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Klientbeteenden i internetterapi mot depression: Innehållsanalys av klienters skrift i beteendeaktiveringsbehandling
Umeå University, Faculty of Social Sciences, Department of Psychology.
Umeå University, Faculty of Social Sciences, Department of Psychology.
2014 (Swedish)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [sv]

Klientbeteendens relation till behandlingsutfallet av psykoterapi på internet är ett underbeforskat område av klinisk vikt. Studien undersöker vilka skriftliga klientbeteenden i beteendeaktiveringsbehandling mot depression på internet som korrelerar med symtomförändring och slutförda moduler. Totalt 29 randomiserade deltagare med mild till måttlig depression ingick från forskningsprojektet Actua. Innehållsanalys med 8 deduktiva och två induktiva beteendekategorier genomfördes på samtliga mejl och modulsvar skickade från deltagare till internetterapeut. Signifikanta korrelationer återfanns i förhållande till symtomförändring för Observerar positiva konsekvenser (r=.49) och Allians (r=42). Med genomförda moduler korrelerade sju beteendekategorier. Resultaten tyder på att text som uttrycker allians och om att observera positiva konsekvenser kan användas som indikationer på hur behandlingen fortlöper.  Denna information kan användas av internetterapeuter för att individualisera behandlingen och göra den så effektiv som möjligt. Sammanfattningsvis visar denna studie att klientbeteenden kan identifieras i text i internetbaserad kognitiv beteende terapi och att dessa står i direkt relation till behandlingsutfallet.

 

Abstract [en]

Little research has been done on the relationship between client behavior and internet therapy outcome even though it is an area of clinical value. This study examines the relationship between client behaviors, treatment outcome and module completion, in a behavioral activation (BA) treatment for depression. A total of 29 randomized participants with mild to moderate depression were included from the research project Actua. Content analysis with 8 deductive and 2 inductive categories were performed on all emails and module responses sent from the participants to their internet therapist. Significant correlations was found between outcome and Observing positive consequences (r= .49) and Alliance (r= .42). Module completion correlated with 7 behavioral categories. The result implies that text about alliance and observing positive consequences can be used as indicators of how the treatment progresses. This information can be used by internet therapists to individualize treatment and make it more effective. In summary this study shows that client behaviors can be identified by text analysis and that these have a direct relationship with outcome. 

 

Place, publisher, year, edition, pages
2014.
National Category
Social Sciences Psychology
Identifiers
URN: urn:nbn:se:umu:diva-100060OAI: oai:DiVA.org:umu-100060DiVA: diva2:789732
External cooperation
Per Carlbring
Subject / course
Examensarbete i psykologi
Educational program
Study Programme for University Diploma in Psychology
Available from: 2015-02-20 Created: 2015-02-20 Last updated: 2015-03-31Bibliographically approved

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Klientbeteenden(989 kB)51 downloads
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CiteExportLink to record
Permanent link

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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
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  • de-DE
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Output format
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