Kehotietoisuus kroonisesti masentuneilla

Tämän tutkimuksen tarkoituksena oli selvittää, esiintyykö subjektiivisen kehotietoisuuden kokemisessa eroja kroonisesti masentuneiden ja terveiden kontrollien välillä. Lisäksi tarkasteltiin kroonisesti masentuneilla kehotietoisuuden yhteyttä masennusoireisiin, painoindeksiin, alkoholinkäytön ja liik...

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Main Author: Latvala, Tuuli-Marjatta
Other Authors: Liikuntatieteellinen tiedekunta, Faculty of Sport and Health Sciences, Liikunta- ja terveystieteet, Sport and Health Sciences, Jyväskylän yliopisto, University of Jyväskylä
Format: Master's thesis
Language:fin
Published: 2019
Subjects:
Online Access: https://jyx.jyu.fi/handle/123456789/64642
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author Latvala, Tuuli-Marjatta
author2 Liikuntatieteellinen tiedekunta Faculty of Sport and Health Sciences Liikunta- ja terveystieteet Sport and Health Sciences Jyväskylän yliopisto University of Jyväskylä
author_facet Latvala, Tuuli-Marjatta Liikuntatieteellinen tiedekunta Faculty of Sport and Health Sciences Liikunta- ja terveystieteet Sport and Health Sciences Jyväskylän yliopisto University of Jyväskylä Latvala, Tuuli-Marjatta Liikuntatieteellinen tiedekunta Faculty of Sport and Health Sciences Liikunta- ja terveystieteet Sport and Health Sciences Jyväskylän yliopisto University of Jyväskylä
author_sort Latvala, Tuuli-Marjatta
datasource_str_mv jyx
description Tämän tutkimuksen tarkoituksena oli selvittää, esiintyykö subjektiivisen kehotietoisuuden kokemisessa eroja kroonisesti masentuneiden ja terveiden kontrollien välillä. Lisäksi tarkasteltiin kroonisesti masentuneilla kehotietoisuuden yhteyttä masennusoireisiin, painoindeksiin, alkoholinkäytön ja liikunta-aktiivisuuden tasoon, nykyisen masennusjakson kestoon, ensimmäisen masennusjakson alkamisajankohtaan sekä sosiodemografisiin tekijöihin. Aineisto koostui Jyväskylän yliopistossa 2017-2018 toteutetun Neurokuvantaminen masennuksessa-tutkimuksen aineistosta, joka on aiemman Finnish Depression and Metabolic Syndrom -tutkimuksen (FDMSA) seurantatutkimus. Kroonisesti masentuneiden ryhmä (n=22) muodostui FDMSA-tutkimuksen masennusryhmäläisistä, joilla masennus oli kroonistunut ja kontrolliryhmä (n=22) saman tutkimuksen verrokeista. Kehotietoisuus arvioitiin G. Roxendalin kehittämällä Body Awareness Scale Interview –mittarilla, joka muokattiin tutkimusta varten kyselylomakemuotoon. Kyselyn maksimipistemäärä on 78 pistettä. Suurempi pistemäärä kuvastaa voimakkaampia oireita/vaikeuksia kehotietoisuudessa. Krooninen masennus kartoitettiin diagnostisen M.I.N.I haastattelun avulla, Beckin depressio -kyselyllä arvioitiin masennusoireiden voimakkuutta. Liikunta-aktiivisuutta International Physical Activity kyselyllä. Alkoholinkäyttöä arvioitiin kolmella kysymyksellä (Kuinka usein käytät alkoholia? Kun käytät alkoholia, montako annosta tavallisimmin otat päivässä? Kuinka usein juot kerrallaan vähintään kuusi annosta?). Lisäksi kysyttiin masennusoireiden kestoa ja alkamisajankohtaa. Tutkittavien keskimääräinen ikä oli 59-vuotta (43-80) ja heistä 69 % oli naisia. Beck indeksin keskiarvo oli kroonisesti masentuneilla 25,4 (kh. 7,5) ja kontrolleilla 2,8 (kh. 2,6) (p<0,001). Painoindeksi kroonisesti masentuneilla oli 29,9 (5,7) ja kontrolleilla 26,0 (4,1) (p=0,013). Ryhmien välillä ei esiintynyt eroa alkoholinkäytössä eikä liikunta-aktiivisuudessa. Kroonisesti masentuneilla kehotietoisuuskyselyn pistemäärä oli 31,8 (7,1) ja kontrollien 6,5 (6,6) (p<0,001). Kliinisistä ja sosiodemografisista tekijöistä ainoastaan runsaampi alkoholinkäyttö oli tilastollisesti erittäin merkitsevästi yhteydessä heikompaan kehotietoisuuteen (Spearman 0,66, p<0,001). Tämän tutkimuksen mukaan kehotietoisuus on kroonisesti masentuneilla terveitä kontrolleja heikompi. Runsaampi alkoholinkäyttö oli yhteydessä lisääntyneisiin ongelmiin kehotietoisuuden kokemisessa kroonisesti masentuneilla. Terveydenhuollon ammattilaisten on masennuksen parhaan mahdollisen hoidon takaamiseksi hyvä huomioida näkökulma masennuksessa esiintyvän kehon ja mielen oireilun yhteydestä sekä runsaan alkoholinkäytön mahdollisesta vaikutuksesta masentuneen kehotietoisuuden kokemukseen. The aim of this study was to examine chronically depressed patients body awareness experience. In addition correlation between body awareness and depressive symptoms, body mass index, level of alcohol consumption and physical activity, duration of current depression episode, starting point of first depression episode and sociodemographic factors were studied. Data consisted of Neuroimaging in Depression -study which was carried out in the University of Jyväskylä at 2017-2018. Neuroimaging in Depression -study is a follow-up study of the Finnish Depression and Metabolic Study (FDMSA). Participants with chronic depression (n=22) consisted of participants who had belonged to depression group at the FDMSA-study and their depression had become chronic. Healthy controls (n=22) were chosen from control group participants from the same study. Body awareness was assessed with body awareness questionnaire which has base on body awareness interview (BAS-I) developed by G. Roxendal. In this study BAS-I was modified and used as a questionnaire. Maximum score in body awareness questionnaire is 78. Higher score indicates more difficulties in body awareness. Chronic depression was assessed with diagnostical interview M.I.N.I and depression symptoms were assessed with Beck Depression Inventory. Physical activity was assessed with International Physical Activity Questionnaire. Alcohol consumption was studied with three questions (How often you use alcohol? When you use alcohol, how many portions you usually take? How often you drink more than six portions at a time?). In addition duration of current depression episode and starting point of first depression episode were studied. Mean age of participants was 59 years (43-80) and 69 % of participants were female. Chronically depressed had mean score of 25,4 (sd. 7,5) in Beck Depression Inventory and controls had 2,8 (sd. 2,6) (p<0,001). Mean score of body mass index was with chronic depressed 29,9 (5,7) and with controls 26,0 (4,1) (p=0,013). There was no difference between groups in alcohol consumption and physical activity. Chronically depressed had score of 31,8 (sd. 7,1) in body awareness questionnaire and controls 6,5 (sd. 6,6) (p<0,001). Only substantial alcohol consumption correlated statistically very significantly to higher score in body awareness questionnaire (Spearman 0,66, p<0,001). Other clinical or sociodemographic factors did not correlate with body awareness score. According to this study chronically depressed patients have more inadequate body awareness experience than healthy controls. Moreover, substantial alcohol consumption correlates with more problems in body awareness in patients with chronic depression. Health professionals, when planning treatment, should take into account that body and mind work together and substantial alcohol consumption may have negative impact on subjective experience of body awareness.
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Suurempi pistem\u00e4\u00e4r\u00e4 kuvastaa voimakkaampia oireita/vaikeuksia kehotietoisuudessa. Krooninen masennus kartoitettiin diagnostisen M.I.N.I haastattelun avulla, Beckin depressio -kyselyll\u00e4 arvioitiin masennusoireiden voimakkuutta. Liikunta-aktiivisuutta International Physical Activity kyselyll\u00e4. Alkoholink\u00e4ytt\u00f6\u00e4 arvioitiin kolmella kysymyksell\u00e4 (Kuinka usein k\u00e4yt\u00e4t alkoholia? Kun k\u00e4yt\u00e4t alkoholia, montako annosta tavallisimmin otat p\u00e4iv\u00e4ss\u00e4? Kuinka usein juot kerrallaan v\u00e4hint\u00e4\u00e4n kuusi annosta?). Lis\u00e4ksi kysyttiin masennusoireiden kestoa ja alkamisajankohtaa.\nTutkittavien keskim\u00e4\u00e4r\u00e4inen ik\u00e4 oli 59-vuotta (43-80) ja heist\u00e4 69 % oli naisia. Beck indeksin keskiarvo oli kroonisesti masentuneilla 25,4 (kh. 7,5) ja kontrolleilla 2,8 (kh. 2,6) (p<0,001). Painoindeksi kroonisesti masentuneilla oli 29,9 (5,7) ja kontrolleilla 26,0 (4,1) (p=0,013). 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Terveydenhuollon ammattilaisten on masennuksen parhaan mahdollisen hoidon takaamiseksi hyv\u00e4 huomioida n\u00e4k\u00f6kulma masennuksessa esiintyv\u00e4n kehon ja mielen oireilun yhteydest\u00e4 sek\u00e4 runsaan alkoholink\u00e4yt\u00f6n mahdollisesta vaikutuksesta masentuneen kehotietoisuuden kokemukseen.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The aim of this study was to examine chronically depressed patients body awareness experience. In addition correlation between body awareness and depressive symptoms, body mass index, level of alcohol consumption and physical activity, duration of current depression episode, starting point of first depression episode and sociodemographic factors were studied.\nData consisted of Neuroimaging in Depression -study which was carried out in the University of Jyv\u00e4skyl\u00e4 at 2017-2018. 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spellingShingle Latvala, Tuuli-Marjatta Kehotietoisuus kroonisesti masentuneilla krooninen masennus dystymia kehotietoisuus Fysioterapia Physiotherapy 50422 tietoisuus masennus alkoholinkäyttö kehontuntemus
title Kehotietoisuus kroonisesti masentuneilla
title_full Kehotietoisuus kroonisesti masentuneilla
title_fullStr Kehotietoisuus kroonisesti masentuneilla Kehotietoisuus kroonisesti masentuneilla
title_full_unstemmed Kehotietoisuus kroonisesti masentuneilla Kehotietoisuus kroonisesti masentuneilla
title_short Kehotietoisuus kroonisesti masentuneilla
title_sort kehotietoisuus kroonisesti masentuneilla
title_txtP Kehotietoisuus kroonisesti masentuneilla
topic krooninen masennus dystymia kehotietoisuus Fysioterapia Physiotherapy 50422 tietoisuus masennus alkoholinkäyttö kehontuntemus
topic_facet 50422 Fysioterapia Physiotherapy alkoholinkäyttö dystymia kehontuntemus kehotietoisuus krooninen masennus masennus tietoisuus
url https://jyx.jyu.fi/handle/123456789/64642 http://www.urn.fi/URN:NBN:fi:jyu-201906143228
work_keys_str_mv AT latvalatuulimarjatta kehotietoisuuskroonisestimasentuneilla