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dc.contributor.authorKeinonen, Katariina
dc.contributor.authorKyllönen, Heidi
dc.contributor.authorAstikainen, Piia
dc.contributor.authorLappalainen, Raimo
dc.date.accessioned2019-07-29T06:20:19Z
dc.date.available2019-07-29T06:20:19Z
dc.date.issued2019
dc.identifier.citationKeinonen, K., Kyllönen, H., Astikainen, P., & Lappalainen, R. (2019). Long-term stability of early sudden gains in an acceptance and values-based intervention. <i>Journal of Contextual Behavioral Science</i>, <i>13</i>(52-59). <a href="https://doi.org/10.1016/j.jcbs.2019.06.006" target="_blank">https://doi.org/10.1016/j.jcbs.2019.06.006</a>
dc.identifier.otherCONVID_32096869
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/65128
dc.description.abstractThough previous research has extensively reported that sudden gains are associated with superior treatment results, research on the long-term effects and stability of sudden gains is not as consistent. The current study explored the long-term stability of early sudden gains (ESGs) observed in a brief acceptance and values-based intervention for depression provided by novice therapists. The participants were 56 volunteers diagnosed with major depressive disorder. Among the participants, 23% experienced ESGs, i.e. they reached the status of improved or recovered in the Reliable Change Index (RCI; Jacobson & Truax, 1991) classification after only two sessions. The current study examined the level of depressive symptoms (BDI-II), psychological flexibility (AAQ-II), believability of depressive thoughts (ATQ-B), and hopefulness (ASHS) 6 and 12 months after the intervention. Of the original participants, 77% (n = 43) took part in the 12-month follow-up. The results showed that positive changes achieved during the two first sessions in the ESG group were maintained up to 12 months after the intervention. The ESG group remained improved or recovered in the RCI classification through the 12-month follow-up period. However, at the 12-month follow-up, there were only small differences between the ESG and the non-ESG groups. The results suggest that participants achieving ESGs show stable improvements lasting up to 12 months after the treatment.en
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofseriesJournal of Contextual Behavioral Science
dc.rightsCC BY-NC-ND 4.0
dc.subject.othermasennus
dc.subject.otherinterventio
dc.subject.otherinterventiohoito
dc.subject.otherhyväksymis- ja omistautumisterapia
dc.subject.othervarhainen äkillinen hyötyminen
dc.subject.otherhoitotulokset
dc.subject.otherpitkäaikaisvaikutukset
dc.subject.otheropiskelijaterapeutit
dc.subject.otherearly sudden gains
dc.subject.otherlong-term outcome
dc.subject.otherdepression
dc.subject.othernovice therapists
dc.subject.otherbrief intervention
dc.titleLong-term stability of early sudden gains in an acceptance and values-based intervention
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201907293691
dc.contributor.laitosPsykologian laitosfi
dc.contributor.laitosDepartment of Psychologyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.relation.issn2212-1447
dc.relation.numberinseries52-59
dc.relation.volume13
dc.type.versionacceptedVersion
dc.rights.copyright© 2019 Association for Contextual Behavioral Science.
dc.rights.accesslevelopenAccessfi
dc.format.contentfulltext
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1016/j.jcbs.2019.06.006
jyx.fundinginformationWe thank Ms. Katariina Ala-Karjanmaa, Mrs. Henna Kokkonen, Ms. Linda Elo, Ms. Riikkasisko Kirjonen and Dr. Päivi Lappalainen for their help in recruiting the participants and preparing the data. The study was supported by the Academy of Finland (project no. 140126 to Raimo Lappalainen).
dc.type.okmA1


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