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临床医生提供认知行为疗法十(CBT-T)的经验:一项定性研究。

Clinicians' Experiences of Delivering Cognitive Behaviour Therapy Ten (CBT-T): A Qualitative Investigation.

作者信息

Hewitt Chloe, Coker Siân, Burgess Aaron, Waller Glenn

机构信息

Norwich Medical School, University of East Anglia, Norwich, England.

Department of Psychology, University of Sheffield, Sheffield, England.

出版信息

Eur Eat Disord Rev. 2025 Sep;33(5):995-1004. doi: 10.1002/erv.3200. Epub 2025 Apr 17.

Abstract

OBJECTIVE

Cognitive Behaviour Therapy Ten (CBT-T) is a relatively new manualised treatment for non-underweight patients with eating disorders. It has been found to be an effective treatment and to be rated highly by patients. However, it is also important to consider clinicians' perspectives in the implementation and development of new interventions, because clinician perspectives can impact treatment delivery, leading to issues such as therapist drift. Using a qualitative approach, this research aimed to examine clinician experiences of delivering CBT-T.

METHOD

The sample consisted of 13 clinicians currently delivering CBT-T, with at least six months experience of delivering this treatment. Semi-structured interviews were conducted via Microsoft Teams, using thematic analysis to identify themes from the interview transcripts.

RESULTS

Three themes and 10 subthemes were identified. The main themes were: positive experiences of delivering CBT-T, changing experience over time, and challenges in delivery.

DISCUSSION

Clinicians reported an overall largely positive experience of delivering CBT-T, with some challenges related to treatment delivery identified. Findings are discussed in relation to wider research literature, with recommendations given about how clinicians can be supported with their delivery of CBT-T, and for future research and CBT-T development.

摘要

目的

认知行为疗法十(CBT-T)是一种针对非体重过低的饮食失调患者的相对较新的手册化治疗方法。已发现它是一种有效的治疗方法,且患者评价很高。然而,在新干预措施的实施和发展过程中考虑临床医生的观点也很重要,因为临床医生的观点会影响治疗的提供,从而导致诸如治疗师偏离等问题。本研究采用定性方法,旨在考察临床医生实施CBT-T的经验。

方法

样本包括13名目前正在实施CBT-T的临床医生,他们至少有六个月实施该治疗的经验。通过微软团队进行半结构化访谈,采用主题分析从访谈记录中识别主题。

结果

确定了三个主题和10个子主题。主要主题为:实施CBT-T的积极经验、随时间变化的经验以及实施过程中的挑战。

讨论

临床医生报告称,总体而言,实施CBT-T的经验在很大程度上是积极的,但也发现了一些与治疗实施相关的挑战。结合更广泛的研究文献对研究结果进行了讨论,并就如何支持临床医生实施CBT-T以及未来的研究和CBT-T的发展提出了建议。

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