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KBT-gruppbehandling av bipolär sjukdom: En pilotstudie
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 [en]

Bipolar disorder is a chronic affective disorder, characterized by episodes of mania and depression. Previous studies have shown beneficial results for CBT in conjunction with pharmacotherapy over pharmacological treatment alone. The aim of the present study was to evaluate a CBT treatment in group for patients with bipolar disorder, run by Norrlands universitetssjukhus. The treatment group consisted of pharmacologically stabilized patients (n=12) who received group CBT. They were compared to a control group (n=5) who received pharmacological treatment only. To examine the effects of the treatment perceived mood symptoms (depression and anxiety) were assessed before and after treatment. The treatment group also completed an evaluation questionnaire by the end of treatment. A long term follow-up was conducted 5-14 months after treatment, including patients (n=5) from the treatment group. No significant differences in mood symptoms were found before and after treatment, neither between nor within groups. However, the evaluation surveys, completed by the treatment group, reveal patient satisfaction. The results from the long term follow up show a decrease in mood symptoms, yet not statistically significant.  Further the results reveal that three out of eight cognitive tools taught during treatment are still being employed by the participants. Results from the questionnaire show good treatment effectiveness, however this is not reflected by the participants’ mood symptoms. Further studies are needed.

 

Abstract [sv]

Bipolär sjukdom är en kronisk sjukdom som karaktäriseras av svängningar i stämningsläget. Tidigare studier har visat på goda resultat av KBT som tillägg till farmakologisk behandling för den bipolära patientgruppen. Syftet med föreliggande studie har varit att utvärdera en KBT-gruppbehandling av bipolär sjukdom vid Norrlands universitetssjukhus. I behandlingsgruppen (n=12) ingick farmakologiskt stabiliserade patienter, vilka erhöll KBT-gruppbehandling. Kontrollgruppen (n=5) erhöll endast farmakologisk behandling. För- och eftermätningar har genomförts för att skatta förändringar i depressions- och ångestsymtom. Patienterna i behandlingsgruppen har även utvärderat KBT-gruppbehandlingen i enkätform. Fem av deltagarna i behandlingsgruppen har svarat på en långtidsuppföljning mellan 5-14 månader efter KBT-gruppbehandlingens slut. Statistiskt signifikanta skillnader i depressions- och ångestsymtom mellan för- och eftermätning har inte kunnat konstateras, vare sig inom eller mellan grupperna. Deltagarna i behandlingsgruppen gav dock KBT-gruppbehandlingen ett gott betyg i enkätutvärderingen. Resultatet från långtidsuppföljningen visar en minskning i depressions- och ångestsymtom över tid men minskningen var ej signifikant. Resultatet från långtidsuppföljningen visar också att KBT-gruppdeltagarna använder tre av de åtta verktyg som lärdes ut under KBT-gruppbehandlingen. Utifrån utvärderingsenkäten har KBT-gruppbehandlingen god effekt, vilket ej bekräftas av självskattningarna.  Vidare studium kring behandlingen är motiverat.

Place, publisher, year, edition, pages
2014.
National Category
Social Sciences Psychology
Identifiers
URN: urn:nbn:se:umu:diva-100063OAI: oai:DiVA.org:umu-100063DiVA: diva2:789736
External cooperation
Affektiva enheten vid Norrlands universitetssjukhus, Ramona Schroderus
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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