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[{"key": "dc.contributor.advisor", "value": "Korpi, Hilkka", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Piirainen, Arja", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Maljanen, Maria", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2019-02-19T06:58:36Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2019-02-19T06:58:36Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2019", "language": "", "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/62851", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Masennush\u00e4iri\u00f6t ovat merkitt\u00e4v\u00e4 kansanterveydellinen ongelma. Pitk\u00e4\u00e4n jatkunut masennus voi johtaa masennuksen kroonistumiseen. Fyysist\u00e4 aktiivisuutta masennuksen hoidossa on tutkittu useissa tutkimuksissa, mutta niiden pohjalta ei voi muodostaa yksiselitteist\u00e4 k\u00e4sityst\u00e4 siit\u00e4, millaiset liikkumisen muodot toimivat tehokkaasti masennuksen hoidossa. Masennuksen hoidossa suositellaan liikuntaa yhdess\u00e4 l\u00e4\u00e4kehoidon ja psykoterapian kanssa. Pro gradu -tutkielman tarkoituksena oli selvitt\u00e4\u00e4, millaisia kokemuksia kroonista masennusta sairastavilla suomalaisilla on fyysisest\u00e4 aktiivisuudesta. \nTutkimukseen osallistui kolme miest\u00e4 ja seitsem\u00e4n naista, ik\u00e4jakaumaltaan 44\u201372 vuotta (keski-ik\u00e4 59 vuotta). Heill\u00e4 kaikilla oli todettu krooninen masennus eli dystymia. Tutkimusaineisto hankittiin avoimien haastattelujen avulla, ja litteroitua teksti\u00e4 saatiin yhteens\u00e4 126 sivua. Tulokset analysoitiin Spiegelbergin seitsem\u00e4nportaisen fenomenologisen aineistonanalyysin mukaisesti. Ensin litteroidut tekstit luettiin useaan kertaan ja niist\u00e4 eroteltiin olennaiset fyysisen aktiivisuuden yksil\u00f6lliset kokemuksen merkitykset. Merkitysyksik\u00f6ist\u00e4 koottiin merkityskokonaisuudet ja lopuksi fyysinen aktiivisuus kuvattiin merkityskokonaisuuksien synteesin\u00e4.\nTuloksista nousi esiin nelj\u00e4 eri merkityskokonaisuutta: 1) liikkuminen velvollisuutena 2) palkitseva liikkuminen 3) liikkuminen kehollisena kokemuksena ja 4) liikkuminen sosiaalisen vuorovaikutuksen mahdollistajana. Aihealueen aikaisempi tutkimus osoittaa, ett\u00e4 masentuneet kokivat fyysisen aktiivisuuden vaikuttavan my\u00f6nteisesti arjen toimintoihin. He my\u00f6s pitiv\u00e4t tietoa liikunnan hy\u00f6dyllisyydest\u00e4 tarpeellisena. Ohjaajaa ja t\u00e4lt\u00e4 saatua kannustavaa, yksil\u00f6llist\u00e4 ja motivoivaa ohjausta pidettiin t\u00e4rke\u00e4n\u00e4. Aikaisemmissa tutkimuksissa esteiksi fyysiselle aktiivisuudelle koettiin olevan motivaation puute, riskit liikuntariippuvuudelle, ymp\u00e4rist\u00f6n tuomat ennakkoluulot ja asenteet sek\u00e4 heikko itseluottamus. T\u00e4m\u00e4n tutkimuksen tulokset ovat osaltaan samansuuntaisia, mutta tuloksissa korostuu, ett\u00e4 kroonista masennusta k\u00e4rsivien on haastava kokea ja saada liikkumisesta kehollista mielihyv\u00e4\u00e4 ja tunnistaa sit\u00e4. Tuloksista nousi esille, kuinka kroonista masennusta k\u00e4rsivill\u00e4 on tarve kohdata ihmisi\u00e4, mutta samalla heill\u00e4 on pelkoa hyl\u00e4tyksi tulemisesta tai leimaantumisesta ryhm\u00e4ss\u00e4. \nMasennuksesta k\u00e4rsiv\u00e4\u00e4 henkil\u00f6\u00e4 hoidettaessa fysioterapiassa tulisi keskitty\u00e4 miellytt\u00e4v\u00e4n liikkumiskokemuksen l\u00f6yt\u00e4miseen ja miellytt\u00e4vyyden kokemiseen pelk\u00e4n fyysisen suorituksen sijaan. Kehollista tunnistamista ja kokemista voidaan osaltaan tukea psykofyysisell\u00e4 fysioterapialla, joka perustuu kokemukselliseen oppimiseen ja ihmisen voimavaroja tukevaan terapiaan.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Depression is a major public health problem. Long-term depression can lead to chronic depression. Physical activity in the treatment of depression has been studied and analyzed in several studies. However, these studies are not able to form a clear understanding of the types of physical activity that works effectively in the treatment of depression. In the treatment of depression, it is recommended that physical activity be combined with medication and psychotherapy. The purpose of the study was to find out what kind of experiences Finnish patients with chronic depression have when participating in physical activity.\n\n\nData was collected through open interviews with ten adults who were at the time suffering from chronic depression and dysthymia, within an age group ranging from 44 to 72 years (mean age 59 years). A total of 126 pages of transcript pages were analyzed according to Spiegelberg's seven-step meaning analysis. First, the transcripts were read several times and all the meaningful personal experiences of physical activity were separated as extracts. Then, these extracts that were found relevant for this study were compiled into preliminary groups forming categories of descriptions. Finally, the physical activity was described as the internal relationships or synthesis between the listed categories, constituting as the final outcome space. \n\nPatients with chronic depression that participated in this research experienced physical activity through four themes: 1) physical activity as a responsibility 2) rewarding physical activity 3) physical activity as a bodily experience 4) physical activity social interaction. Earlier research in the subject shows that depressed people who take part in physical activity, find that it helps them with their daily life and that they found the information about the benefits of physical activity useful. An encouraging, motivating and supportive instructor was also considered essential. On the other hand, the lack of individual motivation, the risk of getting addicted to the physical activity, social prejudices and lack of self-confidence were experienced as possible obstacles. The results indicate that people with chronic depression struggle to experience and recognize physical pleasure. Further, the results highlighted how people with chronic depression need social encounters, but at the same time they carry the fear of being abandoned or being stigmatized in the group. \n\nWhen treating a person suffering from depression, physiotherapy should focus on finding a pleasant physical activity experience and experiencing a pleasant feeling in the body rather than just performing a physical activity. Bodily experience can be supported by physiotherapy based on experiential learning and human resource therapy.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2019-02-19T06:58:36Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2019-02-19T06:58:36Z (GMT). No. of bitstreams: 0\n Previous issue date: 2019", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "51", "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": "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": "krooninen masennus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Kroonisesti masentuneiden kokemukset fyysisest\u00e4 aktiivisuudesta : fenomenologinen tutkimus", "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-201902191571", "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": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Physiotherapy", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"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": null, "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": "50422", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fyysinen aktiivisuus", "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": "liikunta", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fysioterapia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "liikkuminen", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kokemukset", "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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