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Sökning: onr:"swepub:oai:DiVA.org:oru-73679" > Cognitive behaviora...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004766naa a2200517 4500
001oai:DiVA.org:oru-73679
003SwePub
008190412s2018 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:230623103
009oai:DiVA.org:uu-381960
024a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-736792 URI
024a https://doi.org/10.1002/hsr2.802 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:2306231032 URI
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3819602 URI
040 a (SwePub)orud (SwePub)kid (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Strömbom, Ylva,d 1959-u Uppsala universitet,Institutionen för psykologi,Centrum för klinisk forskning, Gävleborg4 aut0 (Swepub:uu)ylvast440
2451 0a Cognitive behavioral therapy for frequent attenders in primary care
264 c 2018-08-18
264 1b John Wiley & Sons,c 2018
338 a print2 rdacarrier
520 a Aim: The aim of the study is to investigate if cognitive behavioral therapy given in a group setting affects anxiety and depression, stress, pain, coping strategies during daily life, and health-related quality of life (HRQoL), among frequent attenders (FAs) in primary care.Methods: Cognitive behavioral therapy was offered to 331 FAs between 18 and 65 years of age, of whom 89 accepted and 54 completed all steps in the protocol; patients were assigned to 1 of 3 groups: 0, 6, and 12-month waiting time. The therapy consisted of 12 sessions administered in group format. Outcome measures were Beck's Anxiety Inventory (BAI), Beck's Depression Inventory (BDI), Hospital Anxiety and Depression Scale (HADS), Everyday Life Stress (ELS), Coping Strategy Questionnaire, Multidimensional Pain Inventory-Swedish version, and Short Form-36.Results: Mean age among patients who completed cognitive behavioral therapy was 49.9 years, with a female majority (79.6%). Anxiety and depression scores were reduced after treatment (BAI 16.7 vs 13.6; BDI 16.3 vs 15.7; HADS-Anxiety 8.41 vs 6.05; HADS-Depression 7.09 vs 5.69). Because waiting time itself did not affect symptoms, differences reflect treatment effects. Stress ratings were not affected by treatment. Use of nonadaptive coping strategies like praying and hoping and catastrophizing decreased. Frequent attenders experienced a higher sense of life control. Frequent attenders reported significantly lower HRQoL than general Swedish population norms in all 8 Short Form-36 domains including mental and physical component summary scores (MCS and PCS), and all domains were unaffected by treatment.Conclusion: Cognitive behavioral therapy exerts some beneficial effects in FAs. Content of treatment addressed musculoskeletal pain, stress, anxiety, and depression. This broad approach resulted in reduced anxiety, depression, and impact of pain because of enhanced life control.
650 7a SAMHÄLLSVETENSKAPx Psykologix Tillämpad psykologi0 (SwePub)501022 hsv//swe
650 7a SOCIAL SCIENCESx Psychologyx Applied Psychology0 (SwePub)501022 hsv//eng
653 a Sweden
653 a applied relaxation
653 a cognitive behavioral therapy
653 a frequent attender
653 a primary care
653 a quality of life
700a Karlsson, Jan,d 1950-u Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,University Health Care Research Center4 aut0 (Swepub:oru)jnks
700a Fredrikson, Matsu Uppsala universitet,Karolinska Institutet,Institutionen för psykologi,Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden4 aut0 (Swepub:uu)matsfred
700a Melin, Lennart,d 1942-u Uppsala universitet,Institutionen för psykologi4 aut0 (Swepub:uu)lennartm
700a Magnusson, Peteru Uppsala universitet,Karolinska Institutet,Centrum för klinisk forskning, Gävleborg,Cardiology Research Unit, Department of Medicine, Karolinska Institutet, Stockholm, Sweden4 aut
710a Uppsala universitetb Institutionen för psykologi4 org
773t Health Science Reportsd : John Wiley & Sonsg 1:9q 1:9x 2398-8835
856u https://doi.org/10.1002/hsr2.80y Fulltext
856u https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/hsr2.80
856u https://uu.diva-portal.org/smash/get/diva2:1305449/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-73679
8564 8u https://doi.org/10.1002/hsr2.80
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:230623103
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-381960

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