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1.
  • Blomdahl, C., et al. (author)
  • Recovery From Depression-A 6-Month Follow-up of a Randomized Controlled Study of Manual-Based Phenomenological Art Therapy for Persons With Depression
  • 2022
  • In: Art Therapy. - : Informa UK Limited. - 0742-1656 .- 2159-9394. ; 39:1, s. 13-23
  • Journal article (peer-reviewed)abstract
    • Manual-based phenomenological art therapy (PATd) was developed to facilitate recovery from depression. The study's aim was to investigate whether improvements were maintained 6 months after PATd was completed. In a randomized controlled study design, persons diagnosed with moderate or severe depression (n = 85) were invited to take part; n = 79 participated and were allocated either to intervention (n = 43) or control (n = 36). The control group received treatment as usual, while the intervention received PATd in addition to treatment as usual. Wilcoxon Signed Rank tests, t-tests, and regression models were employed. Reduced depression, improvements in self-esteem, suicide ideation, and returning to work were sustained in the 6-month follow-up. This study indicates that PATd supports more rapid recovery, while improvement is sustained over time.
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2.
  • Carlbring, Per, et al. (author)
  • Treat your social anxiety disorder with this gamified smartphone app
  • 2016
  • Conference paper (peer-reviewed)abstract
    • Aim: Social anxiety disorder (SAD) is a common debilitating mental illness with large negative effects on quality of life and economic productivity. Modern psychotherapy treatments utilizing cognitive–behavioral theory are increasingly delivered over the Internet and more recently using smartphone applications. The Challenger App written natively for the Apple iPhone was developed at the Stockholm University Department of Psychology for the treatment of SAD and uses a number of advanced features not previously seen in past mental health applications; these include real-time location awareness, notifications, anonymous social interaction between users, a high-degree of personalization and use of gamification techniques.Method: A total of 209 participants with a primary diagnosis of SAD were randomized to one of three groups: 1) Self-help book, 2) Self-help book + the Challenger app, or 3) waitlist. The treatment period lasted 6 weeks. Primary outcome measure was Liebowitz Social Anxiety Scale self- report (LSAS-SR). Also included where the Quality of Life Inventory, Patient Health Questionnaire, and the Generalized Anxiety Disorder-7 (GAD-7). Outcome was analyzed according to the intention to treat principle.Results: Both treatment groups were superior to the waitlist. On the main outcome measure (LSAS-SR) the effect size for the waitlist was Cohens d=0.14. The group that received the self-help book with the addition of the Challenger app was significantly superior (d=1.0) to just reading the self- help book (d=0.61). Participants requited by way of Newspaper advertisement were more likely to reach high end-state functioning (OR=4.1) and the same was true for participants without prior psychological treatment history as compared with having a previous experience (OR=4.4).Conclusion: Adding the smartphone app is a cost effective way of improving the outcome when treating SAD with a self-help book.
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3.
  • Delin, Lovisa, et al. (author)
  • Challenger - A mobile phone application for treatment of social phobia : A randomized controlled trial of a self-help treatment in book form with or without the addition of mobile phone application
  • 2015
  • In: Abstracts from the 7th Swedish Congress on internet interventions (SWEsrii). - Linköping : Linköping University Press. ; , s. 23-23
  • Conference paper (other academic/artistic)abstract
    • Social phobia is one of the most common anxiety disorders. The diagnosis results in great suffering for the individual but also large social costs. This randomized, controlled study (N = 209) aimed to evaluate the relative impact of a self-help treatment in book form, with or without the addition of a mobile phone application for people with social phobia. Results demonstrated a statistically significant greater improvement between the two active treatment groups and the waiting list. A medium-sized effect size on the primary outcome measure Liebowitz Social Anxiety Scale self report was found only between the waiting list and the group treated with the addition of mobile application. Statistically significant differences were not found between the two active treatment groups. The results of this study strengthen previous research which has shown that bibliotherapy is effective for social phobia. Since the research on the efficiency of mobile phone applications for treatment of social phobia are limited, this study contributes to necessary knowledge in the field.
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4.
  • Larsson, R., et al. (author)
  • To tape or not to tape: annular ligament (pulley) injuries in rock climbers-a systematic review
  • 2022
  • In: Bmc Sports Science Medicine and Rehabilitation. - : Springer Science and Business Media LLC. - 2052-1847. ; 14:1
  • Journal article (peer-reviewed)abstract
    • Background Popularity of rock climbing is steadily increasing. With its inclusion in the Olympic Games this will likely continue. Injuries from rock climbing are also increasing. The most common injury is to the flexor pulley system, consisting of the finger flexors and five annular ligaments (pulleys). Treatment of this injury includes taping of affected fingers, but evaluation of this treatment was previously lacking. The aim of this review was therefore to assess whether taping is associated with better outcomes than non-taping. A secondary aim was to present treatment recommendations or areas for future research. Methods Systematic searches of PubMed, Scopus, SPORTDiscus, Cochrane Library, PEDro and CINAHL. Free text searches of Google Scholar. Citation searching. No restrictions to language, date of publication or study design. Included studies were assessed using Cochrane scale for clinical relevance, by two independent authors. Results were presented in narrative synthesis. Certainty of evidence (GRADE) was assessed by three authors. Review was done according to PICO-protocol and reported according to PRISMA-guidelines. Results After removing duplicates, 595 records were identified. Eight studies and one case report (in nine articles, one poster) were included, consisting of 206 rock climbers, four non-climbers, 23 pairs of cadaver hands. Clinical relevance ranged from 0 to 5 (median 2). Evidence of low to moderate certainty suggests that taping might reduce bowstringing of the finger flexor tendons by 15-22%. Evidence regarding pain, time for return to sports, shearing forces against pulleys, pulley ruptures and maximum voluntary contraction (MVC) were all regarded as "very low", "very low to low" or "low", and were not considered reliable. Evidence of moderate certainty suggests that taping has no effect on MVC or muscle activation in uninjured rock climbers. No adverse effects of taping were reported. Conclusion Low to moderate evidence suggests that taping might reduce bowstringing of the finger flexor tendons. Moderate evidence suggests that taping has no effect on MVC or muscle activation in uninjured climbers. For other outcomes more studies evaluating the effects of taping are needed. Trial registration: PROSPERO CRD42021241271, date of registration: 18-04-2021.
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