Division of Mental Health and Addiction, Oslo University Hospital, 0424 Oslo, Norway.
Institute of Clinical Medicine, University of Oslo, 0318 Oslo, Norway.
Int J Environ Res Public Health. 2021 Feb 26;18(5):2292. doi: 10.3390/ijerph18052292.
There is a substantial lack of qualitative research concerning individual cognitive behavioral therapy (CBT) for patients with major depressive disorder (MDD). In the present study, we wanted to explore how patients suffering from MDD experience improvement in CBT.
Patients with MDD ( = 10) were interviewed at therapy termination with semi-structured qualitative interviews. The transcripts were analyzed using a thematic analysis approach.
We identified three elements that were relevant to the process of improvement for all patients: the therapeutic relationship, the therapeutic interventions and increased insight. There is a dynamic interrelationship and synergy between these elements that may explain why patients considered the same elements as helpful, but often in different ways and at different stages of therapy.
Highlighting the synergies and interrelationship between the elements that patients experience as helpful, may help therapists to learn from and utilize these experiences. This is a reminder of the importance of always being attentive to the individual processes of patients.
针对重度抑郁症患者的个体认知行为疗法（CBT）的定性研究非常匮乏。本研究旨在探索患有 MDD 的患者如何在 CBT 中体验到改善。
在治疗结束时，我们对 10 名 MDD 患者进行了半结构化的定性访谈。使用主题分析方法对转录本进行分析。
我们确定了与所有患者的改善过程相关的三个要素：治疗关系、治疗干预和洞察力的提高。这些要素之间存在着动态的相互关系和协同作用，这也许可以解释为什么患者认为相同的要素有帮助，但往往在不同的方式和治疗的不同阶段。
强调患者认为有帮助的要素之间的协同作用和相互关系，可以帮助治疗师从中学习并加以利用。这提醒我们，始终关注患者的个体进程非常重要。
