and 3-month follow-up assessment, but not at 6-month follow-up.Discussion:More studies investigating moderators and mediators of change are needed. The present study is one of few that have evaluated the cost-effectiveness of ACT and AR and compared ACT with an established behavioral intervention, and the results provide additional support for behavioral interventions for longstanding pain.

  • 446.
    Kempe, Camilla
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Utbildningsvetenskap.
    Gustafson, Stefan
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Utbildningsvetenskap.
    Samuelsson, Stefan
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Pedagogik och didaktik. Linköpings universitet, Utbildningsvetenskap.
    A longitudinal study of early reading difficulties and subsequent problem behaviors2011Inngår i: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 52, nr 3, s. 242-250Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    It is generally believed that early academic failure in school develops into a downward spiral of negative motivational and behavioral consequences. In this study, children with reading difficulties were compared with typical readers on questionnaires measuring ADHD symptoms and other behavior problems such as withdrawn symptoms, somatic complaints, anxiety/depression, social problems, and aggression. The results revealed that reading difficulties and problem behaviors appear more independent of each other rather than problem behaviors being a consequence of reading failure. In addition, gender differenceswere negligible when examining the relationship between reading difficulties and subsequent problem behavior. Some implications for special educationand intervention are suggested.

  • 447.
    Kenttä, Göran
    et al.
    Enheten Prestation och träning, Gymnastik och idrottshögskolan, Stockholm, Sweden.
    Lundqvist, Carolina
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. Gymnastik och idrottshögskolan, Stockholm, Sweden.
    Bjurner, Pontus
    KBT Psykologerna Stockholm, Stockholm, Sweden.
    Bättre prestation och hälsa med KBT: Fakta, inspiration, fallbeskrivningar2015Bok (Annet (populærvitenskap, debatt, mm))
    Abstract [sv]

    När livet och idrotten fungerar som bäst mår man fint och prestationsförmågan är på topp. I detta drömläge är behovet av KBT, kognitiv beteendeterapi, mycket litet. Men det är få förunnat att befinna sig i detta läge tjugofyra timmar om dygnet – varken hälsa eller prestationsförmåga är någonting statiskt.

    Bättre prestation & hälsa med KBT ger en introduktion till KBT och de vanligast förekommande problemområdena som finns förankrade i såväl den kliniska psykologin som i ett idrottsspecifikt sammanhang. Du får flera beskrivningar och exempel på hur behandlingar kan gå till väga.

  • 448.
    Kenward, Ben
    et al.
    Department of Psychology, Oxford Brookes University, UK.
    Koch, Felix-Sebastian
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Forssman, Linda
    School of Medicine, University of Tampere, Finland.
    Brehm, Julia
    Department of Psychology, Uppsala University, Sweden.
    Tidemann, Ida
    Department of Psychology, University of Oslo, Norway.
    Sundqvist, Anett (Annette)
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Marciszko, Carin
    Department of Psychology, Uppsala University, Sweden.
    Hermansen, Tone Kristine
    Department of Psychology, University of Oslo, Norway.
    Heimann, Mikael
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Gredebäck, Gustaf
    Department of Psychology, Uppsala University, Sweden.
    Saccadic reaction times in infants and adults: Spatiotemporal factors, gender, and interlaboratory variation.2017Inngår i: Developmental Psychology, ISSN 0012-1649, E-ISSN 1939-0599, Vol. 53, nr 9, s. 1750-1764Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Saccade latency is widely used across infant psychology to investigate infants’ understanding of events. Interpreting particular latency values requires knowledge of standard saccadic RTs, but there is no consensus as to typical values. This study provides standard estimates of infants’ (n = 194, ages 9 to 15 months) saccadic RTs under a range of different spatiotemporal conditions. To investigate the reliability of such standard estimates, data is collected at 4 laboratories in 3 countries. Results indicate that reactions to the appearance of a new object are much faster than reactions to the deflection of a currently fixated moving object; upward saccades are slower than downward or horizontal saccades; reactions to more peripheral stimuli are much slower; and this slowdown is greater for boys than girls. There was little decrease in saccadic RTs between 9 and 15 months, indicating that the period of slow development which is protracted into adolescence begins in late infancy. Except for appearance and deflection differences, infant effects were weak or absent in adults (n = 40). Latency estimates and spatiotemporal effects on latency were generally consistent across laboratories, but a number of lab differences in factors such as individual variation were found. Some but not all differences were attributed to minor procedural differences, highlighting the importance of replication. Confidence intervals (95%) for infants’ median reaction latencies for appearance stimuli were 242 to 250 ms and for deflection stimuli 350 to 367 ms. (PsycINFO Database Record (c) 2017 APA, all rights reserved)

  • 449.
    Keselman, Henrich
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Osvaldsson Cromdal, Karin
    Linköpings universitet, Institutionen för tema, Tema Barn. Linköpings universitet, Filosofiska fakulteten.
    Kullgard, Niclas
    Linköpings universitet, Institutionen för beteendevetenskap och lärande. Linköpings universitet, Filosofiska fakulteten.
    Holmqvist, Rolf
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten.
    Responding to mentalization invitations in psychotherapy sessions: A conversation analysis approach2018Inngår i: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: Increase in the capacity to mentalize has been proposed to be an important mechanism of change in psychotherapy. However, mentalization has primarily been studied as an individual skill that people either possess or lack, rather than as an interactional phenomenon. 

    Method: In this study, excerpts from three different sessions in a therapy that aimed at increasing the patients mentalizing capacity were identified and studied using conversation analysis. 

    Results: The analysis indicated that resistance to mentalizing may not only be due to lack of capacity but also may be seen as a linguistic resource in which this resistance demonstrates precisely the ability to mentalize. 

    Conclusions: Consequences for psychotherapy practice and process research are discussed.

  • 450.
    Kircher, Katja
    et al.
    Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. The Swedish National Road and Transport Research Institute (VTI), Linköping, Sweden.
    Ahlstrom, Christer
    The Swedish National Road and Transport Research Institute (VTI), Linköping, Sweden.
    Evaluation of methods for the assessment of attention while driving2018Inngår i: Accident Analysis and Prevention, ISSN 0001-4575, E-ISSN 1879-2057, Vol. 114, s. 40-47Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The ability to assess the current attentional state of the driver is important for many aspects of driving, not least in the field of partial automation for transfer of control between vehicle and driver. Knowledge about the drivers attentional state is also necessary for the assessment of the effects of additional tasks on attention. The objective of this paper is to evaluate different methods that can be used to assess attention, first theoretically, and then empirically in a controlled field study and in the laboratory. Six driving instructors participated in all experimental conditions of the study, delivering within subjects data for all tested methods. Additional participants were recruited for some of the conditions. The test route consisted of 14 km of motorway with low to moderate traffic, which was driven three times per participant per condition. The on-road conditions were: baseline, driving with eye tracking and self paced visual occlusion, and driving while thinking aloud. The laboratory conditions were: Describing how attention should be distributed on a motorway, and thinking aloud while watching a video from the baseline drive. The results show that visual occlusion, especially in combination with eye tracking, was appropriate for assessing spare capacity. The think aloud protocol was appropriate to gain insight about the drivers actual mental representation of the situation at hand. Expert judgement in the laboratory was not reliable for the assessment of drivers attentional distribution in traffic. Across all assessment techniques, it is evident that meaningful assessment of attention in a dynamic traffic situation can only be achieved when the infrastructure layout, surrounding road users, and intended manoeuvres are taken into account. This requires advanced instrumentation of the vehicle, and subsequent data reduction, analysis and interpretation are demanding. In conclusion, driver attention assessment in real traffic is a complex task, but a combination of visual occlusion, eye tracking and thinking aloud is a promising combination of methods to come further on the way. (C) 2017 Elsevier Ltd. All rights reserved.

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