Burke John, Richards Derek, Timulak Ladislav
E-Mental Health Research Group,School of Psychology,Trinity College,Dublin and Research and Innovation,SilverCloud Health,Dublin,Ireland.
E-Mental Health Research Group School of Psychology,Trinity College,Dublin.
Behav Cogn Psychother. 2019 May;47(3):386-399. doi: 10.1017/S1352465818000504. Epub 2018 Aug 28.
Anxiety disorders are a highly prevalent cause of impairment globally with generalized anxiety disorder (GAD) sharing many features with other anxiety disorders.
The present study investigated the helpful and hindering events and impacts for individuals with generalized anxiety who engaged with a supported 6-week online intervention based on cognitive behavioural therapy (iCBT).
Participants (n = 36) completed the Helpful and Hindering Aspects of Therapy (HAT) for each session. A descriptive-interpretative framework was used to analyse the data.
Helpful events were identified by participants as CBT techniques including psychoeducation, monitoring, cognitive restructuring and relaxation, and found supporter interaction, mindfulness and reading personal stories helpful. The associated impacts were identified as support and validation; behavioural change/applying coping strategies; clarification, awareness, and insight; reassurance/relief; and self-efficacy/empowerment. Hindering events were identified as treatment content/form; and amount of work/technical issues, which led to impacts such as frustration/irritation; increased anxiety; and isolation.
The implications of the results, potential future directions of research and limitations of the study are discussed.
焦虑症是全球范围内导致功能障碍的一个高度普遍的原因，广泛性焦虑症（GAD）与其他焦虑症有许多共同特征。
本研究调查了参与一项基于认知行为疗法的为期6周的在线支持干预（iCBT）的广泛性焦虑症患者所经历的有益和阻碍事件及其影响。
参与者（n = 36）在每个疗程中完成治疗的有益和阻碍方面（HAT）评估。采用描述性解释框架对数据进行分析。
参与者将有益事件确定为认知行为疗法技术，包括心理教育、监测、认知重构和放松，并且发现支持者互动、正念和阅读个人故事也有帮助。相关影响被确定为支持和认可；行为改变/应用应对策略；澄清、意识和洞察力；安心/缓解；以及自我效能感/赋权。阻碍事件被确定为治疗内容/形式；以及工作量/技术问题，这些导致了诸如沮丧/恼怒；焦虑增加；以及孤立等影响。
讨论了研究结果的意义、未来潜在的研究方向以及本研究的局限性。
