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  • 201. Timmers, Inge
    et al.
    Simons, Laura E
    Hernandez, Jessica M
    McCracken, Lance M
    Uppsala universitet, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Wallace, Dustin P
    Parent psychological flexibility in the context of pediatric pain: Brief assessment and associations with parent behaviour and child functioning.2019Inngår i: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 23, nr 7, s. 1340-1350Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: The parent's role in the context of pediatric chronic pain is essential. There is growing evidence that parent psychological flexibility positively impacts child functioning. To assess parents' abilities to respond with psychological flexibility to their child's pain, the Parent Psychological Flexibility Questionnaire (PPFQ) was developed. Here, we aim to validate the 10-item version of the questionnaire in an English-speaking population and to evaluate associations with parent behaviour, child pain acceptance and functioning.

    METHODS: Five hundred and seventy-eight parent-child dyads presenting at a pediatric pain clinic were included (92% mothers, average child age 15.2 ± 1.6 years). The PPFQ was completed by the parent. Parent and child also completed other standardized questionnaires. In addition to confirmatory factor analysis and assessments of reliability and validity of the PPFQ-10, a mediation analysis was performed to examine the direct and indirect effects of parent psychological flexibility on child functioning.

    RESULTS: Confirmatory factor analysis supported the three-factor model with subscales for Values-Based Action, Pain Willingness and Emotional Acceptance, and the PPFQ-10 demonstrated strong psychometric properties. After controlling for child pain, parent psychological flexibility indirectly affected child functioning through its association with both parent behaviour (i.e., protectiveness) and child pain acceptance.

    CONCLUSIONS: Our findings provide further support for use of the PPFQ-10 and the importance of assessing and addressing parent psychological flexibility in the context of child chronic pain. Our data show that parent psychological flexibility has an important adaptive role and can impact child functioning through two different routes, both of which can be actively targeted in treatment.

    SIGNIFICANCE: Our findings demonstrate that the PPFQ-10 is an efficient measure of parent psychological flexibility, demonstrating strong psychometric properties. Furthermore, our analyses showed that parent psychological flexibility indirectly affects child functioning through associations with both adaptive parent behaviour and child functioning. Taken together, this study furthers the understanding of how parent psychological flexibility operates and affects children with chronic pain, and may inform and optimize treatments aimed at improving functioning by addressing child and parent coping.

  • 202.
    Torkan, Hajar
    et al.
    Islamic Azad Univ, Isfahan Sci & Res Branch, Esfahan, Iran.
    Blackwell, Simon E.
    MRC, Cognit & Brain Sci Unit, Cambridge, England.
    Holmes, Emily A.
    MRC, Cognit & Brain Sci Unit, Cambridge, England.
    Kalantari, Mehrdad
    Univ Isfahan, Dept Psychol, Esfahan, Iran.
    Neshat-Doost, Hamid Taher
    Univ Isfahan, Dept Psychol, Esfahan, Iran.
    Maroufi, Mohsen
    Isfahan Univ Med Sci, Esfahan, Iran.
    Talebi, Hooshang
    Univ Isfahan, Dept Stat, Esfahan, Iran.
    Positive Imagery Cognitive Bias Modification in Treatment-Seeking Patients with Major Depression in Iran: A Pilot Study2014Inngår i: Cognitive Therapy and Research, ISSN 0147-5916, E-ISSN 1573-2819, Vol. 38, nr 2, s. 132-145Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Cognitive bias modification paradigms training positive mental imagery and interpretation (imagery CBM-I) hold promise for treatment innovation in depression. However, depression is a global health problem and interventions need to translate across settings and cultures. The current pilot study investigated the impact of 1 week of daily imagery CBM-I in treatment-seeking individuals with major depression in outpatient psychiatry clinics in Iran. Further, it tested the importance of instructions to imagine the positive training materials. Finally, we examined the effects of this training on imagery vividness. Thirty-nine participants were randomly allocated to imagery CBM-I, a non-imagery control program, or a no treatment control group. Imagery CBM-I led to greater improvements in depressive symptoms, interpretive bias, and imagery vividness than either control condition at post-treatment (n = 13 per group), and improvements were maintained at 2-week follow-up (n = 8 per group). This pilot study provides first preliminary evidence that imagery CBM-I could provide positive clinical outcomes in an Iranian psychiatric setting, and further that the imagery component of the training may play a crucial role.

  • 203.
    Tuuvas, Marianne
    et al.
    SAPU, Stockholm, Sweden..
    Carlsson, Jan
    Örebro Univ, Dept Law Psychol & Social Work.
    Norberg, Joakim
    Uppsala universitet, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi. Uppsala Univ, Dept Psychol, Uppsala, Sweden..
    A healing relationship: Clients' experiences of the long-term relational significance of the horse in horse assisted psychotherapy2017Inngår i: European Journal of Psychotherapy, ISSN 1364-2537, E-ISSN 1469-5901, Vol. 19, nr 3, s. 307-328Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Horse assisted psychotherapy is a type of treatment for mental ill-health in which the client forms a relationship with a horse. Research suggests that the relationship to a horse is very helpful to clients, but how the horse is experienced many years after the end of treatment has not been investigated. The aim of the present study was thus to investigate how former clients from horse assisted psychotherapy experienced the horse several years after treatment was completed. Former clients (n = 5; all females) from one and the same treatment center were interviewed and the data was analyzed with an inductive thematic approach. The analysis showed that many years after completion of treatment, the horses were still remembered as the most important individuals in the informants' lives during the time of treatment. This was captured by the core category 'A healing relationship'. These findings are in line with previous research that found that patients in horse assisted psychotherapy and their family members attributed improvements from treatment to the patients' relationship to the horses, but adds that the clients also keep these views at follow-up several years after termination of treatment.

  • 204.
    Törnquist, Anna
    et al.
    SAPU Educ Ctr, Brannkyrkagatan 76, S-11823 Stockholm, Sweden.
    Rakovshik, Sarah
    Univ Oxford, OCTC, Oxford, England.
    Carlsson, Jan
    Univ Örebro, Örebro, Sweden.
    Norberg, Joakim
    Uppsala universitet, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    How Supervisees on a Foundation Course in CBT Perceive a Supervision Session and what they Bring Forward to the Next Therapy Session2018Inngår i: Behavioural and Cognitive Psychotherapy, ISSN 1352-4658, E-ISSN 1469-1833, Vol. 46, nr 3, s. 302-317Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: There is limited research into the effect of supervision in cognitive behavioural therapy (CBT) from the supervisees' perspective. Aims: The aim of the study was to acquire knowledge from the supervisees' perspective as to what in particular in the supervision process contributes to the therapy process. Method: Fourteen supervisees on a foundation course participated in the study. A qualitative approach was used with thematic analysis of the participants' written diaries after supervision and therapy sessions. Results: Analyses of supervisees' experiences suggested that a variety of therapeutic interventions were easier to implement if one had the supervisor's support and felt free to decide if and when the suggested interventions could best be implemented. Evaluation in the form of positive feedback from the supervisor indicating that the supervisee was doing the right thing' was perceived to be important. A unifying theme when supervisees felt they were not getting anything out of the supervision was that the supervisees did not have a supervision question. Conclusions: The results of this research suggest that the supervisor's support during training is perceived to be important for the supervisee. Receiving positive feedback from one's supervisor in an evaluation is perceived to have a great impact on whether the therapist implements the suggested therapeutic interventions discussed in the previous supervision.

  • 205. Ulland, Dagfinn
    et al.
    DeMarinis, Valerie
    Uppsala universitet, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Teologiska fakulteten.
    Understanding and working with existential information in a Norwegian adolescent psychatry context: a need and a challenge.2014Inngår i: Mental Health, Religion & Culture, Vol. 17, nr 6, s. 582-593Artikkel i tidsskrift (Fagfellevurdert)
  • 206.
    Vadlin, Sofia
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning, Västerås.
    Åslund, Cecilia
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning, Västerås.
    Nilsson, Kent W.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning, Västerås.
    Development and content validity of a screening instrument for gaming addiction in adolescents: The Gaming Addiction Identification Test (GAIT)2015Inngår i: Scandinavian Journal of Psychology, ISSN ISSN 0036-5564, Vol. 56, nr 4, s. 458-466Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study describes the development of a screening tool for gaming addiction in adolescents - the Gaming Addiction Identification Test (GAIT). Its development was based on the research literature on gaming and addiction. An expert panel comprising professional raters (n=7), experiential adolescent raters (n=10), and parent raters (n=10) estimated the content validity of each item (I-CVI) as well as of the whole scale (S-CVI/Ave), and participated in a cognitive interview about the GAIT scale. The mean scores for both I-CVI and S-CVI/Ave ranged between 0.97 and 0.99 compared with the lowest recommended I-CVI value of 0.78 and the S-CVI/Ave value of 0.90. There were no sex differences and no differences between expert groups regarding ratings in content validity. No differences in the overall evaluation of the scale emerged in the cognitive interviews. Our conclusions were that GAIT showed good content validity in capturing gaming addiction. The GAIT needs further investigation into its psychometric properties of construct validity (convergent and divergent validity) and criterion-related validity, as well as its reliability in both clinical settings and in community settings with adolescents.

  • 207.
    Vetter, Max
    et al.
    Heidelberg University.
    Eib, Constanze
    Stockholm University.
    Hill-Kloß, Sonja
    Heidelberg University.
    Wollscheid, Philipp
    Heidelberg University.
    Hagemann, Dirk
    Heidelberg University.
    Entwicklung und Validierung einer Skala zum sozialen Exhibitionismus im Internet (SEXI)2014Inngår i: DiagnosticaArtikkel i tidsskrift (Fagfellevurdert)
    Abstract [de]

    Socially exhibitionistic behavior in virtual environments has been a scarcely researched issue, despite its increasing relevancein modern societies. Although many theoretical approaches have been suggested, there is a lack of empirical work on this construct. Onepossible reason for this deficit is the absence of an appropriate instrument for the measurement. In order to measure socially exhibitionisticbehavior, a 15-item-scale and a corresponding shortened 8-item version was developed. An explorative factor analysis yielded theexpected one-factor solution. Discriminant validity was investigated by analyzing the correlation structure between the new scale andseveral other measures of personality (Study 1). This was followed by an extensive validation study to investigate both discriminantand convergent validity (Study 2) and a quasi-experimental study comprising extreme prototypes of socially exhibitionistic behavior(Study 3). The findings strongly suggest that the new scale is an appropriate instrument for the measurement of socially exhibitionisticbehavior in virtual environments

  • 208.
    Wallert, John
    et al.
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Klinisk psykologi i hälso- och sjukvård.
    Gustafson, Emelie
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Klinisk psykologi i hälso- och sjukvård.
    Held, Claes
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Uppsala kliniska forskningscentrum (UCR). Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper.
    Madison, Guy
    Department of Psychology, Umeå University, Umeå, Sweden.
    Norlund, Fredrika
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Klinisk psykologi i hälso- och sjukvård.
    von Essen, Louise
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Klinisk psykologi i hälso- och sjukvård.
    Olsson, Erik
    Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Klinisk psykologi i hälso- och sjukvård.
    Predicting Adherence to Internet-Delivered Psychotherapy for Symptoms of Depression and Anxiety After Myocardial Infarction: Machine Learning Insights From the U-CARE Heart Randomized Controlled Trial2018Inngår i: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 20, nr 10, artikkel-id e10754Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Low adherence to recommended treatments is a multifactorial problem for patients in rehabilitation after myocardial infarction (MI). In a nationwide trial of internet-delivered cognitive behavior therapy (iCBT) for the high-risk subgroup of patients with MI also reporting symptoms of anxiety, depression, or both (MI-ANXDEP), adherence was low. Since low adherence to psychotherapy leads to a waste of therapeutic resources and risky treatment abortion in MI-ANXDEP patients, identifying early predictors for adherence is potentially valuable for effective targeted care.

    Objectives: The goal of the research was to use supervised machine learning to investigate both established and novel predictors for iCBT adherence in MI-ANXDEP patients.

    Methods: Data were from 90 MI-ANXDEP patients recruited from 25 hospitals in Sweden and randomized to treatment in the iCBT trial Uppsala University Psychosocial Care Programme (U-CARE) Heart study. Time point of prediction was at completion of the first homework assignment. Adherence was defined as having completed more than 2 homework assignments within the 14-week treatment period. A supervised machine learning procedure was applied to identify the most potent predictors for adherence available at the first treatment session from a range of demographic, clinical, psychometric, and linguistic predictors. The internal binary classifier was a random forest model within a 3×10–fold cross-validated recursive feature elimination (RFE) resampling which selected the final predictor subset that best differentiated adherers versus nonadherers.

    Results: Patient mean age was 58.4 years (SD 9.4), 62% (56/90) were men, and 48% (43/90) were adherent. Out of the 34 potential predictors for adherence, RFE selected an optimal subset of 56% (19/34; Accuracy 0.64, 95% CI 0.61-0.68, P<.001). The strongest predictors for adherence were, in order of importance, (1) self-assessed cardiac-related fear, (2) sex, and (3) the number of words the patient used to answer the first homework assignment.

    Conclusions: For developing and testing effective iCBT interventions, investigating factors that predict adherence is important. Adherence to iCBT for MI-ANXDEP patients in the U-CARE Heart trial was best predicted by cardiac-related fear and sex, consistent with previous research, but also by novel linguistic predictors from written patient behavior which conceivably indicate verbal ability or therapeutic alliance. Future research should investigate potential causal mechanisms and seek to determine what underlying constructs the linguistic predictors tap into. Whether these findings replicate for other interventions outside of Sweden, in larger samples, and for patients with other conditions who are offered iCBT should also be investigated.

    Fulltekst (pdf)
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  • 209.
    Weeks, Kirsty R
    et al.
    UCL, Fac Brain Sci, Div Psychiat, London, England.
    Gould, Rebecca L
    UCL, Fac Brain Sci, Div Psychiat, London, England.
    Mcdermott, Christopher
    Univ Sheffield, Fac Med, Sheffield Inst Translat Neurosci SITraN, Dept Neurosci,Dent & Hlth, Sheffield, S Yorkshire, England.
    Lynch, Jessica
    UCL, Fac Brain Sci, Div Psychiat, London, England.
    Goldstein, Laura H
    Kings Coll London, Inst Psychiat Psychol & Neurosci, Dept Psychol, London, England.
    Graham, Christopher D
    Queens Univ Belfast, Sch Psychol, Belfast, Antrim, North Ireland.
    McCracken, Lance
    Uppsala universitet, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Serfaty, Marc
    UCL, Fac Brain Sci, Div Psychiat, London, England; Priory Hosp North London, London, England.
    Howard, Robert
    UCL, Fac Brain Sci, Div Psychiat, London, England.
    Al-Chalabi, Ammar
    Kings Coll London, Maurice Wohl Clin Neurosci Inst, Dept Basic & Clin Neurosci, London, England; Kings Coll Hosp London, Dept Neurol, London, England.
    White, David
    Univ Sheffield, Sch Hlth & Related Res ScHARR, Clin Trials Res Unit, Sheffield, S Yorkshire, England.
    Bradburn, Mike
    Univ Sheffield, Sch Hlth & Related Res ScHARR, Clin Trials Res Unit, Sheffield, S Yorkshire, England.
    Young, Tracey
    Univ Sheffield, Sch Hlth & Related Res ScHARR, Clin Trials Res Unit, Sheffield, S Yorkshire, England.
    Cooper, Cindy
    Univ Sheffield, Sch Hlth & Related Res ScHARR, Clin Trials Res Unit, Sheffield, S Yorkshire, England.
    Shaw, Dame Pamela J
    Univ Sheffield, Fac Med, Sheffield Inst Translat Neurosci SITraN, Dept Neurosci,Dent & Hlth, Sheffield, S Yorkshire, England.
    Lawrence, Vanessa
    Kings Coll London, Inst Psychiat Psychol & Neurosci, Hlth Serv & Populat Res, London, England.
    Needs and preferences for psychological interventions of people with motor neuron disease.2019Inngår i: Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration, ISSN 2167-8421, E-ISSN 2167-9223, Vol. 20, nr 7-8, s. 521-531Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: There is a lack of knowledge about what factors may impede or facilitate engagement in psychological interventions in people with motor neuron disease (pwMND) and how such interventions can be adapted to best meet the needs of this population.

    Objectives: To explore the needs and preferences of pwMND with respect to psychological interventions, and how best to adapt such interventions for pwMND.

    Methods: A series of semi-structured interviews (n = 22) and workshops (n = 3) were conducted with pwMND (n = 15), informal caregivers of pwMND (n = 10), and MND healthcare professionals (n = 12). These explored preferences and concerns that would need to be considered when delivering a psychological intervention for pwMND. Three areas were explored: (i) perceived factors that may hinder or facilitate pwMND engaging with psychological interventions; (ii) ways in which such interventions could be adapted to meet the individual needs of pwMND; and (iii) views regarding the main psychological issues that would need to be addressed. Workshops and interviews were audio recorded and transcribed and thematic analysis was used to inductively derive themes.

    Findings: Data could be classified within four overarching themes: unfamiliar territory; a series of losses; variability and difficulty meeting individual needs; and informal support.

    Conclusions: Flexibility, tailoring interventions to the individual needs of pwMND, and encouraging autonomy are key attributes for psychological interventions with pwMND. Psychological interventions such as Acceptance and Commitment Therapy (ACT) could be acceptable for pwMND if adapted to their specific needs.

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  • 210.
    Weyrich, Philippe
    et al.
    Climate Policy Group, Department of Environmental Systems Science, Swiss Federal Institute of Technology (ETH Zurich), 8092 Zurich, Switzerland.
    Mondino, Elena
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Geovetenskapliga sektionen, Institutionen för geovetenskaper, Luft-, vatten- och landskapslära. Centre of Natural Hazards and Disaster Science, Uppsala, Sweden.
    Borga, Marco
    Department of Land, Environment, Agriculture and Forestry, University of Padua, 35122 Padua, Italy.
    Di Baldassarre, Giuliano
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Geovetenskapliga sektionen, Institutionen för geovetenskaper, Luft-, vatten- och landskapslära. Centre of Natural Hazards and Disaster Science, Uppsala, Sweden.
    Patt, Anthony
    Climate Policy Group, Department of Environmental Systems Science, Swiss Federal Institute of Technology (ETH Zurich), 8092 Zurich, Switzerland.
    Scolobig, Anna
    Environmental Governance and Territorial Development Hub/Institute, University of Geneva, 1205 Geneva, Switzerland.
    A flood-risk-oriented, dynamic protection motivation framework to explain risk reduction behaviours2020Inngår i: Natural hazards and earth system sciences, ISSN 1561-8633, E-ISSN 1684-9981, Vol. 20, nr 1, s. 287-298Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Private risk reduction behaviours can significantly reduce the negative impacts of flooding and flash floods. Over the past decades, researchers have used various socio-cognitive models or threat and coping mechanisms to explain individual protective behaviours. However, these models ignore the fact that people are not equally ready to act upon a danger, and they (the models) give limited insights into the effectiveness of communication strategies to foster risk reduction behaviours. Therefore, we explored the current state of homeowners' readiness to undertake risk reduction behaviours in flood risk areas by applying a dynamic protection motivation framework. We conducted a survey in an Italian municipality that experienced severe flash flooding in September 2018. The results show that people are motivated by different factors in prompting risk reduction behaviour based on their chosen types of protective measures. For example, people that undertook structural or avoidance measures are more likely to be motivated to protect themselves by increased perceptions of vulnerability and response efficacy and are less worried about expected flood losses compared to people that undertook only basic emergency measures. In this paper, we argue how these new insights contribute to targeting flood risk communication strategies to groups of individuals characterized by different readiness stages and motivations to protect themselves.

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  • 211.
    Wojciechowski, Bartosz Wojciech
    et al.
    Univ Silesia, Inst Psychol, Katowice, Poland.
    Gräns, Minna
    Uppsala universitet, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Juridiska fakulteten.
    Lidén, Moa
    Uppsala universitet, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Juridiska fakulteten, Juridiska institutionen.
    A true denial or a false confession?: Assessing veracity of suspects' statements using MASAM and SVA2018Inngår i: PLoS ONE, E-ISSN 1932-6203, Vol. 13, nr 6, artikkel-id e0198211Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Previous research on statement analysis has mainly concerned accounts by witnesses and plaintiffs. In our studies we examined true and false statements as told by offenders. It was hypothesized that SVA and MASAM techniques would enhance the ability to discriminate between true and false offenders' statements. Truthful and deceptive statements (confessions and denials) were collected from Swedish and Polish criminal case files. In Experiment 1, Swedish law students (N = 39) were asked to assess the veracity of statements either after training in and usage of MASAM or without any training and using their own judgements. In Experiment 2, Polish psychology students (N = 34) assessed veracity after training in and usage of either MASAM or SVA or without prior training using their own judgements. The veracity assessments of participants who used MASAM and SVA were significantly more correct than the assessments of participants that used their own judgements. Results show, that trained coders are much better at distinguishing between truths and lies than lay evaluators. There were significant difference between total scores of truthful and false statements for both total SVA and MASAM and it can be concluded that both veracity assessment techniques are useful in assessing veracity. It was also found, that the content criteria most strongly associated with correct assessments were: logical structure, contextual embedding, self depreciation, volume of statement, contextual setting and descriptions of relations. The results are discussed in relation to statement analysis of offenders' accounts.

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  • 212.
    Woud, Marcella L.
    et al.
    Ruhr Univ Bochum, Dept Psychol, Bochum, Germany.
    Blackwell, Simon E.
    Ruhr Univ Bochum, Dept Psychol, Bochum, Germany.
    Steudte-Schmiedgen, Susann
    Tech Univ Dresden, Dept Psychol, Dresden, Germany.
    Browning, Michael
    Univ Oxford, Dept Psychiat, Oxford, England.
    Holmes, Emily A.
    Karolinska Inst, Div Psychol, Dept Clin Neurosci, Stockholm, Sweden.
    Harmer, Catherine J.
    Univ Oxford, Dept Psychiat, Oxford, England.
    Margraf, Juergen
    Ruhr Univ Bochum, Dept Psychol, Bochum, Germany.
    Reinecke, Andrea
    Univ Oxford, Dept Psychiat, Oxford, England.
    Investigating d-cycloserine as a potential pharmacological enhancer of an emotional bias learning procedure2018Inngår i: Journal of Psychopharmacology, ISSN 0269-8811, E-ISSN 1461-7285, Vol. 32, nr 5, s. 569-577Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The partial N-methyl-D-aspartate receptor agonist d-cycloserine may enhance psychological therapies. However, its exact mechanism of action is still being investigated. Cognitive bias modification techniques allow isolation of cognitive processes and thus investigation of how they may be affected by d-cycloserine. We used a cognitive bias modification paradigm targeting appraisals of a stressful event, Cognitive Bias Modification-Appraisal, to investigate whether d-cycloserine enhanced the modification of appraisal, and whether it caused greater reduction in indices of psychopathology. Participants received either 250 mg of d-cycloserine (n=19) or placebo (n=19). As a stressor task, participants recalled a negative life event, followed by positive Cognitive Bias Modification-Appraisal training. Before and after Cognitive Bias Modification-Appraisal, appraisals and indices of psychopathology related to the stressor were assessed. Cognitive Bias Modification-Appraisal successfully modified appraisals, but d-cycloserine did not affect appraisals post-training. There were no post-training group differences in frequency of intrusions. Interestingly, d-cycloserine led to a greater reduction in distress and impact on state mood from recalling the event, and lower distress post-training was associated with fewer intrusions. Therefore, d-cycloserine may affect emotional reactivity to recalling a negative event when combined with induction of a positive appraisal style, but via a mechanism other than enhanced learning of the appraisal style.

  • 213.
    Wurm, Matilda
    et al.
    Orebro Univ, CHAMP, Orebro, Sweden.
    Strandberg, Ester Klein
    Orebro Univ, CHAMP, Orebro, Sweden.
    Lorenz, Caroline
    Orebro Univ, CHAMP, Orebro, Sweden.
    Tillfors, Maria
    Orebro Univ, CHAMP, Orebro, Sweden.
    Buhrman, Monica
    Uppsala universitet, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Hollandare, Fredrik
    Orebro Univ, Univ Hlth Care Res Ctr, Fac Med & Hlth, Orebro, Sweden.
    Boersma, Katja
    Orebro Univ, CHAMP, Orebro, Sweden.
    Internet delivered transdiagnostic treatment with telephone support for pain patients with emotional comorbidity: a replicated single case study2017Inngår i: Internet Interventions, ISSN 2214-7829, Vol. 10, s. 54-64Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In pain patients, comorbid emotional problems have been linked to negative outcomes, including suboptimal treatment gains. Developing parsimonious and accessible treatment options is therefore important. The overarching aim of this study was to test an internet delivered therapist guided transdiagnostic treatment with telephone support. An adapted version of the Unified Protocol for Transdiagnostic Treatments of Emotional Disorders was used as an intervention for pain patients with residual pain problems and comorbid emotional problems after having received a multimodal pain rehabilitation. The study used a replicated AB single case experimental design (N = 5; 3 females). Outcome measures were depressive and general anxiety symptoms, pain intensity, pain coping problems, and diagnostic status. Feasibility measures (completion and compliance) and patient satisfaction were also assessed. Scores on Nonoverlap of All Pairs (NAP) indicate a decrease of anxiety for three participants and a decrease of depression for four participants. Decreases were small and did not always reach statistical significance. Also, Tau-U scores could only confirm a reliable trend for one participant. Two out of four patients who were diagnosed with psychiatric disorders before treatment did no longer fulfill diagnostic criteria posttreatment. No improvements could be seen on pain problems. The treatment was feasible and patient satisfaction was high. Hence, while an internet delivered transdiagnostic treatment with telephone support may be a feasible and accepted secondary intervention for pain patients with comorbid emotional problems, the effects are unclear. The gap between high patient satisfaction and small changes in symptomatology should be explored further.

    Fulltekst (pdf)
    FULLTEXT01
  • 214. Yu, Lin
    et al.
    Scott, Whitney
    McCracken, Lance M
    Uppsala universitet, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Change in Fatigue in Acceptance and Commitment Therapy-Based Treatment for Chronic Pain and Its Association with Enhanced Psychological Flexibility.2019Inngår i: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Fatigue is commonly reported by people with chronic pain. The purpose of the current study was to examine Acceptance and Commitment Therapy (ACT), based on the Psychological Flexibility (PF) model, for fatigue in chronic pain. This study included 354 adults attending an interdisciplinary ACT-oriented treatment for chronic pain. T-tests and analyses of clinically meaningful change were used to investigate participant improvements in fatigue interference after the treatment. Pearson's correlations and hierarchical regressions were conducted to investigate associations between improvement in fatigue interference and improvements in PF processes. Finally, mixed effects models were used to explore associations between baseline fatigue interference and changes in treatment outcome measures. Participants improved in fatigue interference (d=.37), pain, some PF processes, and daily functioning (d=.18-1.08). 39.7% of participants demonstrated clinically meaningfully improvements in fatigue interference. Changes in fatigue interference was associated with changes in pain, PF processes and daily functioning, |r|= .20-.46. Change in fatigue interference was associated with change in pain acceptance independent of change in pain, β=-.36, p<.001. However, baseline fatigue interference did not predict any treatment outcome. Overall, people with fatigue appeared to benefit from the ACT-oriented interdisciplinary treatment for chronic pain, and relatively higher levels of fatigue did not appear to impede this benefit. ACT-based treatments may benefit people with chronic pain and fatigue. Future studies including experimental designs, and studies investigating other PF processes, are needed to better understand the utility of ACT for co-morbid fatigue and pain.

  • 215.
    Öhrlund, Isak
    et al.
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för samhällsbyggnad och industriell teknik, Industriell teknik.
    Stikvoort, Britt
    Uppsala universitet, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Schultzberg, Mårten
    Uppsala universitet, Humanistisk-samhällsvetenskapliga vetenskapsområdet, Samhällsvetenskapliga fakulteten, Statistiska institutionen.
    Bartusch, Cajsa
    Uppsala universitet, Teknisk-naturvetenskapliga vetenskapsområdet, Tekniska sektionen, Institutionen för samhällsbyggnad och industriell teknik, Industriell teknik.
    Rising with the sun? Encouraging solar electricity self-consumption amongapartment owners in Sweden2020Inngår i: Energy Research & Social Science, ISSN 2214-6296, E-ISSN 2214-6326, Vol. 64, artikkel-id 101424Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Studies suggest that householders who turn prosumers become more energy aware, change their pattern ofelectricity use and may even start to engage in other pro-environmental activities. However, few of these studieswere equipped to investigate such causal relationships—mainly because most prosumers are inherently selfselected.However, as real estate companies and building owners have begun installing photovoltaics on theircustomers’ behalf, a new breed of non-self-selected prosumers is emerging, which presents new opportunities toaddress questions of causality and thus improve our understanding of the possible implications of a more prosumer-dense future. Using a sample of 54 apartment households with a shared rooftop PV installation, thisarticle presents the first causal analysis on non-self-selected prosumers’ response to information about havingbecome prosumers, what that means for themselves and the collective they are part of, how to self-consume solarelectricity and why they should do so. Using a stepped wedge design and stratified randomization procedure wewere able to design an experimental study with sufficient power. A panel regression model and various statisticalanalyses on pre and post treatment survey- and electricity use data were used to evaluate the intervention. In linewith studies of self-selected prosumers, the self-reported measures suggest that householders have shifted the useof major appliances to increase their self-consumption. However, based on the electricity use data, we find noevidence of a such a shift and no indications of spillovers to other pro-environmental behaviours—highlightingthe need to use multiple measures to assess behavioural change.

    Fulltekst (pdf)
    fulltext
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