Anders Malkomsen1, Jan Ivar Røssberg1,2, Toril Dammen3, Theresa Wilberg1,2, André Løvgren1, Julie Horgen Evensen4. 1. Division of Mental Health and Addiction, Oslo University Hospital, 0424 Oslo, Norway. 2. Institute of Clinical Medicine, University of Oslo, 0318 Oslo, Norway. 3. Department of Behavioral Science in Medicine, Faculty of Medicine, University of Oslo, 0372 Oslo, Norway. 4. Nydalen Outpatient Clinic, 0424 Oslo, Norway.
Abstract
BACKGROUND: There is a substantial lack of qualitative research concerning individual cognitive behavioral therapy (CBT) for patients with major depressive disorder (MDD). In the present study, we wanted to explore how patients suffering from MDD experience improvement in CBT. METHOD: Patients with MDD (N = 10) were interviewed at therapy termination with semi-structured qualitative interviews. The transcripts were analyzed using a thematic analysis approach. RESULTS: We identified three elements that were relevant to the process of improvement for all patients: the therapeutic relationship, the therapeutic interventions and increased insight. There is a dynamic interrelationship and synergy between these elements that may explain why patients considered the same elements as helpful, but often in different ways and at different stages of therapy. CONCLUSIONS: Highlighting the synergies and interrelationship between the elements that patients experience as helpful, may help therapists to learn from and utilize these experiences. This is a reminder of the importance of always being attentive to the individual processes of patients.
BACKGROUND: There is a substantial lack of qualitative research concerning individual cognitive behavioral therapy (CBT) for patients with major depressive disorder (MDD). In the present study, we wanted to explore how patients suffering from MDD experience improvement in CBT. METHOD:Patients with MDD (N = 10) were interviewed at therapy termination with semi-structured qualitative interviews. The transcripts were analyzed using a thematic analysis approach. RESULTS: We identified three elements that were relevant to the process of improvement for all patients: the therapeutic relationship, the therapeutic interventions and increased insight. There is a dynamic interrelationship and synergy between these elements that may explain why patients considered the same elements as helpful, but often in different ways and at different stages of therapy. CONCLUSIONS: Highlighting the synergies and interrelationship between the elements that patients experience as helpful, may help therapists to learn from and utilize these experiences. This is a reminder of the importance of always being attentive to the individual processes of patients.
Entities:
Keywords:
cognitive behavioral therapy; depression; improvement; patients’ perspective; qualitative study
Authors: Lydia R M French; Laura Thomas; John Campbell; Willem Kuyken; Glyn Lewis; Chris Williams; Nicola J Wiles; Katrina M Turner Journal: Behav Cogn Psychother Date: 2016-09-15
Authors: Pim Cuijpers; Matthias Berking; Gerhard Andersson; Leanne Quigley; Annet Kleiboer; Keith S Dobson Journal: Can J Psychiatry Date: 2013-07 Impact factor: 4.356