| 1. |
- Danielsson, Louise, 1979, et al.
(författare)
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“Crawling Out of the Cocoon”: Patients’ Experiences of a Physical Therapy Exercise Intervention in the Treatment of Major Depression.
- 2016
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Ingår i: Physical Therapy. - : Oxford University Press (OUP). - 0031-9023 .- 1538-6724. ; 96, s. 1241-1250
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Tidskriftsartikel (refereegranskat)abstract
- Background: While the effectiveness of physical exercise for depression has been studied for many years, few studies have described patients’ experiences of what exercise means to them, beyond the biological focus. Moreover, exercise as a treatment for depression is rarely explored in a physical therapy context. Objectives: The purpose was to explore a physical therapy exercise intervention, as experienced by persons suffering from major depression. Design: This study had an inductive approach and employed qualitative content analysis. Methods: Semi-structured interviews were conducted with 13 persons who participated in physical therapist-guided aerobic exercise in a randomized controlled trial. The participants were all diagnosed with major depression according to the Diagnostic and Statistical Manual of Mental Disorders. Data were collected and analyzed in an inductive tradition using qualitative content analysis according to Graneheim and Lundman. Results: Four categories emerged: struggling toward a healthy self, challenging the resistance, feeling alive but not euphoric, and needing someone to be there for you. The participants experienced that although the exercise intervention was hard work, it enhanced the feeling of being alive and made them feel that they were doing something good for themselves. These feelings were a welcome contrast to the numbness and stagnation they experienced during depression. Conclusions: Exercise in a physical therapy context can improve the participants’ perception of their physical ability and create a sense of liveliness, improving their depressed state. The therapeutic relationship is essential for supporting the patient’s vulnerability and ambiguity in an empathic and perceptive way.
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| 2. |
- Danielsson, Louise, 1979, et al.
(författare)
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Depression embodied: an ambiguous striving against fading.
- 2015
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318. ; 29:3, s. 501-509
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Tidskriftsartikel (refereegranskat)abstract
- Although depression is associated to physical discomfort, meanings of the body in depression are rarely addressed in clinical research. Drawing on the concept of the lived body, this study explores depression as an embodied phenomenon. Using a hermeneutic phenomenological approach, the analysis of narrative-based interviews with11 depressed adults discloses a thematic structure of an embodied process of an ambiguous striving against fading. Five subthemes elicit different dimensions of this process, interpreted as disabling or enabling: feeling estranged, feeling confined, feeling burdensome, sensing life and seeking belongingness. In relation to clinical practice, we suggest that the interdisciplinary team can focus on enhancing the enabling dimensions, for example through guided physical activities to support the patient to feel more alive, capable and connected. Moreover, we suggest that the treatment process benefits from an increased awareness of the ambiguity in the patient’s struggle, acknowledging both destructive and recharging elements of the withdrawing,
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| 3. |
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| 4. |
- Danielsson, Louise, 1979, et al.
(författare)
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Opening toward life: Experiences of basic body awareness therapy in persons with major depression
- 2015
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 10
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Although there is a vast amount of research on different strategies to alleviate depression, knowledge of movement-based treatments focusing on body awareness is sparse. This study explores the experiences of basic body awareness therapy (BBAT) in 15 persons diagnosed with major depression who participated in the treatment in a randomized clinical trial. Hermeneutic phenomenological methodology inspired the approach to interviews and data analysis. The participants’ experiences were essentially grasped as a process of enhanced existential openness, opening toward life, exceeding the tangible corporeal dimension to also involve emotional, temporal, and relational aspects of life. Five constituents of this meaning were described: vitality springing forth, grounding oneself, recognizing patterns in one’s body, being acknowledged and allowed to be oneself, and grasping the vagueness. The process of enhanced perceptual openness challenges the numbness experienced indepression, which can provide hope for change, but it is connected to hard work and can be emotionally difficult to bear. Inspired by a phenomenological framework, the results of this study illuminate novel clinical and theoretical insight into the meaning of BBAT as an adjunctive approach in the treatment of depression.
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| 5. |
- Danielsson, Louise, 1979, et al.
(författare)
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The lived body in depression
- 2013
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Ingår i: 21st International Conference on Health Promoting Hospitals and Health Services (HPH). May 22-24, 2013 Gothenburg, Sweden.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Depression is a common and complex health problem, increasing worldwide as a threat to public health. Research approaching lived experiences of depression are still sparse. The purpose was to study lived experiences of depression. Individual in-depth interviews were conducted with ten adults diagnosed major depression. A phenomenological hermeneutical analysis was used, drawing on phenomenological theories on the lived body and to the concept of attunement as a mode of being in the world. The preliminary analysis reveals that the participants experience a withdrawal and estrangement, which is experienced both in relation to the immediately lived, physical body and in relation to the world around them. the withdrawal from body and world involves personal ways of dealing both with an urge to distance oneself and to direct oneself toward connecting. The analysis will be further elaborated on during 2013.
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| 6. |
- Danielsson, Louise, 1979, et al.
(författare)
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To sense and make sense of anxiety: Physiotherapists' perceptions of their treatment for patients with generalized anxiety.
- 2013
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Ingår i: Physiotherapy theory and practice. - : Informa UK Limited. - 1532-5040 .- 0959-3985. ; 29:8, s. 604-615
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Tidskriftsartikel (refereegranskat)abstract
- The generalized anxiety is characterized by long-term psychological and physiological discomfort. Pharmacological and psychotherapeutic interventions have been extensively examined, whereas knowledge is scant regarding other professional perspectives. This article focuses on the physiotherapeutic perspective on anxiety, exploring physiotherapists' perceptions of their treatment for patients with generalized anxiety. Semi-structured interviews were conducted with 10 physiotherapists working in psychiatry or primary health care. Data were analysed using qualitative content analysis, resulting in one main category and five subcategories. The main category "To sense and make sense of one's anxiety" reflects the idea that physiotherapy works through immediate, tangible bodily experiences to help a person understand and handle his or her anxiety better. Five subcategories reflected different aspects of this main category: (1) the body is the arena of anxiety, (2) to get in touch with oneself, (3) to get down-to-earth with oneself, (4) to make sense of bodily sensations, and (5) to gain trust in one's capability to handle anxiety. In conclusion, the gradual bodily awareness of sensations, to sense and make sense of anxiety in physiotherapy treatment, becomes an opportunity to find ways to withstand and to manage symptoms of anxiety, encouraging an embodied self-trust. The emphasis on the immediately lived body involves the potential to learn how to endure anxiety instead of running away from it, to discern and to understand different sensations, leading to an integration of anxiety as being part of oneself rather than overflowing oneself.
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| 7. |
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Empowering women through body awareness - a physiotherapeutic perspective on stressrelated ill health. In: Naturbilder und Lebensgrundlagen - Konstruktionen von Geschlecht.
- 2006
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Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- EMPOWERING WOMEN THROUGH BODY AWARENESS – A PHYSIOTHERAPEUTIC PERSPECTIVE ON THE BODY AND WOMEN’S STRESS-RELATED ILL HEALTH Stress-related ill health constitutes a big health problem in contemporary society and the health care system has difficulty providing effective help . One major reason for this is that these health problems do not easily lend themselves to be interpreted within a biomedical framework. The health problems are interesting, however, because they provide a challenge to develop new perspectives on the interplay of existential, social, cultural and bodily processes, and on how to promote rehabilitation. This paper argues that physiotherapy – the physiotherapeutic understanding of the body, and the possibilities inherent in working with body awareness, can contribute to such new perspectives, empowering women suffering from stress-related ill health. The paper is based on reflections from a doctoral thesis aiming to enrich perspectives on the body and on physiotherapy in rehabilitating people suffering from stress-related ill health and non-specific musculoskeletal disorders (Rosberg 2000:http://www.ub.gu.se/fulltext/avhandlingar/e000204sr.pdf).
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| 8. |
- Engelsrud, G., et al.
(författare)
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Theorizing bodily dialogs - reflection on knowledge production in phenomenological research
- 2022
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Ingår i: Physiotherapy Theory and Practice. - : Informa UK Limited. - 0959-3985 .- 1532-5040. ; 38:12, s. 1833-1842
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Tidskriftsartikel (refereegranskat)abstract
- Background:Every aspect of research engages the body in some way. Purpose:In this article the researchers discuss the epistemological challenges of engaging with lived experiences and the opportunities and challenges that arise in conjunction with the embodied aspects of interviewing, analysis and turning visual and oral research material into written text. Method:The authors draw on experience from interviewing and reflect on how phenomenological philosophy of the body can both challenge and contribute to unpacking the role of the body in research processes. Results:Research on patients' experience of illness provides examples of how bodily experiences are intersubjective and subjective explored. The authors discuss how to let the bodily spoken contribute to the knowledge creation by "taking the body with them" in all parts of the research process. Conclusion:The article contributes with theoretical perspectives and highlights intercorporeal and inter-affective bodily communication as an essential element in physiotherapy research practice.
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| 9. |
- Eriksson-Öhman, AnnaKarin, et al.
(författare)
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The meaning of rythm in rehabilitation processes. The 5th congress on qualitative methods in qualitative research, Stavanger 18-20 maj 2008
- 2008
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Ingår i: 2008.
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Konferensbidrag (refereegranskat)abstract
- Background The phenomenon of rhythm connects to cyclical courses of events, of crucial importance to human life. Illness can be understood as a disruption of rhythms in our being-in-the-world connected to time and to the way we are incarnated. Aim The purpose of this study was to deepen the understanding of the phenomenon of rhythm in the processes of rehabilitation, in the perspective of physiotherapists and dance and movements therapists. Method Within a hermeneutic phenomenological approach semi-structured interviews were performed with nine strategically chosen physiotherapists and dance and movement therapists. Heidegger´s Dasein analytical perspective and Gadamer´s understanding of health and illness have been drawn on in the interpretation. Results The phenomenon of rhythm in the perspective of the participants can be understood as following: The human being-in-the-world can ontologically be interpreted as rhythmic. Rhythm is something that creates structure, enables security despite chaos, and has a sheltering function. It can be understood as something that facilitates health and recovery and has a central part in maintaining health. Rhythm is a condition for good recuperation. Rhythm enables getting in touch with oneself, opens up for reflection about ones own relationship towards time and works as a foundation making new experiences possible. It expands the ability to express oneself. Rhythm promotes interplay and fellowship, may act as something to unite around enabling dialogue and mutual understanding, and can be the prerequisite for participation on own terms. But rhythm can also be experienced as threatening, not wanted to be shared, taking overhand and be manipulative.
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| 10. |
- Halaweh, Hadeel, 1969, et al.
(författare)
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Cross-Cultural Adaptation, Validity and Reliability of the Arabic Version of the Falls Efficacy Scale-International (FES-I)
- 2016
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Ingår i: Medical principles and practice. - : S. Karger AG. - 1011-7571 .- 1423-0151. ; 25:1, s. 1-7
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The aim of this study was to evaluate the validity and reliability of an Arabic language version (Ar) of the Falls Efficacy Scale-International (FES-I) with respect to its use with Arabic-speaking elderly subjects. Subjects and Methods: For cross-cultural adaptation, the translation of the original English version of the scale was conducted based on the protocol of the Prevention of Falls Network Europe (ProFaNE). The FES-I (Ar) was administered via face-to-face interviews to 108 community-dwelling elderly Palestinians (61 women and 47 men, aged 60-84 years). Statistical analyses were used to determine group differences with respect to age, gender and fall history. To assess validity, Spearman's rank correlation coefficient was used to examine the correlation between the total scores of FES-I (Ar) and the Timed Up and Go (TUG) test, gait speed and balance. Test-retest reliability between the two test occasions was assessed in accordance with Svensson's method. Results: The FES-I (Ar) total scores were positively correlated with TUG (rs = 0.641, p < 0.001) and negatively correlated with gait speed (rs = -0.670, p < 0.001) and balance (rs = -0.592, p < 0.001). All items of the FES-I (Ar) indicated a high percentage agreement (from 88 to 93%), and the relative position ranged from 0.01 to 0.06. Conclusion: In this study, the FES-I (Ar) was shown to be a comprehensible, valid and reliable measure of the concern about falling among community-dwelling elderly subjects. In clinical practice and future research, the FES-I (Ar) instrument could be used to effectively assess concern about falling in Arabic-speaking elderly persons.
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