多发性硬化症认知行为疗法的定性研究：心理治疗师的经验
A qualitative study of cognitive behavioural therapy in multiple sclerosis: experiences of psychotherapists.
作者信息
Ytterberg Charlotte, Chruzander Charlotte, Backenroth Gunnel, Kierkegaard Marie, Ahlström Gerd, Gottberg Kristina
机构信息
a Department of Neurobiology, Care Sciences and Society , Karolinska Institutet , Huddinge , Sweden.
b Functional Area Occupational Therapy & Physiotherapy , Karolinska University Hospital , Stockholm , Sweden.
出版信息
Int J Qual Stud Health Well-being. 2017 Dec;12(1):1325673. doi: 10.1080/17482631.2017.1325673.
PURPOSE
To investigate how psychotherapists experience using individual, face-to-face cognitive behavioural therapy (CBT) aimed at alleviating depressive symptoms in persons with multiple sclerosis (MS).
METHOD
Semi-structured interviews with three psychotherapists were conducted after CBT with 12 participants with MS, and analysed using qualitative content analysis.
RESULTS
Two main themes emerged: Trusting their expertise as psychotherapists whilst lacking MS-specific knowledge, and The process of exploring the participants' readiness for CBT with modifications of content and delivery. The psychotherapists perceived it difficult to know whether a symptom was attributable to depression or to MS, and for some participants the CBT needed to be adapted to a more concrete content.
CONCLUSIONS
Psychotherapists may need more MS-specific knowledge and an insight into the individual's functioning. The content of CBT in terms of concrete home assignments and behavioural activation needs to be individualised.
目的
探讨心理治疗师如何体验运用个体面对面认知行为疗法（CBT）来缓解多发性硬化症（MS）患者的抑郁症状。
方法
在对12名MS患者进行CBT治疗后，对三位心理治疗师进行了半结构式访谈，并采用定性内容分析法进行分析。
结果
出现了两个主要主题：在缺乏MS特定知识的情况下信任他们作为心理治疗师的专业知识，以及通过修改内容和治疗方式来探索参与者对CBT准备情况的过程。心理治疗师认为很难确定一种症状是归因于抑郁症还是MS，并且对于一些参与者，CBT需要调整为更具体的内容。
结论
心理治疗师可能需要更多MS特定知识以及对个体功能的洞察。CBT在具体家庭作业和行为激活方面的内容需要个性化。
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