E-mental Health Group, School of Psychology, University of Dublin, Trinity College Dublin, Dublin, Ireland.
Clinical Research & Innovation, SilverCloud Health, Dublin, Ireland.
Clin Psychol Psychother. 2022 Jan;29(1):200-221. doi: 10.1002/cpp.2619. Epub 2021 Jun 13.
While the acquisition and application of Cognitive Behaviour Therapy (CBT) skills is a core component and likely mechanism of effect maintenance in all CBT-based treatments, the extent of post-therapeutic CBT skills usage among internet-delivered CBT (iCBT) clients remains under-researched.
Nested within a pragmatic randomized controlled trial, 241 participants received an 8-week supported iCBT intervention for anxiety and/or depression and answered open-ended questions about their use and experience of CBT skills at 3-, 6-, 9-, and 12-month follow-up. Recurrent, cross-sectional qualitative analysis following the descriptive and interpretive approach was used to create a taxonomy, through which all qualitative data was coded.
In total, 479 qualitative responses across 181 participants were analysed. Participants reported using a wide range of CBT skills and associated helpful and hindering experiences and impacts. The reasons for discontinued CBT skills usage were diverse, ranging from rare adverse effects to healthy adaptation.
The study shows how clients receiving iCBT in routine care learn CBT skills during treatment and utilize them in productive ways post-treatment. Findings coincide with similar research in face-to-face CBT and may inform future research to drive innovation and iCBT intervention development.
虽然认知行为疗法（CBT）技能的获取和应用是所有基于 CBT 的治疗中保持疗效的核心组成部分和可能机制，但互联网提供的认知行为疗法（iCBT）患者治疗后的 CBT 技能使用程度仍未得到充分研究。
在一项实用随机对照试验中，241 名参与者接受了为期 8 周的支持性 iCBT 干预，用于治疗焦虑和/或抑郁，并在 3、6、9 和 12 个月的随访中回答了关于他们使用和体验 CBT 技能的开放式问题。采用描述性和解释性方法进行的反复、横断面定性分析，创建了一个分类法，通过该分类法对所有定性数据进行编码。
共分析了 181 名参与者的 479 份定性回复。参与者报告了使用广泛的 CBT 技能以及相关的有益和阻碍体验和影响。停止使用 CBT 技能的原因多种多样，从罕见的不良反应到健康适应。
该研究表明，在常规护理中接受 iCBT 的患者在治疗期间学习 CBT 技能，并在治疗后以富有成效的方式使用这些技能。研究结果与面对面 CBT 的类似研究相吻合，并为未来的研究提供信息，以推动创新和 iCBT 干预的发展。
