Donnellan Deanna, Murray Craig, Harrison James
Clinical Psychology Doctorate Programme, Lancaster University, UK.
Clin Child Psychol Psychiatry. 2013 Apr;18(2):199-213. doi: 10.1177/1359104512447032. Epub 2012 Jun 5.
Cognitive Behavioural Therapy (CBT) is frequently referenced within NICE (National Institute for Clinical Excellence) guidance and is a recommended psychological therapy for a number of different mental health disorders for both adults and children. This is due to the current body of quantitative research around CBT demonstrating its efficacy for a range of mental health difficulties. However, CBT has not been as well addressed within the qualitative field and this gap in research is even more obvious when looking at CBT conducted with children and adolescents. This interpretative phenomenological study explored adolescents' experiences of a course of CBT within a Child and Adolescent Mental Health Service (CAMHS) in a one-to-one format. Three female adolescents who had completed an agreed contract of therapy with the CBT service took part in semi-structured interviews. Four superordinate themes emerged from analysis and highlighted components within CBT that were important to the sample. These were engagement, the therapeutic relationship, the impact of CBT on change and the manner in which CBT was delivered. The findings are discussed with relevance to current policy and pertinent literature as well as implications for service delivery and future research.
认知行为疗法（CBT）在英国国家卫生与临床优化研究所（NICE）的指南中经常被提及，是针对成人和儿童多种不同心理健康障碍推荐使用的心理疗法。这是因为目前围绕CBT的定量研究表明其对一系列心理健康问题有效。然而，CBT在定性研究领域的探讨较少，当审视针对儿童和青少年开展的CBT时，这一研究差距更为明显。这项解释性现象学研究以一对一的形式，探索了青少年在儿童与青少年心理健康服务机构（CAMHS）接受CBT课程的经历。三名与CBT服务机构完成了商定治疗协议的女性青少年参与了半结构化访谈。分析得出了四个上位主题，突出了CBT中对样本来说重要得组成部分。这些主题是参与度、治疗关系、CBT对改变的影响以及CBT的实施方式。研究结果结合当前政策、相关文献进行了讨论，并探讨了其对服务提供和未来研究的启示。
