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[{"key": "dc.contributor.author", "value": "Granlund, Anna", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2011-08-29T17:02:41Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2011-08-29T17:02:41Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2011", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1182197", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/36593", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Masennus on toimintakyky\u00e4 ja el\u00e4m\u00e4nlaatua alentava mielialah\u00e4iri\u00f6, jolla on vakavia seurauksia sek\u00e4 yksil\u00f6lle ett\u00e4 yhteiskunnalle. Oireyhtym\u00e4 on yleisyydest\u00e4\u00e4n huolimatta edelleen alihoidettu, ja k\u00e4rsii muun muassa terapiahoidon saatavuuteen liittyvist\u00e4 ongelmista. Masennuksen psykologiseen itsehoitoon tarkoitetut kirjat ovat tavallisesti muuta hoitoa helpommin saatavilla, ja teosten k\u00e4yt\u00f6st\u00e4 on saatu kannustavia tuloksia kliinisesti merkitt\u00e4v\u00e4n depression hoidossa. \r\n\r\nTutkimuksen tarkoituksena oli selvitt\u00e4\u00e4, olisiko hyv\u00e4ksymis- ja omistautumisterapiaan perustuvan itsehoito-oppaan k\u00e4yt\u00f6ll\u00e4 yhteytt\u00e4 mielialassa ja hyvinvoinnissa tavattuun muutokseen osana kuuden kerran hyv\u00e4ksymis- ja omistautumisterapiaa, kun terapeutteina toimivat psykologian opiskelijat. Tutkimuksessa oletettiin, ett\u00e4 oppaan k\u00e4ytt\u00f6 lis\u00e4isi terapiahoidon vaikuttavuutta. Lis\u00e4ksi haluttiin selvitt\u00e4\u00e4 oppaasta saatuja k\u00e4ytt\u00f6kokemuksia. \r\n\r\nTarkastelussa oli yhteens\u00e4 30 masennusoireista k\u00e4rsiv\u00e4\u00e4 henkil\u00f6\u00e4, jotka satunnaistettiin kahteen ryhm\u00e4\u00e4n. Kirjaryhm\u00e4 (n=14) k\u00e4ytti terapian yhteydess\u00e4 Steven C. Hayesin ja Spencer Smithin itsehoito-opasta Vapaudu mielesi vallasta ja ala el\u00e4\u00e4 (2009), ja kirjaton ryhm\u00e4 (n=16) sai terapiahoidon ilman opasta. \r\n\r\nTutkimuksen p\u00e4\u00e4tuloksena havaittiin, ett\u00e4 itsehoito-oppaan k\u00e4ytt\u00f6 ei lis\u00e4nnyt terapiahoidon vaikuttavuutta. Kuuden kerran hyv\u00e4ksymis- ja omistautumisterapia kohensi mielialaa, v\u00e4hensi psyykkisi\u00e4 ja fyysisi\u00e4 oireita sek\u00e4 lis\u00e4si hyvinvointia samankaltaisesti molemmissa ryhmiss\u00e4. Samalla kuitenkin havaittiin, ett\u00e4 hyv\u00e4ksymis- ja omistautumisterapian ydinprosessien, kuten tietoisen l\u00e4sn\u00e4olon, k\u00e4sittelykertojen m\u00e4\u00e4r\u00e4 terapian aikana oli yhteydess\u00e4 suurempiin muutoksiin kirjaryhm\u00e4n hyvinvoinnissa, kun taas kirjattomalla ryhm\u00e4ll\u00e4 vastaavia yhteyksi\u00e4 ei havaittu tai ne olivat heikkoja. Havainto viittaa siihen, ett\u00e4 ryhm\u00e4t erosivat toisistaan tavassa, jolla hoitotulokset saavutettiin. \r\n\r\nItsehoito-oppaan k\u00e4ytt\u00f6kokemukset olivat positiivisia. 88 % opasta k\u00e4ytt\u00e4neist\u00e4 asiakkaista ja 86 % heit\u00e4 hoitaneista terapeuteista koki oppaan olleen hy\u00f6dyllinen osa kuuden kerran lyhytterapiaa. Sek\u00e4 terapeutit ett\u00e4 asiakkaat liittiv\u00e4t oppaasta saadun hy\u00f6dyn kirjan aktiiviseen k\u00e4ytt\u00f6\u00f6n. K\u00e4yt\u00e4nn\u00f6n terapia toimi lis\u00e4ksi terapeuttien mukaan paremmin itsehoito-oppaan kanssa kuin ilman opasta. Asiakkaat kykeniv\u00e4t itsehoito-oppaan avulla kertaamaan terapiaistunnoissa k\u00e4siteltyj\u00e4 asioita, mutta my\u00f6s terapeutit saivat teoksesta tukea k\u00e4yt\u00e4nn\u00f6n terapiaty\u00f6n toteuttamiseen. \r\n\r\nTutkimuksesta saadut tulokset antavat tukea psykologisen itsehoito-oppaan sis\u00e4llytt\u00e4miselle lyhytterapiaan, vaikka opas ei oletuksen vastaisesti lis\u00e4nnyt hoidon vaikuttavuutta. Tutkimuksen perusteella voidaan esitt\u00e4\u00e4, ett\u00e4 itsehoito-oppaan k\u00e4yt\u00f6n tulisi olla terapian aikana s\u00e4\u00e4nn\u00f6llist\u00e4 ja aktiivista, sill\u00e4 tulokset viittaavat n\u00e4iden tekij\u00f6iden olevan yhteydess\u00e4 parempiin hoitotuloksiin. Terapeutin tulisi lis\u00e4ksi tuntea teos tarpeeksi hyvin voidakseen hy\u00f6dynt\u00e4\u00e4 opasta yksil\u00f6llisesti asiakkaansa terapiassa. Teoksen sis\u00e4ll\u00f6ist\u00e4 ja k\u00e4yt\u00f6st\u00e4 tulisi my\u00f6s keskustella asiakkaan kanssa.", "language": "", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Anna Granlund (angrandl) on 2011-08-29 17:02:38.303429. Form: Pro gradu -lomake (1 tekij\u00e4) (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake-1-tekijae). JyX data:", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2011-08-29T17:02:41Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-2011082911306.pdf: 352448 bytes, checksum: 69d69411609129320cad92ef4505da07 (MD5)\r\nlicense.html: 5062 bytes, checksum: 107d4a809f90940b2a0e5a4aac4ad08c (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2011-08-29T17:02:41Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-2011082911306.pdf: 352448 bytes, checksum: 69d69411609129320cad92ef4505da07 (MD5)\r\nlicense.html: 5062 bytes, checksum: 107d4a809f90940b2a0e5a4aac4ad08c (MD5)\r\n Previous issue date: 2011", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "56 sivua", "language": null, "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "biblioterapia", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "hyvinvointi", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "hyv\u00e4ksymis- ja omistautumisterapia", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "itsehoito-opas", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "lyhytterapia", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "masennus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "mielialaongelmat", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "opiskelijaterapeutti", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Psykologisen itsehoito-oppaan k\u00e4ytt\u00f6 lyhytterapiassa : vaikutus mielialaan ja hyvinvointiin sek\u00e4 oppaan k\u00e4ytt\u00f6kokemukset", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-2011082911306", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.dcmitype", "value": "Text", "language": "en", "element": "type", "qualifier": "dcmitype", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Yhteiskuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Social Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Psykologian laitos", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Department of Psychology", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Psykologia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": 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