| 1. |
- Alexandersson, Klas, et al.
(författare)
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Session-to-session effects of therapist adherence and facilitative conditions on symptom change in CBT and IPT for depression
- 2023
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Ingår i: Psychotherapy Research. - : Taylor & Francis Group. - 1050-3307 .- 1468-4381. ; 33:1, s. 57-69
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The objective of this study was to analyze the effect of adherence to both specific technique factors and facilitative condition variables (e.g., therapists' involvement, understanding and support) in Cognitive Behavior Therapy (CBT) and Interpersonal Psychotherapy (IPT). In addition, we were interested in whether the effect of therapist adherence would depend on the level of the working alliance. Method: Three sessions each from 74 patients diagnosed with Major Depressive Disorder who were randomized to 14 sessions of IPT or CBT were rated for adherence using a modified version of The Collaborative Study Psychotherapy Rating Scale-6 (CSPRS-6). Data was analyzed using Multilevel Modeling. Results: No effects of adherence to specific factors on outcome were found in neither CBT nor IPT. Facilitative conditions were associated with better outcome in CBT but not in IPT, even after adjustment for the quality of the working alliance. No interaction effects were found. Conclusions: Our findings highlight the importance of relational factors in CBT, but do not support the need for specific adherence to any of the two treatments. Possible explanations of the findings and directions for future research are discussed.
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| 2. |
- Appelberg, Magnus, et al.
(författare)
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Strategi för ett samordnat nationellt/regionalt övervakningsprogram för kustfisk i Bottniska Viken
- 2003
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Övervakning av kustfiskbestånd har tidigarefrämst varit inriktad mot att bedöma förändringari för fisket viktiga arter och årsklasseroch i mindre utsträckning mot attbedöma förändringar relaterade till biologiskmångfald. Under 2002 startade länsstyrelsernai Norrbottens, Västerbottens, Västernorrlandsoch Gävleborgs län, Fiskeriverket,Umeå Marina Forskningscentrum och Naturvårdsverketett projekt med syfte att utarbetaen strategi för ett samordnat nationellt/regionalt övervakningsprogram för kustfiski Bottniska viken. Projektet finansieras avNaturvårdsverket och Fiskeriverket. Ett samordnatövervakningsprogram är framför alltnödvändigt för att klara uppföljningen av detnationella miljömålet ”Hav i balans samtlevande kust och skärgård” och motsvaranderegionalt formulerade mål. Ambitionen är attsamordning även kan göras med uppföljningenenligt EU:s ramdirektiv för vatten. I föreligganderapport redovisas resultaten frånprojektets första år. Resultaten omfattar jämförelsermellan två provfiskestrategier ochett preliminärt förslag till strategi för ett samordnatövervakningsprogram för kustfisk.
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| 3. |
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| 4. |
- Azouri, Kristian, et al.
(författare)
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Hotellrapport Stockholm
- 2011
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Rapport (populärvet., debatt m.m.)abstract
- Stockholm är Sveriges största stad och marknadsför sig som ”The Capital of Scandinavia”. De flesta resenärer som besöker Sverige åker till just Stockholm. År 2010 nådde Stockholms län 10 miljoner kommersiella övernattningar. Det är lätt att ta sig till Stockholm med både flyg, tåg, båt, bil och buss. Stockholm har ett brett utbud av kongress- och mässanläggningar. År 2009 var Stockholm den sjunde mest populära staden i världen att förlägga kongresser på. I dagsläget är Sverige på väg ur den lågkonjunktur som startade år 2008. Sveriges BNP och valuta är på väg att stabiliseras och stärkas. Regeringen har även lagt in ett förslag om att sänka tjänstemomsen inom hotell- och restaurangbranschen. I denna rapport har vi valt att avgränsa oss till ett eget utvalt område inom Stockholm. Detta område innefattar 143 hotell med 20 054 hotellrum.De prognoser vi gjort gällande staden Stockholm och segmenten affärsresenärer och fritidsresenärer pekar på en ökning av besökare till staden. Detta kommer resultera i att hotellens beläggning, snittpris och RevPAR kommer att öka framtill år 2013. Efter år 2013 tror vi att segmentet affärsresenärer kommer att minska något procentuellt och kurvan för belagda nätter kommer att stabiliseras. Dock tror vi att segmentet fritidsresenärer kommer att öka procentuellt efter år 2013 och antalet belagda hotellrum kommer att successivt öka mellan åren 2011 – 2015. Vi tror att snittpris och RevPAR kommer att sjunka på grund av att en fritidsresenär generellt sätt inte betalar lika mycket för ett hotellrum som en affärsresenär gör.
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| 5. |
- Back, Malin, et al.
(författare)
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Reduction in depressive symptoms predicts improvement in eating disorder symptoms in interpersonal psychotherapy : results from a naturalistic study
- 2020
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Ingår i: Journal of Eating Disorders. - : BioMed Central. - 2050-2974. ; 8:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Interpersonal psychotherapy (IPT) can be effective for both Bulimia Nervosa (BN) and co-occurring depression. While changes in symptoms of Eating disorder (ED) and depression have been found to correlate, it is unclear how they interact during treatment and in which order the symptoms decrease.Methods: Thirty-one patients with BN and depressive symptoms received IPT using the manual IPT-BNm in a naturalistic design. The outcome was measured with the Eating Disorder Examination Questionnaire (EDE-Q) and the Montgomery Åsberg Depression Rating Scale (MADRS-S). Symptom improvement at each session was measured with Repeated Evaluation of Eating Disorder Symptoms (REDS) and the Patient Health Questionnaire-9 (PHQ-9).Results: Significant improvements with large effect sizes were found on both ED symptoms and depression. The rates of change were linear for both BN and depression. A strong correlation between reduction of depressive symptoms and ED symptoms was found. Depressive symptom reduction at one session predicted improvement of ED symptoms at the next session.Conclusions: IPT-BNm had an effect on both BN and co-occurring depressive symptoms. The analyses indicated that reduction in depressive symptoms preceded reduction in bulimic symptoms.
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| 6. |
- Bäck, Malin, et al.
(författare)
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Interpersonal psychotherapy for eating disorders with co-morbid depression : A pilot study
- 2017
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Ingår i: European Journal of Psychotherapy. - : Routledge. - 1364-2537 .- 1469-5901. ; 19:4, s. 378-395
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Patients with eating disorders (ED) often suffer from co-morbid depression, which may complicate the ED treatment. Previous studies have found that ED interventions seem to have limited capacity to reduce depressive symptoms. Several studies of interpersonal psychotherapy (IPT), have found that when patients have been treated for depression, co-morbid symptoms have diminished. As depression and EDs are commonly co-occurring conditions, this pilot study aimed to examine the effect of an IPT treatment for these conditions, with the focus on the depressive symptoms.Method: In this multi-centre study, 16 patients with EDs and co-occurring major depression received 16 weeks of depression-focused IPT.Results: Significant improvements with substantial effect sizes were found for both depression (d = 1.48) and ED (d =.93). Symptom reduction in the two syndromes were strongly correlated (r = .625, p = .004). Patients with a restrictive ED did not improve on either depression or ED symptoms.Conclusion: These findings point to the usefulness of IPT for concurrent depression and ED with a bingeing/purging symptomatology. Working with negative affect and problem-solving related to current interpersonal problems may alleviate general psychological distress among these patients.
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| 7. |
- Bäck, Malin, et al.
(författare)
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Interpersonal psychotherapy for eating disorders with co-morbid depression: A pilot study [Psychothérapie interpersonnelle dans les cas de troubles alimentaires avec dépression comorbide: une étude-pilote] [Interpersonelle Psychotherapie für Essstörungen mit Ko-morbider Depression: eine Pilot-Studie, Malin.] [Psicoterapia interpersonale per comorbilità tra disturbi alimentari e depressione: uno studio pilota] [PSICOTERAPIA INTERPERSONAL EN TRASTORNOS DE LA ALIMENTACION CON DEPRESION CO-MORBIDA: un estudio piloto.]
- 2017
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Ingår i: European Journal of Psychotherapy. - : Routledge. - 1364-2537 .- 1469-5901. ; 19:4, s. 378-395
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Patients with eating disorders (ED) often suffer from co-morbid depression, which may complicate the ED treatment. Previous studies have found that ED interventions seem to have limited capacity to reduce depressive symptoms. Several studies of interpersonal psychotherapy (IPT), have found that when patients have been treated for depression, co-morbid symptoms have diminished. As depression and EDs are commonly co-occurring conditions, this pilot study aimed to examine the effect of an IPT treatment for these conditions, with the focus on the depressive symptoms. Method: In this multi-centre study, 16 patients with EDs and co-occurring major depression received 16 weeks of depression-focused IPT. Results: Significant improvements with substantial effect sizes were found for both depression (d = 1.48) and ED (d =.93). Symptom reduction in the two syndromes were strongly correlated (r =.625, p =.004). Patients with a restrictive ED did not improve on either depression or ED symptoms. Conclusion: These findings point to the usefulness of IPT for concurrent depression and ED with a bingeing/purging symptomatology. Working with negative affect and problem-solving related to current interpersonal problems may alleviate general psychological distress among these patients. © 2017 Informa UK Limited, trading as Taylor amp; Francis Group.
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| 8. |
- Holmqvist (Knutsen), Annica, et al.
(författare)
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PINCH expression in relation to radiation response in co-cultured colon cancer cells and in rectal cancer patients
- 2013
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Ingår i: Oncology Reports. - : Spandidos Publications. - 1021-335X .- 1791-2431. ; 30:5, s. 2097-2104
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Tidskriftsartikel (refereegranskat)abstract
- Particularly interesting new cysteine-histidine rich protein (PINCH), involved in cell spreading, motility and proliferation, has been shown to enhance radioresistance in colon cancer cell lines. The expression of PINCH in relation to radiation was studied in co-cultured colon cancer cells. Furthermore, the clinical significance between PINCH and radiotherapy (RT) was analyzed in rectal cancer patients with or without RT. The relative PINCH expression in colon cancer (KM12C) cells cultured separately and in co-culture was examined by western blotting and real-time PCR, and was analyzed over a period of 8 and 24 h after radiation. PINCH expression was immunohistochemically examined in 137 primary rectal tumors for which 65 cases did not receive RT and 72 cases received RT. PINCH expression tended to decrease from that in the separately cultured KM12C cells without radiation to that in cells with radiation at 8 h (P=0.060); while in the co-cultured cells, no significant difference was found (P=0.446). In patients with RT, strong PINCH expression was related to worse survival, when compared to patients with weak expression, independent of TNM stage, degree of differentiation, age and p53 status (P=0.029, RR 4.03, 95% CI 1.34-12.1). No survival relationship for the patients without RT was observed (P=0.287). A statistical interaction analysis between PINCH, RT and survival showed a trend towards significance (P=0.057). In conclusion, PINCH predicts survival in rectal cancer patients with RT, but not in patients without RT. The expression of PINCH may be regulated by radiation and by environmental factors surrounding the cells.
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| 9. |
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| 10. |
- Holmqvist, Mona, 1961-, et al.
(författare)
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Differences between learning facts and complex phenomena : a learningstudy in history based on the variation theory
- 2010
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Ingår i: Problems of Education in the 21st Century. - 1822-7864 .- 2538-7111. ; :20, s. 80-92
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Tidskriftsartikel (refereegranskat)abstract
- This study has been carried out as part of a project entitled “The Pedagogy of Learning” (Holmqvist, 2002) whose objective is to use theory and practice to extend our knowledge of learning and teaching. The study was implemented at the upper secondary school level and involved students in the first year of the social science programme. Two classes were evenly divided into three groups. The “learning study” model (Holmqvist, 2006) was employed and three research lessons in history were the focus of the study. The aim was to describe what students could potentially learn, and then compare this with what they actually learned with regard to critical aspects of historical knowledge of the learning object. The learning object was exemplified by the period when Skåne, the southern part of the present country of Sweden, became Swedish after a period of Danish rule. By examining different aspects of the learning object, the aspects necessary to bring about learning were clarified. The lessons themselves were analysed in accordance with Variation Theory (Holmqvist, Gustavsson & Wernberg, 2008; Holmqvist & Mattisson, 2008), according to the constituent concepts of discernment, simultaneity, and variation. What varies and what is invariant in a learning situation are important in determining what can be learned (Marton & Booth, 1997). Changes were implemented in how certain critical aspects of the subject were presented to students with the goal of improving the student learning outcomes. The results confirmed that the nature of what was taught resulted in different learning possibilities. One such element was the ability to identify with those who lived during the period studied. Creating a kind of compassion for one or more fictitious persons enabled students to discern more easily the critical aspects. One conclusion of this study was that an effective learning strategy for students is hard to develop because they try to focus both on understanding the learning object itself, and on gathering hints from the teacher about what will be on the upcoming examination (which constitutes a second implicit learning object). This is amounts to a ‘Guess what he is thinking’ game with the teacher, rather than developing a real understanding of the learning object itself. Another conclusion underscored the important role played by the developed understanding of the learning object in producing long-term or so-called ‘generative learning’. Our study demonstrated that there is a difference in the long term between decreased learning of isolated facts and increased comprehension of overall historical phenomena.
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