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[{"key": "dc.contributor.advisor", "value": "Penttonen, Markku", "language": "", "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Husu, Pauliina", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2019-07-02T05:21:11Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2019-07-02T05:21:11Z", "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/123456789/64938", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Masennus on merkitt\u00e4v\u00e4 kansanterveysongelma, joka heikent\u00e4\u00e4 el\u00e4m\u00e4nlaatua, rajoittaa toimintakyky\u00e4, lis\u00e4\u00e4 sairastavuutta ja aiheuttaa yhteiskunnallisia kustannuksia. Liikunnan on todettu ehk\u00e4isev\u00e4n masennusoireita ja helpottavan jo masentuneen henkil\u00f6n oireita, erityisesti liev\u00e4ss\u00e4 masennuksessa. Toisaalta masennusoireita ilmoittaneiden henkil\u00f6iden on todettu liikkuvan v\u00e4hemm\u00e4n ja olevan paikallaan enemm\u00e4n kuin oireettomien henkil\u00f6iden. T\u00e4ss\u00e4 tutkimuksessa selvitettiin muokatulla Patient Health Questionnaire (PHQ-9) -kyselyll\u00e4 mitattujen masennusoireiden yhteytt\u00e4 liikemittarilla mitattuun paikallaanoloon ja liikkumiseen suomalaisilla 20\u201369-vuotiailla aikuisilla. Aineistona k\u00e4ytettiin Suomi 100 KunnonKartta -v\u00e4est\u00f6tutkimuksen poikkileikkausaineistoa, jossa osallistujien masennusoireita kartoitettiin muokatulla PHQ-9-kyselyll\u00e4 ja paikallaanoloa ja liikkumista mitattiin liikemittarilla (UKK RM42, UKK Terveyspalvelut Oy, Tampere) seitsem\u00e4n vuorokauden ajan (24/7). Masennusoirekyselyyn vastasi 2191 henkil\u00f6\u00e4 ja liikemittaria ainakin nelj\u00e4 kokonaista vuorokautta k\u00e4ytti 1785 henkil\u00f6\u00e4. Sek\u00e4 kyselyyn ett\u00e4 liikemittarimittaukseen osallistui 1641 henkil\u00f6\u00e4 (60 % naisia). Osallistujien keski-ik\u00e4 oli 49,4 vuotta (keskihajonta 13,4 vuotta). Muokatun PHQ-9-kyselyn yhdeks\u00e4n osatekij\u00e4n yhten\u00e4isyys oli Cronbachin alfakertoimella arvioituna hyv\u00e4 (0,87). Korrelaatiot Rand-36-kyselyll\u00e4 mitattuun el\u00e4m\u00e4nlaatuun olivat tilastollisesti merkitsevi\u00e4 ja vaihtelivat -0,30 (fyysinen toimintakyky ja kivuttomuus) ja -0,76 (psyykkinen hyvinvointi) v\u00e4lill\u00e4. Masennusoirekyselyss\u00e4 suurempi kokonaispistem\u00e4\u00e4r\u00e4 kuvasi runsaampaa oireilua. Osallistujat saivat kyselyss\u00e4 keskim\u00e4\u00e4rin 6,2 pistett\u00e4 (keskihajonta 4,5; vaihteluv\u00e4li 0\u201325 pistett\u00e4). Naisilla kokonaispistem\u00e4\u00e4r\u00e4 oli tilastollisesti merkitsev\u00e4sti suurempi kuin miehill\u00e4. Osallistujat viettiv\u00e4t keskim\u00e4\u00e4rin 9 tuntia 16 minuuttia vuorokaudessa istuen tai makuulla, 1 tunnin 59 minuuttia paikallaan seisten, 3 tuntia 39 minuuttia kevyesti liikkuen ja 45 minuuttia reippaasti/rasittavasti liikkuen. Korkeampi masennusoireiden kokonaispistem\u00e4\u00e4r\u00e4 oli tilastollisesti merkitsev\u00e4ss\u00e4 yhteydess\u00e4 v\u00e4h\u00e4isemp\u00e4\u00e4n paikallaan seisomiseen ja v\u00e4h\u00e4isemp\u00e4\u00e4n liikkumiseen sek\u00e4 askelm\u00e4\u00e4r\u00e4n ett\u00e4 kevyen ja reippaan/rasittavan liikkumisen kokonaisajan mukaan tarkasteltuna. Yhteydet s\u00e4ilyiv\u00e4t tilastollisesti merkitsevin\u00e4, kun osallistujat jaettiin masennusoireiden kokonaispistem\u00e4\u00e4r\u00e4n mukaan kahteen luokkaan (raja-arvo 7 pistett\u00e4). Paikallaanolon ja liikkumisen keskim\u00e4\u00e4r\u00e4iset jaksopituudet eiv\u00e4t eronneet masennusoireita ilmoittaneiden ja oireettomien osallistujien v\u00e4lill\u00e4. Masennusoireita ilmoittaneilla oli tilastollisesti merkitsev\u00e4sti v\u00e4hemm\u00e4n sek\u00e4 lyhyit\u00e4 ett\u00e4 pitki\u00e4 reippaan/rasittavan liikkumisen jaksoja kuin oireettomilla osallistujilla. Masennusoireiden varhainen tunnistaminen v\u00e4est\u00f6ss\u00e4 on t\u00e4rke\u00e4\u00e4, ja muokattu PHQ-9-kysely voi tarjota helpon, nopean ja p\u00e4tev\u00e4n seulontamenetelm\u00e4n t\u00e4h\u00e4n. Erityisen t\u00e4rke\u00e4\u00e4 olisi tunnistaa ja huomioida oireiden varhaiset merkit, jotta ennaltaehk\u00e4isevi\u00e4 toimia, kuten liikkumisen edist\u00e4mist\u00e4, osattaisiin kohdentaa v\u00e4est\u00f6ss\u00e4 tarkoituksenmukaisesti.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Depression is a significant public health problem that decreases quality of life, declines functional capacity, increases morbidity and causes costs for the society. Physical activity (PA) has been shown to prevent depressive symptoms and decrease the symptoms among slightly depressive individuals. Depressive individuals seem to be more sedentary and physically less active than those who are free of the symptoms. The purpose of the study was to examine the association between depressive symptoms measured by a modified Patient Health Questionnaire (PHQ-9) and accelerometer-based sedentary behavior (SB) and PA among 20\u201369-year-old Finnish adults. The study is based on the FinFit 2017 population-based study, in which depressive symptoms were assessed via modified PHQ-9 and SB and PA were measured by a tri-axial accelerometer (UKK RM42, UKK Terveyspalvelut Oy, Tampere) for seven consecutive days (24/7). Modified PHQ-9 was answered by 2191 participants and 1785 individuals used the accelerometer for at least four days during the week. 1641 participants (60 % women) answered the PHQ-9-questionnaire and used the accelerometer. The mean age of the participants was 49,4 years (standard deviation 13,4 years). Cronbach alfa of the nine items of the modified PHQ-9 was 0,87 indicating good consistency. Correlations with quality of life assessed by Rand-36 were statistically significant and ranged from -0,30 (physical functioning and pain) to -0,76 (emotional wellbeing). Higher total score in modified PHQ-9 indicated higher level of depressive symptoms. The mean total score was 6,2 points (standard deviation 4,5; range 0\u201325 points). Women scored on average statistically significantly higher than men. Participants spent on average 9 hours 16 minutes per day in SB, 1 hour 59 minutes standing still, 3 hours 39 minutes in light PA ja 45 minutes in moderate-to-vigorous PA. Higher score of depressive symptoms was statistically significantly associated with less standing still and less PA, assessed in terms of daily number of steps and time spent in light PA and moderate-to-vigorous PA. The associations remained statistically significant when the total score of the modified PHQ-9 was categorized in to two groups (cut-point 7). Bout lengths of SB and PA did not differ between the groups. Participants with depressive symptoms had statistically significantly less moderate-to-vigorous PA regardless of the bout length. It is important to identify depressive symptoms of the population as early as possible. Modified PHQ-9 can serve as a feasible and valid method for this purpose. Identification of the early signs of the symptoms is especially important to be able to target preventive functions, including PA promotion, appropriately.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2019-07-02T05:21:11Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2019-07-02T05:21:11Z (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": "liikemittari", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "paikallaanolo", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Masennusoireiden yhteys liikemittarilla mitattuun paikallaanoloon ja liikkumiseen ty\u00f6ik\u00e4isill\u00e4 aikuisilla", "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-201907023522", "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": "Kasvatustieteiden ja psykologian tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Education and Psychology", "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": "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": "Psykologia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Psychology", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "yvv.contractresearch.initiative", "value": "student", "language": "", "element": "contractresearch", "qualifier": "initiative", "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": "restrictedAccess", "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": "202", "language": "", "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "aikuiset", "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": "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": "v\u00e4est\u00f6tutkimus", "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.rights.accessrights", "value": "The author has not given permission to make the work publicly available electronically. Therefore the material can be read only at the archival workstation at Jyv\u00e4skyl\u00e4 University Library (https://kirjasto.jyu.fi/en/workspaces/facilities).", "language": "en", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.rights.accessrights", "value": "Tekij\u00e4 ei ole antanut lupaa avoimeen julkaisuun, joten aineisto on luettavissa vain Jyv\u00e4skyl\u00e4n yliopiston kirjaston arkistoty\u00f6semalta. Ks. https://kirjasto.jyu.fi/fi/tyoskentelytilat/laitteet-ja-tilat..", "language": "fi", "element": "rights", "qualifier": "accessrights", "schema": "dc"}, {"key": "dc.type.okm", "value": "G2", "language": null, "element": "type", "qualifier": "okm", "schema": "dc"}]
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