文章基本信息

标题：A qualitative study of cognitive behavioural therapy in multiple sclerosis: experiences of psychotherapists
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作者：Charlotte Ytterberg ; Charlotte Chruzander ; Gunnel Backenroth 等
期刊名称：International Journal of Qualitative Studies on Health and Well-being
电子版ISSN：1748-2631
出版年度：2017
卷号：12
期号：1
页码：1325673
DOI：10.1080/17482631.2017.1325673
语种：English
出版社：Taylor & Francis
摘要：ABSTRACT Purpose: To investigate how psychotherapists experience using individual, face-to-face cognitive behavioural therapy (CBT) aimed at alleviating depressive symptoms in persons with multiple sclerosis (MS). Method: Semi-structured interviews with three psychotherapists were conducted after CBT with 12 participants with MS, and analysed using qualitative content analysis. Results: Two main themes emerged: Trusting their expertise as psychotherapists whilst lacking MS-specific knowledge, and The process of exploring the participants’ readiness for CBT with modifications of content and delivery. The psychotherapists perceived it difficult to know whether a symptom was attributable to depression or to MS, and for some participants the CBT needed to be adapted to a more concrete content. Conclusions: Psychotherapists may need more MS-specific knowledge and an insight into the individual’s functioning. The content of CBT in terms of concrete home assignments and behavioural activation needs to be individualised.
关键词：Multiple sclerosis ; depression ; cognitive behavioural therapy ; psychotherapists ; content analysis