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治疗师为轻度和中度抑郁症患者提供互联网指导认知行为疗法的经验:一项主题分析。

Therapists' experiences with providing guided internet-delivered cognitive behavioral therapy for patients with mild and moderate depression: a thematic analysis.

作者信息

Børtveit Line, Nordgreen Tine, Nordahl-Hansen Anders

机构信息

Faculty of Health, Welfare and Organisation, Østfold University College, Halden, Norway.

Department of Behavioral Sciences, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.

出版信息

Front Psychol. 2023 Jul 14;14:1236895. doi: 10.3389/fpsyg.2023.1236895. eCollection 2023.

DOI:10.3389/fpsyg.2023.1236895
PMID:37519347
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10380928/
Abstract

INTRODUCTION

Guided internet-delivered therapy has shown promising results for patients with mild and moderate depressive disorder, but several challenges with the format have been reported. The aim of this qualitative study was to investigate therapists' experiences providing guided internet-delivered cognitive behavioral therapy for patients with mild and moderate depression.

MATERIAL AND METHODS

Twelve therapists were interviewed, and the interviews were analyzed using reflexive thematic analysis.

RESULTS AND CONCLUSION

Three themes were created: (1) . This theme is about therapists' experiences appointing patients to the program. It is challenging to predict which patients will benefit from it, and it is not the right option for all patients. (2) . The second theme was about the experiences with demands on clinics, therapists and patients that must be considered. The internet-delivered treatment should not be viewed as a simple treatment option, and the value of having contact with the patients during treatment was emphasized. (3) . This theme was about the experiences with how the treatment content was conveyed to the patients, how the therapists expressed concerns with the usability of the program and the reported need for more possibilities in tailoring treatment for each patient.

摘要

引言

针对轻度和中度抑郁症患者,有指导的互联网提供治疗已显示出有前景的结果,但也有报道称这种形式存在一些挑战。这项定性研究的目的是调查治疗师为轻度和中度抑郁症患者提供有指导的互联网认知行为治疗的经验。

材料与方法

对12名治疗师进行了访谈,并使用反思性主题分析法对访谈进行了分析。

结果与结论

创建了三个主题:(1)。这个主题是关于治疗师为患者安排该项目的经验。预测哪些患者将从中受益具有挑战性,而且它并非对所有患者都是正确的选择。(2)。第二个主题是关于必须考虑的对诊所、治疗师和患者的要求方面的经验。互联网提供的治疗不应被视为一种简单的治疗选择,并强调了在治疗期间与患者接触的价值。(3)。这个主题是关于治疗内容如何传达给患者的经验,治疗师如何表达对该项目可用性的担忧,以及报告中提到的为每个患者量身定制治疗需要更多可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/228d/10380928/6270d424ae79/fpsyg-14-1236895-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/228d/10380928/6270d424ae79/fpsyg-14-1236895-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/228d/10380928/6270d424ae79/fpsyg-14-1236895-g001.jpg

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