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[{"key": "dc.contributor.author", "value": "Naamanka, Elina", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Suutari, Ville", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2014-05-02T09:36:23Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2014-05-02T09:36:23Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2014", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1446241", "language": "", "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/43306", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "JYV\u00c4SKYL\u00c4N YLIOPISTO\r\nPsykologian laitos\r\nNAAMANKA, ELINA & SUUTARI, VILLE: Ryhm\u00e4muotoinen hyv\u00e4ksymis- ja omistautumisterapia unettomuudesta k\u00e4rsiville - hoitotulosta ennustavat tekij\u00e4t\r\nPro gradu-tutkielma, 33 s., 3 liittes.\r\nOhjaajat: Jukka Kaartinen, Raimo Lappalainen\r\nPsykologia\r\nToukokuu 2014\r\nTutkimuksessa tarkasteltiin unettomuudesta k\u00e4rsiville suunnatun ryhm\u00e4muotoisen hyv\u00e4ksymis- ja omistautumisterapian (HOT) onnistuneeseen hoitotulokseen vaikuttavia tekij\u00f6it\u00e4. Tarkastelun kohteena olivat tutkittavien demografiset muuttujat, psykologinen ja fyysinen hyvinvointi, unettomuuden haittaavuus, HOT:n prosessit sek\u00e4 persoonallisuustekij\u00e4t. N\u00e4iden muuttujien ennustavuutta hoitotulokseen tarkasteltiin ennen terapian alkua j\u00e4rjestetyn mittauksen ja hoidon j\u00e4lkeisen seurantamittauksen tuloksia vertailemalla. Lis\u00e4ksi tutkittiin, vaikuttavatko uneen viikoittainen tietoisuustaitoharjoittelu, unihygieniaohjeiden soveltaminen ja arvojen mukaisten kotiteht\u00e4vien tekeminen.\r\nTutkimuksessa tarkasteltiin 32 henkil\u00f6\u00e4 ja kliinisesti merkitt\u00e4v\u00e4\u00e4 paranemista kuvattiin jakamalla tutkittavat kahteen ryhm\u00e4\u00e4n: terapiasta hy\u00f6tyneisiin ja hy\u00f6tym\u00e4tt\u00f6miin. Jakoperusteina k\u00e4ytettiin unettomuuden haittaavuuden v\u00e4hentymist\u00e4 (hy\u00f6tyneet n = 11; hy\u00f6tym\u00e4tt\u00f6m\u00e4t n = 21) sek\u00e4 unip\u00e4iv\u00e4kirjassa arvioitua unen keston pidentymist\u00e4 (hy\u00f6tyneet n = 12; hy\u00f6tym\u00e4tt\u00f6m\u00e4t n = 20). Tilastollisina analyysimenetelmin\u00e4 k\u00e4ytettiin yksisuuntaista varianssianalyysia (ANOVA) ja lineaarista regressioanalyysia.\r\nANOVA -tulokset osoittivat, etteiv\u00e4t ryhm\u00e4t eronneet tilastollisesti merkitsev\u00e4sti toisistaan (p > .05). Kun hy\u00f6tymisen kriteerin\u00e4 oli unettomuuden haittaavuuden v\u00e4hentyminen, onnistunutta hoitotulosta ennustivat kuitenkin suuntaa antavasti (p < .10) terapiaa edelt\u00e4v\u00e4 suurempi unettomuuden haittaavuus, korkeampi taipumuksellinen toiveikkuus sek\u00e4 terapian aikainen arvoty\u00f6skentely. Unip\u00e4iv\u00e4kirjassa arvioidun unen keston pidentymisen perusteella onnistunutta hoitotulosta ennustivat suuntaa antavasti (p < .10) nuorempi ik\u00e4, terapiaa edelt\u00e4v\u00e4t v\u00e4h\u00e4isemm\u00e4t uneen liittyv\u00e4t haitalliset uskomukset ja asenteet sek\u00e4 alhaisempi tilannesidonnainen ja taipumuksellinen toiveikkuus. Regressioanalyysissa sen sijaan havaittiin, ett\u00e4 akateeminen koulutus sek\u00e4 ennen terapiaa mitattu alhainen taipumuksellinen toiveikkuus selittiv\u00e4t merkitsev\u00e4sti (p < .05) unettomuuden haittaavuuden v\u00e4hentymist\u00e4. Lis\u00e4ksi havaittiin, ett\u00e4 ennen terapiaa mitattu heikko psykologinen joustavuus ja alhainen tilannesidonnainen toiveikkuus selittiv\u00e4t merkitsev\u00e4sti arvioidun unen keston pidentymist\u00e4. Regressioanalyysissa ryhm\u00e4jakoa ei otettu huomioon.\r\nTutkimuksen perusteella hyv\u00e4ksymis- ja omistautumisterapia soveltuu ryhm\u00e4muotoisena interventiona heterogeenisille ryhmille. Jatkotutkimuksen kannalta t\u00e4rke\u00e4\u00e4 olisi kehitt\u00e4\u00e4 uusia mittareita, jotka keskittyisiv\u00e4t unen ja psykologisen joustavuuden vuorovaikutuksen mittaamiseen. Lis\u00e4ksi tulisi tutkia tarkemmin unettomuudesta k\u00e4rsivien yleisen toiveikkuuden, terapiaan ja terapeuttiin liittyvien asenteiden, terapiaan motivoitumisen ja ryhm\u00e4dynamiikan yhteytt\u00e4 terapiasta hy\u00f6tymiseen.\r\nAvainsanat: Hyv\u00e4ksymis- ja omistautumisterapia, unettomuus, ryhm\u00e4interventio, hoitotuloksen ennustaminen", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "JYV\u00c4SKYL\u00c4N YLIOPISTO\r\nDepartment of Psychology\r\nNAAMANKA, ELINA & SUUTARI, VILLE: Acceptance and commitment therapy for insomnia as a group intervention - Predictors of treatment response\r\nMaster\u2019s thesis, 33 p., 3 appendixes\r\nSupervisors: Jukka Kaartinen, Raimo Lappalainen\r\nPsychology\r\nMay 2014\r\nThe aim of the study was to find out if certain factors predict therapy outcome on insomniacs participating in acceptance and commitment (ACT) group therapy. Demographic variables, clinical variables related to insomnia, variables related to ACT and psychological problems in addition to health related variables were examined as the predicting factors. The results of the measurement before the group therapy began and the one month follow up were examined and compared to determine the predicting factors.\r\nThe study group consisted of 32 participants. Participants were divided into two groups of responders and non-responders in order to represent clinically significant improvement. Two outcome variables were used to estimate good and poor clinical outcome: improvement of two standard deviations in ISI scores and a 30-minute improvement in their self-evaluated duration of sleep. One-Way analysis of variance (ANOVA) and linear regression analysis were used as statistical methods.\r\nNo significant pretreatment factors between responders and non-responders that were related to treatment outcome were found with ANOVA. However, there were some suggestive results (p < 0.10). Responders according to improvement in insomnia severity had slightly higher insomnia severity and both higher overall dispositional hopefulness and (dispositional hopefulness with agency thinking) at pre-measurement. Furthermore, they did slightly more actions committed to values. Responders according to increase in self-evaluated duration of sleep were a bit younger, had fewer dysfunctional beliefs and attitudes about sleep, had lower (pathway thinking of) dispositional hope and lower current hopefulness at pre-measurement.\r\nMoreover, statistically significant results (p > .05) from the linear regression analysis indicated that slightly higher education level and lower pretreatment dispositional hope (with agency thinking) predicted milder insomnia severity at the 1-month follow-up in responders according to improvement in insomnia severity. Likewise, lower pretreatment hopefulness, (especially agency thinking,) and lower psychological flexibility predicted greater estimated sleep time at the 1-month follow-up in responders according to improvement in their self-evaluated duration of sleep. Regression analysis was carried out without the group division.\r\nThe present study indicates that acceptance and commitment therapy as a group therapy can be helpful to a heterogeneous group of people suffering from insomnia. Further studies should consider on developing specific measurements that focus on the interaction of sleep and psychological flexibility. In addition, assessing overall hopefulness, attitudes towards therapy and the therapist, motivation towards therapy and group dynamics could be beneficial.\r\nKeywords: Acceptance and commitment therapy, insomnia, group intervention, predicting treatment response", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Ville Suutari (visasuut) on 2014-05-02 09:36:23.300419. 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 2014-05-02T09:36:23Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201405021608.pdf: 819155 bytes, checksum: 342d27dacb66400f2b2a79af6f34b05c (MD5)\r\nlicense.html: 5508 bytes, checksum: 6658d9449705fca4486d217c478c0a7e (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2014-05-02T09:36:23Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201405021608.pdf: 819155 bytes, checksum: 342d27dacb66400f2b2a79af6f34b05c (MD5)\r\nlicense.html: 5508 bytes, checksum: 6658d9449705fca4486d217c478c0a7e (MD5)\r\n Previous issue date: 2014", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (52 sivua)", "language": "", "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": "eng", "language": "", "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": "Acceptance and commitment therapy", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "insomnia", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "group intervention", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "predicting treatment response", "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": "unettomuus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "ryhm\u00e4interventio", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "hoitotuloksen ennustaminen", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Acceptance and commitment therapy for insomnia as a group intervention : predictors of treatment response", "language": "", "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-201405021608", "language": "", "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": 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