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dc.contributor.authorKontunen, Jarmo
dc.date.accessioned2020-02-20T10:57:02Z
dc.date.available2020-02-20T10:57:02Z
dc.date.issued2020
dc.identifier.isbn978-951-39-8086-3
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/67912
dc.description.abstractThe aim of this research was to optimize the use of effective treatment for patients with depressive disorders in primary health care. The dissertation examines whether brief treatment, Interpersonal Counselling (IPC), is appropriate for treating depression, and which are the factors that may influence a positive response to this counselling. This thesis consists of three studies based on the same patient sample which was viewed on three levels: In Study I, 40 patients with a diagnosis of major depressive disorder (mild or moderate) were randomized into two groups, 20 of them receiving IPC (7 sessions) and 20 a comparable treatment modality, Interpersonal Psychotherapy (IPT) (16 sessions). Statistical analysis showed that IPC delivered by mental health nurses in primary health care was comparable to IPT in secondary care. Approximately 60% of the patients had recovered by the time of the 12 months follow-up in both groups. Study II considered five IPC patients who had recovered and five who remained unchanged. Qualitative content analysis and applied conversation analysis (CA) of the case formulation process and its content in the initial phase of IPC suggested three core conditions for recovery from depression: joint construction of the problems by the patient and counsellor, the ability to restrict the scope to one problem area and the availability of social support from close relationships outside the treatment. In Study III the analysis of a recovered case indicated how IPC’s interpersonal formulation approach and the focus within an IPC framework were able to guide the patient away from her self-accusation talk towards discussing her problematic relationship with her spouse. Overall, the results presented here have important clinical and organizational implications and support the conclusion that a significant proportion of major depressive disorder patients can be treated with brief treatment in primary care. Training front-line health care workers in psychotherapeutic skills could close the gap between mental health needs and access to care.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherJyväskylän yliopisto
dc.relation.ispartofseriesJYU dissertations
dc.relation.haspart<b>Artikkeli I:</b> Kontunen, J., Timonen, M., Muotka, J., & Liukkonen, T. (2016). Is interpersonal counselling (IPC) sufficient treatment for depression in primary care patients? A pilot study comparing IPC and interpersonal psychotherapy (IPT). Journal of Affective Disorders, 189, 89 – 93. </i><a href=" http://dx.doi.org/ 10.1016/j.jad.2015.09.032"target="_blank"> DOI: 10.1016/j.jad.2015.09.032.</a>
dc.relation.haspart<b>Artikkeli II:</b> Kontunen, J., Weiste, E, Liukkonen, T., Timonen, M., & Aaltonen, J. (2019). Predicting response to interpersonal counselling (IPC) from case formulation: A qualitative comparison between recovered and unchanged depressive cases. Counselling Psychology Quarterly. Published online: 20 Mar 2019. </i><a href=" http://dx.doi.org/10.1080/09515070.2019.1588101"target="_blank"> DOI: 10.1080/09515070.2019.1588101.</a>
dc.relation.haspart<b>Artikkeli III:</b> Kontunen, J., Liukkonen, T., & Aaltonen, J. (2019). Mechanisms of change in interpersonal counselling (IPC) for depression: A theory-building case study. <i>Submitted manuscript.</i>
dc.rightsIn Copyright
dc.subjectmielenterveys
dc.subjectmasennus
dc.subjectperusterveydenhuolto
dc.subjectpotilaat
dc.subjectpsykiatriset potilaat
dc.subjectpsykoterapia
dc.subjectinterpersoonallinen psykoterapia
dc.subjectvuorovaikutusterapia
dc.subjectvuorovaikutus
dc.subjectohjaus (neuvonta ja opastus)
dc.subjecthoitomenetelmät
dc.subjecthoitosuhde
dc.subjectinterpersonal counselling
dc.subjectIPC
dc.subjectinterpersonal therapy
dc.subjectprimary health care
dc.subjectcase formulation
dc.subjectmultiple case study
dc.subjectcontent analysis
dc.subjectconversation analysis
dc.subjecttheory-building case study
dc.subjectClinical Outcome in Routine Evalution - Outcome Measure
dc.subjectCORE-OM
dc.titleTherapeutic change in interpersonal counselling (IPC) for depression: A mixed methods study of primary health care patients
dc.typeDiss.
dc.identifier.urnURN:ISBN:978-951-39-8086-3
dc.relation.issn2489-9003
dc.rights.copyright© The Author & University of Jyväskylä
dc.rights.accesslevelopenAccess
dc.type.publicationdoctoralThesis
dc.format.contentfulltext
dc.rights.urlhttp://rightsstatements.org/page/InC/1.0/?language=en
dc.date.digitised


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