| 1. |
- 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
-
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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| 6. |
- Gustafsson, Henrik, 1974-, et al.
(författare)
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Performance based self-esteem and athlete-identity in athlete burnout : A person-centered approach
- 2018
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Ingår i: Psychology of Sport And Exercise. - : Elsevier. - 1469-0292 .- 1878-5476. ; 38, s. 56-60
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Tidskriftsartikel (refereegranskat)abstract
- Performance-based self-esteem and a self-identity dominated by being an athlete have been associated with athlete burnout. Our aim is to extend previous research by adopting a person-centered approach and examining whether profiles of burnout can be identified based on the athletes’ identity and performance-based self-esteem. Swedish junior athletes completed measures of athlete burnout, athlete identity, and performance-based self-esteem. Latent profile analysis identified four groups: Low burnout profile (n = 131), Moderate burnout profile (n = 178), Moderately high burnout profile (n = 125) and High burnout profile (n = 37). Higher scores of athletic identity were significantly less likely to be in the high burnout profile and athletes with higher scores of performance-based self-esteem were significantly more likely to be in the high burnout profile compared to the other three burnout profiles. These findings suggest that athletes with a performance-based self-esteem might be at greater risk of experiencing burnout.
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| 7. |
- Hagströmer, Maria, et al.
(författare)
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Att bedöma och utvärdera fysisk aktivitet vid rådgivning i vården.
- 2015
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Ingår i: Läkartidningen. - 0023-7205. ; 112
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Tidskriftsartikel (refereegranskat)abstract
- To make individualized counseling possible, valid and reliable measures of physical activity are necessary. In health care, quality must be continuously secured and developed. Follow-up of life-style habits such as physical activity does not differ from monitoring of other treatment in the health care setting. After counseling and appropriate period of time, evaluation should be done to assess if there has been any change in the physical activity level. For assessment and evaluation of physical activity in routine clinical practice the National Board for Health and Social Welfare indicator questions regarding physical activity are recommended. For a more detailed assessment and evaluation of physical activity and sedentary behavior comprehensive validated instruments/diaries should be used. For precise and objective assessment and evaluation of both physical activity and sedentary behavior, movement sensors are recommended.
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| 8. |
- Hagströmer, Maria, et al.
(författare)
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Bedöma och utvärdera fysisk aktivitet
- 2016. - 3
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Ingår i: FYSS 2017 : Fysisk aktivitet i sjukdomsprevention och sjukdomsbehandling - Fysisk aktivitet i sjukdomsprevention och sjukdomsbehandling. - 9789198171129 ; , s. 250-266
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Bokkapitel (refereegranskat)
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| 9. |
- Hagströmer, Maria, et al.
(författare)
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Bedöma och utvärdera fysisk aktivitet
- 2017. - 3
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Ingår i: FYSS 2017 : Fysisk aktivitet i sjukdomsprevention och sjukdomsbehandling - Fysisk aktivitet i sjukdomsprevention och sjukdomsbehandling. - 9789198171129 ; , s. 250-266
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Bokkapitel (refereegranskat)
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| 10. |
- Hassmén, Peter, et al.
(författare)
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Burnout symptoms and recovery processes in eight elite soccer coaches over 10 years
- 2019
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Ingår i: International journal of sports science & coaching. - : Sage Publications. - 1747-9541 .- 2048-397X. ; 14:4, s. 431-443
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Tidskriftsartikel (refereegranskat)abstract
- Elite sport can be stressful, which increases the risk for burnout symptoms to develop. Especially when not balanced with sufficient recovery. To study the burnout–recovery process, eight elite soccer coaches were followed for 10 years. All eight were active elite coaches at the inception of this study and reported elevated emotional exhaustion scores on Maslach’s Burnout Inventory Educators Survey (MBI-ES). The coaches completed MBI-ES three additional times (year 3, 7, and 10), and they were also interviewed on the same occasions. At the 3-year follow-up, seven of the eight coaches reduced their exhaustion scores. The coach presenting with unchanged scores both at the 3 - and 7-year follow-up was the only one still coaching at the elite level. All coaches revealed during the interviews that they struggled to manage their work–life balance well; some worked too many hours, some experienced difficulty in managing conflicting role-demands, and some wrestled with external pressures. Their approach to recovery was, however, similar. Apart from moving away from coaching at the elite level, they unanimously mentioned that they changed their approach to coaching to make recovery possible. They achieved the latter by, for example, increasing control and delegating responsibility. According to our longitudinal results, burnout frequently regarded as an end-state can decrease over time. Provided that decisive action is taken to change situational factors and personal demands. This frequently meant withdrawing from coaching, which in turn explains why coach retention remains a serious challenge for most organizations with teams/athletes competing at the elite level. © The Author(s) 2019.
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