Acceptance and commitment group therapy for treatment of insomnia

Hyväksymis- ja omistautumisterapiaa on käytetty laajasti erilaisten psyykkisten ongelmien hoidossa, niin aikuisilla kuin lapsilla. Viimeaikaisista tutkimuksista HOT:n periaatteiden soveltamisesta nukkumisongelmien ja unettomuuden hoitoon on saatu lupaavia tuloksia. Tämän tutkimuksen tarkoituksena ol...

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Main Authors: Pelkonen, Sonja, Puha, Niina
Other Authors: Yhteiskuntatieteellinen tiedekunta, Faculty of Social Sciences, Psykologian laitos, Department of Psychology, University of Jyväskylä, Jyväskylän yliopisto
Format: Master's thesis
Language:eng
Published: 2013
Subjects:
Online Access: https://jyx.jyu.fi/handle/123456789/45014
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author Pelkonen, Sonja Puha, Niina
author2 Yhteiskuntatieteellinen tiedekunta Faculty of Social Sciences Psykologian laitos Department of Psychology University of Jyväskylä Jyväskylän yliopisto
author_facet Pelkonen, Sonja Puha, Niina Yhteiskuntatieteellinen tiedekunta Faculty of Social Sciences Psykologian laitos Department of Psychology University of Jyväskylä Jyväskylän yliopisto Pelkonen, Sonja Puha, Niina Yhteiskuntatieteellinen tiedekunta Faculty of Social Sciences Psykologian laitos Department of Psychology University of Jyväskylä Jyväskylän yliopisto
author_sort Pelkonen, Sonja
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description Hyväksymis- ja omistautumisterapiaa on käytetty laajasti erilaisten psyykkisten ongelmien hoidossa, niin aikuisilla kuin lapsilla. Viimeaikaisista tutkimuksista HOT:n periaatteiden soveltamisesta nukkumisongelmien ja unettomuuden hoitoon on saatu lupaavia tuloksia. Tämän tutkimuksen tarkoituksena oli selvittää ryhmämuotoisen Hyväksymis- ja omistautumisterapian vaikutuksia unettomuuden hoidossa. Tutkimukseen osallistuneista 32 henkilöä kuului koeryhmään ja 33 tutkittavaa kontrolliryhmään. Hoito suoritettiin ryhmämuotoisena terapiana, joka sisälsi yhteensä kuusi kertaa, joista ensimmäinen tehtiin yksilöllisellä puhelinhaastattelulla. Loput viisi istuntoa pidettiin säännöllisesti viikoittain. Osallistujia tutkittiin yhteensä 15 eri testimenetelmällä, jotka keskittyivät uneen, psyykkiseen joustavuuteen sekä fyysiseen ja henkiseen hyvinvointiin. Tulokset analysoitiin käyttäen hyödyksi toistettujen mittausten varianssianalyysia (ANOVA). Tutkimuksen tuloksena löydettiin merkitsevä ero hoito- ja kontrolliryhmän välillä kuudessa mittarissa. Tilastollisesti merkitsevä ero oli unettomuuden haitta-asteen arviossa, uneen liittyvissä haitallisissa kognitioissa, psykologisessa kärsimyksessä, masennus-, ahdistus-, ja stressioireissa, sekä toiveikkuudessa. Lisäksi koeryhmän sisäisessä tarkastelussa kaikissa mittareissa todettiin tilastollisesti merkitsevä ero ajan suhteen. Tutkimus osoitti, että Hyväksymis- ja omistautumisterapiaan pohjautuva ryhmäinterventio voi olla tehokas keino unettomuuden hoidossa. Esitettyjä tuloksia tulee kuitenkin tulkita maltillisesti johtuen tutkimuksen pitkäaikaisen seurannan puutteesta. Tulevaisuudessa tarvitaankin yhä lisätutkimuksia ja parempien mittareiden kehittämistä unettomuuden prosessien tutkimiseen. Avainsanat: Hyväksymis- ja Omistautumisterapia, unettomuus, ryhmäterapia There are variety of populations and problems, including adults and children with common psychological problems where Acceptance and Commitment Therapy has been used. There are also promising pilot studies focusing principles of ACT for the treatment of insomnia. The aim of this study was to examine the effect of Acceptance and Commitment Group Therapy for sleep disorders. The sample included a treatment group of 32 participants with chronic sleep disorder and a control group of 33 people. The treatment consisted of six group sessions from which the first one was held individually via phone. The remaining five group sessions were held weekly. Altogether there were 15 tests focusing on participants sleep, psychological flexibility and physical and psychological well-being. Outcomes were done by using repeated analyses of variance (ANOVA). There were significant difference between the treatment and the control group in perceived severity of insomnia, sleep-related dysfunctional cognitions, psychological distress, severity of depressive, anxiety and stress symptoms, and dispositional and state hope over time. Additionally all used measures had significant improvements with scores in the treatment group over a time. The study showed that ACT principles -based group intervention can be effective to treat insomnia. These findings, however, need to be interpreted cautiously, due to lack of long time follow-up. Further research and developing new measures for studying processes of insomnia are still needed. Keywords: Acceptance and Commitment Therapy, insomnia, group therapy
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spellingShingle Pelkonen, Sonja Puha, Niina Acceptance and commitment group therapy for treatment of insomnia Acceptance and Commitment Therapy insomnia group therapy Hyväksymis- ja Omistautumisterapia unettomuus ryhmäterapia Psykologia Psychology 202 hyväksymis- ja omistautumisterapia
title Acceptance and commitment group therapy for treatment of insomnia
title_full Acceptance and commitment group therapy for treatment of insomnia
title_fullStr Acceptance and commitment group therapy for treatment of insomnia Acceptance and commitment group therapy for treatment of insomnia
title_full_unstemmed Acceptance and commitment group therapy for treatment of insomnia Acceptance and commitment group therapy for treatment of insomnia
title_short Acceptance and commitment group therapy for treatment of insomnia
title_sort acceptance and commitment group therapy for treatment of insomnia
title_txtP Acceptance and commitment group therapy for treatment of insomnia
topic Acceptance and Commitment Therapy insomnia group therapy Hyväksymis- ja Omistautumisterapia unettomuus ryhmäterapia Psykologia Psychology 202 hyväksymis- ja omistautumisterapia
topic_facet 202 Acceptance and Commitment Therapy Hyväksymis- ja Omistautumisterapia Psychology Psykologia group therapy hyväksymis- ja omistautumisterapia insomnia ryhmäterapia unettomuus
url https://jyx.jyu.fi/handle/123456789/45014 http://www.urn.fi/URN:NBN:fi:jyu-201501071032
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