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  • 1.
    Jonsson, Kristoffer
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier.
    Flotation-REST (Restricted Environmental Stimulation Technique) in the age of anxiety: Exploring the role and treatment applications of sensory isolation in the modern world2018Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [sv]

    Ångesten och användningen av Komplementär och Alternativ Medicin (KAM), som exempelvis flyt-REST, har ökat markant under de senaste decennierna. Ångest har också rapporterats vara en vanlig orsak till att man använder sig av KAM, trots att det i dagsläget finns lite forskning om risker och effektivitet med dessa behandlingar. Generaliserat ångest syndrom (GAD) är i nuläget den typ av ångest-problematik som svarar sämst på rådande behandlingar. Det finns också skäl att tro att de patienter som inte svarar på rådande ångest-behandling inom sjukvården kan vara benägna att söka sig till KAM för att råda bot på sin problematik. Sammantaget så understryker detta vikten av att effektivisera vården av svår-behandlade ångestproblem, utvärdera KAM som används för att behandla ångest, samt att undersöka kvalitén av den information om KAM och dess effekter som tillhandahålls av privata aktörer. I studie 1 samlades beskrivna effekter relaterat till användning av flyt-REST in från hemsidor på Internet som användes av privata flyt-REST center. Tematisk analys användes för att finna återkommande mönster i datan, och resultatet jämfördes sedan med vetenskaplig evidens på området. Studie 2 utvärderar flyt-REST som en behandling av GAD genom att genomföra en randomiserad kontrollerad studie där urvalet bestod av individer med GAD såsom definierat av väl-validerade självskattningsskalor. Studie 3 använde sig av en fenomenologisk ansats med avsikt att karakterisera upplevelsen av att genomgå en flyt-REST behandling för GAD, baserat på djup-intervjuer som gjordes med individer som nyligen hade genomfört en flyt-REST behandling. I korthet kan fynden i denna avhandling summeras med att: (1) marknadsförda effekter av flyt-REST, som tillhandahålls av privata flyt-REST center på Internet, inte är i tillräcklig samklang med rådande vetenskaplig evidens och således kan vara missvisande för användare av metoden; (2) att flyt-REST är en lovande behandling av GAD som bör beforskas och utvärderas vidare då metoden har potential att förbättra rådande behandling; (3) att flyt-REST ger positiva behandlingseffekter för individer med GAD genom att kontinuerligt möjliggöra vistelse i en miljö som upplevs som avslappnande, trygg och avskild; samt vilket främjar själv-medvetenhet och kontakt med tidigare negativa livsepisoder, fysiska sensationer och emotioner utan att använda sig av maladaptiva undvikande strategier.

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    fulltext KAPPAN
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    presentationsbild
  • 2.
    Jonsson, Kristoffer
    et al.
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier (from 2013).
    Grim, Katarina
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier (from 2013).
    Kjellgren, Anette
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier (from 2013).
    Do highly sensitive persons experience more non-ordinary states of consciousness during sensory isolation?2014Ingår i: Social behavior and personality, ISSN 0301-2212, E-ISSN 1179-6391, Vol. 42, nr 9, s. 1495-1506Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Our aim was to investigate whether or not highly sensitive persons experienced more nonordinary/altered states of consciousness (ASC) during 45 minutes of sensory isolation in a flotation tank, than did less sensitive persons. Psychology students (N = 57) were allocated to 1 of 2 groups (high and low levels of sensitivity) depending on their score on the Highly Sensitive Person Scale. Prior to the flotation session participants completed questionnaires to assess their degree of depression, anxiety, optimism, absorption, and how often they had experienced a mystical state. After the flotation session we assessed degree of ASC. The main finding was that the highly sensitive individuals experienced significantly more ASC during flotation than did the individuals in the low sensitivity group. Further, the highly sensitive participants had significantly more absorption and anxiety, and had experienced mystical states more frequently prior to flotation, in comparison to individuals with low-level sensitivity.

  • 3.
    Jonsson, Kristoffer
    et al.
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier.
    Kjellgren, Anette
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier. Karlstads universitet, Fakulteten för ekonomi, kommunikation och IT, Avdelningen för psykologi. Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Centrum för personsäkerhet.
    Characterizing the experience of flotation-REST (Restricted Environmental Stimulation Technique) treatment for generalized anxiety disorder (GAD): A phenomenological study2017Ingår i: European Journal of Integrative Medicine, ISSN 1876-3820, E-ISSN 1876-3839, Vol. 12, s. 53-59Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Among the anxiety disorders Generalized Anxiety Disorder (GAD) is currently the most treatment resistant, suggesting that treatment protocols could be enhanced. A promising treatment of GAD is flotation-REST (Restricted Environmental Stimulation Technique), which in earlier studies has been shown to alleviate symptoms in GAD. Although, research on flotation-REST as a treatment of GAD has shown promising results no study has explored how the treatment is experienced. By applying a phenomneological perspective the present study aims to characterize the experience of undergoing flotation-REST treatment while suffering from GAD. Nine participants with GAD, as defined with self-report measures, participated. Data was collected by semi-structured interviews that were conducted after the completion of a twelve session treatment profram with flotaiton-REST. The Empirical Phenomenological Psychological (EPP) method was usedfor gathering and analyzing the data. The analysis resulted in six themes that characterize the experience of undergoing a flotation-REST treatment while having GAD: (1) obstacles in treatment, (2) a relaxed and safe vantage point, (3) non-ordinary states of consciousness, (4) connecting with oneself, (5) new attitudes and coping strategies, (6) enhanced life-quality. The results highlights that flotation-REST treatment of GAD was experienced as a comprehensive processes that were both challenging and pleasant. The results indicated that the method positively affected symptoms and the core issue associated with GAD on an experiential level. The present study also genereated some initial understanding regarding potential mechanisms that migh mediate and maintain positive treatment effects when flotation-REST is applied as an intervention of GAD. 

  • 4.
    Jonsson, Kristoffer
    et al.
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier.
    Kjellgren, Anette
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier.
    Curing the sick and creating supermen - How relaxation in flotation tank is advertised on the Internet2014Ingår i: European Journal of Integrative Medicine, ISSN 1876-3820, E-ISSN 1876-3839, Vol. 6, nr 5, s. 601-609Artikel i tidskrift (Refereegranskat)
  • 5.
    Jonsson, Kristoffer
    et al.
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier (from 2013).
    Kjellgren, Anette
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier (from 2013).
    Promising effects of treatment with flotation-REST (Restricted Environmental Stimulation Technique) as an intervention for generalized anxiety disorder (GAD): A randomized controlled pilot trial2016Ingår i: BMC Complementary and Alternative Medicine, E-ISSN 1472-6882, Vol. 16, artikel-id 108Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: During Flotation-REST a person is floating inside a quiet and dark tank, filled with heated salt saturated water. Deep relaxation and beneficial effects on e.g. stress, sleep difficulties, anxiety and depression have been documented in earlier research. Despite that treatments for generalized anxiety disorder (GAD) are effective; it is till the least successfully treated anxiety disorder, indicating that treatment protocols can be enhanced. The use of Flotation-REST as a treatment of GAD has not been researched. The aim of the present study was to conduct an initial evaluation of the effects in a self-diagnosed GAD sample.

    Methods: This study was a randomized, parallel group, non-blinded trial with 1:1 allocation ratio to waiting list control group (n = 25) or to a twelve session treatment with flotation-REST (n = 25). Inclusion criteria’s were: 18–65 years and GAD (as defined by self-report measures). The primary outcome was GAD-symptomatology, and secondary outcomes were depression, sleep difficulties, emotion regulation difficulties and mindfulness. Assessments were made at three time points (baseline, four weeks in treatment, post-treatment), and at six-month follow-up. The main data analyses were conducted with a two-way MANOVA and additional t-tests. Forty-six participants (treatment, n = 24; control, n = 22) were included in the analyses.

    Results: A significant Time x Group interaction effect for GAD-symptomatology [F(2,88) = 2.93, p < .001, η2p = .062] was found. Further analyses showed that the GAD-symptomatology was significantly reduced for the treatment group (t(23) = 4.47, p < .001), but not for the waiting list control group (t(21) = 0.98, p > .05), when comparing baseline to post-treatment scoring. Regarding clinical significant change, 37 % in the treatment group reached full remission at post-treatment. Significant beneficial effects were also found for sleep difficulties, difficulties in emotional regulation, and depression, while the treatment had ambiguous or non-existent effects on pathological worry and mindfulness. All improved outcome variables at post-treatment, except for depression, were maintained at 6-months follow. No negative effects were found.

    Conclusion: The findings suggest that the method has potential as a complementary treatment alongside existing treatment for GAD. More studies are warranted to further evaluate the treatments efficacy. 

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    floating and anxiety treatment
  • 6.
    Kjellgren, Anette
    et al.
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier (from 2013).
    Jonsson, Kristoffer
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013).
    Methoxetamine (MXE): A Phenomenological Study of Experiences Induced by a "Legal High" from the Internet2013Ingår i: Journal of Psychoactive Drugs, ISSN 0279-1072, E-ISSN 2159-9777, Vol. 45, nr 3, s. 276-286Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Methoxetamine (MXE), a ketamine analogue, is one of the new “legal highs” sold on the Internet. The aim of this qualitative study was to provide an initial understanding of what character- izes the experiences induced by MXE. Anonymously written reports (33 persons) on the effects of MXE were collected from public Internet forums and analyzed using the Empirical Phenomenological Psychological Method. The analysis generated 10 themes: (1) preparation, motivation and anticipation; (2) initial effects; (3) malfunction of cognitive processes stabilizing normal state; (4) inner personal processes and learning; (5) emotional processes; (6) altered sensory perception; (7) dissolution and transition; (8) spiritual and transcendental experiences; (9) effects and processes after the experience; (10) re-dosing and addiction.

    MXE induced a heavily altered state of consciousness. The effects were similar to those induced by classic hallucinogens (such as LSD, psilocybin) and the dissociative ketamine. MXE seemed to have quite a high abuse potential. Beside the positive effects described, negative effects like fear and anxiety were also reported. Acceptance was considered the best coping strategy. Dissolution of iden- tity and body often culminated in spiritual and transcendental experiences. More research is needed on safety issues, how to minimize harm, and the motivation for using legal highs. 

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    fulltext
  • 7.
    Kjellgren, Anette
    et al.
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier (from 2013).
    Norell-Clarke, Annika
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Centrum för forskning om barns och ungdomars psykiska hälsa (from 2013). Kristianstad University.
    Jonsson, Kristoffer
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier (from 2013).
    Tillfors, Maria
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier (from 2013).
    Does flotation-rest (restricted environmental stimulation technique) have an effect on sleep?2020Ingår i: European Journal of Integrative Medicine, ISSN 1876-3820, E-ISSN 1876-3839, Vol. 33, s. 1-7, artikel-id 101047Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Introduction: Some therapies described within alternative and complementary medicine are advertised as sleep-promoting, including flotation-REST (Restricted Environmental Stimulation Technique). Flotation-REST induces deep relaxation through sensory isolation in a water-filled tank and is plausibly reported to mitigate insomnia problems, which have consistently been associated with stress, worry and arousal. However, the effects of flotation-REST have not been previously summarised. The aim of this systematic review was to investigate the efficacy of flotation-REST on sleep in clinical and non-clinical samples. Methods: A systematic search for studies on flotation-REST, involving at least one sleep-related variable, was conducted in the databases PubMed, Google Scholar, Web of Science and PsychINFO. Thirteen full-text articles met the inclusion criteria and were considered for eligibility. Nine were included in the current review. The methodological quality of the studies was assessed using a structured checklist, and a standard data extraction sheet was used to summarize the ratings. Results: In all included studies, flotation-REST demonstrated beneficial effects on sleep, both in clinical and nonclinical samples. In two studies, the effects were maintained 4 or 6 months post-treatment. The quality of the sleep outcome measures were, however, low in most studies, particularly regarding the participants' nightly sleep habits, self-reported sleep problems and insomnia diagnosis. Conclusions: Flotation-REST may be a promising treatment for insomnia symptoms, but more controlled studies with established sleep measures, and on populations with clinically verified insomnia, are needed.

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    fulltext
  • 8.
    Kjellgren, Anette
    et al.
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier (from 2013).
    Soussan, Christophe
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier (from 2013).
    Jonsson, Kristoffer
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier (from 2013).
    New Drugs on the Internet: Analysis of an Online Drug Discussion Forum2013Konferensbidrag (Övrigt vetenskapligt)
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    Internet drugs
  • 9.
    Norell-Clarke, Annika
    et al.
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier (from 2013). Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Centrum för forskning om barns och ungdomars psykiska hälsa (from 2013).
    Jonsson, Kristoffer
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier (from 2013).
    Blomquist, Annecharlotte
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier (from 2013).
    Ahlzén, Rolf
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Centrum för forskning om barns och ungdomars psykiska hälsa (from 2013).
    Kjellgren, Anette
    Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), Institutionen för sociala och psykologiska studier (from 2013).
    A study of flotation-REST (restricted environmental stimulation therapy) as an insomnia treatment2022Ingår i: Sleep Science, ISSN 1984-0659, E-ISSN 1984-0063, Vol. 15, s. 361-368Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: Flotation-REST is a treatment for deep relaxation, where a person is contained in a stimuli-restricted environment and floats in water with high salt content. The aim was to investigate the effects from flotation-REST on people with insomnia diagnosis, as previous studies of flotation-REST have demonstrated some effects on sleep but have limitations regarding sample selections and sleep measures. Material and Methods: Six participants were recruited through an outpatient psychiatry clinic and posters on a university campus. All participants fulfilled criteria for insomnia diagnosis and four fulfilled criteria for major depressive disorder. Using a single case experimental design, daily changes were investigated on sleep logs regarding sleep onset latency (SOL), wake after sleep onset (WASO), total sleep time (TST), and sleep efficiency over the course of 12 sessions consisting of 45 min of flotation-REST. No other treatments were offered simultaneously. Questionnaire data on insomnia severity (the ISI) and depressive severity (the MADRS) were also collected. Results: Three participants improved on their most salient insomnia symptom (long SOL or WASO), and two improved on sleep efficiency. The improvements were maintained 2 months after treatment. Insomnia severity decreased for three patients, whereas depressive severity decreased for five. No changes in TST were found and two patients did not improve on any sleep measure. The two participants who benefitted the most were students in their 20s. Discussion: The results were mixed. Flotation-REST may be beneficial for young adults with sleep-onset insomnia but more research is warranted.

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    fulltext
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