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A qualitative study of cognitive behavioural therapy in multiple sclerosis: experiences of psychotherapists

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...

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Autores principales: Ytterberg, Charlotte, Chruzander, Charlotte, Backenroth, Gunnel, Kierkegaard, Marie, Ahlström, Gerd, Gottberg, Kristina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5510224/
https://www.ncbi.nlm.nih.gov/pubmed/28540774
http://dx.doi.org/10.1080/17482631.2017.1325673
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author Ytterberg, Charlotte
Chruzander, Charlotte
Backenroth, Gunnel
Kierkegaard, Marie
Ahlström, Gerd
Gottberg, Kristina
author_facet Ytterberg, Charlotte
Chruzander, Charlotte
Backenroth, Gunnel
Kierkegaard, Marie
Ahlström, Gerd
Gottberg, Kristina
author_sort Ytterberg, Charlotte
collection PubMed
description 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.
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spelling pubmed-55102242017-07-26 A qualitative study of cognitive behavioural therapy in multiple sclerosis: experiences of psychotherapists Ytterberg, Charlotte Chruzander, Charlotte Backenroth, Gunnel Kierkegaard, Marie Ahlström, Gerd Gottberg, Kristina Int J Qual Stud Health Well-being Original Articles 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. Taylor & Francis 2017-05-25 /pmc/articles/PMC5510224/ /pubmed/28540774 http://dx.doi.org/10.1080/17482631.2017.1325673 Text en © 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Ytterberg, Charlotte
Chruzander, Charlotte
Backenroth, Gunnel
Kierkegaard, Marie
Ahlström, Gerd
Gottberg, Kristina
A qualitative study of cognitive behavioural therapy in multiple sclerosis: experiences of psychotherapists
title A qualitative study of cognitive behavioural therapy in multiple sclerosis: experiences of psychotherapists
title_full A qualitative study of cognitive behavioural therapy in multiple sclerosis: experiences of psychotherapists
title_fullStr A qualitative study of cognitive behavioural therapy in multiple sclerosis: experiences of psychotherapists
title_full_unstemmed A qualitative study of cognitive behavioural therapy in multiple sclerosis: experiences of psychotherapists
title_short A qualitative study of cognitive behavioural therapy in multiple sclerosis: experiences of psychotherapists
title_sort qualitative study of cognitive behavioural therapy in multiple sclerosis: experiences of psychotherapists
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5510224/
https://www.ncbi.nlm.nih.gov/pubmed/28540774
http://dx.doi.org/10.1080/17482631.2017.1325673
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