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  • 1. Carlbring, P.
    et al.
    Hassmen, P.
    Nyström, Markus
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Lindner, P.
    Andersson, G.
    The relative effects of behavioral activation vs. physical exercise in the treatment of mild to moderate depression2016In: ISRII 8th Scientific Meeting Technologies for a digital world: Improving health across the lifespan, 2016Conference paper (Refereed)
  • 2. Carlbring, Per
    et al.
    Nyström, Markus
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Lindner, Philip
    Martell, Christopher
    Forsberg, L
    Ström, L
    Andersson, Gerhard
    Hassmen, Peter
    Behavioral activation vs physical exercise in the treatment of mild to moderate depression2015Conference paper (Other academic)
  • 3.
    Lindner, Philip
    et al.
    Stockholm, Sweden.
    Nyström, Markus B.T.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Hassmén, Peter
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Andersson, Gerhard
    Stockholm ; Linköping, Sweden.
    Carlbring, Per
    Stockholm, Sweden.
    Who seeks ICBT for depression and how do they get there?: Effects of recruitment source on patient demographics and clinical characteristics2015In: Internet Interventions, Vol. 2, p. 221-225Article in journal (Refereed)
    Abstract [en]

    Studies on internet-administered cognitive behavior therapy (ICBT) frequently use several different sources of recruitment, yet no study has investigated whether different recruitment sources produce different clinical and demographic profiles among participants. Using data from a large sample (n=982) seeking ICBT for depression, we compared these characteristics on the basis of self-reported recruitment source. Recruitment sources that imply more active treatment- seeking behaviors (Google searches, viewing postings on mental health websites) presentedmore severe depression and anxiety than those recruited throughmore passive sources of information (newspaper advertisements, referrals by friends and family). In addition, a number of demographic differences between groups were found. These findings have important implications for ICBT research projects and clinical programs who employ open recruitment procedures and multi-modal recruitment strategies, and who wish to recruit representative samples or target specific subgroups. Replications in other countries will however be required to establish cross-cultural patterns. 

  • 4.
    Nyström, Markus
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Affect school, Virya yoga, and compassion-focused therapy: A pilot study of an integrative group treatment, depression and anxiety2018In: Journal of Sport & Exercise Psychology (JSEP), ISSN 0895-2779, E-ISSN 1543-2904, Vol. 40, p. S110-S111Article in journal (Other academic)
    Abstract [en]

    The present study investigated the effectiveness of an eight-week integrative group treatment, consisting of Affect school (AS), Compassion-focused therapy (CFT), and Virya yoga in comparison with treatment as usual (TAU), an eight-week cognitive behavioural group treatment. The sample consisted of patients with mild to moderate mixed depression and anxiety (N = 31) in a primary healthcare centre. Correlations were investigated between treatment outcomes, and amount of yoga practice between sessions in the intervention group (n = 14). Results showed that both treatments were equally effective. Both groups improved significantly on measures of depression and anxiety, with large within-group effect sizes. The intervention also group improved significantly on measures of self-compassion and alexithymia, with large within-group effect sizes. Significant correlations were found between improvement in alexithymia and amount of yoga practice; between increased self-compassion and greater quality of life, as well as between increased self-compassion and reductions in anxiety symptoms. The present study highlights the practice of yoga as a potential means to improve alexithymia, and provides additional support for working with self-compassion in psychological treatments. Future research may further investigate the long-term effects and moderating variables influencing potential benefits of integrating AS, CFT, and Virya yoga in psychological treatments.

  • 5.
    Nyström, Markus B. T.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Treating depression with activation2018Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The aim of this thesis was to evaluate and compare four therapist-supported Internet-administered treatments for depression. Three studies were conducted. The first was a systematic review to determine the most effective mode and dose of physical activity (PA) for treating major depressive disorders (MDDs), and to suggest guidelines and recommendations for clinicians. These recommendations included that the PA needs to be individually customized, performed for at least 30 minutes, preferably under supervision, and with a frequency of at least three times per week to be effective for treating MDDs. Recommendations, however, must be viewed in light of the relatively few studies that match the inclusion criteria. The second study aimed to empirically evaluate and compare the effect of four therapist-supported Internet-administered treatments for mild to moderate depression. Two of the treatments were based on PA and two on behavioural activation (BA). One PA group was provided with a rationale; whereas, the other was not. The treatment in one BA group was based on Lewinsohn’s model and the other on Martell’s model. Results showed that all groups (including the control group) significantly reduced their depressive symptoms. Group comparisons revealed that three of the four treatment groups (all except the PA group that did not receive a rationale) had a significantly greater symptom reduction than the control group. This suggests that some sort of rationale is important for symptom reduction. The third study aimed to examine if a relapse prevention program would affect symptom change during a 24-month follow-up. We also examined if symptom change during the acute phase (AP) treatment period predicted symptom change during the follow-up period. A third and final aim was to examine if the number of symptoms post-AP treatment predicted symptom change during the follow-up period. The initial analysis indicated that the introduction of a relapse prevention program did not affect symptom change during follow-up. The symptom change during AP treatment did predict symptom change during follow-up for three of the four treatment groups (all except one of the BA groups). The number of symptoms post-AP treatment, however, did not predict symptom change during follow-up for any of the treatment groups. The main conclusion from this thesis is that PA seems to be effective for treating and preventing depressive symptoms. PA with a rationale is more effective than without one, and an understanding of the person’s situation is important for a treatment outcome. If a symptom change can be achieved during the acute phase, the likelihood for symptom change during the follow-up increases.

  • 6.
    Nyström, Markus B T
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Mikkelsen, Fredrik
    Psykiatrisk Akutteam, DPS Strömme, Sörlandets Sykehus, Norway.
    Psychopathy-Related Personality Traits and Shame Management Strategies in Adolescents2013In: Journal of Interpersonal Violence, ISSN 0886-2605, E-ISSN 1552-6518, Vol. 28, no 3, p. 519-537Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to examine whether there is a correlation between the amount of psychopathy-related personality traits and the type of shame management in adolescents. Two hypotheses were examined; first, that there is a positive correlation between psychopathy-related personality traits and more unconscious and externalized shame management strategies, and second, that there is a negative correlation between psychopathy-related personality traits and more conscious and internalized shame management strategies. Gender differences were also examined. In total, 236 participants were available for the study. All were secondary-level students, aged 16 to 21 years. Of these, 196 were examined: 96 were male and 100 female. The study used two self-assessment forms-the Youth Psychopathic traits Inventory (YPI) and the Compass of Shame Scale (CoSS)-to measure the relevant personality characteristics. The results indicated gender differences, which led to all the analyses being conducted separately for males and females. Support was found for the study's first hypothesis, but not for the second, which was true for both males and females. Our results may have implications for the treatment of adolescents with a high percentage of psychopathy-related personality traits; they also indicate the need for more research on the association between psychopathy and shame management.

  • 7.
    Nyström, Markus B. T.
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Neely, Gregory
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Hassmén, Peter
    Umeå University, Faculty of Social Sciences, Department of Psychology. Faculty of Health, University of Canberra, Canberra, Australia.
    Carlbring, Per
    Department of Psychology, Stockholm University, Stockholm, Sweden.
    Treating Major Depression with Physical Activity: a Systematic Overview with Recommendations2015In: Cognitive Behaviour Therapy, ISSN 1650-6073, E-ISSN 1651-2316, Vol. 44, no 4, p. 341-352Article in journal (Refereed)
    Abstract [en]

    The purpose of this systematic overview was to determine the most effective mode and doseof physical activity (PA) for treating major depressive disorder (MDD), and to suggest guidelines and recommendations for clinicians. The selection process consisted of a comprehensive search that was conducted up until April 2014 in the following databases: sycINFO, Medline, PubMed and Scopus. The inclusion criteria were: (1) a randomized controlled trial (RCT) design, (2) complete description of intensity, duration and frequency of the PA, (3) the participants had to be diagnosed with MDD according to Diagnostic Statistical Manual 4 th edition (DSM-IV) or International Classification of Disease tenth Revision (ICD-10) criteria (4) if the controls received any treatment, it had to be specified, (5) published after 1990, (6) consist of aerobic or anaerobic treatment PA, and (7) not be a pilotor preliminary study. A quality assessment of each study was conducted independently by two reviewers; this stringent selection process resulted in 12 reviewed studies. Conclusion: individually customized PA, for at least 30 minutes, preferably performed under supervision and with a frequency of at least three times per week is recommended when treating MDD. hese recommendations must be viewed in light of the relatively few studies matching the inclusion criteria.

  • 8.
    Nyström, Markus B. T.
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Stenling, Andreas
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Sjöström, Emma
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Neely, Gregory
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Lindner, Philip
    Hassmén, Peter
    Umeå University, Faculty of Social Sciences, Department of Psychology. School of Health and Human Sciences, Southern Cross University, Australia.
    Andersson, Gerhard
    Martell, Christopher
    Carlbring, Per
    Behavioral activation versus physical activity via the internet: A randomized controlled trial2017In: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 215, p. 85-93Article in journal (Refereed)
    Abstract [en]

    Background: A major problem today is that only about fifty percent of those affected by depression seeks help. One way to reach more sufferers would be by offering easily accessible internet based treatments. The purpose of this study was to compare/evaluate four therapist supported internet administered treatments.

    Method/results: Two hundred eighty six participants were included. The treatment period lasted twelve weeks, consisting of the following treatments: 1) physical activity without treatment rational, 2) physical activity with treatment rational, 3) behavioral activation without treatment rational and 4) behavioral activation with treatment rational. All groups (including a control-group) showed a significant decrease in depressive symptoms. When the treatment groups were pooled and compared to the control group, there were significant differences from pretest to posttest (Hedges gav treatment =1.01, control group =0.47). This held true also when each of the four treatment groups was compared to the control group, with one exception: Physical activity without treatment rationale.

    Limitations: The differences between how many modules the participants completed could indicate that there are other factors than the treatments that caused the symptom reduction, however, the dose-response analysis did not detect any significant differences on account of modules completed.

    Conclusions: The results support the positive effects of internet administered treatments for depression, and highlights the importance of psychoeducation, which tends to affect both the treatment outcome and the probability of remaining in treatment. These aspects need to be considered when developing and conducting new treatments for depression, since they would increase the likelihood of positive treatment outcomes.

  • 9.
    Nyström, Markus B.T.
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Eriksson Sörman, Daniel
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Nilsson, Lars-Göran
    Stockholm University.
    Is Cognitive Functioning Important for Quality in Ageing?2014In: Abstracts of the Psychonomic Society, 2014, p. 87-87Conference paper (Refereed)
    Abstract [en]

    Well-being and happiness are two important aspects of quality in ageing. By using a large scale memory data base (the Betula study) the importance of cognitive status (episodic memory) for an individual’s subjective notion of well-being and happiness were investigated, both among middle- and old aged individuals. When a number of factors where controlled for (e.g., physical health, psycho-social aspects), results indicated no relationships between cognitive status and well-being or happiness, in any age group. However, data suggested that subjective experience of memory capacity seems to play an important role. Further, being married, having low levels of stress, and not having sleeping problems, also seem to be associated with both well-being and happiness. The result suggests that other factors, rather than cognitive status, plays a substantial roll in the quality of ageing. Future studies would benefit from using longitudinal data to be able to investigate these relationships over time.

  • 10.
    Nyström, Markus
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology. The Graduate School in Population Dynamics and Public Policy, Umeå university.
    Eriksson Sörman, Daniel
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Kormi-Nouri, Reza
    School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden.
    Rönnlund, Michael
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    To what extent is subjective well-being in late adulthood related to subjective and objective memory functioning?: Five-year cross-lagged panel analyses2019In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 23, no 1, p. 92-99Article in journal (Refereed)
    Abstract [en]

    Background: Population aging motivated a focus in contemporary research on factors, e.g. cognitive functioning, that contribute to ‘aging well.’ However, something that has been overlooked is relation between memory functioning, determined by objective tests as well as subjective memory ratings, and subjective well-being (SWB).

    Objectives: The aim of the present study was to investigate cross-sectional and longitudinal (cross-lagged) relationships between episodic memory (both subjective and objective) and SWB.

    Method: A total of 586 older individuals (60–90 years) were assessed on multiple measures of the targeted constructs at baseline (Time 1) as part of the Betula cohort study. Five years later (Time 2), 354 of the participants returned for follow-up measurements and were included in cross-lagged panel analyses.

    Results: As expected, objective memory and subjective memory showed a pattern of cross-sectional age deficits and a mean level longitudinal decline was observed for objective memory. By contrast, SWB showed stable mean levels both across age and time. No cross-sectional or cross-lagged associations were observed between SWB and objective memory, whereas subjective memory and SWB showed a cross-sectional association.

    Conclusion: The results underscore that successful aging is a multifaceted construct with no or only weak associations between the investigated components. However, SWB and rate of change at the individual level should be considered to define successful aging.

  • 11.
    Nyström, Markus
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Hassmén, Peter
    Umeå University, Faculty of Social Sciences, Department of Psychology. School of Health and Human Sciences, Southern Cross University, Coffs Harbour, Australia.
    Eriksson Sörman, Daniel
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Wigforss, Thomas
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Andersson, Gerhard
    Carlbring, Per
    Are physical activity and sedentary behavior related to depression?2019In: COGENT PSYCHOLOGY, ISSN 2331-1908, Vol. 6, no 1, article id 1633810Article in journal (Refereed)
    Abstract [en]

    Depression is an increasing public health concern with rising prevalence. Nevertheless, far from everyone seeks help or receives adequate treatment. Although psychotherapy and antidepressants still constitute the bulk of treatments offered, recent research suggests that physical activity (PA) can be a powerful adjunct therapy while sedentary behavior (SB) is a definite risk factor for developing depression. The aim of the present study was to investigate the relationship between PA, SB and depressive symptoms in a population (n = 962) of applicants for an online treatment study. This study hypothesised that there will be; (1) a positive relationship between SB and depressive symptoms, and (2) a negative relationship between PA and depressive symptoms. In addition we investigated whether the combination of a sedentary lifestyle and physical inactivity increased the risk for depressive symptoms. Finally, we also examined whether gender, age, marital status, educational level, or medication affected the relationship between PA, SB, and depressive symptoms. The results showed a positive correlation between SB and depression. There was, however, no statistically significant support for a negative relation between PA and depressive symptoms. Even though no conclusions about causality can be drawn, our results suggest that high SB, being a woman, being young, not being in a stable relationship, and current or previous medication are risk factors for depression. To be able to determine the causal direction, that is, whether high SB increases the risk for depressive symptoms, or if depressive symptoms increase the likelihood of high SB, further research is needed.

  • 12.
    Nyström, Markus
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology. Umeå universitet.
    Hassmén, Peter
    Neely, Gregory
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Carlbring, Per
    Factors affecting relapse risk: a 24-months follow-up of an Internet administered treatment for depressionManuscript (preprint) (Other academic)
  • 13.
    Rönnlund, Michael
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Nyström, Markus
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Is cognitive functioning important for quality in aging?: A five year follow-up study of older adults  2015In: Abstracts of the Psychonomic Society: November 19-22, 2015, Madison, USA: The Psychonomic Society , 2015, p. 92-Conference paper (Other academic)
    Abstract [en]

    A previous cross-sectional study, based on a large scale memory data base (the Betula study), indicated that subjective experiences of memory play a more important role for the individual’s experience of well-being and happiness, than more traditional objective measures of cognitive status (Nyström, Eriksson Sörman, & Nilsson, 2014). The present study is a longitudinal five year follow-up. The same factors as in the first study were controlled for (e.g., physical health, psycho-social aspects). The results indicated that the objective measures, at baseline, did not predict future happiness or well-being, The same was evident for the subjective measures, which contradicted the cross-sectional study. Further, the longitudinal changes in both (i.e., subjective and objective) memory measures were not associated with change in happiness or well-being. To advance the understanding of factors relevant to the experience of happiness and wellbeing in elderly, the field would benefit from studies using complementary subjective cognitive measures, measures for subjective experiences of memory in longitudinal studies.

  • 14.
    Strömsten, Lotta
    et al.
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Nyström, Markus
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Henningsson, Mikael
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Sundbom, Elisabet
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
    Shame and psychological distress: the influence of attachment styles, shame-proneness and shame coping among women and menManuscript (preprint) (Other academic)
1 - 14 of 14
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