1. |
- Nyström, Markus B. T., 1973-
(författare)
-
Treating depression with activation
- 2018
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this thesis was to evaluate and compare four therapist-supported Internet-administered treatments for depression. Three studies were conducted. The first was a systematic review to determine the most effective mode and dose of physical activity (PA) for treating major depressive disorders (MDDs), and to suggest guidelines and recommendations for clinicians. These recommendations included that the PA needs to be individually customized, performed for at least 30 minutes, preferably under supervision, and with a frequency of at least three times per week to be effective for treating MDDs. Recommendations, however, must be viewed in light of the relatively few studies that match the inclusion criteria. The second study aimed to empirically evaluate and compare the effect of four therapist-supported Internet-administered treatments for mild to moderate depression. Two of the treatments were based on PA and two on behavioural activation (BA). One PA group was provided with a rationale; whereas, the other was not. The treatment in one BA group was based on Lewinsohn’s model and the other on Martell’s model. Results showed that all groups (including the control group) significantly reduced their depressive symptoms. Group comparisons revealed that three of the four treatment groups (all except the PA group that did not receive a rationale) had a significantly greater symptom reduction than the control group. This suggests that some sort of rationale is important for symptom reduction. The third study aimed to examine if a relapse prevention program would affect symptom change during a 24-month follow-up. We also examined if symptom change during the acute phase (AP) treatment period predicted symptom change during the follow-up period. A third and final aim was to examine if the number of symptoms post-AP treatment predicted symptom change during the follow-up period. The initial analysis indicated that the introduction of a relapse prevention program did not affect symptom change during follow-up. The symptom change during AP treatment did predict symptom change during follow-up for three of the four treatment groups (all except one of the BA groups). The number of symptoms post-AP treatment, however, did not predict symptom change during follow-up for any of the treatment groups. The main conclusion from this thesis is that PA seems to be effective for treating and preventing depressive symptoms. PA with a rationale is more effective than without one, and an understanding of the person’s situation is important for a treatment outcome. If a symptom change can be achieved during the acute phase, the likelihood for symptom change during the follow-up increases.
|
|
2. |
- Stenling, Andreas, 1982-
(författare)
-
Sports coaches’ interpersonal motivating styles : longitudinal associations, change, and multidimensionality
- 2016
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Coaches play a central role in shaping the sport environment for young athletes. This thesis is focused on the leadership process in sports and how coaches’ autonomy-supportive and controlling interpersonal styles longitudinally are related to young athletes’ motivation and ill- and well-being. The aim is also to examine psychometric multidimensionality in measures of coaches’ need-supportive and controlling interpersonal styles. Questionnaire data from young athletes were used in the empirical studies. In Study 1, we examined an adaptive motivational process (i.e., longitudinal associations between autonomy support, need satisfaction, self-determined motivation, and well-being). The results showed that within-person changes in perceived autonomy support, need satisfaction, self-determined motivation, and well-being were all positively correlated. Higher self-determined motivation and well-being early in the season longitudinally predicted higher levels of perceived autonomy support from the coach. Higher self-determined motivation was also a positive predictor of within-person changes in perceived autonomy support and well-being over the season. In Study 2, we examined a maladaptive motivational process (i.e., longitudinal associations between coaches’ controlling behaviors, controlled motivation, and ill-being). The findings demonstrated that athletes who perceived their coach as more controlling reported higher controlled motivation at the end of the season and that higher controlled motivation early in the season predicted higher ill-being at the end of the season. Controlled motivation was also a positive predictor of athletes’ perceptions of coaches’ controlling behaviors at the within-person level. Study 1 and 2 suggest that individual factors (e.g., motivation and well-being) seemed to function as important determinants of how athletes perceived their coach and future research should explore the underlying mechanisms through which these processes occur. In Study 3, we examined psychometric multidimensionality in measures of athletes’ perceptions of coaches’ need-supportive (Interpersonal Supportiveness Scale-Coach [ISS-C]) and controlling (Controlling Coach Behaviors Scale [CCBS]) interpersonal styles. The analyses indicated that the ISS-C is not multidimensional; it appears to comprise a single factor. Three of the four subscales of the CCBS appear to share a common core, whereas the fourth subscale (i.e., controlling use of rewards) seems to represent a slightly different aspect of a controlling interpersonal style. These results bring into question the multidimensionality in measures of athletes’ perceptions of coaches’ interpersonal styles. Neither measure displayed a coherent multidimensional pattern, indicating a need for better alignment between theory and measurement.
|
|
3. |
- Johansson, Mattias, 1972-
(författare)
-
Qigong : acute affective responses in a group of regular exercisers
- 2009
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Qigong is a Chinese mind-body therapy that aims to, through the use of movements, relaxed breathing and relaxation/meditation, create a healthy flow of life force, qi, in the body, and consequently improve health. A growing number of Qigong studies report beneficial effects on health and well-being. However, little attention has fo-cused on the acute affective responses that accompany single sessions of Qigong ex-ercise. The aim of the present thesis was therefore to study affective reactions to Qigong exercise. In Study I, the effects of Qigong exercise on mood and anxiety were compared to a control group. Results showed partial support for the superiority of Qigong exercise compared to controls. In Study II, different lengths of session time were compared, resulting in similar affective benefits for the 30 and 60-minute ses-sions. In Study III, affective responses were also assessed during the session, using mean scores and individual responses. Results showed an increase toward greater Activated and Deactivated Pleasantness during the session, with the greatest changes at the end of the bout. The majority of individuals reported increased Pleasantness during the Qigong session. Expectations of positive outcomes were significantly as-sociated with only few affective responses. Responses to open-ended questions of af-fective experiences displayed affective reactions mostly toward greater Deactivated Pleasantness. This thesis contributes to a greater understanding of the limited area of Qigong-related affective responses. For the exercisers, Qigong is associated with a greater momentary emotional state. However, due to the highly select group of regu-lar Qigong exercisers, generalizing the results outside the sample population is lim-ited. Theories on active mechanisms in the Qigong-affect relationship, and results from studies of affective responses to similar activities, suggest that other groups of people would also benefit affectively from Qigong exercise. Given the many benefits of positive affect, Qigong exercise may also pose great promises for the enhancement of other areas related to health and well-being. This calls for additional studies.
|
|
4. |
- Jouper, John, 1960-
(författare)
-
Qigong in daily life : motivation and intention to mindful exercise
- 2009
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- In many countries physical inactivity and a sedentary lifestyle are identified as major public health problems. A general health goal is therefore to promote an active lifestyle throughout the entire life span. The reasons given for not adopting a physically active lifestyle and/or taking part in vigorous exercise include old age, negative social and physical environments, physical disability and other health related issues. Qigong exercise, a low-intensity Chinese self-care method, has therefore been suggested as an alternative activity to vigorous exercise. There is, however, little knowledge about leisure-time qigong exercisers and their reasons for adherence. The general aim of this thesis was therefore to explore leisure-time medical qigong and those practicing it, and to examine how individuals’ motivation and intention to exercise are related to their actual exercise in daily life. Behavioural changes towards an active lifestyle will be discussed from both medical qigong and exercise psychology perspectives. Suggestions are then summarized into a qigong-based Wellness Coaching Model. Participants were recruited from a qigong association and introductory qigong courses. Data were collected by questionnaires and were analysed using both descriptive and inferential statistical methods. The reasons given for leisure-time medical qigong exercise were to aid recovery from illness and to preserve health. Participants in the low-intensity qigong exercise group studied were somewhat older, and their main reason for participating was to achieve a general feeling of wellness. As a group they had mainly low-stress levels and were highly energized. Concentration on qi-flow during exercise correlates positively with improved health feelings, and exercise is performed with deep mindful concentration three to six times per week for an average of thirty minutes. Perceived stress correlates negatively with health, energy and exercise behaviour suggesting that stress has to be managed in order for wellness to emerge. Intrinsically motivated exercisers are more concentrated, and perceive their stress as lower than that of their more externally motivated counterparts. Strong behaviour intentions are significantly correlated with actual exercise frequency. When exercise is performed in a qigong state, with a heightened level of concentration, adherence is higher than otherwise is the case. Results suggest that health-professionals aiming to secure qigong exercise adherence should stimulate feelings of wellness as an intrinsic motive for exercise, strengthen the individuals’ intention to exercise, and promote a calm energy state (low-stress and high energy) before commencement of exercise.
|
|
5. |
- Lundkvist, Erik, 1978-
(författare)
-
Side effects of being tired : burnout among Swedish sport coaches
- 2015
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Burnout is a psychological concept that have got much attention since it was first defined in the middle of the 1970s. Although the definition of burnout differ there is consensus about exhaustion as the most important part of the concept. Burnout have also been in focus in sport psychology research. Mostly athletes have been studied but interest the coach profession have also been of interest. Research on coach burnout have mostly been directed towards demographic variables, organizational issues, behaviors and emotions and more holistic perspectives covering larger models or theories.The aims with this thesis was to try to fill some of the knowledge gaps from earlier coach burnout research with three studies. Study 1 aimed to study subjective experiences associated with perceived causes and symptoms of burnout and the subsequent recovery process. Eight elite soccer coaches who previously had been troubled with high scores of the exhaustion was interviewed. We found two burnout profiles that matched the coaches’ perceived causes of burnout. The first was associatedwith problems in handling the performance culture itself and the second had to do with the overall situation, including workload, family and health. Our findings describe coach burnout as stemming from a combination of issues, related to both home and work. When combined with work overload, coaches who have problems handling the performance culture in elite sports, and who lack the tools to enhance recovery, are particularly vulnerable to burnout.Study 2 focused on evaluating three self-report burnout measures that are available for researchers to use. Our analysis included Maslach Burnout Inventory (MBI), Oldenburg Burnout Inventory (OLBI) and Coach Burnout Questionnaire (CBQ). The main findings were that there are psychometric problems with all three measures and that MBI and OLBI cover similar definitions of burnout and CBQ cover somewhat different dimensions. Of the three methods that were tested CBQ seem to be most suitable for the coaching context. However, CBQ also have several problems and other burnout measures need to be evaluated in the coach context.Study 3 focused on the associations between workaholic tendencies and combining coaching job with having a family or a spouse, which can be a stressor since the work situation and family situation can be hard to combine. The main findings were that work seem to interfere more with family life than family life interfere with working live. Further workaholic tendencies and exhaustion was not associated.When interpreting the aggregated results from the thesis there are two main findings. First, the way coach burnout has been measured until now is unsatisfying. Although the development of a coach specific measure (CBQ) is promising, further development is needed, both when it comes to the theoretical aspects of the burnout construct and psychometric issues. Second, the symptoms and perceived causes in coach burnout is highly individual and makes burnout a very personal experience. Future research should focus on both the origins as well as the measurement of thisdetrimental concept.
|
|
6. |
- Lundqvist, Carolina
(författare)
-
Competing Under Pressure : State Anxiety, Sports Performance and Assessment
- 2006
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Elevated levels of anxiety are a common response to stressful competitive sports situations, are known to moderate athletic performance and are referred to as an unpleasant emotional state associated with perceptions of situational threat. The empirical studies in this dissertation considered primarily psychometric, methodological and conceptual issues of relevance for the study of anxiety and sports performance. In Study I, athletes were followed across a full competitive season to explore patterns of inter- and intra-individual variability of anxiety and self-confidence in relation to performance. The findings imply intra-individual anxiety and self-confidence variability to affect performance differently than the specific intensity level and are discussed in relation to more stable personality dispositions such as private self-consciousness. Study II evaluated the psychometric properties of the 27-item Competitive State Anxiety Inventory-2 (CSAI-2) and alternative versions of this scale. General support for a 17-item version (CSAI-2R) was found, but there are also psychometric limitations future research needs to resolve. Study III investigated assessment of intensity and directional ratings on single anxiety items with reference to the conceptualisation of anxiety symptoms as interpreted on a debilitative-facilitative continuum. The findings question the importance and rationale of assessing anxiety direction and revealed serious concerns with assessment procedures and statistical techniques applied in previous research. These concerns were also supported in Study IV, which explored athletes’ idiosyncratic experiences of debilitative and facilitative anxiety symptoms in terms of intensity and emotional valence. The findings are discussed and summarised in a model in order to increase conceptual clarity and provide implications for future research regarding anxiety and related emotional performance states.
|
|
7. |
- Gustafsson, Henrik, 1974-
(författare)
-
Burnout in competitive and elite athletes
- 2007
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Intensified training regimes and increasing competitive pressure make some athletes leave sports with shattered hopes and dreams. A number of these athletes drop out of sports due to burnout, which is characterized by an enduring experience of emotional and physical exhaustion, reduced sense of accomplishment and devaluation of sport participation as a consequence of prolonged chronic stress. Loss of engagement and diminished motivation also characterize burnout. But burnout is more than just a simple stress reaction, as not all athletes who experience stress burn out. Study I investigates the prevalence of burnout among competitive athletes. The number of athletes showing high levels of burnout was found to be between 1 and 9%. The number of athletes suffering from severe burnout was estimated at 1-2%. Contrary to what has been speculated, burnout was not more common in individual sports than in team sports. Study II investigated the burnout process using a case-study approach. It was found that burnout can evolve with different levels of severity, time perspectives and characteristics. There appears to be a relationship between overtraining syndrome and burnout, and the study gave support to the notion that burnout is the most severe outcome on the training fatigue continuum. Early success might lead to high expectations and an inner pressure to train, which in the three cases made the athletes ignore signs of maladaptation. Performance-based self-esteem appears to be a “driving force” in the burnout process. In Study III the burnout experience was investigated using qualitative interviews. Lack of recovery, “too much sports” and high external demands were described as causes of burnout. A stressful situation with multiple demands from sport, school and social relationships leads to a total overload, which has both physiological and psychological consequences. Critical factors were a unidimensional identity, performance-based self-esteem, an inflexible organization and feelings of entrapment. These restraining factors made the athletes remain in sports despite negative outcomes. Thus the three studies indicate that burnout is a serious problem in competitive and elite sports, that restraining factors offer an explanation for why athletes remain in sport despite negative outcomes, and that striving for self-esteem is crucial in the development of burnout.
|
|
8. |
- Hjälm, Sören, 1957-
(författare)
-
Utbrändhet och återhämtning bland elitfotbollstränare
- 2014
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Only a small number of studies dealing with burnout among coaches have been published, and none of these have dealt with burnout among elite soccer coaches in a European context. This thesis – investigating both the burnout and recovery process – includes a longitudinal design spanning ten years. Out of 53 head coaches, from elite soccer teams in Sweden, 47 participated in study 1. Results showed that burnout scores assessed by Maslachs Burnout Inventory (MBI) were generally low, but coaches in women’s premier league showed significantly higher levels of emotional exhaustion than coaches in men’s soccer teams. A sub-sample of these 47 coaches was interviewed for study 2, namely those 8 reporting the highest MBI scores. Characteristics of the elite coach professions personality traits and the allover life situation of the coach were identified as risk factors for developing burnout, as well as some retention factors, risking to create detention effects which might worsen the stress levels of the coach. In study 3 and 4, the burnout and recovery processes were examined, respectively. On the basis of descriptions from the coaches, three separate phases are discerned from the burnout process: a phase of restlessness and annoyance, a fatigue phase and finally a phase of exhaustion and burnout, while it is possible to make out four phases in the recovery process: a wake-up process, a phase removing one-self, a phase of reflection and evaluation, and finally a phase of new-orienting one-self. Study 5 revealed that both energy cost reducing strategies and energy boosting activities, were used by the coaches to prevent burnout. Study 6 showed that lack of sufficient recovery periods inhibited a lowering of the burnout levels, but also that lack of adequate coping strategies slowed the recovery process and also that coaches who have experienced burnout have an impaired professional efficiency. Finally, the focus in study 7 was on longterm consequences of burning out. Increased fatigue, diseases, cognitive impairment and a lower stress tolerance were examples of negative consequences, whereas an improved ability to identify stress causes and an enhanced awareness about one’s stress reactions, as well as to reflect and prioritize health, were examples of positive and favourable consequences. It is also urgent that elite clubs strive to create a good psycho-social work environment, which will function as a buffer against stress.
|
|
9. |
- Kenttä, Göran
(författare)
-
Overtraining, staleness, and burnout in sports
- 2001
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Intense and frequently performed physical training can result in both adaptation and maladaptation often referred to as overtraining syndrome/ staleness or burnout depending on the severity of the condition. In Study I, a new conceptual model was presented generating a holistic understanding of both process and outcome; the concept of Total Quality Recovery was also developed.In Study II and III, the incidence rate and nature of staleness and its relationship with burnout across countries and sports were examined. In Study IV, the utility of right-now mood state responses was explored in order to monitor training and recovery in a naturalistic setting.Too much training (physiologically driven), high levels of psychosocial stress in combination with moderate training loads (psychosociologically driven), and an obvious lack of recovery actions undertaken (poor recovery driven) are major pathways accounting for the majority of stale and burnout athletes.Four core attributes of staleness were identified: performance decrement, mood disturbance, exhaustion, and perceptual distortion. Analogues with staleness, the first three attributes were also suggested as core dimensions of burnout, together with devaluation referring to negative attitudes toward sport and involvement in it. Frequent episodes, or long lasting periods of staleness, may place the athlete at risk of ultimately developing burnout. Self-monitoring of training and recovery is regarded as an important strategy that promotes self-awareness and self-control, which subsequently may enhance continuous adaptation and prevent maladaptive consequences.Promoting continued performance development and shortterm peak performance can best be conceptualized as a psychosociophysiological act of balance.
|
|