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[{"key": "dc.contributor.author", "value": "Laakso, Katja", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Tolonen, Taija", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Wallin, Kiia", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2014-11-03T12:51:44Z", "language": "", "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2014-11-03T12:51:44Z", "language": "", "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2014", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1451171", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/44523", "language": "", "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Unettomuus on yleinen ongelma, johon liittyy muun muassa kohonnut riski sairastua muihin mielenterveyden h\u00e4iri\u00f6ihin sek\u00e4 somaattisiin sairauksiin. Hyv\u00e4ksymis- ja omistautumisterapiaa ei ole viel\u00e4 juuri tutkittu unettomuuden hoidossa, vaikka se on todettu tehokkaaksi hoidoksi moniin muihin ongelmiin. My\u00f6sk\u00e4\u00e4n nopeaa hy\u00f6tymist\u00e4 ei ole tutkittu aiemmin unettomuuden hoidossa, vaikka kyseinen ilmi\u00f6 on l\u00f6ydetty muun muassa mieliala- ja ahdistuneisuush\u00e4iri\u00f6iden hoidossa. \r\n\r\nHyv\u00e4ksymis- ja omistautumisterapiaan pohjautuva ryhm\u00e4interventio koostui yhdest\u00e4 puhelinistunnosta ja viidest\u00e4 viikoittaisesta ryhm\u00e4istunnosta. T\u00e4ss\u00e4 k\u00e4ytet\u00e4\u00e4n aineistona 54 intervention l\u00e4pik\u00e4yneelt\u00e4 osallistujalta intervention alussa, puoliv\u00e4liss\u00e4 ja lopussa ker\u00e4tty\u00e4 kyselylomakedataa, sek\u00e4 unip\u00e4iv\u00e4kirjoja, joita osallistujat t\u00e4yttiv\u00e4t ennen interventiota ja sen ajan. Kaiken kaikkiaan t\u00e4ss\u00e4 k\u00e4sitell\u00e4\u00e4n 12 uni-, oire- ja prosessimittarilla ker\u00e4ttyj\u00e4 tietoja. Osallistujat jaettiin hy\u00f6tyneisiin, muuttumattomiin ja taantuneisiin unettomuuden vaikeusasteen mukaan k\u00e4ytt\u00e4en Reliable Change Index \u2013metodia (Jacobson & Truax, 1991). N\u00e4ist\u00e4 ryhmist\u00e4 muodostettiin nopeat hy\u00f6tyj\u00e4t (n = 5), muut hy\u00f6tyj\u00e4t (n = 16) ja hy\u00f6tym\u00e4tt\u00f6m\u00e4t (n = 25), joita vertailtiin muiden mittareiden suhteen yksisuuntaisella varianssianalyysilla. \r\n\r\nKaiken kaikkiaan 15.2 % osallistujista hy\u00f6tyi interventiosta nopeasti, eli kahden ensimm\u00e4isen ryhm\u00e4istunnon aikana, ja 45.7 % intervention loppuun menness\u00e4. Nopeat hy\u00f6tyj\u00e4t eiv\u00e4t eronneet muista hy\u00f6tyjist\u00e4 tai hy\u00f6tym\u00e4tt\u00f6mist\u00e4 taustatekij\u00f6iden, persoonallisuuden tai muiden ennen interventiota mitattujen tekij\u00f6iden suhteen, unettomuuden vaikeusaste mukaan lukien. Nopeiden hy\u00f6tyjien ja muiden hy\u00f6tyjien v\u00e4lill\u00e4 ei ollut intervention lopussa eroa unettomuuden vaikeusasteessa tai muissa muuttujissa, vaikka molemmat ryhm\u00e4t erosivat hy\u00f6tym\u00e4tt\u00f6mist\u00e4 useissa muuttujissa. \r\n\r\nTutkimus osoitti, ett\u00e4 nopeaa hy\u00f6tymist\u00e4 voi tapahtua my\u00f6s unettomuuden hoidossa ja ett\u00e4 hyv\u00e4ksymis- ja omistautumisterapiapohjainen ryhm\u00e4interventio unettomuuteen voi johtaa kliinisesti merkitsev\u00e4\u00e4n hy\u00f6tymiseen. T\u00e4m\u00e4 tutkimus ei l\u00f6yt\u00e4nyt hy\u00f6tymist\u00e4 ennustavia tai selitt\u00e4vi\u00e4 tekij\u00f6it\u00e4, eik\u00e4 my\u00f6sk\u00e4\u00e4n hy\u00f6dyn pysyvyytt\u00e4 tarkasteltu. Tulevaisuudessa tulisi tarkastella muita mahdollisia hy\u00f6tymist\u00e4 selitt\u00e4vi\u00e4 tekij\u00f6it\u00e4 sek\u00e4 hy\u00f6dyn pysyvyytt\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Insomnia is a common problem that is linked with e.g. elevated risk for other mental disorders and medical problems. Acceptance and commitment therapy (ACT) has not been studied much in the treatment of insomnia although it has been found efficient with a variety of disorders. Also, it has not been studied if early improvement occurs in the treatment of insomnia, even though it has been found in the treatment of e.g. depression and anxiety disorders.\r\n\r\nACT-based group intervention consisted of one individual phone session and five weekly group sessions. Here data from 54 participants is used. Participants completed sleep diary before and during the intervention and completed self-evaluation measures before, in the middle of and after the intervention. All in all, data from 12 measures of sleep, symptoms, and processes are examined here. Participants were divided into the groups of improved, unchanged or deteriorated according to the change in the severity of insomnia using the Reliable Change Index \u2013method (Jacobson & Truax, 1991). Based on these groups, the groups of rapid early responders (n = 5), other responders (n = 16), and nonresponders (n = 25) were formed and then compared using one-way analysis of variance.\r\n \r\nIn total 15.2 % of the participants improved rapidly, i.e. during the first two sessions, and 45.7 % by the end of the intervention. The rapid early responders did not differ from the other responders and the nonresponders in demographic factors, personality traits or in any of the measures used in the first assessment, including the severity of insomnia. Additionally, the rapid early responders did not differ from the other responders at the end of the intervention in the severity of insomnia, in other factors, or in the change in any other measure. However, those who improved rapidly or during the whole intervention differed from the nonresponders at the end of the intervention.\r\n\r\nThis study shows that early improvement can occur in the treatment of insomnia and that ACT-based group intervention for insomnia can lead into clinically significant improvement. Here no predicting or explaining factors were found and also the persistence of improvement was not investigated. Future research should investigate other possible explaining factors of the improvement and the persistence of the improvement.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Kiia Wallin (kianwall) on 2014-11-03 12:51:43.864947. Form: Pro gradu -lomake (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake). JyX data: [jyx_publishing-allowed (fi) =True]", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2014-11-03T12:51:44Z\r\nNo. of bitstreams: 2\r\nURN:NBN:fi:jyu-201411033160.pdf: 786583 bytes, checksum: 345869470df16bd3fdc49ef501704f73 (MD5)\r\nlicense.html: 5178 bytes, checksum: 45dba226cf53c28f4a2cd0ed21f695d6 (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2014-11-03T12:51:44Z (GMT). No. of bitstreams: 2\r\nURN:NBN:fi:jyu-201411033160.pdf: 786583 bytes, checksum: 345869470df16bd3fdc49ef501704f73 (MD5)\r\nlicense.html: 5178 bytes, checksum: 45dba226cf53c28f4a2cd0ed21f695d6 (MD5)\r\n Previous issue date: 2014", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "1 verkkoaineisto (53 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": "eng", "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": "unettomuus", "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": "ryhm\u00e4interventio", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "nopea varhainen hy\u00f6tyminen", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Rapid early improvement in the treatment of insomnia with ACT-based group intervention and the factors linked to improvement", "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-201411033160", "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": "2014-11-03T12:51:45Z", "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": "unettomuus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "hyv\u00e4ksymis- ja omistautumisterapia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ryhm\u00e4terapia", "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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