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dc.contributor.authorKeinonen, Katariina
dc.contributor.authorKyllönen, Heidi
dc.contributor.authorAstikainen, Piia
dc.contributor.authorLappalainen, Raimo
dc.date.accessioned2018-11-26T12:25:14Z
dc.date.issued2018fi
dc.identifier.citationKeinonen, K., Kyllönen, H., Astikainen, P., & Lappalainen, R. (2018). Early Sudden Gains in an Acceptance and Values-based Intervention : Effects on Treatment Outcome for Depression and Psychological Flexibility. <em>Journal of Contextual Behavioral Science</em>, 10, 24-30. <a href="https://doi.org/10.1016/j.jcbs.2018.07.010">doi:10.1016/j.jcbs.2018.07.010</a>fi
dc.identifier.otherTUTKAID_78437
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/60347
dc.description.abstractObjective The aim of this study was to explore early temporal patterns of change in a treatment delivered by novice therapists. We examined if early sudden gains (ESGs) in a six-session acceptance and values-based intervention would produce superior treatment outcomes when compared to slower improvements. Method The temporal patterns of change of 56 clients diagnosed with depression were analyzed. ESGs were defined as reaching the status of recovered or improved in the Reliable Change Index (RCI) (Jacobson & Truax (1991)) classification after two sessions. The group with ESGs was then compared to participants without ESGs for differences in treatment outcome on measures of symptomatology and measures of therapeutic processes. Results The results reflected significant differences between the groups in treatment outcomes. The ESG group (23.2% of participants) showed superior results both on the level of depressive symptomatology and psychological flexibility. Participants with ESGs also reported more hopefulness and less-believable depression-related thoughts after two sessions. Conclusions The results suggest that the early, clinically significant change is associated with superior treatment results both on the level of reduced symptom severity and therapeutic processes.fi
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherElsevier BV
dc.relation.ispartofseriesJournal of Contextual Behavioral Science
dc.rightsCC BY-NC-ND 4.0
dc.subject.otherhyväksymis- ja omistautumisterapiafi
dc.subject.othermasennusfi
dc.subject.otherearly changefi
dc.subject.othersudden gainfi
dc.subject.otherdepressionfi
dc.subject.othernovice therapistsfi
dc.subject.otheracceptance and commitment therapyfi
dc.titleEarly Sudden Gains in an Acceptance and Values-based Intervention : Effects on Treatment Outcome for Depression and Psychological Flexibilityfi
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201811224842
dc.contributor.laitosPsykologian laitosfi
dc.contributor.laitosDepartment of Psychologyen
dc.contributor.oppiainePsykologia
dc.date.embargo2020-10-01
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2018-11-22T13:15:21Z
dc.description.reviewstatuspeerReviewed
dc.format.pagerange24-30
dc.relation.issn2212-1447
dc.relation.numberinseries0
dc.relation.volume10
dc.type.versionFinal Draft
dc.rights.copyright© 2018 Association for Contextual Behavioral Science. Published by Elsevier Inc.
dc.rights.accesslevelopenAccessfi
dc.format.contentfulltext
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1016/j.jcbs.2018.07.010


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