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[{"key": "dc.contributor.author", "value": "Laaksamo, Sini-Riina", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Marjamaa, Emmi", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2014-02-02T10:47:00Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2014-02-02T10:47:00Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2013", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1436065", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/42908", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4 masennuksen pariterapian vaikuttavuuden eroja tutkimusyksik\u00f6iden v\u00e4lill\u00e4 ja niit\u00e4 v\u00e4litt\u00e4vi\u00e4 tekij\u00f6it\u00e4. N\u00e4it\u00e4 tavoitteita varten tutkittiin my\u00f6s, onko pariterapia vaikuttavaa masennuksen hoidossa. Tutkimusyksik\u00f6iden v\u00e4lisi\u00e4 eroja pariterapian tuloksellisuudessa on tutkittu vain v\u00e4h\u00e4n. Lis\u00e4ksi tekij\u00f6it\u00e4, jotka v\u00e4litt\u00e4v\u00e4t tutkimusyksik\u00f6iden v\u00e4lisi\u00e4 eroja masennuksen pariterapian tuloksellisuudessa ei ole ilmeisesti tutkittu. Kuitenkin masennuksen pariterapian tuloksellisuutta on tutkittu ja sen on todettu olevan tuloksellista (Kung, 2000). T\u00e4ss\u00e4 tutkimuksessa tarkasteltiin L\u00e4nsi-Pohjan ja Pohjois-Savon tutkimusyksik\u00f6iden v\u00e4lisi\u00e4 eroja masennuksen hoidon ja masennuksen pariterapian vaikuttavuudessa kahden vuoden seurannan aikana. Lis\u00e4ksi tutkittiin, v\u00e4litt\u00e4v\u00e4tk\u00f6 demografiset, yksil\u00f6lliset sek\u00e4 suhteisiin, terapiaan ja terapeuttiin liittyv\u00e4t tekij\u00e4t tutkimusyksik\u00f6iden v\u00e4lisi\u00e4 eroja masennuksen pariterapian vaikuttavuudessa. Tutkimus on osa Dialogiset ja narratiiviset prosessit (DINADEP) masennuksen pariterapiassa -projektia, joka toteutettiin vuosina 2005\u20132011 kolmessa sairaanhoitopiiriss\u00e4. Tutkimuksen lopullinen aineisto koostui 46 tutkittavasta. Masennusoireita mitattiin Beck Depression Inventory (BDI)- ja Hamilton Depression Rating Scale (HDRS)-mittareilla. Analyysimenetelmin\u00e4 olivat Mann-Whitney U-testi, toistettujen mittausten varianssianalyysi (ANOVA) ja mediaattorimallit. Tutkimuksen mukaan pariterapia oli vaikuttavaa masennuksen hoidossa koko aineistolla ja L\u00e4nsi-Pohjan tutkimusyksik\u00f6ss\u00e4 verrattuna yleisiin masennuksen lieventymist\u00e4 kuvaaviin raja-arvoihin. Pariterapian vaikuttavuuteen liittyen havaittiin, ettei se eronnut tavanomaisen hoidon vaikuttavuudesta. Selvitett\u00e4ess\u00e4 tutkimusyksik\u00f6iden v\u00e4lisi\u00e4 eroja masennuksen hoidon vaikuttavuudessa L\u00e4nsi-Pohjan tutkimusyksik\u00f6ss\u00e4 masennuksen todettiin laskevan enemm\u00e4n kuin Pohjois-Savon tutkimusyksik\u00f6ss\u00e4 sek\u00e4 BDI- ett\u00e4 HDRS-mittareilla mitattuna. Masennuksen hoito sis\u00e4lsi sek\u00e4 pariterapian ett\u00e4 tavanomaisen hoidon. Kuitenkin tutkittaessa eroja pariterapian vaikuttavuudessa havaittiin, ett\u00e4 tutkimusyksik\u00f6t erosivat toisistaan vain BDI-mittarin suhteen. L\u00e4nsi-Pohjassa BDI-mittarin arvot laskivat enemm\u00e4n kuin Pohjois-Savossa. V\u00e4litt\u00e4vi\u00e4 tekij\u00f6it\u00e4 tarkasteltaessa ainoastaan psykoterapian kesto ja yleisen toimintakyvyn taso v\u00e4littiv\u00e4t tutkimusyksik\u00f6iden v\u00e4lisi\u00e4 eroja masennuksen pariterapian vaikuttavuudessa. Tutkimuksen mukaan tutkimusyksik\u00f6iden v\u00e4lill\u00e4 on havaittavissa eroja pariterapian vaikuttavuudessa. Lis\u00e4ksi on l\u00f6ydett\u00e4viss\u00e4 eroja v\u00e4litt\u00e4vi\u00e4 tekij\u00f6it\u00e4. Hy\u00f6dynt\u00e4m\u00e4ll\u00e4 tietoa tutkimusyksik\u00f6iden v\u00e4lisist\u00e4 eroista ja niihin vaikuttavista tekij\u00f6ist\u00e4 on mahdollista l\u00f6yt\u00e4\u00e4 toimivia hoitok\u00e4yt\u00e4nt\u00f6j\u00e4, joiden avulla voidaan kehitt\u00e4\u00e4 masennuksen pariterapiaa.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The aim of this study was to investigate the differences between research units in the effectiveness of couple therapy for depression and the factors that mediate those differences. For these aims it was also examined whether couple therapy is effective in the treatment of depression. The differences between research units in the effectiveness of couple therapy have been studied only little. In addition, it seems that factors that mediate the differences between research units in the effectiveness of couple therapy for depression have not been studied. However, the effectiveness on couple therapy for depression has been studied and it has been found to be effective (Kung, 2000). In this study the differences between two research units in Northern Savo and Western Lapland were examined regarding the effectiveness of depression treatment and the effectiveness of couple therapy for depression during two-year follow-up. Furthermore, it was studied whether the demographic and individual factors and factors associated with relationships, therapy and therapist mediate the differences between research units in the effectiveness of couple therapy for depression. This study is part of Dialogical and Narrative Processes in Couple Therapy for Depression (DINADEP) project that was conducted in 2005-2011 in mental health outpatient clinics in three hospital districts. The final data of this study consisted of 46 participants. Depressive symptoms were measured with Beck Depression Inventory (BDI) and Hamilton Depression Scale (HDRS). The statistical methods used were Mann-Whitney U test, Repeated Measures Analysis of Variance (ANOVA) and mediation models. Couple therapy for depression was found to be effective in this study when examined with entire data and also in Western Lapland. It was also discovered that the effectiveness of couple therapy does not differ from the effectiveness of treatment-as-usual. When the differences between research units in the effectiveness of depression treatment were studied, BDI and HDRS scores were found to decrease more in Western Lapland than in Northern Savo. The depression treatment included both couple therapy and treatment-as-usual. However, when the differences in effectiveness of couple therapy were examined it was discovered that the research units differed only in BDI scores. The BDI scores decreased more in Western Lapland than in Northern Savo. When the mediating factors were studied, only the duration of psychotherapy and ability to function mediated the differences between research units in the effectiveness of couple therapy for depression. This study suggests that differences between research units in the effectiveness of couple therapy can be discovered. Also factors that mediate the differences can be found. When the information about differences between research units and factors that have an influence on them is used, it is possible to found useful treatment practices that can be used when developing couple therapy for depression.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Sini-Riina Laaksamo (siemlaak) on 2014-02-02 10:46:59.494583. Form: Pro gradu -lomake (2 tekij\u00e4\u00e4) (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake-2-tekijaa). 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 2014-02-02T10:46:59Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201402021181.pdf: 558518 bytes, checksum: 197d6ceda33b48e27c56a9f178e2add4 (MD5)\r\nlicense.html: 5520 bytes, checksum: a091af0ffeb2c2ae0593391d17378d27 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2014-02-02T10:47:00Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201402021181.pdf: 558518 bytes, checksum: 197d6ceda33b48e27c56a9f178e2add4 (MD5)\r\nlicense.html: 5520 bytes, checksum: a091af0ffeb2c2ae0593391d17378d27 (MD5)\r\n Previous issue date: 2013", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (57 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": "pariterapia", "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": "vaikuttavuus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "tutkimusyksik\u00f6iden v\u00e4liset erot", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "v\u00e4litt\u00e4v\u00e4t tekij\u00e4t; couple therapy", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "depression", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "effectiveness", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "differences between research units", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "mediating factors", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Masennuksen pariterapian vaikuttavuuden erot tutkimusyksik\u00f6iden v\u00e4lill\u00e4 ja niit\u00e4 v\u00e4litt\u00e4v\u00e4t tekij\u00e4t", "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-201402021181", "language": null, "element": "identifier", "qualifier": "urn", "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": "dc.subject.discipline", "value": "Psychology", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.date.updated", "value": "2014-02-02T10:47:00Z", "language": "", "element": "date", "qualifier": "updated", "schema": "dc"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": "fi", "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "202", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "pariterapia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "masennus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "vaikuttavuus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.format.content", "value": "fulltext", "language": null, "element": "format", "qualifier": "content", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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