The ability to imagine negative or positive future events is associated with psychological well-being. The present thesis deals with depressed individual’s ability to imagine negative or positive future events. It consists of three quantitative studies (I-III) and one qualitative study (IV). Participants in studies I-III were assessed in connection with a randomized controlled trial of two ways to deliver Internet-based treatment for major depressive disorder (MDD). Their ages ranged between 19-65 years. In addition to receiving treatment participants completed the Controlled Word Association Test; the Autobiographical Memory test (AMT) and the Future Thinking Task (FTT). Participants in study IV were recruited from a psychiatric clinic in Sweden. The sample sizes varied between study I (N=40), II (N=88), III (N=47) and IV (N=15). The aim of the first study was to compare positive and negative future thinking in a group of depressed individuals (n=20) who were compared with a matched group of non-depressed persons (n=20). The results showed that depressed persons report lower scores regarding anticipated future positive events, but that they do not differ in terms of future negative events. The aim of the second study was to examine the association between FTT and AMT in a depressed sample. The results showed that positive future thinking was significantly correlated with retrieval of specific positive autobiographical memories (r = 0.23). The results only gave weak support for an association between FTT and AMT. The aim of the third study was to investigate if scores on the FTT would change following two forms of Internet-delivered cognitive behaviour therapy for major depression (guided self-help and e-mail therapy). A second aim was to study if changes in depression scores as measured by the Beck Depression Inventory would correlate with changes in future thinking. The results showed that FTT index scores for negative events were reduced after treatment. There was no increase for the positive events. Change scores for the FTT negative events and depression symptoms were significantly correlated. The aim of the fourth study was to investigate representations of the future in depressed individuals by using open-ended methodology inspired by grounded theory. The results showed that depressed individuals experienced a state of “ambivalence”. Ambivalence and its negative emotional and cognitive effects were substantially reduced in strength when participants were asked about their distant future. The conclusions drawn from these studies are that depressed persons report lower scores regarding anticipated future positive events (Study I). There is some support for a positive association between FTT and AMT, but the association is weak and only concern positive FTT and positive AMT (Study II). Negative future thinking may be reduced after Internet-delivered treatment, and changes in depressive symptoms correlate to some extent with reductions in negative future thinking (Study III). The concept of ambivalence may be an important feature of depression which deserves more attention from both a theoretical and clinical perspective (Study VI). / Förmågan att föreställa sig negativa eller positiva framtida händelser är förknippad med vårt psykiska välbefinnande. Denna avhandling fokuserar deprimerade individers förmåga att föreställa sig negativa eller positiva framtida händelser. Den består av tre kvantitativa studier (I-III) och en kvalitativ studie (IV). Deltagare i studie I-III rekryterades i samband med en randomiserad kontrollerad studie av två sätt att ge Internet-baserad behandling för egentlig depression (vägledd självhjälp och e-postterapi) . Deltagarnas ålder varierade mellan 19-65 år. Förutom att gå igenom behandling fick deltagarna genomföra olika tester ( Controlled Word Association Test (COWAT), Autobiographical Memory test (AMT) och Future Thinking Task (FTT)). Deltagarna i studie IV rekryterades från en vuxenpsykiatrisk klinik i Sverige. Sampelstorleken varierade mellan studie I (n = 40), II (n = 88), III (n = 47) och IV (n = 15). Syftet med den första studien var att undersöka positiva och negativa framtidstankar hos deprimerade individer (n = 20) vilka jämfördes med en matchad grupp av icke-deprimerade individer (n = 20). Resultaten visade att deprimerade individer rapporterade färre förväntade framtida positiva händelser, men att de inte skiljer sig åt vad gäller framtida negativa händelser. Syftet med den andra studien var att undersöka sambandet mellan FTT och AMT hos deprimerade individer. Resultaten visade att positivt framtidstänkande var signifikant korrelerat med specifika positiva självbiografiska minnen (r = 0.23). Dock visade resultaten enbart ett svagt stöd för ett statistiskt signifikant samband mellan FTT och AMT. Syftet med den tredje studien var att undersöka om poäng på FTT ändrades som en följd av två former av Internetbaserad kognitiv beteendeterapi hos deprimerade individer. Ett andra syfte var att studera om förändringar i depressionspoäng mätt med Beck Depression Inventory skulle korrelera med förändringar i FTT. Resultaten visade att FTT indexpoäng för negativa händelser minskade efter behandling. Det fanns ingen ökning gällande positiva händelser. Ändrade poäng för FTT negativa händelser och depressionssymtom var signifikant korrelerade. Syftet med den fjärde studien var att undersöka representationer av framtiden hos deprimerade individer genom att använda en ”open-ended” metodik inspirerad av grundad teori. Resultaten visade att deprimerade individer upplevde ett tillstånd av "ambivalens". Ambivalensen och dess negativa emotionella och kognitiva effekter minskade betydligt i styrka när de tillfrågades om en mer avlägsen framtid. Slutsatserna från dessa studier är att deprimerade individer rapporter färre förväntade framtida positiva händelser, men att de inte skiljer sig från en kontrollgrupp avseende antal negativa framtida händelser (Studie I). Det finns visst stöd för ett positivt samband mellan FTT och AMT, men sambandet är svag och avser endast positiva FTT och positiva AMT (Studie II). Negativt framtidstänkande kan reduceras efter Internetbaserad behandling, och förändringar i depressionssymtom korrelerar till viss del med minskning av negativt framtidstänkande (studie III). Koncepten ambivalens vid depression kan vara ett viktigt inslag av depression som förtjänar mer uppmärksamhet från både ett teoretiskt och kliniskt perspektiv (Studie VI).

No description available.

Due to the fact that there has been a dramatic increase in the number of adolescents with unhealthy eating habits there is a growing recognition on the part of professionals, educators and parents for the development and implementation of an intervention programme for the facilitation of healthy eating habits. Relevant literature on eating behaviour indicated that low self-concept is associated with health compromising behaviours such as unhealthy eating habits. The nature of self-concept and eating habits was explained in order to determine important exogenous and endogenous factors as well as perspectives to use as a background for the development of a Psychoeducational intervention programme. Theoretical principles and practical applications of cognitive-behaviour therapy and hypnotherapy were analysed and used as a foundation for the development of the intervention programme. The researcher developed an Interactionism Model of Self-concept and Eating habits and a Psycho-educational programme involving cognitive-behaviour therapy and hypnotherapy to improve eating habits of adolescents. Valid and reliable measuring instruments were used in order to measure self-concept and eating habits. A pre-test post-test design was implemented to nine participants using the Adolescent Self-concept Scale (ASCS), Eating Habits Questionnaire for Adolescents (EHQA) developed by the researcher (2001) and Body Mass Index (BMI). Diagnostic measuring instruments also included the Emotions Profile Index (EPI), Draw A Person (DAP), Sentence Completion, Dietary Record and interview. Results from the empirical study indicated that adolescents with low self-concept and unhealthy eating habits responded positively to the Psycho-educational programme involving cognitive-behaviour and hypnotherapy. Specifically, there was a significant increase in selfconcept and a satisfactory improvement in eating habits. Recommendations for psychotherapy practice, educators and parents were made, based on the current research results. The contribution of the study lies in the fact that a hands-on practical implementation of the Psycho-educational programme was developed to facilitate the improvement of eating habits and it further contributes to the psychological well-being and healthy life-style of adolescents having positive implications for society. / Educational Studies / D.Ed. (Psychology of Education)

These British Association for Psychopharmacology guidelines cover the range and aims of treatment for anxiety disorders. They are based explicitly on the available evidence and are presented as recommendations to aid clinical decision making in primary and secondary medical care. They may also serve as a source of information for patients and their carers. The recommendations are presented together with a more detailed review of the available evidence. A consensus meeting involving experts in anxiety disorders reviewed the main subject areas and considered the strength of evidence and its clinical implications. The guidelines were constructed after extensive feedback from participants and interested parties. The strength of supporting evidence for recommendations was rated. The guidelines cover the diagnosis of anxiety disorders and key steps in clinical management, including acute treatment, relapse prevention and approaches for patients who do not respond to first-line treatments.

No description available.

Due to the fact that there has been a dramatic increase in the number of adolescents with unhealthy eating habits there is a growing recognition on the part of professionals, educators and parents for the development and implementation of an intervention programme for the facilitation of healthy eating habits. Relevant literature on eating behaviour indicated that low self-concept is associated with health compromising behaviours such as unhealthy eating habits. The nature of self-concept and eating habits was explained in order to determine important exogenous and endogenous factors as well as perspectives to use as a background for the development of a Psychoeducational intervention programme. Theoretical principles and practical applications of cognitive-behaviour therapy and hypnotherapy were analysed and used as a foundation for the development of the intervention programme. The researcher developed an Interactionism Model of Self-concept and Eating habits and a Psycho-educational programme involving cognitive-behaviour therapy and hypnotherapy to improve eating habits of adolescents. Valid and reliable measuring instruments were used in order to measure self-concept and eating habits. A pre-test post-test design was implemented to nine participants using the Adolescent Self-concept Scale (ASCS), Eating Habits Questionnaire for Adolescents (EHQA) developed by the researcher (2001) and Body Mass Index (BMI). Diagnostic measuring instruments also included the Emotions Profile Index (EPI), Draw A Person (DAP), Sentence Completion, Dietary Record and interview. Results from the empirical study indicated that adolescents with low self-concept and unhealthy eating habits responded positively to the Psycho-educational programme involving cognitive-behaviour and hypnotherapy. Specifically, there was a significant increase in selfconcept and a satisfactory improvement in eating habits. Recommendations for psychotherapy practice, educators and parents were made, based on the current research results. The contribution of the study lies in the fact that a hands-on practical implementation of the Psycho-educational programme was developed to facilitate the improvement of eating habits and it further contributes to the psychological well-being and healthy life-style of adolescents having positive implications for society. / Educational Studies / D.Ed. (Psychology of Education)

These British Association for Psychopharmacology guidelines cover the range and aims of treatment for anxiety disorders. They are based explicitly on the available evidence and are presented as recommendations to aid clinical decision making in primary and secondary medical care. They may also serve as a source of information for patients and their carers. The recommendations are presented together with a more detailed review of the available evidence. A consensus meeting involving experts in anxiety disorders reviewed the main subject areas and considered the strength of evidence and its clinical implications. The guidelines were constructed after extensive feedback from participants and interested parties. The strength of supporting evidence for recommendations was rated. The guidelines cover the diagnosis of anxiety disorders and key steps in clinical management, including acute treatment, relapse prevention and approaches for patients who do not respond to first-line treatments.

This revision of the 2005 British Association for Psychopharmacology guidelines for the evidence-based pharmacological treatment of anxiety disorders provides an update on key steps in diagnosis and clinical management, including recognition, acute treatment, longer-term treatment, combination treatment, and further approaches for patients who have not responded to first-line interventions. A consensus meeting involving international experts in anxiety disorders reviewed the main subject areas and considered the strength of supporting evidence and its clinical implications. The guidelines are based on available evidence, were constructed after extensive feedback from participants, and are presented as recommendations to aid clinical decision-making in primary, secondary and tertiary medical care. They may also serve as a source of information for patients, their carers, and medicines management and formulary committees.