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Psykologisk flexibilitet hos barn och ungdomar med tvÄng, Ängest och depression
Get PDFDenna studie syftade till att undersöka hur psykologisk (in)flexibilitet var kopplat till olika vanliga barnpsykiatriska symtom bland barn och ungdomar samt om det fanns en starkare koppling till vissa psykiatriska symtom. Psykologisk flexibilitet kan beskrivas som en âfundamental aspektâ av hĂ€lsa eller som en helhetsmodell för mĂ€nskligt fungerande (Hayes, Strosahl & Wilson, 1999; Kashdans & Rottenberg, 2010). VĂ„rt urval bestod av 58 barn och ungdomar som sökt vĂ„rd vid Barn och ungdomspsykiatriska kliniken i Lund. De unga (10-17 Ă„r), hade sökt behandling och diagnostiserats med primĂ€rt tvĂ„ngssyndrom (OCD), Ă„ngestsyndrom eller depression. Deltagarna fyllde i sjĂ€lvskattningsformulĂ€r framtagna för att mĂ€ta psykologisk flexibilitet, tvĂ„ngssymtom, Ă„ngestsymtom och depressiva symtom. Vid jĂ€mförelser av diagnosgrupperna fann vi att de unga med primĂ€r diagnos av samsjuklighet mellan depression och Ă„ngest uppvisade högst nivĂ„er av psykologisk inflexibilitet, följd av gruppen med primĂ€r Ă„ngest och slutligen gruppen med primĂ€rt tvĂ„ngssyndrom (OCD). PĂ„ symtomnivĂ„ sĂ„g vi signifikanta korrelationer, pĂ„ sĂ„ sĂ€tt att psykologisk flexibilitet korrelerade signifikant med depression och Ă„ngest. En korrelation pĂ„ lĂ„g- till medelnivĂ„ framkom mellan psykologisk inflexibilitet och tvĂ„ng. Dessa korrelationer tydde pĂ„ att psykologisk flexibilitet kan antas verka pĂ„ ett transdiagnostiskt sĂ€tt för att pĂ„verka svĂ„righetsgraden bĂ„de vad gĂ€ller Ă„ngest och depression hos unga.The aim of this study was to examine how psychological (in)flexibility was related to the severity of anxiety, depression, and OCD in youth seeking treatment for these disorders, and if there was a stronger connection to some of the psychiatric symptoms. Psychological flexibility can be described as a fundamental aspect of health or as an encompassing model of human functioning (Hayes, Strosahl & Wilson, 1999; Kashdan & Rottenberg, 2010). Participants were 58 treatment-seeking children and adolescents (aged 10-17) who were diagnosed with primary OCD, anxiety disorder or depression. Participants completed self-report measures designed to assess psychological flexibility, OCD, anxiety and depression. In our comparison of the three diagnostic groups, we found that young people with a primary diagnosis of mixed depression and anxiety had the highest levels of psychological inflexibility, followed by those with primary anxiety, and finally those with OCD. On the symptom level, we observed significantly correlations, such that psychological flexibility was strongly and significantly correlated with depression and anxiety. A low to moderate correlation was obtained between psychological flexibility and OCD. These correlations suggest that psychological flexibility may act in a transdiagnostic way to influence the severity of both anxiety and depressive symptoms among children and adolescents
