| 11. |
- Andersson, Erik, et al.
(författare)
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Testing the Mediating Effects of Obsessive Beliefs in Internet-Based Cognitive Behaviour Therapy for Obsessive-Compulsive Disorder : Results from a Randomized Controlled Trial
- 2015
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Ingår i: Clinical Psychology and Psychotherapy. - : Wiley-Blackwell. - 1063-3995 .- 1099-0879. ; 22:6, s. 722-732
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Tidskriftsartikel (refereegranskat)abstract
- Although cognitive interventions for obsessive-compulsive disorder (OCD) have been tested in randomized trials, there are few trials that have tested the specific mechanisms of cognitive interventions, i.e. how they achieve their effects. In this study, we aimed to investigate the mediating effects of a short cognitive intervention in the treatment of OCD and used data from a recently conducted randomized controlled trial where 101 participants were allocated to either Internet-based CBT (ICBT) or to a control condition. Obsessive beliefs were measured at pre-treatment, at the time they had received the cognitive intervention, and also at post-treatment. Weekly OCD symptoms were measured throughout the 10 weeks of treatment. We hypothesized that (1) the ICBT group would have greater reductions in obsessive beliefs (controlling for change in OCD symptoms) after completing the cognitive intervention, and that (2) this reduction would, in turn, predict greater OCD symptom reduction throughout the rest of the treatment period. Contrary to our expectations, the longitudinal mediation analysis indicated that (1) being randomized to ICBT actually increased the degree of obsessive beliefs after receiving the cognitive intervention at weeks 1-3, and (2) increase in obsessive beliefs predicted better outcome later in treatment. However, when repeating the analysis using cross-sectional data at post-treatment, the results were in line with the initial hypotheses. Results were replicated when the control condition received ICBT. We conclude that, although obsessive beliefs were significantly reduced at post-treatment for the ICBT group, early increase rather than decrease in obsessive beliefs predicted favourable outcome. Copyright (C) 2014 John Wiley & Sons, Ltd.
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| 12. |
- Andersson, Gerhard, 1966-, et al.
(författare)
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Are coping strategies really useful for the tinnitus patient? An investigation conducted via the internet
- 2004
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Ingår i: Audiological Medicine. - : Informa UK Limited. - 1651-386X .- 1651-3835. ; 2:1, s. 54-59
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Tidskriftsartikel (refereegranskat)abstract
- This questionnaire study investigated the role of coping strategies in tinnitus. The Tinnitus Coping Strategy Questionnaire (12) was administered via the internet to a sample of 157 persons with tinnitus who were recruited for participation in a treatment trial. Also included were the Tinnitus Reaction Questionnaire, the Anxiety Sensitivity Index, and the Hospital Anxiety and Depression Scale. Results showed a significant positive correlation between use of coping strategies and tinnitus distress, even when controlling for anxiety sensitivity, and anxiety and depression levels in a multiple regression analysis. In line with previous studies, the role of coping strategies is not uniformly positive for tinnitus patients, and might even be associated with increased distress. Treatment implications are discussed and a possible role of acceptance strategies is put forward.
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| 13. |
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| 14. |
- Andersson, Gerhard, 1966-, et al.
(författare)
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Cognitive-behavioral therapy with applied relaxation
- 2006. - 1
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Ingår i: Tinnitus treatment.. - New York : Thieme. - 1588901815 - 3131320710 - 9781588901811 ; , s. 96-115
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Most clinicians have little experience with tinnitus treatments, and are unsure of how to help a patient suffering from the condition. Filling a significant gap in literature, this book offers a variety of in-depth protocols to treat tinnitus. Beginning with a review of several neurophysiological and psychological models of tinnitus, the book goes on to cover evaluation tools; counseling options and methods; treatment with hearing aids, wearable and non-wearable noise generators, and music; tinnitus-related insomnia; quality-of-life issues; and much more. Highly experienced clinicians give you the practical strategies to apply such therapeutic modalities as cognitive-behavioral therapy, individual and group sessions, sound therapy, habituation therapy, and narrative therapy. You will also find sample handouts to allow for effective communication with patients. With key clinical information for implementing all current therapies, this text is an essential professional tool for audiologists, psychologists, and other practitioners involved in managing otologic disorders.Richard Tyler, PhD, is a professor in the Department of Otolaryngology-Head Neck Surgery and in the Department of Speech Pathology and Audiology at the University of Iowa. Tyler and Sergei Kochkin, PhD recently sat down to talk about the results of a survey they conducted about tinnitus treatment and the effectiveness of hearing aids, which was published in the December 2008 edition of The Hearing Review. Click here to learn more and to watch a podcast that examines the survey results: http://www.hearingreview.com/podcast/files/ST20081218.asp.
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| 15. |
- Andersson, Gerhard, 1966-, et al.
(författare)
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Development of a new approach to guided self-help via the Internet : The Swedish experience
- 2008
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Ingår i: Journal of technology in human services. - : Informa UK Limited. - 1522-8835 .- 1522-8991. ; 26:2-4, s. 161-181
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Tidskriftsartikel (refereegranskat)abstract
- This article describes the development and empirical status of guided Internet-delivered self-help. The treatment approach combines the benefits of bibliotherapy with book-length text materials and the support given online via web pages and e-mail. Interactive features such as online registrations, tests, and online discussion forums are also included. Cognitive behavior therapy (CBT) guided the research and clinical implementations of this approach, as it lends itself more easily to the self-help format compared with other presently available psychotherapy approaches. We include an overview of the research, current issues and research in service delivery, lessons learned through a program of research, and directions for future investigations
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| 16. |
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| 17. |
- Andersson, Gerhard, 1966-, et al.
(författare)
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Dimensions of perfectionism and tinnitus distress
- 2005
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Ingår i: Psychology, Health & Medicine. - : Informa UK Limited. - 1354-8506 .- 1465-3966. ; 10:1, s. 78-87
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Tidskriftsartikel (refereegranskat)abstract
- This study investigated the relationship between perfectionism and tinnitus distress. In addition, associations between perfectionism, sleep problems and anxiety/depression were investigated. The study included 256 tinnitus patients who completed measures of perfectionism, tinnitus distress, anxiety, depression, and a measure of insomnia. Gender-differentiated multiple regression analyses showed that anxiety and depressive states were related to tinnitus distress for both genders. However, for the males, the perfectionism subscale Personal Standards was related to tinnitus distress, whereas in females, it was the Organization subscale that was most predictive of tinnitus distress.
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| 18. |
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| 19. |
- Andersson, Gerhard, et al.
(författare)
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Future thinking in tinnitus patients
- 2007
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Ingår i: Journal of Psychosomatic Research. - : Elsevier BV. - 0022-3999 .- 1879-1360. ; 63:2, s. 191-194
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The purpose of the study was to investigate future thinking in a group of tinnitus patients. It was predicted that participants in the tinnitus group would report fewer positive future events. Methods: A cross-sectional design was used. Two groups of participants completed the test session: tinnitus patients (n=20) and healthy controls (n=20) without tinnitus. Participants completed measures of anticipation of future positive and negative experiences, anxiety and depression. In addition, participants with tinnitus completed a test of tinnitus annoyance. Results: Tinnitus participants generated a greater number of negative future events compared to the controls. There was no difference between the groups on positive future events or on self-reported anxiety, but the tinnitus group scored higher on a depression measure. Controlling for depression scores removed the group difference. Conclusions: While the groups differed on future thinking, the difference concerned negative events, which suggests that anxious information processing might be important in explaining tinnitus annoyance. Levels of depressive symptoms should, however, be considered.
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| 20. |
- Andersson, Gerhard, 1966-, et al.
(författare)
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Hyperacusi - ett outforskat område. Kognitiv beteendeterapi kan lindra besvären vid ljudöverkänslighet, ett tillstånd med många frågetecken
- 2005
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Ingår i: Läkartidningen. - 0023-7205 .- 1652-7518. ; 44, s. 3210-3212
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Tidskriftsartikel (refereegranskat)abstract
- Hyperacusis innebär extrem känslighet för vardagens ljud är ett problem som drabbar cirka 8% av befolkningen. I svåra fall uppstår undvikande av många situationer samt en vana att skydda öronen med hörselskydd även i situationer där det inte behövs. Orsakerna till hyperacusis är till viss del kända, men många frågetecken kvarstår. För hyperacusis finns ingen dokumenterat botande behandling, men kognitiv beteendeterapi, samt eventuellt även tinnitus retraining therapy med brusgenerator, kan minska besvären,. Gott omhändertagande och en multidisciplinär utredning är att rekommendera i svåra fall. En av de viktigaste uppgifterna för framtida forskning är att kartlägga naturalförloppet vad gäller hyperacusis, då detta är i stort okänt. Det finns även ett stort behov av kontrollerade behandlingsstudier.
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