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Sökning: WFRF:(Stenlund Therese)

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  • [1]23Nästa
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  • Kuckertz, Jennie M., et al. (författare)
  • Moderation and mediation of the effect of attention training in social anxiety disorder
  • 2014
  • Ingår i: Behaviour Research and Therapy. - : Elsevier. - 0005-7967 .- 1873-622X. ; 53, s. 30-40
  • Tidskriftsartikel (refereegranskat)abstract
    • While attention modification programs (AMP) have shown promise as laboratory-based treatments for social anxiety disorder, trials of internet-delivered AMP have not yielded significant differences between active and control conditions. To address these inconsistencies, we examined the moderational and mediational role of attention bias in the efficacy of attention training. We compared data reported by Carlbring et al. (2012) to an identical AMP condition, with the exception that participants were instructed to activate social anxiety fears prior to each attention training session (AMP + FACT; n = 39). We also compared all attention training groups to an internet-delivered cognitive-behavioral therapy (iCBT) condition (n = 40). Participants in the AMP + FACT group experienced greater reductions in social anxiety symptoms than both active (n = 40) and control (n = 39) groups reported by Carlbring et al., and did not differ in symptom reductions from the iCBT group. Higher attention bias predicted greater symptom reductions for participants who completed AMP, but not for the control group. Moreover, change in attention bias mediated the relationship between AMP group (active condition reported by Carlbring et al. versus AMP + FACT) and change in social anxiety symptoms. These results suggest the importance of interpreting findings related to symptom change in attention training studies in the context of bias effects. (C) 2013 The Authors. Published by Elsevier Ltd. All rights reserved.
  • Sagvik, Jörgen, 1972, et al. (författare)
  • Intraspecific variation in resistance of frog eggs to fungal infection
  • 2007
  • Ingår i: Evolutionary Ecology. - : Springer. - 1573-8477. ; Online
  • Tidskriftsartikel (refereegranskat)abstract
    • Documenting sources of variation in host viability at pathogen exposure within and among populations is an important task in order to predict host-pathogen evolutionary dynamics. In the present study, we investigated family and population variation in the degree of embryonic infection of the pathogenic fungus Saprolegnia spp., by infecting moor frog (Rana arvalis) eggs from six populations and exposing them to two different temperatures. We found a significant family effect on the degree of Saprolegnia-infection of eggs and embryos, suggesting that there is genetic variation in resistance among embryos, or variation among females in some aspect of maternally induced resistance. Furthermore, infection level differed significantly between temperatures, with most families having more infected eggs in the relatively colder temperature. However, eggs and embryos from the different populations showed different degrees of Saprolegnia-infection in the two temperatures, i.e., there was a significant population × temperature interaction on the proportion of infected eggs. Thus, the degree of Saprolegnia-infection is sensitive to variation at the level of the family, population and environmental conditions, suggesting that responses to fungal outbreaks will vary geographically and will be difficult to predict.
  • Stenlund, Therese, 1970-, et al. (författare)
  • Cognitively oriented behavioral rehabilitation in combination with Qigong for patients on long-term sick leave because of burnout : REST - a randomized clinical trial
  • 2009
  • Ingår i: International Journal of Behavioral Medicine. - 1070-5503 .- 1532-7558. ; 16:3, s. 294-303
  • Tidskriftsartikel (refereegranskat)abstract
    • BackgroundDespite an increase in the occurrence of burnout, there is no agreement on what kind of rehabilitation these patients should be offered.PurposePrimary aim of this study was to evaluate effects on psychological variables and sick leave rates by two different group rehabilitation programs for patients on long-term sick leave because of burnout. Rehabilitation program A (Cognitively oriented Behavioral Rehabilitation (CBR) and Qigong) was compared with rehabilitation program B (Qigong only).MethodIn a randomized clinical trial, 96 women and 40 men with a mean age of 41.6 ± 7.4 years were allocated to one of the two rehabilitation programs.ResultsA per-protocol analysis showed no significant difference in treatment efficacy between the groups. Both groups improved significantly over time with reduced levels of burnout, self-rated stress behavior, fatigue, depression, anxiety, obsessive–compulsive symptoms, and sick leave rates. In an intention-to-treat analysis, patients in program A had fewer obsessive–compulsive symptoms and larger effect sizes in self-rated stress behavior and obsessive–compulsive symptoms compared to patients in program B.ConclusionThis study showed no differences in effect between CBR and Qigong compared with Qigong only in a per-protocol analysis. Both rehabilitation programs showed positive effect for patients with burnout.
  • Fjellman-Wiklund, Anncristine, et al. (författare)
  • Take charge : Patients' experiences during participation in a rehabilitation programme for burnout
  • 2010
  • Ingår i: Journal of Rehabilitation Medicine. - 1650-1977 .- 1651-2081. ; 42:5, s. 475-481
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: The aim of this study was to explore the experiences of patients with burnout during a rehabilitation programme.Patients and methods: Eighteen patients with burnout were interviewed at the end of a one-year rehabilitation programme. The programme consisted of 2 groups, one with a focus on cognitively-oriented behavioural rehabilitation and Qigong and 1 with a focus on Qigong alone. The interviews were analysed using the grounded theory method.Results: One core category, Take Charge, and 6 categories emerged. The core category represents a beneficial recovery process that helped the patients to take control of their lives. The common starting point for the process is presented in the 3 categories of Good encounters, Affirmation and Group cohesiveness. The categories were basic conditions for continuing development during rehabilitation. In the categories Get to know myself, How can I be the one I want to be? and Choice of track, the more group-specific tools are included, through which the patients adopted a new way of behaving.Conclusion: Patients in both groups experienced group participation as being beneficial for recovery and regaining control of their lives, although in somewhat different way. An experience of affirmation and support from health professionals and group participants is of importance for behavioural change
  • Gavelin, Hanna Malmberg, et al. (författare)
  • Effects of a process-based cognitive training intervention for patients with stress-related exhaustion
  • 2015
  • Ingår i: Stress. - : Taylor & Francis Group. - 1025-3890 .- 1607-8888. ; 18:5, s. 578-588
  • Tidskriftsartikel (refereegranskat)abstract
    • Stress-related exhaustion has been linked to a pattern of selective cognitive impairments, mainly affecting executive functioning, attention and episodic memory. Little is known about potential treatments of these cognitive deficits. The purpose of this study was to evaluate the effects of a process-based cognitive training intervention, designed to target the specific cognitive impairments associated with stress-related exhaustion. To this end, patients diagnosed with exhaustion disorder (ED) were randomized to either a multimodal stress rehabilitation program with the addition of a process-based cognitive training intervention (training group, n = 27) or a treatment-as-usual control condition, consisting of multimodal stress rehabilitation with no additional training (control group, n = 32). Treatment effects were evaluated through an extensive cognitive test battery, assessing both near and far transfer effects, as well as self-report forms regarding subjective cognitive complaints and burnout levels. Results showed pronounced training-related improvements on the criterion updating task (p50.001). Further, evidence was found of selective near transfer effects to updating (p = 0.01) and episodic memory (p = 0.04). Also, the trained group reported less subjective memory complaints (p = 0.02) and levels of burnout decreased for both groups, but more so for the trained group (p = 0.04), following the intervention. These findings suggest that process-based cognitive training may be a viable method to address the cognitive impairments associated with ED.
  • Norlund, Sofia, et al. (författare)
  • Personal Resources and Support When Regaining the Ability to Work : An Interview Study with Exhaustion Disorder Patients
  • 2013
  • Ingår i: Journal of occupational rehabilitation. - : Springer. - 1053-0487 .- 1573-3688. ; 23:2, s. 270-279
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose The aim of the study was to explore experiences and thoughts in the process of returning to work in employed patients with Exhaustion Disorder. Methods Twelve patients with Exhaustion Disorder (burnout) who had been referred to a Stress Rehabilitation Clinic were interviewed. All patients were employed but a majority was on full or part-time sick leave. Grounded Theory was used as the qualitative method. Results A core category, regaining the ability to work, was developed. Alongside, two categories, internal resources and the external support system, were experienced as being important to the process. The internal resources were expressed through three key features (sub-categories), perceived validation, insights and adaptive coping abilities. The external support system was diverse and described by the sub-categories practical/structural and/or emotional support. Four external support actors were identified; the workplace, health care, the Social Insurance Agency, and the union. The supervisor was described as the most important external actor. Conclusions Internal and external resources are intertwined in the process of regaining the ability to work. The internal resources and external support can directly increase the probability to regain the ability to work. Moreover, these resources can affect each other and thus indirectly have an effect on the process.
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