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- Carlbring, Per, et al.
(författare)
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Behavioral Activation vs. Physical Exercise in the Treatment of Mild to Moderate Depression
- 2015
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Despite their potential as low-threshold, low-cost and high-flexibility treatments of depression, behavioral activation and physical exercise have not yet been directly compared. This study has examined the effects of these interventions, administered via the Internet. In this randomized controlled trial a total of 312 participants meeting the diagnostic criteria for mild to moderate major depression, recruited in multiple cycles and randomized to either a waiting list control group with delayed treatment, or one of the four active treatment groups: (1) physical exercise without a clear psychological treatment rationale; (2) physical exercise with a psychological treatment rationale; (3) behavioral activation a la Lewinsohn; or (4) behavioral activation a la Martel. A total of 72% were women and the average age of the participants were M=42.3 years (SD=13,5). More than half (53,9%) had a history of previous psychological treatment. Primary outcome measure was the 9-item Patient Health Questionnaire. Assessments were made on a weekly basis for the full duration of the acute treatment which was 12 weeks. The preliminary results are in line with previous online studies showing that all active treatment groups were superior to the waitlist (large effect sizes) and that only minor differences could be identified between the four active groups (large within effect sizes). At the time of the conference 6-month follow-up data will be available in addition to the already collected post-assessment data (analyzed according to the intention-to-treat principle).
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| 2. |
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| 3. |
- Carlbring, Per, et al.
(författare)
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The effects of a 12-week relapse prevention program following acute depression treatment : A randomised controlled trial
- 2019
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Konferensbidrag (refereegranskat)abstract
- Context: Depression can be effectively treated using internet interventions. However, the relapse rate is non-ignorable. Methods: 286 participants were randomized to an additional relapse prevention program or a control group. Monthly telephone calls using the MINI diagnostic interview as well as online assessments were carried out for 24 months. Intervention: Standard cognitive behaviour therapy via the internet without guidance. Results: Relapse rates of 27.1% and 22.0% were reported in the relapse prevention program group and the control group respectively. A log-rank test of the Kaplan-Meier model did not show any significant difference between the prevention program group and the control group (χ2(1) = 0.87; p = .352) in terms of relapse rates. At the one-year follow-up, 79.2% in the prevention program group and 82.9% of the participants in the control group had PHQ-9 scores indicating them to be in remission. By the second-year follow-up the rate of remission was 75.8% in the relapse prevention program group and 81.2% in the control group. No significant differences could be seen neither at the one-year follow-up (χ2(1) = 0.36; p = .552) nor the two-year follow-up (χ2(1) = 0.53; p = .467). Conclusions: Don’t do it!
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| 4. |
- Carlbring, Per, et al.
(författare)
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The effects on depression of Internet-administered behavioral activation vs. physical exercise
- 2015
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Despite their potential as low-threshold, low-cost and high-flexibility treatments of depression, behavioral activation and physical exercise have not yet been directly compared. This study has examined the effects of these interventions, administered via the Internet. In this randomized controlled trial a total of 312 participants meeting the diagnostic criteria for mild to moderate major depression, recruited in multiple cycles and randomized to either a waiting list control group with delayed treatment, or one of the four active treatment groups: (1) physical exercise without a clear psychological treatment rationale; (2) physical exercise with a psychological treatment rationale; (3)behavioral activation a la Lewinsohn; or (4) behavioral activation a la Martel. A total of 72% were women and the average age of the participants were M=42.3 years (SD=13,5). More than half (53,9%) had a history of previous psychological treatment. Primary outcome measure was the 9-item Patient Health Questionnaire. Assessments were made on a weekly basis for the full duration of the acute treatment which was 12 weeks. The preliminary results are in line with previous online studies showing that all active treatment groups were superior to the waitlist (large effect sizes) and that only minor differences could be identified between the four active groups (large within effect sizes). At the time of the conference 6-month follow-up data will be available in addition to the already collected post-assessment data (analyzed according to the intention-to-treat principle).
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| 5. |
- Carlbring, Per, et al.
(författare)
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The relative effects of behavioral activation vs. physical exercise in the treatment of mild to moderate depression
- 2016
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Konferensbidrag (refereegranskat)abstract
- Aim: Despite their potential as low-threshold, low-cost and high-flexibility treatments of depression, behavioral activation and physical exercise have not yet been directly compared. This study has examined the effects of these interventions, administered via the Internet.Method: In this randomized controlled trial a total of 312 participants meeting the diagnostic criteria for mild to moderate major depression, recruited in multiple cycles and randomized to either a waiting list control group with delayed treatment, or one of the four active treatment groups: (1) physical exercise without a clear psychological treatment rationale; (2) physical exercise with a psychological treatment rationale; (3) behavioral activation a la Lewinsohn; or (4) behavioral activation a la Martel.Results: A total of 72% were women and the average age of the participants were M=42.3 years (SD=13,5). More than half (53,9%) had a history of previous psychological treatment. Primary outcome measure was the 9-item Patient Health Questionnaire. Assessments were made on a weekly basis for the full duration of the acute treatment which was 12 weeks.Conclusion: The preliminary results are in line with previous online studies showing that all active treatment groups were superior to the waitlist (large effect sizes) and that only minor differences could be identified between the four active groups (large within effect sizes). At the time of the conference 6-month follow-up data will be available in addition to the already collected post- assessment data (analyzed according to the intention-to-treat principle).
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| 9. |
- Stenling, Andreas, 1982-, et al.
(författare)
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Approach-avoidance goals in team sport athletes’ : the predictive ability of the motivational climate
- 2011
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Ingår i: New horizons from a world heritage city. - 9780956890306
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Konferensbidrag (refereegranskat)abstract
- Introduction: The motivational climate is an important determinant of athletes’ achievement goals. The relationship between the motivational climate and athletes’ achievement goals is also well examined within the dichotomous achievement goal framework. However, the relationship between the motivational climate and athletes’ approach-avoidance achievement goals (Elliot, 1999) is still an unexplored area in competitive sports. The only study to date in competitive sports included the higher order dimensions, mastery and performance climate, not the six underlying dimensions (Morris & Kavussanu, 2008). The purpose of this study was to examine whether motivational climate dimensions can predict team sport athletes’ approach-avoidance achievement goals. Methods: 319 team-sport athletes’ (males=156, females=163, mean age=20 years, SD=3.6) completed measures of the perceived motivational climate (PMCSQ-2) and approach-avoidance achievement goals (AGQ-S). Hierarchal regression analyses for each of the four achievement goals were performed, while controlling for the effect of age and gender. Two sets of analyses were performed: (1) using the higher order dimensions as predictors; and (2) using the six underlying dimensions as predictors. Results: The first set of analyses showed that mastery-approach goals were positively predicted by a mastery climate; mastery-avoidance goals were positively predicted by a performance climate and also influenced by age and gender; performance-approach goals were positively predicted by a mastery climate and a performance climate; and performance-avoidance goals were positively predicted by a performance climate and also influenced by age. The second set of analyses showed that mastery-approach goals were positively predicted by Effort/Improvement; mastery-avoidance goals were positively predicted by Punishment for Mistakes and also influenced by age and gender; performance-approach goals were positively predicted by Intra-Team Member Rivalry; whereas performance-avoidance goals were only influenced by age. Discussion: These findings indicate differential relationships between the motivational climate dimensions and competitive athletes’ approach-avoidance goals. The cross-over effects from social-environmental to individual achievement goals (e.g., that a performance climate predicted mastery-avoidance goals) highlight the need for future research to develop measures addressing both approach and avoidance aspects of the motivational climate.
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