Christensen Sofie Heidenheim, Heinrichsen Michella, Møhl Bo, Rubæk Lotte, Byrialsen Katherine Krage, Ojala Olivia, Hellner Clara, Pagsberg Anne Katrine, Bjureberg Johan, Morthorst Britt
Child and Adolescent Mental Health Center, Copenhagen University Hospital - Mental Health Services CPH, Copenhagen, Denmark.
Department of Clinical Medicine, Faculty of Health, University of Copenhagen, Copenhagen, Denmark.
Psychol Psychother. 2025 Jun;98(2):322-341. doi: 10.1111/papt.12541. Epub 2024 Aug 15.
We explore adolescents' and their parents' experiences of internet-based emotion regulation therapy for non-suicidal self-injury (NSSI).
A qualitative study nested within a controlled feasibility trial.
Online, semi-structured focus group interviews were conducted with outpatient adolescents with NSSI aged 13-17 years (n = 9) and their parents (n = 8) who had received therapist-guided Internet-delivered Emotion Regulation Individual Therapy for Adolescents (IERITA). Transcripts were analysed using reflexive thematic analysis.
Three main themes were generated: (1) Fatigue - barriers to and during treatment, comprised of two sub-themes 'Arriving to services exhausted, needing motivation, and leaving feeling abandoned' and 'the burden of IERITA and the consequences of fatigue', (2) inter- and intrapersonal insights as facilitators of change and (3) Online, written contact with the therapist is beneficial and contributes with less pressure, comprised of three sub-themes 'the therapist behind the screen is essential', 'less pressure sitting alone: the physical absence of a therapist' and 'engaging on your own terms, in your own tempo'. Themes were consistent among adolescents and parents.
Fatigue due to therapeutic engagement and previous help-seeking processes created barriers for engagement. Emotion regulation therapy was experienced as beneficial leading to inter- and intra-personal insights, facilitating change of maladaptive patterns. Therapists were regarded as indispensable, and the internet-based format did not hinder therapeutic alliance. The written format allowed for reflection and alleviated the pressure of relating to the therapist. Further research should explore experiences of other online treatment formats (e.g. synchronous or video-based) with regard to benefits, fatigue and therapist interaction.
我们探讨青少年及其父母对于基于互联网的非自杀性自伤（NSSI）情绪调节疗法的体验。
一项嵌套在对照可行性试验中的定性研究。
对13 - 17岁患有NSSI的门诊青少年（n = 9）及其父母（n = 8）进行了在线半结构化焦点小组访谈，这些青少年及其父母接受了治疗师指导的青少年互联网情绪调节个体治疗（IERITA）。使用反思性主题分析法对访谈记录进行分析。
产生了三个主要主题：（1）疲劳——治疗前和治疗期间的障碍，由两个子主题组成，即“疲惫地寻求服务、需要动力且离开时感觉被遗弃”和“IERITA的负担及疲劳的后果”；（2）人际和个人内领悟作为改变的促进因素；（3）与治疗师的在线书面联系有益且压力较小，由三个子主题组成，即“屏幕后的治疗师至关重要”、“独自坐着压力较小：治疗师不在场”以及“按自己的方式、节奏参与”。青少年和父母的主题一致。
治疗参与和先前寻求帮助过程导致的疲劳为参与制造了障碍。情绪调节疗法被认为有益，能带来人际和个人内领悟，促进适应不良模式的改变。治疗师被视为不可或缺，基于互联网的形式并未阻碍治疗联盟。书面形式允许反思并减轻了与治疗师交流的压力。进一步的研究应探讨其他在线治疗形式（如同步或基于视频的形式）在益处、疲劳和治疗师互动方面的体验。
