Syftet med studien var att undersöka om vårdpersonal använder fysisk aktivitet på recept(FaR) som behandling till personer med depression. Frågeställningar: Ordinerar vårdpersonal FaR som behandling till personer med depression? Arbetar vårdpersonalen utifrån Socialstyrelsens Nationella riktlinjer (2010) gällande patienter med depression? Metod Studien är gjord utifrån en kvalitativ metod och analyserad utefter en innehållsanalys. Intervjumetoden är av semistrukturerad art med en frågeguide på elva öppna frågor som underlag. Av de fyrtio kontaktade verksamhetschefer som i sin tur gick ut och frågade sina anställda om de var någon som ville ställa upp så intervjuades fyra stycken respondenter. Alla fyra informanterna var utbildade läkare inom allmänmedicin eller psykiatri som antingen arbetade inom primärvården (3) eller som specialist inom psykiatrin (1). Resultat Resultaten visar att alla intervjupersoner var positivt inställda till fysisk aktivitet som del i behandling till personer med depression. Även om själva FaR metoden ansågs som ett trubbigt och komplicerat verktyg så tyckte informanterna ändå att det gav positiva resultat för deras patienter att komma igång och aktivera sig. Det framkom att enklare budskap till vårdpersonal gällande de nationella riktlinjerna möjligen kan öka användningen av FaR för deprimerade inom hälso- och sjukvården, och på så sätt bidra till att fler patienter uppnår en förbättrad psykisk hälsa. I analysen framkom att de flesta hade många års erfarenhet av att arbeta med deprimerade. Slutsats Det kan rekommenderas att se över bristande rutiner i uppföljning med FaR för patienter som har depression samt en förenkling av journalinförandet och det digitala receptet. Med grund i denna studies resultat kan man dra slutsatsen att Socialstyrelsens nationella riktlinjer gällande personer med depression behöver lyftas fram och implementeras ytterligare i den svenska hälso- och sjukvården.

Depression research demonstrates that self-focused processing, such as rumination, causes and maintains depressive disorders (Pyszczynski & Greenberg, 1987; Kuhl & Helle, 1986; Nolen-Hoeksema, 1987), while emotional processing literature shows beneficial effects to self-focus under some circumstances (Rachman, 1980; Foa & Kozak, 1986; Pennebaker, 1989). Therefore, it seems that self-focus is not inherently detrimental; rather, the way a person self-focuses could differentiate between unhealthy rumination and healthy emotional processing. Rude, Maestas, and Neff (2006) demonstrated that when the wording of a well-known rumination measure was altered to reduce judgment, the measure no longer correlated with depression. Mindfulness approaches that emphasize a non-judgmental acceptance of one's experience have produced beneficial outcomes (Baer, 2003), thus corroborating this finding. This dissertation investigated the role of acceptance in emotional recovery from a distressing event. It was hypothesized that encouraging participants to process emotions in an accepting manner would help them recover from a dysphoric mood more quickly than participants not given acceptance instructions or those given instructions to evaluate and change their emotions. Recovery was defined as return to baseline on measures of heart rate, skin conductance, skin temperature, self-reported positive and negative affect, and rumination (cognitive priming). In addition, the study investigated whether differences in the effects of emotional processing condition would be greatest for participants with low trait acceptance of emotions or high trait rumination. As predicted, Acceptance participants reported less negative affect than Control participants at the end of the study. There were no significant differences on negative affect between Acceptance and Evaluation conditions, however. Hypothesized differences in recovery as measured by heart rate, skin conductance, skin temperature, positive affect, and rumination were not found. As predicted, trait rumination and emotional acceptance interacted with processing condition for negative mood and heart rate: Acceptance and Evaluation conditions reduced negative mood more than the Control group for participants low in trait Emotional Acceptance, and the Acceptance condition reduced heart rate for high ruminators more than the Control group. Interestingly, and contrary to prediction, Acceptance participants showed evidence of greater priming of failure-related words than the other two groups on the reaction time measure. / text

Not available

No description available.

The aim of this paper is to explore the relationship between functional recovery from stroke and depression. Stroke leads to depression both directly (through the location of the lesion) and indirectly (through decreased functional status and aphasia secondary to stroke). Consequently, depression may limit functional recovery and recovery from aphasia. The relationship between decreased functional status post-stroke and depression appears to be bidirectional and mutually-reinforcing (decreased functional status leads to depression and depression limits functional recovery). Similarly, the relationship between aphasia recovery and depression is likely bidirectional and mutually reinforcing. Antidepressants may be useful in disrupting these relationships and thereby improving functional recovery from stroke. / text

The World Health Organization has made global mental health a priority since making it the center of world health day 2001, yet much of the current literature on mental health examines the subject within the context of the U.S. and Western Europe. This research takes a more global approach, shifting the focus to the issue of depression in Ukraine. Specifically this thesis analyzes data to examine the hypotheses that: 1) a statistically significant relationship exists between gender and depression prevalence in Ukraine; 2) women over the age of 50 in Ukraine have a significantly higher chance of suffering from depression than other age groups, unlike trends described in the literature; and 3) there are socio-economic and social factors present in Ukraine, which impact depression prevalence among women. A mixed-methodology, which utilizes analysis of quantitative data from the World Mental Health survey initiative, completed in Ukraine in 2004, and qualitative interview data, was employed to explore these hypotheses. Strong relationships are found between gender and depression and between depression and aging, particularly past the age of 50. Some socio-demographics of significance include low level of education, very inadequate financial resources and being on a pension. The conclusions that result from this analysis, describe an interesting case for assessment of global mental health issues. While the results are perhaps not generalizable far beyond Ukraine the conclusions drawn have interesting implications for how we study global mental health and the characteristics which make a person more or less vulnerable to mental illness. / text

published_or_final_version / abstract / toc / Clinical Psychology / Master / Master of Social Sciences

No description available.

No description available.

No description available.